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PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />a aper.umn in accmamce with a system designed to assure that qualified pensunnel pop,* gather and <br />e aluate the information sumined. Based on my inquiry of the persona persons who manage the <br />persons <br />system, or thou lmowled di a n e ectly resperosihle ac urat min the infot I ion, the information summed is, <br />lti for submitting false and belief., ppos of f and onpnsonm f kn.wing <br />penalties <br />nn <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 />> k©/?� <br />ll.// <br />0 <br />j � <br />c / `� <br />/ nt' <br />(�I`f <br />PERMIT <br />REQUIREMENT <br />...,.. <br />„„„ <br />. „,,, <br />MN 1 VALUE <br />a..... <br />�� <br />% <br />Quarterly <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />TAN6C 1 0 <br />Effluent Gross <br />MEASUREMENT <br />>/ <br />�) <br />V <br />V <br />.J �/, <br />� 'L/YJ� <br />GRAB <br />PERMIT <br />REQUIREMENT <br />"'w' <br />„„• <br />MN 100 <br />A LUE <br />.... „ <br />Quarterly <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />a aper.umn in accmamce with a system designed to assure that qualified pensunnel pop,* gather and <br />e aluate the information sumined. Based on my inquiry of the persona persons who manage the <br />persons <br />system, or thou lmowled di a n e ectly resperosihle ac urat min the infot I ion, the information summed is, <br />lti for submitting false and belief., ppos of f and onpnsonm f kn.wing <br />penalties <br />nn <br />TELEPHONE <br />DATE <br />T � - L <br />+(� 4 tP $ n � J t / /� / fGs 4 •l er-l ,an <br />•, <br />rr - dt � / 'e ,,. � /r'/► <br />' b 8;$/— t (/40( <br />-- � �� <br />/97,2S7,20// <br />XE <br />SIGNATURE OF PRINCIPAL ECUTIVE OFFICER OR <br />AUTHORIZED AGENT AREA cods <br />I NUMBER <br />MM/DDMIYY <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 />000032115 <br />PERMIT NUMBER <br />020 - 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 />MOFAT <br />WET TESTING FOR 020A <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 />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 RRUNOFF ONLY” ON DMR. <br />06/0212011 Page 1 <br />