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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMITTEE NAME/ADDRESS (/nciude Faci/dyNameiLocation ifoiffemnt) <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 />000000132 019A <br />PERMIT NUMBER FDISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />FROM 09/01/2009 TO 09/30/2009 <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81424-0535 <br />MINOR <br />GUNIS <br />SURFACE RUNOFF TO HUBBARD CRK <br />External Outfall <br />No Discharge L,?nj <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION <br />NO. <br />E <br />X <br />FREQUENCY <br />OF ANALYSIS <br /> <br />STYPEE <br /> VALUE VALUE UNITS VALUE VALUE VALUE UNITS <br />Oil and grease visual SAMPLE ....•, ...... <br /> <br />MEASUREMENT •••••. •..••• •••.•• <br />84066 1 0 PERMIT '•"•• Reeqq. Mon. Y=1;N=0 •~•'• ••'~' •••••• <br />Effluent Gross REQUIREMENT IN ST MAX Monthly VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER Iccnityonderpensky flawthat thisdocumrntandallamchmrnnwercprepa¢d under- directionor <br />pmrsion m scwNana wtth a system designed to assure that q,ult' personnel properly garner and <br />TELEPHONE DATE <br />-1- the informuioo submincd. Based on my inquiryof the person or persons who mvuge the <br />` system, or those persons duealy rcsponsiblc fm gathering the inf-tin n, the ns omu <br />to ,ion suWniaed is. <br />rs n s th< bestof my knowledge end belief,trot. accurate, and complete. I am await that there are significant 9 4o Q '?? '7 /D <br />?CPr•, r?$t p-ttiesforsubmntingfalseinfoormation,includingtheposslbilitpoffeandimpis,n,men,for enw;ng fl L <br />SIGN UREOFPRINCIPALEXECUTIVEOFFICEROR J <br />TYPED OR PRINTED AUTHORIZED AGENT AREA cod. NUMBER MMIDD/YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LMT APPLIED FOR -10,24HR PRECIP EVENT;SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR >10YR.24HR EVENT-SEE I.A.1,PP 4-5, AND I.A.2, <br /> P 5 FOR <br />ROMNTS.TDS MONITORING-SEE PART VLA.2,G OF RATIONALE. 30 DAY AVG IS HIGHEST MONTHLY AVG DURING REPORTING PERIOD. <br />EPA Form 3320.1 (Rev.01106) Previous editions may be used. <br />Page 2