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PARAMETER <br />s certifyomder sweord oflawthatthis mdesig n andall ureMal emtswerepreparedundomydirectionor - <br />sup m accordance with a system designed to assure that person personnel properly gather end <br />• system, th f per ti b lyre Based le or inquiry of the person or , the i s who manage the <br />system, or those peso directly responsible true, for accurate, the information, the information r sig ned is, <br />to she best of my knowledge and belief, we, accurate, atd complete. I am aware that there are significant <br />penalties for submitting false information, including the possibility of f imprisonment now <br />and i for king <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 />0 <br />16 <br />ilr�,n/ <br />lise fL <br />PERMIT <br />REQUIREMENT <br />""" <br />Reeqq Mon. <br />INST MAX <br />Y =1;N =0 <br />f••... <br />„�* <br />.,.... <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />s certifyomder sweord oflawthatthis mdesig n andall ureMal emtswerepreparedundomydirectionor - <br />sup m accordance with a system designed to assure that person personnel properly gather end <br />• system, th f per ti b lyre Based le or inquiry of the person or , the i s who manage the <br />system, or those peso directly responsible true, for accurate, the information, the information r sig ned is, <br />to she best of my knowledge and belief, we, accurate, atd complete. I am aware that there are significant <br />penalties for submitting false information, including the possibility of f imprisonment now <br />and i for king <br />violations. <br />- <br />TELEPHONE <br />DATE <br />T,,„,� . (�, Q�-t <br />c .-*,a `Oi' IN • ellef.inest . c <br />,.r <br />l) / n C } �9 �y , ^ <br />'t ) �S J n l; <br />' <br />° 4 - b ,6 /)( ' 'A <br />MM /DO/YYYY <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA Code <br />I NUMBER <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 />TRAPPER MINE <br />6.5 MI SWOT TOWN ON ST HWY 13 <br />CRAIG, CO 81625 <br />FACILITY: <br />LOCATION: <br />ATTN: Jim M. Mattem, Pres/GM <br />eference all attachments here) <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 />000032115 <br />PERMIT NUMBER <br />001 -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 />DMR Mailing ZIP CODE: 81626 -0187 <br />MINOR <br />MOFAT <br />POND #10 TO JOHNSON GULCH <br />External Outfall <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 - 13.2 <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />06/02/2011 Page 2 <br />