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PARAMETER <br />1 certify under penalty of law that document and all attachments were prepared under my direction or <br />s <br />alua on in accordance with a system designed to assure that qualified personnel properly ga her and <br />e •alaate the information submitted. Based on my inquiry of the person or persons who manage the <br />thdirectly responsible for gathering the information, the information re significant is, <br />system, or those persons directly <br />to the best th se knowledge and belief, true. accurate. and complete. 1 am aware that mere are min is, <br />p Ions or submittingfals einformation. includingthe possibilityoffineandimprisonmentforknowing <br />� <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />EX' <br />of ANALYSIS <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />LC50 Static Renewal 48Hr Acute <br />Ceriodaphnia dubia <br />TAM3B 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />""" <br />" "" <br />100.0001 <br />MN VALUE <br />""" <br />""" <br />% <br />Quarterly <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />TAN6C 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />""" <br />""" <br />100.0001 <br />MN VALUE <br />""" <br />" "" <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 certify under penalty of law that document and all attachments were prepared under my direction or <br />s <br />alua on in accordance with a system designed to assure that qualified personnel properly ga her and <br />e •alaate the information submitted. Based on my inquiry of the person or persons who manage the <br />thdirectly responsible for gathering the information, the information re significant is, <br />system, or those persons directly <br />to the best th se knowledge and belief, true. accurate. and complete. 1 am aware that mere are min is, <br />p Ions or submittingfals einformation. includingthe possibilityoffineandimprisonmentforknowing <br />� <br />IL" ) / <br />- <br />TELEPHONE <br />DATE <br />r ,[ D 6 <br />u 70 , 2J I) / /i / (7( <br />/ <br />/'1 7 / R O l /1 O I , <br />s <br />l/ (t/ "s / t7s l <br />,s A. �.k(,,�kem 11 5. and hen N r. <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Coda <br />I NUMBER <br />MMIDD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if 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. Mattem, Pres /GM <br />EPA Form 3320 - 1 (Rev.01106) 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 />019 - W <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DDIYYYY <br />04/01/2011 <br />MM /DD/YYYY <br />06/30/2011 <br />TO <br />.7 <br />DMR Mailing ZIP CODE: 81626 - 0187 <br />MINOR <br />MOFAT <br />ACUTE WET TESTING FOR 019A <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.A.5, PP. 6 -8 FOR DETAILS OF TEST PROCEDURE. REPORT LC50 - STATISTICAL POINT ESTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. WHEN <br />WET TESTING NOT REQ'D, PUT "NOT REQUIRED - SURFACE RUNOFF ONLY" ON DRM. <br />0610212011 Page 1 <br />