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PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure duo qualified personnel properly gather and <br />evaluate the information mbmined. Based on my mq iry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the information tion, the mf don submitted is. <br />the bet nrmyknowlWge e information, true. and complete_ Iim aware dicre are sign <br />p p W submitting was nf ntnm awa Mludiding he possibility y o ttme am imprisonment for knowing <br />� <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />o <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 />0d and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />a.a..a <br />PERMIT <br />REQUIREMENT <br />'aaa'a <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />aa"a' <br />" ^a' <br />Monthly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure duo qualified personnel properly gather and <br />evaluate the information mbmined. Based on my mq iry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the information tion, the mf don submitted is. <br />the bet nrmyknowlWge e information, true. and complete_ Iim aware dicre are sign <br />p p W submitting was nf ntnm awa Mludiding he possibility y o ttme am imprisonment for knowing <br />� <br />'/ <br />(,* (� /s <br />a �+ <br />(( <br />TELEPHONE <br />DATE <br />(� 11 <br />Lt t'�"C.N T+`�' <br />/� Ycc. / r <br />[ 1� <br />-? <br />?d -�_ <br />/� /O 3/ 2- <br />M N O/YYYY <br />IGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Cod. 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.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 />009 -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 />GUNIS <br />SURF RUNOFF TO N FK GUNIS RIVR <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81424 -0535 <br />MINOR <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. IF HIGHEST MONTHLY AVG. DURING PERIOD REPRTD. <br />Page 2 <br />