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1. <br />RMITTEE NAME/ADDRESS: <br />TAME: MOUNTAIN COAL COMPANY, LLC <br />,DDRESS: WEST ELK MINE <br />P.O. BOX 591 <br />SOMERSET CO 81434 <br />~ACILITY: <br />.OCATION: <br />~TTN: EUGENE E. DICLAUDIO, PRESIDENT. <br />PARAMETER <br />;HLORINE, TOTAL <br />tESIDUAL <br />0 0 <br />10060 1 <br />FFLUENT GROSS VALUE <br />~OLIFORM, FECAL <br />3ENERAL <br />X4055 1 0 0 <br />.FFLUENT GROSS VALUE <br />JIL AND GREASE <br />JISUAL <br />34066 1 0 0 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />DOMESTIC WWTP PO <br />LISHING POND <br />000038776 007 A <br />PERMIT NUMBER DISCHARGE NUMBER (SUER WC) 12345 <br /> F -FINAL <br />MONITORING PERIOD MINOR <br />FROM 081 01 101 TO 08 1 03 ~ 31 NO DISCHARGE Q <br /> NOTE: Read instructions before completing this form. <br />ILITY OR LOADING QUALITY OR CO NCENTRATION N0. FREQUENCY SAMPLE <br /> <br /> <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNIT EX of <br />ANALYSIS TYPE <br />******** <br />**** <0.1 0.48 (19) 0 1/30 GRAB <br /> <br /> <br /> <br /> <br /> <br />~~ <br /> <br /> <br />:::: bl~l: iCr~fAt :::::::: <br /> <br />:. T ::: <br />::::::::: ~.:................ <br /> <br />:::::: <br />...... :::;..EPO#3 . . <br />::: R . . <br />:::.. . <br />...............:.................... <br /> <br /> <br />. <br />1N~~ <br />~..... <br /> <br /> <br /> <br />. <br /> <br /> <br /> <br />.... <br />. <br />. <br />. <br /> <br />*** * <br /> <br /> <br />:::::::::::~ :::::::::::::::::::::: <br /> <br /> <br /> <br />.i':;GIR'FR'f~U,.•...:..... <br /> <br /> <br /> <br />•.....~0.175./ku~. <br /> <br /> <br /> <br />.... <br /> <br />'•'• •'TIVfrl <br />~~~I. <br />.................. <br /> <br /> <br /> <br />`':`•:' . <br />. <br /> <br /> <br />:::;::::':::~:::::" <br /> <br /> <br /> <br />: . <br />. <br />. <br />. <br />::::::::::;::::: <br /> **** <br />******** <br />12 <br />20 <br />(13) <br />0 <br />1/30 <br />GRAB <br /> <br />SAMPLE ******** 0 (94) ******** <br />MEASUREMENT <br />:WEFtnrtp'T'.: ;[''•'' [R~f~(~I~'E YES=1 <br /> <br />~EE <br />` <br />a <br /> ~::I~~>r `~*** <br /> <br />`•: * ~ i~ii <br />i** <br />MEASUREMENT <br />:;:;:YI:V, •Y:; <br />':3O:DA1GtaE(JE::::f\'IIX~D(".~E~?......... #/ 100 ............M .... I'I . ........ . <br />******** ******** 0 1/7 VISUAL <br />**** <br />•:••~~.. <br />~~~)~ S <br />.~ ...L <br />.L... <br />I <br />~U~~ <br />~~'~~~ <br />**** <br />~~~~~ <br />•:'F~l iliRild <br />T I I L.. <br />SAMPLE <br />MEASUREMENT <br />:~: ' '' f~ ~.......... . <br />..... .. . <br />TELEPHONE D A T E <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER Icrnnn (rNncn rRNAl.rr ur l.\\rrurcrruls roxunmrrr nnu,ua. nrrncuuerv l;cwRlir. rurrnl3rnlrNOrae nm ulrsecnoN <br />UR iUi'RR\'ISIUN IN ACCOIInANCp. \VI fil A 51'S'1'IiAI UISII%Nl:n'I'U AS.cURR'I'I IA'I' UUAI.n'IRn 1'RItFUNN1:L RRUPRRI.1' (iA"f11RR <br />ANU RVAI.IrA'I'I: l'lIR INtURAIAI ION SUIIAiI Il'f.U. nA51iU uN All" INVUIItI' UP l'i li: ITRSON UR I'IiRRUNR \1'lIV AIANAUR. TIII~. <br />Gl'il'IiAI. UR T'IIOCI'. I•LItfiONS nlltliCl'1.\' RRSI'UNSInI.L fUli (:A'1'llliRl Nti'I'IIF. INRUIiAL\TIUN, TIIL INI~UItAIA'ITUN SUIJAIi'ITI:U <br />Is. 'nrnlr•. orcr ur An' I:NOe'LRUCr: nNU oRIaRR. 'r¢uR, navn,a~r nNn conu•Llrre, 1 nnl ,,\v,utl: mnr nnsar•. ARR SIGNATURE OF PRINCI AL EXECUTIVE 970 929-5015 08 04 29 <br />Pete W ckoff GIt1NIf10AN'f I'I:NAI:IlRS fUR NI!nAIITI'INU PAI Sli INrUIiAIA'UUN, INCLI!UIN(i "I III.IV KSIUII.fII' UI' RINR ANn IAII'IlISUNAIRN"t <br />roR ~:NOaINU VR,LA'nuNS. OFFICER OR AUTHORIZED AGENT <br />AREA GODE NUMBER YEAR MO DAY <br />Forms by WindowGhem(707)064-OB45;pln11090;v5.0;111IB6 <br />TYPED OR PRINTED <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference al! attachments here) <br />30 DAY AVG IS HIGHEST MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING INSTRUCTIONS -I.C.B. OIL & GREASE -SEE 1.6.1.F. TOTAL RESIDUAL <br />CHLORINE MONITORING -SEE I.C.11; IF NO CHLORINE OR OTHER HALOGENS USED, REPORT "NCT" (NO CHLORINE THE 00042N980409-17 6 PAGE 2 OF 2 <br />