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PERMITTEE NAME/ADDRESS ( Inc /udeFacitity Name/LocationifDiffereno <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 />C00044776 001A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 49AW42999 TO GW ae/2009 <br />X6 it -l' X13 CzS-,31 (3 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR/MINE WTR TO DEER TRAIL DTCH <br />External Outfall <br />No Discharge <br />PARAMETER <br />Ieemrynnder penalty oflaw that this dooment and a llattachm- m"were prepared under mydtreenonor <br />supers ivon m at.cordanw x nh a system designed to assure that qualified personnci property gather and <br />evaluate the tnfomuhon submnted eased on my mgmry of the person or persona who manage the <br />syste, or those persons d” "'y nsponstble for gathering the information the information .1, a <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 />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />PED OR PRINTED <br />Oiland grease visual <br />SAMPLE <br />.,. „, <br />NUMBER <br />MM /DD /YYYY <br />« « " " "" <br />,,,, ", <br />.. «. «. <br />MEASUREMENT <br />840661 0 <br />PERMIT <br />Req. Mon. <br />Y =1;N =0 <br />" "" <br />••'• «' <br />"..' <br />«` « «.. <br />Effluent Gross <br />REQUIREMENT <br />INST MAX <br />Weekly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />Ieemrynnder penalty oflaw that this dooment and a llattachm- m"were prepared under mydtreenonor <br />supers ivon m at.cordanw x nh a system designed to assure that qualified personnci property gather and <br />evaluate the tnfomuhon submnted eased on my mgmry of the person or persona who manage the <br />syste, or those persons d” "'y nsponstble for gathering the information the information .1, a <br />TELEPHONE <br />DATE <br />- <br />//\� / ` <br />�%(,/ j �L <br />to th;'b est '-y. knowledge and belief, true, —imate and eomplete 1 am aware that there are stgm scant <br />penanesforsubdbng falscmfomatmR nclodmg hepossibJttyotfineandtmpnsoumen tforknowmg <br />vtolahons <br />© �_ <br />V d `,�-hV, <br />/ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />PED OR PRINTED <br />AUTHORIZED AGENT <br />AREA code <br />NUMBER <br />MM /DD /YYYY <br />VVlvllrl cri 1J AN cAr LANAI Ivry Vr ANT VIVLA I IUrvJ (Kererence all altacnments 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 REPORTED MEASUREMENTS -SEE I.A.3, PG 4 -5 FOR <br />BURDEN OF 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 />