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PARAMETER <br />Icemfy under penalty of law that this document and all attachments were prepared under myduccuonor <br />supermsmn in awordance with a system designed to assure that qualified personnel properly gather and <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />d o <br />z <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 />... =.a <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 />Icemfy under penalty of law that this document and all attachments were prepared under myduccuonor <br />supermsmn in awordance with a system designed to assure that qualified personnel properly gather and <br />�� <br />TELEPHONE <br />DATE <br />' � ) 'c t // <br />.GC / ; 4 n P V <br />I t th f t u tt •d y g ry p Pe h g rh <br />system, or those persons throaty respons t for enn the t, the information submitted u. <br />to the best of my knowledge ge anand d belief, lief, hue, accurate, and d the complete, c, I am am aware that there are rc si srgngndicant <br />penalties for submitting false information, including the possibdrty of fine and rmpnsonment for knowing <br />violation <br />7O ` � <br />` 9 , 1y q - 5 fllr' <br />( /ar/ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />MMIDD/YYYY <br />U j TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include FacdityName/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.01106) 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 />.89/9442009 <br />MM /DD/YYYY <br />FROM <br />5/ (,9-a�Z <br />002A <br />DISCHARGE NUMBER <br />TO 00/301,2009 <br />/51/ 2— <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 1 <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.1.3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />