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PERMITTEE NAME/ADDRESS (Indude FactIoNameltocahon 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 010 -A <br />PERM MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />12/01/2014 12/31/2014 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81424 -0535 <br />MINOR <br />GUNIS <br />SEDIMENT POND TO SANBORN CREEK <br />External Outfall <br />No Discharge pi <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 certrty under penalty of law that this document and all attachments were prepared under my direction or /� TELEPHONE DATE <br />suplu a the m formation accordance s bmi a system des on my inquiry to oft that qualifted personnel properly gather and / r i r � W7 valuate the information submrttetl Based on my o1 the person or persons who manage the G 1 <br />YT <br />\ Q system or those persons directly responsible for gathering the information, the information submitted rs <br />to the best of my kmovdedge and belief, true accurate, and complete 1 am aware that there are v� O ' ^' <br />significant penattres for submitting false information including the possibility of fine antl imprisonment for SIGNATURE O PRINCIPAL EXECUTIVE OFFICER OR / ♦" / I r- V(lb 0-M' <br />TYPED OR PRINTED novang— fations AUTHORIZED AGENT pRFA Cade <br />NUMBER MM D/YYYY <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. 10117/2013 Page 2 <br />