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PARAMETER <br />1 certify under penalty of taw that this document and all enactments were prepared under my direction or <br />o ohwt oninaccord ancewnnasystemdesignedtoassure thoporhfiedpersonnetp roperlygatberand <br />e .chute the information submitted Based on my inquiry of the person or persons 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 am aware that there are significant <br />penaLii for submitting false infomution, including the possibility of fine and imprisonment for knowing <br />o <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 />840661 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,,,,,. <br />PERMIT <br />REQUIREMENT <br />"".' <br />Req ST MA Mon. X <br />IN <br />Y =1;N =0 <br />"""' <br />"""�� <br />'� <br />Weekly <br />VISUAL <br />NAMETLE PRINCIPAL EXECUTIVE OFFICE <br />/TI <br />1 certify under penalty of taw that this document and all enactments were prepared under my direction or <br />o ohwt oninaccord ancewnnasystemdesignedtoassure thoporhfiedpersonnetp roperlygatberand <br />e .chute the information submitted Based on my inquiry of the person or persons 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 am aware that there are significant <br />penaLii for submitting false infomution, including the possibility of fine and imprisonment for knowing <br />o <br />TELEPHONE <br />DATE <br />ti .S �G � M <br />a � <br />Pn d� ,yl <br />/Q1/14 <br />• 9761 82I/_ WO/ <br />/ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER O R <br />AUTHORIZED AGENT AREA Code <br />I NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED U <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. 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 />021 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DDIYYYY <br />07/01/2011 <br />MMIDD/YYYY <br />09/30/2011 <br />TO <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81626 -0187 <br />MINOR <br />MOFAT <br />DSCHG TO E. MIDDLE FLUME GULCH <br />External Outfall <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. IDS MONITORING -1.9.2. OIL & GREASE - SEE <br />I.B.1.(D).30 DAY AVERAGE IS HIGHEST MONTHLY AVERAGE DURING PERIOD REPORTED. <br />06/0212011 Page 2 <br />