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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 />Lorna, £O 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 />DISCHARGE I PERMIT NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM/DD/YYYY <br />06/01/2014 06/3012014 <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 <br />NAME/11TLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of lawthat this document and an attachments were prepared under my direction or TELEPHONE DATE <br />supervision in accordance vAth a system designed to assure that qualified personnel property gather and <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the t <br />system, or those pesone directly responsible for gathering the Information, the information submitted Is, I <br />J. E. Stover, Agent to the best of my Imowfedge and belief, true, accurate, and complete. I am aware Mat there are <br />sigmficard penalties for submitting hiss information. InclWlrp the paslbifity of fine and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR 970 - 245-4101 G <br />owing violations AUTHORIZED AGENT <br />TYPED OR PRINTED nftEn code I NUMBER M D <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, & SETTLEABLE SOLIDS LIMITS APPLIED FOR <= 10YR,24HR 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 - I.B.2. <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. 06/24/2013 Page 2 <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />PARAMETER <br />EX <br />OF ANALYSIS <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />SAMPLE <br />MEASUREMENT <br />8406610 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />WJ1 <br />_. <br />NAME/11TLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of lawthat this document and an attachments were prepared under my direction or TELEPHONE DATE <br />supervision in accordance vAth a system designed to assure that qualified personnel property gather and <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the t <br />system, or those pesone directly responsible for gathering the Information, the information submitted Is, I <br />J. E. Stover, Agent to the best of my Imowfedge and belief, true, accurate, and complete. I am aware Mat there are <br />sigmficard penalties for submitting hiss information. InclWlrp the paslbifity of fine and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR 970 - 245-4101 G <br />owing violations AUTHORIZED AGENT <br />TYPED OR PRINTED nftEn code I NUMBER M D <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, & SETTLEABLE SOLIDS LIMITS APPLIED FOR <= 10YR,24HR 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 - I.B.2. <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. 06/24/2013 Page 2 <br />