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PERMITTEE NAME/ADDRESS. <br />NAME: MOUNTAIN COAL COMPANY, LLG <br />ADDRESS: WEST ELK MINE <br />5174 HIGHWAY 133 <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: WESTON J. NORRIS, GENERAL MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C0003877 012 012 W�ACUTE WET TESTING AT 012A <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 />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by MndowChem(707)864-0845;p/n11090y5.0,1/1/96 <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 <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />>< <br />NO. <br />FREQUENCY <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />(23) <br />EX <br />OF <br />ANALYSIS <br />TYPE <br />LC50 STATRE 48HR ACU <br />DAPHNIA MAGNA <br />SAMPLE <br />MEASUREMENT <br />TAM3C 1 0 <br />PERMIT <br />EFFLUENT GROSS SEE COMMENTS <br />REQUIREMENT <br />NO D <br />PERCENT <br />OTRLY <br />GRAB <br />LC50 STATRE 96HR ACU <br />SAMPLE <br />PIMEPHALES <br />MEASUREMENT <br />(23) <br />TAN6C 1 0 EFFLUENT <br />PERMIT <br />GROSS <br />REQUIREMENT <br />PERCENT <br />OTRLY <br />GRAB <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />D A T E <br />CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL A—TACHMENTS 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. BATED 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 K40WLEDGE AND BELIEF, TRUE, ACCURATE, <br />John Poulos AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTI=S FOR SUBMITTING FALSE INFORMATION, SIGNATURE OF PRINCIPAL EXECUTIVE <br />INCLUDING THE POSSIBILITY Or FINE AND IMPRISONMENT FOR KNOWING 40LATIONS. <br />970-929-5015 <br />1 OI5I2O18 <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by MndowChem(707)864-0845;p/n11090y5.0,1/1/96 <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 />