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PARAMETER <br />1 cemfy under penalty of law that tins document and all attachments were prepared under m direction or <br />superisionin accordance with a system designed to assure that qualified personnel properlygather and <br />aluat the f n ub tt dB d y qty f th p rson o p wh ge the <br />system, or those persons d e responsible for en wad complete am the submitted a <br />to the best of my knowledge e and belief, true, accurate, and complero aware a that that there there are r significant <br />penalties for submitting false mfomtanon, including hidludinmg the possibility of fine tie mdtmpnsonment for knowing <br />Iwo s <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 />*fr. * *. <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 OFFICER <br />1 cemfy under penalty of law that tins document and all attachments were prepared under m direction or <br />superisionin accordance with a system designed to assure that qualified personnel properlygather and <br />aluat the f n ub tt dB d y qty f th p rson o p wh ge the <br />system, or those persons d e responsible for en wad complete am the submitted a <br />to the best of my knowledge e and belief, true, accurate, and complero aware a that that there there are r significant <br />penalties for submitting false mfomtanon, including hidludinmg the possibility of fine tie mdtmpnsonment for knowing <br />Iwo s <br />TELEPHONE <br />DATE <br />D ... m' e f <br />�� / <br />^ <br />9 /✓ .11A <br />f S <br />e / /as- 4� <br />D 7U <br />S IGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (include Facility Name/Location "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 /00) 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 />003A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />—G94)4420139 TO <br />D3 /0/ f on- <br />0 3 /.3/ /)-0/2- <br />SChar9 e <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 <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 />