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PARAMETER <br />Icenrfy under penal of law that tha document and all attachments were prepared under mydirccmnor <br />supennston m accordance with a system designed to assure that qualified personnel properly gather and <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 />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 />Icenrfy under penal of law that tha document and all attachments were prepared under mydirccmnor <br />supennston m accordance with a system designed to assure that qualified personnel properly gather and <br />TELEPHONE <br />DATE <br />Q �� <br />O ewe MI // a I / <br />v lu t th • f h b tr B d y g 7 f th ' p_ P h g th <br />to th'best of my kn` wled ge and belief, true, accurate, and the <br />complete I aware that there are signtfi is, <br />wat <br />pe I a t tm� or sn mr mg false Information, including ou, including We possibility oftine and rmpnsonment for knowing <br />9X ) 9 �7 <br />A /p /�bi 2....., <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />� <br />MM /DD/YYYY <br />PED OR PRINTED <br />PERMITTEE NAME/ADDRESS (include Facili )vName/Location 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 />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 />MONITORING PERIOD <br />MM /DD/YYYY <br />19/3512009 <br />MM /DD/YYYY <br />- 00/0 2009 TO <br />5(0( /440/1- <br />001A <br />DISCHARGE NUMBER <br />5/3 1(-0i 2 <br />/v0 ( 4 4 <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 />