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PARAMETER <br />I oemfy under penalty of law that this document and all attachments were prepared under my mreenon or <br />s upervision m accordance with asystem designed to assure that qualified personnel properly gather and <br />evaluate the information aubmttted Based on my mqutry of the person or persons who manage the <br />system, or those persons directly responsible for gat enn the mfotmatton, the eted is, <br />to the best those se knowledge and r of, true, truc for urae. and d wmplem I am aware that hat there there ate re ow wg n e d ant <br />penalties for submttmg false information, including the possibrhry of fine and imprisonment for knowing <br />violation. <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 />,..,,. <br />PERMIT <br />REQUIREMENT <br />""" "" <br />100 <br />MN VALUE <br />% <br />Quarterly <br />COMP -3 <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I oemfy under penalty of law that this document and all attachments were prepared under my mreenon or <br />s upervision m accordance with asystem designed to assure that qualified personnel properly gather and <br />evaluate the information aubmttted Based on my mqutry of the person or persons who manage the <br />system, or those persons directly responsible for gat enn the mfotmatton, the eted is, <br />to the best those se knowledge and r of, true, truc for urae. and d wmplem I am aware that hat there there ate re ow wg n e d ant <br />penalties for submttmg false information, including the possibrhry of fine and imprisonment for knowing <br />violation. <br />//l �� L_ JF��7� r <br />T ELEPHONE <br />DATE <br />r/�, �� <br />ew G (w 1 !� 4 Or/ <br />///CCC SLY, C <br />10 d29= ` M <br />9 7 • a ` I — .�.7/ <br />6 / V / //.2a / 2 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /DD/YYYY <br />U j TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location ifDifferent) <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 />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00044776 <br />PERMIT NUMBER <br />006X <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />09494/`2009' <br />MM /DD/YYYY <br />99/3012009 <br />516 t 16)orl— <br />TO <br />dc¢chw,y -e <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />CHRONIC WET TESTING FOR 006A <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge ){ <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <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 "S ". RPT IC25 USING P. IWC =100 %. ATTACH TOX RPT FORM TO DMR. <br />Page 2 <br />