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PERMITTEE NAME/ADDRESS (Include Facility NamerLocationifDifferent) <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 />09/01/2015 09/30/2015 <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 Discharge <br />i <br />PARAMETER <br />Icertity under penalty of law that this document and all attachments were prepared under myclinectionor <br />supervision in accordance with a system designed 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 submittedis, <br />to the best of my knowledge and belief. true accurate, and complete. I am aware that there <br />significant penalties for submitting false information including the possibility offine and imprisonment for! ' <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />I 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 />MMIDDIYYYY <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 />NAMEITITLEPRINCIPAL EXECUTIVE OFFICER <br />Icertity under penalty of law that this document and all attachments were prepared under myclinectionor <br />supervision in accordance with a system designed 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 submittedis, <br />to the best of my knowledge and belief. true accurate, and complete. I am aware that there <br />significant penalties for submitting false information including the possibility offine and imprisonment for! ' <br />- --f-. / r <br />TELEPHONE <br />DATE <br />h/o CU <br />YP <br />1 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />nownng violations. <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREACode I NUMBER <br />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 ROMNTS.TDS MONITORING -SEE PART VI.A.2.G OF RATIONALE. 30 DAY AVG. IF HIGHEST MONTHLY AVG. DURING PERIOD REPRTD. <br />EPA Form 3320-1 (Rev.01106) Previous editions may be used. 10/17/2013 Page 2 <br />