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PERMITTEE NAME /ADDRESS (! nc/ udeFaci /ityName/LocationifDifferen!) <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 003A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 49AM12669 TO ­9949/2%9 <br />0$ lvl jt3 O S <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 />1 wmfy, under penalty of law that this document and all anachments wen prepare) under my ch— mn or <br />supe naswntnaewrdaneewrthasystemdesignedtoinsurethatquahficdp rsomelpmp rlygaheranJ <br />evaluate the mfonnalum submitted. Based on my inquiry ofthc person or persons who manage the <br />sysunn,­ the themformaeresubmmedan <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 />' C <br />polattes including mentforknowing <br />YPED OR PRINTED <br />Oiland grease visual <br />SAMPLE <br />..., ". <br />,,.,,, <br />. " " " ", <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 />(� t <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />1 wmfy, under penalty of law that this document and all anachments wen prepare) under my ch— mn or <br />supe naswntnaewrdaneewrthasystemdesignedtoinsurethatquahficdp rsomelpmp rlygaheranJ <br />evaluate the mfonnalum submitted. Based on my inquiry ofthc person or persons who manage the <br />sysunn,­ the themformaeresubmmedan <br />1 <br />r _ <br />l/ — <br />TELEPHONE <br />DATE <br />6)�� �' <br />/ 7) .o <br />4/� /V�`fl <br />/2v <br />t otheb stthosepersonsdc ..Jynsponstblefor ndc and <br />to the best oC my knowledge and bultef, true, accurate and —pl.. I am aware Nat there are s,gmficant <br />pl..Itam <br />for submitting false mf— tuin, Neposs ,bihtyoffineand,...... <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />I NUMBER <br />MM /DD/YYYY <br />' C <br />polattes including mentforknowing <br />YPED 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 />