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PERMITTEE NAME/ADDRESS ( Include Facility Name/Location ifDifferent) <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 I 001 -A <br />PERMIT NUMBER D HA ENUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />09/01 /2014 1 09/30/2014 <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 />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 />* " " " ** <br />* * * * *• <br />* * " * ** <br />* "• * "* <br />* * " * ** <br />1 <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />"" <br />** <br />" * * "" <br />Weekly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were prepared under mychrection or TELEPHONE DATE <br />supervision in accordance with 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 <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 penalties for submitting false information, including the possibility of fine and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR 970 - 245 -4101 Z 2111 <br />TYPED OR PRINTED nowingviolations. AUTHORIZED AGENT <br />AREA Code I NUMBER M DD <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.3.0I1- & GREASE REPORTING -SEE 1.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 />