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PARAMETER <br />1 certify under penalty of law that this document and all attachments were prepared under my direction or <br />evalua supervision e he n tc a & mdesigned myi to nquiry alepe or personnel e gatherand <br />information submitted. Based nqquiry of the person who manage <br />system, tem, the or those persons directly responsible le for or gathering the information, the the in swho information submitted is, <br />to the best of and belief, true, accurate, and wm lity o l am aware that there are si �tt t <br />penalties for submitting fals alseinformatiagincluding the possibilityo ffinemdimpd knowing <br />wing <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 />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />�,... <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />1 certify under penalty of law that this document and all attachments were prepared under my direction or <br />evalua supervision e he n tc a & mdesigned myi to nquiry alepe or personnel e gatherand <br />information submitted. Based nqquiry of the person who manage <br />system, tem, the or those persons directly responsible le for or gathering the information, the the in swho information submitted is, <br />to the best of and belief, true, accurate, and wm lity o l am aware that there are si �tt t <br />penalties for submitting fals alseinformatiagincluding the possibilityo ffinemdimpd knowing <br />wing <br />,�/� � <br />TELEPHONE <br />DATE <br />pp r (.J <br />\ <br />0 �L� j'►.lse r <br />j 2 0 . q.9 -5aS) <br />o I' lot) hi <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />1 <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />P ED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facili6/ Name2oca /ion 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 />008A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />4/8f9412(709"' <br />MM /DD/YYYY <br />TO <br />06/3 i\ <br />/4 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCGH OF SR TO GUNNISON RIVER <br />External Outfall <br />No Discharge <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 />