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PERMITTEENAME/ADDRESS (Include Faci /ityName✓LocationifDiffereno <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 I MM /DD/YYYY <br />FROM -G9/fi4t2ee9- TO I -09t et005 -- <br />e), 5 / C//'A'-n n_5 13 / 1,)'o 13 <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 <br />PARAMETER <br />1 comfy under penalty of law that thu document and all anachments were prepared under my direction or <br />s upon rst onrnaccordancewdhasystemdesignedtoassurc hat quahfcdpersonnclpropedygamerand <br />evaluate the mtonnahon submntcd Based on my mgwry of the person or persons whho manage the <br />system, or those persons directly responvbc accgathering the mfonnation, the information submntcd is, <br />to the Ist of my knmvledge and belief, true, accurate and complerc f am aware that there are sign team <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 />... ". <br />",..., <br />MEASUREMENT <br />8406610 <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 />1 comfy under penalty of law that thu document and all anachments were prepared under my direction or <br />s upon rst onrnaccordancewdhasystemdesignedtoassurc hat quahfcdpersonnclpropedygamerand <br />evaluate the mtonnahon submntcd Based on my mgwry of the person or persons whho manage the <br />system, or those persons directly responvbc accgathering the mfonnation, the information submntcd is, <br />to the Ist of my knmvledge and belief, true, accurate and complerc f am aware that there are sign team <br />TELEPHONE <br />DATE <br />penalties for submnnng false information. mcludmg the possibility of fine and imprisonment for knowing <br />violaoons. <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, PP 4 -5 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE- 1.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 />