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PARAMETER <br />I certify under penalty of law that this document and all attachments were preparedundermyJtreenonor <br />• sup m accordance x uh a system designed assure that qualified personnel {properly gather and <br />I t th n <br />t th f 0 b tt A. B d y n9 aY fth Po Po ^ th <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 />*ft " " "" <br />" " " " "" <br />a " " " "" <br />PERMIT <br />REQUIREMENT <br />Req. Mon. Y =1;N =0 <br />INST MAX <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were preparedundermyJtreenonor <br />• sup m accordance x uh a system designed assure that qualified personnel {properly gather and <br />I t th n <br />t th f 0 b tt A. B d y n9 aY fth Po Po ^ th <br />/ /► <br />TELEPHONE <br />DATE <br />97 ��- <br />.. ! a I� /� <br />` <br />G <br />0 1� n ��� <br />s those persons directly for enn the information, the information submitted s, <br />to o le nd of my knowledge and belief, hiding t end d wmpiCte plete i am aware that there are r nt <br />the <br />penatnesforsubmntmgfalsemformanon, n, in m�luJmgWepossibthty oftmemJtmpnsonmentfar <br />violations. <br />a <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Cod <br />NUMBER <br />MM/DD/YYYY <br />PED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Faci /dyName✓Loca /ion "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.01106) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00044776 <br />PERMIT NUMBER <br />008A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />FROM '"' #2039 --- TO 9W <br />edi /eq- - 6 130 /1_-- <br />rn O 2, <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCGH OF SR TO GUNNISON RIVER <br />External Outfall <br />No Discharg <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 />