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PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accorance with a system designed to assure that qualified personnel properly gather and <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 />NAMEJTITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accorance with a system designed to assure that qualified personnel properly gather and <br />TELEPHONE <br />�y <br />DATE <br />1(-1(.,1) � � ystem, <br />. / <br />i <br />eystem, or those persons the ose persons submitted. Based le or inquiry of the person io persons who manage the <br />directly responsible Cor gathering the mfarmanon, the information submitted is, <br />to the but of my knowledge and belief, true, accurate, and complete. I am aware that there are significant <br />pen <br />v,ol onPorsnbmtmngfalsemfonnanon, includingthepossibihty offineandtmpnsonmentforknowing <br />violations <br />n <br />9 /�� <br />i � / " <br />/ <br />- <br />�- y <br />_ 1 : + ((( 7 v <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT AREA Code <br />NUMBER <br />MMIDD/YYYY <br />PED OR RINTED <br />PERMITTEE NAME /ADDRESS (Include FaciiityName/ocation 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 />5MINEOF TOWN ONCOHWY133 <br />PAONIA, CO 81428 <br />ATTN: BRADLEY E. HANSON, VICE PRES. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320 -1 (Rev.01 /06) Prevfous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00044776 <br />PERMIT NUMBER <br />001A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />75: <br />MM /DD/YYYY <br />--- -996"6f2005 <br />TO <br />if /A) // <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR/MINE WTR TO DEER TRAIL DTCH <br />External Outfall <br />I-orm Approved <br />OMB No. 2040 -0004 <br />No Discharge <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.B.1,3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- LC.10, PG. 10. <br />Page 2 <br />