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PERMITTEE NAME/ADDRESS:
<br />NAME: MOUNTAIN COAL COMPANY, LLC
<br />ADDRESS: WEST ELK MINE
<br />P.O. BOX 591
<br />SOMERSET CO 81434
<br />FACILITY:
<br />LOCATION:
<br />ATTN: EUC
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ
<br />DISCHARGE MONITORING REPORT (OMR)
<br />MINE WTR TO LP GULCH
<br />PERMIT NUMBER DISCHARGE NUMBER (SUBR WC) 12345
<br />F -FINAL
<br />MONITORING PERIOD MINOR
<br />FROM 03 ~ 01 101 TO 03 I 03 131 NO DISCHARGE
<br />NOTE: Read instructions before completing
<br />this form.
<br />PARAMETER NO. FREDUENCY SAMPLE
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<br /> ANALYSIS
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<br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT AREA CODE NUMBER YEAR MO DAY
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) Fonv q~ NfiMOxCM1emOO~fL840815;pIn1IDe0;v5.OptlR6
<br />30 DAY AVG IS HIGHEST MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING
<br />INSTRUCTIONS -I.C.B. OIL & GREASE -SEE 1.B.1.F.
<br />00129/980409-1716 PAGE 1 OF 2
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