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PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME: <br />Peabody Sage Creek Mining LLC <br />ADDRESS: <br />29515 Routt CR 27 <br />NO. <br />EX <br />Oak Creek, CO 80467 <br />FACILITY: <br />SAGE CREEK MINE COMPLEX <br />LOCATION: <br />36600 CR 27 <br />VALUE <br />HAYDEN. CO 81639 <br />ATTN• Edwin J. Brady, Mine Mgr <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00048275 004 -A <br />PERMIT NUMBER I I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD /YYYY <br />FROM 01/0112013 TO 1 03/31/2013 <br />Form Approved <br />OMB No 2040 -0004 <br />DMR Mailing ZIP CODE: 81639 <br />MAJOR <br />ROUTT <br />Discharge to Fish Creek <br />External Outfall <br />No Discharge <br />PARAMETER <br />erhl ymuterpenolLoflm+Ihtnisyslen,de go edIo ns wrelhlq- hfiedr—uedlundl-1,pthera1di <br />anperviv,th m ice r, gm pu, per— m . g, <br />evWunle n,e,mnnnah s.u�nwed Raced nn any mgmry nl me person n. peianns who manage the <br />n sten, or Ihose persons hteelly regrzmwble for galhenng the,ufonnnhon, the udonnalmn submitted t, <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 />SIGNATUR OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED <br />Oiland grease visual <br />SAMPLE <br />MEASUREMENT <br />...... <br />b <br />MMIDDIYYYY <br />...... <br />...... <br />...... <br />...... <br />0 <br />3C) <br />VCS <br />840661 0 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />" " {" <br />Req Mon. <br />INST MAX <br />Y =1;N =0 <br />" "" <br />''"" <br />" " " "' <br />'• "'• <br />Monthly <br />VISUAL <br />®enn(s Jones <br />Hydrologist f <br />(970) 276 -5209 <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />erhl ymuterpenolLoflm+Ihtnisyslen,de go edIo ns wrelhlq- hfiedr—uedlundl-1,pthera1di <br />anperviv,th m ice r, gm pu, per— m . g, <br />evWunle n,e,mnnnah s.u�nwed Raced nn any mgmry nl me person n. peianns who manage the <br />n sten, or Ihose persons hteelly regrzmwble for galhenng the,ufonnnhon, the udonnalmn submitted t, <br />TELEPHONE <br />DATE <br />41 <br />1„ the best ofmy knowledge and belief, I w ace—to mW complete I em aware lhnl then arc s,g tifi- <br />"mIO,m :n n,nengr,hemm, menn.marWmgu,ep s„ mtt err„eana mpn =mnnemlmk m mg <br />` -2-1 13 <br />SIGNATUR OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MMIDDIYYYY <br />GVIVIIV1rN IJ AIYIJ CAYLAIYA IIVN Ur AN E VIVLA I IVPIA Imererence all arEacnmenls nerel <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.01106) Previous editions may be used. 011104120113 Page 2 <br />