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PERMITTEE NAME/ADDRESS (Include Faci/ityName/Locafion dDiBereno <br />NAME: <br />Bowie Resources LLC <br />ADDRESS: <br />PO Box 483 <br />EX <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 I 008A <br />PERMIT NUMBER I I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 69/94128@9 TO 49/•S000 9_, <br />�70�1/l cv-?131 1�zat3 <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />DSCGH OF SR TO GUNNISON RIVER <br />External Outfall <br />No Discharge <br />PARAMETER <br />Icemfyander penalty ofla, that this document and all attachments wereprepared under mydireenenor <br />supen taon m accordance x dh a system designed to assure that quahr, d personnel properly gather and <br />valuate the information submitted Based on my inquiry of the person or persons who manage the <br />those for gat <br />system, or those persons drteclly responsible for gathering the mformatron, the mfortnanon submmed is. <br />i . <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />EX <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 />penanonsforsubmumgf alsemforramn, mcludmgtheposstbdrcyoffncandtmpnsonment forknowmg <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 />Req. Mon. <br />Y =1;N =0 <br />a' "' "' <br />' " "•• <br />" " " " "' <br />" " " "" <br />Effluent Gross <br />REQUIREMENT <br />INST MAX <br />r_ <br />Weekly <br />VISUAL <br />NAMEITITLEPRINCIPALEXECUTIVEOFFICER <br />Icemfyander penalty ofla, that this document and all attachments wereprepared under mydireenenor <br />supen taon m accordance x dh a system designed to assure that quahr, d personnel properly gather and <br />valuate the information submitted Based on my inquiry of the person or persons who manage the <br />those for gat <br />system, or those persons drteclly responsible for gathering the mformatron, the mfortnanon submmed is. <br />i . <br />/ <br />�, <br />TELEPHONE <br />DATE <br />L <br />n <br />to the best knowledge anJ M;hcf, iron. unt c and complem 1 am aware that there arc s%.d <br />v' l <br />G�'_ <br />T 13 <br />1. <br />�% <br />% e _" Y- <br />penanonsforsubmumgf alsemforramn, mcludmgtheposstbdrcyoffncandtmpnsonment forknowmg <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />f Y ED 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 /06) Previous editions may be used. Page 2 <br />