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PERMITTEE NAME/ADDRESS ( /nc/ude Faci/ityName2ocaffon ifDiffereno <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 003A <br />PERMIT NUMBER I I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 09/94/2899 TO 9- <br />c"4loi Iau13 c:.r /Dc 13 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUER MH) DELTA <br />SR;DEER TRL DTC OR UNMD TRIB <br />External Outfall <br />No Discharge <br />PARAMETER <br />`e`niy"nderpenaltyoflawt hatt ht: doeumentandallanaeh— ts were prepared under mydireamnor <br />supen rsron m accordance with a system designed to assure that qualified personnel properly gather and <br />r-hrine the infomtauon submitted Based on my mquny of the person or persons who manage the <br />sysem, or those persons dtred(y nsponstble for gisthenng the mformahon, the information submdt d is, <br />to the best of my knowledge and belief, hue, accurate, and wmplete. l am aware hat here are srgmficant <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 />"° N <br />o <br />PED OR PRINTED <br />Oil and grease visual <br />SAMPLE <br />...... <br />MEASUREMENT <br />840661 0 <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 />`e`niy"nderpenaltyoflawt hatt ht: doeumentandallanaeh— ts were prepared under mydireamnor <br />supen rsron m accordance with a system designed to assure that qualified personnel properly gather and <br />r-hrine the infomtauon submitted Based on my mquny of the person or persons who manage the <br />sysem, or those persons dtred(y nsponstble for gisthenng the mformahon, the information submdt d is, <br />to the best of my knowledge and belief, hue, accurate, and wmplete. l am aware hat here are srgmficant <br />r �. <br />TELEPHONE <br />DATE <br />— <br />�'— 53 <br />C 1 /"t' 1 <br />/� /% <br />1 l <br />�nlattonsf orsubmmmgf alsemfotmanon, mc( uJmgthepossibthtyof fineandrmpnsonmentforknowmg <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA code <br />NUMBER <br />.X <br />MM /DD/YYYY <br />"° N <br />o <br />PED 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 />