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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: KEITH R. WILLIAMS, PRESIDENT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />[ 00038776 ACUTE WET TESTING FOR 013A <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM rO 1 1 NO DISCHARGE <br />NOTE: Read instructions before Completing this form. <br />PARAMETER <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />>< <br />EX <br />OF <br />ANALYSIS <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />LC50 STATRE 48HR ACU <br />DAPHNIA MAGNA <br />SAMPLE <br />MEASUREMENT <br />(23) <br />TAM3C 1 0 <br />EFFLUENT GROSS SEE COMMENTS <br />NO D <br />PER <br />PERMIT <br />REQUIREMENT <br />GRAB <br />LC50 STATRE 96HR ACU <br />PIMEPHALES <br />SAMPLE <br />MEASUREMENT <br />SENT QTRLY <br />TAN6C 1 0 <br />EFFLUENT GROSS <br />PERCENT <br />PERMIT <br />REQUIREMENT <br />OTRLY <br />GRAB <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />D A T L= <br />1 CERTIFY UNDER PENALTY OF :A'N THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY <br />DIRECTION OR SUPEPVLSION W ACCORDANCE WRH A SYSTEM DESIGNFD TO ASSURE THAT QUALIFIED PERSONNEL <br />PRCAERLY GATHER AND FJALUATE THE INFORMATION SUBM] TED. BASED ON MY WOUIRY OF THE PERSON OR <br />PERSONS WHO MANAGE THE SYSTEM. OR THOSE PERSONS UIRECTLY RESPONSIBLE FOR GAT ME0.WG THE <br />Weston Norris INFORMATIW, THE INFORMATION SUBMITTED S. TO THE BEST OF MY NNOWLEDGE AND BELIEF. TRUE ACCURATE, <br />AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. <br />SIGNATURE OF PRINCIPAL EXECUTIVE 970 -999 -5015 <br />�` <br />1 I6IZO15 <br />INOLUUN THE POSSIBILITY OF FINE AND IMPRISONMENT FOR RIIOWWG VIOLATIONS. <br />I MMIDONYYY <br />TYPED OR PRINTED <br />OFFICER OR AUTHORIZED AGENT <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by Windov. Chem( 707 )864- D80:pIn11090;v5.0;111198 <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 />00145/980409 -1716 PAGE 1 OF 1 <br />