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PERMITTEE NAME/ADDRESS (Include FacdifyName/Locafion lfDifferel7o <br />NAME: <br />Bowie Resources LLC <br />ADDRESS: <br />PO Box 483 <br />O. <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 003A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MMIDD/YYYY MM /DD/YYYY <br />FROM -09/6t/Lt TO — 09/39Q00 <br />0 -? /C <br />I 1 13 <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 0 <br />PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under m direction or <br />sir en tstonmaceordancewnhas system oassurcthat ualrficd ".Pc <br />vx y q personnel <br />e luate the information submitted Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the information, the information submitted is, <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />O. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED <br />Oil and grease visual <br />SAMPLE <br />MEASUREMENT <br />,,,,,, <br />NUMBER <br />—'�� <br />('7 <br />(x�z- <br />84066 1 0 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />" "" <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />"• "' <br />• " "• <br />"• *'• <br />"• "' <br />weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under m direction or <br />sir en tstonmaceordancewnhas system oassurcthat ualrficd ".Pc <br />vx y q personnel <br />e luate the information submitted Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the information, the information submitted is, <br />TELEPHONE TELEPHONE <br />DATE <br />L <br />to the best of my knowledge and belief, true accurate and complctc I am aware that there are stgmficaa <br />pelaa4oe�f orwbmmmgf alscmformanogmclodrvgthcpossrbilnyoffineandtmpnsonmcntforknewmg <br />n <br />rj� / '3 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MMIDDrfYYY <br />VVIYIIVICp110 IA14U CAl- LAMA I IVIV Vr ANT VIVLAI IVN0 tKererence an artacnments 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- I.B.1.E, PG 9. QRTRLY SAMPLING INSTRUCTIONS- I.C.10, PG. 10. <br />EPA Form 3320.1 (Rev.01106) Previous editions may be used. Page 2 <br />