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PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under my direction a <br />supra, sionina« a, dancewit has ys temdeognedtoar suetha tqualiredpetsonne 1properlygatherand <br />evaluate the information submitted. Based on my nqutry of the person m persons who manage the <br />systeta or those persons directly responsible for tm the information, the information submitted is. <br />o he bes o m knnwldge and elief. nue. accu end comple e. l am aware rat the e a e ai <br />peoatit for f suy bmittin false inforbmation, includin the possb,hty of fine and h <br />impri for knowin <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 />PERMIT <br />REQUIREMENT <br />_ <br />Reegqi� Mon. <br />INST MAX <br />=0 Y =1;N <br />••'"•' <br />•••••• <br />• <br />••"" <br />Monthly <br />VISUAL <br />NAMEITRLE PRINCIPAL FJ (ECUTIVEOFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my direction a <br />supra, sionina« a, dancewit has ys temdeognedtoar suetha tqualiredpetsonne 1properlygatherand <br />evaluate the information submitted. Based on my nqutry of the person m persons who manage the <br />systeta or those persons directly responsible for tm the information, the information submitted is. <br />o he bes o m knnwldge and elief. nue. accu end comple e. l am aware rat the e a e ai <br />peoatit for f suy bmittin false inforbmation, includin the possb,hty of fine and h <br />impri for knowin <br />violations. <br />TELEPHONE <br />DATE <br />,,fn y���j+�. —/� <br />3a.,nes /Y ` a ' ` ` ' " a <br />�� e � ( t 41 f <br />q ` 7 T Q /� (f <br />/ (f � / J a/ <br />/0/Z57,26/1 <br />MM/DDIYYYY <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA code <br />NUMBER <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.01106) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />000032115 <br />PERMIT NUMBER <br />014-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 />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.B.2. <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81626 -0187 <br />MINOR <br />MOFAT <br />POND TO FAR EAST BUZZARD GULCH <br />External Outfall <br />No Dischargtp <br />06/02/2011 Page 2 <br />