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PARAMETER <br />I emf yunder penalyof law that mtadocument and all attachments were prepared under mydnanonor <br />pervtstoa m accordance with a system designed to assure that qualified personnel properly gather and <br />• 1 <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 />...a.a <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 emf yunder penalyof law that mtadocument and all attachments were prepared under mydnanonor <br />pervtstoa m accordance with a system designed to assure that qualified personnel properly gather and <br />• 1 <br />TELEPHONE <br />DATE <br />r ` ^��� -. �� <br />"^ <br />V /`/ 11/ ((, <br />t Ih formation submitted. Based on my mgmry of the person or persons who manage the <br />system, or those persons threctly responsible for gathering the mformaaon, the information submitted ts, <br />to he b <br />the at of my knowledge d Isc knoedge an b:hcf, true, accurate, , and complete e that 1 am aware at there are nowi <br />t <br />pe ub n false n f, n in including he po fine and rm there for r k knowing <br />/� <br />'}/� , _ }'-� <br />[ {,7 IG� a 50k.) <br />O C /mil /�� <br />i7 d. <br />. <br />SIGN ATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />�TT�YYPP ED O PRINTED <br />s or <br />o <br />� �1(� <br />AREA Code NUMBER <br />MM /DD/YYYY <br />PERMITTEE NAME/ADDRESS (include FacdityName/Locafion 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 />LATIONS (Reference all attachments here) <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 />MM /DD/YYYY <br />FROM 99/01/2009 TO <br />©cep ©t /dog__ <br />007A <br />DISCHARGE NUMBER <br />IJ4L a 49012- <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCHG OF SR TO GUNNISON RIVER <br />External Outfall <br />No Discharge <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 />