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PERMITTEE NAME/ADDRESS (Include Facility Name/Location if <br />NAME: McClane Canyon Mining, LLC <br />ADDRESS: P.O. Box 98 <br />Loma, CO 81524 <br />FACILITY: MCCLAN'L• CANYON MINE <br />LOCATION: 3148 HIGHWAY 139 <br />GARF'IELD COUNTY, CO 81524 <br />ATTN: Cory Heaps, Mine Mgr <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038342 <br />001-W <br />PERMIT NUMBER <br />DISCHARGE NUMBER <br />�] <br />MONITORING PERIOD <br />MM/DD/YYYY <br />SAMPLE <br />TYPE <br />F MM/DD/YYYY <br />01/01/2016 <br />UNITS <br />1 03/31/2016 <br />Form Approved <br />oMR No, 2040-0004 <br />DMR Mailing ZIP CODE: 81524 <br />MINOR <br />(SUBR ) <br />Acute WET Testing for 001A <br />External Outfall <br />No Discharges <br />PARAMETER <br />I ctrtity under penalty of laty that this document and all attachments were prepared under mi <br />direction or supelvisipn in accordance with a system designed to assure that qualified <br />personnel properly' gather and evaluate the information submitted. Based on mylnquIn of the <br />person or persons who manage the s� stem, or these persons directly responsible for gathering <br />the information, the Information submitted is, In Cite hest of my knowledge and beief, true, <br />accurate, and rompiete. I am atsare that there are significant penalties far submitting false <br />Fnformation, including the posstbilih of fine and imprisonment for knmting 5folations. <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 />LC50Static Renewal 48HrAcute <br />SAMPLE <br />Ceriodaphnia dubia <br />MEASUREMENT <br />TAM3B 1 0 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />*- <br />x *** <br />-` ,k <br />Req. Mon. <br />MN VALUE <br />*`"*T <br />- *;*°' <br />Quarterly <br />GRAB <br />LC50 Statre 96Hr Acute <br />SAMPLE <br />Pimephales <br />MEASUREMENT <br />TANK 10 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />= `* * <br />* -* <br />{**- <br />Req. Mon, <br />MN VALUE. <br />-z --* <br />= -* <br />% <br />Quarterly <br />GR.aB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I ctrtity under penalty of laty that this document and all attachments were prepared under mi <br />direction or supelvisipn in accordance with a system designed to assure that qualified <br />personnel properly' gather and evaluate the information submitted. Based on mylnquIn of the <br />person or persons who manage the s� stem, or these persons directly responsible for gathering <br />the information, the Information submitted is, In Cite hest of my knowledge and beief, true, <br />accurate, and rompiete. I am atsare that there are significant penalties far submitting false <br />Fnformation, including the posstbilih of fine and imprisonment for knmting 5folations. <br />TELEPHONE <br />DATE <br />R. Chad Hunt, Vice President <br />TYPED OR PRINTED <br />970-245-4101 <br />04/0812016 <br />SICIPATURE PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />ARU Code NUMBER <br />IDD/YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />See I.D,1 for details of test procedure. Report LCSO - statistical point estimate which is lethal to 50% of test organisms and attach acute toxicity test report form to DMR. <br />EPA Form 3320-1 (Rev.01/06) Previous editions may be used 02/04/2016 Page 1 <br />