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PARAMETER <br />Icentfy under penaht law that thin document and *ueneehment, were p.pared erm,dneenonor <br />aspen too m accordance u th n •v stem designed to move that qualified pervnnnel properly gather end <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 />%Effect Statre 7Day Chronic <br />Pimephales <br />TCP6C S 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />______ <br />._ <br />* * * * ** <br />'- <br />NO <br />D LSC- 41A£.6K. <br />PERMIT <br />REQUIREMENT <br />* * * * ** <br />100 <br />MN VALUE <br />* * * * ** <br />Twice Per <br />Year <br />GRAB - 3 <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />Icentfy under penaht law that thin document and *ueneehment, were p.pared erm,dneenonor <br />aspen too m accordance u th n •v stem designed to move that qualified pervnnnel properly gather end <br />/�' <br />—444/— . s_i Z� <br />TELEPHONE <br />DATE <br />P li V ►O PR R- I DGE p 2,65- (pro4-T -I.-C Ea <br />I t Ili t f In Inn n d H d v qt IN fthe peraon or reran utm manage the <br />wale, or thoa •p on ahmmed n <br />c person, directly reonvthle for gathering the information the rnformau • <br />ro Ilia hest of m, knowledge anJ belief tore accmme and complete I am aware that there are agnmmficant <br />pen fm. nhmmmgfa1semfo mcl" dmgthepo ,vhiityoffineandimpmonmentfork wins <br />q <br />(� / 3 r � <br />°(/ a i3 <br />/ <br />SIGNATURE OF PRINCIPAL EXECUTIVE O FICEROR <br />AUTHORIZED AGENT <br />AREA Code I NUMBER <br />MMIDD/YYYY I <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: 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.01106) 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 />04Y -X <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />07/01/2012 <br />MM /DD/YYYY <br />12/31/2012 <br />TO <br />DMR Mailing ZIP CODE: 80112 <br />MINOR <br />ROUTT <br />CHRONIC WET TESTING FOR 004A <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 />SEE I.A.4 FOR DETAILS OF TEST PROCEDURE. IF THERE IS A STAT DIFF RPTRESULTS ON THIS OUTFRALL. IF NOT,RPT "NO DISCHARGE" & COMPLETE OUTFALL 004X. RPT LOWEST % AT WHICH STATISTICALLY SIGNIF <br />DIFF BETWEEN TESTAND CONTROL USING TEST CODE "S ". RPT IC25 USING TEST CODE "P ". IWC =94 %. <br />07/30/2012 Page 2 <br />