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PARAMETER <br />1 certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision ; with a system gr d ,o assure that qualified personnel properly gather and <br />d <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <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 />/ <br />(f <br />Q <br />f <br />/ <br />VISA- <br />�/_SA- <br />PERMIT <br />REQUIREMENT <br />. ...." <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />M...» <br />Mf*•* <br />tr..•• <br />.�„ <br />Monthly <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />1 certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision ; with a system gr d ,o assure that qualified personnel properly gather and <br />d <br />y (/ � C` � <br />TELEPHONE <br />DATE <br />M /� '1 <br />, (I,ifteS'' !io.\\UN PreS `-1 I!-7 U I' ,L t (� • <br />rm catdmu <br />e ate the infoation submitted. Based on inquiry of the person i persons who manage the <br />system, or those persons directly and r responsible le for or gathering the information, the that there are is, <br />to the best of my knowledge and belief, true, accurate, and compleete. e. I ao am aware that there e are e significant <br />penalties for submitting false information, including the possibility of fine and imprisonment for knowing <br />violations. <br />(f �O �j 2 1_ U /7 q 1 f )1 <br />` ( X J / L 'e I <br />f <br />/�'-y ( ( �� <br />f0 / J I �) i <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I <br />NUMBER <br />MMIDDIYYYY <br />TYPED OR PRINTED J <br />PERMITTEE NAMEIADDRESS (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. Mattern, Pres /GM <br />EPA Form 3320-1 (Rev.01 /06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00032115 <br />PERMIT NUMBER <br />022 -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 />MOFAT <br />DISCHARGE TO DEAL GULCH <br />External Outfall <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 - 1.8.2. <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81626 -0187 <br />MINOR <br />No Discharge <br />06/02/2011 Page 2 <br />