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PARAMETER <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...<„ <br />MMIDDIYYYY <br />PED OR PRINTED <br />t ) <br />(( <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />, "• "' <br />Weekly <br />VISUAL <br />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: 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.01/06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00044776 <br />PERMIT NUMBER <br />? - I <br />005A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />009 <br />MM /DD/YYYY <br />TO <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR;DEER TRL DTC OR UNMD TRIB <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharger <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 4 -5 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE- I.B.1.E, PG 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />Page 2 <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty ofl awt hatt hisdocumentandall anachmentswerepreparedtmdermydirection or <br />supervision i with a system designed assure that qualified personnel roperiy gather and <br />suup tst ' accordance <br />n /� <br />/Jp . <br />/ G . ! <br />TELEPHONE <br />DATE <br />p <br />)/7f <br />C� � <br />•• ----�� <br />er on o <br />e nubmitted. Based on inquiry of the person or persona who manage the <br />sotion s <br />system, or those persons directly responsible for gathering the information, the information submitted is, <br />m the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant <br />e a <br />p`tics for submitting fa inf including the possibility of fine and imprisonment for knowing <br />r � <br />7O e 9 <br />25'? <br />� 1C .L <br />.J <br />08. _ ^ l ia/ 1 <br />O .-C / eY� <br />1 /J y � yt d/ <br />t w / l P <br />SIGNA OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />1( <br />AREA Code <br />NUMBER <br />MMIDDIYYYY <br />PED OR PRINTED <br />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: 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.01/06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00044776 <br />PERMIT NUMBER <br />? - I <br />005A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />009 <br />MM /DD/YYYY <br />TO <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR;DEER TRL DTC OR UNMD TRIB <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharger <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 4 -5 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE- I.B.1.E, PG 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />Page 2 <br />