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PARAMETER <br />1 certify under penalty of law that this document and all attachments were d under m direction or <br />supervision in accordance xdha system designed to assure that qualified pers and <br />• I t th• f t b Ltd B d y q try fth•p pe h g•III <br />system, or those persons directly responsible for g athering the information, the a that there submitted is. <br />rn penalties for submitting nhngfals and false information, n, in mcludmg the possibility off fine tmpnsonmeotfor knowing <br />to the best of belief, accurate and complete I am aware that there re are knowi <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />ATION <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 />Cadmium, potentially dissolvd <br />01313 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />..,... <br />PERMIT <br />REQUIREMENT <br />" "" <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Nickel, potentially dissolvd <br />01322 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,,,,,, <br />,.,.., <br />.,.... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Selenium, potentially dissolvd <br />01323 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,,,,,, <br />PERMIT <br />REQUIREMENT <br />" "" <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Chromium, trivalent total recoverable <br />04262 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,,,,,, <br />.,,,,, <br />PERMIT <br />REQUIREMENT <br />" "" <br />""" <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Mercury, total (as Hg) <br />71900 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,,,,,, <br />,,,,,, <br />,,,,,, <br />„ <br />PERMIT <br />REQUIREMENT <br />" "" <br />1 <br />" "" <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 certify under penalty of law that this document and all attachments were d under m direction or <br />supervision in accordance xdha system designed to assure that qualified pers and <br />• I t th• f t b Ltd B d y q try fth•p pe h g•III <br />system, or those persons directly responsible for g athering the information, the a that there submitted is. <br />rn penalties for submitting nhngfals and false information, n, in mcludmg the possibility off fine tmpnsonmeotfor knowing <br />to the best of belief, accurate and complete I am aware that there re are knowi <br />TELEPHONE <br />DATE <br />In exy <br />u�1/ � e <br />r'r� <br />/ �� <br />/ <br />111 / ^i_ <br />/ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />PED OR PRINTED <br />AREA Code <br />I NUMBER <br />MM /DD <br />PERMITTEE NAME/ADDRESS (Include Facility Name/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 />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />FROM 09t64/ <br />es? / t to- <br />MN10 <br />DISCHARGE NUMBER <br />TO Ua /du /2699 <br />/3o /j <br />Y‘o <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />ONCE 12 MONTHLY SAMPLES HAVE BEEN COLLECTED THE PERMITTEE IS REQUIREDTO SUBMIT A REQUEST FOR AREASONABLE POTENTIAL ANALYSIS. <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />MW TO UNNBD TRIB TO HUBBARD CR <br />External Outfall <br />No DischargJ <br />Page 2 <br />