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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: WEST ELK MINE <br />LOCATION: APPX 1 MI E OF TOWN ON HWY 133 <br />SOMERSET, CO 81434 <br />ATTN: EUGENE E. D,ICLAUDIO, PRESIDENT. <br />PARAMETER <br />LC50 STATRE 48HR ACU <br />DAPHNIA MAGNA <br />TAM3C 1 0 0 <br />EFFLUENT GROSS <br />VMLUC <br />SAMPLE *,****** <br />MEASUREMENT <br />LC50 STATRE 96HR ACU <br />TAN6C 1 0 <br />EFFLUENT GROSS <br /> <br />MN.VALWE..: .:.. PERCENT <br />******* ******** ******** (23) <br /> I EEE] <br />1VlE1l :?IALU E <br />NT <br /> <br /> '77 v o 7 7 7 v: <br /> MEASUREMENT <br />.......... <br /> :. ER <br />R. <br />.. <br /> R :.. REMIIV ... .... <br />. <br />........ <br />. . <br />. <br />. <br />. <br />....................:.:.:. : <br /> ..................... <br />. <br />. <br />. .... <br />. <br />. <br />........ . . <br />. <br />. <br />. <br /> . <br />. <br />. <br />SAMPLE <br /> MEASUREMENT <br /> P .. <br /> IFAEN <br /> SAMPLE <br /> MEASUREMENT <br /> 777WRM -777 <br /> <br />EME <br />MIR <br /> - - ' ? ? ? - TELEPHONE D A T E <br />NAME /TITLE PRINCIPAL EXECUTI VE OFFICER 1 CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY: <br />RECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL; <br />DI <br />PERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR PERSONS; <br />! <br />PRO <br />i WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE INFORMATION, THE <br />'INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, AND COMPLETE 1 AM <br /> <br />T E OF PRINCIPAL EXECUTIVE <br />SIGNA <br />970 929-50 15 <br />09107121 <br />TION. INCLUDING THE POSSIBILITY OF <br />Doug NOIt?i AWARE THATTHFREANESIGNIFCANTPENALTIESFORSUBMTTINGFALSEINFORMA <br />`AA <br />FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. OF ER OR AUTHORIZED AGENT AREA CODE NUMBER YEAR MO DAY <br />TYPED OR PRINTED FGHDSbyWIDdoWCh elDl707lB64-O s;plnllOSD;V5.0;vv9 6 <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />POINT ESTIMATE WHICH IS <br />LETHAL TO 50% OF THE TEST ORGANISM <br />S, AND ATTACH ACUTE TOXICITY <br />FOR DETAILS OF TEST PROCEDURE. REPORT LC50 - STATISTICAL <br />PP <br />6-7 <br />5 <br />A <br />I <br />. <br />, <br />, <br />. <br />. <br />SEE <br />See attached report. <br />TEST REPORT FORM TO DMR. 001451980409-1716 PAGE 1 OF 1 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />00 87 013 ACUTE WET TESTING FOR 013A <br />PERMIT NUMBER DISCHARGE NU UMBER (S (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM o9 l 04 j 01 TO 09 1 04 1 30 NO DISCHARGE <br />NOTE: Read instructions before completing this form. <br />QUALITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br />EX OF TYPE <br />XinLII= IINITG VALUE VALUE VALUE UNIT ANALYSIS