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PARAMETER <br />I comfy under penalty of u n " that this document and all attachments were prepared per °n duccuonor <br />sup on m aamdaae wig a s, seat des,Pted to ,,,,, that ggaldied raurmet F operir gather.al <br />evaluate the ml: submitted Bead on my Inquiry of the peram p or persons who manage We <br />system. or those persona directly responsible for gathering the information the information submitted u. <br />the best of rat knowledge an belief. we. accurate. and complete. t am aware that there areagndtaw <br />to tir submitting false mronmate owmolwling the possibditrofr and rnproomnenthulaowtng <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />126 <br />FREQUENCY <br />of ANALYSIS <br />SAMPLE <br />TMpE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Toxicity, ceriodaphnia chronic <br />61426 P 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />, „,„ <br />I U 0 <br />„,... <br />. „... <br />1 <br />/ c a <br />GMK b <br />PERMIT <br />REQUIREMENT <br />,,.... <br />..•.., <br />. ...» <br />Req. Mon. <br />SINGSAMP <br />""'” <br />•••• <br />tox chronic <br />0 <br />rterty <br />Toxicity, ceriodaphnia chronic <br />61426 S 1 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />,...„ <br />>" I (3 0 <br />„..„ <br />,,,,.. <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />SINGSAMP `. <br />•••••• <br />lox. chronic <br />Q <br />, -dy <br />G B <br />Toxicity, pimephales chronic <br />61428 P 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />„ „„ <br />, „„, <br />„,.,. <br />> l 0 0 <br />PERMIT <br />REQUIREMENT <br />„.». <br />.« „. <br />.„.„ <br />Req Mon <br />SINGSAMP <br />.•«« <br />,..„• <br />vox chronic <br />0 <br />G . , B :. <br />Toxicity, pimephales chronic <br />61428 S 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />.,, „, <br />„���� <br />�� <br />(U 0 <br />A..... <br />„„„ <br />1 <br />PERMIT <br />REQUIREMENT <br />„.... <br />”" "”' <br />'"”" <br />Req. Mon. <br />SINGSAMP <br />.'""'• <br />„,,., . <br />tox chronic <br />• <br />rterty <br />G ' B <br />%Effect Statre 7Day Chronic <br />Ceriodaphnia <br />TCP3B P 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />,,,.„ <br />( 0 <br />,..... <br />PERMIT <br />REQUIREMENT <br />.„«. <br />„..„ <br />...... <br />Req. Mon: <br />SINGSAMP <br />....... <br />..„.. <br />96 . <br />Q ' <br />Y <br />G , B <br />%Effect Statre 7Day Chronic <br />Ceriodaphnia <br />TCP3B S 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />„ „�� <br />„�� <br />„ „� <br />10 0 <br />... „. <br />PERMIT <br />REQUIREMENT <br />- <br />Req. <br />MN VALUE <br />Q <br />_. <br />c • : <br />%Effect Statre Way Chronic <br />Ceriodaphnia <br />See Comments T 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />„ „„ <br />�� „�� <br />„„„ <br />} I 0 <br />. „,., <br />PERMIT <br />REQUIREMENT <br />„ „.. <br />„„„ <br />,«.., <br />100 <br />MN. VALUE <br />,.„„ <br />„ „„ <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I comfy under penalty of u n " that this document and all attachments were prepared per °n duccuonor <br />sup on m aamdaae wig a s, seat des,Pted to ,,,,, that ggaldied raurmet F operir gather.al <br />evaluate the ml: submitted Bead on my Inquiry of the peram p or persons who manage We <br />system. or those persona directly responsible for gathering the information the information submitted u. <br />the best of rat knowledge an belief. we. accurate. and complete. t am aware that there areagndtaw <br />to tir submitting false mronmate owmolwling the possibditrofr and rnproomnenthulaowtng <br />TELEPHONE <br />DATE <br />_ 2v ` <br />IIlS i Jy r <br />i !�`c .• <br />SIGNATU OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Cod. 1 NUMBER <br />MM/DD/YYYY <br />. <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 (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 />WTA - X <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 P NA11( 0 ANY VIOLATIONS (Reference all attachments here) <br />See I.A.4 for details of test procedure. Rpt results of lethality derivs as "% effect', growth &reprod derivs as 'toxicity ". Rpt lowest % at which statistically signif diff btwn test&cont using "S ". Rpt IC25 using "P". Use 'T' to report highest % reported <br />btwn "P" and "S” for ceriodaphnia and pimephales. C r ` :. , <br />27 52Ob <br />Hydrologist <br />Ego) 27 -52ao <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />Chronic WET Testing for 002A/003A <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />Page 1 <br />