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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 />VALUE
<br />SOMERSET, CO 81434
<br />ATTN: James T. Cooper, EVP
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />C00000132 009 -A
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY MM/DD/YYYY
<br />FROM TO '06130f'Lefi3
<br />t
<br />Form Approved
<br />OMB No. 204-)4J004
<br />DMR Mailing ZIP CODE: 81424 -0535
<br />MINOR
<br />GUNIS
<br />SURF RUNOFF TO N FK GUNIS RIVR
<br />External Outfall
<br />No Discharge
<br />PARAMETER
<br />I .,Mtv unaer pemlry oI law that th,, dmu—t and all lrt chm.nti wen prepared under — dueehon or
<br />nma univwnwnhas ,tnmrk,, -d to o, that nal,hed , an I l tiar,nd
<br />ren r s a r r ga
<br />wen mlmnuwn,nnm,tad R— ca,.n my myn, ,•rm p—. p nti, wren manage roe
<br />u,m, or thou pe u s a, tl} reepons, a, to; gadsnng the pl- I mn me ih mat on,wnmmw,r.
<br />to 1h, I,Z or my Uowledge area boner true ac ur.ne area cnmp4 -[c I an, a vare ,rem there am „gn,r..w
<br />r.naln�r for sunm,thog take mtortnatron. ,n,.lud,ng the pt—b,h y of f: and,mpnronment for k—ulg
<br />„oiamn,
<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />EX
<br />EX
<br />FRENUE
<br />of ANALYY SISI S
<br />SAMPLE
<br />TYPE
<br />VALUE
<br />VALUE
<br />UNITS
<br />VALUE
<br />VALUE
<br />VALUE
<br />UNITS
<br />AUTHORIZED AGENT
<br />AREA Cody
<br />NUMBER
<br />MMIDD/YYYY
<br />Oil and grease visual
<br />SAMPLE
<br />.,....
<br />MEASUREMENT
<br />840661 0
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />" ""
<br />Req. Mon.
<br />INST MAX
<br />Y =1,N =0
<br />" ""
<br />" ""
<br />" ""
<br />" ""
<br />Monthly
<br />VISUAL
<br />AME/TITLE PRINCIPAL EXECUTIVE OFFICER
<br />I .,Mtv unaer pemlry oI law that th,, dmu—t and all lrt chm.nti wen prepared under — dueehon or
<br />nma univwnwnhas ,tnmrk,, -d to o, that nal,hed , an I l tiar,nd
<br />ren r s a r r ga
<br />wen mlmnuwn,nnm,tad R— ca,.n my myn, ,•rm p—. p nti, wren manage roe
<br />u,m, or thou pe u s a, tl} reepons, a, to; gadsnng the pl- I mn me ih mat on,wnmmw,r.
<br />to 1h, I,Z or my Uowledge area boner true ac ur.ne area cnmp4 -[c I an, a vare ,rem there am „gn,r..w
<br />r.naln�r for sunm,thog take mtortnatron. ,n,.lud,ng the pt—b,h y of f: and,mpnronment for k—ulg
<br />„oiamn,
<br />{ �1 _
<br />i • - S
<br />TELEPHONE
<br />DATE
<br />!
<br />-,:Q< er l �5 tY ..;._
<br />Q ] q7
<br />// I`-' ((
<br />v
<br />, ,
<br />SIGNATURE OF INCIPAL EXECUTIVE OFFICER OR
<br />TYPED OR PRINTED
<br />AUTHORIZED AGENT
<br />AREA Cody
<br />NUMBER
<br />MMIDD/YYYY
<br />4,ummirm i 5 Amu rArLANA I IUN OF ANY VIULA I IUNS (Keterence all attachments here)
<br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LMT APPLIED FOR < =10YR,24HR PRECIP EVENT;SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR >10YR,24HR EVENT-SEE I.A.1,PP 4 -5, AND IA.2, P. 5
<br />FOR RQMNTS.TDS MONITORING -SEE PART VI A 2.G OF RATIONALE. 30 DAY AVG IF HIGHEST MONTHLY AVG. DURING PERIOD REPRTD
<br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. 11/09/2011 Page 2
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