|
PARAMETER
<br />luit' fy under penalty of law that this document and ail attachments were prepared under my &moonor
<br />super, [stun to act.ordanee wnth a system designed to assure that quaheed 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 />,k,,,,,
<br />,,,,,,
<br />,,,,
<br />PERMIT
<br />REQUIREMENT
<br />"""
<br />INST Req. ton.
<br />AX
<br />Y =1;N =0
<br />Weekly
<br />VISUAL
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE
<br />luit' fy under penalty of law that this document and ail attachments were prepared under my &moonor
<br />super, [stun to act.ordanee wnth a system designed to assure that quaheed personnel properly gather and
<br />,l•1 —
<br />/A '�-
<br />0
<br />TELEPHONE
<br />DATE
<br />• 1 t • th • formation submitted Based on my mqutty of the person or persons who manage the
<br />system, or hed is,
<br />of m those s dr knowled s a responsible
<br />to the best nd belief, h for gathenn the
<br />of knowl and belief, hue, wurah, and wm lem 1 am that [tire are s,
<br />ue, ad p I , the am aware mthat there re sig f t
<br />penalties for submitting false Information, including the posstbdtty off eandtmpnsovmentforknowmg
<br />7 iy 9-5a5?
<br />[ { 9
<br />c G �t� LID
<br />'l j�
<br />1 e,we_L-,_ ) em72 '
<br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Code
<br />NUMBER
<br />MM /DD/YYYY
<br />()TYPED OR PRINTED
<br />PERMITTEE NAME /ADDRESS (include Faci /ityName/Location if 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 (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 />07 - -rZ
<br />005A
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY
<br />69/O112009
<br />MM /DD/YYYY
<br />09/30/2889;
<br />TO
<br />e)
<br />/Z
<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 Fl
<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-1.13.1.E, PG 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10.
<br />Page 2
<br />
|