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PARAMETER <br />I under peonhyewlaw this document aenda ll au'° hmentswer ep'ep'r`dundermydire°nonor - <br />gather d <br />stryen system designed my m assure that qualified n or personnel hr°wh an <br />eyatnamt, evaluate the o p00 am submitted Based t for inquiry hm o of the person or persona who manage the <br />m or Mme persons directly responsible o for gathering the information! the information submitted is. <br />. I am aware at Mere are signd &amt <br />to Me best of my Imowledge and belief, true, accurate. and complete. th <br />penalties for s°bminingGise� tion, including thepootb i tyoffine and imprisonment for !mowing <br />°uLD°` <br />QUANTITY OR LOADING <br />TELEPHONE <br />QUALITY OR CONCENTRATION <br />cil <br />z <br />z <br />FREQUENCY <br />OF ANALYSIS <br />- <br />SAMPLE <br />TYPE <br />VALUE <br />AR Code NUMBER <br />11 <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.„ „. <br />' <br />411„1-. <br />1 4.11r1-11, <br />„„„ <br />.. „.. <br />PERMIT <br />REQUIREMENT <br />1111,,,, <br />R Mon. <br />I MAX <br />. Y =1;N <br />4444+. <br />4: <br />...n.. <br />4444.. <br />Weekly <br />r <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFIC <br />I under peonhyewlaw this document aenda ll au'° hmentswer ep'ep'r`dundermydire°nonor - <br />gather d <br />stryen system designed my m assure that qualified n or personnel hr°wh an <br />eyatnamt, evaluate the o p00 am submitted Based t for inquiry hm o of the person or persona who manage the <br />m or Mme persons directly responsible o for gathering the information! the information submitted is. <br />. I am aware at Mere are signd &amt <br />to Me best of my Imowledge and belief, true, accurate. and complete. th <br />penalties for s°bminingGise� tion, including thepootb i tyoffine and imprisonment for !mowing <br />°uLD°` <br />' <br />, g^ tit <br />` LL__ ' <br />`/f,,7'►/ �f <br />�� <br />TELEPHONE <br />DATE <br />• <br />� p a'a25) <br />D� -�,' <br />D ay ctn. ( J/) e a/' <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AR Code NUMBER <br />11 <br />MMIDD/YYYY <br />TYPED OR PRINTED <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 1Rev.01106) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00044776 <br />PERMIT NUMBER <br />FROM <br />O(a - 61 • 11 <br />TO <br />008A <br />DISCHARGE NUMBER l <br />MONITORING PERIOD <br />MM /DD/YYYY <br />X009• <br />MMIDDIYYYY <br />-- 09100/2908- <br />a6 -3a -1 <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCGH OF SR TO GUNNISON RIVER <br />External Outfall <br />No Discharg3J <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 45 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE- 1.B.1.E, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />