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PERMITTEE NAME/ADDRESS (Include FacilityNameQocation ifDifferent) <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 003A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 09fttt2669,L_j TO 09/3@/28 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR;DEER TRL DTC OR UNMD TRIB <br />External Outfall <br />No Discharge <br />PARAMETER <br />ertif Yunder penaltyofla wthat this documentanJallanechmevlswerepnpnreduad ur y dire ctionor <br />supc_ maccordancewthasystemdesignedtoa ssurethatq uah5cdpersonnelproperlygatherand <br />evaluate the information submmed Rased on my mgmry of the person or persons who manage the <br />system, or those persons dim responsible for gathenng the information, the mfoonahon submitted is, <br />to the best of my knowledge and belief, true, accurate and complete I am aware that there are sigm mans <br />penalties latmnsfor submitting false information, including the possibility of fine and imprisonment for knowing <br />o <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 />AUTHORIZED AGENT <br />ARFA Code <br />NUMBER <br />MM /DD/YYYY <br />Oil and grease visual <br />SAMPLE <br />... *.* <br />...... <br />, *, *„ <br />* * * * ** <br />MEASUREMENT <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 />r �^' C (J-� � - �y <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />ertif Yunder penaltyofla wthat this documentanJallanechmevlswerepnpnreduad ur y dire ctionor <br />supc_ maccordancewthasystemdesignedtoa ssurethatq uah5cdpersonnelproperlygatherand <br />evaluate the information submmed Rased on my mgmry of the person or persons who manage the <br />system, or those persons dim responsible for gathenng the information, the mfoonahon submitted is, <br />to the best of my knowledge and belief, true, accurate and complete I am aware that there are sigm mans <br />penalties latmnsfor submitting false information, including the possibility of fine and imprisonment for knowing <br />o <br />TELEPHONE <br />DATE <br />{� ✓ `� J <br />�`� [ <br />',' Q ��!_ �. j «� <br />/ �•a-+� <br />^ <br />C•' s� <br />` <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />PED OR PRINTED <br />AUTHORIZED AGENT <br />ARFA Code <br />NUMBER <br />MM /DD/YYYY <br />V mwiCPI10 aumu C rI wI jsvm Vr ANT VIVLAIIVNQ tKBTerence all aTTacnmenrs nere) <br />SETTLEABLE SOLIDS LIMIT APPLIES ONLY IF ­1 PRECIP EVENT IS CLAIMED. IF CLAIM APPROVED BY WQCD,TSS & IRON LIMITS WILL NOT BE APPLIED TO REPORTED MEASUREMENTS -SEE I.A.3, PP 4 -5 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE- I.B.1.E, 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 />