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PARAMETER <br />1 cerufy under penalty f law that this document and all attachments were prepared under my auction or <br />supervision in accordance wutha system designed to assure that quahfied personnel properly gather and <br />al at the of t b ly re Based le or m of the person io persons who menage the <br />system, or those persons d a responsible for enndthe complete. I am the a tha there submmed Is, <br />m the best of my knowledge and belief, true, accurate, and complete. l am aware that there are stgmfi t <br />penalues for submmmg false mformation , including the possrbdrcyoffi eandrmpnsonmentforknowmg <br />vtolauore <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 />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />* *** ** <br />** * * ** <br />, ** * ** <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 cerufy under penalty f law that this document and all attachments were prepared under my auction or <br />supervision in accordance wutha system designed to assure that quahfied personnel properly gather and <br />al at the of t b ly re Based le or m of the person io persons who menage the <br />system, or those persons d a responsible for enndthe complete. I am the a tha there submmed Is, <br />m the best of my knowledge and belief, true, accurate, and complete. l am aware that there are stgmfi t <br />penalues for submmmg false mformation , including the possrbdrcyoffi eandrmpnsonmentforknowmg <br />vtolauore <br />TELEPHONE <br />DATE <br />O y► <br />97o-9 � <br />O �/� L <br />S IGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />� I' <br />AREA Code NUMBER <br />MM /DD/YYYY <br />TYPED PRINT <br />T` YPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include FacilityName/Locabon 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 />C00044776 <br />PERMIT NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />- 991 <br />MM /DD/YYYY <br />FROM <br />0 3 /o/ 4 0 / 1 - - <br />0 0 9 A <br />DISCHARGE NUMBER <br />TO 09/30/2000 <br />13/ /44e) <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR DSCH /UNNMD TRIB /HUBBARD CRK <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 RPTD MEASUREMENTS -SEE I.A.3,PG. 4 -5 FOR BURDEN OF <br />PROOFREQUIREMENTS. OIL & GREASE - I.B.1.3, PG. 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />Page 2 <br />