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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMITTEE NAME/ADDRESS (include FacitityName/Location ifDifferentJ <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 />000044776 005A <br />PERMIT NUMBER DISCHARGE NUMBER <br />FROM 12/01/2009 TO [::l Form Approved <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <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 QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br />EX FREQUENCY <br />OF ANALYSIS SAMPLE <br />TYPE <br /> VALUE VALUE UNITS VALUE VALUE VALUE UNITS <br />Oil and grease visual SAMPLE <br /> <br />MEASUREMENT „•,,, <br />* <br />** <br />840661 0 PERMIT Req. Mon. Y=1;N=0 •* <br />Effluent Gross REQUIREMENT. INST MAX Weekly VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER if, ander p...Itp of law that this d°oumem and all afta.hm.nts were prepared under my di-mim <br />TELEPHONE <br />DATE <br /> sapersinn ,n ace°rdam withasyst,md.signed t°assam that yaarn<d p-,-l prapedy gwh.r and <br />evaluar <br />th <br />inf <br />m <br />ti <br />n <br />itt <br />b <br />d <br />B <br />d <br />i <br />i <br />f th <br />h <br /> e <br />or <br />m <br />e <br />a <br />o <br />su <br />e <br />. <br />ase <br />nn my <br />nqu <br />ry o <br />e person or persons w <br />o manage [hc <br />system, m rhos. persons dir.nly resp nsible for gathering the information, the inf rmatiun submitted is, <br />to the best ot'my kn°wlcdge and belief', true, aaurate. end com late. 1 am -h-h-- si miticant <br />? <br />Q <br />V 0.41 <br />M <br />P'nlel 11f.r5nbmluing Nlse inNrmntl°n, wlWinp tha pa.alhl <br />iry of nnc and imp'i-m m f., &mi.me <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR _ <br />M <br />OR PRINTED AUTHORIZED AGENT AREA Code NUMBER MMIDDIYYYY <br />--vivilvicm I o Amu CArL AwA I ivN ur Am 1 V Iu LM I 1U NO tMetetenGe all atlacnments nere) <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 /> FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE-1.B.1.E, PG 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />EPA Form 3320-1 (Rev.01106) Previous editions may be used. - Page 2