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PARAMETER <br />I certify under penalty of law that tins document and all attachments were prepared under m dtnxuon or <br />s ignedtoassurethatqualifiedpersonnel l therana <br />e lust r f t subm l d. p d y he ry f th proper y b <br />th <br />system, or thou persons subm tt responsible for garhenng the rot muhon mform anon submitted rs, <br />to the best of my knowledge and belw( true, accurate. and complete I am aware that there are sigmfia rot <br />penalties for submitt in false mformanon, Including the possrbdrry o f feand rmpnsonment 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 />...... <br />,,,,,,,, <br />"" <br />**It*** <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 tins document and all attachments were prepared under m dtnxuon or <br />s ignedtoassurethatqualifiedpersonnel l therana <br />e lust r f t subm l d. p d y he ry f th proper y b <br />th <br />system, or thou persons subm tt responsible for garhenng the rot muhon mform anon submitted rs, <br />to the best of my knowledge and belw( true, accurate. and complete I am aware that there are sigmfia rot <br />penalties for submitt in false mformanon, Including the possrbdrry o f feand rmpnsonment for knowing <br />1 <br />/(1,51:1V /A // iracX•�'1. <br />TELEPHONE <br />DATE <br />^ <br />. I /} <br />tr' J ' !',� '�12/2 <br />eCAY e" ( <br />9h)- 2 i 5 -, <br />U 4 / l e / / ) 2 <br />((a"`��"" t+-1 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA Code I NUMBER <br />MM /DD/YYYY I <br />PERMITTEE NAME/ADDRESS (Include FaciGtyName/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 />NS ( Reference all attachments here) <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 />MM /DD/YYYY <br />FROM -99/6ti2009 TO <br />o /Di 1 <br />008A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />00/30/2000 <br />o I <br />Form Approved <br />OMB No. 2040 -0004 <br />/30 <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 />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 />