PERMITTEE NAMEIADDRESS
<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 />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOESJ
<br />DISCHARGE MONITORING REPORT (DMRJ
<br />l DOMESTIC WWTP POLISHING POND
<br />ERMIT N MBER DISCHARGE NUMB R (SUER WC) 12345
<br />F -FINAL
<br />MONITORING PERIOD MINOR
<br />FROM 031 01 101 TO 03 03 1 31 NO DISCHARGE
<br />NOTE: Read instructions before completing this forn
<br />PARAMETER NO. FREDUENCV SAMPLE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNIT EX DF TYPE
<br /> ANALYSIS
<br />CHLORINE, TOTAL SAMPLE +==x===. «xxxxxx=
<br />
<br />RESIDUAL
<br />MEASUREMENT
<br />xx«« <0.1 c0.1 19
<br />( ) 0 1/30 GRAB
<br />50060 1 0 0 PERMR , .; ,
<br />~ " OPTIONAL REPORT :
<br />~ REPORT
<br />
<br />EFFLUENT GROSS VALUE
<br />REDUIREMENT «_
<br />~
<br />«
<br />''' *««+««« I':
<br />,I
<br />+***
<br />QRTR'~AVG.
<br />~
<br />~ 30 DA AVE-
<br />INST MAX -
<br />1 MG/L WEEKLY GRAB
<br />COLIFORM, FECAL SAMPLE
<br />'xx«««xx
<br />««"««««
<br />"«"«x«
<br />GENERAL
<br />MEASUREMENT
<br />x«xx
<br />283
<br />428
<br />(13)
<br />0
<br />1/30
<br />GRAB
<br />74055 1 0 0 " PERMIT «: '. ~ 6000 - 12000 ONCE / ,
<br />
<br />
<br />EFFLUENT GROSS VALUE
<br />REQUIREMENT
<br />,. «xxxx
<br />x
<br />!.
<br />++««««xx
<br />x=xx
<br />xxxxwxxx
<br />,,, .,
<br />
<br />, 30 DAVGEO
<br />
<br />~ MXZDGEOA
<br />
<br />#/ 100 ML
<br />
<br />MONTH GRAB ,
<br />:
<br />OIL AND GREASE SAMPLE
<br />
<br />MEASUREMENT «_____=
<br />0
<br />(94) xxx====. xxx==.== xxx«xxxx
<br />x++x
<br />0
<br />1/7
<br />VISUAL
<br />VISUAL
<br />84066 1 0 0 "PERMIT I :REPORT YES=1 -' - '
<br />
<br />EFFLUENT GROSS VALUE REQUIREMENT :, xx+«•:•+ ~
<br />!fNST MAX ~!
<br />N0=0 «ixxexxi " ~ xx«xxx«= «xxx«xxx
<br />`"x' WEEKLY VISUAL"-
<br /> SAMPLE
<br /> MEASUREMENT
<br /> "z- PERMIT
<br />~
<br /> REQUIREMENT
<br />'?
<br />,:, ~ '~~
<br />
<br />.
<br /> SAMPLE
<br /> MEASUREMENT
<br /> ~:; PERMIT
<br /> P~QUIREMENT,~'~:,
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<br /> SAMPL
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<br /> MEASUREMENT
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<br /> REQUIREMENT'
<br />MEASUREMENT
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<br />FFICER
<br />NAME/TITLE PRINCIPAL EXECUTIVE O ~n
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<br />SIGNATURE OF PRINCIPAL EXECUTIVE
<br />970929-5015
<br />03 04 30
<br />
<br />TYPED OR PRINTED .
<br />OFFICER OR AUTHORIZED AGENT
<br />gREq coDE NumeEft
<br />YEAR MO DAY
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) Ee,m: q w,wo„cneppaneeaneas:p~iioao;.s o;vima
<br />30 DAY AVG 1S HIGHEST MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING 8 REPORTING INSTRUCTIONS -I.C.B. OIL & GREASE -SEE I.B.1.F. TOTAL RESIDUAL
<br />CHLORINE MONITORING -SEE I.C.11; IF NO CHLORINE OR OTHER HALOGENS USED, REPORT "NCT' (NO CHLORINE TREATMENT) ON DMR.
<br />00042/980409-1716 PAGE 2 OF 2
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