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PERMITTEE NAME/ADDRESS <br />NAME: MUUN I AIN (:UAL (:UMPANY, LLC: <br />ADDRESS: WEST ELK MINE <br />51 /4 HIGHWAY 133 <br />SUMEKSE I GU 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 />=38776 016 W —ACUTE WET TESTING FOR 016A <br />PERMIT NUMBER DIS HAR E NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD IMINOR <br />FROM To I S=1 9 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 />>< <br />EX <br />OF <br />ANALYSIS <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <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 />PERMIT <br />REQUIREMENT <br />QTRLY <br />GRAB <br />LC50 STATRE 96HR ACU <br />PIMEPHALES <br />SAMPLE <br />MEASUREMENTNO <br />(23) <br />TAN6C 1 0 EFFLUENT <br />GROSS <br />D <br />PERCENT <br />PERMIT <br />REQUtREMENT <br />QTRLY <br />GRAB <br />Did effluent consist of surface <br />SAMPLE <br />MEASUREMENT <br />water only for the entire <br />PERMIT <br />quarter? <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQU#REMENT <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 TELEPHONE <br />DATE <br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY <br />DIRON OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL <br />ECTI <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED BASED 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 KNOWLEDGE AND BELIEF, TRUE, ACCURATE, <br />Weston Norris AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015 <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS <br />(� <br />4/18IZO19 <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />I MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) FomNs by VV11K01VGnem(7DT)06440B45,pniiWi oOjhm <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 <br />