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PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different)
<br />NAME:
<br />Oxbow Mining LLC
<br />ADDRESS:
<br />PO Box 535
<br />EX
<br />EX
<br />Somerset, CO 81434 -0535
<br />FACILITY:
<br />SANBORN CRK & ELK CRK MINES
<br />LOCATION:
<br />3737 HIGHWAY 133
<br />NUMBER
<br />SOMERSET, CO 81434
<br />ATTN. James T Cooper, EVP
<br />6
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form ApaOV1b
<br />DISCHARGE MONITORING REPORT (DMR) OMB No 2040-000
<br />l
<br />000000132 019 -A
<br />PERMIT NUMBER I DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY I MM /DD/YYYY
<br />FROM q T&Gf3— TO I —te
<br />f /G( / Lut 3 0743 0120( 3
<br />DMR Mailing ZIP CODE: 81424 -0535
<br />MINOR
<br />GUNIS
<br />SURFACE RUNOFF TO HUBBARD CRK
<br />External Outfall
<br />No Discharge
<br />N ME(fITLE PRINCIPAL ECUTNE OFFICER
<br />i umki p mlro of law Ihal th, do,um n1 and all jt bnwnl, w,,, pnpa,ul un,k, my dv..oanor
<br />.upon run, in aum dnnu wnh a qa d—,—d m awn d A, gw,M n,d p,.rK�nncl p,,,Wrly gath.; end
<br />.,alualc Ih� mlurnuuan .ubmnn.d Bamd un m, mywn of the penun u, pu. whu manage th,
<br />pc,vm. dinith - .pomibic Inr gethenng the mNrmauun Iht mturmauon .ubmnmd r
<br />k, l,dg, . d bend vut e..wat. And,umpleu I am aware that In— 11 I
<br />niJlt, n I,,. , nm,nmg t,lw mm,mannn m n dmg nt p ah;nn nt en and,mpn nnm m tm kn, mg
<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />EX
<br />EX
<br />FREQUENCY
<br />of ANALYSIS
<br />SAMPLE
<br />TYPE
<br />PARAMETER
<br />GNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Cods
<br />NUMBER
<br />MMIDD/YYYY
<br />TYPED OR PRINTED
<br />VALUE
<br />VALUE
<br />UNITS
<br />VALUE
<br />VALUE
<br />VALUE
<br />UNITS
<br />Oil and grease visual
<br />SAMPLE
<br />......
<br />.....
<br />......
<br />......
<br />......
<br />MEASUREMENT
<br />PERMIT
<br />......
<br />Req. Mon.
<br />INST MAX
<br />Y =1,N =0
<br />••••'•
<br />•• ""
<br />••••..
<br />' «'«
<br />Monthly
<br />VISUAL
<br />840661 0
<br />Effluent Gross
<br />REQUIREMENT
<br />N ME(fITLE PRINCIPAL ECUTNE OFFICER
<br />i umki p mlro of law Ihal th, do,um n1 and all jt bnwnl, w,,, pnpa,ul un,k, my dv..oanor
<br />.upon run, in aum dnnu wnh a qa d—,—d m awn d A, gw,M n,d p,.rK�nncl p,,,Wrly gath.; end
<br />.,alualc Ih� mlurnuuan .ubmnn.d Bamd un m, mywn of the penun u, pu. whu manage th,
<br />pc,vm. dinith - .pomibic Inr gethenng the mNrmauun Iht mturmauon .ubmnmd r
<br />k, l,dg, . d bend vut e..wat. And,umpleu I am aware that In— 11 I
<br />niJlt, n I,,. , nm,nmg t,lw mm,mannn m n dmg nt p ah;nn nt en and,mpn nnm m tm kn, mg
<br />i _ ,�
<br />yyvj t T , T_
<br />.VI
<br />TELEPHONE
<br />DATE
<br />�/i �%y -� `
<br />0 / � O
<br />!�
<br />GNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Cods
<br />NUMBER
<br />MMIDD/YYYY
<br />TYPED OR PRINTED
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LMT APPLIED FOR <= 10,24HR PRECIP EVENT,SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR >10YR.24HR EVENT -SEE LAA RP 4-5, AND IA.2, P 5 FOR
<br />ROMNTS.TDS MONITORING -SEE PART VLA 2 G OF RATIONALE. 30 DAY AVG IS HIGHEST MONTHLY AVG DURING REPORTING PERIOD.
<br />EPA Form 3320- 1(Rev.01106)Previous editions may be used. 11/0912011 Page 2
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