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PERM ITTEE NAM E/ADDRESS (/ nc/ udeFaci /dyName/LocationifDifferent) <br />NAME: <br />Bowie Resources LLC <br />ADDRESS: <br />PO Box 483 <br />NO. <br />EX <br />Paonia, CO 81428 <br />FACILITY: <br />BOWIE NO. 2 MINE <br />LOCATION: <br />5 MI NE OF TOWN ON CO HWY 133 <br />VALUE <br />PAONIA, CO 81428 <br />ATTN: BRADLEY E. HANSON, VICE PRES. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000044776 009A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM —63/A 2899— TO - 49I30000g- <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR DSCH /UNNMD TRIB /HUBBARD CRK <br />External Outfall <br />No Discharge D <br />PARAMETER <br />ipe., underpenahyonawthat this doeumentand all attachments we • prepared ander my dirixtion or <br />snpenismn aes�gned mat <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 />and eomplac am aware are significant <br />penalties. orsubmrthogfa lsemfe ntenin. mcludmgme possmd ttyoffeandimprisonmentlorknowing <br />eX <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />PED OR PRINTED <br />Oil and grease visual <br />SAMPLE <br />...... <br />,,,,,, <br />...... <br />MEASUREMENT <br />•••••• <br />"'••'• <br />8406610 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />•`••`• <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />•••••• <br />•••••• <br />•••••• <br />•••••• <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />ipe., underpenahyonawthat this doeumentand all attachments we • prepared ander my dirixtion or <br />snpenismn aes�gned mat <br />TELEPHONE <br />DATE <br />in.`.orlon,`,imasystem to assnrc gaahrea personnelpmpedy gamer and <br />evaluate the information submntcd. Based on my mgmry of me person or persons who manage thc <br />system, or those persons directly responsible for gathering the mfoimanon, the mfomnanon submitted is, <br />to the hst of my knowledge and b;lmf, true, accurate 1 that mere <br />.,-� <br />' <br />and eomplac am aware are significant <br />penalties. orsubmrthogfa lsemfe ntenin. mcludmgme possmd ttyoffeandimprisonmentlorknowing <br />eX <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />PED OR PRINTED <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />..........ter..., . �..r �..r... i wr. vv — s vaw— s ivtva k— urenue an auaunmen[s nere) <br />SETTLEABLE SOLIDS LIMIT APPLIES ONLY IF <10YR/24HR PRECIP EVENT IS CLAIMED. IF CLAIM APPROVED BY WQCD,TSS & IRON LIMITS WILL NOT BE APPLIED TO RPTD MEASUREMENTS -SEE I.A.3,PG. 4 -5 FOR BURDEN OF <br />PROOFREQUIREMENTS. OIL & GREASE- 1.6.1.3, PG. 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. Page 2 <br />