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PARAMETER <br />1 `emrynnaerpennu, nntemntun. anemnemnmlaunfmclm ,<n9wetePe�meannaermydirection nr <br />supervision tale 1 lb m newrclance with t system d ny n assure o tom qualified <br />er on or personnel hro gather and Yalu t th ,nr 1 , burnt d R d or mg gnat person or persons,vho menage the <br />system best those persons directly responsible for urot a complete I the information am tlose re noun sn <br />to the best those se knowledge and r belief, po tie for gata nd the le of h and complete 1 am there that t ore s�gmfv <br />lroien`n for submitting false inhumation mciudmg the possib,htl of fine and imprisonment for blowing <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 />« « « « «« <br />« « « « «« <br />1 731 <br />1 1 6 0 <br />v <br />l3 c <br />G ..� b <br />PERMIT <br />REQUIREMENT <br />..,... <br />,.. «.. <br />„. « «. <br />. «.•.. <br />Req. Mon. <br />DAILY I o Mon. <br />mg /L <br />Quarterly <br />GRAB <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />„..,. <br />/ � <br />l J <br />,,,,,, <br />CD <br />I� <br />/'v <br />r ' <br />t LS <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 OFFICER <br />1 `emrynnaerpennu, nntemntun. anemnemnmlaunfmclm ,<n9wetePe�meannaermydirection nr <br />supervision tale 1 lb m newrclance with t system d ny n assure o tom qualified <br />er on or personnel hro gather and Yalu t th ,nr 1 , burnt d R d or mg gnat person or persons,vho menage the <br />system best those persons directly responsible for urot a complete I the information am tlose re noun sn <br />to the best those se knowledge and r belief, po tie for gata nd the le of h and complete 1 am there that t ore s�gmfv <br />lroien`n for submitting false inhumation mciudmg the possib,htl of fine and imprisonment for blowing <br />A <br />TELEPHONE <br />DATE <br />o �(V L <br />®� L "') }� `� <br />SIGNATURE F PRINCIPAL 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 />SAGE CREEK MINE COMPLEX <br />36600 CR 27 <br />HAYDEN, CO 81639 <br />ATTN: Edwin J. Brady, Mine Mgr <br />Dennis ,tone, <br />Hydrologist I <br />(970) 276 -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 />003 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />10/01/2012 <br />MM /DD/YYYY <br />12/31/2012 <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 />A <br />DMR Mailing ZIP CODE: 81639 <br />MAJOR <br />ROUTT <br />Discharge to Grassy Creek <br />External Outfall <br />Form Approved <br />OMB No 2040 -0004 <br />No Discharge <br />01/04/2013 Page 2 <br />