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PERMITTEENAME/ADDRESS (/ nc/ udeFaci /ityName/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 009A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 094U20A9 TO 09/8O=M <br />0 la�)3 b� /311a-a 13 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />SR DSCH /UNNMD TRIB /HUBBARD CRK <br />External Outfall <br />No Discharge <br />PARAMETER <br />e nfy under penalty of that this document and all atraehments were prepared under my dunenon or <br />super atonmaecor danccnnhasysnmdesgnedto assurcthatquah ficdpersannelproperlygamerand <br />evaluate the mfonvahon submrtmd Based on my mgmry of the person or persons who manage th c <br />system, or those persons dar tly responsible for gathering the information the mfortnatton submuted rs, <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 />penalltiesf orsubmntmgf alseinformation .unludmgthepossrbthtyoff eandmap, nmentfa,knowmg <br />o <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 />Req. Mon. <br />Y =1;N =0 <br />•`•••• <br />•••••` <br />••••.. <br />••• *'• <br />Effluent Gross <br />REQUIREMENT <br />INST MAX <br />Weekly <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />e nfy under penalty of that this document and all atraehments were prepared under my dunenon or <br />super atonmaecor danccnnhasysnmdesgnedto assurcthatquah ficdpersannelproperlygamerand <br />evaluate the mfonvahon submrtmd Based on my mgmry of the person or persons who manage th c <br />system, or those persons dar tly responsible for gathering the information the mfortnatton submuted rs, <br />TELEPHONE <br />DATE <br />to the best of my knowledge and belief, true, accurate, end wmplete I am aware that there am stgm6cant <br />r <br />/ <br />/� f <br />f <br />penalltiesf orsubmntmgf alseinformation .unludmgthepossrbthtyoff eandmap, nmentfa,knowmg <br />o <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />YP D 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 RPTD MEASUREMENTS -SEE I.A.3,PG. 4 -5 FOR BURDEN OF <br />PROOFREQUIREMENTS. OIL & GREASE - 1.8.1.3, 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 />