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PARAMETER <br />or <br />1 ce under penalty on in accordan c law that this document and all auach e with a system designed to assure that qua were prepared under my del an d <br />xtpmu ct ents qualified personal properly gather an <br />evaluate the information submitted. Based on my inquiry of the person or person, who manage the <br />system, or those persons directly responsible for gathering the information, the information submited is, <br />to the best of my knowledge and belief, true. accurate, and complete. I am aware that there are significant <br />penalties for submitting fake information, including the possibility of fine 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 />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 />" "" <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 />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE R <br />or <br />1 ce under penalty on in accordan c law that this document and all auach e with a system designed to assure that qua were prepared under my del an d <br />xtpmu ct ents qualified personal properly gather an <br />evaluate the information submitted. Based on my inquiry of the person or person, who manage the <br />system, or those persons directly responsible for gathering the information, the information submited is, <br />to the best of my knowledge and belief, true. accurate, and complete. I am aware that there are significant <br />penalties for submitting fake information, including the possibility of fine and imprisonment for knowing <br />violations. <br />� * � : � r� Jf /��`""_ <br />TELEPHONE <br />DATE <br />q 1L % 01 <br />Z a o a.� <br />M`` AI (� <br />s a1'IV ),,\ - s(\ a o(j f1, /Ay, <br />Y 1 lUl 111..E No U t 4 " V � <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />1 NUMBER <br />MM /DDIYYYY <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: <br />LOCATION: <br />TRAPPER MINE <br />6.5 MI SW OT TOWN ON ST HWY 13 <br />CRAIG, CO 81625 <br />ATTN: Jim M. Mattern, Pres /GM <br />FROM <br />000032115 <br />PERMIT NUMBER <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. <br />MONITORING PERIOD <br />MM /DD/YYYY <br />04/01/2011 <br />MMIDD/YYYY <br />06/30/2011 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />021 - W <br />DISCHARGE NUMBER <br />TO <br />ater <br />MOFAT <br />WEST TESTING FOR 021A <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81626 - 0187 <br />MINOR <br />No Discharge <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.A.5, PP. 6.8, FOR DETAILS OFTEST 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 NOTREQ'D, PUT NOT REQUIRED - SURFACERUNOFF ONLY' ON DMR. <br />06/02/2011 Page 1 <br />