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PERMIT-TEE NAME/ADDRESS (Include Facility NameAocatlon if Different) <br />NAME: Oxbow Mining LLC <br />ADDRESS: PO Box 535 <br />Somerset, CO 81434 -0535 <br />FACILITY: SANBORN CRK & ELK CRK MINES <br />LOCATION: 3737 HIGHWAY 133 <br />SOMERSET, CO 81434 <br />ATTN: Mike Ludlow Exec VP <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000000132 015 -W <br />PER NUMBER L=GE NUMBER <br />MONITORING PERIOD <br />Myl/DD/YYYY MM/OD/YYYY <br />10/01/2013 12/31/2013 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81424 -0535 <br />MINOR <br />GUNIS <br />ACUTE WET TESTING FOR 015A <br />External Outfall , <br />No Discharge <br />PARAMETER <br />r <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <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 />LC50 Statre 96Hr Acute Pimephales <br />TAN6C 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />" "•' <br />• " «• <br />'•`••• <br />1 oemty under penalty of lawthat this document and all anagments were prepared under my daW,on or <br />••'• . <br />"• "' <br />TELEPHONE <br />DATE <br />sup --ion in accordance w a system despned to assureprat quaooed paaponnel properly gather and <br />valuate the information submitted Based on my inquiry of the person or pe ns wno manage the <br />PERMIT <br />REQUIREMENT <br />••,'•• <br />I <br />"' «• <br />•••." <br />100 <br />I MN VALUE <br />"• "` <br />" "" <br />% <br />r <br />r <br />Quarterly <br />GRAB <br />f <br />I i <br />3 I <br />,j <br />i <br />y <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) I <br />SEE I.A.4.A, PP 5-6 FOR DETAILS OFTEST PROCEDURE. REPORT LC50 - STATISTICAL NT WSTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST <br />REPORT FORM TO DMR. <br />I <br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. <br />10/1712013 Page 1 <br />r <br />E <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 oemty under penalty of lawthat this document and all anagments were prepared under my daW,on or <br />TELEPHONE <br />DATE <br />sup --ion in accordance w a system despned to assureprat quaooed paaponnel properly gather and <br />valuate the information submitted Based on my inquiry of the person or pe ns wno manage the <br />/„ ✓^ <br />f <br />.JJ.� /' � <br />I., 6 <br />system or those persons directly responsible for gathering t information zintorma%,on <br />suomnede <br />�� <br />r <br />r <br />r ' h� <br />to the best of my knowledge and oekef true . accurate and plete I am <br />sgnihWnt penaRia for submimng false information include me possidlrty <br />re that mere are <br />one and imprisonment tore <br />SIGNATURE OF PR CIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED <br />no.hg wolationc. <br />AUTHORIZED <br />AGENT <br />AR -Cade <br />I NUMBER <br />MWDbNYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) I <br />SEE I.A.4.A, PP 5-6 FOR DETAILS OFTEST PROCEDURE. REPORT LC50 - STATISTICAL NT WSTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST <br />REPORT FORM TO DMR. <br />I <br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. <br />10/1712013 Page 1 <br />