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PERMITTEE NAME/ADDRESS (/ nc/ udeFacdltyName2ocafionifDifreren41 <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 002A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DDIYYYY MM /DD/YYYY <br />FROM 0910172UM TO @9tSeROG9, <br />o 4 (Gi bv13 4 13o /awJ <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 <br />PARAMETER <br />tcemfy under Penalty otlaw that this documentand all attachmentswereprepared underd dir;ebim or <br />suertify onm Penult oflao,ha third designed to assure ihments fiedprepared made, m gather and <br />valuate the information submitted. Based im my inquvy of the person or persons who manage the <br />sysrcm, onhox persons dui,etly responsible for gathering the information, the information submitted is. <br />to the besl of my knowledge and Thef, true, accurate. and coulete 1 am aware that there are significant <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 />` <br />violations <br />TYPED OR PRINTED <br />Oil and grease visual <br />SAMPLE <br />MEASUREMENT <br />.,*.** <br />� <br />*.•. ". <br />. "** *, <br />* *•.., <br />. *...a <br />a <br />�7 <br />4/ <br />840661 0 <br />Effluent Gross <br />PERMIT <br />I REQUIREMENT <br />" "`• <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />"' "" <br />'•`••' <br />• * *' *' <br />'•• * "" <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />tcemfy under Penalty otlaw that this documentand all attachmentswereprepared underd dir;ebim or <br />suertify onm Penult oflao,ha third designed to assure ihments fiedprepared made, m gather and <br />valuate the information submitted. Based im my inquvy of the person or persons who manage the <br />sysrcm, onhox persons dui,etly responsible for gathering the information, the information submitted is. <br />to the besl of my knowledge and Thef, true, accurate. and coulete 1 am aware that there are significant <br />� <br />TELEPHONE <br />DATE <br />�..� <br />` _� <br />/ - <br />, <br />C/ <br />- <br />penaWes far submitting false information, including the possibility of fine and imprisonmeut for knowing <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />` <br />violations <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.1.3, 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 />