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PERMITTEE NAME /ADDRESS (/ nc/ udeFaci /itylVameAocationifDifferent) <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 I 009A <br />PERMIT NUMBER I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM - 69/et/2" TO 69f30t2999 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR DSCH /UNNMD TRIB /HUBBARD CRK <br />External Outfall <br />No Discharge <br />PARAMETER <br />cemfy under penalty of law that this document and all attachments were prepared under my it Lion or <br />supervrsmu in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the mformahon submitted. Based on my tquuy of the person or persons '==ago the <br />sysem, or those persons d,reetly res�onsrble forgathering the mformahon, the rnformahon submitted is, <br />to the best ofmy knowledge and belief, true, accurate, and complete 1 am aware that there are srgnrficant <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 />TYPED OR PRINTED <br />Oil and grease visual <br />SAMPLE <br />MEASUREMENT <br />8406610 <br />Effluent Gross <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 />cemfy under penalty of law that this document and all attachments were prepared under my it Lion or <br />supervrsmu in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the mformahon submitted. Based on my tquuy of the person or persons '==ago the <br />sysem, or those persons d,reetly res�onsrble forgathering the mformahon, the rnformahon submitted is, <br />to the best ofmy knowledge and belief, true, accurate, and complete 1 am aware that there are srgnrficant <br />TELEPHONE <br />DATE <br />- z <br />/Iy �l <br />.3 <br />_ <br />�laln onsarsubmnnng false information, including the possibdtty o ftiine and imprisonment for knowing <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />r <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />GOMMtN15 AND tAPLANATION OF ANY VIOLATIONS (Keterence all attaChment5 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 RPTD MEASUREMENTS -SEE I.A.3,PG. 4 -5 FOR BURDEN OF <br />PROOFREQUIREMENTS. OIL & GREASE- I.B.1.3, 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 />