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PARAMETER <br />1 certify under penalty of law that this document and all attachments were prepared under my duecuon or <br />naccordancewithasystemdesignedtoassure thatqualdiedper sonnelproperlygatherand <br />system, the o senate responsible Based athurry of the person persoro who menage the <br />system, to the those ose persons directly sporerble k for or gathering t I o era that a, the t here sigr,dest st of my knowledge and belief, tens, actors,, urate, send d complete pleple, am aware that there are significanan <br />to the b t <br />pent osforsubmrttmgf else, formamgrncludmgthepossrbthryo ffineandrmpruormrentforknowing <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />ob <br />z <br />FREQUENCY <br />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 />. „.a• <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST M <br />Y =1;N =0 <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE supervision[ <br />1 certify under penalty of law that this document and all attachments were prepared under my duecuon or <br />naccordancewithasystemdesignedtoassure thatqualdiedper sonnelproperlygatherand <br />system, the o senate responsible Based athurry of the person persoro who menage the <br />system, to the those ose persons directly sporerble k for or gathering t I o era that a, the t here sigr,dest st of my knowledge and belief, tens, actors,, urate, send d complete pleple, am aware that there are significanan <br />to the b t <br />pent osforsubmrttmgf else, formamgrncludmgthepossrbthryo ffineandrmpruormrentforknowing <br />TELEPHONE <br />DATE <br />i?we w <br />1 an,1 e y <br />> <br />I � <br />a' �r <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MMIDD/YYYY <br />V TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Faci//tyName/Locaton 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 />ATM: 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 />io/ <br />001A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />01.04/2999 <br />MM /DD/YYYY <br />TO 09/90/2999 <br />,013 <// <br />No d'ea <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR/MINE WTR TO DEER TRAIL DTCH <br />External Outfail <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 IA3, PG 4-5 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE- I.B.1,3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />