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PARAMETER <br />Icendy under penalty of law that this document and all attachments were prepared udermy direction or <br />open won to ac.:ardance with a system designed m assure that qualified personnel properly gather and <br />e aluate the information submitted Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathenng the mf iron, the mfomunao submitted u, <br />to the best of my knowledge and belief, true, accurete, and complete I am aware that there are >iglu ficant <br />peminea for submitting false information, mchd f mg the possibility of and tmpnsonment for knowing <br />smlatians <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 />Ceriodaphnia dubia <br />TAM3B 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />""" <br />100.0001 <br />MN VALUE <br />""'• <br />% <br />Quarterly <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />TAN6C 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />""" <br />""" <br />""" <br />100.0001 <br />MN VALUE <br />% <br />Quarterly <br />GRAB <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />Icendy under penalty of law that this document and all attachments were prepared udermy direction or <br />open won to ac.:ardance with a system designed m assure that qualified personnel properly gather and <br />e aluate the information submitted Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathenng the mf iron, the mfomunao submitted u, <br />to the best of my knowledge and belief, true, accurete, and complete I am aware that there are >iglu ficant <br />peminea for submitting false information, mchd f mg the possibility of and tmpnsonment for knowing <br />smlatians <br />� <br />TELEPHONE <br />DATE <br />S ✓ t /)/)aHer, <br />/' / (- `' /}� A /\c <br />ie s tart 4 CAL= l s / / (y <br />"Ad r-, <br />' 4C [ / <br />?76--61,2*- " „O/ <br />© / ® / <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I <br />NUMBER <br />MMIDDMIYY <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: TRAPPER MINE <br />LOCATION: 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 />023 -W <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DDIYYYY <br />10/01/2011 <br />MM /DD/YYYY <br />12/31/2011 <br />TO <br />MOFAT <br />WET TESTING FOR 023A <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 POINT ESTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXCITY TEST REPORTFORM TO DMR WHEN <br />WET TESTING NOTREQ'D, PUT NOT REQUIRED - SURFACERUNOFF ONLY” ON DMR. <br />06/02/2011 Page 1 <br />