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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING. REPORT (DMR) <br />PERMITTEE NAME/ADDRESS (tnc/uoeFaci/ityName/LocationifDifferent) <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 />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />FROM 4910.1!2069 TO -A9h3@/Yb09 <br />c77 l o/ o'?cl/? zi7 31 <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 M <br /> <br /> <br /> <br />ARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION E <br />NO. <br />X <br />EX <br /> <br />FREQUENCY <br />OF ANALYSIS <br /> <br />SAMPLE <br />TYPE <br /> VALUE VALUE UNITS VALUE VALUE VALUE UNITS <br />Oil and grease visual SAMPLE <br /> MEASUREMENT <br />840661 0 PERMIT ,,,, Req. Mon. Y=1;N=0 ""** **'*~* *""' *«*«'* <br />Effluent Gross REQUIREMENT INST MAX Weekly VISUAL <br /> <br /> <br />NAMErrITLE PRINCIPAL EXECUTIVE OFFICER I cettify under penalty of law that this document and all attachments were prepared under my direction or <br />super'isioninamordancewithasystemdesignedtoassamthatqualifiedpersonnelProperlgatheranJ <br />TELEPHONE <br />DATE <br /> e aluate the information submitted. Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the information, the information submitted is, <br />to the best of myy knowledgqe d belief, hue, accurate. and uom let.. 1 am aware that there are mi <br />iftoant <br />' <br /> <br />?Q . <br />, <br />/ r <br />ppnaltloa far.4hm14inp h144 Inralm irism, Imiludlnd th4 PWIYIhtI <br />tly Of Arai 4110 tmPrl4nnm8nl for knOWlns <br /> 'iolations. SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br /> <br />PED OR PRINTED <br />AUTHORIZED AGENT AREA Code NUMBER MMIDDIYYYY <br />CUMMENTS AND EXPLANAI IUN OF ANY VIOLATIONS (RBTerence all attacnntentS 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 <br /> 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