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PERMITTEENAME /ADDRESS (/ nc/ udeFaci /ityNameAocationifDifferent) <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 I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM .$9AM42009 TO - G9f361208 <br />C9�1�?a„�, �i�3el3t�l3 <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 />cenifyunderpenalty oflawthatthisdocumentandallaftachmentswenpreparedundermydirectionor <br />supension in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the information submitted. used 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 />to the best ofmy k-w1cdge and belief, fine, accurate. and complete. 1 am aware that there are significant <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 />YPED OR PRINTED <br />Oiland grease visual <br />SAMPLE <br />.a.,,. <br />...aa. <br />a,aaaa <br />aa.... <br />.aa =a= <br />MEASUREMENT <br />-lam <br />4-'t- <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 />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />cenifyunderpenalty oflawthatthisdocumentandallaftachmentswenpreparedundermydirectionor <br />supension in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the information submitted. used 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 />to the best ofmy k-w1cdge and belief, fine, accurate. and complete. 1 am aware that there are significant <br />i <br />TELEPHONE <br />DATE <br />e ✓� <br />penalties for submitting false information, including the possibility of fin, and imprisonment to, knowing <br />violations. <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />I NUMBER <br />MM /DD/YYYY <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 & IRON LIMITS WILL NOT BE APPLIED TO REPORTED MEASUREMENTS -SEE I.A.3, PG 4 -5 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & 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 />