Laserfiche WebLink
PARAMETER <br />lcemfy under penalty of law that this document and all attachments were prepared under my direction or <br />supetvrston to accordance with a system designed to assure that qualified persomel pro perly gather and <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />an <br />z <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 />--65 <br />« « « « «, <br />«« «,,, <br />/ <br />! G 7 <br />tf�f-- <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />«« « « «« <br />Weekly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />lcemfy under penalty of law that this document and all attachments were prepared under my direction or <br />supetvrston to accordance with a system designed to assure that qualified persomel pro perly gather and <br />�� <br />,/1 ` L ' <br />TELEPHONE <br />DATE <br />aft e <br />l4 - 1 �� rxe� <br />e lust th f t b tied. Based on my mquvy of the person or persons who managc the <br />system, or those persona directly responsible <br />ue, for ennthe t I am , the Information submitted is, <br />to the best of knowledge and belief, hue, accurate, and d complete. pleplem fine aware that there are significant <br />pro latwns.or sub ubmtmngfalsc mforvranoq mcludmg the posstbdtry offine and rmpnscoment for knowing <br />R 2 a - 9 . 5A <br />O ( 3D /ems t <br />r (0 {r j <br />SIG NATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM/DD/YYYY <br />TYPED OR PRINTED <br />� <br />PERMITTEE NAME/ADDRESS (/nclude FacitityName/Location if 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.01106) 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 />005A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />12/01/20•18 <br />1 <br />MM /DD/YYYY <br />12/31/2001I <br />TO <br />it <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR;DEER TRL DTC OR UNMD TRIB <br />External Outfall <br />Form Approved <br />OMB No. 2040 - 0004 <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 -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 />