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PARAMETER <br />I certify under penalty of Law that this document and all attaclmtentswere prepared under my direction or <br />e alua t in w designed to ordan with t system desgned u that qualified personnel h gather and <br />aluate the infortonmation submitted. eased my inquiry y o fthe person or persona who manage manage the <br />system, or thou persons directly responsible for gathering the information, the mention submitted is, <br />m the best of my knowledge and belief, true, accurate, and complete, I am aware that these are significant <br />penalties for submitting tale infomation, including the possibility of fine and imprisonment for knowing <br />violation. <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />X. <br />FREQUENCY <br />ANALYSIS <br />SAMPLE <br />OF <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 />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />Weekly <br />VISUAL <br />NAMEITITLEPRINCIPALEXECUTIVEOFFICE <br />I certify under penalty of Law that this document and all attaclmtentswere prepared under my direction or <br />e alua t in w designed to ordan with t system desgned u that qualified personnel h gather and <br />aluate the infortonmation submitted. eased my inquiry y o fthe person or persona who manage manage the <br />system, or thou persons directly responsible for gathering the information, the mention submitted is, <br />m the best of my knowledge and belief, true, accurate, and complete, I am aware that these are significant <br />penalties for submitting tale infomation, including the possibility of fine and imprisonment for knowing <br />violation. <br />?G l r ��. <br />TELEPHONE <br />DATE <br />,/� <br />1 \� "--rte �� / <br />De I: // <br />I rV . <br />Q <br />97o • (d9.5)-5') <br />/ / I,, <br />1 (! sP , <br />- Cl <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />I <br />MM /DDIYYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS ( /nc/ude Faci/iEyName/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 />008A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />09/01/20110 <br />MM /DD/YYYY <br />09/30/208. <br />TO <br />Np <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 IA.3, PP 4-5 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE-1.8.1.E, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />