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PARAMETER
<br />I cemfy under penalty of law that this document and all attachments were prepared under my direction or
<br />m accordance wnth a system designed to assure that qualified perso properly gather and
<br />su f b
<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />ATION
<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 />Flow, in conduit or thru treatment plant
<br />50050 G 0
<br />Raw Sewage Influent
<br />SAMPLE
<br />MEASUREMENT
<br />� y,�2,
<br />0 J/ J%
<br />`' Req.
<br />)***It**
<br />DC
<br />..,, ««
<br />,,,,,
<br />,,,
<br />**t**to***
<br />« " "'
<br />PERMIT
<br />REQUIREMENT
<br />Mon.
<br />30DA AVG
<br />Req. Mon.
<br />DAILY MX
<br />Mgal /d
<br />• «• *•*
<br />Continuous
<br />RCORDR
<br />Chlorine, total residual
<br />5006010
<br />Effluent Gross
<br />SAMPLE
<br />,,,,,,
<br />G {
<br />l /�?
<br />C---V
<br />PERMIT
<br />REQUIREMENT
<br />«• *•.«
<br />,,,,,,
<br />3�
<br />INST MAX
<br />mg /L
<br />Weekly
<br />GRAB
<br />Solids, total dissolved
<br />70295 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />„,,,,
<br />, «,,,,
<br />,,,, x *
<br />T
<br />'411162-
<br />/ /
<br />t '/ !l'6
<br />%
<br />/
<br />b
<br />PERMIT
<br />REQUIREMENT
<br />Req. Mon.
<br />QRTR AVG
<br />Req. Mon.
<br />QRTR MAX
<br />mg /L
<br />Quarterly
<br />GRAB
<br />Coliform, fecal general
<br />7405510
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />„ ,,,,
<br />`
<br />.,,.<.
<br />,,....
<br />..,.,,
<br />(9
<br />J
<br />0- 3 41--°
<br />*V4)
<br />Ci`V
<br />PERMIT
<br />REQUIREMENT
<br />6000
<br />3ODA AVG
<br />12000
<br />MX7DGEOA
<br /># /100mL
<br />Monthly
<br />GRAB
<br />Oil and grease visual
<br />84066 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />,,,,„
<br />„,,,,
<br />,,, «"
<br />"'"
<br />/6
<br />`
<br />(G-
<br />PERMIT
<br />REQUIREMENT
<br />Req. Mon.
<br />INST MAX
<br />Y =1;N =0
<br />Weekly
<br />VISUAL
<br />NAMEITITLEPRINCIPALEXECUTIVEOFFICE
<br />I cemfy under penalty of law that this document and all attachments were prepared under my direction or
<br />m accordance wnth a system designed to assure that qualified perso properly gather and
<br />su f b
<br />� �
<br />TELEPHONE
<br />DATE
<br />a th
<br />al are th• n «d.e cd n y g ry fth p prs s h di
<br />s
<br />to the b those persons directly responsible t r gathering the information, the are signified [s,
<br />to the b est st se knowledge and belief, true, accurate and compleplete e I am aware a that that there there are cant
<br />penalties for submitting false information, including the possibility of fine and I for knowing
<br />violation
<br />99:. 9 X57
<br />. / /Z
<br />� �•�
<br />l p tt) P( / /�'/ q e,'
<br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />C
<br />t,YPED OR PRINTED
<br />AREA Code NUMBER
<br />MM /DD/YYYY
<br />I
<br />PERMITTEE NAME /ADDRESS (Include FacihtyName/Location ifDiferent)
<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 W
<br />5 MI NE OF TOWN ON CO HY 133
<br />PAONIA, CO 81428
<br />ATTN: BRADLEY E. HANSON, VICE PRES.
<br />COMMENTS AND EXPLANATION OF A NY VIOLATIONS (Reference all attachments here)
<br />OIL & GREASE - I.B.1.E, PG. 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10.
<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 />C00044776
<br />PERMIT NUMBER
<br />004A
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY
<br />X99/999
<br />MM /DD/YYYY
<br />FROM
<br />D6 /Q /ter
<br />TO
<br />DMR Mailing ZIP CODE: 81428
<br />MINOR
<br />(SUBR MH) DELTA
<br />WWTF TO DEER TRAIL DITCH
<br />External Outfall
<br />Form Approved
<br />OMB No. 2040 -0004
<br />No Discharge
<br />Page 2
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