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PERMITTEENAME/ADDRESS (/ nc/ udeFaci /ityName/LocaBonifDilfeient) <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 NUMB I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY I I MM /DD/YYYY <br />FROM 0&*4*009=� TO 0999-- <br />( `.r ),,-I <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 2 <br />PARAMETER <br />I -1Yu1d patalryufiew that thado °me tmd.1iaiWh— .M —p.pa W .d. yd're<'wnor <br />evaluate dro mfam d aubith U Bused onimed m aware It qualified personnel property gagn:r and <br />tam, or thou Y Y tngwry of Uw person a pawls who muuge the <br />aubtted es�t <br />to the bat of mY mowledge and betwe, famvag kamd e�ommfamauam <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 />rn�gueuro w <br />Oil and grease visual <br />SAMPLE <br />« «« <br />MWDD/YYYY <br />MEASUREMENT <br />"•"' "' <br />"'•' "" <br />'""" <br />" "" <br />8406610 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />R0q. Mon. <br />INS T MAX <br />Y =1;N =0 <br />"••'•* <br />« « ** <br />••• *•• <br />•��•* <br />Weekly <br />VISUAL <br />r o 14_f <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I -1Yu1d patalryufiew that thado °me tmd.1iaiWh— .M —p.pa W .d. yd're<'wnor <br />evaluate dro mfam d aubith U Bused onimed m aware It qualified personnel property gagn:r and <br />tam, or thou Y Y tngwry of Uw person a pawls who muuge the <br />aubtted es�t <br />to the bat of mY mowledge and betwe, famvag kamd e�ommfamauam <br />n <br />TELEPHONE <br />DATE <br />.� <br />'7 �y <br />1 <br />G Ur1 <br />awve theama <br />na for submimn fdlse tofomrttoq mcludtng dw poastbdtry of fine and i <br />vpt la— g mpnsonment forkmwtng <br />^�,,� <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED <br />rn�gueuro w <br />AUTHORIZED AGENT <br />AREA code <br />NUMBER <br />MWDD/YYYY <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 RPTD MEASUREMENTS -SEE IA.3,PG. 4 -5 FOR BURDEN OF <br />PROOFREQUIREMENTS. OIL & GREASE - I.B.1.3, PG. 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />trA Form 3320 -1 (Rev.01 106) Previous editions may be used. Page 2 <br />