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PERMITTEE NAME/ADDRESS (Include FacililyName/Locafion ifDifferent) <br />NAME: Bowie Resources LLC <br />ADDRESS: PO Box 483 <br />Paonia, CO 81428 <br />FACILITY: BOWIE NO.2 MINE <br />LOCATION: 5 MI NE OF TOWN ON CO HWY 133 <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 005A <br />PERMIT NUMBER I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 09M If2009 TO - 419AW2869- <br />11 /01 1N13 i 11?,ola'13 <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 />inqu..... penalty tay�t�aea dro thinquahfiied pp sonnaalpprop rygath Tana <br />evaluate the mfamanon submnted. Bead an my tngmry ofd" person or persona who manage the <br />system, or thou persons directly tesponable for gmhert tncc mformahon, the information submitted is, <br />m the best of my knowledge and bel "4 trtta accurate, and complete I am aware that there are significant <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />� <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 />TYPED OR PRINTED <br />Oiland grease visual <br />SAMPLE <br />.,..,. <br />....,* <br />,..... <br />...... <br />MEASUREMENT <br />ll <br />8406610 <br />PERMIT <br />Req. Mon. <br />INS MAX <br />Y =1;N =0 <br />*" *•' <br />** * *" <br />* * * «'* <br />*'**** <br />Weekly <br />VISUAL <br />Effluent Gross <br />REQUIREMENT <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />inqu..... penalty tay�t�aea dro thinquahfiied pp sonnaalpprop rygath Tana <br />evaluate the mfamanon submnted. Bead an my tngmry ofd" person or persona who manage the <br />system, or thou persons directly tesponable for gmhert tncc mformahon, the information submitted is, <br />m the best of my knowledge and bel "4 trtta accurate, and complete I am aware that there are significant <br />TELEPHONE <br />DATE <br />,© ,- e� <br />I yI�� <br />/ /-w f <br />pu"I'fasubmntmgfalumfam" hors, mdudtngd" posstbdnyoffineandtmpnaonmrnt forknowin6 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA code <br />NUMBER <br />MM/DD/YYYY <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 & 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- 11(Rev.01 /06) Previous editions may be used. Page 2 <br />