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PARAMETER <br />I to ). under penahy of Ian that thus document and all atuehr ams were prepared under my dam or <br />upon num m accordant,. with a s) wen dcstgnal to amsme that owned pcnonnel properly Father and <br />luate the trdomu on aubm ntAl Based on my inquiry of the pawn or pcnonr who rrranage the <br />or ahox pe xos du.Uly nespoaiible lot gathenng the ml«rratnat, the mfrnnunon subrmued a <br />to the beat of mf know lntgu and belie(, true accurate, and uanplet. I am a »are that there arc slant (team <br />M laii'o ssfw su F tnfwmautm meludmg the Possibihn of fine ''''d unpnYmman for knowtag <br />u <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />d <br />2 <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 />TYPED OR PRINTED <br />V <br />... «. <br />w••■• <br />.. «.. <br />...... <br />PERMIT <br />REQUIREMENT <br />Req. <br />Req. Mon. <br />INST MAX <br />Y=1;14=0 <br />«.«. <br />«.... <br />••«« <br />Monthly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I to ). under penahy of Ian that thus document and all atuehr ams were prepared under my dam or <br />upon num m accordant,. with a s) wen dcstgnal to amsme that owned pcnonnel properly Father and <br />luate the trdomu on aubm ntAl Based on my inquiry of the pawn or pcnonr who rrranage the <br />or ahox pe xos du.Uly nespoaiible lot gathenng the ml«rratnat, the mfrnnunon subrmued a <br />to the beat of mf know lntgu and belie(, true accurate, and uanplet. I am a »are that there arc slant (team <br />M laii'o ssfw su F tnfwmautm meludmg the Possibihn of fine ''''d unpnYmman for knowtag <br />u <br />TELEPHONE <br />DATE <br />Q.MC <br />/yJ /j/� <br />/, ` • /' a, 74_(.E <br />n ! /+ <br />/ -/� , ,7 Ar / (;''l+ <br />q /t <br />A y <br />/ L e <br />9:2 S� u' <br />/ / <br />/v �� �U,, <br />f <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Cade I <br />NUMBER <br />MMIDD/YYYY <br />TYPED OR PRINTED <br />V <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location ff 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 />C00032115 <br />PERMIT NUMBER <br />024 - A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MMIDDIYYYY <br />07/01/2012 <br />MM/DDIYYYY <br />09/30/2012 <br />TO <br />Form Approved <br />OMB No 2040-0004 <br />DMR Mailing ZIP CODE: 81626 - 0187 <br />MINOR <br />MOFAT <br />DISCHARGE TO WEST HORSE GULCH <br />External Outfall <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 />No Discharge E <br />07113/2012 Page 2 <br />