Laserfiche WebLink
PARAMETER <br />I certify under penalolaw�O Ntthisdocumentatdallattachmentswere preparedundermydirectionor <br />supervision in accordance system designed to assure at qualified personnel properly gather and <br />evalu t th • f of sub 'tt d B d y' qu•ry fN p P. wh N <br />system, or those persons directly responsible for gathering the information, information infoation submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete. 1 em aware that there are significant <br />let onsfor submitting false information, ion, including the possibility of fine and imprisonment for knowing <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 />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PED OR PRINTED <br />AREA Code <br />NUMBER <br />„y� <br />�(J 0 <br />dit_zejeuey <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />Weekly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />I certify under penalolaw�O Ntthisdocumentatdallattachmentswere preparedundermydirectionor <br />supervision in accordance system designed to assure at qualified personnel properly gather and <br />evalu t th • f of sub 'tt d B d y' qu•ry fN p P. wh N <br />system, or those persons directly responsible for gathering the information, information infoation submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete. 1 em aware that there are significant <br />let onsfor submitting false information, ion, including the possibility of fine and imprisonment for knowing <br />_ <br />TELEPHONE <br />DATE <br />^ I -I.L� ' e <br />1 4 n1n P� <br />6 -a <br />/ , / • <br />O~ <br />515 <br />O <br />�� -/ <br />P <br />MMIDDIYYYY <br />/ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />PED OR PRINTED <br />AREA Code <br />NUMBER <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 />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <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 />1 - I - IL <br />003A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />4974449009- <br />MM /DD/YYYY <br />- 9943012409 <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 Discharge,RJ <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 />