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PERM ITTEE NAME/ADDRESS ( Inc/ udeFaci /dyName/LocationifDdfeienO <br />NAME: <br />Bowie Resources LLC <br />ADDRESS: <br />PO Box 483 <br />EX <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 />000044776 009A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 09/9142809 TO 49/3842889 <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 El <br />PARAMETER <br />entywrJerpenaltyo flawthauhnsd— oneutani. 11attachmentswercprep —donderanydaredron °r <br />superynsnoo nn accordance with a system designed to assure that qualified personnel property gather and <br />-ahoue the information submntcd Based on my mgwry of the person or per.ona olio manage the <br />system, or those persons directly responsible for gathering the information, the mt rmanon submdted ns, to We best of my knowledge and belief true, accurate, and complete I am aware that there are srgnrficant <br />pcealnea forsubmntmg false mfomnatmn, including the posstbdny of fine and imprisonment for knowing <br />violations <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />EX <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 />Oil and grease visual <br />SAMPLE <br />MEASUREMENT <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 />NAMEITITLEPRINCIPALEXECUTIVEOFFICER <br />entywrJerpenaltyo flawthauhnsd— oneutani. 11attachmentswercprep —donderanydaredron °r <br />superynsnoo nn accordance with a system designed to assure that qualified personnel property gather and <br />-ahoue the information submntcd Based on my mgwry of the person or per.ona olio manage the <br />system, or those persons directly responsible for gathering the information, the mt rmanon submdted ns, to We best of my knowledge and belief true, accurate, and complete I am aware that there are srgnrficant <br />pcealnea forsubmntmg false mfomnatmn, including the posstbdny of fine and imprisonment for knowing <br />violations <br />% <br />e [�s�(�( <br />- - �� <br />TELEPHONE <br />DATE <br />- <br />- <br />V <br />r" <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />GOMMENTS 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 RPTD MEASUREMENTS -SEE I.A.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 />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. Page 2 <br />