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PARAMETER <br />1 comfy 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 />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 />a " ".., <br />,,,,.. <br />.. ". "" <br />PERMIT <br />REQUIREMENT <br />100 <br />MN VALUE <br />% <br />Quarterly <br />COMP -3 <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 comfy 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 />'A A _.Of <br />TELEPHONE <br />DATE <br />A 1 �j� I /I - <br />�+ `(�/ °'♦e "" �` e <br />I t th • f t b tied Based on my inquiry of the person or persons who manage the <br />system, or those persona directly responsible for gathenng the information, the information submitted is, <br />to the best any knowledge and belief, hue, accurate, and complete 1 am aware that there gm f t <br />penalties <br />o lations or submitting false information, including the possibility of fine and tmpnsonment for knowing <br />rr <br />20 /' 5;1 ) <br />J / <br />, <br />/ / 1 <br />r f/ Y / <br />S IGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA code <br />NUMBER <br />MM/DD/YYYY <br />PED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include FacilityName2ocation 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 />EPA Form 33204 (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 />99/01 <br />MM /DD/YYYY <br />-- 89f3B/2Oe9- <br />TO <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 />