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PARAMETER <br />Icemfy under penalty of law dat tins docummt and all attachments nemprepared nder mych von or <br />superncwn m accordance with a a to designed to assure that qualified personnel properly gather and <br />shut the those persons wbmmod Based I T my = o[the lerw ur perso whu man ge the <br />system or throe Persons dutaly MIT for gathmog the uttomunov, the mtormanan submmW u, <br />to the ben army knowledge and belief, true, accurate, and complete I am aware that there are mgntfinnt <br />pe Les for subounutg WW m n <br />fornuon, mcludmg the ponbrL f <br />tty of and rmpnsonmenr for Imo <br />n <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />z <br />z <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <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 />•..... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />I MAX <br />Y=1;N =0 <br />•-•—• <br />•,....... <br />.1.11.. <br />...a.. <br />Monthly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />Icemfy under penalty of law dat tins docummt and all attachments nemprepared nder mych von or <br />superncwn m accordance with a a to designed to assure that qualified personnel properly gather and <br />shut the those persons wbmmod Based I T my = o[the lerw ur perso whu man ge the <br />system or throe Persons dutaly MIT for gathmog the uttomunov, the mtormanan submmW u, <br />to the ben army knowledge and belief, true, accurate, and complete I am aware that there are mgntfinnt <br />pe Les for subounutg WW m n <br />fornuon, mcludmg the ponbrL f <br />tty of and rmpnsonmenr for Imo <br />n <br />1— <br />�' <br />TELEPHONE <br />DATE <br />'''' • �� <br />■ <br />(,� �2� G3 U 6 <br />�Q U t Z� <br />IGNATURE O F PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />!!! <br />AREA Cod. I NUMBER <br />MMIDDIYYYY <br />TYPED a R PRINTED <br />PERMITTEE NAMEJADDRESS (Include Facility Name /Location ifDAlerent) <br />NAME: Oxbow Mining LLC <br />ADDRESS: FO 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.01i06) 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 />009 -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 />GUNIS <br />SURF RUNOFF TO N FK GUNIS RIVR <br />External Outfall <br />Form Approved <br />OMB No. 2040.0004 <br />DMR Mailing ZIP CODE: 81424-0535 <br />MINOR <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 AND IA.2, P. 5 <br />FOR RQMNTS. I DS 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 />