|
I
<br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different)
<br />NAME:
<br />Oxbow Mining LLC
<br />ADDRESS:
<br />PO Box 535
<br />�
<br />EX
<br />Somerset, CO 81434-0535
<br />FACILITY:
<br />SANBORN CRK & ELK CRK MINES
<br />LOCATION:
<br />3737 HIGHWAY 133
<br />SOMERSET, CO 81434
<br />ATTN James T. Cooper, EVP
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />000000132 010 -A
<br />PERMIT NUM I DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY MM /DD/YYYY
<br />FROM TO
<br />CC i0/ / of C.S /ja /Zul�
<br />Form Approved
<br />OMB No 2040 -0004
<br />DMR Mailing ZIP CODE: 81424 -0535
<br />MINOR
<br />GUNIS
<br />SEDIMENT POND TO SANBORN CREEK
<br />External Outfall
<br />No Discharge
<br />N ME /TITLEPRINCIPALEXECUTIVEOFFICER
<br />undkr p mhnt lw Is, thn dnn m n dnuu
<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />�
<br />EX
<br />FREQUENCY
<br />of ANALYSIS
<br />SAMPLE
<br />TYPE
<br />PARAMETER
<br />VALUE
<br />VALUE
<br />UNITS
<br />VALUE
<br />VALUE
<br />VALUE
<br />UNITS
<br />ANEA Cady
<br />NUMBER
<br />MWCID/YYYY
<br />TYPED OR PRINTED
<br />Oil and grease visual
<br />SAMPLE
<br />MEASUREMENT
<br />840661 0
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />" ""
<br />Req Mon.
<br />INST MAX
<br />Y =1 -,N=O
<br />"`•"
<br />" ""
<br />Monthly
<br />VISUAL
<br />N ME /TITLEPRINCIPALEXECUTIVEOFFICER
<br />undkr p mhnt lw Is, thn dnn m n dnuu
<br />j
<br />TELEPHONE
<br />DATE
<br />,. p.rtn,,h x 1h ,,r d,- .,th,,,,t.n,d,,, r dh,n.,pnQw yw I, +, d .t h.,-d
<br />—1-1, 1h, .mt mton>ubvud Ns,al on ni .myn ut the ln„on vrp.r,on,
<br />thole 1,rt.tl, Nk lur the f,,m vnn the
<br />P / _
<br />pc,w rc,p,m Emhcnnp intarmsunr..ubmnt,d„
<br />„n ,,In,, k- lyd,, db -0 tr ,..n,a� .ma. mphl. I.m �.tnttn,..r.,Kn..,.y,
<br />9�d "1v�-
<br />� 0!
<br />/ Z
<br />C ►1'n.m,n
<br />m,nm,m y rob ,m „rm.,n,m kwd,nK m. p „ > „bd,n ul t,n nJ,mpnwnm.nt hn In w ng
<br />,SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />ANEA Cady
<br />NUMBER
<br />MWCID/YYYY
<br />TYPED OR PRINTED
<br />UUNIMtN 15 ANU LAYLANA I IUN OF ANY VIULAI IUN5 (Keterence all attachments here)
<br />TSS 8 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 LA 1,PP 4 -5, AND I A 2 P 5
<br />FOR RQMNTS TDS MONITORING -SEE PART VI A 2.G OF RATIONALE 30 DAY AVG IS HIGHEST MONTHLY AVG DURING PERIOD REPRTD
<br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. 11109/2011 Page 2
<br />
|