Laserfiche WebLink
PARAMETER <br />I cernfy under pen of law that this document and all attachments were prepared under my duecnon or <br />super sro nmaaordanccwttha system destgned *assure that quarfied personnel pr*perlygather rand <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 />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />* * * * ** <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I cernfy under pen of law that this document and all attachments were prepared under my duecnon or <br />super sro nmaaordanccwttha system destgned *assure that quarfied personnel pr*perlygather rand <br />/ �_ <br />/ / `_-�» l T / 7f --� <br />TELEPHONE <br />DATE <br />�/ r y7(/� �� e f/ <br />wv %/ ./ <br />1 t th f t b n d. S t y nutty of the person persons who manage the <br />u, <br />system, or those persons dg and responsr for enn the mfo I am io the Information t there a significant <br />penaltres submitting fa a mfor m non including t the pons brbty of fine and mpnsonment for knowing <br />vtolanons <br />^ ' <br />/i/ ••h/ <br />��� <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Cod NUMBER <br />MM /DDIYYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include FacilityName/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.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 />002A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />'09/0'1 /2009 <br />MM /DD/YYYY <br />0940, <br />TO <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR;DEER TRL DTC OR UNMD TRIB <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.1.3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />