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PERMITTEE NANIE/ADDRESS (include Facility NamelLocation if
<br />NA ff 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 />C00000132 017-A
<br />PERMITNUMB DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM/DD /YYYY MM/DD/YYYY
<br />12/01 1 12/31/2015
<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 RIV
<br />External Outfall
<br />No Discharge®
<br />PARAMETER
<br />t rr" is under penalts of I.,, that thi, document and an ,fta hments were pmp..�dder,n�
<br />tlirwion or superstston m —,d—e -11h..",— drstgmd to assure that q—lifwd
<br />rwnnd prupedy gather and evaluate the information submitted. Rased on my inquiry of the
<br />person nr pers.mc w hn m..age eh—Vo.., or those persons dirady respnns,bk t— aathednn
<br />he mtu matM,n the inlnrn atkm ,ubmittcd is, to the be,, ut m kri—kd and behcl, true.
<br />accurate. and complete. I am aware that there are,iymificant penalties for zubmitting false
<br />ntnrmat,nw. o 1Ju ,h. p—bda nt tin, ami ,mpnspnm. m tnr lnnw.pg s;•dati„n.'
<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 />#rt## #
<br />######
<br />## ##
<br />####
<br />PERMIT
<br />REQUIREMENT
<br />4#####
<br />Req. Mon.
<br />INST MAX
<br />N=O;Y= 1
<br />TMwTM*TMTM
<br />ww#ww#
<br />##rt###
<br />w#rtrtrtrt
<br />Monthly
<br />VISUAL
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
<br />t rr" is under penalts of I.,, that thi, document and an ,fta hments were pmp..�dder,n�
<br />tlirwion or superstston m —,d—e -11h..",— drstgmd to assure that q—lifwd
<br />rwnnd prupedy gather and evaluate the information submitted. Rased on my inquiry of the
<br />person nr pers.mc w hn m..age eh—Vo.., or those persons dirady respnns,bk t— aathednn
<br />he mtu matM,n the inlnrn atkm ,ubmittcd is, to the be,, ut m kri—kd and behcl, true.
<br />accurate. and complete. I am aware that there are,iymificant penalties for zubmitting false
<br />ntnrmat,nw. o 1Ju ,h. p—bda nt tin, ami ,mpnspnm. m tnr lnnw.pg s;•dati„n.'
<br />TELEPHONE
<br />DATE
<br />t r
<br />/ ' � k e 4+1 d 1 ew!/ P ey f 1-c J
<br />97D' qz 9' `r%
<br />Z�l r°
<br />SIGMA OF PRINCIPAL EXECITI-IVE OFFICER OR
<br />AUTHORIZED AGENT
<br />TYPED OR PRINTED
<br />AREA Code/D
<br />NUMBER
<br />D A YW
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LMT APPLIES FOR <= IOYR,24HR PRECIP EVENT;SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR > 10YR,24HR EVERT -
<br />SEE LA.1,PP 4- 5, AND I.A.2., P 5 FOR RQSINTS. 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.
<br />01/05/2016 Page 1
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