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PARAMETER
<br />cemry twirler penalty or law that this document owl all attachments were prepared under no direction or
<br />n ricf p Idled persn
<br />seal t th ts,nnm no t n tun d• win des neat u
<br />the hgather and oho f no ! n Fm tt a B I n y h n• f the fo io , t duns u mange the
<br />W qem, or thrice persons d tiv resi+o nhle for gnthenng the information, a fnrmntinn, the mfnrmnenn anFmm I is
<br />penult es for n l a mfnrmanon mclndmg the pnsa,htlity of fine and tmprwonment for kkimw,ng
<br />violations
<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 />Nickel, potentially dissolvd
<br />01322 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />,,,,,,
<br />5
<br />=S
<br />1/4).6/1..
<br />/
<br />/ 1r o
<br />GR g
<br />,,,,,,
<br />PERMIT
<br />REQUIREMENT
<br />" " ""
<br />" " "' ""
<br />Req. Mon.
<br />30DA AVG
<br />Req. Mon.
<br />DAILY MX
<br />ug /L
<br />Twice Per
<br />Year
<br />GRAB
<br />Selenium, potentially dissolvd
<br />01323 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />,,,•,,
<br />40.1
<br />< © I
<br />u,'L
<br />QS
<br />h�
<br />t� en
<br />G g
<br />,,,,,,
<br />PERMIT
<br />REQUIREMENT
<br />Req. Mon.
<br />30DA AVG
<br />Req. Mon.
<br />DAILY MX
<br />ug /L
<br />Twice Per
<br />Year
<br />GRAB
<br />Mercury, total (as Hg)
<br />71900 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />"____=
<br />Z o 2
<br />4 O. Z
<br />u6h _
<br />0
<br />I(iao
<br />CAS
<br />____,_
<br />_.. « «,
<br />PERMIT
<br />REQUIREMENT
<br />Req. Mon.
<br />30DA AVG
<br />Req. Mon.
<br />DAILY MX
<br />ug/L
<br />Twice
<br />Year
<br />GRAB
<br />Chromium, trivalent dissolved, as Cr
<br />80357 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />,,,,..
<br />,,,,,_
<br />"_., «_
<br />______
<br />4 O.S
<br />0 .5
<br />k i c . , / L
<br />0
<br />iiigp
<br />G k '
<br />PERMIT
<br />REQUIREMENT
<br />Req. Mon.
<br />30DA AVG
<br />Req. Mon.
<br />DAILY MX
<br />ug /L
<br />Twice Per
<br />Year
<br />GRAB
<br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER
<br />cemry twirler penalty or law that this document owl all attachments were prepared under no direction or
<br />n ricf p Idled persn
<br />seal t th ts,nnm no t n tun d• win des neat u
<br />the hgather and oho f no ! n Fm tt a B I n y h n• f the fo io , t duns u mange the
<br />W qem, or thrice persons d tiv resi+o nhle for gnthenng the information, a fnrmntinn, the mfnrmnenn anFmm I is
<br />penult es for n l a mfnrmanon mclndmg the pnsa,htlity of fine and tmprwonment for kkimw,ng
<br />violations
<br />�j/
<br />//J (/ / 7,44"�
<br />TELEPHONE
<br />DATE
<br />Q
<br />(3 03) r 30 ^ ¢•d6 "s
<br />0 / /1 2 a 13
<br />A �1� 1 IP Pa�K1� e T ree T c
<br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Code I NUMBER
<br />MMIDD/YYYY
<br />TYPED OR PRINTED
<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:
<br />LOCATION:
<br />EDNA MINE
<br />26990 COLORADO HWY 131
<br />OAK CREEK, CO 80467
<br />ATTN: Jim Tarazoff, Land Mgr
<br />FROM
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<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 />C00032638
<br />PERMIT NUMBER
<br />MON -2
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MMIDD/YYYY
<br />07/01/2012
<br />MM /DD/YYYY
<br />12/31/2012
<br />TO
<br />DMR Mailing ZIP CODE: 80112
<br />MINOR
<br />Form Approved
<br />OMB No 2040-0004
<br />ROUTT
<br />DSCHG TO KOLL DTCH #3 /TROUT CRK
<br />External Outfall
<br />No Discharge
<br />07/30/2012 Page 2
<br />
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