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PARAMETER <br />1 cenify under penalty of law that this document and all attachments were prepared under my direction or <br />evaluate the infarctions submitted. d. system <br />Bo* designed on my assure yofth qualified person properly mana gathe and <br />evaluate the information ubmitted Based on my i quiry of the person or persons who manage the <br />system, or those persons directly ad responsible for accurate, gathering the infmutimn, the information re si gned is, <br />to the <br />penallties submitting false information, t includ nr g possibility of f a an for r knowing <br />violations. <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 />..,,,. <br />.,...< <br />,,,,,, <br />.....* <br />, « <br />„,.. <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 direction <br />1 cenify under penalty of law that this document and all attachments were prepared under my direction or <br />evaluate the infarctions submitted. d. system <br />Bo* designed on my assure yofth qualified person properly mana gathe and <br />evaluate the information ubmitted Based on my i quiry of the person or persons who manage the <br />system, or those persons directly ad responsible for accurate, gathering the infmutimn, the information re si gned is, <br />to the <br />penallties submitting false information, t includ nr g possibility of f a an for r knowing <br />violations. <br />r /I <br />/ / L,( , v`, ' ,�,(^` 1 L j` g 7 r `7 'jV �X ) i�J y v — ` <br />TELEPHONE <br />DATE <br />/^' <br />-v <br />f, I `/ � X40 <br />�! sA JI a v- <br />K I r \ <br />7 9019 - <br />09 ii � h <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />p <br />Code NUMBER <br />MMIDD/YYYY <br />PED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Faci /ity Name/Location ifDifferent) <br />NAME: <br />ADDRESS: <br />FACILITY: <br />LOCATION: <br />Bowie Resources LLC <br />PO Box 483 <br />Paonia, CO 81428 <br />BOWIE NO.2 MINE <br />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 />C00044776 <br />PERMIT NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />'-89130i2689- <br />FROM rA9tertrffr09' TO <br />0061 Iii <br />007A <br />DISCHARGE NUMBER <br />6813 <br />�0 a., <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCHG OF SR TO GUNNISON RIVER <br />External Outfall <br />No Discharg <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 />