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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• KFNNFTH COCHRAN PRESIDENT
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />(;0003817b Oil W ACUTE WET TESTING FOR 011A
<br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS
<br />EXTERNAL OUTFALL
<br />MONITORING PERIOD IMINOR
<br />FROM To NO DISCHARGE
<br />NOTE: Read instructions before completing this form.
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) F"""'"YVV,-; C;," (""°""-"""''P""'"'"'"""'
<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 />00105/980409-1716 PAGE 1 OF 1
<br />QUALITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />PARAMETER
<br />NO.
<br />FREQUENCY
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<br />TYPE
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<br />ANALYSIS
<br />LC50 STATRE 48HR ACU
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<br />(23)
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<br />PERCENT
<br />LC50 STATRE 96HR ACU
<br />SAMPLE
<br />(23)
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<br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICERTELEPHONE
<br />DATE
<br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT PND ALL ATTACHMENTS WERE PREPARED UNDER MV'I
<br />DIRECTION R SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO "SURE THAT QUALIFIED FE E,
<br />GATHER GATHER AND EVALUATE THE INFORMATION SUBMITTED BASED ON MY INQUIRY OF THE PERSON ORI
<br />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE
<br />INFORMATION, TME 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 970-929-5015
<br />4/21/2016
<br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS
<br />MM/DD/YYYY
<br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) F"""'"YVV,-; C;," (""°""-"""''P""'"'"'"""'
<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 />00105/980409-1716 PAGE 1 OF 1
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