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PERMITTEE NAME/ADDRESS (Include Facility Name/Location if NAI£ Oxbow Miming 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) C00000132 016-A PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD MM/DD/YYYY SAMPLE MM/DD/YYYY 02/01/2016 EX 02/29/2016 Form Approved 01%18 No. 2040- 0004 DMR Mailing ZIP CODE: 81424-053S MINOR GUNIS SURFACE RUNOFF TO ELK CREEK External Outfall No Discharge® NAME/TITLE PRINCIPAL EXECUTPIE OFFICER fl f H."ice ,/kal�pul Pr��j,Q 1 certify under penalty of l.w that m .document end all ntashmemi were p cparcd under ml dweenon or sup—ton to —rd,mw with a si srem deagned to assure that quahhed erwt nel prnperl) gather and evaluate the information .ubmnted Nosed o,, int ,nq,,,) ul the person or pervms who manage the system• or thou persons dtrccdt re.pun+tble for gathering. the tot—ation, the information submitted m to the lust of mi knowledge and belief. true. nr.te and rompfere f am aware mm then• are Igmhcam pe—hi- for ub—mnp NNe nfo—tion, including the possibility of tine and imprisonment for knowing. smfahons QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER TYPED OR PRINTED EX OF ANALYSIS TYPE VALUE VALUE UNITS VALUE VALUE VALUE UNITS pH SAMPLE *"***R nRRRRR RR*RRR RRRR»R MEASUREMENT 0040010 PERMIT *****R RRRRRR RRRfiRR 6.5 erRRRRA 9 SU Monthly INSITU Effluent Gross REQUIREMENT MIININIUM MAXIMUM Solids, total suspended SAMPLE MEASUREMENT 005301 0 PERMIT RRRRirR **R*"* R*" .RR ***RRR 35 70 m g/L Monthly GRAB Effluent Gross REQT 30DA AVG DAILY NIX Solids, settleable SAMPLE ""-"'" "'•*"*" *"""*TM *""*** MEASUREMENT 005451 0 PERMIT ****** *****" "**"*" *"**** Req. Mon. Req. Mon. mL/L Monthly GRAB Effluent Gross REQS 30DA AVG DAILY MX Iron, total las Fel SAMPLE MEASUREMENT 0104510 Effluent Gross PERS REQUIREMENT "***** ***"** ****** *"**** 3000 30DA AVG 6000 DAILY MX ug/L Monthly GRAB Oil and grease SAMPLE MEASURtEMEASUREMENT03582 1 0 PERMIT RR*RRR RRRR,YR RhRir"" *!rR*ir* *irRR*f' 10 mg/L Contingent GRAB Effluent Grass REQUIREMENT INST M1AX Flow, in conduit or thru SAMPLE treatment plant MEASUREMENT 500501 0 Effluent Gross PERMIT REQUIREMENT Req. Mon. 30DA AVG Req. Mon. DAILY NIX MGD Monthly INSTAN Oil and grease visual SAMPLE MEASUREMENT ***"** *****" *"**** ****"+• 8406610 Effluent Gross PERMIT REQUIR.12AENT ****** Req. Mon. INST MAX N=0;Y=1 "***"* ****** ****i°* "*"*** Monthly VISUAL NAME/TITLE PRINCIPAL EXECUTPIE OFFICER fl f H."ice ,/kal�pul Pr��j,Q 1 certify under penalty of l.w that m .document end all ntashmemi were p cparcd under ml dweenon or sup—ton to —rd,mw with a si srem deagned to assure that quahhed erwt nel prnperl) gather and evaluate the information .ubmnted Nosed o,, int ,nq,,,) ul the person or pervms who manage the system• or thou persons dtrccdt re.pun+tble for gathering. the tot—ation, the information submitted m to the lust of mi knowledge and belief. true. nr.te and rompfere f am aware mm then• are Igmhcam pe—hi- for ub—mnp NNe nfo—tion, including the possibility of tine and imprisonment for knowing. smfahons t L , 5u- TELEPHONE DALE g70 • ?Zg' 403 43h 01 /e SIGNATUV OF PRINCIPAL MCUTTVE OFFICER OR AUTHORIZED AGENT TYPED OR PRINTED ABED code NUMBERIMM /DD7T COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LMT APPLIED FOR <= l0YR,24 HR PRECIP EVENT;SETTLEABLE SOLIDS LIMITS MAY BE WAIVED FOR > I OYR,24HR EVENT -SEE I.A.1, PP 4- 5, AND I.A.2., P. 5 FOR RQMNTS. TDS MONITORING- SEE PART VI.A.2.G OF RATIONALE 30 DAY AVG IS HIGHEST MONTHLY AVG DURING PERIOD RPTD. EPA Form 3320-1 (Rev.01/06) Previous editions may be used. 01/05/2016 Page 1