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PARAMETER <br />I centy under penalty of law that this document and all attachments were prepared under m doectton <br />super, won to accordance with a sy tem designed to assure that qualified personnel properly a gathe and <br />evaluate the Information bubmttted. Based on my bigotry of the person or persons who swage the <br />ible <br />to s the best o my knowledge and tel ef aac Mont a hen the and complete a I aware that there arc gmfi i tem <br />penalties for submnung false m md <br />formauon, udmg the poastbdny of r and tmpnsonment for know mg <br />r tolanons <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 />PERMIT <br />REQUIREMENT <br />Re ST MAX q Mon. <br />IN <br />Y=1;14=0 <br />'•"" <br />N "» <br />MI.. <br />Monthly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />I centy under penalty of law that this document and all attachments were prepared under m doectton <br />super, won to accordance with a sy tem designed to assure that qualified personnel properly a gathe and <br />evaluate the Information bubmttted. Based on my bigotry of the person or persons who swage the <br />ible <br />to s the best o my knowledge and tel ef aac Mont a hen the and complete a I aware that there arc gmfi i tem <br />penalties for submnung false m md <br />formauon, udmg the poastbdny of r and tmpnsonment for know mg <br />r tolanons <br />TELEPHONE <br />DATE <br />�6` <br />Ai , <br />Hits. ' ' • Qom^ <br />/�4 <br />" F • <br />/; <br />9x) �- F2 y `/ - %1 � <br />/ <br />t �j/ .a v z . <br />/// <br />S IGNATURE OF PRIN PAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Cod. I NUMBER <br />MM/DDIYYYY I <br />TYPEED D O R PRINTE D <br />OR <br />C/ <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 />018 <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 />DMR Mailing ZIP CODE: 81626 - 0187 <br />MINOR <br />MOFAT <br />DISCHARGE TO HORSE GULCH <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <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 LA 2. TDS MONITORING -1.13.2. <br />06/02/2011 Page 2 <br />