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PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in acc o ati mbm t submitted. Based assure t qualified on o personnel h gather <br />valuate the information submitted. system esed designed <br />who <br />my inquiry the person or persons who menage the <br />to the system, or those persons directly responsible for gathering the information, the information submitted ;s, <br />penalties s for submitting f form on, including the possibility f ty f e and mprisonment for knowing <br />violations. <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 />Flow, in conduit or thru treatment plant <br />50050 G 0 <br />Raw Sewage Influent <br />SAMPLE <br />MEASUREMENT <br />t 0O V�t ' S <br />i Q t Ip t (v <br />...... <br />...... <br />04,--- <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />Mgal /d <br />« «' *" <br />Continuous <br />RCORDR <br />Chlorine, total residual <br />50060 1 0 Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />..... « <br />� � 5 <br />J <br />/1 <br />PERMIT <br />REQUIREMENT <br />««« « «« <br />Rte..« <br />.5 <br />INST MAX <br />mg /L <br />Weekly <br />GRAB <br />Solids, total dissolved <br />70295 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />361_ <br />3 <br />� <br />` 3v <br />�y <br />PERMIT <br />REQUIREMENT <br />" """ <br />' «R "R <br />Req. Mon. <br />QRTR AVG <br />Req. Mon. <br />QRTR MAX <br />mg/L <br />Quarterly <br />GRAB <br />Coliform, fecal general <br />7405510 <br />Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />1�'3O <br />!S <br />! <br />LL <br />O ✓ <br />PERMIT <br />REQUIREMENT <br />...... <br />6000 <br />3oDAAVG <br />12000 <br />MX7DGEOA <br />#/100mL <br />Monthly <br />y <br />GRAB <br />Oil and grease visual <br />84066 1 0 <br />SAMPLE <br />MEASUREMENT <br />43- <br />...... <br />.....• <br />�� <br />...... <br />PERMIT <br />R..... <br />Req. Mon. <br />Y =1;N =0 <br />`M`RR" <br />.....• <br />Weekly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in acc o ati mbm t submitted. Based assure t qualified on o personnel h gather <br />valuate the information submitted. system esed designed <br />who <br />my inquiry the person or persons who menage the <br />to the system, or those persons directly responsible for gathering the information, the information submitted ;s, <br />penalties s for submitting f form on, including the possibility f ty f e and mprisonment for knowing <br />violations. <br />/.....4474r / n <br />, /�_ <br />TELEPHONE <br />DATE <br />Y <br />9X-90-S)5) <br />D et-) (D- <br />MMIODIYYYY� <br />®4a� / 7 �r <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA code I NUMBER <br />TYPED OR PRINTED <br />TYP ED OR <br />PERMITTEE NAME /ADDRESS (include Facility Name/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: 5 MI NE OF TOWN ON CO HWY 133 <br />PAONIA, CO 81428 <br />ATTN: BRADLEY E. HANSON, VICE PRES. <br />EPA Form 3320 - 1 (Rev.01106) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />OIL & GREASE - 1.8.1.E, PG. 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />C00044776 <br />PERMIT NUMBER <br />004A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />@9 <br />MM /DD/YYYY <br />09,439.12809« <br />5- -doI <br />TO <br />5 -3( ao►t <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />WWTF TO DEER TRAIL DITCH <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharger <br />Page 2 <br />