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�ERMITTEE NAMEIADDRESS: NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME: MOUNTAIN COAL COMPANY, LLC DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS: WEST ELK MINE <br />C00098776 <br />— 017 VV <br />CUTE WET TESTING FOR 017A <br />P.O. BOX 591 <br />PERMIT NUMBER <br />DISCHARGE NUMBER <br />(SUBR MH) GUNIS <br />SOMERSET CO 81434 EXTERNAL OUTFALL <br />FACILITY: WEST ELK MINE <br />MONITORING PERIOD <br />MINOR <br />LOCATION: APPX 1 MI E OF TOWN ON HWY 133 FROM <br />To <br />NO DISCHARGE <br />SOMERSET, CO 81434 <br />ATTN: KEITH R. WILLIAMS, PRESIDENT NOTE: Read instructions before com l ing this form. <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />PARAMETER <br />[>< <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />EX <br />OF <br />ANALYSIS <br />TYPE <br />LC50 STATRE 48HR ACU <br />SAMPLE <br />(23) <br />DAPHNIA MAGMA <br />MEASUREMENT <br />TAM3C 1 0 <br />EFFLUENT GROSS SEE COMMENTS <br />€ € €':?Tfi €i <br />�����!�� <br />NO DISCHARGE <br />PERCENT <br />�� ::::::: ::::::::::::::::::::::::�:::::: <br />LC50 STATRE 96HR ACU <br />SAMPLE <br />(23) <br />PIMEPHALES <br />MEASUREMENT <br />TAN6C 1 0 <br />EFFLUENT GROSS <br />i4i11MV <br />__ <br />PERCENT::::::::: <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />-ISM ....................... <br />.. <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />.:?�� Imo+ <br />:::::::::.:::::.:::.:::::::: �::::::•::::::: <br />::�:�:::�::: ::�:�:�:�:�:�:�:�:� <br />�: �: � :::::::::�:�:�:�:�:= :�:�:�:�:�: <br />SAMPLE <br />MEASUREMENT <br />NAME /TITLE PRINCIPAL EXECUTIVE <br />OFFICER ...... <br />TELEPHONE <br />DATE <br />1 CERTIFY UNDER PEWILTY OF LAW THAT THIS DOCUMENT AND ALL ED TO ASSUME WERE PREPARED UNDER MY <br />H THIS ALLA <br />OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO T PERSONN <br />ON MY INQUIRY Y OF E <br />PROPERLY GATHER ANO EVALUATE TXE TOR THOSE PERSONS DI. BASED ON MV INQUIRY R THE PERSON OR <br />PROPERLY LY <br />:PERSONS WHO MANAGE THE SYSTEM. OR TH09E PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />INFORMATION. THE INFORMATION SUBMITTED IS. TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE. <br />Weston Norris AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />970 - 929 -5015 <br />1 O/13I2014 <br />J <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />TYPED OR PRINTED <br />OFFICER OR AUTHORIZED AGENT <br />MMIDDNYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS See Reports (Reference aB attachments here) <br />SEE I.A.G, PP 6 -7, FOR DETAILS OF TEST PROCEDURE. REPORT LC50 - STATISTICAL POINT ESTIMATE WHICH IS LETHAL TO 50 %D OF THE TEST ORGANISMS, AND ATTACH ACUTE TOXICITY <br />TEST REPORT FORM TO DMR. <br />00145/980409 -1716 PAGE 1 OF 1 <br />