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PARAMETER <br />Icerhfy under penalty ofIan that this document and all attachments were prepared under mydtrechonor <br />supervision m accordance wuh a system designed to assure that 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 />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />1 <br />* * * * ** <br />Weekly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />Icerhfy under penalty ofIan that this document and all attachments were prepared under mydtrechonor <br />supervision m accordance wuh a system designed to assure that personnel properly gather and <br />� ,/ / /( � � <br />/, �_ 1 <br />'.I J�../) t..../..... <br />TELEPHONE <br />DATE <br />��� __/ d <br />P 7 L 1 C <br />t the <br />1 t the f t o sub y d B d y he ry f the person o ,the in who manage the <br />arson o <br />system, or those persons d¢ectly responsible for gathering the mformatwn, the information submitted a, <br />to the best allay knowledge and belief, true, accurate, and complete 1 am aware that there are sign 6 t <br />penaltmsfor submrtting false mf ortnatwn ,mcludmgthe posstbihryotfineand impnsonmenrfor mowing <br />vtolanons <br />�,� ?, g �� �Z57 <br />l.� q /) <br />r fl /P7� y / .3 <br />v <br />` <br />S IGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include FacilityName2ocafion "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 />nuA 1 IVIVHL t'ULLU 1 HIV 1 UIJl.r1AKUt tLIMINA 1 ION JYS I tM (NI'UES) <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 />MM /DD /YYYY <br />99f3@/200S <br />TO <br />l r ? — 3/ 7c -c, <br />l Approvea <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR/MINE WTR TO DEER TRAIL DTCH <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, PG 4 -5 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE-1.8.1,3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />