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PARAMETER <br />1 certify under penalty of law that this document and all attachments were prepared anger my direction or <br />supervision in accordance with a Based on stem designed to assure that qualified pe arotta l pro ply gather and <br />evaluate the persons lion submitted randy . my mTun of the perstm or persons who manage the <br />system. m those ) persons to hof. t oble far gatherutg the u pdate. l tion. the information submitted is. <br />to the heat <br />r submitting else information. t*chcling the pasad>iltty of F and nape aottmeot far knowing <br />penalties for min f <br />�a <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />d <br />z <br />FREQUENCY <br />ANALYSIS <br />SAMPLE <br />OF <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Solids, total dissolved <br />SAMPLE <br />MEASUREMENT <br />. „ „. <br />1.1.11. <br />. „ „. <br />1 i `- <br />1 I ( <br />� so <br />V <br />0 <br />+ 0 <br />/'U Q <br />C'S b <br />70295 1 0 <br />PERMIT <br />.." '... <br />" <br />" ' <br />” ' <br />Req. Mon: <br />Req. Mon. . <br />mg/L . <br />Effluent Gross <br />REQUIREMENT <br />QRTR AVG • <br />DAILY MX <br />Quarterly <br />` GRAB <br />Oil and grease visual <br />SAMPLE <br />,,. „. <br />„,.„ <br />, ,..„ <br />t13 <br />MEASUREMENT <br />O <br />a <br />V C. <br />84066 1 0 <br />PERMIT <br />„».. <br />R : Mon. <br />Y=1 ;N=4) <br />...... .. <br />«..... ”: <br />..«.. ; .: <br />....,. . <br />Effluent Gross <br />REQUIREMENT <br />IN MAX <br />Monthly <br />VISUAL <br />NAMET LE PRINCIPAL EXECUTIVE OFFICER <br />1 certify under penalty of law that this document and all attachments were prepared anger my direction or <br />supervision in accordance with a Based on stem designed to assure that qualified pe arotta l pro ply gather and <br />evaluate the persons lion submitted randy . my mTun of the perstm or persons who manage the <br />system. m those ) persons to hof. t oble far gatherutg the u pdate. l tion. the information submitted is. <br />to the heat <br />r submitting else information. t*chcling the pasad>iltty of F and nape aottmeot far knowing <br />penalties for min f <br />�a <br />TELEPHONE <br />DATE <br />+ {� n <br />r _ <br />SIGNA OF PRINCIPAL EXECUTIVE AGE OFFICER OR <br />AUTHORIZED AGENT <br />A REA Code j <br />l <br />NUMBER <br />MMIDDNYYY <br />I <br />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.01106) 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 />003-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 />