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PARAMETER <br />I ndyunder penalty of law that mt: document and all attachments were prepared under mydnecuenor <br />pen tston to accordance with a system designed to assure that quaofied personnel properly gather and <br />•v lust th • f u b y tted. <br />system, re Based mgmry of the person persons who manage the <br />stem, or those persons irectly responsible le for or enn the t the a that there is, <br />to the best of my knowledge <br />edge and belief, accurate, and d complete, e, I Ili am am aware that there ere are re v sign mfirant <br />penalties for submtttmg fate mformanon, including the possrbdtry of fine and tmpnsonment for owing <br />olat <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 />,,,,,, <br />,,,,,, <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y=1 ;N=0 <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />I ndyunder penalty of law that mt: document and all attachments were prepared under mydnecuenor <br />pen tston to accordance with a system designed to assure that quaofied personnel properly gather and <br />•v lust th • f u b y tted. <br />system, re Based mgmry of the person persons who manage the <br />stem, or those persons irectly responsible le for or enn the t the a that there is, <br />to the best of my knowledge <br />edge and belief, accurate, and d complete, e, I Ili am am aware that there ere are re v sign mfirant <br />penalties for submtttmg fate mformanon, including the possrbdtry of fine and tmpnsonment for owing <br />olat <br />/ n / <br />(J.r--�t( 1:7 <br />TELEPHONE <br />DATE <br />l � �Q n /t er <br />. ��f' <br />0V/as/a4/2- <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />MM /DD/YYYY <br />� TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Facility Name/Location "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 />001A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />-89/0 l /213e9 <br />MM /DD/YYYY <br />09430,12999 <br />03101 (aa12 <br />TO <br />0 3131 /ArZ- <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR/MINE WTR TO DEER TRAIL DTCH <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <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, PG 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 />