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PERMITTEE NAME/ADDRESS (include Facility Name/Location if
<br />N.4bfE Oxbow Mining LLC
<br />ADDRESS: PO Box 535
<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 />000000132 016-A
<br />PERMIT NUMBER I DISCHARGE NUMBER
<br />_ MONITORING PERIOD
<br />MM/DD/YYYY MM/DD/YYYY
<br />12/01/2015 12/31/2015
<br />Form Approved
<br />OMB No. 2040- 0004
<br />DMR Mailing ZIP CODE: 81424-0535
<br />MINOR
<br />GUNIS
<br />SURFACE RUNOFF TO ELK CREEK
<br />External Outfall
<br />No Discharge©
<br />PARAMETER
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<br />dir.•, oo. or -p—i—. rn rd- ,. th y. t d—gried t that quat f ed
<br />personnel properly gather and eaaluate the information submitted. Naz. d on my inpuul of the
<br />p,•ra„n or p• 'her r P the y t.or lh—p--, d- tly —p—", "• t galhen.n
<br />the hdonnati o th Inlumutiw submitted ie t the it t t n Amu ledge and beb t true,
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<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
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<br />.��rnn
<br />PERMIT
<br />REQUIREMENT
<br />^^^^ w
<br />Req. Mon.
<br />INST MAX
<br />N= O;Y=1
<br />Monthly
<br />VISUAL
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
<br />M/kG yd v
<br />/ / S r
<br />' zrnny under perwlty of We th , th,a d-urnew and ull artachmemz wen• prepared nndrr mY
<br />dir.•, oo. or -p—i—. rn rd- ,. th y. t d—gried t that quat f ed
<br />personnel properly gather and eaaluate the information submitted. Naz. d on my inpuul of the
<br />p,•ra„n or p• 'her r P the y t.or lh—p--, d- tly —p—", "• t galhen.n
<br />the hdonnati o th Inlumutiw submitted ie t the it t t n Amu ledge and beb t true,
<br />rur.1,•.and mpletrt. .rth:drhr• rraignfxanrprmhi fnrzuhmVungfalzn
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<br />TELEPHONE
<br />DATE
<br />�1%%�'929r6o34
<br />G +�a a�
<br />SIGNA OF PRINCIPAL OFFICER OR
<br />AUTHORIZED AGENT
<br />TYPED OR PRINTED
<br />AREA C-& Pf[JMBEit
<br />M/DD/YYYY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LN1T APPLIED FOR <= l OYR,24 HR PRECIP EVENT;SETTLEABLE SOLIDS LIMITS MAY BE WAIVED FOR > l0YR,24HR
<br />EVENT- SEE I.A.1, PP 4-5, AND I.A.2., P. 5 FOR RQNINTS. TDS MONITORING- SEE PART VI.A.2.G OF RATIONALE. 30 DAY AVG IS HIGHEST ;MONTHLY AVG DURING PERIOD RPTD.
<br />• EPA Form 3320- 1 (Rev.01/06) Previous editions may be used. 01/05/2016 Page 1
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