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PARAMETER <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 />Solids, total dissolved <br />70295 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />NCI <br />DiSCt446ti <br />PERMIT <br />REQUIREMENT <br />W.. * *. <br />Req. Mon, <br />QRTR AVG <br />Req. Mon. <br />QRTR MAX <br />mg /L <br />Quarterly <br />GRAB <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,... <br />•_ * *•• <br />• ,.•... <br />no <br />fltpSC% <br />- . <br />_. <br />PERMIT <br />REQUIREMENT <br />Req, Mon. <br />INST MAX <br />Y =1;N =0 <br />".'* <br />Twice Per <br />Month <br />VISUAL <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME: Chevron Mining Inc <br />ADDRESS: 116 Inverness Dr E Ste 207 <br />Englewood, CO 80112 <br />FACILITY: EDNA MINE <br />LOCATION: 26990 COLORADO HWY 131 <br />OAK CREEK, CO 80467 <br />ATTN: Jim Tarazoff, Land Mgr <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 />C00032638 <br />PERMIT NUMBER <br />004 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />09/01/2012 <br />MM /DD/YYYY <br />09/30/2012 <br />TO <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SETTLEABLE SOLIDS LIMIT WILL BE WAIVED FOR >10YR,24HR PRECIP EVENT- SEE I.A.2, PG. 4 FOR REQUIREMENTS.QRTRLY SAMPLING INSTRUCTIONS - I.C,10, PG. 9, <br />DMR Mailing ZIP CODE: 80112 <br />MINOR <br />Form Approved <br />OMB No. 2040 -0004 <br />ROUTT <br />SURFACE RUNOFF TO TROUT CREEK <br />External Outfall <br />No Discharge( <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />DNtfl rA - r.) D PROs I D O.4 CEo <br />TYPED OR PRINTED <br />I cerrily under penalty of law that this document and all attachments were prepared under mt direction or <br />supervtson in accordance with a system designed in assure that qualified personnel properly gather and <br />evaluate the Information submitted Based on my inquiry of the person or persons who manage the <br />system, or those persons duectlr responsible for gnthenng the mformnton, the information sabnutted is <br />to the hest of ml knowledge and belief. true, accurate. and complete I am swore that there are srgmhcent <br />penalties for submitting false information, including the possibility of fine end imprisonment for knowing <br />saolntions <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />AUTHORIZED AGENT <br />FFICER OR <br />TELEPHONE <br />303 q 3o —qj(,i' <br />AREA code I NUMBER <br />t o <br />DATE <br />MM /DD/YYYY <br />07/30/2012 Page 2 <br />