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PERMITTEENAME /ADDRESS (/ nct udeFacd tyNatne/LocationifDifferel7o <br />NAME: <br />Bowie Resources LLC <br />ADDRESS: <br />PO Box 483 <br />NO. <br />EX <br />Paonia, CO 81428 <br />FACILITY: <br />BOWIE NO. 2 MINE <br />LOCATION: <br />5 MI NE OF TOWN ON CO HWY 133 <br />VALUE <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 008A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 09AM4 2%9 TO - 09/-39/4009 <br />Form Approved <br />OMB No. 2040 -0004 <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 Z <br />PARAMETER <br />«mfyand,,penal flavt hatthisdocument and all attac lwenl swereprepared under mydirecuonor <br />supenat m accordance wtth a system designed to assure that qualified personnel properly gather and <br />evaluate the mfomranon submrned. Based on my mgmry of the person or persons who mavage the <br />d=tiy for <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 />pe'aaltieesfor submitting false mformanon, mcludmgthe possbrhry off tend rmpr�sonment for knowing <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />Oil and grease visual <br />SAMPLE <br />.... "" <br />MEASUREMENT <br />840661 0 <br />PERMIT <br />"` "" <br />Req. Mon. <br />Y =1;N =0 <br />Effluent Gross <br />REQUIREMENT <br />INST MAX <br />Weekly <br />VISUAL <br />A/0 �e � <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />«mfyand,,penal flavt hatthisdocument and all attac lwenl swereprepared under mydirecuonor <br />supenat m accordance wtth a system designed to assure that qualified personnel properly gather and <br />evaluate the mfomranon submrned. Based on my mgmry of the person or persons who mavage the <br />d=tiy for <br />/ <br />.� <br />TELEPHONE <br />DATE <br />06-1-0 .�..^ <br />system, or those persons responsible gathenng the mfonnanon, the rnformahon sabmm d is, <br />to the best army knowledge and belief, true, accurate and complete I am aware that there are stgnficant <br />�i <br />G 3 <br />� )/ <br />pe'aaltieesfor submitting false mformanon, mcludmgthe possbrhry off tend rmpr�sonment for knowing <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />GUMM I:N Ib ANV hAPLANAI IUN OF ANY VIULAI IUNS (Keterence 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 />