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PARAMETER <br />le Cdfy under penaltyofl awthatm'°documentan dadstta` hm `ntswerepreparedunder°ydira °on or <br />su m accordance with a system designed to assure that qualified personnel properly gather and <br />alum, th of t b responsible ed y q ny the p Pecs h g the <br />system, or those persons directly b tt lief, tue, for enndthe complete. I am , the aware totmahon re sig ned an <br />Ls, to the best of sub knowledge fals an formauon, ra:ludmg the pourbrlty of fine and rmpnsomceot for kknowmg <br />Vcil�u hn ffaaLlern <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 />•• * *•• <br />. « «« <br />,. «, «« <br />PERMIT <br />REQUIREMENT <br />••■••« <br />Reqq. M on. <br />I MAX <br />Y =1;N =0 <br />'« «"• <br />"•••« <br />• « «..• <br />«.. « «. <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />le Cdfy under penaltyofl awthatm'°documentan dadstta` hm `ntswerepreparedunder°ydira °on or <br />su m accordance with a system designed to assure that qualified personnel properly gather and <br />alum, th of t b responsible ed y q ny the p Pecs h g the <br />system, or those persons directly b tt lief, tue, for enndthe complete. I am , the aware totmahon re sig ned an <br />Ls, to the best of sub knowledge fals an formauon, ra:ludmg the pourbrlty of fine and rmpnsomceot for kknowmg <br />Vcil�u hn ffaaLlern <br />������ / l , � / � <br />` �',a� l . / �( l { ` <br />TELEPHONE <br />DATE <br />(tee �(� P v <br />"�/� <br />•�./_��� � <br />// Q �� ,\/ /.� <br />` `-" ®G.Y l <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />` YPED OR PRINTED <br />AREA Code <br />I NUMBER <br />MM /DD/YYYY <br />PERMITTEE NAME/ADDRESS (/ nc/ udeFaci /ity Name/Location ifDifferent) <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 />FROM <br />Reference all attachments here) <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 />001A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY <br />MM /DD/YYYY <br />057U17 09 TO <br />V /oi/iL <br />No dtiociv <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR/MINE WTR TO DEER TRAIL DTCH <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge F <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, PG 4-5 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE-I.8.1,3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />