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PERMITTEE NAME/ADDRESS ( /nctude FacdityName /Location if Different) <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 PRIES <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 /DD/YYYY MM /DD/YYYY <br />FROM G9iet Z0V9' TO 08/3842889 <br />0'!V0t /-!)b 13 c;✓ lit <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 />nfyondnr cttonor <br />an. oahasysemdesgnedtoassunaha entsw<rcprcparedundermy direction <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 />to the best of my knowledge and ix:hcf, true, accurate and wmpletc I em aware that there are ssgntficant <br />�O <br />_ J <br />L1) a � 1 n P/ <br />Oil and grease visual <br />SAMPLE <br />...... <br />NUMBER <br />MM /DD/YYYY <br />...... <br />...... <br />MEASUREMENT <br />840661 0 <br />PERMIT <br />...... <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 />nfyondnr cttonor <br />an. oahasysemdesgnedtoassunaha entsw<rcprcparedundermy direction <br />TELEPHONE <br />DATE <br />sup - or <br />a•n a n ­or y g quahficd persona I ram rly gath<r and <br />at <br />luate the information submnt<d "used on my inquiry of the person or persons who anago the <br />system, or those persons directly rcsponstble for gathering the information, the mfomnauon submitted is. <br />^^ <br />/Y ' <br />' <br />to the best of my knowledge and ix:hcf, true, accurate and wmpletc I em aware that there are ssgntficant <br />�O <br />_ J <br />L1) a � 1 n P/ <br />Pe lattonsfor submming false mformatton, including the possibility of fine and tmpnsonment for knowing <br />n <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />GUMMtN I S ANU ldCPLANA I IIJN or ANY VIOLA I IONS (Keterenee 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 - 1.8.1.3, 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 />