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PERMITTEE NAME/ADDRESS (Include Facility Name/Location i( <br />NAME' Oxbow Mining LLC <br />ADDRESS: PO Box 537 <br />Somerset, CO 81434- 0535 <br />FACILITY: SANBORN CRI: & ELI: CRI: MINES <br />LOCATION: 3737 HIGHWAY 133 <br />SOMERSET, CO 81434 <br />ATTN: Mike Ludlow, Pres <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00000132 1 <br />1013-A <br />PERMIT NUMBER I <br />I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY <br />SAMPLE <br />TYPE <br />MM/DD/YM <br />12/01/2015 <br />UNITS <br />12/31/2015 <br />Form Approved <br />OMB No. 2040- 0004 <br />DMR Mailing ZIP CODE: 81.124- 0535 <br />MINOR <br />GUNIS <br />RUNOFF TO N FORK GUNNISON R. <br />External Outfall <br />No Discharge® <br />PARAMETER <br />a• iy nna.•r penaly nl law m„t mix d«•nment ana au anadmx•mx..ere pn pa ea ender no <br />dmctinn nr zupen'ixiom In accordance oath a xtxtem designad In assure that qualined <br />personnel properly gather old eraluate the information submitted. Based on in) o"titri, of the <br />t-rw nr P•'rxnnx whn .mage the tx•rx..ns d -11V n-xp•n•xibh- tnr ywlherinp <br />the information, the information submitted is. to the best of my Anmcicd gc and belief, true, <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 />SAMPLE <br />MEASUREMENT <br />***TMTM* <br />TMTM***TM <br />****** <br />TM***** <br />****** <br />8406610 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />**^^^° <br />Req. Mon. <br />INST MA -X <br />N= O;Y=1 <br />*****' <br />**°" ** <br />****** <br />****** <br />Monthly <br />VISUAL <br />NAME/ ITr E PRINCIPAL EXECUTIVE OFFICER <br />1 1 <br />M A L res <br />a• iy nna.•r penaly nl law m„t mix d«•nment ana au anadmx•mx..ere pn pa ea ender no <br />dmctinn nr zupen'ixiom In accordance oath a xtxtem designad In assure that qualined <br />personnel properly gather old eraluate the information submitted. Based on in) o"titri, of the <br />t-rw nr P•'rxnnx whn .mage the tx•rx..ns d -11V n-xp•n•xibh- tnr ywlherinp <br />the information, the information submitted is. to the best of my Anmcicd gc and belief, true, <br />TELEPHONE <br />DATE <br />lbb <br />SIGNMtRE OF PRINCIPAL"tMCUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />f e I4aJ / OLJ ea <br />a ccunde. and complete. 1 a m aaarr that there are sttmilie-1 penar s <br />ltiev tnubmmtinp take <br />Inrm,mnn. mrwdmp tri• p�x•roda, nt fin. and onpr mr,n•..1 i� t, ,nn.n.t.n.,n.. <br />97D - 97 9 • L 03♦ <br />ou <br />TYPED OR PRINTED <br />AREA Code NUMBER <br />M/DDNM <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LNIT APPLIED FOR <= I OYR,24HR PRECIP EVENT;SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR > l0YR,24HR EVENT - <br />SEE LA.1,PP 4. 5, AND I.A.2, P. 5 FOR RQNiNTS.TDS MONITORING- SEE PART VLA.2.G OF RATIONALE. 30 DAY AVG. IS HIGHEST MONTHLY AVG. DURING PERIOD REPRTD. <br />EPA Form 3320- 1 (Rev.01/06) Previous editions may be used. 01/05/2016 Page 1 <br />