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PERMITTEE NAME /ADDRESS (Include Facility Name/Location if Different) <br />NAME: McClane Canyon Mining, LLC <br />ADDRESS: P.O. Box 98 <br />Loma, CO 81524 <br />FACILITY: MCCLANE CANYON MINE <br />LOCATION: 3148 HIGHWAY 139 <br />LOMA, CO 81524 <br />ATTN• Gary Isaac, Mine Manager <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038342 001 -A <br />PERMIT NU A E M <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />09/01/2013 09/30/2013 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81524 <br />MINOR <br />(SUBR DW) GRFLD <br />SEDI POND DSCHRG TO E SALT CR. <br />External Outfall <br />No Discharge 50 <br />PARAMETER <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 />Oil and grease visual <br />840661 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <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 />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were prepared under my direction or TELEPHONE DATE <br />supervision in accordance wain a system designed to assure that qualified personnel properly gather and <br />valuate the information submeted Based on my Inquiry of the person or persons who manage the <br />system, or those person responsible for gathering the Information, the information submitted <br />J. E. Stover, Agent to the beet of my knowledge and belief, true, accurate, and complete I am aware that there are 970 245 4101 <br />significant penalties for submitting false Information, Including the possibility of fine and Imprisonment for SIGN - - <br />PRINCIPAL EXECUTIVE OFFICER OR JD /% <br />TYPED OR PRINTED nowng wolabons AUTHORIZED AGENT AREA Code I NUMBER MM /DDIYYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, & SETTLEABLE SOLIDS LIMITS APPLIED FOR ­1 RECIP EVENT;TSS, IRON & SETTLEABLE SOLIDS LIMITS WAIVED FOR >10YR,24HR <br />PRECIP EVENT - ATTACH DOCUMENTATION -SEE I.A.3.0I1- & GREASE REPORTING -SEE I.B.1.C. 30 DAY AVG IS HIGHEST MONTHLY AVG DURING PERIOD RPTD. TDS - 1.B.2. <br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. 06/24/2013 Page 2 <br />