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PARAMETER <br />certify iq u accord law under of that m rnt this docorn end as assure t attachments were prepared ared under my direction « <br />I supers to accordance a d. B o o deigned to a that qualified p properly gamer and <br />evaluate me information submitted. Based on my inquiry of the person or parsons who manage the <br />system, or those 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 em aware that there are significant <br />penalties tns. bminngfalumfoma on, including heposs3iliryofBne and imp sonmrnsfor knowing <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 />8406610 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,a,,,, <br />PERMIT <br />REQUIREMENT <br />« "« <br />R Mon. <br />INST MAX <br />Y =1;N =0 <br />""••• <br />N.M. <br />""`• <br />""" <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />certify iq u accord law under of that m rnt this docorn end as assure t attachments were prepared ared under my direction « <br />I supers to accordance a d. B o o deigned to a that qualified p properly gamer and <br />evaluate me information submitted. Based on my inquiry of the person or parsons who manage the <br />system, or those 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 em aware that there are significant <br />penalties tns. bminngfalumfoma on, including heposs3iliryofBne and imp sonmrnsfor knowing <br />� 1/ <br />TELEPHONE <br />DATE <br />T _ <br />JIJ�M <br />O . f4 \ <br />p ,{Sr a (C • t,, <br />` �a <br />l gl y_ , / y e/ <br />O <br />/ <br />/Q �a G// <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />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 />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 />017 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DDIYYYY <br />07/01/2011 <br />MM /DDIYYYY <br />09/30/2011 <br />TO <br />MOFAT <br />RUNOFF /MINE WTR TO OAK GULCH <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81626 -0187 <br />MINOR <br />No Discharge <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 - I.B.2. OIL & GREASE - SEE <br />I.B.1.(D).30 DAY AVERAGE IS HIGHEST MONTHLY AVERAGE DURING PERIOD REPORTED. <br />06102/2011 Page 2 <br />