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PERMITTEE NAMEADDRESS <br />NAME: MOUNTAIN COAL COMPANY, ILLC <br />ADDRESS: WEST ELK MINE <br />P.O. BOX 591 <br />SOMERSET CO 81434 j <br />FACILITY: WEST ELK MINE ! <br />LOCATION: APPX 1 MI E OF TOWN ON H WY 133 <br />SOMERSET, CO 81434 <br />ATTN: EUGENE E. DICLAUDIO, PRESIDENT. <br />PARAMETER <br />VALUE <br />LC50 STATRE 48HR ACU SAMPLE <br />DAPHNIA MAGNA MEASUREMI <br />TAM3C 1 0 7 PEAT <br />EFFLUENT GROSS SEE COMMENTS <br />LC50 STATRE 96HR ACU SAMPLE <br />PIMEPHALES MEASUREMI <br />TAN6C 1 0 PfrIZINt7 <br />EFFLUENT GROSS E2ECtiiaEfdE <br />MEAS <br />SAMPLE <br />MEASU <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000038776 Oil W ACUTE WET TESTING FOR 011A <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM To NO DISCHARGE <br />NOTE: Read instructions before completing this form. <br />LITY OR LOADING QUALITY OR CONCENTRATION <br />NO. FREQUENCY SAMPLE <br />VALUE UNITS VALUE VALUE VALUE UNIT EX OF TYPE <br />-- - - - --- - - - - - - - - - -- -- --- ANALYSIS <br />(23) <br />NO DISCHARGE <br />JIRENiEi1T <br />SAMPLE <br />?i4TRLY `; ;; GRA6 <br />PERCENT <br />(23) <br />QT-kLy GRA€i <br />PERCENT <br />177.7 <br />.. ................................. <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER { ; TELEPHONE DATE <br />I LLRTIFY VNDF.R PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACIIhffNTS WERE PREPARED UNDER MY <br />QIRECTION OR SUPERVISION IN ACCORDANCE \VII'll A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNELI <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. EASED ON MY INQUIRY OF THE PERSON OR PLNSONS j <br />Evr1O MANAGE THE SYSTEM OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE INFORMIAI'ION. THE <br />HJFORMATION SUBMITTED IS, TO THE REST OF MY KNOWLEDGE AND BELIEF, 'TRUE:, ACCURATE, AND (:OMI'LIiTE I AMI <br />Doug Nolte 11\ARETHAT THERE ARESIGNIFICANT PENALTIES FORSUBMIFFIN.FALSE INFORMATION, INCLUDINGTICOMPLHIAM! SIG/ATR EOFPRINCIPALEXECUTIVE 870929-5015 1/8/2010 <br />:IIBVE AND IMI'RISONhB:NT FOR KNUt5TN0 VIOLATIONS. <br />TYPED OR PRINTED i ; O OR AUTHORIZED AGENT AREA CODE NUMBER MM/DDlYYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIO S (Reference all attachments here) Forms by WindowChem(707)964-oa45;ptn1loso;Ys.o[iwas <br />SEE I.A.5, PP. 6-7, FOR DETAILS OF TEST PROCEDURE. REPORT LC50 - STATISTICAL POINT ESTIMATE WHICH IS LETHAL TO 50% OF THE TEST ORGANISMS, AND ATTACH ACUTE TOXICITY <br />TEST REPORT FORM TO DMR. 1 <br />1