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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 />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />(— C00038776 Oil W-- !ACUTE WET TESTING FOR 011A <br />PERMIT NUMBER DISCHARGE NUMBER (SUER MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD IMINOR <br />FROM To I UT3=3 NO DISCHARGE <br />NOTE: Read i—fr Nrfi— hofnro rmm�loKnn ltiic f <br />PARAMETER <br />QUALITY OR LOADING QUALITY OR CONCENTRATION <br />>< <br />NO <br />FREQUENCY <br />SAMPLE <br />UNIT <br />VALUE VALUE UNITS VALUE VALUE VALUE <br />SAMPLE <br />EX <br />OF <br />ANALYSIS <br />TYPE <br />LC50 STATRE 48HR ACU <br />DAPHNIA MAGNA <br />MEASUREMENT <br />(23) <br />TAM3C 1 0 <br />PEF"T <br />EFFLUENT GROSS SEE COMMENTS <br />REQUIREMENT <br />SAMPLE NO DISCHARGE <br />PERCENT <br />QTRLY <br />GRAS <br />LC50 STATRE 96HR ACU <br />PIMEPHALES <br />MEASUREMENT <br />(23) <br />TAN6C 1 0 EFFLUENT <br />PEr"T <br />GROSS <br />REQUIREMENT <br />PERCENT <br />QTRLY <br />GRAB <br />SAMPLE <br />MEASUREMENT <br />PERMT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PEF2i11MT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PEFMT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PEFUT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PEFUT <br />REQUIREMENT <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER EL <br />IRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT PERSONNEL <br />TELEPHONE <br />DATE <br />PROPS INQUIRY OF TIED <br />PROPERLY GATHER AND EVALUATE THE OR T OSE SUBMITTED BASED ON MV SIBLE R THE PERSON OR <br />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />INFORMATION THE AM INFORMATION T SUBMITTED 5 TO THE BEST OF A KNOWLEDGE AND BELIEF TRUE ACCURATE <br />Weston Norris I NO COMPLETE AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION SIGNATURE OF PRINCIPAL EXECUTIVE <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOW WG VIOIATiONS <br />970 - 929 -5015 <br />7/9/2013 <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />MM /DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) F—s by WmdowChem(707)B64-0845,p /n 11090,V5 0,1/1/96 <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. <br />00105/980409 -1716 PAGE 1 OF 1 <br />