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PEHf.11I1EE NA1.16AUUNESS <br />NAME: MOUNTAIN COAL COMPANY, LLC <br />ADDRESS: WEST ELK MINE <br /> P.O. BOX 591 <br /> SOMERSET CO Bt434 <br />FACILITY: <br />LOCATION: <br />ATTN: EUG ENE E. DICLAUDIO, PRESIDENT. <br />NAIIUNAL POLIUTANI UISCIIAIJGE ELI1.1111A 1IUN 5YJIL1.1 (uVLESI <br />DISCHARGE MONITORING REPORT (DMRJ <br />000038776 018 A SURFACE RUNOFF TO W F. SYL GULCH <br />PERMIT NUMBER DISCHARGE NUMBER (BURR WC) 12345 <br />F -FINAL <br />MONITORING PERIOD MINOR <br />FROM se ~ to ~ of To s6 ~ tz 13t NO DISCHARGE <br />NOTE Read Instructions before rnmolellno Ihis form <br /> QUALITY OR LOADING QUALITY OR CONCENTRATION <br />PARAMETER NO. FREOUENCV SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNIT EX of TYPE <br /> ANALYSIS <br />OIL AND GREASE SAMPLE <br /> MEASUREMENT •~••~••• (94) """" ""'•" "•••"' <br />VISUAL •••• <br />84066 1 0 0 PERMIT REPORT YES=1 <br /> REQUIREMENT •••••••+ ••'•'••• WEEKLY VISUAL <br />EFFLUENT GROSS VALUE INST MAX N0=0 '•"'•'• •••••••• .... <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER ~ n TELEPHONE D A T E <br />u <br />irix,;. /L <br />.. "inn, ., <br />Gene E. DiClaudio •. ~ ,,,,.,,,,, ~.~.,..,.~ ~ i SIGNATURE OF PRINCIPAL EXECUTIVE <br />~ • ~~ •~ ~ ~ ~ ~ 970 929-5015 99 ~ 01 <br />? <br />OFFICER OR AUTHORIZED AGENT <br />TYPED OR PRINTED .eEA COne euuaeF YEAR Mo Dn <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference au anachmenls herei •«•^+ov w~,mw~•,,,nonee• ms.n~ uJreo s o.,rvm <br />TSS 8 TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOI IUS LIMIT APPLIED FOR <=10YR, 24HR PRECIP EVENT-SEE I.A.2. PG 6. FOR REQUIREMENTS. 30 DAY AVG IS HIGHEST <br />MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING 8 REPORTING INSTRUGTIONS~I.C.B. OIL 8 GREASE -SEE I.B 1.F <br />