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PARAMETER <br />I.era penalty o thrennnm Lamm ,. <br />sere upa.eaannrm, dm non ,,. <br />, aL � , Idanke w u s) 4,,dt,tgned h ,,sort tha graft nod r.r.onokl pr „rrrIn moll and <br />alu t • th into ma m U I tied 13as ,1 on my m.pory of du person on or rwn who minute 11,1 <br />•,•,ll■r or those , Lr, onIdlrb, tly Imn.,hie tor gmth,rine the , tlnmaian the ,nf,rm., non .nhm,ltrd,. <br />,,, lhL ,.,t l my knowledge and h, lief, ITUL, n, caraiL an,. °wide I am Juan that there a•e cngmlicnnl <br />emai leg r•, >mnn,Ittmp• I alsc mrmmtanom, mLindmr the I „ •91b hry n, low and intprlsonnwnt tor knowing <br />QUANTITY OR LOAD `IG <br />QUALITY OR CONCENTRATION <br />NO ' <br />EX <br />o ANALYSIS <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />1 C50 Statre 48H Acute Ceriodaphnia <br />AM3B 1 0 <br />Effluent Gross <br />MEASUREMENT <br />— <br />,t... <br />***V.,* <br />PERMIT <br />REQUIREMENT <br />"" •" <br />NO DISCHA <br />1i.0 <br />MN VALUE <br />" " "" <br />t' *•" <br />e! <br />Quarterly <br />GRAB <br />L.C5r' Stag 96H Acuti Pimephales <br />TAN LC 1 0 <br />EMI lent Gr dss <br />SAMPLE <br />MEASUREMENT <br />—.... <br />, ,— <br />- -- <br />,,,,, <br />».._., <br />PER MIT <br />REQUIREMENT <br />•. <br />.. <br />--- <br />1[00 <br />MN VALUE <br />•.., <br />...�, <br />n! <br />Quarterly <br />GRAB <br />NAME ITlTLEPRINC'PALEXECUTIVEOFFICER <br />I.era penalty o thrennnm Lamm ,. <br />sere upa.eaannrm, dm non ,,. <br />, aL � , Idanke w u s) 4,,dt,tgned h ,,sort tha graft nod r.r.onokl pr „rrrIn moll and <br />alu t • th into ma m U I tied 13as ,1 on my m.pory of du person on or rwn who minute 11,1 <br />•,•,ll■r or those , Lr, onIdlrb, tly Imn.,hie tor gmth,rine the , tlnmaian the ,nf,rm., non .nhm,ltrd,. <br />,,, lhL ,.,t l my knowledge and h, lief, ITUL, n, caraiL an,. °wide I am Juan that there a•e cngmlicnnl <br />emai leg r•, >mnn,Ittmp• I alsc mrmmtanom, mLindmr the I „ •91b hry n, low and intprlsonnwnt tor knowing <br />TELEPHONE <br />DATE 1 <br />- have ne, COO <br />719- 845 -0090 <br />10/23/2012 <br />SIGNATURE OF PRINCIP L EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />MM /DDIYYYY <br />TYPED OR PRINTED <br />PEiRMIT,EE NAME /AD (/ncf deFac, /ifyName /Location if afferent) <br />1 AME: <br />DDRE SS: <br />FAC'LITY: <br />LOCATION: <br />New Elk Coal Company LLC <br />122 West Fir t St <br />Trinidad, CO 81082 <br />NEW ELK MINE <br />12250 HIGHWAY 12 <br />WESTON, CO 81091 <br />ATTN: Dave Stone, COO <br />EPA `orm 33.10 -1 (Re /06) Previous editions may be used. <br />NATIONAL POL_UTF DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMR) <br />000000906 <br />PERMIT NUMBER <br />MONITORING PERIOD <br />MM IDD /YYYY <br />)09C` <br />DISCHARGE NUMBER <br />MM/ DD /Y YYY <br />FROM L 07%01 :2C12 TO O '311i2C12 <br />NO DISCHARGE <br />NO DISCHARGE <br />NO DISCHARGE <br />COMMENTS AND EXPLANATIOPI OF ANY VIOLATIONS (Reference all attachments here) <br />See I'\.2 for details of test !rocediire. Report LC'S0 - stodlstical point estimate which is lethal o 50% of test organisms, and attach acute toxicity test report form to DMR. <br />DMR Mailing ZIP CODE: 81082 <br />MINOR <br />Acute WET Testing for 009C <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge [T] <br />Page 1 <br />