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PERMITTEE NAME/ADDRESS (/ nc/ udeFacilityNam &AocatlonifDiffereno <br />NAME: <br />Bowie Resources LLC <br />ADDRESS: <br />PO Box 483 <br />EX <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 001A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM -99A 4f2909 I TO 49139/2869 — <br />v Vo/ /�t„j -'/ /3, /,+, /.? <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR/MINE WTR TO DEER TRAIL DTCH <br />External Outfall <br />No Discharge 0 <br />PARAMETER <br />I '. emfyunderpenaltyoflawthatthisdocumentandallattachmentswerepreparedundermydi rnonor <br />s upen,ston to accordance wnh a system designed to assure that qualified persomeI properly gather end <br />evaluate the information submitted Based on my mquuy of the person or persons who manage the <br />system, or those persons directly responsible for gathenng the tnformatom, the information submitted is, <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />EX <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 />Penalhes r submitting false mformaaon, meludmg the possibility of fine and tmpmommemt 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 />MEASUREMENT <br />8406610 <br />PERMIT <br />Req. Mon. <br />Y =1;N =0 <br />Effluent Gross <br />REQUIREMENT <br />INST MAX <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I '. emfyunderpenaltyoflawthatthisdocumentandallattachmentswerepreparedundermydi rnonor <br />s upen,ston to accordance wnh a system designed to assure that qualified persomeI properly gather end <br />evaluate the information submitted Based on my mquuy of the person or persons who manage the <br />system, or those persons directly responsible for gathenng the tnformatom, the information submitted is, <br />^ <br />.(e <br />TELEPHONE <br />DATE <br />_ <br />—~ <br />to the best ofmy knowledge and beheQ hue, accurate and complete i am aware that there are stgm6cant <br />`'" <br />. g c_ <br />a <br />c` '• <br />Penalhes r submitting false mformaaon, meludmg the possibility of fine and tmpmommemt 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 />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, PG 4 -5 FOR <br />BURDEN OF 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 />