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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: KENNETH COCHRAN, PRESIDENT
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />76 016 W�CUTE WET TESTING FOR 016A
<br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS
<br />EXTERNAL OUTFALL
<br />MONITORING PERIOD MINOR
<br />FROM To NO DISCHARGE
<br />NOTE- Read instructions before completing this form
<br />PARAMETER
<br />QUALITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />NO.
<br />FREQUENCY
<br />SAMPLE
<br />I><
<br />VALUE
<br />VALUE
<br />UNITS
<br />VALUE
<br />VALUE
<br />r VALUE
<br />UNIT
<br />EX
<br />OF
<br />ANALYSIS
<br />TYPE
<br />LC50 STATRE 48HR ACU
<br />DAPHNIA MAGNA
<br />SAMPLE
<br />MEASUREMENT
<br />(23)
<br />TAM3C 1 0
<br />EFFLUENT GROSS SEE COMMENTS
<br />PERCENT
<br />; .. ixuRAMC lT;;
<br />"" QTI2LY"
<br />...Gf2AB"'
<br />LC50 STATRE 96HR ACU
<br />PIMEPHALES
<br />SAMPLE
<br />MEASUREMENT
<br />(23)
<br />TAN6C 1 0
<br />EFFLUENT GROSS
<br />'
<br />NO DISCHARGE
<br />�
<br />PERCENT
<br />I,;IaSPtMl1",,, ;.,
<br />„ftw P11�OWNT„
<br />..
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<br />QTRLY
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<br />GRAS
<br />Did effluent consist of surface
<br />water only for the entire
<br />SAMPLE
<br />MEASUREMENT
<br />�IT", ,,,,,
<br />quarter?
<br />,,,,,,;;;;;;;;
<br />SAMPLE
<br />MEASUREMENT
<br />RERMIi ,,,
<br />SAMPLE
<br />MEASUREMENT
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<br />... ;,
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<br />.,.,.,
<br />SAMPLE
<br />MEASUREMENT
<br />,MITi;PUh;
<br />........
<br />...............
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<br />SAMPLE
<br />MEASUREMENT
<br />RFCtt11PtEMENT
<br />,,,,
<br />I
<br />„ ...
<br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER jTELEPHONE
<br />I CERTIFY UNDER RSU PENALTY OF LAW RDA THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY EL
<br />DIRECTION OR SUPERVISION IN ACCORDANCE RWITHMA A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL
<br />PROPERLY GATHER AND EVALUATE THE INFORMATION INQUIRY THE PERSON OR
<br />BASED ON MVRESPONSIBLE
<br />DATE
<br />THOSE PERSONS DI R
<br />INFOPERSONS WHO MANAGE THE SYSTEM, OR THOSE PER90N3 DIRECTLY RESPONSIBLE FOR GATHERING THE
<br />Weston Norris AND COMPLETEE INFORMATION I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES TTED 18, TO THE BEST IF FORDSU AND BELIEF,
<br />INCLUDING THE POSSISILR OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS
<br />SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015
<br />4/21/2016
<br />MM/DDIYYYY
<br />TYPED OR PRINTED
<br />OFFICER OR AUTHORIZED AGENT
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WmdowChem(707)864-0845,p/n 11090,x50,1/1/96
<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 1
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