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PARAMETER <br />I cerhly under penalty of law that this dos ens and all attachments were prepared under my direction or <br />mi fo <br />supervlmonin o mdngnedto assureth atqu medpersonnelproper's gather and <br />Coate <br />CS oate the m on submdyed Aased on my inquiry of the person <br />on or persons who the <br />system or those e pers ons persons directly responsible for gelhenng the information the information submitted s <br />to the hest of my knowledge rind belief, true accurate and complete I am aware that there are significant <br />penalties lions tor submitting false information. including the pony bdrtl of fine for and rmprrsormnent r knowing <br />si <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />O. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Solids, total dissolved <br />70295 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />* *. *,• <br />,,• * *, <br />I 1 2 3 2 <br />V <br />1 % f o <br />v <br />/ <br />1 130 <br />°�^°a (_ <br />`� <br />PERMIT <br />REQUIREMENT <br />•`• <br />* * * * ** <br />Req. Mon. <br />QRTR AVG <br />Req. Mon. <br />DAILY MX <br />mg /L <br />Quarterly <br />GRAB <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />v <br />//\\ <br />c <br />) (3 O <br />S <br />* *,,,, <br />PERMIT <br />REQUIREMENT <br />*• * * ** <br />Reqq. Mon. <br />INST MAX <br />Y =1,N =0 <br />* * * *•• <br />Monthly <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICE <br />I cerhly under penalty of law that this dos ens and all attachments were prepared under my direction or <br />mi fo <br />supervlmonin o mdngnedto assureth atqu medpersonnelproper's gather and <br />Coate <br />CS oate the m on submdyed Aased on my inquiry of the person <br />on or persons who the <br />system or those e pers ons persons directly responsible for gelhenng the information the information submitted s <br />to the hest of my knowledge rind belief, true accurate and complete I am aware that there are significant <br />penalties lions tor submitting false information. including the pony bdrtl of fine for and rmprrsormnent r knowing <br />si <br />V \ ` <br />TELEPHONE <br />DATE <br />/ <br />V <br />SIGNATU E OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Ddferent) <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 />rologisi <br />276 -5260 <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 />003 -A <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 />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 monitonng - 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 />