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PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under m direction or <br />superisioninaccordancewithasystemdesignedtoassure thatqualifiedpersonnelproperlygat and <br />evaluate the utf*rmatton submitted. Based on my Inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathenng the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significan <br />penalties for submitting false mfonnanon, including the possibility of fine and tin nsonment for knowing <br />violations. <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />z z <br />OF FREQUENCY 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 />TYPED OR PRINTED <br />* ** * ** <br />* * * * ** <br />* * * * ** <br />PERMIT <br />REQUIREMENT <br />` * * * ** <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFIC <br />I certify under penalty of law that this document and all attachments were prepared under m direction or <br />superisioninaccordancewithasystemdesignedtoassure thatqualifiedpersonnelproperlygat and <br />evaluate the utf*rmatton submitted. Based on my Inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathenng the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significan <br />penalties for submitting false mfonnanon, including the possibility of fine and tin nsonment for knowing <br />violations. <br />_ ' <br />TELEPHONE <br />DATE <br />`///'''���J <br />l /el" <br />/7 .ek" <br />f/y <br />�? <br />- �/ <br />6 LU/ // <br />l <br />/ <br />/ \ /� / L---- <br />'9� <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM/DD/YYYY <br />I <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Faci/ityName2ocation 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 />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 />FROM <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />C00044776 <br />PERMIT NUMBER <br />003A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />9 <br />MM /DD/YYYY <br />TO <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR;DEER TRL DTC OR UNMD TRIB <br />Extemal Outfall <br />I-orm Approves <br />OMB No. 2040 -0004 <br />No Discharge <br />� / / a p <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 />