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PERMITTEE NAME/ADDRESS (Include FacllityName/Locahon 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 />C00000132 009-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 />SURF RUNOFF TO N FK GUNIS RIVR <br />External Outfall <br />No DischargeP <br />r <br />PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <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 />G'�/�� <br />TYPED OR PRINTED <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 <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />TELEPHONE <br />DATE <br />supervision in accordance win a system desgned to assure that qualified personnel properly gather and <br />valuate the information submitted Based on my inquiry of the person or persons who manage thet <br />system, or those persons directly responsible for gathering the information, 11 -I. -bon submitted is, <br />to the best of my knowledge and belief true accurate, and complete I am aware that there are <br />1 �A _ 1 c� �,.� .. Lc,..-� �� i_ <br />i JI <br />i` LIG U <br />1 L L <br />lze <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />sgnificantpenattiesforsubmittmgfasenformauonmcludingthepossibihryofhneandimpnsonmen[for <br />novnng wolaho"s <br />G'�/�� <br />TYPED OR PRINTED <br />AREACode I NUMBER <br />I MMIDDIYYW <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. IF HIGHEST MONTHLY AVG. DURING PERIOD REPRTD. <br />EPA <br />EPA Form 3320-1 (Rev.01106) Previous editions may be used. 10/17/2013 Page 2 <br />6 - <br />