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PARAMETER <br />1 certify under penalty of law that Ilea document and all attachments were prepared under my direction or <br />supervision the n accordance with a, t mdesigned to assure that qualified personnel peril gather and <br />evaluate the ose persons directly responsible for gathering the information. the infonnetion submitted a <br />to the best of my knowledge and belief, true accurate and complete I am aware that dire are significant <br />penalties for submitting falsemfomnnon, including the poImprisonment of line and Imprisorent for knowing <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 />Solids, total dissolved <br />70295 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,,..., <br />,,,,,, <br />l� <br />I / Lj 3 <br />j 7 9 U <br />v <br />y3 <br />( <br />/ -G1 <br />C� <br />. *,.,, <br />PERMIT <br />REQUIREMENT <br />* * * * ** <br />* * * * ** <br />" "'* <br />Req. Mon. <br />QRTR AVG <br />Req. Mon. <br />DAILY MX <br />mgIL <br />Quarterly <br />GRAB <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />h <br />d <br />*, *,,, <br />, * * *,* <br />iff <br />/ 3v <br />0 i s <br />PERMIT <br />REQUIREMENT <br />' " "' <br />Req. Mon. <br />INST MAX <br />Y =1,N =0 <br />* *' ~* <br />*` * * ** <br />** * * ** <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />1 certify under penalty of law that Ilea document and all attachments were prepared under my direction or <br />supervision the n accordance with a, t mdesigned to assure that qualified personnel peril gather and <br />evaluate the ose persons directly responsible for gathering the information. the infonnetion submitted a <br />to the best of my knowledge and belief, true accurate and complete I am aware that dire are significant <br />penalties for submitting falsemfomnnon, including the poImprisonment of line and Imprisorent for knowing <br />TELEPHONE <br />DATE <br />( � `' 1 <br />SIGN ATURE F PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I NUMBER <br />MM /DDIYYYY <br />TYPED OR PRINTED <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 />FACILITY: <br />LOCATION: <br />ATTN: Mike Ludlow, GM <br />SAGE CREEK MINE COMPLEX <br />36600 CR 27 <br />HAYDEN, CO 81639 <br />Dennis Jon <br />} 276-5206 <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 />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 />MMIDD/YYYY <br />01/01/2012 <br />MM /DDIYYYY <br />03/31/2012 <br />TO <br />DMR Mailing ZIP CODE: 80467 <br />MAJOR <br />ROUTT <br />Discharge to Grassy Creek <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />12/09/2011 Page 2 <br />