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PARAMETER <br />I certify under penalty of law that this document and all enactments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel Properly gather and <br />c •aluate the information submitted. Baud 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 em aware that there are significant <br />penalties for submitting false information, including the possibility of fore and imprisonment for knowing <br />violations. <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 />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />""` <br />Req. Mon. <br />INS MAX <br />Y =1;N =0 <br />""'• <br />"•••• <br />"'• • <br />'•"" <br />Monthly <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all enactments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel Properly gather and <br />c •aluate the information submitted. Baud 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 em aware that there are significant <br />penalties for submitting false information, including the possibility of fore and imprisonment for knowing <br />violations. <br />t <br />TELEPHONE <br />DATE <br />7"Plvt&S M. 1P9.,44e IN <br />Pr es . ......1 9e- VN w r <br />yam. <br />° 14 0 e 6.,4 .' 440 <br />`A / <br />} dY { ( <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA cone <br />I NUMBER <br />MMIDD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Facility Name/Location it Different) <br />NAME: Trapper Mining Inc <br />ADDRESS: PO Box 187 <br />Craig, CO 81626 -0187 <br />FACILITY: TRAPPER MINE <br />LOCATION: 6.5 MI SW OT TOWN ON ST HWY 13 <br />CRAIG, CO 81625 <br />ATTN: Jim M. Mattern, Pres /GM <br />EPA Form 3320 - 1 (Rev.01 106) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />000032115 <br />PERMIT NUMBER <br />008 - A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />04/01/2011 <br />MM /DD/YYYY <br />06/30/2011 <br />TO <br />A <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81626 - 0187 <br />MINOR <br />MOFAT <br />POND #1 TO UTE GULCH <br />External Outfall <br />No Discharge <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, & SETTLEABLE SOLIDS LIMIT APPLIED FOR <= 10YR,24HR PRECIP EVENT -SEE BURDEN OF PROOF REQUIREMENTS UNDER I.A.2. TDS MONITORING - I.B.2. <br />06/0212011 Page 2 <br />