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PERMITTEE NAME/ADDRESS (Include Facility NameiLocabon 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 012 -A <br />PERMIT UM R DISCHARGE WMBER <br />MONITORING PERIOD <br />MWDD/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 />SEDIMENT POND TO ELK CREEK <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 />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 />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments `sere prepared under my direction on TELEPHONE DATE <br />superwson in accordance oath a system clesigned to assure that qualified personnel properly gather and <br />aluate the information submitted Based on my inquiry of the person on persons who manage the <br />\ lA D system or those persons directly respomble for gathering the information the information subrin <br />to Me best of my knowledge and belief true accurate and complete I am av are Ifhw there are <br />r°` e, f significant penalties for submrbng fake information including the posslblldy of rune and lmpnsonment for IGNATURE OF P "PAL EXECUTIVE OFFICER OR <br />nowrhg violations AUTHORIZED AGE <br />TYPED OR PRINTED NT nreeACede NUMBER <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 ­1 PRECIP EVENT;SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR >10YR,24HR <br />EVENT -SEE IA.1,PP 4-5. AND I.A.2, P. 5 FOR RQMNTS.TDS MONITORING -SEE PART VIA.2.G OF RATIONALE. 30 DAY AVG. IS HIGHEST MONTHLY AVG. DURING PERIOD REPRTD. <br />EPA Form 33204 (Rev.01106) Previous editions may be used. 10/17/2013 Page 2 <br />