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PERMITTEE NAME/ADDRESS (Include Facility Name/Location it'Dlfferent) <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 014-A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DDIYYYY MM/DD/YYYY <br />06/01/2015 06/30/2015 <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 GUNNISON R <br />External Outfall <br />No Discharge <br />PARAMETER <br />1 certify under penally of law that this document and all attachments were prepared under my direction or <br />supervision in accordance wtth a system designed to assure that qualified personnel properly gather and <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 />2C/AUTHORIZED <br />TYPED OR PRINTED <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 />1 certify under penally of law that this document and all attachments were prepared under my direction or <br />supervision in accordance wtth a system designed to assure that qualified personnel properly gather and <br />TELEPHONE <br />DATE <br />7"oki <br />the informatwn submitted Based on my inquiry of the person at persons who manage the <br />system or those persons directly responsible for gathering the information, the information submitted is <br />to the best of my knowledge and belief true accurate, and complete I am aware that there are')( <br />^valuate <br />L v <br />.y,,, S_'l.� 6 <br />/ <br />YtrjIC,�(h <br />sgnificantpenattiesfor submitting false information including the possibility offine and imprisonment for <br />SIGNATURE OFPRIN PAL EXECUTIVE OFFICER OR <br />J�� <br />1 <br />2C/AUTHORIZED <br />TYPED OR PRINTED <br />nowmg violations <br />AGENT <br />AREA Code NUMBER <br />I MMIDDIYYYY <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 />