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PERMITTEENAME/ADDRESS (/ nctudeFacdityName /LocationifDiffereno <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 09 4V2989 TO I <br />c,)lo)�13 1-3 <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 />I cemfy under penalty of law that this document and all attachments were prepared under my direction or <br />supentstonin-- dancewnhasystemde stgned1, assuelotquahfiedp ersonnelpmperlygaherand <br />evaluate the mformatmn submitted. eased on my mgmry of the person or persons who manage the <br />system, or those persons dimity responsible for gathering the information the information submmed is. <br />the best of my knowledge and belief, true, accurate and wmplete 1 am aware that there arc sigmficavt <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 />Oil and grease visual <br />SAMPLE <br />MEASUREMENT <br />,,. „. <br />AUTHORIZED AGENT <br />AREA Code <br />,,,,,, <br />,,,,,, <br />/� <br />l <br />�� <br />840661 0 <br />PERMIT <br />'' "'" <br />Req. Mon. <br />Y =1;N =0 <br />"•` " "• <br />...... <br />". *.. <br />•• * *•• <br />Effluent Gross <br />REQUIREMENT <br />I <br />INST MAX <br />Weekly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I cemfy under penalty of law that this document and all attachments were prepared under my direction or <br />supentstonin-- dancewnhasystemde stgned1, assuelotquahfiedp ersonnelpmperlygaherand <br />evaluate the mformatmn submitted. eased on my mgmry of the person or persons who manage the <br />system, or those persons dimity responsible for gathering the information the information submmed is. <br />the best of my knowledge and belief, true, accurate and wmplete 1 am aware that there arc sigmficavt <br />r <br />- <br />TELEPHONE <br />DATE <br />�� <br />j <br />-,� <br />/ / f <br />penelacs for submrtnng false mfonnatwn, including the possibility off a and imprisonment for knowing <br />violations <br />I ,7Jy <br />✓ �r <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />__J <br />TYPED OR PRINTED <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />I <br />MMIDD/YYYY <br />vvmma -n ry Mr.v �nr LM1 \M1 w1. yr Mill V1WLM11W1lQ,Reference 011 allaunments nere) <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 - I.C.10, PG. 10. <br />EPA Form 3320 -1 (Rev.01 106) Previous editions may be used. Page 2 <br />