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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 />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000038776 012A MINE WTR TO MINNESOTA CREEK <br />PERMIT NUMBER DISCH NUM BER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD IMINOR <br />FROM To NO DISCHARGE FXJ <br />NOTE: Read instructions before completing this form. <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />30 DAY AVG IS HIGHEST MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING <br />Forms by Wmdo Chem( 707 )864- 0845,p/n11090,v50,111/96 - <br />INSTRUCTIONS - I.C.11 OIL & GREASE -SEE I.13.15. <br />00113/980409 -1716 PAGE 1 OF 1 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />NO. <br />FREQUENCY <br />SAMPLE <br />>< <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />EX <br />of <br />ANALYSIS <br />TYPE <br />SAMPLE <br />PH MEASUREMENT <br />(12) <br />00400 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />S.U. <br />WEEKLY <br />INSITU <br />SOLIDS, TOTAL SAMPLE <br />SUSPENDED MEASUREMENT <br />( <br />00530 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />mg /I <br />ONCE 1 <br />MONTH <br />C ' R <br />(28) <br />IRON, TOTAL SAMPLE <br />(AS FE) MEASUREMENT <br />01045 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />u9 /I <br />ONCE <br />MONTH <br />GRAB <br />SAMPLE <br />OIL AND GREASE MEASUREMENT <br />(19) <br />03582 1 0 PERMIT NO DISCHARGE <br />EFFLUENT GROSS REIII lER MENT <br />mg /I <br />GONTIN <br />GENT <br />GRAB <br />FLOW, IN CONDUIT OR SAMPLE <br />THRU TREATMENT PLANT MEASUREMENT* <br />50050 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />*t, <br />WEEKLY <br />INSTANT <br />(19) <br />SOLIDS, TOTAL SAMPLE <br />DISSOLVED MEASUREMENT <br />70295 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />mg /I <br />QTRLY <br />GRAB <br />OIL AND GREASE SAMPLE <br />VISUAL MEASUREMENT <br />84066 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />WEEKLY <br />VISUAL <br />TELEPHONE <br />D A T F <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />CERTIFY UNDER PENALTY OF LAW THAT THIS DT AND ALL ATTACHMENTS WERE PREPARED UNDER MV <br />DIRECTION OR NI IN ACCORDANCE WITH H A A SIS 5 \STEM DESIGNED TO ASSURE THAT PERSON NEL <br />P ROPERLV GATHER HER AND EVALUATE THE INFORMATION SUBMITTED BASED ON MY INQUIRY Y O THE PERSON Oft <br />PERSONS WHO MANAGE THE S E THE SYSTEM OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR R THE GATHERING THE <br />INFORMATION THE INFORMATION SUBMITTED IS TO THE PEST OF MY KNOWLEDGE AND BELIEF, TRUE ACCURATE <br />Weston Norris AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, SIGNATURE OF PRINCIPAL EXECUTIVE <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS <br />970 - 929 -5015 <br />7/24/2012 <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />MM /DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />30 DAY AVG IS HIGHEST MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING <br />Forms by Wmdo Chem( 707 )864- 0845,p/n11090,v50,111/96 - <br />INSTRUCTIONS - I.C.11 OIL & GREASE -SEE I.13.15. <br />00113/980409 -1716 PAGE 1 OF 1 <br />