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PARAMETER <br />lwmty under penalty o f law that thus document anti allattachmentswerepreparedundermydirectionor <br />supen mf ision m accordance at dh a system designed to assure that qualified personnel properly gather and <br />1 the f ti b tt d. Based on my mquay of the peo re am rson or persons who manage the <br />system, or those persons dg i a ectly responsible for gathering the plete I am , w e information re mined i <br />to the best of kno d and belief, tine, accurate. and c e aware that then are sigmfi t <br />penalties for submmmgfalse mfwmanon, Including the passibility of fine and impnsonment for knowing <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 />...... <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />Reqq Mon. <br />INST MA <br />Y =1;N =0 <br />"• :~ <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />lwmty under penalty o f law that thus document anti allattachmentswerepreparedundermydirectionor <br />supen mf ision m accordance at dh a system designed to assure that qualified personnel properly gather and <br />1 the f ti b tt d. Based on my mquay of the peo re am rson or persons who manage the <br />system, or those persons dg i a ectly responsible for gathering the plete I am , w e information re mined i <br />to the best of kno d and belief, tine, accurate. and c e aware that then are sigmfi t <br />penalties for submmmgfalse mfwmanon, Including the passibility of fine and impnsonment for knowing <br />'mil, <br />� <br />TELEPHONE <br />DATE <br />,...—.......••• <br />!i ;/ <br />net L} Jai <br />ey <br />f % <br />970. 47.9- �7 <br />6 (i / 1o� �,/ — ,,� I / <br />lX1 r✓ Q I <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />O <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 />007A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />09/9112009' <br />MM /DD/YYYY <br />-- 89f3e%2849 <br />FROM <br />07- araoI__ <br />TO <br />O7 -3i -� r- <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCHG OF SR TO GUNNISON RIVER <br />External Outfall <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-1.8.1.E, PG. 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />