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PARAMETER <br />emPonmJUrlrnllvoflmvlhnlWnsJceumenlnndal1n11ncunenwwaePrepnredunJermvdirection °r <br />supemslnn m accordance olo,n s wal o system Jesngned la assure Thal person J lne nm properly gather and <br />alum 11 information submitted Rased on my inquiry of the system, or those Persons directly responsible for gathering the information or Persons who manage the <br />0 <br />rmation the information submitted o <br />to the best of my knowledge and belief, true accurate and complete 1 am m+are that there are significant <br />penalties for submitting false nnlonnnllon, including the possrbnllh of fine and imprisonment for Mowing <br />at loll <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 />Toxicity, ceriodaphnia chronic <br />61426 P 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />1 CCU <br />0 <br />I /%) <br />G,, <br />PERMIT <br />REQUIREMENT <br />*"*'** <br />Req. Mon. <br />SINGSAMP <br />tox chronic <br />Qua rly <br />G B <br />Toxicity, ceriodaphnia chronic <br />61426 S 1 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />1 (7 0 <br />PERMIT <br />REQUIREMENT <br />••* * «« <br />* *' *•* <br />Req. Mon. <br />SINGSAMP <br />tox chronic <br />Q arterly <br />RAB <br />Toxicity, pimephales chronic <br />61428 P 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />* * * * ** <br />S. 100 <br />PERMIT <br />REQUIREMENT <br />` * * * ** <br />* * * « ** <br />Req. Mon. <br />SINGSAMP <br />. * * * ** <br />tox chronic <br />Qu rterly <br />e <br />Toxicity, pimephales chronic <br />61428 S 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />••* *,* <br />•* *. «* <br />} (00 <br />* * ** ** <br />* *. *.• <br />«. « * ** <br />PERMIT <br />REQUIREMENT <br />*' * * ** <br />' * * * ** <br />Req. Mon. <br />SINGSAMP <br />* * * * ** <br />* * * * ** <br />tox chronic <br />Qu erly <br />GRA <br />%Effect Statre 7Day Chronic <br />Ceriodaphnia <br />TCP3B P 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />•* * **. <br />> f �O <br />> ll <br />*,.. «« <br />., «..« <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />SINGSAMP <br />% <br />Q arterly <br />G B <br />%Effect Statre 7Day Chronic <br />Ceriodaphnia <br />TCP3B S 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />>" 0 <br />* *.,,« <br />PERMIT <br />REQUIREMENT <br />* " * * ** <br />*` * "* <br />Req. Mon. <br />MN VALUE <br />* ** *.* <br />% <br />Q <br />arterly <br />AB <br />%Effect Statre 7Day Chronic <br />Ceriodaphnia <br />TCP3B T 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />��� «* <br />�' 1 CIO <br />* * * * ** <br />PERMIT <br />REQUIREMENT <br />*. *' ** <br />* •* * ** <br />* * * *" <br />100 <br />MN VALUE <br />% <br />Quarterly <br />GRAB <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />emPonmJUrlrnllvoflmvlhnlWnsJceumenlnndal1n11ncunenwwaePrepnredunJermvdirection °r <br />supemslnn m accordance olo,n s wal o system Jesngned la assure Thal person J lne nm properly gather and <br />alum 11 information submitted Rased on my inquiry of the system, or those Persons directly responsible for gathering the information or Persons who manage the <br />0 <br />rmation the information submitted o <br />to the best of my knowledge and belief, true accurate and complete 1 am m+are that there are significant <br />penalties for submitting false nnlonnnllon, including the possrbnllh of fine and imprisonment for Mowing <br />at loll <br />TELEPHONE <br />DATE <br />I � b �s0 `w - yu <br />Urs�U 4 / 4 <br />i _ r <br />10.— ' — � <br />SIGNATUR OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I NUMBER <br />MM /DD/YYYY <br />R N D; <br />t 0 'P r <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.01 /06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />COMMENTS AN PC/ t t)f' I ' VIOLATIONS (Reference all attachments here) <br />C00048275 <br />PERMIT NUMBER <br />Hyth i7ivi�t i't I <br />{97O) 276 -549 <br />WTA -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 />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. <br />Page 1 <br />