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PARAMETER <br />1 cuff} under 'scull} of law that dos document and all atachmtenu w ere prepared under my dmeeuon or <br />supervuwn to accordance with a system devgned to assure that qualified personnel properly gahu and <br />main. the ndotrnaucm submitted Bate i ten m} inquuy of the person or persons who manage die <br />»stem Of those pawns dined} b end, t bk for ga and the p I am the a thin th an wMmfu u <br />to the best of m} knowledge and bchef, we. acuwte, and mmplctc t em aware that there are sigmfiont <br />pre ,c subtmn Ulu Information, including the pos+tbdny of fine and Imprisonment for knowing <br />n <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />o6 <br />z <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 />/2 <br />(�/ <br />.,,.» <br />»..— <br />l./ <br />c <br />/ /? <br />� .�v <br />, 15u & <br />V 1.. <br />PERMIT <br />REQUIREMENT <br />' 0000 ' <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />,•••" <br />•aaa" <br />•" "' <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 cuff} under 'scull} of law that dos document and all atachmtenu w ere prepared under my dmeeuon or <br />supervuwn to accordance with a system devgned to assure that qualified personnel properly gahu and <br />main. the ndotrnaucm submitted Bate i ten m} inquuy of the person or persons who manage die <br />»stem Of those pawns dined} b end, t bk for ga and the p I am the a thin th an wMmfu u <br />to the best of m} knowledge and bchef, we. acuwte, and mmplctc t em aware that there are sigmfiont <br />pre ,c subtmn Ulu Information, including the pos+tbdny of fine and Imprisonment for knowing <br />n <br />TELEPHONE <br />DATE <br />-� GkM dr-S /j1 ry� y t 1 <br />/' / ' // ate, (r [ rir / <br />� tJ gad r fie i1 /Ira <br />/� <br />% � ja �� <br />V / <br />/ � <br />/V '7 Q/ <br />l- <br />SIGNAT OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />( <br />AREA Coda <br />NUMBER <br />MMIDDIYYYY <br />TYPED OR PRINTED <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: 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.011061 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 />002 - A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY <br />07/01/2012 <br />MMIDD/YYYY <br />09/30/2012 <br />TO <br />MOFAT <br />POND #5 TO NO NAME GULCH <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81626 -0187 <br />MINOR <br />No Discharge ri <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 />07/1312012 Page 2 <br />