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PERMITTEE NAME /ADDRESS (Include Facility Name /LocationifDirferent) <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 002 -X <br />PERMIT NUNIBER DISCHARGE IMMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />07/0112013 09130/2013 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81524 <br />MINOR <br />(SUBR DW) GRFLD <br />CHRONIC WET TESTING FOR 002A <br />External Outfall <br />No Discharge = <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 />%Effect Statre 7Day Chronic <br />Pimephales <br />TCP6C S 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />, ebb <br />* * * * ** <br />* * * * ** <br />PERMIT <br />I REQUIREMENT <br />* * * * ** <br />RRRRRR <br />RRRRRR <br />100 <br />MN VALUE <br />RIMRRR <br />RRRRRR <br />% <br />Quarterly <br />COMP -3 <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER 1 certify under penalty of law that this document and all attachments were prepared under my direction or TELEPHONE DATE <br />supervision in accordance wth a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the a <br />system, or those persons directly responsible for gathering the information, the information submM1t al is, L <br />to the best of my knowledge and belief, true, accurate, and complete I am aware that the <br />J. E. Stover, Agent re 970-245-4101 <br />TYPED significant penalties for submitting false information, including the possibility of fine and impnsonment for GNATU OF PRINCIPAL EXECUTIVE OFFICER OR <br />vowing violations AUTHORIZED AGENT <br />TYPED OR PRINTED ARF+cod• I NUMBER MfdDDrfYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.A.3 FOR DETAILS OF TEST PROCEDURE. REPORT LOWEST % EFFLUENT ATWHICH STATISTICALLY SIGNIF DIFFBTWN TEST & CONTROL WAS OBSERVED USING TEST CODE "S ". <br />REPORT IC25 USING TEST CODE "P ". IWC= 100 %.ATTACH CHRONIC TOXICITY TEST REPORT FORM TO DMR. <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. 06/24/2013 Page 2 <br />3 <br />