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PARAMETER <br />all anr <br />supervision law lhatllusd designed to <br />upemnon m o oNance mi tt syst o em J n assure o qualified personne l rope * gather and <br />et simile the information submdlai Ho d l on m y inquiry f the person or persons m n oge in <br />to or those persons directly responsible for gathering the information the information submitted is <br />pen es false gse information, including the pons biliry of fie and imps so unenl for Mowing <br />violations <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 grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />•« « « «* <br />0 <br />** •••• <br />* * •* «* <br />« ««« «« <br />6 <br />1 (3 a <br />v.,5 <br />* * * « *" <br />PERMIT <br />REQUIREMENT <br />" " "•" <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />•* * * ** <br />« « « « «« <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />all anr <br />supervision law lhatllusd designed to <br />upemnon m o oNance mi tt syst o em J n assure o qualified personne l rope * gather and <br />et simile the information submdlai Ho d l on m y inquiry f the person or persons m n oge in <br />to or those persons directly responsible for gathering the information the information submitted is <br />pen es false gse information, including the pons biliry of fie and imps so unenl for Mowing <br />violations <br />TELEPHONE <br />DATE <br />() I 2.-'s / <br />` <br />SIGNATURE OF P INCIPAL EXECUTIVE OFFICER OR <br />THORIZED AGENT <br />AREA Code I NUMBER <br />MM /DD/YYYY <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 />SAGE CREEK MINE COMPLEX <br />36600 CR 27 <br />HAYDEN, CO 81639 <br />FACILITY: <br />LOCATION: <br />ATTN: Mike Ludlow, GM <br />[8Sl(11S t <br />} 276 JUt 52t9 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00048275 <br />PERMIT NUMBER <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 />004 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD /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 Fish Creek <br />External Outfall <br />• <br />Form Approved <br />OMB No 2040 -0004 <br />No Discharge <br />12/09/2011 Page 2 <br />