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PARAMETER <br />1 centfy under penalty of law that this document and all attachments were prepared under my direction or <br />supentston m accordance with a system &slimed to assure thin qualified personnel properly gather and <br />e aluate the mformanon submitted Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the mfomuuon, the information submsubmitted d u, <br />ute and complete I em ae chat there ere suficmi <br />to the best of my knowledge and belief, true accuraccurate war igi <br />peen"ce for nbmi mg falsemfomanon,indudmg hepos Mhryoffineendimpnsunmrnt(orkwwme <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 />LC50 Static Renewal 48Hr Acute <br />Cenodaphnia dubia <br />TAM3B 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />U <br />>i00) <br />/ }� <br />v <br />9 <br />c 9(/ <br />/ �/n <br />L /mil/ <br />PERMIT <br />REQUIREMENT <br />""I.. <br />'�11A. <br />100.0001 <br />MN VALUE <br />».M <br />«aa.. <br />Quartedy <br />GRAB <br />LC50 Statre 96Hr Acute Pime p hales <br />TAN6C 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />/, <br />l �V <br />/^� <br />V <br />l 96 <br />/• ': <br />C=✓ Y'f C� <br />PERMIT <br />REQUIREMENT <br />".»." <br />100.0001 <br />MN VALUE <br />11 1 <br />1.14.1. <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />1 centfy under penalty of law that this document and all attachments were prepared under my direction or <br />supentston m accordance with a system &slimed to assure thin qualified personnel properly gather and <br />e aluate the mformanon submitted Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the mfomuuon, the information submsubmitted d u, <br />ute and complete I em ae chat there ere suficmi <br />to the best of my knowledge and belief, true accuraccurate war igi <br />peen"ce for nbmi mg falsemfomanon,indudmg hepos Mhryoffineendimpnsunmrnt(orkwwme <br />TELEPHONE <br />DATE <br />` <br />1'S <br />YVL A/1- ti I. � M y <br />'r ` er {4 - , <br />GN/t b <br />r <br />� C �y i/ <br />7TO ` &,2 Y— <br />�! �7 <br />I`Ce' .2 t/ /2—, <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER O <br />AUTHORIZED AGENT AREA code <br />NUMBER <br />MMIDDIYYYY <br />TYPED OR PRINTED <br />U <br />PERMITTEE NAMEIADDRESS (Include Facility Name/Location if Different) <br />NAME: Trapper Mining Inc <br />ADDRESS: PO Box 187 <br />Craig, CO 81626 -0187 <br />TRAPPER MINE <br />6.5 MI SW OT TOWN ON ST HWY 13 <br />CRAIG, CO 81625 <br />FACILITY: <br />LOCATION: <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 />021 -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 />DMR Mailing ZIP CODE: 81626 -0187 <br />MINOR <br />MOFAT <br />WEST TESTING FOR 021A <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharger <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 TOXICITY TEST REPORT FORM TO DMR WHEN <br />WET TESTING NOTREO'D, PUT "NOT REQUIRED - SURFACERUNOFF ONLY" ON DMR <br />06/02/2011 Page 1 <br />