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PERMITTEENAMElADDRESS (Include Facility Name/Locationif Different)
<br />NAME:
<br />Oxbow Mining LLC
<br />ADDRESS:
<br />PO Box 535
<br />NO.
<br />EX
<br />Somerset, CO 81434 -0535
<br />FACILITY:
<br />SANBORN CRK & ELK CRK MINES
<br />LOCATION:
<br />3737 HIGHWAY 133
<br />VALUE
<br />SOMERSET, CO 81434
<br />ATTN James T Cooper, EVP
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />C00000132 009 -A
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY I I MM /DD/YYYY
<br />FROM 03/0112013 1 TO 1 03/31/2013
<br />Form Approvea
<br />GM8 No. 2040 -00c4
<br />DMR Mailing ZIP CODE: 81424 -0535
<br />MINOR
<br />GUNIS
<br />SURF RUNOFF TO N FK GUNIS RIVR
<br />External Outfall
<br />No Discharge
<br />PARAMETER
<br />Zty
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<br />wpr. aum m I,—,, rn. urth � ,v 11 Jr,�gn.d �� e,au:. rhea yw1,h,.J piru�nml pmparly gather end
<br />«elute the mtonneunn .ubrunni Xe,ed .m m, inyuin ,�I th, perwn or pn,oro why m.wg,, rh.
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<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 />IGNATURE OF PRIN IPAL EXECUTIVE OFFICER OR
<br />TYPED OR PRINTED
<br />Oil and grease visual
<br />SAMPLE
<br />......
<br />NUMBER
<br />MMIDD/YYYY
<br />..
<br />..
<br />MEASUREMENT
<br />840661 0
<br />PERMIT
<br />.' °'e
<br />Req. Mon.
<br />Y =1,N =0
<br />" °"
<br />' ° "'
<br />""°
<br />" ""
<br />Effluent Gross
<br />REQUIREMENT
<br />INST MAX
<br />Monthly
<br />VISUAL
<br />NAMEITITLEPRINCIPALEXECUTIVEOFFICER
<br />Zty
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<br />>ya¢m nr ihu,e perwrn. dtrce p,�mibic lm gelhrnng th. minrmaunn nc� ,ntomunnn .ubm,ncd
<br />� ( ' ( ,
<br />(� Li
<br />TELEPHONE
<br />DATE
<br />01.
<br />�,r,�.�Q_ /�t�10 6
<br />? 2 j}
<br />w the h�,i "my kwwledu. .mJ h. h.� trw .0 u .n enJ .,,mpl.t� 1 am ew,ue th.d tk.t�.ve vgn,fueni
<br />p nalu tur,ubnnnn g rely nnrtmnn n ,nL]Ld,ng th, ry,„mdm M tin, and,mpmonm.nt 4,rknouin
<br />v�ulan,ms
<br />�7
<br />e1
<br />IGNATURE OF PRIN IPAL EXECUTIVE OFFICER OR
<br />TYPED OR PRINTED
<br />AUTHORIZED AGENT
<br />aRFJ1 CoW
<br />NUMBER
<br />MMIDD/YYYY
<br />UUMMLN is ANU LAPLANAt1O14 OF ANY VIOLATIONS (Reference 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 ROMNTS TDS MONITORING -SEE PART VLA 2.G OF RATIONALE 30 DAY AVG IF HIGHEST MONTHLY AVG DURING PERIOD REPRTD
<br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. 11/0912011 Page 2
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