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PARAMETER <br />Icemf y under penalty of law that this document and all attachments were prepared under mydirectionoc <br />supervision in accordance with a system designed to assure that qualified petsonn I pro gather and <br />evaluate the information submimed. Based on my inquiry of the person or persons who man the <br />system, of those person directly responsible for gathering the ip the that tiou significant d is. <br />m th, <br />e best of my knowledge e an an w complete. d belief, e, accurate, and complete. lete. l am aware there <br />penalties for submitting false information, including the possibility of fine and imprisonment for kmwing <br />violations. <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 />000 (jao <br />,0106 » <br />e.el � " <br />� <br />1 /— <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />3ODA AVG <br />Req. Mon. <br />DAILY MX <br />Mgal /d <br />••• ■•* <br />I <br />Continuous <br />RCORDR <br />Chlorine, total residual <br />5006010 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />*. * * *, <br />i ` I <br />//� <br />( <br />/ r <br />6 <br />P ERMIT <br />REQUIREMENT <br />""'• <br />5 <br />INST MAX <br />mg /L <br />Weekly <br />GRAB <br />Coliform, fecal general <br />7405510 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />* * * * ** <br />. *.,,, <br />*,, * ** <br />...,.. <br />01 05 <br />p �, <br />31$d <br />? " - /3o <br />6- <br />GRAB <br />PERMIT <br />REQUIREMENT <br />'•"" <br />6000 <br />30DA AVG <br />12000 <br />MX7DGEOA <br />#/100mL <br />Monthly <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />„,. ** <br />t ' <br />.I` <br />f /7 <br />V <br />PERMIT <br />REQUIREMENT <br />=1;N <br />Req. MAX <br />Y =0 <br />1..•• <br />Weekly <br />VISUAL <br />NAMEITITLEPRINCIPALEXECUTIVEOFFICER <br />Icemf y under penalty of law that this document and all attachments were prepared under mydirectionoc <br />supervision in accordance with a system designed to assure that qualified petsonn I pro gather and <br />evaluate the information submimed. Based on my inquiry of the person or persons who man the <br />system, of those person directly responsible for gathering the ip the that tiou significant d is. <br />m th, <br />e best of my knowledge e an an w complete. d belief, e, accurate, and complete. lete. l am aware there <br />penalties for submitting false information, including the possibility of fine and imprisonment for kmwing <br />violations. <br />^ <br />TELEPHONE <br />DATE <br />/'� <br />/ <br />e <br />C <br />/drip - <br />LL e <br />, )D , 9 <br />[y <br />_ <br />// 1 <br />/ lel /i <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />....- <br />NUMBER <br />MM/DD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (include FacilityName/Location /f 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 />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 - 1.C.10, PG. 10. <br />C00044776 <br />PERMIT NUMBER <br />004A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />10/01/28N <br />MM /DD/YYYY <br />10/31=909 <br />TO <br />dot <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 />