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PERMITTEE NAME/ADDRESS (Include FacilityNameAocation ifDiffereno <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 007A <br />PERMIT NUMBER I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 09iG4 2$@9- TO 09)'30=09- <br />l� lit ADa3 <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCHG OF SR TO GUNNISON RIVER <br />External Outfall <br />No Discharge <br />PARAMETER <br />1 unify under penalty of law that this document and all attachments were prepared under m direction or <br />super, ,sionin accordance e; Na system des ignedtoa stme that qualified personnel properly gather and <br />evaluate the infomution submitted. Based on my inquiry of the person or persons who manage the <br />system, or those persons directly for we Information submittal is, <br />the plate. <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 />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />penahies submitting possibility offine and <br />violations. <br />Oil and grease visual <br />SAMPLE <br />....., <br />,,.,,, <br />,,,,., <br />...... <br />MEASUREMENT <br />840661 0 <br />PERMIT <br />" "'• <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 />'��o IW v <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 unify under penalty of law that this document and all attachments were prepared under m direction or <br />super, ,sionin accordance e; Na system des ignedtoa stme that qualified personnel properly gather and <br />evaluate the infomution submitted. Based on my inquiry of the person or persons who manage the <br />system, or those persons directly for we Information submittal is, <br />the plate. <br />y7 <br />/ l <br />TELEPHONE <br />DATE <br />.� <br />, <br />v <br />Ian, <br />to the best of my knowledge and b:hcf, hue, accurate. and complete. ! am aware Net there arc significant <br />belief, accurate. <br />for false information, including the imprisonment tierknowing <br />/ '.� �`� � <br />r' <br />/ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />penahies submitting possibility offine and <br />violations. <br />YPED OR PRINTED <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SETTLEABLE SOLIDS LIMIT APPLIES ONLY IF <10YR,24HR PRECIP EVENT IS CLAIMED. IF CLAIM APPROVED BY WQCD,TSS 8 IRON LIMITS WILL NOT BE APPLIED TO REPORTED MEASUREMENTS -SEE I.A.3, PP 4 -5 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL 8 GREASE- I.B.1.E, PG. 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />EPA Form 3320 -1 (Rev.01 106) Previous editions may be used. Page 2 <br />