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PERMITTEE NAME/ADDRESS (Include Facility NameiLocahon if Different) <br />NAME: Oxbow Mining LLC <br />ADDRESS: PO Box 535 <br />Somerset, CO 81434-0535 <br />FACILITY: SANBORN CRK & ELK GRK 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 007-A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY 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 />SEDIMENT POND TO HUBBARD 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 wth a system des gned 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 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 />sgnificant penalties for submitting false information including the possibility of fine and imprisonment for <br />knowng violations <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 />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 wth a system des gned 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 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 />sgnificant penalties for submitting false information including the possibility of fine and imprisonment for <br />knowng violations <br />`\ <br />/�� <br />TELEPHONE <br />DATE <br />v�`a` ��^y in (� G 4• <br />( ` t <br />- -�•} "� <br />����/ , 7.,/ <br />"! <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />All - Coda NUMBER <br />MM/DD/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 -1 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 ROMNTS.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 />