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PARAMETER <br />certify under penalty of law that this document and all attachments were prepared under my daemon or <br />aure Mat quabeedpersonne perlygather and <br />supervision in accordance with a ysemdesigned m a. <br />ev.hut the information submitted. Based on my mq try of the person or persona manage the <br />system, or those persons directly responsible fm gahc ing the inf an th <br />on, e information submitted n <br />o the bet of m} knowledge and belief. true. accurate, and complete. 1 am aware that there arc significant <br />penal ry for submitting false information, including h possibility of fine and imprisonment for km w ng <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />o <br />z <br />FREQU OF ANALLYSY YSIS <br />STYPEE <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 />••.., <br />. „ <br />PERMIT <br />REQUIREMENT <br />."'� <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />'•”" <br />«'•" <br />••••• <br />Monthly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 <br />certify under penalty of law that this document and all attachments were prepared under my daemon or <br />aure Mat quabeedpersonne perlygather and <br />supervision in accordance with a ysemdesigned m a. <br />ev.hut the information submitted. Based on my mq try of the person or persona manage the <br />system, or those persons directly responsible fm gahc ing the inf an th <br />on, e information submitted n <br />o the bet of m} knowledge and belief. true. accurate, and complete. 1 am aware that there arc significant <br />penal ry for submitting false information, including h possibility of fine and imprisonment for km w ng <br />(` _ l TELEPHONE <br />DATE <br />N.} Q M c./ <br />" T /, — <br />, �, t v TT s <br />� . . _ � <br />1a � <br />� O � <br />M l •DIYYYY <br />2 �jCee, r ��„,� <br />I GNATURE OF PRINCIPAL EXECUTIVE OFFICER O <br />AUTHORIZED AGENT AREA cad. 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 />FACILITY: <br />LOCATION: <br />SANBORN CRK & ELK CRK MINES <br />3737 HIGHWAY 133 <br />SOMERSET, CO 81434 <br />ATTN: James T. Cooper, EVP <br />EPA Fonn 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 />014 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />09/01/2011 <br />MM /DD/YYYY <br />09/30/2011 <br />TO <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 GUNNISON R <br />Extemal Outfall <br />No Discharge <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS 8 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.A2.G OF RATIONALE. 30 DAY AVG. IS HIGHEST MONTHLY AVG. DURING PERIOD REPRTD. <br />Page 2 <br />