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PARAMETER <br />I cat" under penalty of law that this document and all attachments urn prepared under mr dirunun or <br />wp m u :wrdan..e wnh a d< that n properly gather <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />E)( <br />FREQUENCY <br />ANALYSIS <br />STMPE <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 />•••■■ <br />Monthly <br />VISUAL <br />NAME/TITL.E PRINCIPAL EXECUTIVE OFFICER <br />I cat" under penalty of law that this document and all attachments urn prepared under mr dirunun or <br />wp m u :wrdan..e wnh a d< that n properly gather <br />\ , <br />/� /r � I/1 /1 �� <br />/ ) ' J � ` <br />, t 4 ( r <br />TELEPHONE <br />DAT <br />• ' <br />� � <br />t th d Bawd <br />t t th 1 persons h y responsible or mywry of the pert ur perwm. who muu chc <br />n my n uiry o person or <br />t o t em arthuxpcnmudeandbehel trocgathrnndthe complete Iant the unumununa <br />to the heat of my knowledge and b<hel o.0 accurate, and complete I ant aware that three are .,gnificnm <br />?x-/;7-5206 <br />� 20/L- <br />:,,iuratumm�mgrai mwrnretnnm�admgm<p�hd arrm<,dmpt.a, meal„ rmaw, n <br />IGNATUREOFPRINCIPALEXECUTIVEOFFICEROR <br />/ AUTHORIZED AGENT <br />AREA Cod NUMBER <br />MM/DD/YYYY <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 Form 3320 -1 (Rev.01 /00) 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 />010 -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 />Form Approved <br />OMB No 2040-0004 <br />DMR Mailing ZIP CODE: 81424 -0535 <br />MINOR <br />GUNIS <br />SEDIMENT POND TO SANBORN CREEK <br />External Outfall <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 RQMNTS TDS MONITORING -SEE PART VI.A.2 G OF RATIONALE. 30 DAY AVG. IS HIGHEST MONTHLY AVG. DURING PERIOD REPRTD. <br />11/09/2011 Page 2 <br />