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PARAMETER <br />cen 1�'if yunhr penalty of law that hisdocwte ntetMellenachmenu were prtm under <br />prepared mydvmiono <br />I sin eccw a in dm with a system designed d allure thm qualified personnel u y gather and <br />valuate the information submited. Based on my imryiry of the person or persons who manage the <br />system, or those persons diseetly responsible for f n <br />gathering the inon. the information submitted is, <br />to the best of my knowledge and belief. true. accurate. and complete. I em aware that there am significant <br />pe nalties for submnring false information, including the possibility of and imprisonment for knowing <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 />LC50 Static Renewal 48Hr Acute <br />Ceriodaphnia dubia <br />TAM3B 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />•• <br />•� « <br />PERMIT <br />REQUIREMENT <br />"'"" <br />""" <br />100.0001 <br />MN VALUE <br />aaa.a. <br />• ««• <br />% <br />Quarterly <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />TAN6C 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />""" <br />""" <br />"'•" <br />100.0001 <br />__ N V M ALUE <br />...a.. <br />.a.•« <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />cen 1�'if yunhr penalty of law that hisdocwte ntetMellenachmenu were prtm under <br />prepared mydvmiono <br />I sin eccw a in dm with a system designed d allure thm qualified personnel u y gather and <br />valuate the information submited. Based on my imryiry of the person or persons who manage the <br />system, or those persons diseetly responsible for f n <br />gathering the inon. the information submitted is, <br />to the best of my knowledge and belief. true. accurate. and complete. I em aware that there am significant <br />pe nalties for submnring false information, including the possibility of and imprisonment for knowing <br />violations. <br />f / <br />TELEPHONE <br />DATE <br />,� y <br />,p� a %]/I Q.�fEs}�O{/ <br />a� G ^ '`s• �� s <br />fV a rA s <br />`� 4 , s1�(J/ <br />) ..7 (� - / ( o/ <br />/9/..7s/20// <br />MM /DOIYYYY <br />SIG ATURE 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: <br />LOCATION: <br />TRAPPER MINE <br />6.5 MI SW OT TOWN ON STHWY13 <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 />C00032115 <br />PERMIT NUMBER <br />019 - 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 019A <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 DRM. <br />06102/2011 Page 1 <br />