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PERMITTEENAME /ADDRESS ( tnctudeFacitityName /LocatlonifDifferent) <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 />000044776 003A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 49/e4{ O9 - I TO 09f3e/2999• <br />D' i o/ 13" / 4 ;� ) j X l ,,z, , 4_ <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 />1 certify under penalty of law that this document and all a— limems were prepared under my dneetw,, or <br />supemisronmaccordance with a system designed toassme that qualifiedpersonnel prop erlygatherand <br />evaluate the mf —roan submitted Based on my mgwry "'he person or peraons who manage the <br />system, or those persons dtiedly responsthle f r gathering the mformatmn, the mform inin submitted m, <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 />penalties for submntmg false mformatmn, mcludmg the pots.1day of fine and imprisonment for knowing <br />vrrdiomm <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <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 />M <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 certify under penalty of law that this document and all a— limems were prepared under my dneetw,, or <br />supemisronmaccordance with a system designed toassme that qualifiedpersonnel prop erlygatherand <br />evaluate the mf —roan submitted Based on my mgwry "'he person or peraons who manage the <br />system, or those persons dtiedly responsthle f r gathering the mformatmn, the mform inin submitted m, <br />f <br />T <br />TELEPHONE <br />DATE <br />.. ±�� <br />to the best of my knowledge and belief true, —mate, and complete 1 am aware that there are smgmficant <br />t° `' <br />penalties for submntmg false mformatmn, mcludmg the pots.1day of fine and imprisonment for knowing <br />vrrdiomm <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 -1 (Rev.01 /06) Previous editions may be used. Page 2 <br />