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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 m accordance with a system designed to assure that quali fiedpersonnelproperlygath erand <br />loam the fo t o submitted Based le or inquiry of e information, person pns who age the <br />system, or those persons s u mitt resB ased c C gathering the son or erso man <br />p the persons who man age the submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant <br />penalties for submitting false mfonnanon, including [he possibility of fine and impnsonmen[ for knowing <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 />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />*** * ** <br />* * * * ** <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision m accordance with a system designed to assure that quali fiedpersonnelproperlygath erand <br />loam the fo t o submitted Based le or inquiry of e information, person pns who age the <br />system, or those persons s u mitt resB ased c C gathering the son or erso man <br />p the persons who man age the submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant <br />penalties for submitting false mfonnanon, including [he possibility of fine and impnsonmen[ for knowing <br />violations <br />TELEPHONE <br />///1 <br />DATE <br />/f _ / � l I�, rY <br />c h/ > <br />C � �fs <br />/ / /��'' // l r/ ' s.� <br />920 � /�-J� <br />42/2 / Z� <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AREA Code <br />AUTHORIZED AGENT <br />NUMBER <br />MM /DDIYYYY <br />PED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Faciiity/Name/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 />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 />FROM uy/ui /zuua TO <br />002A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />— 09/3012009 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR;DEER TRL DTC OR UNMD TRIB <br />Extemal Outfall <br />Form Approved <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.1.3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />