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PERMITTEE NAME/ADDRESS
<br />NAME.
<br />MOUNTAIN COAL COMPANY, LLC
<br />ADDRESS:
<br />WEST ELK MINE
<br />P.O. BOX 591
<br />PARAMETER
<br />SOMERSET CO 81434
<br />FACILITY:
<br />WEST ELK MINE
<br />LOCATION:
<br />APPX 1 MI E OF TOWN ON HWY 133
<br />SAMPLE
<br />SOMERSET, CO 81434
<br />ATTN: KENNETH COCHRAN. PRESIDENT
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />COUU361 lb 017 W ACUTE WET TESTING FOR 017A
<br />PERMIT NUMBER DISCHARGE NUMBER (SUER MH) GUNIS
<br />EXTERNAL OUTFALL
<br />MONITORING PERIOD IMINOR 7-1
<br />FROM TO NO DISCHARGE
<br />NOTE. Read instructions before completing this form.
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS See Reports (Reference all attachments here) F. ms Dyw, ad., ChemTTulTBua-vcao,pml lue0,Y5 u,DUeo
<br />SEE I.A.G, 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 />00145/980409-1716 PAGE 1 OF 1
<br />QUALITY OR LOADING
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<br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER
<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 />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED BASED ON MY INQUIRY OF THE PERSON OR
<br />TELEPHONE
<br />DATE
<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 />Weston Norris AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION,
<br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOIATIONS
<br />SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015
<br />4/21/2016
<br />MM/DD/YYYY
<br />TYPED OR PRINTED
<br />OFFICER OR AUTHORIZED AGENT
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS See Reports (Reference all attachments here) F. ms Dyw, ad., ChemTTulTBua-vcao,pml lue0,Y5 u,DUeo
<br />SEE I.A.G, 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 />00145/980409-1716 PAGE 1 OF 1
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