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PERMIT-TEE NAME/ADDRESS (include Facility NameAocation d 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 />C00000132 019 -A <br />PERMIT NUMB R I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />12/01/2013 12/31/2013 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81424 -0535 <br />MINOR <br />GUNIS <br />SURFACE RUNOFF TO HUBBARD CRK <br />External Outfall <br />No Discharge <br />PARAMETER <br />I uertity under penalty of law that this document and an attachments — prepared under my direction or <br />supervaion in accordance with a system desgned to assure that qualified personnel ornperry garner and <br />valuate the mformaton submitted . Based on my Inquiry of the person or Wisons who manage tl+e <br />system or those persons directly responsible for gathering the mformanon, the information subma_ is <br />to the beat of my knoWedge and Watt true. accurate. and complete. I am —te that there are <br />significant penalties for submrtbng false information. including the possibility of tine and imprisonment loin <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />FREQUENCY <br />OFANALYSIS <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oiland grease visual <br />840661 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />"'•" <br />••• •• <br />' ° "' <br />•'••'• <br />• " "' <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 />NAM EMTLE PRINCIPAL EXECUTIVE OFFICER <br />I uertity under penalty of law that this document and an attachments — prepared under my direction or <br />supervaion in accordance with a system desgned to assure that qualified personnel ornperry garner and <br />valuate the mformaton submitted . Based on my Inquiry of the person or Wisons who manage tl+e <br />system or those persons directly responsible for gathering the mformanon, the information subma_ is <br />to the beat of my knoWedge and Watt true. accurate. and complete. I am —te that there are <br />significant penalties for submrtbng false information. including the possibility of tine and imprisonment loin <br />1 _ /�/I1 <br />�j. IA�n i / , % //1 <br />NNN r 1' <br />TELEPHONE <br />DATE <br />\ N O L <br />'V <br />Pr I 1 <br />i ! 4 l} <br />C: '7QG <br />%G - -S d <br />O / 6) 201 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED <br />n..ngvolanonc. <br />AUTHORIZED AGENT <br />AREACode <br />NUMBER <br />AAM/D yYVYY <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 — 10,24HR PRECIP EVENT: SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR >10YR.24HR EVENT -SEE <br />I.AA .PP 4 -5, AND I.A.2, P 5 FOR RQMNTS.TDS MONITORING -SEE PART VI.A.2.G OF RATIONALE. 30 DAY AVG IS HIGHEST MONTHLY AVG DURING REPORTING PERIOD. <br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. 10/1712013 Page 2 <br />