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psnMnTss NAME/ADDRESS (Include Facility mm°u""tio"ifo��"o <br />wmws 80wIE RES0JRCE1,3 LLC <br />ADDRESS BOWIE NO. 1 MINES <br />F O G(J), 483 <br />PAONIA CO 81428 <br />FACILITY <br />BOWIE NO. 1 MINES <br />Locxrom <br />' PAONIA B <br />CD �142 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DvwR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR Mp� DAY YEAR MO DAY <br />FROM To <br />Form Approved. <br />OMB No. 2040'000 <br />MINOR <br />(SU8R MH) <br />F — FINAL <br />DlSCH TO ST V ENS GUL'CM <br />NOTE: Read Instructions before completing this form. <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />No. <br />FREQUENCY <br />SAMPLE <br />>< <br />EX <br />OF <br />ANALYSIS <br />TYPE <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />�'H <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />SAMPLE <br />SUSPENDED <br />MEASUREMENT <br />AYV e— <br />SAMPLE <br />MEASUREMENT <br />01 S 4 <br />PERMIT <br />REQUIREMENT <br />GROSS VALU,. <br />MEASUREMENT <br />%, <br />PERMIT <br />EFFLUENT GROSS VALIj-_ <br />REQUIREMENT <br />TNST !-!'X <br />iv! <br />SAMPLE <br />THRU TREATMENT PLANT <br />MEASUREMENT <br />EFFLUENT GROSS VAjj_j, <br />REQUIREMENT <br />"C AVC, <br />SAMPLE <br />4. <br />EFFLUENT GROSS VALU11 <br />REQUIREMENT <br />ir"I'S T. MAX <br />N0=0 <br />SAMPLE <br />PERMIT <br />REQUIREMENT <br />NAMErrlT,LE PRINCIPAL EXECUTIVE OFFICER <br />I cerfily under penalty of law that this document and all attach ents were <br />prepared under my direction or supervision in accordance with a system designed <br />to assure that qualified personnel properly gather and evaluate the'information <br />TELEPHONE <br />DATE <br />irl vice- <br />submitted. Based on my inquiry of the person or persons who manage the system, <br />\4 '11 ope oq 0173 <br />Ari <br />or those persons directly responsible for gathering the information, the information <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />2 <br />6�5%r <br />61 <br />I A, <br />i,am aware that them are significant penalties for submitting false information, <br />icluding the possibilitv of fine and impri%onment for know ing %iolafion, <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />OFFICER OR AUTHORIZED AGENT <br />66 <br />TYPED OR PRINTED <br />AREA <br />CODE <br />-NUMBER <br />YEAR <br />MO <br />DAY <br />comMEm/uxmoExpLAmx//omu+ ANY v/oLx//umu(/omn»noo all attachments here) <br />T�ELEABLE SOLIDS LIMIT WAIVED FOR 10—YR. =24 HR PRECIP EVENT SUBJECT TO BURDEN OF PROOF REQUIREMENTS IN <br />PART I.8 6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE DIVSION WITHIN 48 HOURS, <br />EPA Form 3320-1 (Rev. 3/9o) Previous editions may be used. PAGE �`� op <br />