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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 />DISC HARGE MONITORING REPORT (DM <br />[ C00038776 005 A COAL CONVEYOR RUNOFF (MB -3) <br />PERMIT NUMBER DIS CHARGE NUMBE (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM 4/112012 TO 1 2012 NO DISCHARGE <br />NOTE: Read instructions before completinq this form <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WlndowChem (707)864- 0845,p/n 11090,v5 0,1/1/96 <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LIMIT APPLIED FOR < 10YR, 24HR PRECIP EVENT -SEE I.A.3, PG 5, FOR REQUIREMENTS. 30 DAY AVG IS HIGHEST <br />MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING INSTRUCTIONS -I.0 11 OIL & GREASE -SEE I.B.1.F. <br />00025/980409 -1716 PAGE 1 OF 2 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />>< <br />NO. <br />FREQUENCY <br />SAMPLE <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 />( <br />00400 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />S u <br />ONCE/ <br />MONTH <br />INSITU <br />SOLIDS, TOTAL SAMPLE <br />SUSPENDED MEASUREMENT <br />( <br />00530 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />mg /I <br />ONCE f <br />MONTH <br />GRAB <br />SOLIDS, SETTLEABLE SAMPLE <br />MEASUREMENT <br />( <br />00545 1 0 PERMIT <br />ONCE If <br />EFFLUENT GROSS REQUIREMENT <br />mg /I <br />MONTH <br />GRAS <br />(28 <br />IRON, TOTAL SAMPLE <br />(AS FE) MEASUREMENT <br />ONCE / <br />MONTH <br />GRAB <br />01045 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT NO DISCHARGE <br />Ng /I <br />SAMPLE <br />OIL AND GREASE MEASUREMENT <br />(19) <br />03582 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />mg /I <br />CONTIN - <br />GENT <br />GRAS <br />FLOW, IN CONDUIT OR SAMPLE <br />THRU TREATMENT PLANT MEASUREMENT <br />50050 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />ONCE 1 <br />MONTH <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 />TELEPHONE <br />D A <br />T F <br />N AME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER V <br />DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED BASED ON MY INQUIRY OF THE PERSON OR <br />PERSONS WHO MANAGE THE SYSTEM OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />INFO A <br />AND COMPLETE INFORMATION AWARE SUBMITTED IS <br />RE THAT HEREARE SIGNFCANT PENALTIES FOR SUBMITTING FALSE SIGNATURE OF PRINCIPAL EXECUTIVE <br />Weston Norris 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 /DDNYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WlndowChem (707)864- 0845,p/n 11090,v5 0,1/1/96 <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LIMIT APPLIED FOR < 10YR, 24HR PRECIP EVENT -SEE I.A.3, PG 5, FOR REQUIREMENTS. 30 DAY AVG IS HIGHEST <br />MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING INSTRUCTIONS -I.0 11 OIL & GREASE -SEE I.B.1.F. <br />00025/980409 -1716 PAGE 1 OF 2 <br />