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PARAMETER <br />I certify under penalty of law that document and all attachments were prepared under my direction or <br />supervision m accordance r e d inquiry o that p person properly gather and <br />evaluate the information twn di submitted rmun,d Based on my mynuy fthe person o persons s manage manage the <br />system, or those persons responsible k for or enn the t the that there submitted <br />to the best of knowledge directly and end tee, accurate, and compleplete. e. I io am em aware that there a significant nowt <br />penapenalties penalties for submitting false information, mahon, including the possibility of fine and tmpnsonment for knowing <br />g <br />violations <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 />..,.,, <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 OFFICE <br />I certify under penalty of law that document and all attachments were prepared under my direction or <br />supervision m accordance r e d inquiry o that p person properly gather and <br />evaluate the information twn di submitted rmun,d Based on my mynuy fthe person o persons s manage manage the <br />system, or those persons responsible k for or enn the t the that there submitted <br />to the best of knowledge directly and end tee, accurate, and compleplete. e. I io am em aware that there a significant nowt <br />penapenalties penalties for submitting false information, mahon, including the possibility of fine and tmpnsonment for knowing <br />g <br />violations <br />l l � 1 V <br />TELEPHONE <br />DATE <br />� // ( <br />(` Y <br />^ <br />(.� J'� <br />/ - G.:). ) <br />f <br />0- (/ -7 4 1- <br />' <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM/DDIYYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility 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 />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 />007A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />- 09f317/2009 <br />FROM <br />1 A (Gil/ 2_ <br />TO <br />/too cI airlE0 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCHG OF SR TO GUNNISON RIVER <br />External Outfall <br />Form Approvea <br />OMB No. 2040 -0004 <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 />