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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <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 />000000132 017-A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DDI'YYYY <br />FROM 12/01/2009 TO 12/31/2009 <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81424-0535 <br />MINOR <br />GUNIS <br />SURF RUNOFF TO N. FK GUNIS RIV <br />External Outfall <br />ATTN: James T. Cooper, EVP <br />No Discharge <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION E FREQUENCY <br />OF ANALYSIS STYPPEE <br /> VALUE VALUE UNITS VALUE VALUE VALUE UNITS <br />Oil and grease visual SAMPLE ...... ...... ...... ...... ...... <br /> MEASUREMENT <br />84066 1 0 PERMIT .'"" Req. Mon. Y=1;N=0 """ <br />Effluent Gross REQUIREMENT INST MAX Monthly VISUAL <br /> <br />NAME/TITLEPRINCIPAL ECUTIVEOFFICER I ccnify under nalrv u(law that tl,is d-- and all amchmenn were red t .drr <br />np in,onm.-de.o<whha..).dea,gn<dma n<na,ymremp°ttn?.<Ip op<riy digalnraImor <br />d <br /> <br />^„? <br /> <br />TELEPHONE <br /> <br />DATE <br /> <br /> <br />• valwl< the infomwion subnuncd. Bard an my inyu,ry nfthe p<rsun or persons why manag<th< <br />r those pers. dimply responsible for gaNering th< in(omnuuv, th<in(ormadon s.bmincd is, <br />,a ,he best of my knowledge and beh<(. we. accura,<, and cumplnc. f am ware that d,ere are significant /' <br /> <br />97? qT 2L <br />/ <br /> <br />V <br />0 (j 1117-6 <br /> pcnla"onsfur¢obmn.ngfalsemlurmono.,md.dmgih<pns,hiluyofr-_dimpi--.,rrk-inx SIGNA EOFPRINCIPALEXECUTI OFFICER OR <br />TYPED OR PRINTED AUTHORIZED AGENT AREA cods NUMBER MWOD/YYYY <br />-mm en a J mmu -n^ , - yr mn r v-i iwmo pcerurunee au aaacnmengs nere) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LMT APPLIES FOR <=10YR,24HR PRECIP EVENT; SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR >10YR,24HR EVERT-SEE I.A.1,PP 4-5, AND <br /> I.A.2., P 5 <br />FOR RQMNTS. TDS MONITORING - SEE PART VI.A.2.G OF RATIONALE. 30 DAY AVG IS HIGHEST MONTHLY AVG. DURING PERIOD RPTD <br />EPA Form 3320-1 (Rev.01/06) Previous editions may be used. Page 2