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PARAMETER <br />tceruf ymber penalty tlawtmemmdnachmemswerepreparcd under my direction or <br />superv ision in accmda with tha a rystem thiadocu de n alla <br />assure that qualified personne properl gather and <br />evaluate the information submitted. Based on my inquiry of the person or persons who manage the <br />system, m thou persons directly responsible f gathering the information, the information submitted is, <br />m the best of my knowledge and belief, true, accurate. and complete. 1 am aware that there are significant <br />information, including the possibility of f and imprisonment for knowing <br />penal for submitting false nn <br />violations. <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />E <br />FREQUENCY <br />OF ANALYSIS <br />S T M PE E <br />OF <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 />Reeqq.� Mon <br />INST MAX <br />Y =1;N =0 <br />•"'a' <br />••"•• <br />""" <br />""" <br />Monthly <br />VISUAL <br />NAMETTTrLE PRINCIPAL EXECUTIVE OFFICER <br />tceruf ymber penalty tlawtmemmdnachmemswerepreparcd under my direction or <br />superv ision in accmda with tha a rystem thiadocu de n alla <br />assure that qualified personne properl gather and <br />evaluate the information submitted. Based on my inquiry of the person or persons who manage the <br />system, m thou persons directly responsible f gathering the information, the information submitted is, <br />m the best of my knowledge and belief, true, accurate. and complete. 1 am aware that there are significant <br />information, including the possibility of f and imprisonment for knowing <br />penal for submitting false nn <br />violations. <br />- <br />TELEPHONE <br />DATE <br />�� <br />r I Q O n <br />l.� <br />• J t <br />�, ra <br />/ <br />/ A y �f s 8� . / ♦ /' //•� <br />`7 Y --sJ'T" O/ <br />/� /„� <br />/% /K <br />SIGNATURE <br />F PRINCIPAL EXECUTIVE OFFICER O R <br />AUTHORIZED AGENT AREA Code <br />I NUMBER <br />MM /DD/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 />TRAPPER MINE <br />6.5 MI SW OT TOWN ON ST HWY 13 <br />CRAIG, CO 81625 <br />FACILITY: <br />LOCATION: <br />ATTN: Jim M. Mattem, 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 />000032115 <br />PERMIT NUMBER <br />009-A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />07/01/2011 <br />MM /DD/YYYY <br />09/30/2011 <br />TO <br />DMR Mailing ZIP CODE: 81626 -0187 <br />MINOR <br />MOFAT <br />POND #3 TO MIDDLE PYEATT 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 - 132. <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />06/02/2011 Page 2 <br />