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PERMITTEE NAME/ADDRESS. NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME: MUUN I AIN U(JAL UUMPANY, LLC; DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS: WEST ELK MINE C00038776 013 A IMINE WTR DSCHG TO LP GULCH <br />51 /4 HIGHWAY 133 PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />SUMEKSE I CU 51434 EXTERNAL OUTFALL <br />FACILITY: WEST ELK MINE MONITORING PERIOD MINOR <br />LOCATION: APPX 1 MI. E. OF TOWN ON HWY 133 FROM To NO DISCHARGE FXJ <br />SOMERSET, CO 81434 <br />A I I N: Wt5 I UN J. NUKKIS, GtNtKAL MANAGtK NOTE: Read instructions before completing this form. <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />NO. <br />FREQUENCY <br />SAMPLE <br />EX <br />OF <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />ANALYSIS <br />SAMPLE <br />PH <br />MEASUREMENT <br />(12) <br />00400 1 0 <br />PERMIT <br />EFFLUENT GROSS <br />REQUIREMENT <br />SAMPLE <br />S.U. <br />WEEKLY <br />INSITU <br />SOLIDS, TOTAL <br />SUSPENDED <br />MEASUREMENT <br />(19) <br />00530 1 0 <br />PERMIT <br />ONCE / <br />EFFLUENT GROSS <br />REO UIREMENT <br />SAMPLE <br />mg/I <br />MONTH <br />GRAB <br />IRON, TOTAL <br />(AS FE) <br />MEASUREMENT <br />(28) <br />01045 1 0 <br />PERMIT <br />ONCE / <br />EFFLUENT GROSS <br />REQUIREMENT <br />SAMPLE <br />Ng/I <br />MONTH <br />GRAB <br />OIL AND GREASE <br />MEASUREMENT <br />(19' <br />03582 1 0 <br />PERMIT <br />NO DISCHARGE <br />CONTIN <br />EFFLUENT GROSS <br />REQUIREMENT <br />SAMPLE <br />mg/I <br />GENT <br />GRAB <br />FLOW, IN CONDUIT OR <br />rrw■ <br />THRU TREATMENT PLANT <br />MEASUREMENT <br />50050 1 0 <br />PERMIT <br />EFFLUENT GROSS <br />REQUIREMENT <br />SAMPLE <br />,,,, <br />WEEKLY <br />INSTAN <br />SOLIDS, TOTAL <br />DISSOLVED <br />MEASUREMENT <br />(19) <br />70295 1 0 <br />PERMIT <br />EFFLUENT GROSS <br />REQUIREMENT <br />SAMPLE <br />mg/I <br />QTRLY <br />GRAB <br />OIL AND GREASE <br />VISUAL <br />MEASUREMENT <br />84066 1 0 <br />PERMIT <br />EFFLUENT GROSS <br />REQUIREMENT <br />OFFICER <br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MV 1' / <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 MV INQUIRY OF THE PERSON OR iVIL`- <br />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING TME <br />WEEKLY <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE <br />TELEPHONE <br />D A <br />T E <br />John Poulos <br />INFORMATION, THE INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF TRUE. ACCURATE,1 <br />AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, SIGNATURE OF PRINCIPAL EXECUTIVE <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />OFFICER OR AUTHORIZED AGENT <br />%lIr%I ATI/IAIC <br />970-929-5015 <br />/8/2019 <br />TYPED OR PRINTED <br />IMM/DD/YYYY <br />r'n RARACAIT AKIM CYDI AAIATIf1AI nC ANIV <br />Forms by WndowChem(707)864-0845:0/n11090v5.0: <br />1/1/96 <br />30 DAY AVG IS HIGHEST MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING <br />INSTRUCTIONS - I.C.11. OIL & GREASE - SEE I.B.1.F. <br />00129/980409-1716 PAGE 1 OF 1 <br />