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PERMITTEE NAME/ADDRESS (Include Facility Name/l.acarion if <br />NP.ME� Oxbow Mining LLC <br />ADDRESS: 110 Box 535 <br />Somerset, CO 81434- 0535 <br />FACILITY: SANBORN CRK & ELK CRI: DUNES <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 010-A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />12/01/2015 1 12/31/2015 <br />roan Approved <br />ObIII No. 2040- 0004 <br />DMR Mailing ZIP CODE: 81424-0535 <br />MINOR <br />GUNIS <br />SEDIMENT POND TO SANBORN CREEK <br />External Outfall <br />No Discharge <br />PARAMETER <br />d1 —1, under perodtry .11— Ihal I es ducumem and all atraehinants were prepared under my <br />d.reei ion or supenisiun in accordance ailh a system designed to asatue that qualitied <br />rwnnel properly gather :md eealume the information wbmitted. W..ed on my inquiry of the <br />per—o n, q ru,n, who rn—, rha• +ywtrm, nr .h,,— p—o, d.raatly rvrp.ri+lble iw galtwnng <br />thetnIrnnf.our.mna,t.ion n, tt�hne,nmn,on•wpnl.o,nasduut,.tlthedn.iato .tnh,evlies: <br />s.:nonf ny. ►tedpn.ddbel, tue,rt4t�A�:`aualendnmpla. tamn•tha rr.n<w f.v� <br />for .lw. <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 />tINrI'S <br />Oil and grease visual <br />8406610 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />^^*^*^ <br />^^*^^TM <br />^^^*^^ <br />TM****^ <br />* •**** <br />PERMIT <br />REQUIREMENT <br />*^*^^^ <br />Req. Mon. <br />INST 1`LAX <br />N=0;Y=1 <br />A^AAAA <br />AAAAAA <br />AAAAAA <br />*^**AA <br />Monthly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />d1 —1, under perodtry .11— Ihal I es ducumem and all atraehinants were prepared under my <br />d.reei ion or supenisiun in accordance ailh a system designed to asatue that qualitied <br />rwnnel properly gather :md eealume the information wbmitted. W..ed on my inquiry of the <br />per—o n, q ru,n, who rn—, rha• +ywtrm, nr .h,,— p—o, d.raatly rvrp.ri+lble iw galtwnng <br />thetnIrnnf.our.mna,t.ion n, tt�hne,nmn,on•wpnl.o,nasduut,.tlthedn.iato .tnh,evlies: <br />s.:nonf ny. ►tedpn.ddbel, tue,rt4t�A�:`aualendnmpla. tamn•tha rr.n<w f.v� <br />for .lw. <br />/ r <br />L <br />TELEPHONE <br />DAME <br />u lQ <br />7• Q Z�6 <br />QD 03 <br />0dWk <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />— Code I dUMEA <br />/DD6�/YLYd6 <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS IJMT APPLIED FOR <= I ON'R,24HR PRECIP EVENT;SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR > I OYR,24HR EVENT - <br />SEE I.A.1,PP 4. 5, AND I.A.2, P. 5 FOR RQAINTS.TDS MONITORING- SEE PART VI.A.2.G OF RATIONALE. 30 DAY AVG. IS HIGHEST MONTHLY AVG. DtIRING PERIOD REPRTD. <br />EPA Form 3320-1 (Rev.01/06) Previous editions may be used. 01/05/2016 Page 1 <br />