Laserfiche WebLink
PARAMETER <br />Icemfy under penalry of law that this document and all attachments were prepared under mydtrcctionor <br />t <br />sup mar •ordans.c with a system do to assure that personnel o gather end <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />E)( <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 />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />• * " " "" <br />Weekly <br />VISUAL <br />NAMEITITLEPRINCIPALEXECUTIVEOFFICER <br />Icemfy under penalry of law that this document and all attachments were prepared under mydtrcctionor <br />t <br />sup mar •ordans.c with a system do to assure that personnel o gather end <br />tea(/ <br />V �- <br />TELEPHONE <br />DATE <br />e( 'n <br />I 1 <br />• th ly d n my <br />lu t • th • C neat b . Based inquiry ry of the person persons or who manage menage the <br />system, or [host person directly responsible le for or gathenng the informatiinformation, foutio n, the e information fbnnahon submitted u <br />ed , <br />to the best of my knowledge and belief, hue, accurate, and complate. l am aware that there are stgnd • t <br />penalties for submitting false information, including the prism!, iv of fine and tmpnsonmen[ for knowing <br />violations <br />20, 9/71•4/'- <br />'- ) <br />O S t `� 5 a)! L <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MMIDD/YYYY <br />PED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include FacdityName/Locafion /f 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 />001A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />33/3Qt20D9 <br />MM /DD/YYYY <br />FROM •0 TO <br />0/ 10( lam/ <br />Oil /A 4,944 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR/MINE WTR TO DEER TRAIL DTCH <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, 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 />