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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 />A TTIAI• VCITLJ � 1A /II I IA11AC 1"I�CCIfIChIT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />— oll w —ACUTE WET TESTING FOR 011A <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM To NO DISCHARGE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT' <br />SAMPLE <br />MEASUREMENT <br />KRMIT <br />REQUIREMENT <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER <br />ION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL <br />P OPE <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MV INQUIRY PERSON OR <br />PERSONS WHO MANAGE THE SYSTEM. OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR R GATHERING THE <br />INFORMATION. THE INFORMATION SUBMITTED IS. TO THE BEST OF MV y KNOW 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 />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />(`(IKANAMKIT AAIFI CVOI AAIATinki !1C ANIV \71!11 ATInKIC 70..t .,...,.,. .,n ..w- ,,.�,..,....�.. �,,....N <br />)NE I DATE. <br />970 - 929 -5015 7/15/2014 <br />MM /DD/YYYY <br />Forms by WNndowChem (7 0 7)8 64- 084 5.D/n11000:v5. <br />SEE I.A.5, PP. 6 -7, FOR DETAILS OF TEST PROCEDURE. REPORT LC50 - STATISTICAL POINT ESTIMATE WHICH IS LETHAL TO 50% OF THE TEST ORGANISMS, AND ATTACH ACUTE TOXICITY <br />TEST REPORT FORM TO DMR. <br />00105/980409-1716 PAGE 1 OF 1 <br />IVU 1 C. r-ledU IIISITU000N5 Dt'IOTE' COfTI <br />pieung <br />[nIS TOTRI. <br />PARAMETER <br />QUALITY OR LOADING QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />VALUE VALUE UNITS VALUE VALUE VALUE UNIT <br />SAMPLE <br />EX <br />OF <br />ANALYSIS <br />TYPE <br />LC50 STATRE 48HR ACU <br />DAPHNIA MAGNA <br />MEASUREMENT (23) <br />TAM3C 1 0 <br />EFFLUENT GROSS SEE COMMENTS <br />PERMIT <br />REQUIREMENT PERCENT <br />SAMPLE NO D <br />QTRL.Y <br />GRAB <br />LC50 STATRE 96HR ACU <br />PIMEPHALES <br />MEASUREMENT (23) <br />TAN6C 1 0 EFFLUENT <br />pPRMIT <br />GROSS <br />REQUIREMENT PERCENT <br />QTRLY :: <br />GRAB <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT' <br />SAMPLE <br />MEASUREMENT <br />KRMIT <br />REQUIREMENT <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER <br />ION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL <br />P OPE <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MV INQUIRY PERSON OR <br />PERSONS WHO MANAGE THE SYSTEM. OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR R GATHERING THE <br />INFORMATION. THE INFORMATION SUBMITTED IS. TO THE BEST OF MV y KNOW 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 />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />(`(IKANAMKIT AAIFI CVOI AAIATinki !1C ANIV \71!11 ATInKIC 70..t .,...,.,. .,n ..w- ,,.�,..,....�.. �,,....N <br />)NE I DATE. <br />970 - 929 -5015 7/15/2014 <br />MM /DD/YYYY <br />Forms by WNndowChem (7 0 7)8 64- 084 5.D/n11000:v5. <br />SEE I.A.5, PP. 6 -7, FOR DETAILS OF TEST PROCEDURE. REPORT LC50 - STATISTICAL POINT ESTIMATE WHICH IS LETHAL TO 50% OF THE TEST ORGANISMS, AND ATTACH ACUTE TOXICITY <br />TEST REPORT FORM TO DMR. <br />00105/980409-1716 PAGE 1 OF 1 <br />