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PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under my duechon or <br />supervision m accordance 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 />PERMIT <br />REQUIREMENT <br />" " " * ** <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <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 duechon or <br />supervision m accordance with a system designed to assure that qualified personnel properly gather and <br />�r , <br />� /7 / / <br />TELEPHONE <br />DATE <br />'DO <br />ev 1 to the i f non submitted Based on my mgmry of the person or persons xho manage the <br />t e of those persons directly be for n the t the tormatmn submitted is, <br />to o the best of my knowledge and belief, lief, true, true, accurate. urate, and d compleplete. . I am am aware a that (here are significant <br />penalties for submnnng false mformanoq mcludmgthe possibility of fine and imprisonment for knowing <br />violations <br />! / <br />' ?7O <br />�^ <br />y; <br />// <br />J / / <br />/ (/ <br />.10.2 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Co <br />NUMBER <br />MM /DDIYYYY <br />PED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Locationifafferent) <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 />Ivm IUIV/1L r VLLU IMIV 1 UIJl,.r1H1 CLIIVIIIVHI IUIN JYJ 1 tIVI (INI'Ut.7) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00044776 <br />PERMIT NUMBER <br />008A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />— 00/0442099 <br />MM /DD/YYYY <br />'9397'5'0770M <br />TO <br />rorm Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCGH OF SR TO GUNNISON RIVER <br />External Outfall <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 />