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PARAMETER <br />I certsfy under penalty of law that dm document and all attachments were prepared under my threenon or <br />supervtst m accordance with a system designed to assure that person or who manage gather and <br />aluat th f e n b tted. Based on my mquuy of the person or persons who manage the <br />system, or those persons d e and responnble true, for urat enn the complete I am the e t aeon re ug fi an <br />to the best those se kn a and bdmf, we, accurate, and complete a am aware that there are mute Ls, <br />penalnes for subrmtttng false mformanoo. mcludsngthepowtbdttyof <br />nolaeons. <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 />•" "" <br />Reqq. Mon. <br />INST MAX <br />Y =1;N =0 <br />` "••'• <br />"`••• <br />• "'•" <br />Weekly <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />I certsfy under penalty of law that dm document and all attachments were prepared under my threenon or <br />supervtst m accordance with a system designed to assure that person or who manage gather and <br />aluat th f e n b tted. Based on my mquuy of the person or persons who manage the <br />system, or those persons d e and responnble true, for urat enn the complete I am the e t aeon re ug fi an <br />to the best those se kn a and bdmf, we, accurate, and complete a am aware that there are mute Ls, <br />penalnes for subrmtttng false mformanoo. mcludsngthepowtbdttyof <br />nolaeons. <br />/ ,S ` <br />� ' <br />�//�� <br />TELEPHONE DATE <br />We - rez n er <br />97o • CO 5./57 /6/36 / / Z <br />S IGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER MM /DDIYYYY <br />0 TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS ( /nc/ude Faci /ilyName./Locauon 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.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 />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />t'la/ /a / <br />007A <br />DISCHARGE NUMBER <br />TO -- 69/3=1;1OG <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCHG OF SR TO GUNNISON RIVER <br />External Outfall <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 />