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PARAMETER <br />I eemh under penalty ot lax the• tits document and At attachment> were prepared under my daemon or <br />m r g qualified i personnel properly gather and <br />daneewtma,. dtoa>>uretha fed <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />FREQUENCY <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 />IGNATURE OF A <br />A AGENT <br />OFFICER OR <br />AREA Cade <br />NUMBER <br />M <br />DD/YYYY <br />E J <br />TYP D OR PRINTED <br />I ED <br />PERMIT <br />REQUIREMENT <br />Reg Mon <br />INST MAX <br />Y =1;N =0 <br />Monthly <br />VISUAL <br />( SAME / TITLE PRINCIPAL EXECUTIVE OFFICER <br />I eemh under penalty ot lax the• tits document and At attachment> were prepared under my daemon or <br />m r g qualified i personnel properly gather and <br />daneewtma,. dtoa>>uretha fed <br />� ( <br />C <br />. e <br />TELEPHONE <br />DATE <br />J pervu <br />/y <br />�I C ��'�.J Z <br />/� i // <br />yC' (ti re5i g <br />/` C !' l J <br />t h <br />I t r 1 t 1 y r pone le or a lter of the person or Ac in who manage the <br />1 <br />>y>i.m or thox per>uro dveuh re>paroib4 tun gethemty the 011 011 the information >ubmun u <br />to the he, of my knowledge and belie( true accurate and complete I am aware that there are >igniliicum <br />Includin the o.ohil <br />penalue> for euhmnimp fake onornuat. g pm of tine end mymxmment for know in <br />I <br />7 D <br />- <br />2 <br />0/ <br />O y <br />2-0/2— <br />IGNATURE OF A <br />A AGENT <br />OFFICER OR <br />AREA Cade <br />NUMBER <br />M <br />DD/YYYY <br />E J <br />TYP D OR PRINTED <br />I ED <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 01/06) 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 />12/01/2011 <br />MM /DD/YYYY <br />12/31/2011 <br />TO <br />DMR Mailing ZIP CODE: 81424 -0535 <br />MINOR <br />GUN IS <br />SEDIMENT POND TO ELK CREEK <br />External Outfall <br />Form Approved <br />OMB No 2040-0004 <br />No Discharg <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 />