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PARAMETER <br />I tcrttfy under penalty of law that this document and all attachments were prepared under my direction or <br />supervision m au.ordance milli a system dengned to assure that quah &d personnel properly gather and <br />gloat th f h b med. Based on my inquiry of the person or persons who manage the <br />system, or those persons Jttectly responsible for gathering the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate, and wmplcte 1 am aware that there are significant <br />violations system, <br />perialhes for submitting ting fa fa se information, cludmg the possibility of fine and impnsonment 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 />...... <br />.a.a.. <br />= =...a <br />.,..., <br />` <br />7 <br />O <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />* " *•' <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I tcrttfy under penalty of law that this document and all attachments were prepared under my direction or <br />supervision m au.ordance milli a system dengned to assure that quah &d personnel properly gather and <br />gloat th f h b med. Based on my inquiry of the person or persons who manage the <br />system, or those persons Jttectly responsible for gathering the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate, and wmplcte 1 am aware that there are significant <br />violations system, <br />perialhes for submitting ting fa fa se information, cludmg the possibility of fine and impnsonment for knowing <br />,/ / // /� / <br />/ <br />/ % „ 1 , /4 /;' 11TT <br />1. SC' :4-1. <br />TELEPHONE <br />DATE <br />j / �� <br />I l I-U / fl( ,/t —y ,/ / rs r g ., V / <br />t 1— l <br />/7 �f C r , <br />9 7,/1 - ri' - 3 1 i 7 <br />( G/ [ / . f../ <br />y ' / <br />�-. , b- / )1 - �) <br />J 7 /-/l: <br />S IGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />Code NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />U <br />PERMITTEE NAME /ADDRESS (Include Faci /i4r Name/Location ifDifferent) <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 />C00044776 <br />PERMIT NUMBER <br />FROM 89/9t/20O9 <br />/ /ale( <br />001A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />TO 88/30/2009 <br />/ (31')-c3 <br />Form Approved <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-I.8.1,3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />