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PERMITTEE NAME /ADDRESS (117c/ udeFaci /dyName4ocation/fDiKereno <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 />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00044776 005A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DDIYYYY MM /DD/YYYY <br />FROM 09/E)V2669 -- TO 09,< GkVQ8 -- <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR;DEER TRL DTC OR UNMD TRIB <br />External Outfall <br />No Discharge EJ <br />PARAMETER <br />1 cemfy undo, penalty of law that this document and all attachments were prepared under my direction or <br />supenrsronm accordance wdhasystemdes rgnedtoainam, that quah fiedpesound properly gatherand <br />evaluate the information submitted Based on my mqurry of the person or persons who manage the <br />system, or those persons directly responsrble for gathcnnd the the ethamatwn rs. <br />knowledge <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 />o <br />—1 inus�f orsubmrttmgfalsemfomunon, tndudrngthopossrbdrryoffineandrmpnsonmentforknowmg <br />o <br />TYPED OR PRINTED <br />Oil and grease visual <br />SAMPLE <br />..< « «« <br />. « «.„ <br />.. «.« <br />.< «... <br />MEASUREMENT <br />..«..« <br />6 <br />�y^ <br />8406610 <br />PERMIT <br />Req. Mon. <br />Y =1;N =0 <br />... <br />" "'• <br />" «."' <br />« « "" <br />Effluent Gross <br />REQUIREMENT <br />INST MAX <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 cemfy undo, penalty of law that this document and all attachments were prepared under my direction or <br />supenrsronm accordance wdhasystemdes rgnedtoainam, that quah fiedpesound properly gatherand <br />evaluate the information submitted Based on my mqurry of the person or persons who manage the <br />system, or those persons directly responsrble for gathcnnd the the ethamatwn rs. <br />knowledge <br />• �/r - !_ <br />TELEPHONE <br />DATE <br />!�� � C•t ' 7 <br />C (/ <br />✓ ` � <br />to the best of my complete. I am re signed <br />and belief, true, accurate, and compty l am aware that there am srgmficant <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MWDDIYYYY <br />o <br />—1 inus�f orsubmrttmgfalsemfomunon, tndudrngthopossrbdrryoffineandrmpnsonmentforknowmg <br />o <br />TYPED OR PRINTED <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.E, PG 9. QRTRLY SAMPLING INSTRUCTIONS - I.C.10, PG. 10. <br />EPA Form 3320.1 (Rev.01 /06) Previous editions may be used. Page 2 <br />