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PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under m direction or <br />supervision m accordance t Bao designed assure qualified ga therand <br />vatlus[, the p e dub bmi rsonor personnel oa <br />d q t po o menu the <br />system, or thosose e persorso ns dteectly far or enndthe i p lete I rma am the ie . the in w whh man <br />information submitted is, <br />false and responsible d. Ban on o the <br />to the best of and belief, true, ludmg accurate. and complete am aware that there are significant <br />pena tions. rub ubmnoire alseinformano4includingWe possibility of [e and impnsonmentfor lmowmg <br />violations. <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />ANALYSIS <br />SAM E <br />OF <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Cadmium, potentially dissolvd <br />01313 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />Al 6-6.10/1 <br />/J <br />...... <br />PERMIT <br />REQUIREMENT <br />" " <br />Req. Mon. <br />30DA AVG <br />Req. M o V: <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Nickel, potentially dissolvd <br />01322 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Selenium, potentially dissolvd <br />01323 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />""" <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Chromium, trivalent total recoverable <br />04262 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Mercury, total (as Hg) <br />71900 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />- <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under m direction or <br />supervision m accordance t Bao designed assure qualified ga therand <br />vatlus[, the p e dub bmi rsonor personnel oa <br />d q t po o menu the <br />system, or thosose e persorso ns dteectly far or enndthe i p lete I rma am the ie . the in w whh man <br />information submitted is, <br />false and responsible d. Ban on o the <br />to the best of and belief, true, ludmg accurate. and complete am aware that there are significant <br />pena tions. rub ubmnoire alseinformano4includingWe possibility of [e and impnsonmentfor lmowmg <br />violations. <br />,,, <br />i J7 /( ✓rS111�/ <br />_- <br />TELEPHONE <br />DATE <br />I 0 /( <br />0 Pi -y�O� LO V <br />q7O 'e <br />7 9 r 5 <br />/ <br />r" -r)-C� -- / 3_ <br />submitting <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 FacilityName/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 />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00044776 <br />PERMIT NUMBER <br />MN 10 <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />FROM <br />I - aU t 3 <br />TO <br />2-- ao 13 <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />ONCE 12 MONTHLY SAMPLES HAVE BEEN COLLECTED THE PERMITTEE IS REQUIREDTO SUBMIT A REQUEST FOR AREASONABLE POTENTIAL ANALYSIS. <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />MW TO UNNBD TRIB TO HUBBARD CR <br />External Outfall <br />No Discharger <br />Page 2 <br />