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PERMITTEE NAME/ADDRESS (Include Faci/ityName/Location if Different) <br />NAME: Bowie Resources LLC <br />ADDRESS: PO Box 483 <br />Paonia, CO 81428 <br />FACILITY! BOWIE NO. 2 MINE <br />LOCATION:cN Co HWY 9a0 <br />ATTN: BRADLEY E. HANSON, VICE PRES. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000044776 005A <br />PERMIT NUMBER DIOCHAROR NUMBER <br />MFJy!?Rlti?q ree+<Ilop <br />1CrtYi!?N sN lAINl. $tM?l? <br />FROM `-(59%61/2009 r`x. TO " 09%30/20d9- <br />PARAMETER QUANTITY OR LOADING <br />VALUE VALUE UNITS <br />Oil and grease visual SAMPLE ,l <br />..{ <br />MEASUREMENT V B <br />84066 1 0 PERMIT Req. Mon. Y ;N=( <br />Effluent Gross REQUIREMENT INST MAX <br />QUALITY OR CONCENTRATION <br />VALUE VALUE VALUE <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE; 81426 <br />MINOR <br />(SUBR MH) DELTA <br />5Ft33EER TRL DT(, ,PR UNMD TF310 <br />?Kt?fnal ®upwll <br />No Discharge <br />NO. I FREQUENCY I SAMPLE <br />EX OF ANALYSIS TYPE <br />UNITS <br />Weekly ) VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER Ieedifyunderpenalry fIn,thatthisdoeumentandallattach.cnts DATE <br />wcreprcpard aer a; <br />sup rcision in cconlanee with a system designed io nssvre thnt ualiti d e In r" evaluate the information submit[eJ. Raced on my inquiry of the p mm? or Hers ns`'I I- Y ma,l ";he and <br /> r TELEPHONE <br />/? `,, system, or th ose p • sons a;rcetly _cponsible for garnering the information, the information submitted Cal / / W to the best of my knowledge and belief, tme. a«urate, and complem. <br /> I am aware that tMre an: cant <br />signifi <br />penalties for submitting false information, including the possibty of tine and imprisonment for knowing ? / <br />PED OR PRINTED vialats SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR ro' I YJ <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) AUTHORIZED AGENT AREA Code NUMBER MMIOD/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 REPORTED MEASUREMENTS-SEE I.A.3, PP 4-5 <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE-I.B.1.E, PG 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />FOR <br />EPA Form 3320-1 (Rev.01/06) Previous editions may be used. <br />Page 2