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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 />DISCHARGE MONITORING REPORT (DMR)
<br />000038342 002 -X
<br />PERMIT U I DISCHARG
<br />MONITORING PERIOD
<br />MM /DD/YYYY MM /DD/YYYY
<br />10/01/2013 12/31/2013
<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 a
<br />PARAMETER
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<br />QUANTITY
<br />OR LOADING
<br />QUALITY OR CONCENTRATION
<br />NO.
<br />EX
<br />FREQUENCY
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<br />SAMPLE
<br />TYPE
<br />VALUE
<br />VALUE
<br />UNITS
<br />VALUE
<br />VALUE
<br />VALUE
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<br />MEASUREMENT
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<br />See Comments
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<br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that ;Is document and all attachments were prepared under my direction or TELEPHONE DATE
<br />supervision in accordance with a system designed to assure that qualified personnel property gather and
<br />Iuate th Information submitted. Based on my Inquiry of the person or persons who manage the
<br />system, or Base persons directly responsible for gathering the Information, the Information submitted le,
<br />J. E. Stover, Agent nt to the best of my knowledge and belief, into, accurate, and complete. I am aware that them ere
<br />g signi ficant penafilesforsubmmingfalseinformation, naading thepossibilityofnneandImpri sonmentfor SIGNA RE OF PRINCIPAL EXECUTIVE OFFICER OR 970 - 245 -4101
<br />vowing violations. AUTHORIZED AGENT
<br />TYPED OR PRINTED �F -ACOde NUMBER MM /DD/YYYY
<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 11P ". IWC= 100 %.ATTACH CHRONIC TOXICITY TEST REPORT FORM TO DMR.
<br />Mo. G..--- 9."A A In— AA /ACI ..J l ....... 1.... -A A/ InA~49 1-_- 4
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