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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 />�
<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 />C00000132 012 -A
<br />PERMIT NUMBER I DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY MM/DD/YYYY
<br />FROM 1)6*+9 2e+3- TO _QfiQ QQ$&_
<br />0y 3c /zo1 3
<br />1
<br />Forth Approved
<br />OMB No. 2040-0004
<br />DMR Mailing ZIP CODE: 81424-0535
<br />MINOR
<br />GUNIS
<br />SEDIMENT POND TO ELK CREEK
<br />External Outfall
<br />No Discharge Qn
<br />N ME/TITLE PRINCIPAL EXECUTIVE OFFICER
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<br />evaluate the mh,r t i +Ubm—d Baxd un my mymn of th, person or PI — wM, _ge the
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<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />EX
<br />�
<br />FREQUENCY
<br />of ANALYSIS
<br />SAMPLE
<br />TYPE
<br />PARAMETER
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<br />to the best of my krowi�dgc and belief true c�u tc end complete 1 am aware that there ar, s,gmficant
<br />S NATURE OF PRI IPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />VALUE
<br />VALUE
<br />UNITS
<br />VALUE
<br />VALUE
<br />VALUE
<br />UNITS
<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 />N ME/TITLE PRINCIPAL EXECUTIVE OFFICER
<br />1 un,1v under naln of law that th„ dmument and all attachmenn wort d under my due, or
<br />+ n�rvs ,n,np`�nwne „,thay,tc,,d „rnedtoy„ th„ynahredpr In Nfl' ther,md
<br />evaluate the mh,r t i +Ubm—d Baxd un my mymn of th, person or PI — wM, _ge the
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<br />(/ I !r) /''
<br />Y�� `+ i -” -a\
<br />TELEPHONE
<br />DATE
<br />Q 1.
<br />f
<br /><Xec' 1”, PSI
<br />to the best of my krowi�dgc and belief true c�u tc end complete 1 am aware that there ar, s,gmficant
<br />S NATURE OF PRI IPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Coda
<br />NUMBER
<br />MWDD-
<br />/ Y
<br />pemities orsu hmmmgtals e,ntormatmn,m,ludmgth.p ss, bduyof fm, andmpr,sm,mentmrkm,wtn
<br />m
<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 <= 10YR,24HR 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 RQMNTS 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.01 106) Previous editions may be used. 11109(2011 Page 2
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