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PARAMETER <br />I certify under penalty of law t hat this document and all attachments were prepared wader my dnec,oa or <br />supentsla m accordance with a syslcm designed to assure that qualified personnel properly gather and <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 />,,,,,, <br />PERMIT <br />REQUIREMENT <br />Re . Mon. <br />INS MAX <br />Y =1;N =0 <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />I certify under penalty of law t hat this document and all attachments were prepared wader my dnec,oa or <br />supentsla m accordance with a syslcm designed to assure that qualified personnel properly gather and <br />_ /y) /�� <br />1 / C C 7).eM V l <br />TELEPHONE <br />DATE <br />D system, <br />N <br />v W! � latuns for <br />' ` �� <br />al 1 th fomaao susubmitted Based inquiry of the person , who man the <br />or those persons ns directly responsible for or enn the information, the e ur ul fo submitted Iron submitted ts, <br />to the best o knowledge and belief, true, accurate, and d complete 1 aware that there are significant <br />*O submdung falsemformanon, rocludmgtheposstbrhtyo ffine ,eand unpnsonmeat for knowmg <br />Rio <br />A <br />/ 7 U • 1. 5, ? <br />n / /30/A'11— <br />SIGNA OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />MM /DD/YYYY 1 <br />f <br />PED OR PRINTED <br />ED <br />PERMITTEE NAME/ADDRESS (include FacilityName/Location 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 -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 />002A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />12/01/20.* j <br />MM /DD/YYYY <br />12/31/200 /1 <br />TO <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 Discharger <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- I.B.1.3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />