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PARAMETER <br />I certify wider penally of law that Um document and all attachments were prepared under my direction or <br />I <br />supervision sv, thaaystemJes ,gnedtoassure lhNgmhfieJpersonn prope gather and <br />accordance e <br />I f <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />%Effect Statre 7Day Chronic <br />Pimephales <br />TCP6C P 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />...... <br />�h <br />> I b <br />....•., <br />O <br />l <br />f <br />G« <br />PERMIT <br />REQUIREMENT <br />S INGSA n. <br />* * "• ** <br />" " " « "* <br />% <br />Q <br />Y` <br />y <br />G B <br />%Effect Statre 7Day Chronic <br />Pimephales <br />TCP6C S 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />" *<.,, <br />.,**Sr*** <br />„, " <br />d <br />PERMIT <br />REQUIREMENT <br />” "' * *" <br />" * " «" <br />Re Mon. <br />MN VALUE <br />Qua <br />terly <br />G B <br />%Effect Statre 7Day Chronic <br />Pimephales <br />TCP6C T 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />*...., <br />S 10 b <br />/ <br />v <br />PERMIT <br />REQUIREMENT <br />100 <br />MN VALUE <br />* * * " *` <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE R <br />I certify wider penally of law that Um document and all attachments were prepared under my direction or <br />I <br />supervision sv, thaaystemJes ,gnedtoassure lhNgmhfieJpersonn prope gather and <br />accordance e <br />I f <br />�� <br />TELEPHONE <br />DATE <br />• t 11 1 h° d R d y q fth p Pe <br />h g 0, sv tem. or those persons directly responsible for gamenng the Information Inc t nhfonnation submitted w <br />to the hell of my knowledge and belief true immune and complete I em aware that (here are significant p' 1 81hesforsubnnumgfalse informalmn,includingteposs,bmp orrneand,mpnsmhmemmrlr,ownng <br />l O .•. �' t <br />SIGNATUR OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I NUMBER <br />MM /DD/YYYY <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 />Dennis Jonefe <br />Hydsologl <br />WO) 2764Pirwir <br />EPA Form 3320 -1 (Rev.01 /06) 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 />VVTA -X <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />07/01/2011 <br />MM /DD/YYYY <br />09/30/2011 <br />TO <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 />COMMENTS AND EXPLANATION OF 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 Jiff btwn test &cont using "S ". Rpt IC25 using "P ". Use "T" to report highest % reported <br />btwn "P" and "S" for ceriodaphnia and pimephales. <br />Page 2 <br />