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PARAMETER <br />I cerhly under penally of law that tins document and all attachments svme prepared under my direction or <br />supervision In accord with a system designed to assure that qualified personnel properly gamer and <br />II nnm banned Dosed on my inquiry of me or , sum was manage the <br />system, or those persons directly responsible for gathering the information, the,nfonnanon submitted Is <br />tome best of my knowledge and belief tee ...le and complete I am aware that there are significant <br />penalties lmsubmntmgflse lnfnnawn,mdudmg the poa semi >of fine and impnso,mentfrknowmg <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 />1 t 13 <br />/ 9j / 0 <br />0 <br />930 <br />Gif...4 <br />GRAB <br />*._ ` «. <br />...... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />QRTR AVG <br />Req. Mon. <br />DAILY MX <br />mg /L <br />Quarterly <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />__.. «. <br />0 <br />. *.___ <br />....... <br />✓ <br />I / 3 d <br />f , <br />V 1 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 />I cerhly under penally of law that tins document and all attachments svme prepared under my direction or <br />supervision In accord with a system designed to assure that qualified personnel properly gamer and <br />II nnm banned Dosed on my inquiry of me or , sum was manage the <br />system, or those persons directly responsible for gathering the information, the,nfonnanon submitted Is <br />tome best of my knowledge and belief tee ...le and complete I am aware that there are significant <br />penalties lmsubmntmgflse lnfnnawn,mdudmg the poa semi >of fine and impnso,mentfrknowmg <br />TELEPHONE <br />DATE <br />) <br />7 ^ � l f / <br />SIGNATURE OF RINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED 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 />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 />(X2 3 76-520 9 <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Settleable solids limits waived for >10YR,24HR preclp 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 />MM /DD/YYYY <br />04/01/2012 <br />MM /DD /YYYY <br />06/30/2012 <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 />