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PARAMETER <br />and a t attachments were prepared der my direction or <br />I certify under penalty of that s m desig document re <br />cert in accordance aayht em ea as t e assure that qualified a ana <br />-.haw the information n suo bmitted. Based on my inquiry of the arson a pawns w manage the <br />system, or thou f persons directly responsible for gathering the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant <br />laions for submitting false infomtatian including the paibilityof fine and imprisonment for inmwing <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />O. <br />EX <br />FREQUENCY <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 />/�) <br />> i 0 <br />0 <br />X2c) <br />�j / <br />PERMIT <br />REQUIREMENT <br />««.. <br />..a <br />MN V <br />....« <br />..a.« <br />Quarterly <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />TAN6C 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />, /00 <br />�/ <br />0 <br />X() <br />Quarterly <br />/Q/4A <br />GRAB <br />PERMIT <br />REQUIREMENT <br />M.'� <br />a ". ». <br />aa» <br />MN VALUE <br />..a.,. <br />% <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />and a t attachments were prepared der my direction or <br />I certify under penalty of that s m desig document re <br />cert in accordance aayht em ea as t e assure that qualified a ana <br />-.haw the information n suo bmitted. Based on my inquiry of the arson a pawns w manage the <br />system, or thou f persons directly responsible for gathering the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant <br />laions for submitting false infomtatian including the paibilityof fine and imprisonment for inmwing <br />/) / <br />Jr`/eC <br />TELEPHONE <br />DATE <br />.AA /,� <br />� • Y v� • // / • h' r <br />✓ A�/1;y Gona ✓� <br />/ / {�f�/`/ f <br />'7f,) pAt - /t / <br />/0/25/,s <br />20 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />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: 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.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 />011 - W <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 />ACUTE WET TESTING FOR 011A <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 LAS, PP. 6-8, FOR DETAILS OFTEST PROCEDURE. REPORT LC50 - STATISTICAL PIONT ESTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. WHEN <br />WET TESTING NOT REQD, PUT "NOT REQUIRED - SURFACE RUNOFF ONLY" ON DMR. <br />06/02/2011 Page 1 <br />