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PARAMETER <br />kernf y under penalty of law that this document and all attachments were prepared under my direction or <br />super, uion in accordance n ith a system designed to assure that qualified personnel properly gather and <br />• lu t•th• f to sub n•d B •d y q ry tth pens pe ho g • th • <br />system, or those persons directly responsible for gathenng the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate and tomplete 1 am aware that there are signal t <br />penalties for subrmtung false information, including the posvbthry of fine and imprisonment 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 />.....a <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 OFFICE <br />kernf y under penalty of law that this document and all attachments were prepared under my direction or <br />super, uion in accordance n ith a system designed to assure that qualified personnel properly gather and <br />• lu t•th• f to sub n•d B •d y q ry tth pens pe ho g • th • <br />system, or those persons directly responsible for gathenng the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate and tomplete 1 am aware that there are signal t <br />penalties for subrmtung false information, including the posvbthry of fine and imprisonment for knowing <br />/ 1 , <br />TELEPHONE <br />DATE <br />/� L <br />A !'J`( ," ` <br />/(9, /6,0 f <br />f �{1 .,.! <br />r.+ /ty` /I <br />/ /} <br />"""(((( /` /7 ✓ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I NUMBER <br />MMIDD/YYYY <br />OR RI <br />PERMITTEE NAME/ADDRESS ( /nc /ude FacilityName/Location /'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 />FROM <br />C00044776 <br />PERMIT NUMBER <br />001A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />-- 89/011`2909 <br />MM /DD/YYYY <br />G913e/4ee9- <br />TO <br />0 lezzAa <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR/MINE WTR TO DEER TRAIL DTCH <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <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, PG 4 -5 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE- I.B.1,3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />ra <br />