2012-08-03_HYDROLOGY - C1980007 - Laserfiche WebLink

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PERMITTEE NAME /ADDRESS NAME MOUNTAIN COAL COMPANY, LLC ADDRESS: WEST ELK MINE P.O. BOX 591 SOMERSET CO 81434 FACILITY: WEST ELK MINE LOCATION: APPX 1 MI E OF TOWN ON HWY 133 SOMERSET, CO 81434 ATTN: EUGENE E. DICLAUDIO, PRESIDENT. NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISC HARGE MONITORING REP (DMR) (_— C00038776 004 W ACUTE WET TESTING FOR 004A PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS EXTERNAL OUTFALL MONITORING PERIOD MINOR FROM 4/1/2012 To 1 6/30/2012 NO DISCHARGE 0 NOTE: Read instructions before completing this form COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WlndowChem(707)BG4- OB45,p /n 11080,v5 0,111/96 SEE I.A.5, PP. 6 -7, FOR DETAILS OF TEST PROCEDURE. REPORT LC50 - STATISTICAL POINT ESTIMATE WHICH IS LETHAL TO 50 %D OF THE TEST ORGANISMS, AND ATTACH ACUTE TOXICITY T REPOR F ORM TO DMR. 7/24/2012 00017/980409 -1716 PAGE 1 OF 1 QUALITY OR LOADING QUALITY OR CONCENTRATION PARAMETER >< NO. FREQUENCY SAMPLE VALUE VALUE UNITS VALUE VALUE VALUE UNIT EX OF ANALYSIS TYPE LC50 STATRE 48HR ACU DAPHNIA MAGNA SAMPLE MEASUREMENT * * * * * * ** * * * * * * ** >100 * * * * * * ** (23) 1/90 GRAB TAM3C 1 0 EFFLUENT GROSS SEE COMMENTS PERCENT PERMIT REQUIREMENT * * * * * * ** * * * * * * ** 100 MN VALUE * * * * * * ** * * * * * * ** QTRLY GRAB LC50 STATRE 96HR ACU PIMEPHALES SAMPLE MEASUREMENT * * * * ** * * * * * * ** >100 * * * * * * ** (23) 1/90 GRAB TAN6C 1 0 EFFLUENT GROSS SEE COMMENTS PERCENT PERMIT REQUIREMENT * * * * * * ** * * * * * * ** 100 MN VALUE QTRLY GRAB Did effluent consist of surface SAMPLE MEASUREMENT � water only for the entire quarter? YES =1 NO =O PERMIT REQUIREMENT NAME / TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE DATE I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED BASED ON MY INQUIRY OF THE PERSON OR J' PERSONS WHO THE SYSTEM PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE MANAGE OR THOSE INFORMATION THE INFORMATION SUBMITTED IS TO THE BEST OF MY KNOWLEDGE AND BELIEF TRUE ACCURATE, AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION Weston Norris INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS SIGNATURE OF PRINCIPAL EXECUTIVE 970 - 929 -5015 7/24/2012 OFFICER OR AUTHORIZED AGENT TYPED OR PRINTED MM /DD /YYYY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WlndowChem(707)BG4- OB45,p /n 11080,v5 0,111/96 SEE I.A.5, PP. 6 -7, FOR DETAILS OF TEST PROCEDURE. REPORT LC50 - STATISTICAL POINT ESTIMATE WHICH IS LETHAL TO 50 %D OF THE TEST ORGANISMS, AND ATTACH ACUTE TOXICITY T REPOR F ORM TO DMR. 7/24/2012 00017/980409 -1716 PAGE 1 OF 1