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PARAMETER <br />I emify under pe airy that law mt this docamem and all attachments were prepared der my direction or <br />supervision in accordance with a system designed m ure ass that qualified personnel properly gather and <br />e •share 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. 1 am aware that there are signifie=r <br />penalties for submitting false information, including the possibility of fine and imprisonment for kTOwing <br />violanssns, <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 />Oil and grease visual <br />84066 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />O <br />000 <br />'� <br />/ 0 <br />(LSG�QL <br />PERMIT <br />REQUIREMENT <br />Rea Mon. <br />INST MAX <br />Y =1;N =0 <br />»«» <br />«..» <br />..0000 <br />.»... <br />Monthly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE R <br />I emify under pe airy that law mt this docamem and all attachments were prepared der my direction or <br />supervision in accordance with a system designed m ure ass that qualified personnel properly gather and <br />e •share 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. 1 am aware that there are signifie=r <br />penalties for submitting false information, including the possibility of fine and imprisonment for kTOwing <br />violanssns, <br />TELEPHONE <br />DATE <br />S IGNATURE 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: 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.01106) 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 />001 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DDIYYYY <br />07/01/2011 <br />MM /DDIYYYY <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 />POND #10 TO JOHNSON 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. TDS MONITORING - I.B.2 <br />06/02/2011 Page 2 <br />