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PARAMETER <br />I certify under penalty of law that u nm <br />this document <br />supentsi m accordance with t system designed to assure that qualified personnel properly gather and <br />aluar th th f u b tt d. B d y q try f th p p h g th <br />system, or those persons dtly responsible for gathenng the information, the information submitted is, <br />penult. mxto the best of my knowledge and belief, tine, accurate and complete t am aware that there are signisignificant significant t <br />forsubmmmgf alsem f fommton ,includingthepossibilityof eandimpnsonmentforknowing <br />violations <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 />a..... <br />...,., <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />•••••• <br />'••• *• <br />•• •••• <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />I certify under penalty of law that u nm <br />this document <br />supentsi m accordance with t system designed to assure that qualified personnel properly gather and <br />aluar th th f u b tt d. B d y q try f th p p h g th <br />system, or those persons dtly responsible for gathenng the information, the information submitted is, <br />penult. mxto the best of my knowledge and belief, tine, accurate and complete t am aware that there are signisignificant significant t <br />forsubmmmgf alsem f fommton ,includingthepossibilityof eandimpnsonmentforknowing <br />violations <br />�t <br />TELEPHONE <br />DATE <br />r <br />C <br />l' �"" `� c.c L U� <br />D— / — <br />o g' <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />7 / TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS ( /nc/ude Faci/ityName2ocation 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 />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320 -1 (Rev.01106) 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 />008A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />00/01/2000 <br />TO <br />MM /DD/YYYY <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCGH OF SR TO GUNNISON RIVER <br />External Outfall <br />No Discharge <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 />