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PERMITTEE NANIE/ADDRESS (Include Facility Name/Location if
<br />NAM$ 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, Pres
<br />NATIONAL POLLUTANT DISCHARGE ELIr1INATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />C00000132
<br />014-A
<br />PERMIT NUMBER
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM/DD/YYYY
<br />I
<br />MM/DD/YYYY
<br />12/01/2015
<br />UNITS
<br />1 12/31/2015
<br />Form Approved
<br />ONIB No. 2040- 0004
<br />DMR Mailing ZIP CODE: 81424-0535
<br />MINOR
<br />GUNIS
<br />SURF RUNOFF TO N FK GUNNISON R
<br />External Outfall
<br />No Discharge®
<br />PARAMETER
<br />I `"n under pemitq of law Thai th,, d.xumem and all anaehnxnic were pmpand under my
<br />A— .open amdm whit a y�ximn designed ........e.1 a guAhM
<br />personnel'properly gather and valuate the information submitted. Bared on my i:puiry of the
<br />person nr perannx who manage fM• .$stem, or ih,n:e person. directly rexpan.ible lar gatlxring
<br />the inlurmatiun, the mtormatitm subnut,ed .-, to the text tit my ►nmxladgc and babel, we,
<br />aeatrne. and complete. I am aware that there are xignitwant penalties for submitting lake
<br />nlorm.p-uulud,ng,h„ pnw,bdip .1 t;n, ane ,mpri..mme,., t..r ln,.r,ng .,nl.,, u.,"
<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />NO.
<br />EX
<br />FREQUENCY
<br />OF ANALYSIS
<br />SAMPLE
<br />TYPE
<br />VALUE
<br />VALUE
<br />UNITS
<br />VALUE
<br />VALUE
<br />VALUE
<br />UNITS
<br />Oil and grease visual
<br />840661 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />**rt* *
<br />rtrtAArtrt
<br />ArtA}AA
<br />A}AAArt
<br />AAAAAA
<br />PERMIT
<br />REQUIREMENT
<br />AA*A+A
<br />Req. Mon.
<br />INST MAX
<br />N= O;Y= ]
<br />*AA*}*
<br />*****A
<br />*AAAA
<br />AA**AA
<br />Monthly
<br />VISUAL
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
<br />,�%%
<br />Af k e L U /,v P/ PS t to �t I
<br />I `"n under pemitq of law Thai th,, d.xumem and all anaehnxnic were pmpand under my
<br />A— .open amdm whit a y�ximn designed ........e.1 a guAhM
<br />personnel'properly gather and valuate the information submitted. Bared on my i:puiry of the
<br />person nr perannx who manage fM• .$stem, or ih,n:e person. directly rexpan.ible lar gatlxring
<br />the inlurmatiun, the mtormatitm subnut,ed .-, to the text tit my ►nmxladgc and babel, we,
<br />aeatrne. and complete. I am aware that there are xignitwant penalties for submitting lake
<br />nlorm.p-uulud,ng,h„ pnw,bdip .1 t;n, ane ,mpri..mme,., t..r ln,.r,ng .,nl.,, u.,"
<br />TELEPHONE
<br />DATE
<br />97D ' 9z9 ' 400
<br />t/0/201 b
<br />SIGNA OF PRINCIPAL OFFICER OR
<br />AUTHORIZED AGENT/D
<br />TYPED OR PRINTED
<br />,UtEA code NtIMSER
<br />D n.yrly
<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 <= IOYR,24HR PRECIP EVENT;SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR > I0YR,24HR EVENT -
<br />SEE I.A.1,PP 4- 5, .AND I.A.2, P. 5 FOR RQDINTS.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.01/06) Previous editions may be used. 01/05/2016 Page 1
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