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PARAMETER <br />I unity under penalty of taw that iho document and all attachments were prepared under my dtreaaron or <br />s upenm onmachordanhenrtha system destgnedt o assure that quatrfredpersonnel 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 />,,,,,, <br />...•.. <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />»«•• <br />~•'•• <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I unity under penalty of taw that iho document and all attachments were prepared under my dtreaaron or <br />s upenm onmachordanhenrtha system destgnedt o assure that quatrfredpersonnel properly gather and <br />TELEPHONE <br />DATE <br />- -�/' <br />��� c� / y � <br />• I t th • fo t b tt d Based on my mquoy of the person or persons who manage the <br />system, or those persons directly responsible hef, ut, for enng the u the mformahon submitted s, <br />to the best of my knowledge e and M;hef, true, accurate, au Sob ple[e I m m th t th r m s s gn gn f" f t <br />pen a[ ncsforsubmntmg fatsemfomanon,mcludmg he ryoffineandrmpnsonmentf mowing <br />U , <br />l � 0- / 0 /' <br />/ ` �� e <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT AREA Code <br />I NUMBER <br />MM /DD/YYYY <br />tiT OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name /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 />5MINEOF TOWN ONCOHWY133 <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 />FROM <br />000044776 <br />PERMIT NUMBER <br />009A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />99491.121!19_ <br />MM /DD/YYYY <br />CUB -0/-c' 2._ <br />TO <br />— ,�( -cQIZ- <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR DSCH /UNNMD TRIB /HUBBARD CRK <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 RPTD MEASUREMENTS -SEE I.A.3,PG. 4 -5 FOR BURDEN OF <br />PROOFREQUIREMENTS. OIL & GREASE - I.B.1.3, PG. 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />Page 2 <br />