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PERMITTEENAME /ADDRESS (include Facility Name /LocationifDifferent) <br />NAME: <br />Trapper Mining Inc <br />ADDRESS: <br />PO Box 187 <br />NO. <br />EX <br />Craig, CO 81626 -0187 <br />FACILITY: <br />TRAPPER MINE <br />LOCATION: <br />6.5 MI SW OT TOWN ON ST HWY 13 <br />VALUE <br />CRAIG, CO 81625 <br />ATTN: Jim M. Mattern, Pres /GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00032115 011 -W <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DDIYYYY MM /DD/YYYY <br />FROM 01/01/2014 TO 12/31/2014 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81626 -0187 <br />MINOR <br />Acute WET Testing for 011A <br />External Outfall <br />No Discharge <br />PARAMETER <br />I cart,[, under pene]g• of lair that ties document and all attachments were prepared under mr dr —trot or <br />super, -toxin accordancetvahas stantdesignedto — mathatquabCedpemetralrperlygatherand <br />etaluate the mformation submitted Based on my mquuy of the person or persons w menage the <br />system, or those persons directly responsible for gathering he us m anor, the m(b mahon sub raRed -. <br />to the best of mt knowledge and belief — accurate and complete 1 am aware that there are srgmficant <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 />TYPED OR PRINTED <br />LC50 Static Renewal 48Hr Acute <br />SAMPLE <br />.,,,., <br />..,,,, <br />.,.,,, <br />Ceriodaphnia dubia <br />MEASUREMENT <br />TAM3B 1 0 <br />PERMIT <br />- <br />100 <br />~ ~~ <br />* *'*" <br />% <br />Effluent Gross <br />REQUIREMENT <br />MN VALUE <br />Annual <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />SAMPLE <br />.,, *.* <br />•• *••. <br />/�D <br />•• *, <br />, *, * <br />'A65 <br />MEASUREMENT <br />TAN6C 1 0 <br />PERMIT <br />100 <br />""'• <br />*'•' *' <br />% <br />Effluent Gross <br />REQUIREMENT <br />MN VALUE <br />Annual <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I cart,[, under pene]g• of lair that ties document and all attachments were prepared under mr dr —trot or <br />super, -toxin accordancetvahas stantdesignedto — mathatquabCedpemetralrperlygatherand <br />etaluate the mformation submitted Based on my mquuy of the person or persons w menage the <br />system, or those persons directly responsible for gathering he us m anor, the m(b mahon sub raRed -. <br />to the best of mt knowledge and belief — accurate and complete 1 am aware that there are srgmficant <br />TELEPHONE <br />DATE <br />Al r Ina 4f"'I <br />fa f <br />�f <br />�• r� • ' " ' <br />pe lain asfor submitting false rrtformanon, mcludtoff the ponibility of fma and impnsorttnent for krmwmg <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Coda <br />NUMBER <br />MM/DD /YYYY <br />TYPED OR PRINTED <br />wmmtN I s ANU tArLANA I IUN Ur ANY VIOLA I IUN5 (Neterence an attacnments nere) <br />See 1.B.2 for details of test procedure. Report LC50 - statistical point estimate which Is lethal to 50% of test organisms, and attach actue toxicity test report form to DMR. When WET testing not req "d, put "not required - surface runoff only" on <br />DMR. <br />EPA Form 3320 -1 (Rev.01 106) Previous editions may be used. 12/12/2012 Page 1 <br />