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PARAMETER <br />ILe"'fi under penalty of law that thuaoaument and ail an eahrnam were prepared under mydr „on or <br />supervision m u with a <br />� , de,rgnea to ea,nre the so Personnel Properly gather and <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />ANALYSIS <br />SAMPLE <br />OF <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 />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />`1 <br />ILe"'fi under penalty of law that thuaoaument and ail an eahrnam were prepared under mydr „on or <br />supervision m u with a <br />� , de,rgnea to ea,nre the so Personnel Properly gather and <br />TELEPHONE <br />/ <br />DATE <br />J ��� /� //�� <br />a vs T + + . Ce tar -LJ2 <br />/) C(. , / n �/ •�� <br />LG (/, / <br />V OR <br />th t rma <br />I � to t mu h net( wJ un nn Inquiry of the person or Person, who manage the <br />t( Bawd <br />"stall or those Person, dtrml, re,Pon >ibla for gehenng the information the Information u_ <br />w tha Mn of my knowledge and bend uur act war and complete f em aware that there ve >rE ifiannt <br />Pe i ine> fa,nhmnong tni,e Information ,,,,iw,o>:me P, of fine and imprisonment for Liman, <br />G . � - , /� J r`- � <br />((1 I 6, <br />> <br />X70 - p — 5 �I i <br />Q { 2---- <br />or Y / <br />I GNATURE OF INCIPAL EXECUTIVE OFFICER O <br />AUTHORIZED AGENT AREA Cod. I NUMBER <br />M ( r j <br />M DD/YYYY <br />TYPED 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: 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 />C00000132 <br />PERMIT NUMBER <br />009 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />12/01/2011 <br />MM /DD/YYYY <br />12/31/2011 <br />TO <br />DMR Mailing ZIP CODE: 81424 -0535 <br />MINOR <br />GUNIS <br />SURF RUNOFF TO N FK GUNIS RIVR <br />External 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 I.A.1.PP 4 -5, AND I.A.2, P. 5 <br />FOR ROMNTS TDS MONITORING -SEE PART VI.A.2.G OF RATIONALE. 30 DAY AVG IF HIGHEST MONTHLY AVG. DURING PERIOD REPRTD. <br />11/09/2011 Page 2 <br />