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PARAMETER <br />1 certify under penalty of law that Ihia document and all attachments were prepared under my direction or <br />supervt accordance with mdesn my iquiry fthepei personoatherand <br />ev hate the informatformation submitted. ted . B Based n y nquiry of the person rson o or person s who manage o manage the <br />system, or those persons directly responsible for gathering the information, the information submitted u, <br />m the best o b knowledge and b n in hiding t and complete. I am aware <br />nd im p there are significant <br />violations. r susubmittingfaiseinfomtati oncludingthepassibiliryoffineandipri sonnunitor knowing <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <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 />. 0���� <br />v0 01a <br />.. „„ <br />,,,... <br />,.,.,, <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />Mgal/d <br />” "" <br />" "" <br />Continuous <br />RCORDR <br />Chlorine, total residual <br />5006010 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...,,, <br />.. „„ <br />, „... <br />T <br />e/...? <br />‘',4-- <br />P ERMIT <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 />„,... <br />...,., <br />^' k <br />"'1 r <br />U <br />a b <br />. <br />.. b/ <br />PERMIT <br />REQUIREMENT <br />"'”" <br />Req. Mon. <br />QRTR AVG <br />eq. 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 />y � f � <br />1 0 <br />a /� 0 <br />PERMIT <br />REQUIREMENT <br />” "" <br />6000 <br />300A AVG <br />120 0 <br />MX7DGEOA <br /># /10omL <br />Monthly <br />GRAB <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.. „.. <br />� <br />,, „.. <br />C <br />/ <br />Wr <br />VISUAL <br />PERMI <br />REQUIREMENT <br />' """' <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />” "" <br />' """ <br />weekly <br />NAME!TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 certify under penalty of law that Ihia document and all attachments were prepared under my direction or <br />supervt accordance with mdesn my iquiry fthepei personoatherand <br />ev hate the informatformation submitted. ted . B Based n y nquiry of the person rson o or person s who manage o manage the <br />system, or those persons directly responsible for gathering the information, the information submitted u, <br />m the best o b knowledge and b n in hiding t and complete. I am aware <br />nd im p there are significant <br />violations. r susubmittingfaiseinfomtati oncludingthepassibiliryoffineandipri sonnunitor knowing <br />/ / ry n / � / /j, <br />1/� / 1' L ./TX"L <br />TELEPHONE <br />DATE <br />W P - n A e 7 <br />'KKKR... C <br />' A` � � • <br />fJ l y <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />MMIDD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (include Facility Name/Location ifDifferenf) <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 />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 />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 />000044776 <br />PERMIT NUMBER <br />004A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />09/01 /20Qlg <br />MM /DD/YYYY <br />09/30/2066 <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 />