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PARAMETER <br />I ecru( under penalty of law that thi> document and all anachmems t. ere prepared under my direction or <br />supervi u <br />ion ina„rdan cwaft a system demgnedtoassurethatgual,aed w <br />.. personnel pproperlyrmherand <br />. no. • ' f ih• - - • c '. . <br />•I m r tl • of • a t - I u - J B• • .d a. pe p h w g th <br />>ysIn a those persons Jireah' responsible for ga[henng the mfumutiun. the infontunun submincJ is. <br />to the hat of my knowledge ulna belief. true, accurate. and compktc. l am aware that there / <br />arc significant t <br />penames for submnting false el:m name mcludmg the possibJtry 'uf rule andlmprivnm a nt for know <br />`J <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />o6 <br />z <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />""" <br />Monthly <br />VISUAL <br />AMEMTLE PRINCIPAL EXECUTIVE OFFICER <br />I ecru( under penalty of law that thi> document and all anachmems t. ere prepared under my direction or <br />supervi u <br />ion ina„rdan cwaft a system demgnedtoassurethatgual,aed w <br />.. personnel pproperlyrmherand <br />. no. • ' f ih• - - • c '. . <br />•I m r tl • of • a t - I u - J B• • .d a. pe p h w g th <br />>ysIn a those persons Jireah' responsible for ga[henng the mfumutiun. the infontunun submincJ is. <br />to the hat of my knowledge ulna belief. true, accurate. and compktc. l am aware that there / <br />arc significant t <br />penames for submnting false el:m name mcludmg the possibJtry 'uf rule andlmprivnm a nt for know <br />`J <br />). '� ' <br />/r► T <br />7 U''"`^ • " r ^ t _ ' r <br />TELEPHONE <br />DATE <br />• T. <br />j i I , <br />0 • <br />9?a - t s��6 <br />ugly 2 .., � <br />M , DD/YYYY <br />SIGNATURE OF RINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA coda I NUMBER <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME: Oxbow Mining LLC <br />ADDRESS: PO Box 535 <br />Somerset, CO 81434 -0535 <br />SANBORN CRK & ELK CRK MINES <br />3737 HIGHWAY 133 <br />SOMERSET, CO 81434 <br />FACILITY: <br />LOCATION: <br />ATTN: James T. Cooper, EVP <br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00000132 <br />PERMIT NUMBER <br />019 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD!!YYYY <br />06/01/2011 <br />M M /DD/YYYY <br />06/30/2011 <br />TO <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 <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 IA1,PP 4 AND IA2, P 5 FOR <br />RQMNTS.TDS MONITORING -SEE PART VI.A.2.G OF RATIONALE. 30 DAY AVG IS HIGHEST MONTHLY AVG DURING REPORTING PERIOD. <br />Pape 2 <br />