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PARAMETER <br />I comfy under penalty of law that this document and all attachments were prepared under my &mutton or <br />supervision m accordance wah a system designed to assure that qualified personnel properly gather and <br />ev luate th form t b tted B d my inquiry of the person or persons w ho manage the <br />system, or those persons directly responsible for gathering the mformanon, the information submitted as, <br />to the best of my knowledge and belief, accurate, and complete 1 am aware that there are knowing <br />pcneltms for submgfalsc mfonnanon, g in mcludm rbd <br />violations mm including posstry of fine and tmpnsonmen[tor no ring <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 />Cadmium, potentially dissolvd <br />01313 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />... <br />...... <br />I F,.,,, <br />/ , / <br />4 L�/, <br />_ Q <br />/` <br />4 <br />PERMIT <br />REQUIREMENT <br />""" <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Nickel, potentially dissolvd <br />01322 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />Y4*° *` <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Selenium, potentially dissolvd <br />01323 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.,.,.. <br />,.,,., <br />...... <br />PERMIT <br />REQUIREMENT <br />...... <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Chromium, trivalent total recoverable <br />04262 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />" """ <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Mercury, total (as Hg) <br />71900 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />...... <br />*M" <br />" "" <br />...... <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I comfy under penalty of law that this document and all attachments were prepared under my &mutton or <br />supervision m accordance wah a system designed to assure that qualified personnel properly gather and <br />ev luate th form t b tted B d my inquiry of the person or persons w ho manage the <br />system, or those persons directly responsible for gathering the mformanon, the information submitted as, <br />to the best of my knowledge and belief, accurate, and complete 1 am aware that there are knowing <br />pcneltms for submgfalsc mfonnanon, g in mcludm rbd <br />violations mm including posstry of fine and tmpnsonmen[tor no ring <br />� / �, <br />1 v //, �0!a a�V ` _ ( <br />TELEPHONE <br />DATE <br />y — �� � �� <br />j c <br />eee JJJ <br />q.1.0. �� <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Coda <br />NUMBER <br />MM /DD/YYYY <br />ED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Faci /ityName2ocafion 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 />IVNI I JIVNL rVLLU INIV I UIJt,rINI[VC CLIIVIIIVNI IVIV JTJ 1 CIVI (IVYUCJ) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00044776 <br />PERMIT NUMBER <br />MN10 <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />01/01/20t& /2_ <br />MM /DD/YYYY <br />01/31/20* 12 - <br />TO <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />ONCE 12 MONTHLY SAMPLES HAVE BEEN COLLECTED THE PERMITTEE IS REQUIREDTO SUBMIT A REQUEST FOR AREASONABLE POTENTIAL ANALYSIS. <br />roan mpprovea <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MK) DELTA <br />MW TO UNNBD TRIB TO HUBBARD CR <br />External Outfall <br />No Discharge <br />Page 2 <br />