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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 />vs <br />sup r in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the information submitted Based on my inquiry of the person or persons who manage the <br />the reformation submitted is, <br />system, or those person directly responsible for gathering the p I am <br />penalties best of sub knowledge end belief, we, accurate, t end complete. lity o I am aware that there are significant <br />violations. `submt ngf alseinfomation ,includngihepossibiliryaffineand rep sanmrntCorknowag <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />O. <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 />.,,,.. <br />.,..., <br />...... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />Weekly <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICE <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />vs <br />sup r in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the information submitted Based on my inquiry of the person or persons who manage the <br />the reformation submitted is, <br />system, or those person directly responsible for gathering the p I am <br />penalties best of sub knowledge end belief, we, accurate, t end complete. lity o I am aware that there are significant <br />violations. `submt ngf alseinfomation ,includngihepossibiliryaffineand rep sanmrntCorknowag <br />///�++���111 <br />TELEPHONE <br />DATE <br />'' " "�/ <br />t `' <br />O06 T 4 PV <br />Y <br />� , • <br />/ <br />A'•95-.) <br />l `) l <br />� �[, / ii <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Faci/i)/ Name/Location ifDifferent) <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 />MONITORING PERIOD <br />MM /DD/YYYY <br />- GOKH-t2609 <br />MM /DD/YYYY <br />s-913410L2L109-. <br />lath <br />005A <br />DISCHARGE NUMBER <br />TO <br />(3 / ! <br />/ua <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 Et <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 />