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PARAMETER <br />I certify underpenalty nr law matthisdocument and anattachments were prepared under up' direction nr <br />s in accordance with a s ,unn designed to assure that qualified personnel properly gather and <br />it <br />"I't• h i h • -r B. ..d q .' f 1. ... pe t for . m. <br />s y >tent, or those p<•nana directly responsible (r gearing the Information, the information submitted is. <br />to me best aim knowledge and belief, true. a, t u. ate. and complete. l am aware that there arc significant <br />penahtea for sahnmm, rah" t"i"'"'"nt mewin me p,ss,bm y m rare and tm time' err knuw;n i <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />d <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 />fJ <br />U <br />O <br />1 ht.) <br />,/SK� <br />V� <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1:N =0 <br />Monthly <br />VISUAL <br />NAMFJTITLEPRINCIPALEXECUTIVEOFFICE <br />I certify underpenalty nr law matthisdocument and anattachments were prepared under up' direction nr <br />s in accordance with a s ,unn designed to assure that qualified personnel properly gather and <br />it <br />"I't• h i h • -r B. ..d q .' f 1. ... pe t for . m. <br />s y >tent, or those p<•nana directly responsible (r gearing the Information, the information submitted is. <br />to me best aim knowledge and belief, true. a, t u. ate. and complete. l am aware that there arc significant <br />penahtea for sahnmm, rah" t"i"'"'"nt mewin me p,ss,bm y m rare and tm time' err knuw;n i <br />) n <br />`� / � T <br />ii le" V i � <br />TELEPHONE <br />DATE <br />T • Fes <br />V`^ l ` ��so �-+ <br />ewe. v 7r n 1 <br />�j �1 <br />(� <br />7 20 . 2 <br />0? -is- �<< <br />GNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA I NUMBER <br />J <br />j <br />MM/DD/YYYY I <br />R <br />TYPED OR PRINTED <br />lJ <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 />FACILITY: SANBORN CRK & ELK CRK MINES <br />LOCATION: 3737 HIGHWAY 133 <br />SOMERSET, CO 81434 <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 />000000132 <br />PERMIT NUMBER <br />012 -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 ELK 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 4-5, AND IA.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 />