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PARAMETER
<br />I certdt under penally of law that this document and all attachments were p,epared under my direction or
<br />,,, e ery,,,nn mact.ordaneew, ma system designed to assure that quahredpersonnel preperh gather and
<br />evaluate the mlonmat,on submitted Rased on my Inquiry of the person or persons who manage the
<br />,ygen,. .,,hose persons directly responsible for gamermg the n,fonnation the nvonnaeon subnnlled Is
<br />to the best of my knowledge and belief, true, accmale and complete I am aware that th are s g f n1
<br />e pna�drq of laic tm
<br />b,u,ng false Inhumation, including m m ,e ana pr,an,mne,n for k„nw,ng
<br />pen sum
<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 />D
<br />.....«
<br />3
<br />V30
<br />V r ■ S
<br />PERMIT
<br />REQUIREMENT
<br />Req. Mon.
<br />INST MAX
<br />Y =1,N =0
<br />•• «..,
<br />, « «.,
<br />«.••.•
<br />Monthly
<br />VISUAL
<br />NAMEI ,TITLE PRINCIPAL EXECUTIVE OFFICER
<br />I certdt under penally of law that this document and all attachments were p,epared under my direction or
<br />,,, e ery,,,nn mact.ordaneew, ma system designed to assure that quahredpersonnel preperh gather and
<br />evaluate the mlonmat,on submitted Rased on my Inquiry of the person or persons who manage the
<br />,ygen,. .,,hose persons directly responsible for gamermg the n,fonnation the nvonnaeon subnnlled Is
<br />to the best of my knowledge and belief, true, accmale and complete I am aware that th are s g f n1
<br />e pna�drq of laic tm
<br />b,u,ng false Inhumation, including m m ,e ana pr,an,mne,n for k„nw,ng
<br />pen sum
<br />TELEPHONE
<br />DATE
<br />///���
<br />7 ._ L. —'
<br />a
<br />SIGNATURE 0 PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Code I NUMBER
<br />MMIDDIYYYY
<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 Jones
<br />2 pgist
<br />7 5 -5209
<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 />004 -A
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY
<br />04/01/2012
<br />MM /DD /YYYY
<br />06/30/2012
<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 />f
<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 Discharge
<br />12/09/2011 Page 2
<br />
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