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PERMITTEE NAME)ADDRESS (7arLJ.F«rNryNrnvtoearonVD(QG.ent) <br />NAME OXBOW MINING, LLC <br />ADDRESS SANBORN CRK & ELK CRK MINES <br />P. O. BOX 535 <br />SOMERSET CO 51434 <br />FACILITY SANBORN CRK & ELK CRK MINES <br />LOCATIONSOMERSE`i" CO 81434 <br />ATTN: JAMES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />COOOO013 015 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM t TO U .L <br />MINOR <br />(3UBR MH ) <br />F - FINAL <br />DISCHARGE TO ELK CREEK <br />Form Approved. y <br />OMB No. 2040-0004 <br />4 <br />G11€`aIS <br />-t•-- NO DISCHARGE I XI NOTE: Read Instructiorn Wore completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />PH SAMPLE 3t #### s? :i ## iE #8i 13'' #'r' ( 12) <br /> MEASUREMENT <br />00400 1 O 0 PERMIT <br />EFFLUENT GROSS VALU .REgUIREMENI <br />.::,.....:..::.. ;._ I UM SU !'i??,'d t r <br />SOLIDS, TOTAL. SAMPLE <br />SUSPENDED MEASUREMENT <br />00530 1 . O O . PERMIY #-R TFci <br />EFFLUENT GROSS VALU REQUIREMENT • t i4# ? _ : <, ',, s-k . F V NG/L. MONTH <br />IRON, TOTAL SAMPLE 3:•:s.y ,xz:?# ??.; t ( 28) <br />(AS FE) MEASUREMENT <br />01045 1 O 0 #'ERMIT i ?y ...2 j .s• , i 3s 3t n! i t l 5i. .._ <br />777s7- <br />EFFLUENT GROSS VALUE EtEQU1REMENT; <br />.: ::::..:.:.:.::...__..._.._. `%' NX UL t'[?Jf`aTH <br />a SAMPLE #i'? #41 # ii # r« ?t sr3F## 34 i5 i}3f 34 ( IV) <br /> MEASUREMENT <br />0355E 1 O 0 RMIt t# at s? ;t - t?? # <; # St s :? st ;; ?t i t .# <br />10 <br />! .4 I . <br />A .:, <br />EFFLUENT GROSS VALU REQUIREMENT; tS TNL_:T MA Nov/L.. GENT <br />CONDUIT FLOW, IN R SAMPLE t 03) <br />?####:z <br /># s?It it 3t? <br />:t ? ?#x t» <br />THRU TREATMENT PLAN MEASUREMENT <br />- <br />50050 1 O O P,.ERMIT.iL. <br />REPORT <br />a #3i 23 <br />st <br />it # <br />F fit # <br />d - •. <br />EFFLUENT GROSS VALU otECiliiREMEN!` 30Dfia AVG' DALLY MX MOD <br />?tit# <br />MONTH <br />OIL AND--GREASE SAMPLE ?# ( 94) ?r# ### rr ### <br />VISUAL MEASUREMENT <br />84066 1 0 O F'ERMtT ::< ;: rf tt ## E, ; ES= I TE- F -AT-- ? i <br />EF'F'LUENT GROSS VALU iREGUIREMENT INST MAX NO=0 <br /> SAMPLE <br /> MEASUREMENT <br />HERMIT <br />WOU1REMENT <br />TITLE PRINCIPAL EXECUTIVE OFFICER I cernly under pens ty o law that this document and all attachments were <br />TELEPHON <br />M <br />E <br />DATE <br />NA <br />E) <br />prepared under my direction or superWlon In accordance with a system designed <br /> <br />J G Vv-( rj to assure that qualined personnel Property gather and evaluate the Information <br />submitted. <br />Based on my Inquiry of the person or persons who manage the system, <br />or those persons directly hk for pl <br />the Information, the Information e? <br /> <br />/• <br /> <br />G//j/J <br />? <br />1 <br /> <br />? <br /> <br />. <br /> <br />ec ? {V( ?Y (? ?j / nd bee <br />submitted d h Is, , to to the bell or of my my k knowledge and belief, true, accurate, and complete. <br />I am aware that there are signineant penalties forsubmittin <br />raise information <br /> <br />IGNATURE OF PRINCIPA EXECUTIVE O 0 <br />U? <br /> g <br />, <br />I <br />l AREA <br />TYPED OR PRINTED nc <br />uding the possibility of nne and Imprisonment for knowing rlolatlona OFFICER OR AUTHORIZED AGENT I <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND ExetiAMA I Ivry yr Rte i vsvr.h I ivrra fnsrsrsncs sn acrst:nmsnra nsrsr <br />30 BAY AVERAGE IS HIGHEST MONTHLY AVERAGE DURING PERIOD REPORTED. OIL & GREASE - SEE I. B. 1. O. <br />00530/0Tf b0s)M <br />EPA Form 3320-1 (Rev. 3/?) Previous editions maybe used. ¢pgrc3(qnp. PAGE 10F