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PARAMETER <br />1 cemty under penalty of law that tins document and all attachments were prepared under my direction or <br />supen'monin accordance a ¢h a system designed to assure that qualified personnel properly gather and <br />11 th f t b d B Y ry f th P P' h g t <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 />`,.� «« <br />Reqq.� Mon. <br />INST MAX <br />Y =1;N =0 <br />«« « « «« <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />1 cemty under penalty of law that tins document and all attachments were prepared under my direction or <br />supen'monin accordance a ¢h a system designed to assure that qualified personnel properly gather and <br />11 th f t b d B Y ry f th P P' h g t <br />TELEPHONE <br />DATE <br />[^�''}� <br />%/j £.'- <br />1 ` 5 . ?� �- � 1i . <br />- \/ ) /� / r � <br />( <br />PCC)eC"' /" f r- <br />directly i h it <br />system, or those persons e nd b esporeible for gathering the complete I am the information submitted u, <br />to the best of my knowledge and lwhef, hue, accurate and complete I am aware that there are for k*owant <br />penalties for submitting false Information ,Including[heposmliehty of fine and[mprisonmentforknowing <br />C . / // /LJ���7 V <br />� <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I NUMBER <br />MM /DD/YYYY <br />°TYPED O <br />PERMITTEE NAME /ADDRESS (include FacdnyName /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 - 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 />003A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />0910172009 <br />MM /DD/YYYY <br />9913612909 <br />67- 0 1 -ao <br />TO <br />- 31 <br />5 46 C16 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUER MH) DELTA <br />SR;DEER TRL DTC OR UNMD TRIG <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, 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 />