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PERMITTEE NAME /ADDRESS (include Facility Named- ocation if Different) <br />NAME: Oxbow Mining LLC <br />ADDRESS: PO Box 535 <br />Somerset; CO 81434 <br />FACILITY: ELK CREEK MINE <br />LOCATION: 3737 HWY 133 <br />SOMERSET, CO 81434 <br />ATTN Mike Ludlow, Exec VP <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />COG850064 015 -B <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />10/01/2013 12/31/2013 <br />DMR Mailing ZIP CODE <br />MINOR <br />Discharge to Elk Creek <br />External Outtall <br />Form Approved <br />OMB No. 2040 -0004 <br />81434 <br />No Discharge <br />r <br />i <br />PARAMETER <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 />Oil and 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=O <br />" "" <br />I <br />" "" <br />" "" <br />" "" <br />Twice Per <br />Month <br />VISUAL <br />cer iry under penalty of law tnat this document and all attachments were prepared under my drecbon or <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER t` t r TELEPHONE DATE <br />supervision in accordance with a system tlesgned to assure that qualified personnel properly gather and ' ' <br />I valuate the information submitted Based on my inquiry of the person or persons who manage the )')' w' ^'�� VV I <br />f I1 G W system. or those persons directly respons,ble for gathering the information, the mformabon submitted /) <br />Pr ( ,,\1— to the best of my knowledge and belief true accurate and complete I am aware that there are 03 y <br />de sgnificantpenaft— mrsubmrtnngfalsefomahonmdwirg the possahryof lime andimprisonmentfor SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />novnng violations AUTHORIZED AGENT NUMBER MMIDD/WYY <br />TYPED OR PRINTED nRencba <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Settleable solids limit waived for 10 -yr, 24 hr precip event subject to burden of proof requirements in Part I.B.6. Any additional data shall be supplied to the division within 48 hours. <br />EPA Form 3320 -1 (Rev.01 106) Previous editions may be used. 08/2612013 Page 2 <br />