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PARAMETER <br />I certify under penalty of law that dm document and all attachments were wed m> mxetino or <br />evaluate 'the .fermatance,,ima> rremd my to mane that epers pe rsona pp�n the and the ose per on su due responsible r p n s i on for m he r in of the person n t .then manage b the <br />information aubmittcd is. <br />system. or of my Baran dtce reaponuu forgathering the information. the t that the are tftaut <br />to the hest of my knowledge and belief, trite. accurate. and complete. I am aware that the gw <br />wa r submitting false mfmmatnat. mohdtng the possibility of fine and Imprisonment f r knowing <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />zz <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Flow, in conduit or than treatment plant <br />50050 1 0 <br />Effluent Gross <br />MEASUREMENT <br />/ • LI 1 <br />6 <br />/� <br />C7 L L i ti V <br />• . <br />0 <br />t 1' <br />S <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />" 30DA AVG • <br />Req. Mon. <br />DAILY MX <br />Mgal /d <br />""'' <br />•"'•' <br />"""• <br />""" <br />Monthly <br />INSTAN. <br />Solids, total dissolved <br />70295 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...rent <br />k., <br />.,.,., <br />3 0 `( 3 <br />3 6 7 0 <br />c <br />1 f 0 <br />G G. <br />PERMIT <br />REQUIREMENT <br />,. «» <br />«» <br />-.- »• <br />,.». <br />Req. Mon. <br />QRTR AVG <br />Req..Mon. <br />DAILY MX <br />mgIL . <br />Quarterly <br />GRAB <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />NI.** <br />f� <br />ll // <br />*M..* <br />*My. <br />, „.., <br />...IN.* <br />1 / <br />f <br />i ) <br />V L <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />MST MAX > <br />Y =1:N <br />..,.» <br />... : <br />.„« <br />.....a <br />Monthly” . <br />VISUAL: - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />I certify under penalty of law that dm document and all attachments were wed m> mxetino or <br />evaluate 'the .fermatance,,ima> rremd my to mane that epers pe rsona pp�n the and the ose per on su due responsible r p n s i on for m he r in of the person n t .then manage b the <br />information aubmittcd is. <br />system. or of my Baran dtce reaponuu forgathering the information. the t that the are tftaut <br />to the hest of my knowledge and belief, trite. accurate. and complete. I am aware that the gw <br />wa r submitting false mfmmatnat. mohdtng the possibility of fine and Imprisonment f r knowing <br />TELEPHONE <br />DATE <br />- Q '� ' <br />SIGNA E OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA ode. <br />I NUMBER <br />MM/DDIYYYY I <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location 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 />EPA Form 3320-1 (Rev.01I06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00048275 <br />PERMIT NUMBER <br />002 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />04/01/2011 <br />MM/DD/YYYY <br />06/30/2011 <br />TO <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 C. 10, pg 10. <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />ROUTT <br />Discharge to Grassy Creek <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />Page 2 <br />