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PARAMETER <br />Icermfy o in°ordanc with m"mdesig document designed ereehmems were dp s onnet ndermydRer <br />supemsom in fometi on accordance with a system d o , , my m assure that qualified personnel properly gather end <br />e ohmic the in fomati submitted. Based on my inquiry of the person or persons who menage the <br />system, those persons directly responsible for gathering the inn ommtion, the information sub mined is, <br />t the best of m knowledge and belief, true, accurate, and complete. 1 am aware that there are si fcmt <br />penalties for submitting false information, including the possibility of fine and imprisonment for knowing <br />violations. <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />ANALYSIS <br />STMPE E <br />OF <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />l I <br />•..... <br />/'1 ] <br />f / <br />y 4 <br />PERMIT <br />REQUIREMENT <br />""'• <br />Reeqq�� Mon, <br />INST MAX <br />Y =1;N =0 <br />••"" <br />""" <br />— •""' <br />•"•'a <br />Monthly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />Icermfy o in°ordanc with m"mdesig document designed ereehmems were dp s onnet ndermydRer <br />supemsom in fometi on accordance with a system d o , , my m assure that qualified personnel properly gather end <br />e ohmic the in fomati submitted. Based on my inquiry of the person or persons who menage the <br />system, those persons directly responsible for gathering the inn ommtion, the information sub mined is, <br />t the best of m knowledge and belief, true, accurate, and complete. 1 am aware that there are si fcmt <br />penalties for submitting false information, including the possibility of fine and imprisonment for knowing <br />violations. <br />f <br />✓ lti. I -- <br />TELEPHONE <br />DATE <br />S M , / n '* ��.F - e r ^ <br />�CyaM e I �S / 1 ' <br />0.� -K1�_ C r , - <br />/s. rs ^ " f <br />7 ((.) � }dr I <br />, <br />C.� ,1�7 �,L <br />/ / /•s i- � <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />I NUMBER <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: <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.01 /06) 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 />002 - A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DDIYYYY <br />07/01/2011 <br />MMIDDIYYYY <br />09/30/2011 <br />TO <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 />DMR Mailing ZIP CODE: 81626 -0187 <br />MINOR <br />MOFAT <br />POND #5 TO NO NAME GULCH <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />06/0212011 Page 2 <br />