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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 In accordance withasyste mdesignedtoassurethatqualifiedpersonnelproperlygatherand <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 />...... <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 certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision In accordance withasyste mdesignedtoassurethatqualifiedpersonnelproperlygatherand <br />7 /)�/),( /�(/!/ <br />/ L , <br />���f� //!'/ ' I 1 / ( t <br />TELEPHONE <br />DATE <br />r � a a4 r I <br />1 t th f t b n e Based or inquiry of the person persona who manage the <br />system, or those persons duectly responsible le for gathering the ma io e submitted is, <br />to the best of my knowledge and belief, , true, accurate, and complete plete I am am awware a that that there the¢ are significant <br />penalties for submm m <br />mg false information, including the possibility of fine and imprisonent for knowing <br />violation <br />C <br />�, ! / <br />/ / <br />V l" l // <br />SIG NATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />PRINTED NTE <br />()TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include FacilityNameocation 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 />000044776 <br />PERMIT NUMBER <br />007A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />FROM 09/64/2009 TO <br />i (1 ( /3 <br />t �3i tom, 13 <br />Form 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 Discharg <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 />