Laserfiche WebLink
PERMITTEE NAME /ADDRESS: <br />NAME: <br />MOUNTAIN COAL COMPANY, LLC <br />ADDRESS: <br />WEST ELK MINE <br />P.O. BOX 591 <br />QUALITY OR CONCENTRATION <br />SOMERSET CO 81434 <br />FACILITY: <br />WEST ELK MINE <br />LOCATION: <br />APPX 1 MI E OF TOWN ON HWY 133 <br />SOMERSET, CO 81434 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />—012 W CUTE WET TESTING AT 012A <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM To NO DISCHARGE <br />,y 1 1 IN: F\CI 1 h K. VVILLUAIVIO, t- NtJIUtIN I <br />NOTE: Read instructions before completing this form. <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <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 />TYPE <br />ANALYSIS <br />LC50 STATRE 48HR ACU <br />SAMPLE <br />DAPHNIA MAGNA <br />MEASUREMENT <br />(23) <br />TAM3C 1 0 <br />...........' <br />PERiIh1T : : : :: <br />EFFLUENT GROSS SEE COMMENTS <br />A �QUli2EM��i i <br />: ; :; :; :; :; : : : : : : :; :; :; :; :; :; : : :: <br />I <br />I <br />PERCENT <br />i::::;:;:;:::;;;:;:;:;:; <br />�tYRy <br />::;:;:::;:;;: ;:;:: <br />LC50 STATRE 96HR ACU <br />SAMPLE <br />NO <br />D <br />PIMEPHALES <br />MEASUREMENT <br />(23) <br />TAN6C 1 0 <br />p f IT ;. <br />EFFLUENT GROSS <br />REQllIREME.N,T. <br />... <br />....... <br />PERCENT <br />:: <br />C2TRLY <br />::::::::::: <br />GRAB <br />.......... <br />SAMPLE <br />MEASUREMENT <br />FERIUEIT: <br />.....1..... NT <br />... ..... . . <br />SAMPLE <br />..... <br />... ..... . <br />MEASUREMENT <br />Rfklllt <br />REQt1112ENI�NT <br />... <br />... <br />.... <br />...... .. <br />SAMPLE <br />... <br />.... <br />MEASUREMENT <br />PEftAlIIT: <br />tQU IREM NT <br />............... <br />. <br />SAMPLE <br />..... <br />... . . . . <br />MEASUREMENT <br />P :EfZMl7' :: <br />REQUIREMEN F <br />... . <br />SAMPLE <br />..... .. ._. <br />. <br />...... ...... <br />MEASUREMENT <br />f'ERI�EIT. :: <br />`... <br />.. <br />Eft UI. <br />... : <br />...................... <br />........... <br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER <br />............................... <br />TELEPHONE <br />...................,........... <br />DATE <br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY <br />DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL <br />PROPERLY GATHER AND EVALUATE <br />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 />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, SIGNATURE OF PRINCIPAL EXECUTIVE <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />(t(1N4R4FNT ANin FXpI ANIATI(1AI ng: ANIV \ 11r)I ATInNIC <br />970 - 929 -5015 4/21/2015 <br />MM /DD/YYYY <br />F.—, bV WinAow('hxm (707)854- n845'O/n1109n :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 />00121/980409 -1716 PAGE 1 OF 1 <br />