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PARAMETER <br />ILemf y under pealty of law that this docment and all anechoen ts were prepared under my&moonor <br />supervlsroo in accordance with a system designed to assure that qualified personnel properly gather and <br />system, or of those persons d a msponsr for u rat ennd the rp I m <br />the th t the submitted is, <br />to the bt Nate the o lion submitted Based on my Inquiry of the person or persons who manage the <br />pe alt es for submrtnng false nformaton, including the possibility of fine and imprisonment 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 />Gross <br />SAMPLE <br />MEASUREMENT <br />�- <br />c`> <br />...... <br />...... <br />j /� <br />...... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />Weekly <br />y <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />ILemf y under pealty of law that this docment and all anechoen ts were prepared under my&moonor <br />supervlsroo in accordance with a system designed to assure that qualified personnel properly gather and <br />system, or of those persons d a msponsr for u rat ennd the rp I m <br />the th t the submitted is, <br />to the bt Nate the o lion submitted Based on my Inquiry of the person or persons who manage the <br />pe alt es for submrtnng false nformaton, including the possibility of fine and imprisonment for knowing <br />■ UP <br />TELEPHONE <br />DATE <br />,A R <br />3J /(� C� 7' <br />/// , 3 <br />3 lo v 6,1_3- <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (include Facili)/ Name/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 />C00044776 <br />PERMIT NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />.0€40-142808 -- <br />MM /DD/YYYY <br />FROM <br />33 /0/ ID <br />002A <br />DISCHARGE NUMBER <br />TO — 89/38/2089 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR;DEER TRL DTC OR UNMD TRIB <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharger <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.1.3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />Page 2 <br />