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PERMITTEE NAME/ADDRESS (Include Facility NamelLocabon 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 (OUR) <br />C00000132 017 -A <br />PERMIT =R DiscAMUF N M <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />06/01/2014 06/30/2014 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81424-0535 <br />MINOR <br />GUNIS <br />SURF RUNOFF TO N. FK GUNIS RIV <br />External Outfall <br />No Discharge <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 />8406610 <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 />NAMEfTITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law tnat this document and all attachments were prepared under my direction or n TELEPHONE DATE <br />supervision m accordance ,,eh a system tleagrred to assure that qualmetl personnel property garner and <br />l K the information e per sugnaly n eased an e my mquey of the person or the in who marwub the <br />system or those persons directly rosporribk for gathering the information the m /orrtutan submitted • <br />to the best of my know4edge and belief true accurate and complete I am aware that them are 17410- v� Q/ J <br />�//'IK/J sgndiwnt penalties for submitting fake information including the pocarburty of rme and imprisonment to, SIGNATURE OF PR CIPAL EXECUTIVE OFFICER OR 7 <br />now+ng — tabons AUTHORIZED AGENT NUMBER MMIDChYYY <br />TYPED OR PRINTED nrernn eoea <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LMT APPLIES FOR — 10YR,24HR PRECIP EVENTSETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR >10YR,24HR <br />EVERT -SEE I.A.1,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 PERIOD RPTD <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. 10/17/2013 Page 2 <br />