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PERM ITTEE NAME/ADDRESS ( lnctudeFacitityName /LocationifDiffeieno <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 />000044776 001A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY I MM /DD/YYYY <br />FROM -e9/84/2G99 -- TO -e9/3B/2665- <br />0R tc" IDl:,(5 C) &(5 - / i3 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR/MINE WTR TO DEER TRAIL DTCH <br />External Outfall <br />No Discharge ❑ <br />PARAMETER <br />Ieermfy under penalty oflaw that this docnment And ail attachments werep repared under mydtmeuonor <br />supen tswn in accordance w tth a system dwtgned to assure that qualified personnel properly gather and <br />valuate the information submnted Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the mformauon, the information submitted is, <br />to the best of my knowledge and belief, true accurate and complete I am aware that there are s,gmfi t <br />penalties rsubmmmgfalse mformauon, mcludmgthe posvbdtryoffinc and impnsonment fwknowmg <br />violations <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 />Oiland grease visual <br />SAMPLE <br />...... <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 <br />INST MAX <br />Weekly <br />VISUAL <br />� I <br />G <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />Ieermfy under penalty oflaw that this docnment And ail attachments werep repared under mydtmeuonor <br />supen tswn in accordance w tth a system dwtgned to assure that qualified personnel properly gather and <br />valuate the information submnted Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the mformauon, the information submitted is, <br />to the best of my knowledge and belief, true accurate and complete I am aware that there are s,gmfi t <br />penalties rsubmmmgfalse mformauon, mcludmgthe posvbdtryoffinc and impnsonment fwknowmg <br />violations <br />✓ <br />- <br />TELEPHONE <br />DATE <br />1 <br />1/ tL4 s f ✓ <br />- <br />_ <br />L'_ a �C'" <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />/TYPED OR PRINTED <br />I.VIY1 fin CN Io ANU CArLANAI IUN Ur' ANT VIVLAI TUNS (Keterence an 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, PG 4 -5 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE - 1.6.1,3, 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 />