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PERMITTEE NAME/ADDRESS (Inciude Faafity Narne/Location 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 />C00000132 <br />01 <br />5 -W <br />PERMIT NUME DISCHARGE BMONITORING PERIOD <br />MMD MM/DDY <br />YYY <br />04/01 /2014 <br />06/30/2014 <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 Outfail <br />No Discharge <br />PARAMETER <br />'-idly under penalty of law that thm occument and all attachments were prepared under my dvection or <br />W <br />sup —ion in accordance wdh a system desgned assure that qualeied personnel properly gather and <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 />nieen ca. <br />•'~'• <br />~~~ <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />PERMIT <br />REQUIREMENT <br />~ ~" <br />" ~•'" <br />' ~'~ <br />100 <br />MN VALUE <br />""" <br />' " "" <br />% <br />Page 1 <br />Quarterly <br />GRAB <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />_ <br />'-idly under penalty of law that thm occument and all attachments were prepared under my dvection or <br />W <br />sup —ion in accordance wdh a system desgned assure that qualeied personnel properly gather and <br />�J (� ` <br />// j� <br />TELEPHONE <br />DATE <br />aluate the information submitted Based an my inquiry of the person or persons who manage the <br />system or those persons directly responable for gathering the information, the mforfnation submitted b <br />(� / �TGi l 04 <br />rV1 r. <br />� ^ ( <br />to the best of my knor Aedge and belief true accurate and complete I am aware that there are <br />sgndicant penalties for submang fake mformahon including the possrbAdy, of rme and impraionment for <br />noun g vwWbons <br />e� at �� <br />C7 0! Zp/ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />nieen ca. <br />I NUMBER <br />MM MNYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE LAAA, PP 5-6 FOR DETAILS OFTEST PROCEDURE. REPORT LC50 - STATISTICAL PINT WSTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST <br />REPORT FORM TO DMR. <br />EPA Form 3320 -1 (Rev.01 106) Previous editions may be used. <br />10/17/2013 <br />Page 1 <br />