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PARAMETER <br />°ni ry under penalty of law that this document and all W1401111.1. were preparcvl under my direction or <br />su pervit m .• <br />accord.<with a.tent designed w Mat at qualified personnel properly gather and <br />• 'aluat • • th • • infomation submitted Based on my mown' of the per.. ur persons who manage the <br />System. or those persons responsible for gathering the tmormation, the information submitted is. <br />o the hest of my knowledge and belief. tiv< c um a and complete. I ant aware that there arc significant <br />penalties for submitting false information. including possihilny of line and Imprisonment fn knowing <br />violations. l <br />(/ <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />on <br />z <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <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 />Monthly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />°ni ry under penalty of law that this document and all W1401111.1. were preparcvl under my direction or <br />su pervit m .• <br />accord.<with a.tent designed w Mat at qualified personnel properly gather and <br />• 'aluat • • th • • infomation submitted Based on my mown' of the per.. ur persons who manage the <br />System. or those persons responsible for gathering the tmormation, the information submitted is. <br />o the hest of my knowledge and belief. tiv< c um a and complete. I ant aware that there arc significant <br />penalties for submitting false information. including possihilny of line and Imprisonment fn knowing <br />violations. l <br />(/ <br />// <br />t <br />� k (� <br />/ P <br />y'/y� / �Cj <br />1 • " - Y <br />TELEPHONE <br />DATE <br />J qwC % T, <br />` . / �] / <br />4 G.. V- + (-L�. ` �G ' <br />P at -. q r _5 Q ` <br />1 �/ 7 �/ <br />49 _ Is — 2 e ( 1 <br />1 <br />MWODtm'Y I <br />1 , ` ' <br />s <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />A Code ( 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.01 /06) 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 />007 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />06/01/2011 <br />MM /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 />SEDIMENT POND TO HUBBARD CREEK <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 <= 10YR,24HR PRECIP EVENT;SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR >10YR,24HR EVENT - SEE IA.1,PP 4 AND 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 REPRTD. <br />Page 2 <br />