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PERMITTEE NAME/ADDRESS (/ nc/ udeFaci /ityNamcvLocationifDifferent) <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 008A <br />PERMIT NUMBE I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 09AW-2069 TO 09/30%2089 <br />3 4/3�" 1--_y0'3 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCGH OF SR TO GUNNISON RIVER <br />External Outfall <br />No Discharge <br />PARAMETER <br />I unify under penalty of that this doeument and all atuchmems were prepared mover my direction or <br />supr onam, ina an rdaneew; ma system designed 1 .asame that qualifiedPC o 1propeygatherana <br />c aluale the information submitted. Basal on my inquiry of me person or Persons who =gu' the <br />system, or those persons dggiro:lly responsible for gathering the information, the information submitted is <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 />PED OR PRINTED <br />Oiland grease visual <br />SAMPLE <br />...... <br />...... <br />...... <br />...•.. <br />MEASUREMENT <br />8406610 <br />PERMIT <br />•'.••• <br />Req. Mon. <br />Y --1;N =0 <br />•• "•` <br />""`• <br />••"•` <br />"•• <br />Effluent Gross <br />I REQUIREMENT <br />I <br />INST MAX <br />Weekl y <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />I unify under penalty of that this doeument and all atuchmems were prepared mover my direction or <br />supr onam, ina an rdaneew; ma system designed 1 .asame that qualifiedPC o 1propeygatherana <br />c aluale the information submitted. Basal on my inquiry of me person or Persons who =gu' the <br />system, or those persons dggiro:lly responsible for gathering the information, the information submitted is <br />TELEPHONE <br />DATE <br />i�(�1(7L � �r <br />penal essforfsubmitt submitting alse,einformatom, including tthe post's bilily of fine and imprisomnent for knowing <br />violations. <br />.� <br />/ • <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA code <br />NUMBER <br />MM /DD/YYYY <br />PED 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 & 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.01 106) Previous editions may be used. Page 2 <br />