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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMITTEE NAME/ADDRESS (Include Facility Namekocation if Different) <br />NAME: Sage Creek Coal Company LLC <br />ADDRESS: 29515 Routt CR 27 <br /> Oak Creek, CO 80467 <br />FACILITY: SAGE CREEK MINE COMPLEX <br />LOCATION: 36600 CR 27 <br /> HAYDEN, CO 81639 <br />ATTN: Mike Ludlow, GM <br />000048275 003-A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />L MM/DD/YYYY MM/DD/YYYY <br />FROM 4WW/2010 TO -06!39/2010 <br />O'7 e 1 0 4 ?? 10 <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />ROUTT <br />Discharge to Grassy Creek <br />External Outfall <br />No Discharge <br /> r <br />PARAMETER QUANTITY OR LOADING QUALITY OR ONCENTRATION N <br />O. FREQUENCY STM <br />EE <br /> E YSt P <br /> <br /> VALUE VALUE UNITS VALUE VALUE VALUE UNITS <br />Solids, total dissolved SAMPLE <br />MEASUREMENT <br />""" <br />a o a <br />9070 <br /> 1 4 <br />70295 1 0 <br />Effluent Gross PERMIT •«,«: «,.« .«. ...... Req. Mon ' <br />" Req Mon <br /> REQUIREMENT QR R AVt3. DAILY MX Quarterly GRAB: <br />Oil and grease visual SAMPLE <br /> MEASUREMENT <br />84066 1 0 <br />Effluent Gross PERMIT R .Mon. <br />INS MAX Y=1; N=0 *"*'_ _•«_* r**+= «.... <br /> REQUIREMENT Monthly VISUAL <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER In'tyunde`penln°fl.'wthat thisdmumemandallm?hmema-Pmp=dundetmydu-wmw <br /> :npetvtaion in aLenraat.:e wim n av aem deaigml to aseute mat g trod pers -I properh gamer and <br />evaluate me information submitted. Based on my myuvy of me <br />eraon a <br />ersons who <br />d NE DATE <br /> p <br />p <br />menage <br />cm, m tlroae petaoni ditectW respomible for gathering me informalwa me utforttunion submd rs <br />im <br /> . <br />tome test of my kwwkdge and belief, true. am mm. and complete. 1 am aware mat there ate sistmicam <br /> <br />' <br /> penalties for submitting false infmmatwo. iwlud* the pasabibty oft and imprisonment fur knowing <br />violatiooa. <br />SIGNATU OF PR / tJ / <br />1 V <br /> <br />TYPED OR PRINTED INCIPAL EXECUTIVE OFFICER OR <br /> AUTHORIZED AGENT MMIDD/YY <br />YY <br />CnuMICUTC Abin CYDI AUAT1nar nC Auv vrni Atan uc <br />Settleable solids limits waived for>10YR,24HR precip event subject to burden of proof in I.A.2. Quarterly monftofing - see C. 10, pg 1o., <br />EPA Form 3320.1 (Rov.01106) Previous editions may be used. Page 2