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PARAMETER <br />1 certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervtsweinforation submiteebnutte yst asdesnmyiquiry of qualified pe so wh gather and <br />ligned to <br />evaluate the mfomahon d. Based on my inquiry of the person or persons who menage the <br />system, or those persons directly responsible for gathenng the mformanon, the Information submitted is. <br />to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant <br />penalties for submntmg false Information, mcludmgthe possibility of fine and impnsonment 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 />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />`••••• <br />"•`•` <br />Weekly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervtsweinforation submiteebnutte yst asdesnmyiquiry of qualified pe so wh gather and <br />ligned to <br />evaluate the mfomahon d. Based on my inquiry of the person or persons who menage the <br />system, or those persons directly responsible for gathenng the mformanon, the Information submitted is. <br />to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant <br />penalties for submntmg false Information, mcludmgthe possibility of fine and impnsonment for knowing <br />�� �s / /�� <br />('_I7 /`� <br />� \ /fi ) <br />TELEPHONE <br />DATE <br />,n �� <br />��4:fil/ � L p / 1 / /. �� <br />920- I <br />/ /�/ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />YPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (include FacilityName/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.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 />0316( /No- <br />008A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />TO <br />03 /316100- <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCGH 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- I.B.1.E, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />