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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 />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the information submitted. Based inquiry the person persons who manage itt <br />system, stem, or those se persons d responsible for oe gathering the e i ion, the information submited is, <br />penalties for ubmitting false intbrmation ocludr g the posolnlity of fine and imp a nso f nment for owing <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 />h <br />t&- <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />* * « * *+ <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 />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the information submitted. Based inquiry the person persons who manage itt <br />system, stem, or those se persons d responsible for oe gathering the e i ion, the information submited is, <br />penalties for ubmitting false intbrmation ocludr g the posolnlity of fine and imp a nso f nment for owing <br />/] /►� o <br />/ 1 1 / GlL1_ <br />TELEPHONE <br />DATE <br />!! <br />• 0 ew Q n 11 ` N <br />/1 <br />N <br />7 76 - <br />05' l/ /�, , <br />SIG OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />PED OR PRINTED <br />vio <br />AREA Code <br />I NUMBER <br />MMIDD/YYYY <br />PERMITTEE NAME/ADDRESS (Include FacilityName/Location if Different) <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 />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 />MONITORING PERIOD <br />MM /DD/YYYY <br />99{@9-/26 <br />MM /DD/YYYY <br />o6 lot I(t <br />002A <br />DISCHARGE NUMBER <br />TO -99/00/2699 <br />Oe /3i II( <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 fl <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.1.3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />