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PARAMETER <br />l certify under pe ltyoflawthatthisdocumentandallattachmentswere preparedundernaydirectionor <br />supervision 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 />system, or those persons d responsible for gathering the information, the information submitted is, <br />penalties for m y hoowl`d a and formation u udmg Wand ccomplete. <br />potation. `m ti pity of f e aria impa t them ar significant n iow `an g <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 />Flow, in conduit or thru treatment plant <br />50050 G 0 <br />Raw Sewage Influent <br />SAMPLE <br />MEASUREMENT <br />„C)0555 6 <br />no 7a-77 <br />reiv-i <br />Continuous <br />Ar...- <br />RCORDR <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />3ODA AVG <br />F <br />Req. Mon. <br />DAILY MX <br />Mgal /d <br />Chlorine, total residual <br />5006010 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />.. ",,, <br />...... <br />. ' <br />/? <br />PERMIT <br />REQUIREMENT <br />". "' <br />.5 <br />INST MAX <br />mg /L <br />Weekly <br />GRAB <br />Solids, total dissolved <br />70295 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />"� " "�* <br />' (0 <br />4 -( - 4 r <br />/ <br />2/3 0 <br />PERMIT <br />REQUIREMENT <br />Reqq. Mon. <br />QRTR AVG <br />Req. Mon. <br />QRTR MAX <br />mg /L <br />Quarterly <br />GRAB <br />Coliform, fecal general <br />74055 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />....., <br />.,..,, <br />...,,, <br />....,, <br />Er , C <br />/� <br />PERMIT <br />REQUIREMENT <br />" "" <br />" " "" <br />6000 <br />3ODA AVG <br />12000 <br />MX7DGEOA <br />#1100mL <br />Monthly <br />GRAB <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />....„ <br />-CJ <br />...... <br />....., <br />....., <br />.... ", <br />1 !`1 <br />/ <br />(r/ <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />••* "• <br />'""•' <br />Weekly <br />j" <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />l certify under pe ltyoflawthatthisdocumentandallattachmentswere preparedundernaydirectionor <br />supervision 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 />system, or those persons d responsible for gathering the information, the information submitted is, <br />penalties for m y hoowl`d a and formation u udmg Wand ccomplete. <br />potation. `m ti pity of f e aria impa t them ar significant n iow `an g <br />' <br />I '" �/ v <br />TELEPHONE <br />DATE <br />�P4Je �i�47it et/ <br />' b • <br />af 4 -, <br />/ <br />0 • 0 / <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/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 />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 />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />OIL & GREASE - I.B.1.E, PG. 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />C00044776 <br />PERMIT NUMBER <br />004A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />e910172DD9 <br />MM /DD/YYYY <br />TO <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />WWTF TO DEER TRAIL DITCH <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />Page 2 <br />