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PARAMETER <br />1 cercertify ' 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 directly r posed mgmry of the person or persons who manage the <br />system, or (hose ose persons directly responsibll e for or gathering the mCormanon, the information submitted is, <br />to the best of my knowled a and belief, true, accurate, and complete. l am aware that there are significant <br />pentanes for submitting fasemformsnon, including the possibility of fine and tmpnsonment for knowing <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 />* * * * ** <br />* * * * ** <br />* * * * *' <br />PERMIT <br />REQUIREMENT <br />* * * * ** <br />100 <br />MN VALUE <br />* * * * ** <br />ai <br />Quarterly <br />COMP - 3 <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />1 cercertify ' 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 directly r posed mgmry of the person or persons who manage the <br />system, or (hose ose persons directly responsibll e for or gathering the mCormanon, the information submitted is, <br />to the best of my knowled a and belief, true, accurate, and complete. l am aware that there are significant <br />pentanes for submitting fasemformsnon, including the possibility of fine and tmpnsonment for knowing <br />violations <br />/ �1 <br />(^� /f .� i r [ /5 L ( Q ` i1 , 'l ' <br />TELEPHONE <br />DATE <br />,;( �) 217eV <br />/� <br />,� �' <br />J <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />1 TYPED OR PRINTED <br />AREA Code <br />NUMBER <br />MM/DD/YYYY <br />PERMITTEE NAME/ADDRESS (Include Faci/ityName/Location if Different) <br />NAME: Bowie Resources LLC <br />ADDRESS: PO Box 483 <br />Paonia, CO 81428 <br />FACILITY: BOWIE NO. 2 MINE <br />LOCATION: 5 MI NE OF TOWN ON CO HWY 133 <br />PAONIA, CO 81428 <br />ATTN: BRADLEY E. HANSON, VICE PRES. <br />D EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <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 />C00044776 <br />PERMIT NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />FROM <br />010X <br />DISCHARGE NUMBER <br />TO -g91-30/2899-- <br />/( (((. // <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />(SUBR MH) DELTA <br />CHRONIC WET TESTING FOR 010A <br />External Outfall <br />I Mpproveo <br />OMB No. 2040 -0004 <br />No Discharge El <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 />