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PARAMETER <br />I cemfy under penalty of law that this document and all attachments were prepared under my direcuon or <br />supervuon m accordance with a system designed to assure that qualdied personnel properly gather and <br />velum, th Id h nit tied. paned mquny the person ro persons who manage the <br />system, or Wore persons directlyresponsible rcaponsible le for or t gathcnng the mfomuhon, the inf'ormahon submitted is, <br />to the best of my knowledge and behef, true, accurate, and complete, l am aware that there are significant <br />oil. for submimng false mformanon, mcludmg the possibtlityoffie and lmpnsonment for knowmg <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 />Flow, in conduit or thru treatment plant <br />50050 G 0 <br />Raw Sewage Influent <br />SAMPLE <br />MEASUREMENT <br />t ocy -,i S b / <br />_"(( <br />r nv6 <br />" "' "� <br />`�"" <br />" "" <br />co-,-. <br />ifa-c. ' <br />RCORDR <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />Mgal /d <br />" "" <br />Continuous <br />Chlorine, total residual <br />50060 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />....,, <br />a 1 <br />Z <br />.4lr <br />PERMIT <br />REQUIREMENT <br />INST .5 MAX <br />mg /L <br />Weekly <br />GRAB <br />Solids, total dissolved <br />70295 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />/' 5 <br />` <br />° 3 / <br />� <br />4 � <br />GRAB <br />PERMIT <br />REQUIREMENT <br />""" <br />" "•• <br />Req. Mon. <br />QRTR AVG <br />Req. Mon. <br />QRTR MAX <br />mg /L <br />Quarterly <br />Coliform, fecal general <br />7405510 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />....., <br />...... <br />? t 5 ° <br />6 <br />o ,p-c. <br />O <br />. <br />PERMIT <br />REQUIREMENT <br />" <br />6000 <br />3ODA AVG <br />12000 <br />MX7DGEOA <br />#/100mL <br />Monthly <br />GRAB <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />...... <br />...... <br />4/7 <br />A � <br />L <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />Weekly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I cemfy under penalty of law that this document and all attachments were prepared under my direcuon or <br />supervuon m accordance with a system designed to assure that qualdied personnel properly gather and <br />velum, th Id h nit tied. paned mquny the person ro persons who manage the <br />system, or Wore persons directlyresponsible rcaponsible le for or t gathcnng the mfomuhon, the inf'ormahon submitted is, <br />to the best of my knowledge and behef, true, accurate, and complete, l am aware that there are significant <br />oil. for submimng false mformanon, mcludmg the possibtlityoffie and lmpnsonment for knowmg <br />TELEPHONE <br />DATE <br />Delp e <br />`T�n <br />/� <br />(i'l� ���- 9 C'l <br />0.)a / ,1 <br />/ / /e1� /fir) / �� <br />/ 49 / 4 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (include Facility Name✓Location it <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 />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />OIL & GREASE - I.B.1.E, PG. 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <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 />FROM 09/8112669r TO <br />/O / a 12c/ Z <br />004A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM/DD/YYYY <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />WWTF TO DEER TRAIL DITCH <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />Page 2 <br />