Laserfiche WebLink
PERMITTEE NAME/ADDRESS (Include Facility Name/Location 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 <br />1 certify under penalty of law that this document and all attachments were prepared unda' my direction or <br />supervision In accordance with a system designed to assure that qualified personnel properly gather arid <br />valuate the Information submitted. Based on my inquiry of lire 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 />penalties for submitting false information, including the possibility offine and imprisonment for <br />novsng violations. <br />015-W <br />PERMIT NUMBER <br />1 1 <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY <br />VALUE <br />MWDD/YY_YY <br />VALUE <br />VALUE <br />VALUE <br />8 <br />LC50 Statre 96Hr Acute Pimephales <br />TANK 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />6716//z0/,5-- <br />oq/3o/7,01S <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81424-0535 <br />MINOR <br />GUNIS <br />ACUTE WET TESTING FOR 015A <br />External Outfall <br />No Discharge <br />PARAMETER <br />1 certify under penalty of law that this document and all attachments were prepared unda' my direction or <br />supervision In accordance with a system designed to assure that qualified personnel properly gather arid <br />valuate the Information submitted. Based on my inquiry of lire 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 />penalties for submitting false information, including the possibility offine and imprisonment for <br />novsng 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 />LC50 Statre 96Hr Acute Pimephales <br />TANK 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />**«««« <br />«««* <br />PERMIT <br />REQUIREMENT <br />"***~' <br />"""~* <br />"~"`~" <br />100 <br />MN VALUE <br />*«'""" <br />"'"«"" <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 certify under penalty of law that this document and all attachments were prepared unda' my direction or <br />supervision In accordance with a system designed to assure that qualified personnel properly gather arid <br />valuate the Information submitted. Based on my inquiry of lire 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 />penalties for submitting false information, including the possibility offine and imprisonment for <br />novsng violations. <br />%iib .q • -! t � �� ��'"1 ~��� t }�, � t--• <br />TELEPHONE <br />DATE <br />t { <br />(Psignificant <br />, <br />SIGNATURE OF CIPALEXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA Code NUMBER <br />MI IYYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.A.4.A, PP 5-6 FOR DETAILS OFTEST PROCEDURE. REPORT LC50 - STATISTICAL PINT WSTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST <br />REPORT FORM TO DMR. <br />EPA Form 3320-1 (Rev.01106) Previous editions may be used. 10/17/2013 Page 1 <br />