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PARAMETER <br />I cerufy under penalty of law that tlus document and all attachments were prepared under my &motion or <br />sup en :sun accordance sigh <br />m sigh designed to assure that pualified personnel properly gather and <br />• llit f b <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 />NUMBER <br />" "It" "* <br />"" <br />***at.. <br />PERMIT <br />REQUIREMENT <br />""" <br />R o. <br />INS A <br />Y =1;N =0 <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I cerufy under penalty of law that tlus document and all attachments were prepared under my &motion or <br />sup en :sun accordance sigh <br />m sigh designed to assure that pualified personnel properly gather and <br />• llit f b <br />n , / <br />/,/ � <br />TELEPHONE <br />DATE <br />� �' <br />o � e C I ����j/ <br />t th <br />tb t t <br />tted B A d y q try f th p pe ho th <br />system, or those persons directly responsible for gathering the Information, the mfonnahon submitted is, <br />- <br />to the best of my knowledge and belief, true, accurate, and wmplete lam aware that there are significant <br />penalnesfor submrttmg false mfomanov Including Including the posstbdrtyo ffinc and tmpnsomnevt for lnowmg <br />o., 6 <br />/-{/ /.. <br />—� /1 <br />///tit — ^J <br />/ al`a <br />s <br />V <br />�� 1 <br />-,, / <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />I TYPED OR PRINTED <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />I <br />PERMITTEE NAME /ADDRESS (/ nc/ ude Facility Name/Location ifDifferent) <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 />F ANY VIOLATIONS (Reference all attachments here) <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 />FROM <br />C00044776 <br />PERMIT NUMBER <br />zJ) v /— �Z <br />008A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />'69101120179- <br />MM /DD/YYYY <br />-09/30/2008 <br />TO <br />7 -3( — / �-- <br />Form Approved <br />OMB No. 2040 -0004 <br />u �� <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 />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 />