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PERMITTEE NAME/AODRESS: <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 />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038776 016W ACUTE WET TESTING FOR 016A <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM To 1 9/30/2?? NO DISCHARGE <br />r?1 1114: CUhtlvt t. UIULAUUIU, 1'KC51U1=N1. <br />I PARAMETER <br />LC50 STATRE 48HR ACU <br />DAPHNIA MAGNA <br />TAM3C 1 0 <br />EFFLUENT GROSS SEE COMMENTS <br />LC50 STATRE 96HR ACU <br />PIMEPHALES <br />TAN6C 1 0 <br />EFFLUENT GROSS <br />Did effluent consist of surface <br />water only for the entire <br />quarter? <br />SAMPLE <br />MEASUREMENT <br />MEASUREMENT <br />NOTE: Read instruction; <br />QUALITY OR LOADING QUALITY OR CONCENTRATION <br />VALUE VALUE UNITS VALUE VALUE VALUE <br />NO DISCHARGE P <br />SAMPLE <br />MEASUREMENT *****? <br />`?t?QUiREM??U't' as <br />SAMPLE <br />MEASUREMENT <br />R..QUIREMEyT ; <br />SAMPLE <br />MEASUREMENT <br /> <br />YES=1 <br />NO=0 <br />before completing this form <br /> NO. FREQUENCY SAMPLE <br />UNIT EX OF TYPE <br /> ANALYSIS <br />(23) <br /> Q R RA; <br />RCENT <br />(23) <br /> <br /> R '` R <br /> SAMPLE <br /> MEASUREMENT <br /> P ." <br /> REQ.::I.. <br />.......... <br /> <br />1 7 7 7 <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> 77777 7 <br />7 <br /> EQU <br />?i?: <br /> <br />NAME /TITLE PRINCIPAL EXECUTIVE <br />OFFICER ' <br />C <br />TELEPHONE <br />I <br />ERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY <br />DIRECTION OR SUPERVISION IN ACCORDAN <br />K DATE <br />CE <br />ITH A SYSTEM DF-MGNED TO ASSURE THAT QUALIFIED PERSONNEL; <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR PF,RSONS <br />WFIO 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 COWLETE 1 AM' <br />Doug Nolte AIVA E THAT THERE ARE SIGNIFICANT PENALTIES MR SUBMITTING FALSE INFORMATION <br />URE OF PRINCIPAL EXECUTIVE <br />INCLUDING THE PUSSRULITY OF <br />, <br />% <br />FINE ANU IMPIUSONMENT FOR KNOWING VIOLATIONS. 970 929-5015 10/18/2010 <br />TYPED OR PRINTED ER OR AUTHORIZED AGENT <br /> AREA CODE NUMBER MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) FDRIIS by W doWChBD117071asa-DS4s;wD»oso;Ys.o:1niss <br />SEE I.A.5, PP- 6-7, FOR DETAILS OF TEST PROCEDURE. LC50- STATISTICAL POINT ESTIMATE WHICH IS LETHAL TO 50% TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TC <br />DMR. WET TESTING IS NOT REQUIRED WHEN DISCHARGE DOES NOT CONTAIN ANY MINE WASTER FOR THE ENTIRE CALENDAR QUARTER. SEE I.A.a, PP3 - ALTERNATE LIMITATIONS. <br />00121/980409-1716 PAGE 1 6-F1