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PARAMETER <br />I cell uf y under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance wnh a system designed to assure that qualified personnel properly gather and <br />valuate the osc per submitted Based mqur of the person persons w ho manage the <br />system, or of my persons sons due and resPonsr for or gathering the information, the tormanon W ed is, <br />to the best ofmy knowledge and belief, true, le ue, accurate, and compleplete e I am am aware a that there ere re si significant <br />v io laa tio� for submitting false mfortnahon, including the possrbdrty of fine and imprisonment for knowing <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 />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 cell uf y under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance wnh a system designed to assure that qualified personnel properly gather and <br />valuate the osc per submitted Based mqur of the person persons w ho manage the <br />system, or of my persons sons due and resPonsr for or gathering the information, the tormanon W ed is, <br />to the best ofmy knowledge and belief, true, le ue, accurate, and compleplete e I am am aware a that there ere re si significant <br />v io laa tio� for submitting false mfortnahon, including the possrbdrty of fine and imprisonment for knowing <br />J /e._.Y/_!/1 _ <br />TELEPHONE <br />DATE <br />/gyp ,, � <br />I A� 1 N' nn P�/ <br />/'],�� n / �' <br />''°°ZZ� / � f a• 7 <br />/ / a � /� 13 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />MM /DD/YYYY <br />PED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include FacililyName/Location 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 />NH I I1./IV/1L r L)LLU I HIV 1 ui t..riAmut tLIMINA I ION SYS I tM (NI -UtS) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00044776 <br />PERMIT NUMBER <br />007A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />-- 9 <br />t2-/a t (3 <br />TO <br />i lv' � (dvl3 <br />/do Cizeie-4t <br />I-orm Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCHG OF SR TO GUNNISON RIVER <br />External Outfall <br />No Discharge fEr <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 />