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PARAMETER <br />I e<mfy mdor penalty f Ian that this document am an anaobmmta were prepared under my dhrect m or <br />supervision m accordance with w, a system designed to more that yumrem personnel a,ri y gamer and <br />loam the mfoemauoo subm,ued eased on my inquiry of the person or persons gather <br />the <br />system, or those persons dnealy respoos,bk for gadxnng the mformmoo, the mformmm suborned is, <br />m the beat of my knowledge and belief true, accurate, and onmp ete I am aware that there are atgntflun� <br />penalties f submitting false mfutm,Uor including the posarb ryuffine lm imprisonment for mo <br />lations <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO <br />O F ANA F ANA LYS Y I S <br />S EE <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 />. „•.. <br />... ». <br />Intl.„ <br />....» <br />PERMIT <br />REQUIREMENT <br />`r ate. <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />""'a <br />••■•.0 <br />w•a"■ <br />Monthly <br />VISUAL <br />AMETL E PRINCIPAL EXECUTIVE OFFICER <br />I e<mfy mdor penalty f Ian that this document am an anaobmmta were prepared under my dhrect m or <br />supervision m accordance with w, a system designed to more that yumrem personnel a,ri y gamer and <br />loam the mfoemauoo subm,ued eased on my inquiry of the person or persons gather <br />the <br />system, or those persons dnealy respoos,bk for gadxnng the mformmoo, the mformmm suborned is, <br />m the beat of my knowledge and belief true, accurate, and onmp ete I am aware that there are atgntflun� <br />penalties f submitting false mfutm,Uor including the posarb ryuffine lm imprisonment for mo <br />lations <br />/ .�. Jl <br />— 1 lT �- 7 - <br />TELEPHONE <br />DATE <br />'f ` ^ ."Toff/ a u <br />. _ j. , <br />r -/ i'17 <br />. �t ^r iQ <br />y,� -9� _ a 6 <br />®�® <br />GNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I NUMBER <br />MM/DlNYYYY <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 />AiTiv. Jatm s T. Cooper, EVP <br />EPA Form 3320-1 (Rev.01106) 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 />007 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />09/01/2012 <br />MM/DD/YYYY <br />09/30/2012 <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 HUBBARD 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 IA.1,PP 4-5, AND IA.2, P. 5 <br />FOR RQMNTS.TOS 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 />