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PARAMETER <br />1 certify under penalty of law that this document and all attachments were prepared under m direction or <br />su1 1 m <br />, fe.ardancs i t d assure <br />• * iryoft epmso o person properly <br />al 1 th formation submitted. Based inquiry of the peso] or persons o who o manage the <br />system, or those persons directly responsible my my in <br />for gathering the information, the mfomatioo submitted ,s, <br />to the best of my knowledge and belief, true, accurate. and complete I am aware that there are significant <br />penalties for submitting false mfmmanon, including the posstbd ,ty of fine and ,mpnsonment for knowing <br />tolau n <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 />-0 <br />,,,,,, <br />„a,,, <br />k <br />f / <br />`/ <br />yr <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 />1 certify under penalty of law that this document and all attachments were prepared under m direction or <br />su1 1 m <br />, fe.ardancs i t d assure <br />• * iryoft epmso o person properly <br />al 1 th formation submitted. Based inquiry of the peso] or persons o who o manage the <br />system, or those persons directly responsible my my in <br />for gathering the information, the mfomatioo submitted ,s, <br />to the best of my knowledge and belief, true, accurate. and complete I am aware that there are significant <br />penalties for submitting false mfmmanon, including the posstbd ,ty of fine and ,mpnsonment for knowing <br />tolau n <br />TELEPHONE <br />DATE <br />r) ,] ,�r a <br />1/ ew e �a <br />, s-� <br />10- ydf 1�� <br />( { r <br />� <br />c5 i � <br />S IGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />\ <br />PED OR PRINTED <br />RI TED <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />PERMITTEE NAME/ADDRESS (include Faci/ify Name/Location ifDifferent) <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 />5MINEOF TOWN ONCOHWY133 <br />PAONIA, CO 81428 <br />ATTN: BRADLEY E. HANSON, VICE PRES. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (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 />FROM <br />C00044776 <br />PERMIT NUMBER <br />c9 (f/Ol t �- <br />002A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />89t01'12DU <br />MM /DD/YYYY <br />_ <br />TO <br />p'/ ( a /D <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 />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 - 1.8.1.3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />