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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. DICLAUDIO, PRESIDENT. <br />PARAMETER <br />OIL AND GRE/ <br />VISUAL <br />84066 1 0 <br />EFFLUENT GF <br />OR LOADING <br />vAl I IM I?IAIITC <br />vrTw? <br />(9P) <br />2£Q<R9I>I YES=1 <br />ifslS !IV1AX = is NO=0 <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />R)Q?1EIv1E7 <br />.................................... . <br />SAMPLE <br />MEASUREMENT <br />QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br />V.al_UP VALUE VALUE UNIT EX °F TYPE <br />___ ANALYSIS <br />www* <br /> <br />MEASUREMENT <br />RM <br />....................................... . <br />T:==; <br />TELEPHONE DATE <br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY' <br />DIRECTION OR SUPERVISION M ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL,, <br />1 PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR PERSONS <br />WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR OATHERMO THE MFORMATION, THE. <br />INFORMATION SUBMITTED I3, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, AND COMPLETE ISfGNAT E OF PRINCIPAL EXECUTIVE 970 929-5015 09107121 <br />DO?ry N?IIIA 'AWARE THAT THEME ARE SIONIFlCANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OFi <br />?J ?i :FMEAND IMPRISONMENT FOR KNOWMO VIOLATIONS. OF CER OR AUTHORIZED AGENT AREA CODE NUMBER YEAR MO DAY <br />TYPED OR PRINTED <br />Reference all attachments here) Fortes by wlDaowcnBM?707?864-0845;wDTioso;Y6.0;1ni96 <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LIMIT APPLIED FOR <=10YR, 24HR PRECIP EVENT-SEE I.A.3, PG 5, FOR REQUIREMENTS. 30 DAY AVG IS HIGHEST <br />MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING INSTRUCTIONS I.C.11. OIL ASE 1F PAGE 2 OF 2 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038776 0 SURFACE RUNOFF TO SYLV. GULCH <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM 091 05 1 01 TO 09 1 06 1 30 NO DISCHARGE FWJ <br />NOTE: Read instructions before comp letin this form.