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PARAMETER <br />1 eslty nrdrm penalty of law that this document and all attachments were prepared r my dr aion or <br />millennial m accordance with . systan devgned It/assure dui qualified personnel properif gather and <br />Amu. the information submitted Based on my mytury of the person or M1 who manage the <br />s stem, or dense R dv ctl} resporuiblc for gathering the Inhumation, the m4mmauwr submittal u <br />to the best of my knowledge and belief, true accurate, and complete 1 am aware that t t <br />ethere arc sigmfi <br />',ermines for submitting false mfonnatwn, Including the possibility of fine and onprtso m ant for know mg <br />c / tab oos <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />ouJ <br />z <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE <br />UNRS <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 />m..a.a <br />.a.a., <br />a.,.» <br />PERMIT <br />REQUIREMENT <br />..a..,, <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />'a'a" <br />«..., <br />...... <br />...a• <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 eslty nrdrm penalty of law that this document and all attachments were prepared r my dr aion or <br />millennial m accordance with . systan devgned It/assure dui qualified personnel properif gather and <br />Amu. the information submitted Based on my mytury of the person or M1 who manage the <br />s stem, or dense R dv ctl} resporuiblc for gathering the Inhumation, the m4mmauwr submittal u <br />to the best of my knowledge and belief, true accurate, and complete 1 am aware that t t <br />ethere arc sigmfi <br />',ermines for submitting false mfonnatwn, Including the possibility of fine and onprtso m ant for know mg <br />c / tab oos <br />` <br />�. -.AWN. <br />TELEPHONE <br />DATE <br />^A � <br />•TES 4 "la ft - e � <br />11JJ <br />e.,s- a.A. d ed - /I , <br />�� e 512-4 1 /07 y <br />/0-2/20/..2_ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />c.d. I NUMBER <br />MMIDDIYYYY <br />TYPED OR PRINTED <br />NT <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Locaton 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.01/06) 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 />MONITORING PERIOD <br />MM/DD/YYYY <br />07/01/2012 <br />MM/DD/YYYY <br />09/30/2012 <br />022 -A <br />DISCHARGE NUMBER <br />TO <br />DMR Mailing ZIP CODE: 81626 - 0187 <br />MINOR <br />MOFAT <br />DISCHARGE TO DEAL 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 I A 2. TDS MONITORING - I.B.2 <br />07/13/2012 Page 2 <br />