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PERMITTEE NAME /ADDRESS (/ nc/ udeFaci /ilyAlame/LocafionifDiffereno <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 005A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM fi9/0T12Q09'~ TO --09=t26B9-- <br />� �l 0i /X/-6 6- /may 1_:)&l 3 <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 />emfyunderpemdl, onaw that thus document and allanaeh memswempreparednndermydueenonor <br />npersrsron n a «ord— e -ahasystemdesignedtoassnrc natgnahsedp soonelproperlygatherand <br />evaluate the mformenuon submitted 6aacd on my mq'try ofthe person or persons who manage the <br />system, or those persons drrcaly responsrblu for gathenng the mfomation, the mformauon submtted <br />best knowledge <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 />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED <br />Oiland grease visual <br />SAMPLE <br />,,.... <br />NUMBER <br />MM /DD/YYYY <br />,,,,„ <br />,,,,,, <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 I <br />I <br />INST MAX <br />Weekly <br />VISUAL <br />) \ C CJCX�'d'-'��? <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />emfyunderpemdl, onaw that thus document and allanaeh memswempreparednndermydueenonor <br />npersrsron n a «ord— e -ahasystemdesignedtoassnrc natgnahsedp soonelproperlygatherand <br />evaluate the mformenuon submitted 6aacd on my mq'try ofthe person or persons who manage the <br />system, or those persons drrcaly responsrblu for gathenng the mfomation, the mformauon submtted <br />best knowledge <br />TELEPHONE <br />DATE <br />` <br />/e <br />Ipc <br />to the of my and belief, hue, a -mate. and complete I am aware that iherc arc significant <br />v laluomsfor submmmgfalse mformanon, including the possibility of fine and tmpnsonrnent for knowmg <br />o <br />, `J <br />�` / <br />lJ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />liV vuvi Gm Io AIYV CArLA%wm I IVIV Vr /11VT VIVLAI IVN0 tKeTerence an attacriments 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 - LCA0, PG. 10. <br />EPA Form 3320.1 (Rev.01 106) Previous editions may be used. Page 2 <br />