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PARAMETER <br />ILeililym ulctpenallyoflawthatUudoormen! andallallayhmenlswe .'negatedundermydueclmnor <br />s up rvte n in fc n ncs t system dcugn y to assure that on personnel mopeds gather and <br />I tell d <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 />Oil and 9 rease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />v 6 <br />„ ,,, * <br />„,,,, <br />,,,,,* <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1,N =0 <br />" "•• *• <br />"• * *•* <br />•• * * ** <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />ILeililym ulctpenallyoflawthatUudoormen! andallallayhmenlswe .'negatedundermydueclmnor <br />s up rvte n in fc n ncs t system dcugn y to assure that on personnel mopeds gather and <br />I tell d <br />TELEPHONE <br />DATE <br />v a li b y nqu ty I the he person , no persons manage menage the <br />system, o directly responsible for a the rplee h b svhmNCl is, <br />to the t <br />penalties for suh An mullmg false m , m <br />rormaltoncludmg the posslbth0 te itrlrry arum and Imp runen <br />na l hess of those r r knowledge best of owl wle and better, true, accurate and and complete I ao m am th aware a that there ere are knowing <br />nsal for r Mo <br />gg +f✓ 12_ <br />U f _ I Z_ fM1/ ) <br />SIGNATUR F PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />I 1 <br />AREA Code NUMBER <br />MM/DDIYYYY <br />PERMITTEE NAME /ADDRESS (Include Facility Name/Location if Different) <br />NAME: Peabody Sage Creek Mining LLC <br />ADDRESS: 29515 Routt CR 27 <br />Oak Creek, CO 80467 <br />SAGE CREEK MINE COMPLEX <br />36600 CR 27 <br />HAYDEN, CO 81639 <br />FACILITY: <br />LOCATION: <br />ATTN: Mike Ludlow, GM <br />( * s Jones <br />gm 2764209 <br />S (R eference all attachments here) <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 /DD/YYYY <br />10/01/2011 <br />MM /DD/YYYY <br />12/31/2011 <br />TO <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 />MAJOR <br />ROUTT <br />Discharge to Fish Creek <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharger <br />12/09/2011 Page 2 <br />