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PERMITTEE NAME /ADDRESS (Include Facility Name/Location d 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 016 -A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />09/01/2014 1 1 09/30/2014 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81424 -0535 <br />MINOR <br />GUNIS <br />SURFACE RUNOFF TO ELK CREEK <br />External Outfall <br />No Discharge <br />PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the <br />system, or those directly responsible for the information, the information submitted is, <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO <br />EX <br />FREQUENCY <br />OFANALYSIS <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 />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 RPTD. <br />EPA Form 3320.1 (Rev.01 /06) Previous editions may be used. <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 />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the <br />system, or those directly responsible for the information, the information submitted is, <br />�/,� ( y,,yn' <br />TELEPHONE DATE <br />` q 0 <br />persons gathering <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware Met there are <br />significant penalties for submitting false information, including the possibility of fine and imprisonment for <br />knovnngviolations. <br />�y� <br />y� <br />f � o —� —_5 <br />SIGNATURE OF PR CIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA Code <br />I NUMBER MMIDD <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,24 HR <br />PRECIP EVENT;SETTLEABLE SOLIDS LIMITS 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 RPTD. <br />EPA Form 3320.1 (Rev.01 /06) Previous editions may be used. <br />10/17/2013 Page 2 <br />