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PERMITTEE NAME /ADDRESS: NAME: MOUNTAIN COAL COMPANY, LLC ADDRESS: WEST ELK MINE P.O. BOX 591 SOMERSET CO 81434 FACILITY: WEST ELK MINE LOCATION: APPX 1 MI E OF TOWN ON HWY 133 SOMERSET, CO 81434 NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) C00038776 013W ACUTE WET TESTING FOR 013A PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS EXTERNAL OUTFALL MONITORING PERIOD MINOR FROM To NO DISCHARGE r\u I 1uL11 1 F'E Ivy I t: Keaa Insirucuons oeTore COmpleung mIS Torm. . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . ... . ........... . . . . . . . . . . . . . . . . QUALITY OR LOADING QUALITY OR CONCENTRATION ....... ..... ....... . ...... . . . . . . . . . ........ . . . . . . . . . . . . PARAMETER : ° ..:::.: . NO. FREQUENCY SAMPLE NAME /TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE VALUE VALUE UNITS VALUE VALUE VALUE UNIT EX OF TYPE INFORMATION, THE INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, Weston Norris AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, SIGNATURE OF PRINCIPAL EXECUTIVE 970 - 929 -5015 4/21/2015 INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. -77TTED MM /DD/YYYY OR PRINTED OFFICER OR AUTHORIZED AGENT rONARAPNT ANIII PYPI ANIATI(1N (-1F ANV \ /I(ll ATI('IAIC Fo-shy WinAowChem(707 )864- 0845;p /nllO90;v5.0;t /1/96 ANALYSIS LC50 STATRE 48HR ACU SAMPLE DAPHNIA MAGNA MEASUREMENT (23) TAM3C 1 0 PER�uiIT:: "'....... EFFLUENT GROSS SEE COMMENTS iEe3 �li2 N1 iT :::.:::.:::.:.:::::::::: ..... ... NO D PERCENT ::::::::::::: ::::::::::::::::::::::::::::::: . LC50 STATRE 96HR ACU SAMPLE PIMEPHALES MEASUREMENT (23) TAN6C 1 0 :pE♦MIT:::: EFFLUENT GROSS RECauIR'EiviE�uT _. . .. _.. . _ _ ..._._. _. _._.._.. PERCENT ::::::::::::: ..... l" :::::::::::::::::::::::: G... . SAMPLE MEASUREMENT f?ERhhIT.. .. ....... .. ......... : . . .. . . REQiJ ............. ENIEN7 ................. .......................... SAMPLE MEASUREMENT pFIMIT .:.REQUIREMENT.. : . . :` `` SAMPLE MEASUREMENT SAMPLE MEASUREMENT SAMPLE MEASUREMENT 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 TEST REPORT FORM TO DMR. 00145/980409 -1716 PAGE 1 OF 1 F'E . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . ... . ........... . . . . . . . . . . . . . . . . . . . . . . . . . .... .. ....... ..... ....... . ...... . . . . . . . . . ........ . . . . . . . . . . . . �{EQU R�ME1V : ° ..:::.: . NAME /TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE DATE I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL . PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE INFORMATION, THE INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, Weston Norris AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, SIGNATURE OF PRINCIPAL EXECUTIVE 970 - 929 -5015 4/21/2015 INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. -77TTED MM /DD/YYYY OR PRINTED OFFICER OR AUTHORIZED AGENT rONARAPNT ANIII PYPI ANIATI(1N (-1F ANV \ /I(ll ATI('IAIC Fo-shy WinAowChem(707 )864- 0845;p /nllO90;v5.0;t /1/96 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 TEST REPORT FORM TO DMR. 00145/980409 -1716 PAGE 1 OF 1