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PERMITTEE NAME/ADDRESS (include Faci /ityName/Locationif Different) <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 002A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />FROM 9—" TO 99/38f2009- <br />4,T) / o/ I3v ij C; ) I '�/ 1;),j,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 />lee mf y under penalty of law that this document and all attachment ,, were prepared under mydrmumnor <br />supen rston in accordance w dh a system designed to assure that qualified personnel properly gather and <br />evaluate the in submreed Based on my ,.qu,ry of the person or persons who manage the <br />system or those persons dma:dy responsrbk for gathenng the mformatwn, the mformaeon submrcted is, <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 />AREA Code NUMBER <br />... <br />MM /DD/YYYY <br />JL. r e- <br />penalties latmsforsubmrttmgf alsemformanon, mcludmgthepossbdnyo <br />TYPED OR PRINTED <br />Oil and grease visual <br />SAMPLE <br />...... <br />"C <br />...... <br />MEASUREMENT <br />/ <br />840661 0 <br />PERMIT <br />Reqq. Mon. <br />Y =1;N =0 <br />`••••' <br />'••••' <br />* " "• <br />" "" <br />Effluent Gross <br />REQUIREMENT <br />INS T MAX <br />Weekly <br />I VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />lee mf y under penalty of law that this document and all attachment ,, were prepared under mydrmumnor <br />supen rston in accordance w dh a system designed to assure that qualified personnel properly gather and <br />evaluate the in submreed Based on my ,.qu,ry of the person or persons who manage the <br />system or those persons dma:dy responsrbk for gathenng the mformatwn, the mformaeon submrcted is, <br />,/ <br />TELEPHONE <br />DATE <br />2D)9, <br />_I� <br />% <br />m the best of my knowledge and bchcf, uue, accurate and campkte I am aware that there are sigmficam <br />ffineandrmpnsonmcntforknowing <br />J <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />... <br />MM /DD/YYYY <br />JL. r e- <br />penalties latmsforsubmrttmgf alsemformanon, mcludmgthepossbdnyo <br />TYPED OR PRINTED <br />GOMMEN IS AND EXPLANATION OF ANY VIOLATIONS (Reterence 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.1.3, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />EPA Form 3320.1 (Rev.01 /06) Previous edltions may be used. Page 2 <br />