Laserfiche WebLink
PARAMETER <br />1 certify under penalty of law that this document and all attachments were prepared under my daemon or <br />supen Ism m accordance with as stemdest gnc dtoassurethat q personnel ersonnei proper ly gather <br />y <br />e aluate ih f b b tied. Based on my inquiry of the person or persons who manage the <br />system, he est of my�knowledge an belaf, We, accurate. and complete I li am aware that here are sr� ficant <br />o labo o s forsubmuungfalsemfomunon Including the posstbdrryoff eanaunpnsomnonttorlmowmg <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 />..l... <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 />1 certify under penalty of law that this document and all attachments were prepared under my daemon or <br />supen Ism m accordance with as stemdest gnc dtoassurethat q personnel ersonnei proper ly gather <br />y <br />e aluate ih f b b tied. Based on my inquiry of the person or persons who manage the <br />system, he est of my�knowledge an belaf, We, accurate. and complete I li am aware that here are sr� ficant <br />o labo o s forsubmuungfalsemfomunon Including the posstbdrryoff eanaunpnsomnonttorlmowmg <br />TELEPHONE <br />DATE <br />0 / <br />A _a ... <br />/ <br />......./... � �J e K <br />C I � r <br />L ��/ ifir IA <br />SIGN ATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />( <br />TYPED OR PRINTED <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />PERMITTEE NAME /ADDRESS (Include FacilityName/Loca /on 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 />MENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />C00044776 <br />PERMIT NUMBER <br />003A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MMIDDIYYYY <br />09/01/2uuu <br />MMIDDIYYYY <br />09139E2699 <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 />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 />