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PARAMETER <br />Ir Kmfymder penalty of law that this document and all attachments were prepared under mydtreetmnor <br />that e personnel properly gather and <br />pemsron m accordance with a system to assure person <br />o loot th nfotnuum submitted Based on my moody of the person or r persons who manage the <br />system, or those e persons persons dueotly responsiible blc for or gathenng the mfomtanon, the mfomunon sobmrtted is, <br />to the best of my knowledge and belief, lies, accurate. and complete. l am aware that there are n <br />pen4 �Corsubmittingfalsemfomiauon, mcludmgdsepossibihryoffinemdrmpnsormentfor knowing <br />la <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />z <br />z <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 />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y=1; WO <br />Weekly <br />VISUAL <br />NAMEITITLEPRINCIPALEXECUTIVEOFFICE <br />Ir Kmfymder penalty of law that this document and all attachments were prepared under mydtreetmnor <br />that e personnel properly gather and <br />pemsron m accordance with a system to assure person <br />o loot th nfotnuum submitted Based on my moody of the person or r persons who manage the <br />system, or those e persons persons dueotly responsiible blc for or gathenng the mfomtanon, the mfomunon sobmrtted is, <br />to the best of my knowledge and belief, lies, accurate. and complete. l am aware that there are n <br />pen4 �Corsubmittingfalsemfomiauon, mcludmgdsepossibihryoffinemdrmpnsormentfor knowing <br />la <br />�� � / / <br />! Y /� %"' <br />TELEPHONE <br />DATE <br />�) //� /�/ <br />VY j ! ' lL e r -• /ill Py <br />/'- ✓ _ <br />7 I ��7 "7 / <br />.y / <br />�� !/ <br />�� <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />� <br />AREA Code <br />NUMBER <br />r <br />MM /DDIYYYY I <br />PED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Faci/dyName/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 />005A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY <br />99/61/2009 <br />MM /DD/YYYY <br />99/30/2699' <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.E, PG 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />Page 2 <br />