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PERMITTEE NAME/ADDRESS (include Facility Name/Location if 9A M* fE' Oxbow Mining LLC ADDRESS: PO Box 535 Somerset, CO 81434- 0535 FACILITY: SANBORN CRK & ELK CRK MINES LOCATION: 3737 HIGHWAY 133 SOMERSET, CO 81434 ATTN: Mike Ludlow, Pres NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) 000000132 019- A PERMIT NUMBER DISCHARGE BER MONITORING PERIOD MM/DD/YYYY MM/DD/YYYY 02/01/2016 02/29/2016 Form Approved OMB No. 2040- 0004 DMR Mailing ZIP CODE: 81424-0535 MINOR GUNIS SURFACE RUNOFF TO HUBBARD CRK External Outfall No Discharge NAME/I1TLE PRINCIPAL EXECUTIVE OFFICER f cerf d, under penal Iv nt tun that thins doeunni and all attachments were prepared under in, duce+mn nr sup—i—. in accordance with a s)et— dest).med to assure than Qualified noel propnH) gather and cnalwe the Informal— aubmmed Rax d on my mcf.—of the person or per— who manage the t,mc n. or those persom cbm0b respumtble for g•dhenngr/ the ml—tion, the information submitted n, to the best of nt) 6nowldge and b,•hef. true. aecurate, and complete. lam aware that there am significant penafftes fur submitting false chiding the pb,ht) of fie -it unpns r -co, for \nnwmg,mla non, fon-1 mosst QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER SIGNATURE OF PRINCIPAL tACUTIVE OFFICER OR AUTHORIZED AGENT EX OF ANALYSIS TYPE VALUE VALUE UNITS VALUE VALUE VALUE UNITS pH SAMPLE RxRrtrtR rtxxxxx *rtrtxxx xRfirtfix MEASUREMENT 004001 0 PERMIT " ***' " "*** ""*"*" 6.3 '"**"" 9 SU Monthly INSITU Effluent Gross REQUIREMENT MINIMUM MAXIMUM Solids, total suspended SAMPLE ..... fixxfiRfi «fi«xRn «««««« MEASUREMENT 005301 0 PERMIT ».«»»" «fi"fiRx x»»R»x «RR« x 35 70 mg/L Monthly GRAB Effluent Gross REQUIREMENT 3ODA AVG AIX 7D AV Solids, settleable SAMPLE **" •** *"*"*+* ««fifi»* *«««fifi MEASUREMENT OOS4S 1 0 PERMIT **"**• ***""* ***"** *"**"" Req. Mon. Req. Mon. mL/L Monthly GRAB Effluent Gross REQUIRJNENT 30DA AVG DAILY MX Iron, total [as Fel SAMPLE fiRRfifix »»*... fix«xfirt fixfifi»* MEASUREMENT 0104510 PERMIT **"*** ***"** ***""* ***"*TM 3000 6000 ug/L Monthly GRAB Effluent Gross REQUIREMENT 30DA AVG DAILY AIX Oil and grease SAMPLE MEASUREMENT 035821 0 PERMIT * "*"" ""*"*" ***-TM* """^*" *-**<"" 10 mg/L Contingent GRAB Effluent Gross REQUIREMENT INST MAX Flow, in conduit or thru SAMPLE treatment plant MEASUREMENT 500501 0 PERMIT Req. Mon. Req. Mon. MGD *"> ""* "*""*" .TMTM*"" "***** Monthly INSTAN Effluent Gross REQUIREMENT 30DA AVG DAILY AIX Oil and grease visual SAMPLE MEASUREMENT 840661 0 PERMIT °**** Req. Mon. N= O;Y= I "*""*" "***** rtrtrtxrtrt RxrtR«R Monthly VISUAL Effluent Gross REQUIREMENT INST MAX NAME/I1TLE PRINCIPAL EXECUTIVE OFFICER f cerf d, under penal Iv nt tun that thins doeunni and all attachments were prepared under in, duce+mn nr sup—i—. in accordance with a s)et— dest).med to assure than Qualified noel propnH) gather and cnalwe the Informal— aubmmed Rax d on my mcf.—of the person or per— who manage the t,mc n. or those persom cbm0b respumtble for g•dhenngr/ the ml—tion, the information submitted n, to the best of nt) 6nowldge and b,•hef. true. aecurate, and complete. lam aware that there am significant penafftes fur submitting false chiding the pb,ht) of fie -it unpns r -co, for \nnwmg,mla non, fon-1 mosst TELEPHONE DATE _ _I) el7D• 9-z4 -03 o'j' Zol SIGNATURE OF PRINCIPAL tACUTIVE OFFICER OR AUTHORIZED AGENT TYPED OR PRINTED —Code I NUMBER M/DD/YYYY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LAtT APPLIED FOR <=10,24HR PRECIP EVENT;SETTL -ABLE SOLIDS LIMIT MAY BE WANED FOR > 1 OYR.24HR EVENT - SEE LA.1,PP 4- 5, AND I.A.2, P 5 FOR RQMNTS.TDS MONITORING- SEE PART VI.A.2.G OF RATIONALE. 30 DAY .4VG IS HIGHEST MONTHLY AVG DURING REPORTING PERIOD. EPA Form 3320-1 (Rev.01/06) Previous editions may be used. 01/05/2016 Page 1