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PARAMETER <br />law and all attachments were prepared under mythrectio mor <br />Icernfy under penalty ofl nW ru <br />supervision to aennnlam a wmr a 9V ste designed to assure that qualified personnel propel: gainer and <br />awnte Inc t mlonnation submitted Posed on my mgerry of the person or persons who manage the <br />system or those persons directly respnnstble for gathering the information the mfnnnalron aunts t] is <br />to the best of my knowledge and belief, true accurate and complete I am aware that here are stgmfiLant <br />lse information, cludrng the possmdnt of afire and rmprrsomnent for knowing <br />penalties for submitting f m <br />■ I <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 />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />..,.., <br />/ <br />v <br />,•,,,, <br />,,,,,, <br />d <br />' / 3 a <br />V ■s <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1,N =0 <br />• * *••' <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />law and all attachments were prepared under mythrectio mor <br />Icernfy under penalty ofl nW ru <br />supervision to aennnlam a wmr a 9V ste designed to assure that qualified personnel propel: gainer and <br />awnte Inc t mlonnation submitted Posed on my mgerry of the person or persons who manage the <br />system or those persons directly respnnstble for gathering the information the mfnnnalron aunts t] is <br />to the best of my knowledge and belief, true accurate and complete I am aware that here are stgmfiLant <br />lse information, cludrng the possmdnt of afire and rmprrsomnent for knowing <br />penalties for submitting f m <br />■ I <br />TELEPHONE <br />DATE <br />( O '.1 — l l <br />SIGNATU OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />MM /DDIYYYY <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 />ATM' Mike Ludlow, GM <br />Dennis Jones <br />�127A -stI <br />1 �7R•52'09 <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 />004 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DDIYYYY <br />07/01/2011 <br />MM /DDIYYYY <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 monitoring - see C.10, pg 10. <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />ROUTT <br />Discharge to Fish Creek <br />External Outfall <br />Form Approved <br />OMB No 2040.0004 <br />No Discharge <br />Page 2 <br />