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<br />'ERMITTEE NAME/ADDRESS: <br />VAME: MOUNTAIN COAL COMPANY,LLC <br />ADDRESS: WEST ELK MINE <br />P.O. BOX 591 <br />SOMERSET CO 81434 <br />=AGILITY: <br />LOCATION: <br />ATTN: EUGENE E. DICLAUDIO, PRESIDENT. <br />PARAMETER <br />OIL AND GREASE <br />VISUAL <br />84066 1 0 0 <br />EFFLUENT GROSS VALUE <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000038776 008 A LOADOUT RUNOFF (MB-4) <br />PERMIT NUMBER DISCHARGE NUMBER (SUER WC) 12345 <br />F -FINAL <br />MONITORING PERIOD MINOR <br />FROM 081 01 101 TO 08 1 03 1 31 NO DISCHARGE <br />NOTE: Read instructions before completing this form. <br />\LITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br />EX of TYPE <br />MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNIT gNALYSIS <br />0 ~94~ «****«*. **~****w «««*+(«** 0 1/7 VISUAL <br />~.*. <br />YES=1 <br />:R~E~~R .:::::::: WB~iCI-Y VISlJi4E'. <br />.. <br />~iwarwa:i: ~ ~::::::.: ~:........... •. •. •. ~.... •: <br />`:.€INS <br />=0 <br />NO <br />SAMPLE <br />MEASUREMENT <br />~? .. P .............. .......•.•.•..•.•.•.•......... ,.,..... <br />R~QUIi~~M~ :.:.::.:.:.:.................."."......; ........ <br />SAMPLE <br />MEASUREMENT <br />RtQIiIR~l~I~iT°[ <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />:~~ WERNIITI E <br />€?)QF)Ii~1=Mme ................... <br />SAMPLE <br />MEASUREMENT <br /> <br />~: RE. •........ <br />I t'I:rt'fll~l l NURR f LNN:11" OI' I.A\V'r11A'1" TI IIS IX1<'I IAII!NT ANU .11,1. ATrAtI IAIf.N'1'S \\'l/ltf. I'Iti!1'ARI:U UNNP.R ~Il' UIRfI"I'IUN <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER . , <br />UR FUI'RRVISIVN IN ACCVRUANCP. N'1'I'll ,\ R\'S'1'RAI nI:SIUNIiU'IU ASSUItf. TIIA7' (JIIAI.IfR:U I'I',RSUNNRI, I•ItUI'lifl.\' (tATI11iR <br />NJU li\'rU.UnTR'I'li R. INILIt AIA"rIUN 51IIIAl I'fl'fn. I1~FLU UN All' INVUIit}' Vf'1'Ilii I'14RSUN UIi I'LItFVNS \YIIII AI~WAUIi "I'III~ <br />'n IUSR 1'I:IlSUNS nR(NCrI 1' R~~I'UNSIUI,1: RVR VAI'111~.I11N(i'1'IIR. INfVitAl~\"1'IUN. I'lIR INfttllAl Al'IVN SI IllAil'IT'lill <br />TELEPHONE D A T E <br />S}.S fLAI. Oit ,,// O A <br />/~ ~(' Is. Tu nIR nrcl' oR me I:NUa•LRnar; nNU On.IRe'rltuR, nccmt,crR. n"o ctmu•Lr rr_ I nsl n\vnrtR Tunr Twa(R ,\Itr. SIGNATURE OF Pr21t~'CIPAL EXECUTIVE g70 g29-5015 OV 0'+ 29 <br />Pete W C~(O ~ 1 SIUNII'ICANT i'In AI:I'lliti fUR SUItAIIfi'INII FAI Cli INI'VIIAIA'fIUN. INL'I,LIUIN(: TIII: I'VSimll.l'll' VI' flNli ANn IAII'ItISUNAII.N'r <br />AREA CODE NUMBER YEAR MO DAY <br />°R"""`°1NO\''("^1fN5 OFFICER OR AUTHORIZED AGENT <br />Forms by W'IndowChem(707)804-0O45;pIn11000;v5.0;tn190 <br />TYPED OR PRINTED <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS 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 & REPORTING INSTRUCTIONS-I.C.8. OIL & GREASE -SEE 1.6.1.F. <br />00058/980409-1716 PAGE 2 OF 2 <br />