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PERMITTEE NAME/ADDRESS (Include Facility Name/Location if afferent) <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 />PARAMETER <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000048275 004-A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />FROM 01/01/2011 TO 03/31/2011 <br />QUANTITY OR LOADING <br />VALUE VALUE UNITS VALUE <br />SAMPLE <br />MEASUREMENT "" <br />PERMIT Reeqq.'Mart. " Y 1;N=0 <br />REQUIREMENT INST MAX <br />smam t" <br />Mum <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER uodar pmuhy of mw tmt th, and an P.Po ed rmde. my 4-non a. <br />supervuron m accordance with a warm desire on assure tha qualified N--, , pd.. W .? <br />evaluate the udo.mmion submitted. Based on my mquwy of the person a pons who ge the v <br />ayaem, or thow persoru dire * mponsiblc for gathmw the mformation, th information submitted a. <br />I& the bcs of my k-ledge and belicf, mc, accurate. and cumpide. f am aware that thm sue signi- <br />pnalt mfor subminmg false infuemmion, -ludmg the poasbdity of f ad imprisonment fw tmwiug <br />TYPED OR PRINTED SIGNA' <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments hero) <br />Settleable solids limits waived for >10YR,24HR precip event subject to burden of proof in I.A.2. Quarterly monitoring - see C.10, pg 10. <br />EPA Form 3320.1(Rev.01106) Previous editions may be used <br />TELEPHONE <br />NO. I FREQUENCY I SAMPLE <br />EX OF ANALYSIS TYPE <br />-13c) lu-? <br />monthly VISUAL <br />OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT AREA Coft NUMBER <br />Form Approved r <br />OMB No. 2040-0004 , <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />ROUTT <br />Discharge to Fish Creek <br />External Outfall <br />No Discharge <br />QUALITY OR CONCENTRATION <br />VALUE VALUE UNITS <br />DATE <br />(7-24 <br />MMIDD/YYYY <br />P