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PARAMETER <br />this document and all attachments were prepared under my direction or <br />rc" nry under penalty of law that ss B <br />pervisi h in a designed th <br />a at qualified personnel p perly gather and <br />ccordancub sse <br />i* aa J <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 />Cadmium, potentially dissolvd <br />01313 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />i <br />...Irk* <br />PERMIT <br />REQUIREMENT <br />...... <br />.... «, <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug/L <br />Monthly <br />GRAB <br />Nickel, potentially dissolvd <br />01322 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.....• <br />PERMIT <br />REQUIREMENT <br />,,.' «' <br />.. "" <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Selenium, potentially dissolvd <br />01323 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />....,. <br />PERMIT <br />REQUIREMENT <br />„...' <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Chromium, trivalent total recoverable <br />04262 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.,.... <br />,...,, <br />PERMIT <br />REQUIREMENT <br />" <br />" "" <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Mercury, total (as Hg) <br />71900 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />this document and all attachments were prepared under my direction or <br />rc" nry under penalty of law that ss B <br />pervisi h in a designed th <br />a at qualified personnel p perly gather and <br />ccordancub sse <br />i* aa J <br />TELEPHONE <br />DATE <br />er <br />-T1.124 <br />s <br />e [ o <br />y inquiry o person or persona who manage the <br />system, or those persons directly responsible for gathering the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant <br />penalties for Ty information, <br />92) a 409 S.2 <br />Y4 /ant 1 1 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />I <br />AREA Cade NUMBER <br />MMIDD/YYYY <br />PERMITTEE NAME /ADDRESS (include Faci/ /tyName/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 />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <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 />C00044776 <br />PERMIT NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />09/9- 112003 <br />MM /DD/YYYY <br />'69/3912869- <br />'7 -F/ t <br />MN10 <br />DISCHARGE NUMBER <br />TO <br />-3 <br />ONCE 12 MONTHLY SAMPLES HAVE BEEN COLLECTED THE PERMITTEE IS REQUIREDTO SUBMIT A REQUEST FOR AREASONABLE POTENTIAL ANALYSIS. <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />MW TO UNNBD TRIB TO HUBBARD CR <br />External Outfall <br />No Discharge <br />Page 2 <br />