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PERMITTEE NAME /ADDRESS (Include Facility Name/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 />000000132 013 -A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />09/01/2014 09/30/2014 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81424 -0535 <br />MINOR <br />GUNIS <br />RUNOFF TO N FORK GUNNISON R. <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 />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />* * * * ** <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />* * * * ** <br />* * * * *' <br />* * " ** <br />Monthly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penally of law that this document and all attachments were prepared under my direction or �j TELEPHONE DATE <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and 1 rv' /f i- aj <br />, n aluate the information submitted. Based on my inquiry of the person or persons who manage the /'I <br />N ` 0 system, or those persons directly responsible for gathering the information, the information submitted is, <br />r` / �f to the best of my knowledge and belief, true, accurate, and complete. am aware that there are 9 x "g 1 J o / O <br />•V, /�'Se `t significant penalties for submitting false information, including the possibility of fine and imprisonment for SIGNATURE OFPRI CIPALEXECUTIVEOFFICEROR / <br />knowing AUTHORIZED AGENT AREAOode I NUMBER MMIDDIYYYY <br />TYPED OR PRINTED <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 <= 10YR,24HR PRECIP EVENT;SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR >10YR,24HR <br />EVENT -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 REPRTD. <br />EPA Form 3320.1 (Rev.01106) Previous editions may be used. 10/17/2013 Page 2 <br />