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PARAMETER <br />1 certify r y unde penalty of law that this document and all attachments were prepared under my direction or <br />s uper stop m fu.or y gnc p , r persons properly gather and <br />danoewithas stemdesr designed qualified 1 <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 />BOD, 5-day, 20 deg. C <br />0031010 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />....„ <br />I <br />' <br />C ` CG I -. <br />...... <br />PERMIT <br />REQUIREMENT <br />30 <br />30DA AVG <br />45 <br />MX 7D AV <br />mg /L <br />Monthly <br />COMPOS <br />BOD, 5 -day, 20 deg. C <br />00310 G 0 <br />Raw Sewage Influent <br />SAMPLE <br />MEASUREMENT <br />•_� `5 <br />-� <br />` <br />` <br />0, <br />...... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Opt. Mon. <br />MX 7D AV <br />mg /L <br />Monthly <br />COMPOS <br />pH SAMPLE <br />0040010 <br />Effluent Gross <br />MEASUREMENT <br />...... <br />7" g <br />...... <br />i 5 <br />/ <br />/"7 <br />...... <br />PERMIT <br />REQUIREMENT <br />"` "` <br />6.5 <br />MINIMUM <br />9 <br />MAXIMUM <br />SU <br />Weekly <br />INSITU <br />Solids, total suspended <br />0053010 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />((// <br />7e <br />q <br />, <br />(3 <br />COMPOS <br />...... <br />PERMIT <br />REQUIREMENT <br />30 <br />30DA AVG <br />45 <br />MX 7D AV <br />mg /L <br />Monthly <br />S olids, total suspended <br />00530 G 0 <br />Raw Sewage Influent <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />...... <br />S <br />ee <br />PERMIT <br />REQUIREMENT <br />" " "" <br />r 2 eq. Mon. <br />SODA AVG <br />Opt. on. <br />MX 7D AV <br />mg/I_ <br />Monthly <br />COMPOS <br />Oil and grease <br />0358210 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />...... <br />Ji <br />a,„._ <br />6- (/ <br />PERMIT <br />REQUIREMENT <br />" " " "" <br />10 <br />INST MAX <br />mg /L <br />Contingent <br />GRAB <br />Flow, in conduit or thru treatment plant <br />50050 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />( -, ) ()7 <br />, () 3t ?(:Z - <br />...... <br />...... <br />...... <br />64, <br />/ ( , <br />PERMIT <br />REQUIREMENT <br />.0115 <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />Mgal /d <br />Continuous <br />RCORDR <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 certify r y unde penalty of law that this document and all attachments were prepared under my direction or <br />s uper stop m fu.or y gnc p , r persons properly gather and <br />danoewithas stemdesr designed qualified 1 <br />1 - <br />/ C '( <br />I N <br />TELEPHONE <br />DATE <br />n <br />I Lt )&C/4 Q R eV <br />` <br />• I at th f t ub y re Dried le my inquiry ot i person information, , the X who manage the <br />system, or those persons directly responsible far gathering the nfom,ot n, the information submitted s, <br />penalties subm ttmg false informaton, ncluding p cob lity of fine and mpnsonment for knowing <br />citations <br />Q "} 9,2 C J <br />r U � `'r J✓`✓ <br />/ �. */_ <br />`-� � � � �'•" - ` <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />RFA <br />AREA NUMBER <br />MM /DD/YYYY <br />YPED OR PRINTED <br />O <br />PERMITTEE NAME/ADDRESS (include FacilityName/Location "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 />FROM <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />OIL & GREASE - I.B.1.E, PG. 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <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 />004A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />09/&l.f2609' <br />MM /DD/YYYY <br />� 3 /0 / f - 6 1 3 <br />TO <br />ss>- 3 t (a,t3 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />WWTF TO DEER TRAIL DITCH <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharger <br />Page 1 <br />