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PERMITTEE NAME/ADDRESS: <br />NAME: MOUNTAIN COAL COMPANY, LLC <br />ADDRESS: WEST ELK MINE <br />P.O. BOX 591 <br />SOMERSET CO 81434 <br />FACILITY: WEST ELK MINE <br />LOCATION: APPX 1 MI E OF TOWN ON HWY 133 <br />SOMERSET, CO 81434 <br />ATTN: EUGENE E. DICLAUDIO, PRESIDENT. <br />PARAMETER <br />OIL AND GREASE <br />VISUAL <br />84066 1 0 <br />EFFLUENT GROSS <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038776 018A SED. POND TO SYLVESTER GULCH <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM To NO DISCHARGE <br />QUALITY <br />VALUE l VALUE <br />QUALITY OR <br />Read instructions before completing this form. <br />UNITS I VALUE I VALUE I VALUE <br />MEASUREMENT <br />F?EFf14117` <br />'R?E?11Rf=fvlEtIT <br />SAMPLE NO DISCHARGE <br />MEASUREMENT <br />MEASUREMENT <br />r2EQtJII?EIvIENt <br />SAMPLE <br />MEASUREMENT <br />NO. FREQUENCY SAMPLE <br />UNIT EX OF TYPE <br />ANALYSIS <br /> <br /> <br />PER < •• ................... <br />EQ>! fiEM <br />......................................:.:. <br />.............:...........:......:.:.:......:.... <br />...................:.:....................:......... <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY' TELEPHONE DATE <br />DIRECTION OR SUPERVISION M ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONN <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBFBTTED. BASED ON MY INQUIRY OF THE PERSON OR ONS <br />WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE INFORMATION, THE <br />INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, AND COMPLETE 1 AM': <br />Doug Nolte I AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBI.TY OF I SIGNATURE OF PRINCIPAL EXECUTIVE 970929-5015 4/18/2011 <br />TYPED OR PRINTED FINE AND IMPRISONMENT FOR KNOWINGVIG"TIONS. <br />OFFICER OR AUTHORIZED AGENT AREA CODE NUMBER MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by wnaoWCh,iml707)864-0845:p/ni1090;Y5.0;1ni96 <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LIMIT APPLIED FOR -10YR, 24HR PRECIP EVENT-SEE I.A.2, PG 5, FOR REQUIREMENTS. 30 DAY AVG IS HIGHEST <br />MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING INSTRUCTIONS-I.C.11. OIL & GREASE - SEE 1.B.1.F. <br />00202/980409-1716 PAGE 2 OF 2