Laserfiche WebLink
PARAMETER <br />l certify ry m a'. of that sig and assure that qua were p tinder my direction heand ° <br />s ul o o in penally penalty f l with a this d. m designed signed m rime mm qualified personnel properly gather and <br />a aluate the in( anon submined. Based on my inquby of me person or persons who manage the <br />system, or those persons directly responsible for gethenng the infomurion, me infortt�ntton submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant <br />submitting false information, including me possibility of fine and impnsonmmt for knowing <br />° <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />ANALYSIS <br />SAM E <br />OF <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 />PERMIT <br />REQUIREMENT <br />""" <br />""" <br />""" <br />100.0001 <br />MN VALUE <br />•""' <br />�"' <br />_ % <br />Quarterly <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />TAN6C 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,,,,,, <br />PERMIT <br />REQUIREMENT <br />"""' <br />""" <br />100.0001 <br />MN VALUE <br />""" <br />""" <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />l certify ry m a'. of that sig and assure that qua were p tinder my direction heand ° <br />s ul o o in penally penalty f l with a this d. m designed signed m rime mm qualified personnel properly gather and <br />a aluate the in( anon submined. Based on my inquby of me person or persons who manage the <br />system, or those persons directly responsible for gethenng the infomurion, me infortt�ntton submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant <br />submitting false information, including me possibility of fine and impnsonmmt for knowing <br />° <br />TELEPHONE <br />DATE <br />!? 41 /IJf �..a1 <br />. S0-04 41 t / r ICI P^ "1 <br />C. �� ,a <br />/ A' w' <br />g�I <br />�d g;11- �, / <br />( f �/ <br />/q / /,s -,/ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />I NUMBER <br />MMIDDIYYYY <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: <br />LOCATION: <br />TRAPPER MINE <br />6.5 MI SW OT TOWN ON ST HWY 13 <br />CRAIG, CO 81625 <br />ATTN: Jim M. Mattern, 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 />C00032115 <br />PERMIT NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />07/01/2011 <br />MM /DD/YYYY <br />09/30/2011 <br />TO <br />017 - W <br />DISCHARGE NUMBER <br />DMR Mailing ZIP CODE: 81626 - 0187 <br />MINOR <br />MOFAT <br />ACUTE WET TESTING FOR 017 A <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 I.A.5, PP. 6-8 FOR DETAILS OF TEST PROCEDURE. REPORT LC50 - STATISTICAL POINT ESTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. WHEN <br />WET TESTING NOT REQ'D, PUT "NOT REQUIRED - SURFACE RUNOFF ONLY" ON DMR. <br />06/02/2011 Page 1 <br />