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PARAMETER <br />s certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the information submitted Based on my mqutry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant <br />penalties for submitting false information, maudlin the possibility of fine and tmpnsomnent for Imowmg <br />violations <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 />%Effect Statre 7Day Chronic <br />Pimephales <br />TCP6C S 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />.... ** <br />;.;*;f' <br />*** <br />MM/DD/YYYY <br />***It** <br />" "" <br />PERMIT <br />REQUIREMENT <br />n* * * ** <br />* * * * ** <br />100 <br />MN VALUE <br />* ~* ** <br />% <br />Quarterly <br />COMP - 3 <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />s certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the information submitted Based on my mqutry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant <br />penalties for submitting false information, maudlin the possibility of fine and tmpnsomnent for Imowmg <br />violations <br />` <br />.1 . 4 °- • / ►will <br />TELEPHONE <br />DATE <br />D GG Q <br />' <br />r <br />• a.3`� <br />O <br />arm- _ v <br />7"'�z n e Y <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />OR <br />AREA Code <br />NUMBER <br />MM/DD/YYYY <br />PERMITTEE NAME/ADDRESS (Include FacitityName/Location if Different) <br />NAME: <br />ADDRESS: <br />FACILITY: <br />LOCATION: <br />Bowie Resources LLC <br />PO Box 483 <br />Paonia, CO 81428 <br />BOWIE NO. 2 MINE <br />5 MI NE OF TOWN ON CO HWY 133 <br />PAONIA, CO 81428 <br />ATTN: BRADLEY E. HANSON, VICE PRES. <br />NTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. <br />FROM <br />DISCHARGE MONITORING REPORT (DMR) <br />C00044776 <br />PERMIT NUMBER <br />006X <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY <br />02/01/2048- I " <br />MM /DD/YYYY <br />02/28/204e (I- <br />TO <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />CHRONIC WET TESTING FOR 006A <br />External Outfall <br />OMB No. 2040-0004 <br />No Discharge <br />SEE PART I.A.6 FOR DETAILS OF TESTPROCEDURE. RPT RESULTS OF LETHALITY DERIVS AS " %EFFECT ", GROWTH ANDREPROD DERIVS AS "TOXICITY ". RPT LOWEST % EFFL AT WHICH STATISTICALLY SIGNIF DIFF BTWN <br />TEST & CONTROLWAS OBSERVED USING "5 ". RPT IC25 USING "P ". IWC= 100 %. ATTACH TOX RPT FORM TO DMR. <br />Page 2 <br />