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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 TTA I. VrITl1 T, TAIII 1IAR- <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />Oil T/O CUTE 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 />111. 1 %"11111N. vv ILLIll1Y1V, I I <br />\L-%JI LJL -1'4 I NU I t: Keaa Instructions Detore com letln tnls torm. <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 />TYPE <br />ANALYSIS <br />LC50 STATRE 48HR ACU <br />SAMPLE <br />DAPHNIA MAGNA <br />MEASUREMENT <br />I <br />(23) <br />TAM3C 1 0 <br />EFFLUENT GROSS SEE COMMENTSt1�FiEME1VT <br />NO <br />DISCHARGE <br />PERCENT <br />U <br />:: <br />.. 0 •: <br />LC50 STATRE 96HR ACU <br />SAMPLE <br />PIMEPHALES <br />MEASUREMENT <br />(23) <br />TAN6C 1 0 <br />7=77777777 <br />::::::::: <br />EFFLUENT GROSS <br />??!!fN!N: ........._ .__ ..__. ... ................ _.- • -__,r- .. _............ _._. <br />PERCENT <br />SAMPLE <br />MEASUREMENT <br />'', <br />:iiidPF+T`E:`iiE <br />`iiii;iii:`•;i; i;:;i;iiiiiiiiiiipi[ <br />i;i <br />..I. ..:.,.:.,. <br />6 <br />SAMPLE <br />.......... <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />.. f .M ........................ <br />. . <br />SAMPLE <br />MEASUREMENT <br />::.. P ............. <br />........ ............................... <br />::::::::. <br />:;: ;:;:;:;:;:;:1:::::::::isi;:;;;; <br />;i;;i; i;';:;:::;';'- ;::::::::: is i ::::::E:::i':::::::- <br />::::= :::::: <br />NAME /TITLE PRINCIPAL EXECUTIVE <br />OFFICER <br />TELEPHONE <br />DATE <br />CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNOER MY <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 />_ <br />4 <br />Weston Norris <br />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSWLE FOR GATHERING THE <br />INFORMATION. THE INFORMATION SUBMITTED IS, TO THE BEST OF MY RHOWLEDGE AND BELIEF, TRUE. ACCURATE, <br />AND COMPLETE SU <br />1 AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR BMn nNG FALSE INFORMATION, <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />970 - 929 -5015 <br />10/13/2014 <br />TYPED OR PRINTED <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />OFFICER OR AUTHORIZED AGENT <br />MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOI ATIONR M.F.— nn nNa hmunM hnrul <br />Forms by WindowChem(707)864- <br />0845:Wn11090:v5.0:1N/OB <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 />