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PERMITTEE NAME/ADDRESS (i nc/ udeFaci iityName/LocafionifDifferenV <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 />000044776 I 002A <br />PERMIT NUMBER I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM /DD/YYYY <br />FROM •99ff3T72fM TO C- e9/36f1609 <br />tt / &-/laal 1a- /,316�st <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 />IcontfyuMnperelryof6wthetthudocumentadallattachmensw empreparedundermydtrectronor <br />nrpervtsma accordance with a system designed m assure that qualified personnel p perly gather and <br />mlume the mf adon submmed. based on my inquiry ofthe person m persons who manage the <br />system, or those persons dvectly msponstble For gathering the infomtation. the information submitted a, <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 />TYPED OR PRINTED <br />Oil and grease visual <br />SAMPLE <br />.,"",. <br />MM /DD/YYYY <br />,•�„ <br />„ „„ <br />„,,,, <br />MEASUREMENT <br />_ <br />8406610 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />”` "" <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />"•'•" <br />* "•' "* <br />"•' "•• <br />" "'•* <br />Weekly <br />VISUAL <br />I Q <br />Mn� <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />IcontfyuMnperelryof6wthetthudocumentadallattachmensw empreparedundermydtrectronor <br />nrpervtsma accordance with a system designed m assure that qualified personnel p perly gather and <br />mlume the mf adon submmed. based on my inquiry ofthe person m persons who manage the <br />system, or those persons dvectly msponstble For gathering the infomtation. the information submitted a, <br />TELEPHONE <br />DATE <br />w the beet of my Imowledge and balm[, uue, soemate, and complete I am aware Nat theteate sigmficmt <br />welons s ubmittmgfalsernformatums' neludingthepossibilrryoffineand imprisonment for ktwwmg <br />/ <br />�a <br />W <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED <br />AUTHORIZED AGENT <br />AREA Corte <br />NUMBER <br />MM /DD/YYYY <br />cvMNIENTS 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 IA3, PP 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.01/06) Previous editions may be used. Page 2 <br />