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PARAMETER <br />1 certify under penally of law that this document and all attachments were prepared under my direction or <br />pe o <br />n m <br />personnel the <br />evateienf mndesigned my ofth e <br />ate the information nn dib mitLed Bon oquiry i person persons who mansgbt <br />evaluate th <br />se peti <br />system, or of Imowl directly y submitted. responsible for or in gathering tiro the p the information that there submitted a <br />m the beat of my knowledge and belief, true. accurate, and complete. lete. I io am em await that theese are significant <br />penalties for submitting false information, including the possibility of fine and imprisonment for knowing <br />violation <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />O. <br />EX <br />FREQUENCY <br />ANALYSIS <br />O F <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 />a.a... <br />PERMIT <br />REQUIREMENT <br />"' <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 penally of law that this document and all attachments were prepared under my direction or <br />pe o <br />n m <br />personnel the <br />evateienf mndesigned my ofth e <br />ate the information nn dib mitLed Bon oquiry i person persons who mansgbt <br />evaluate th <br />se peti <br />system, or of Imowl directly y submitted. responsible for or in gathering tiro the p the information that there submitted a <br />m the beat of my knowledge and belief, true. accurate, and complete. lete. I io am em await that theese are significant <br />penalties for submitting false information, including the possibility of fine and imprisonment for knowing <br />violation <br />i� l!, 7'X�r <br />TELEPHONE <br />DATE <br />�� ( ! K'� C• /� <br />O- - • <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM/DD(YYW <br />f r1r PED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Fac / /iiName/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 />L <br />007A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />09/01/20612 <br />MM /DD/YYYY <br />09/30/2009 <br />TO <br />/' <br />/1p pis Chat' <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 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 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE PG. 9. QRTRLY SAMPLING INSTRUCTIONS I.C.10, PG. 10. <br />Page 2 <br />