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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 />ATTNI• VCITLJ 1A/II I IAAC mmr[ Flr <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />ACUTE WET TESTING FOR 016A <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD IMINOR <br />FROM To 1 6=15 1 NO DISCHARGE <br />SEE I.A.5, PP- 6-7, FOR DETAILS OF TEST PROCEDURE. LC50- STATISTICAL POINT ESTIMATE WHICH IS LETHAL TO 50% TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM <br />TO DMR. WET TESTING IS NOT REQUIRED WHEN DISCHARGE DOES NOT CONTAIN ANY MINE WATER FOR THE ENTIRE CALENDAR QUARTER. SEE I.A.a, PP3 - ALTERNATE LIMITATIONS. <br />00121/980409-1716 PAGE 1 OF 'I <br />Ivv 1 C: MUaa InSU1JG1Ion5 Derore C <br />mpieung <br />LnIS TOrm. <br />PARAMETER <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />VALUE <br />VALUE I <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 />DAPHNIA MAGNA <br />MEASUREMENT <br />(23) <br />TAM3C 1 0 <br />i?ERfi111T: <br />EFFLUENT GROSS SEE COMMENTS <br />R Q JIFt l <br />::.:......fV... <br />.....:. <br />........................... <br />Ql I LY <br />::::::;:;::::;::::::::::::::::::: <br />I A� <br />LC50 STATRE 96HR ACU <br />SAMPLE <br />PIMEPHALES <br />MEASUREMENTN <br />(23> <br />TAN6C 1 017 <br />DI <br />O S C H A R E <br />EFFLUENT GROSS <br />REQUIREMENT.. <br />PERCENT <br />QTF?i !' <br />;iiGRAE3 i i <br />Did effluent consist of surface <br />SAMPLE <br />MEASUREMENT <br />water only for the entire <br />quarter? <br />IIm tj h ..... <br />.................................................... <br />SAMPLE <br />MEASUREMENT <br />PNEIT` <br />....... <br />RFQi� RFMN: <br />SAMPLE <br />MEASUREMENT <br />F?E Ri E �I:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: <br />.::.:.:.:::.:.:.:.:.:.:.:.:.:.:.:.:..::.:::.:.::.:..:.:.:: <br />... : <br />................................................. <br />.... <br />. ....... <br />SAMPLE <br />MEASUREMENT <br />Ef? <br />:::::::::.::::::::::::::::::: <br />... <br />Ft'. <br />Ei1IR.ENIEN`r:::::' <br />Q <br />:' ::::::::::::::::::::::::::: <br />....................... <br />:.:.:.:.:.:.:.:.::::.:. <br />SAMPLE <br />MEASUREMENT <br />E UI .'....... <br />NAME/ TITLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />DATE <br />CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MV <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 />;PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />INFORMATION, TMEINFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, <br />Weston Norris lANO COMPLETE. AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, <br />INCLUDING THE POSISIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />970-929-5015 <br />7/9/201 <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED <br />OFFICER OR AUTHORIZED AGENTI <br />MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VInl ATIONS (Rof.-- all aff—h—tc h. I <br />Forms by WindowChem(707)864-0845;p/n11090;V5.0;1/1/96 <br />SEE I.A.5, PP- 6-7, FOR DETAILS OF TEST PROCEDURE. LC50- STATISTICAL POINT ESTIMATE WHICH IS LETHAL TO 50% TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM <br />TO DMR. WET TESTING IS NOT REQUIRED WHEN DISCHARGE DOES NOT CONTAIN ANY MINE WATER FOR THE ENTIRE CALENDAR QUARTER. SEE I.A.a, PP3 - ALTERNATE LIMITATIONS. <br />00121/980409-1716 PAGE 1 OF 'I <br />