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PERMITTEE NAME/ADDRESS (Include FacilityName✓Location 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 009A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 09f6972II69' TO 09t3Ot2M9 <br />c /d x i 3 cj 13,: �a 3 <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 <br />PARAMETER <br />"n fypnder pe naltyoflawthatthisdocumentandall attachmentswerepreparedundermydinetin nor <br />super' t ioa m —dance eith a system designed to assure that qualified personnel properly gather and <br />c aloate the information submitted. Based on my inquiry of the person or Persons who manage the <br />system, or those Persons directly 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 />penlaltionsfor submitting false information, including the possibility of fine and imprisonment for knowing <br />o <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DDNYYY <br />Oiland grease visual <br />SAMPLE <br />...... <br />....., <br />...... <br />...... <br />...... <br />MEASUREMENT <br />8406610 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />" "" <br />I <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />"` °' <br />" "" <br />„ "" <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />"n fypnder pe naltyoflawthatthisdocumentandall attachmentswerepreparedundermydinetin nor <br />super' t ioa m —dance eith a system designed to assure that qualified personnel properly gather and <br />c aloate the information submitted. Based on my inquiry of the person or Persons who manage the <br />system, or those Persons directly responsible for gathering the information. the information submitted is, <br />/ <br />TELEPHONE <br />DATE <br />~� <br />l.. I s. <br />w the best of my ImowlcJge and behcf, true, accurate, and complete. 1 am aware that there are significant <br />e, <br />r� <br />penlaltionsfor submitting false information, including the possibility of fine and imprisonment for knowing <br />o <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DDNYYY <br />TYPED 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 RPTD MEASUREMENTS -SEE I.A.3,PG. 4 -5 FOR BURDEN OF <br />PROOFREQUIREMENTS. OIL 8 GREASE - I.B.1.3, PG. 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />EPA Form 3320.1 (Rev.01106) Previous editions may be used. Page 2 <br />