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PARAMETER <br />' certify under pdocument of law that his document and all attachments were p epared u der my direction or <br />supenision in accordance with a system designed to assure that qualified personnel property gather and <br />evatuare 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 />— for submitrin false information includin the possibilit of fux end imprisonment for ksrowing <br />a <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 />. <br />PERMIT <br />REQUIREMENT <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 />PERMIT <br />REQUIREMENT <br />" "" <br />""" <br />•'••" <br />100.0001 <br />MN VALUE <br />•'•'•' <br />•••••• <br />% <br />Quarterly <br />GRAB <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE R <br />' certify under pdocument of law that his document and all attachments were p epared u der my direction or <br />supenision in accordance with a system designed to assure that qualified personnel property gather and <br />evatuare 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 />— for submitrin false information includin the possibilit of fux end imprisonment for ksrowing <br />a <br />TELEPHONE <br />DATE <br />es ..A ga,�P tiA <br />...����^111 /' ` I' • t s L a i <br />N�s s nhri G .(s.( Q� A <br />• • • \ `" , ` / j <br />/� <br />9 7 QioZ 51— 0/0/ <br />/ <br />/C..j'ar /.2 / <br />SIG NATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />/ <br />MM /DD/YYYY <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 />023 -W <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 />WET TESTING FOR 023A <br />External Outfall <br />No Discharge <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.A.5, PP. 6-8, FOR DETAILS OFTEST PROCEDURE. REPORT LC50 - STATISTICAL POINT ESTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXCITY TEST REPORTFORM TO DMR. WHEN <br />WET TESTING NOTREQ'D, PUT NOT REQUIRED - SURFACERUNOFF ONLY" ON DMR. <br />0610212011 Page 1 <br />