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PARAMETER <br />t ee"' fy under penalty of law that this document and all attachments were prepared under mydireenonor <br />supen main In accordance with a system designed to assure that qualified personnel properly gather and <br />aluatth f h b tied Based on my inquiry of the person or persons who manage the <br />t <br />system, or those persons directly responsible for enn information, t I am the information submitted <br />to the best se knowledge and belief, hue, accurate. and d complete. ro. am aware that there are significant t <br />penalties for submitting false Information, including the possibility of fine and impnsonment for knowing <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 />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />t ee"' fy under penalty of law that this document and all attachments were prepared under mydireenonor <br />supen main In accordance with a system designed to assure that qualified personnel properly gather and <br />aluatth f h b tied Based on my inquiry of the person or persons who manage the <br />t <br />system, or those persons directly responsible for enn information, t I am the information submitted <br />to the best se knowledge and belief, hue, accurate. and d complete. ro. am aware that there are significant t <br />penalties for submitting false Information, including the possibility of fine and impnsonment for knowing <br />violations <br />TELEPHONE <br />DATE <br />` <br />✓ <br />" ) r w e / a �J �r <br />t ()? ` jf 2 _ <br />/61.07 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />MM /DD/YYYY <br />PED OR PRINTED <br />PERMITTEE NAME /ADDRESS (include FacilityName/Location if 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 />MM /DD/YYYY <br />TO <br />/a/ /'2 <br />/V© Q 4 <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 />