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PARAMETER <br />I certify under penalty of law that thw document and all attachments were pr under m direction or <br />sups, monmaccordancewitha system designed toassure that qualified personnelproerl <br />pygatherand <br />aluat the t f =anon submitted Based on my inquiry of the person or person who manage the <br />s or those persons dustily responsible for gathering the m( non, the mfortnnnon subrmtted u, <br />to Ilse best of my knowledge and belief, <br />ef, true accurate and complete 1 am aware that there are significant <br />penalties for submnung false Information, including the posvbihty of fine and unpnsonment for k now,ng <br />isolation <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />X. <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 />Cenodaphnia dubia <br />TAM3B 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />> /d0 <br />^ <br />C- <br />` <br />! � 046 <br />o <br />n,� <br />C/ <br />PERMIT <br />REQUIREMENT <br />•�'» <br />•**••* <br />MN V <br />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 />,,,,» <br />> /Oe) <br />0 <br />,X <br />C/ 4< <br />PERMIT <br />REQUIREMENT <br />**,.w* <br />MN 100 <br />• <br />,* **** <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that thw document and all attachments were pr under m direction or <br />sups, monmaccordancewitha system designed toassure that qualified personnelproerl <br />pygatherand <br />aluat the t f =anon submitted Based on my inquiry of the person or person who manage the <br />s or those persons dustily responsible for gathering the m( non, the mfortnnnon subrmtted u, <br />to Ilse best of my knowledge and belief, <br />ef, true accurate and complete 1 am aware that there are significant <br />penalties for submnung false Information, including the posvbihty of fine and unpnsonment for k now,ng <br />isolation <br />TELEPHONE <br />DATE <br />/1. N M � <br />'Tames ' <br />- , Cchj ., • / r- <br />U <br />7 824(—W/ <br />� / <br />/nn /mss „/ .r <br />D •G� ,20 A <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />I NUMBER <br />MM /oo/IYYY <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 />TRAPPER MINE <br />LOCATION: 6.5 MI SW OT TOWN ON ST HWY 13 <br />CRAIG, CO 81625 <br />ATTN. Jim M. Mattern, Pres /GM <br />EPA Form 3320 - 1 IRev.01l06) 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 />011 - W <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />10/01/2011 <br />MM/DD/YYYY <br />12/31/2011 <br />TO <br />MOFAT <br />ACUTE WET TESTING FOR 011A <br />Extemal 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 OFTEST PROCEDURE. REPORT LC50 - STATISTICAL PIONT ESTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR WHEN <br />WET TESTING NOT REQD, PUT NOT REQUIRED - SURFACE RUNOFF ONLY" ON DMR. <br />06/02/2011 Page 1 <br />