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PARAMETER <br />I cemfy under penalty of law that this document and all attachments were pre pared under my direction or <br />supervision m accordance with a system designed to assure that quaked personnel properly gather and <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />E)( <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 />,,,,„ <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 cemfy under penalty of law that this document and all attachments were pre pared under my direction or <br />supervision m accordance with a system designed to assure that quaked personnel properly gather and <br />/ A, I , <br />(J/[{''\ Li..'i/rn <br />.�l <br />TELEPHONE <br />DATE <br />—./ <br />t 6/ ee, ' 411 h e r <br />system, or those persons directly responsible the f rout sub tied. Based on my inquiry of the person or poisons who manage the <br />g and belief, true, for gathering the complete I am the information tton re sig ed is, <br />m the best of sub knowledge and b manon, ,accurate and complem 1 am aware that there are r knowing <br />fo <br />penalties for submitting false mfomunon, =lading the possibility of fine and wpnsonment r kmsng <br />violations. <br />�(� ..���/�jj �] <br />10- • S AC S 1 <br />/) I <br />f Q r � r Z' <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />MMIDD/YYYY <br />� PED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Faci /ityName/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.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 />TO <br />008A <br />DISCHARGE NUMBER <br />963o /?o <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCGH 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 />