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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 r.nr.HRAN PRFSInFNT
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />C000381 (b 012 W ACUTE WET TESTING AT 012A
<br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS
<br />EXTERNAL OUTFALL
<br />MONITORING PERIOD MINOR
<br />FROM To3/31/2-01E::ANO DISCHARGE
<br />NOTE: Read instructions before completing this form.
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WlndowChem(707)864 OB ,p n
<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 />QUALITY OR LOADING QUALITY OR CONCENTRATION
<br />SAMPLE
<br />PARAMETER
<br />NO.
<br />FREQUENCY
<br />EX
<br />OF
<br />TYPE
<br />VALUE
<br />VALUE
<br />UNITS VALUE
<br />VALUE
<br />VALUE
<br />UNIT
<br />ANALYSIS
<br />LC50 STATRE 48HR ACU
<br />SAMPLE
<br />(23)
<br />DAPHNIA MAGNA
<br />MEASUREMENT
<br />;' R(�,(JIRMtli ;;
<br />i•
<br />{TRLY
<br />EFFLUENT GROSS SEE COMMENTS
<br />I
<br />NO DISCHARGE
<br />PERCENT
<br />LC50 STATRE 96HR ACU
<br />SAMPLE
<br />MEASUREMENT
<br />(23)
<br />PIMEPHALES
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<br />..T ,,,,,.
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<br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE
<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 />DATE
<br />PflOPERLY 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, THE INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE,
<br />AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015
<br />Weston Norris INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS
<br />L 16
<br />4121 /2O
<br />MM/DD/YYYY
<br />45 /11090 501/1/96
<br />TYPED OR PRINTED I OFFICER OR AUTHORIZED AGENT
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WlndowChem(707)864 OB ,p n
<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
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