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PARAMETER <br />I cent fy under penalty of lax that m document and all ane hments were prepared under my direction or <br />wm <br />puh dauu whth a system designed to assure that yudtfied personnel properly gather and <br />but <br />QUANTITY OR LOADING <br />QUALITY 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 />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />v <br />G <br />/ <br />UZSGo <br />PERMIT <br />REQUIREMENT <br />" "" <br />Reeqq Mon. <br />INST MAX <br />Y =1;N =0 <br />•�•„ <br />...... <br />Monthly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I cent fy under penalty of lax that m document and all ane hments were prepared under my direction or <br />wm <br />puh dauu whth a system designed to assure that yudtfied personnel properly gather and <br />but <br />TELEPHONE <br />DATE <br />M �y <br />�Gir1 f S `i (r Ina-re-err/ <br />�-„ « , t �./ ,, cy1 , y n , <br />al to th net n tied Based on my mquny of the pawn or persona who manage the <br />system, or those persons thrombi responsible far gethenng the Information, the m(omhauon suborned u, <br />to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant <br />penalties sub mtmg false mformauon, Including the possibility of fine and hmpnsaunent for k owmg <br />970 -?2 <br />O / /j / ` , '7 <br />C\ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />Li <br />TYPED OR PRINTED <br />l <br />AKA Cod. <br />I NUMBER <br />MM /DD/YYYY <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 W <br />6.5 MI SW OT TOWN ON ST HY 13 <br />CRAIG, CO 81625 <br />ATTN: Jim M. Mattern, Pres /GM <br />e all attachments here <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 />001 - A <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 />POND #10 TO JOHNSON GULCH <br />Extemal Outfall <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 - 1.8.2 <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge n <br />06/02/2011 Page 2 <br />