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PERMITTEE NAME/ADDRESS: <br />NAME: MUUN IAIN (:UAL CUM PAN Y, LLC <br />ADDRESS: WEST ELK MINE <br />b1 /4 HIGHWAY 133 <br />SUMERSE I CU 61434 <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 />C00038776 012 WACUTE WET TESTING AT 012A <br />PERMIT NUMBER DISCHARGE NUMBER (SUER 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 WndoWChem(70T)864-0845;p/n11090;v5.0;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 />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />NO. <br />FREQUENCY <br />SAMPLE <br />>< <br />EX <br />OF <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />ANALYSIS <br />LC50 STATRE 48HR ACU <br />SAMPLE <br />DAPHNIA MAGNA <br />MEASUREMENT <br />(23) <br />TAM3C 1 0 <br />PERMIT <br />EFFLUENT GROSS SEE COMMENTS <br />REQUIREMENT <br />NO DISCHARGE <br />PERCENT <br />QTRLY <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 />— <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 OFFICERZ; <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 It ' <br />TELEPHONE <br />DATE <br />i <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MV INQUIRY OF THE PERSON OR lr <br />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />INFORMATION, THE INFORMATION SUBMITTED IS, TO THE BEST OF MV KNOWLEDGE AND BELIEF, TRUE, ACCURATE, <br />John Poulos AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION,SIGNATURE OF PRINCIPAL EXECUTIVE <br />INCLUDING THE POSSIBILITY OF FINEAND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />970-929-5015 <br />1 /8/2019 <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 WndoWChem(70T)864-0845;p/n11090;v5.0;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 />