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I
<br />PERMITTEENAME /ADDRESS (include Facility Name/LocationifDifferent)
<br />NAME:
<br />Oxbow Mining LLC
<br />ADDRESS:
<br />PO Box 535
<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) Form Approved
<br />DISCHARGE MONITORING REPORT (DMR) OMB No 2040 -0004
<br />000000132 007 -A
<br />PERMIT NUM I DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY MM /DD/YYYY
<br />FROM 0&0"12615 TO — 86/3AF2643
<br />Q`�jLf /ZOt� OrJ" /�o /ZOt3
<br />DMR Mailing ZIP CODE: 81424 -0535
<br />MINOR
<br />GUNIS
<br />SEDIMENT POND TO HUBBARD CREEK
<br />External Outfall
<br />No Discharge
<br />PARAMETER
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<br />prnonnr p,otxrs ga
<br />salu , ,tn rv, m .m wbm. d Hard on m, uttry,n of the panan ar perwn, xha nun.�r tha
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<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<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 />OF PRINCIPAL EXECUTIVE OFFICER OR
<br />TYPED OR PRINTED
<br />Oil and grease visual
<br />SAMPLE
<br />AREA Code
<br />NUMBER
<br />MMUDDIYYYY
<br />MEASUREMENT
<br />840661 0
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />"`...
<br />I
<br />Req. Mon.
<br />INST MAX
<br />Y =1;N =0
<br />"""
<br />"""
<br />» ""
<br />Monthly
<br />VISUAL
<br />AME /TITLE PRINCIPAL EXECUTIVE OFFICER
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<br />prnonnr p,otxrs ga
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<br />,r� .n ;ha.a �..an. dn.. tl, r p.,n.,hlr tar K,the g th. ,ninrmal,on the nlorma wbmitkd ,.
<br />_
<br />(, a - - ` t
<br />VGN=E (/
<br />TELEPHONE
<br />DATE
<br />wiLA d
<br />I
<br />�}O ��IfA G
<br />�!
<br />/ /.` t J +
<br />!
<br />�,^
<br />At-
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<br />um�1 `tom, .umnimng tah. ,annnunan nw�ud,ng m, po,,,bd,n ut M1nr and ,mpnsunr„ant for Anox, /p
<br />�/�'f
<br />V l
<br />OF PRINCIPAL EXECUTIVE OFFICER OR
<br />TYPED OR PRINTED
<br />AUTHORIZED AGENT
<br />AREA Code
<br />NUMBER
<br />MMUDDIYYYY
<br />k,UfflMr e I a ANU tArLANA I IUN Ut- ANT V IULA I IUNS (ReterenCe all attacntnent5 here)
<br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LMT APPLIED FOR 1 PRECIP EVENT,SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR >10YR,24HR EVENT -SEE I.A.1,PP 4 -5, AND I A.2, P 5
<br />FOR ROMNTS TDS MONITORING -SEE PART VLA 2 G OF RATIONALE. 30 DAY AVG IS HIGHEST MONTHLY AVG. DURING PERIOD REPRTD.
<br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. 111091'2011 Page 2
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