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PERMITTEE NAME/ADDRESS (Include Facility Nanle•'Locatfon it <br />N Peabody Sage Creek Mining, LLC <br />ADDRESS: 29S 15 RCR 27 <br />Oak Creek, CO 80467 <br />FACILITY: SAGE CREEK IMINE COMPLEX <br />LOCATION: 36600 CR 27 <br />HAYDEN, CO 81639 <br />ATTN: Patrick K. Sollars, GNI <br />NA I IUNAL YULLU 1 AN 1 UINLHAKU)n tLIM1NA I IUN JYJ 1 tM iNk'Un) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00048275 <br />005- Q <br />PERMIT NUMBER <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY <br />SAMPLE <br />TYPE <br />MM/DD/YYYY <br />07/01/2016 <br />UNITS <br />09/30/2016 <br />corm Approveu <br />OMB No 2040- 0004 <br />DMR Mailing ZIP CODE: 80467 <br />MAJOR <br />Quarterly Discharge for OOSA <br />External Outfall <br />No Discharge <br />PARAMETER <br />l 1erol) under penalty of lav that the, document and all attachments acre prepared under my <br />dlrectlem or supen• cion In—ordance ttith a system designtd n, assure that qualified <br />•nonnel properly gather and ev aluate the Information whtmtted Bawd on M inquiryof the <br />per-ri or per-- ,vhn manage the system, or those pervtns direett) responsible for gathering <br />he in twnon, he intr-11- suhnurred h, to the best of my I,nmtledge- and bohef, teue, <br />accurate, and complete 1 am a,.are that mere are .ignttieam penalise. for wbmitnng tale <br />nfnnnatiun, Ineluding the passibility of fine and Imprisonment for knotting %inlatu— <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 />QTS <br />Manganese, potentially dissolvd <br />0131910 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />251.00 <br />251.00 <br />UG/L <br />0 <br />1/92 <br />GRAB <br />PERMIT <br />REQUIREMENT <br />****** <br />****** <br />****** <br />****** <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug/L <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />��)) <br />13,('1 <br />K3� i 4 1 ` �i �✓ S� <br />l 1erol) under penalty of lav that the, document and all attachments acre prepared under my <br />dlrectlem or supen• cion In—ordance ttith a system designtd n, assure that qualified <br />•nonnel properly gather and ev aluate the Information whtmtted Bawd on M inquiryof the <br />per-ri or per-- ,vhn manage the system, or those pervtns direett) responsible for gathering <br />he in twnon, he intr-11- suhnurred h, to the best of my I,nmtledge- and bohef, teue, <br />accurate, and complete 1 am a,.are that mere are .ignttieam penalise. for wbmitnng tale <br />nfnnnatiun, Ineluding the passibility of fine and Imprisonment for knotting %inlatu— <br />TELEPHONE DATE <br />? e <br />�( 7V O 70 Z 7j21 /G 20 � 6 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />nx>:n coag N[TUt1lER /nn/mfY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320-1(Rev.01/06) Previous editions may be used. 02/16/2016 Page 1 <br />