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PARAMETER <br />I certify under penalty of law that tits document and all attachments were prepared under my direcuun or <br />super, nton In accordance with a system designed to assure that qualified 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 />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 tits document and all attachments were prepared under my direcuun or <br />super, nton In accordance with a system designed to assure that qualified personnel properly gather and <br />//2 <br />�/ / "li')p� r, !_ <br />///��� }tr <br />TELEPHONE <br />DATE <br />��,� s /1 j1 P <br />Y ! <br />cv lust t h f t o sub tt d B d y qu ry f th p won or persons who manage the <br />system, or those persons tiredly responsible for gathenng the information, the nformalion submitted is, <br />pe es for tt ng false In ormat on, Including t the poabilIcy of f e and tmpnsoom tit for I�novang <br />I ti <br />y '�() -4 - r, 57 <br />9 <br />64 �� , ,�/ 1.-3 <br />SIGNATURE OF PRINCIPAL L EX ECUTIVE OFFICER OR <br />ORIZ ED AGENT EXECUTIVE <br />AUTHORIZED <br />OIZ <br />l AREA Code NUMBER l r - NUMBER <br />MM /DD/YYYY <br />PED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include FacilityName/Location if Different) <br />NAME: <br />ADDRESS: <br />FACILITY: <br />LOCATION: <br />Bowie Resources LLC <br />PO Box 483 <br />Paonia, CO 81428 <br />BOWIE NO. 2 MINE <br />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 />FROM <br />C00044776 <br />PERMIT NUMBER <br />o3 / of tat( <br />001 A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />.09J439126ng <br />MM /DD/YYYY <br />TO 00/30 /2000 <br />t a t /i3 <br />l' <br />de a d -e t , <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.B.1,3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />