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PARAMETER <br />i comfy under penalty of law that this document and all attachments were prepared under my &motion or <br />soper„sr n m accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the mformauon submitted. Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathenng the reformation, the Inform anon submitted u, <br />m he best of knowledge and belif, d c true, accurate, anomplete 1 am aware hat here a e vgnrfium <br />penal for submrumg false mformanon, Including the possrbdrty of fine and rmpnsonment for knowing <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 />***Ink* <br />- ta <br />lot**. <br />t <br />(4Z— <br />* * * * ** <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 />i comfy under penalty of law that this document and all attachments were prepared under my &motion or <br />soper„sr n m accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the mformauon submitted. Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathenng the reformation, the Inform anon submitted u, <br />m he best of knowledge and belif, d c true, accurate, anomplete 1 am aware hat here a e vgnrfium <br />penal for submrumg false mformanon, Including the possrbdrty of fine and rmpnsonment for knowing <br />�J /ter <br />`�} j -%� t II V _ <br />lI( / // !� <br />TELEPHONE <br />DATE <br />ew <br />O Ta n er <br />R. . ?f' <br />9 52 57 <br />016-5 Acto /� <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DDIYYYY <br />PED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include FacilityName/oce/ion 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 />031a /��� <br />005A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />09/01/2000 <br />MM /DD/YYYY <br />TO 09/30/2009 <br />3/3(/213/i <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 n <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.E, PG 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />Page 2 <br />