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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMITTEENAMEJADDRESS (/nGudeFaci/ityName/LocationifDh7eient) <br />NAME: Oxbow Mining LLC <br />ADDRESS: PO Box 535 <br />Somerset, CO 81424-0535 <br />FACILITY: SANBORN CRK & ELK CRK MINES <br />LOCATION: 3737 HIGHWAY 133 <br />SOMERSET, CO 81434 <br />ATTN: James T. Cooper, EVP <br />PARAMETER <br />LC50 Statre 96Hr Acute Pimephales SAMPLE <br />MEASUREMENT <br />TAN6C 1 0 PERMIT <br />Effluent Gross REQUIREMENT <br />000000132 015W <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />FROM 07/01/2009 TO 09/30/2009 <br />QUANTITY OR LOADING <br />VALUE VALUE UNITS <br />QUALITY OR CONCENTRATION <br />VALUE VALUE VALUE <br />MN VALUE <br />Forth Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81424-0535 <br />MINOR <br />GUNIS <br />ACUTE WET TESTING FOR 015A <br />External Outfall <br />No Discharge El <br />UNITS <br />NO. I FREQUENCY I SAMPLE <br />Ex OF ANALYSIS TYPE <br />Quarterly I GRAB <br />ME/TITLEPRINCIPAL EXECUTIVE OFFICER wmonaceo 11P--- in aceerdanee anecd wwitha rystem designedmtl Yst deal ed. a attachmenrueeprcpanyuMe,nndi ai- <br />auurethatqualifedpersonnclpropcrlygat h nand TELEPHONE DATE <br />valuate the mromution avbmiVCd. Based on my inquiry of the pers°n or pcrams whu matuge the / <br />sysmm, or thoss peso dimetly respo ible for gathering the is <br />r info Lion he mrannarion submined . <br />?r n the ne t nrmy tnnwiedge and beher. m e. .,-,..d <br />eemplem lam swam that them aye sigmream <br />( p<nam y r°r sunmdung ralw inr rmati°n, inauding ibe p-bility °f r a and Imprisonment r r growing <br />TYPED OR PRINTED 1 z OJ ' (Z lo-o!5-6 <br />SIG URE OF PRINCIPAL EXECUTIVE OFFICER OR9701 <br />AGENT ^REA Cod. NU MBER MM/DOMlYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) AUTHORIZED <br />SEE I.A.4.A, PP 5-6 FOR DETAILS OFTEST PROCEDURE. REPORT LC50 - STATISTICAL PINT WSTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. <br />EPA Form 3320.1 (Rev.01/06) Previous editions may be used. <br />Page t