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PERMITTEE NAME /ADDRESS (Include FacdifylVame/Locafion ifDiffereno <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 PRIES <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00044776 007A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 0 TO I --09130/2009 <br />0-2101 1 L3 o 2 & 130J3 <br />Form Approved <br />OMB No, 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCHG OF SR TO GUNNISON RIVER <br />External Outfall <br />No Discharge[D <br />PARAMETER <br />C ' l" nn derp ena try nnawmatthisdocumen tandall attachment,, wer prepared under mydire,tmnor <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 />to the best of my knowledge and belief, true, acwrate and complete I am aware that there are significant <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />Oiland grease visual <br />SAMPLE <br /><.<... <br />...,., <br />.,..,. <br />...... <br />...... <br />MEASUREMENT <br />840661 0 <br />PERMIT <br />...... <br />eq. Mon. <br />_ ;N =O <br />...,_. <br />...... <br />....., <br />„.,.. <br />Effluent Gross <br />I REQUIREMENT <br />INST MAX <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />C ' l" nn derp ena try nnawmatthisdocumen tandall attachment,, wer prepared under mydire,tmnor <br />TELEPHONE <br />DATE <br />supen ision in accordance x dh a system designed to assure that qualified personnel properly gather and <br />evaluate the to submitted, Based on my mgmry of the person or persons who manage the <br />system, or those persons directly rexponsibZ for gathering the information the mfonnanon submoted is, <br />J <br />1 <br />'1 <br />l �� 1,--,b / <br />to the best of my knowledge and belief, true, acwrate and complete I am aware that there are significant <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />penalnes <br />1. nonsorsubmnnngf alsemfotmanon, includingthepasnbihryoffineandimprisonmen t( knowing <br />o <br />PED 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,01 106) Previous editions may be used. Page 2 <br />