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PARAMETER <br />I certify under penalty of law that this dwmment and all attachments were prepared under my d¢ecuon or <br />supervision in accordance formation submitted. Bas designed assure <br />the of the person persons qualified personnel properly gather and <br />m¢ of the ers manage the <br />who manage <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 />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,.,.,. <br />A <br />..._ <. <br />..,.., <br />...... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />r '•"" <br />` "'•• <br />Weekly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />I certify under penalty of law that this dwmment and all attachments were prepared under my d¢ecuon or <br />supervision in accordance formation submitted. Bas designed assure <br />the of the person persons qualified personnel properly gather and <br />m¢ of the ers manage the <br />who manage <br />^ / <br />TELEPHONE <br />DATE <br />9 70 . <br />a 4 0/6L , L <br />et- <br />p Pw I a 1 4 f . G ,. <br />a pees o ns directly responsible for gathe ring io n the <br />system, or those <br />system, e persns directly responsilgathering the information, ¢iformanon submitted is, <br />to the best of my knowled�e and M:Itef, tare, accurate. posstbils of f e and tmpnsonment for k�nowmg <br />pe 4Oe�forsubmimngfasemfo ¢anan,mdudsngthe <br />/ I(((/s <br />! - 1/ 1 � ► - ' <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />`ol <br />I NUMBER <br />• <br />MM /DD/YYYY <br />PED OR PRINTED <br />PERMITTEE NAME/ADDRESS (include FacilifyName/Locafion if Different) <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 (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 />007A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />12/01/2089 / t <br />MM /DD/YYYY <br />12/31/2081)// <br />TO <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 -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 />