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PARAMETER <br />1 certify under penalty of law that mis document and all attachments were prepared under my direction or <br />superviu m accordance u ith a system designed to assttre 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 />NpE <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 />,.,r ** <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />* * * * ** <br />Weekly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />1 certify under penalty of law that mis document and all attachments were prepared under my direction or <br />superviu m accordance u ith a system designed to assttre that qualified personnel properly gather and <br />f /J y) a / /1� <br />//) /, , ?g 4V <br />I / / / „'/n /(7 <br />TELEPHONE <br />DATE <br />�.� <br />1�7e )e 1 urn Pr <br />e l , th those f t n b tt d •d y qury f m p rs p who u m <br />system, or person utl gathering the mfonnauon, e information submitted is, <br />diiy responsible for gathering m <br />tome best of my knowledge and belief, true, accurate and complete 1 am aware that mere are significant <br />penal naforsubmittingfalseinformation, includingthepossibilityo ffineandrmpnsonmentforknowing <br />no <br />976-9 <br />� // <br />SIGNATU OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />MMIDD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include FacitityName/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 />C00044776 <br />PERMIT NUMBER <br />FROM <br />ill IAO 12 <br />003A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />09/0112899- <br />MM /DD/YYYY <br />- 99/30/2009 <br />TO <br />S 3 (ao <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 />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.E, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />