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PERMITTEE NAME/ADDRESS (Include Facility Name /LocationifDifferent) <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 />C00038342 001 -A <br />PERMIT N I DISCHARG E UMB R <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />12/01/2013 12/31/2013 <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 EO <br />PARAMETER <br />QUANTITY <br />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 />0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />****** <br />* * * * ** <br />■• * * ** <br />* * **** <br />* * * * ** <br />PERMIT <br />REQUIREMENT <br />t7 = <br />ST]' MPX : <br />Y <br />:s .i <br />€,,,,5 <br />ti,-• , „Ii,a;,?�. }. • <br />- <br />lllkly <br />e <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 with a system designed to assure that qualified personnel property gather and <br />valuate the mformation submitted. Based on my Inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the Information, the Information submitted Is, <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are <br />J. E. Stover, Agent significant penafiles for submitting false Information, Including the possibility ofrme and Imprisonment for SI ATU OF PRINCIPAL EXECUTIVE OFFICER OR 970 - 245 -4101 C! �� 14 <br />knowing violations. AUTHORIZED AGENT <br />TYPED OR PRINTED AREA code NUMBER MM/DD/YYYY <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.OIL & GREASE REPORTING -SEE 1.B.1.C. 30 DAY AVG IS HIGHEST MONTHLY AVG DURING PERIOD RPTD. TDS - 1,B.2. <br />�nw - 991n w ID..., nAM., s.w..r...... wANiw.... ---.. 4.........A -InA I-7 <br />