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PARAMETER <br />f cmify under oal <br />pery of law that this d"'"""' an <br />d"'"""' d all anachrtamts w""'''''''' under my direction or <br />superywoninacc own « with asystem designed to assure Marynalifiedpers onnel properly gather and <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />z z <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE . <br />/ Q / , <br />M <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 />Req. Mon. <br />INS MAX <br />Y =1;N =0 <br />"` <br />Monthly <br />VISUAL <br />N /TITLE PRINCIPAL EXECUTIVE OFFICER <br />f cmify under oal <br />pery of law that this d"'"""' an <br />d"'"""' d all anachrtamts w""'''''''' under my direction or <br />superywoninacc own « with asystem designed to assure Marynalifiedpers onnel properly gather and <br />Kr e'er /' <br />rr 21 . 1 a C— U , <br />TELEPHONE <br />DATE <br />a ► <br />ecee a <br />i <br />q GSO6J <br />'/ 1 ( u <br />4' e f �(/� <br />ev but the ; formation subm;ued. Based on my inquiry of the person or persons who manage the <br />se system. or thou persons dvanly responsible for gathering the ;nf tion. the information submitted a <br />to the bag of my knowledge and belief, nue accun e. and complete. 1 am aware that there are significan <br />tion. including the pob ;lity of f and imprisonment for kooain <br />penalties for submitting false mfortw sw <br />siolanons. <br />A -2 6, <br />Q � <br />- t! <br />/ SRO <br />/ Q / , <br />M <br />1/ <br />D/ <br />IGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />!/ <br />AREA AREA od. NUMBER <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (lndude 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 />019 -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 />SURFACE RUNOFF TO HUBBARD CRK <br />Extemal Outfall <br />- 16 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 >10YR24HR EVENT-SEE IA1,PP 4-5, AND IA2, P 5 FOR <br />RQMNTS.TDS MONITORING -SEE PART VIA2.G OF RATIONALE. 30 DAY AVG IS HIGHEST MONTHLY AVG DURING REPORTING PERIOD. <br />Page 2 <br />