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PARAMETER <br />1 certif under Perulry of law than this document and all attaehmrms w'' P"7"cd order mY d''''" or <br />,,;nn ;n with }.0 assure designed t qualified personnel properly gather ana <br />nPe accordance <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />z z <br />FRECUENCY <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 />...... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />Monthly <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />1 certif under Perulry of law than this document and all attaehmrms w'' P"7"cd order mY d''''" or <br />,,;nn ;n with }.0 assure designed t qualified personnel properly gather ana <br />nPe accordance <br />/ a c <br />a V I J 7 . . <br />TELEPHONE <br />DATE <br />� �, I fit <br />the the information submitted. Based on my inquiry of the Person or Persons who manage e <br />system or those persons directly responsible for gathering the information, the information submitted v. <br />to the boss of my knowledge belief. true. d bclte accu�e. and complete. 1 e aware that there arc significant <br />/ � Q <br />( (i <br />PO - 7 X/_ sta <br />,v z /, <br />( / {/ <br />M�/D0/YYYY <br />pennies for submitting false information, m ;ncludingthepossmdttyoffineand imprisonment for k,mwin <br />IGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA 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 />000000132 <br />PERMIT NUMBER <br />012 -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 />DMR Mailing ZIP CODE: 81424 -0535 <br />MINOR <br />GUNIS <br />SEDIMENT POND TO ELK CREEK <br />Extemal Outfall <br />Form Approved <br />OMB No. 2040-0004 <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 IA.2, P. 5 <br />FOR ROMNTS.TDS MONITORING - SEE PART VI.A.2.G OF RATIONALE. 30 DAY AVG. IS HIGHEST MONTHLY AVG. DURING PERIOD REPRTD. <br />Page 2 <br />