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PERMITTEE NAME/ADDRESS (Include Facility Name/Location if DiBerent) <br />NAME: <br />Oxbow Mining LLC <br />ADDRESS: <br />PO Box 535 <br />NO. <br />EX <br />Somerset, CO 81434-0535 <br />FACILITY: <br />SANBORN CRK & ELK CRK MINES <br />LOCATION: <br />3737 HIGHWAY 133 <br />VALUE <br />SOMERSET, CO 81434 <br />ATTN: James T. Cooper, EVP <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000000132 015-W <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY I MM/DD/YYYY <br />FROM 07/01/2013 TO 1 09/30/2013 <br />Forth Approved <br />OMB No. 20440004 <br />DMR Mailing ZIP CODE: 81424-0535 <br />MINOR <br />GUNIS <br />ACUTE WET TESTING FOR 015A <br />External Outfail ! <br />No Discharge lj /,1�1Jj <br />PARAMETER <br />l serufY � pC°alry of law hat hu down rnt and all a achmcnn were p epued mdv my dueenm m <br />supavuton m accord— wnh a.y d—gaed w assure But quah(ed persmmel Properly gather W <br />evahute th, tnimm-w mbrm d Based m my mq," of the person or persaus .Ou manage the <br />symm, w those peraam directly rmpmsbk fm gathering the mf bon, <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 />pmaJum fm wbwtung Ww mfmmwtm, mcludmg the posstbrhty of fine and tmpnwommt for Imowm <br />swlanms <br />NATURE OF P CIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Coda <br />NUMBER <br />MW <br />LC50 Statre 96Hr Acute Pimephales <br />SAMPLE <br />MEASUREMENT <br />TAN6C 10 <br />PERMIT <br />„"„ <br />...... <br />100 <br />% <br />Effluent Gross <br />I REQUIREMENT <br />MN VALUE <br />Ouadefly <br />GRAB <br />NAME/11TLE PRINCIPAL EXECUTIVE OFFICER <br />l serufY � pC°alry of law hat hu down rnt and all a achmcnn were p epued mdv my dueenm m <br />supavuton m accord— wnh a.y d—gaed w assure But quah(ed persmmel Properly gather W <br />evahute th, tnimm-w mbrm d Based m my mq," of the person or persaus .Ou manage the <br />symm, w those peraam directly rmpmsbk fm gathering the mf bon, <br />(/1 <br />me i TFj� �1..• <br />TELEPHONE <br />DAT <br />V <br />w dte best of m) 6w,tc4c and bebef, true, amurate, and wmpkw I am aware that these are stgmficant <br />/ b <br />. : % <br />pmaJum fm wbwtung Ww mfmmwtm, mcludmg the posstbrhty of fine and tmpnwommt for Imowm <br />swlanms <br />NATURE OF P CIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Coda <br />NUMBER <br />MW <br />TYPED OR PRINTED <br />%,um imm 1 J Am cAmANA l IUn Ur AN T YIULA I IUNJ (Ken"rice an atracnments nere) <br />SEE IA.4.A, PP 5-6 FOR DETAILS OFTEST PROCEDURE. REPORT LC50 - STATISTICAL PINT WSTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. <br />EPA Form 3320 -1 (Rov.01/06) Previous edMons may be used. <br />11108/2011 Page 1 <br />