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PERMITTEE NAME/ADDRESS (Include Facility Name/Location ff Different) <br />NAME: Peabody Sage Creek Mining LLC <br />ADDRESS: PO Box 205 <br />Hayden, CO 81639-0250 <br />FACILITY: SAGE CREEK MINE COMPLEX <br />LOCATION: 36600 CR 27 <br />HAYDEN, CO 81639 <br />ATTN: Edwin J. Brady, Mine Mgr <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00048275 004-A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />07/01/2015 09/30/2015 <br />Form Approved <br />OMB No 2040-0004 <br />DMR Mailing ZIP CODE: 86001 <br />MAJOR <br />ROUTT <br />Discharge to Fish Creek <br />External Outfall <br />No Discharge = <br />PARAMETER <br />'certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance vnth a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the information, the information submed is <br />to the best of my knoWedge and belief, true, accurate, and complete I am av2re that there are significant-y� <br />fortron,Includingtheposs,b,Iltyoffineandimprisonmentforknowng <br />penalties for submitting false mma <br />violations <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />840661 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />****** <br />r j <br />****** <br />****** <br />****** <br />G <br />1130 <br />(� t <br />PERMIT <br />REQUIREMENT <br />****** <br />Req. Mon. <br />INST MAX <br />Y=1;N=0 <br />*"**** <br />*****" <br />Monthly <br />VISUAL <br />NAME/11TLE PRINCIPAL EXECUTIVE OFFICER <br />'certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance vnth a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the information, the information submed is <br />to the best of my knoWedge and belief, true, accurate, and complete I am av2re that there are significant-y� <br />fortron,Includingtheposs,b,Iltyoffineandimprisonmentforknowng <br />penalties for submitting false mma <br />violations <br />� i....—� r•) �"� <br />TELEPHONE <br />DATE <br />f1` q-4in �1 AZ] <br />�v'aLi11 '�y,l <br />11 <br />�,iJ �t 7�%`�7ta <br />jU//S <br />SIGNATURE OFP INCIPALEXECUTIVEOFFICEROR <br />UTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA Code NUMBER <br />I MMIDDIYVYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Settleable solids limits waived for >10YR,24HR precip event subject to burden of proof in I.A.2. Quarterly monitoring - see CA 0, pg 10. <br />EPA Form 3320-1 (Rev.01/06) Previous editions may be used. 01/07/2015 Page 2 <br />