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PARAMETER <br />I `dorm fi under penalty of Lta Aso • A dorm and all attachments here prepared under m) duectwn or <br />: wpcmawn in ....Adana w ter ..y w nem &awned assort that whited personnel properly gather and <br />cy al he f b v std y mq ry f,h Fr p who mansubm n <br />epersons tho a persons ductal, sp moib a for gad mtotu mm the us m <br />p system mg lx atron, he mfaunon submed , <br />to the best of my knowledge and belief vie accurate and complete I am aware that there are signifies <br />for submnvng false Alton/ram, mcludmg the p.nabnhty of fine and unpnsotunent for know <br />non <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />sin <br />FREQUENCY <br />ANALYSIS <br />SAM E <br />OF <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />640661 0 <br />Effluer,1 Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />PERMIT <br />REQUIREMENT <br />" " <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />«• «• <br />Monthy <br />VISUAL <br />NAltlE/TIT'LE PRINCIPAL EXECUTIVE OFFICE <br />I `dorm fi under penalty of Lta Aso • A dorm and all attachments here prepared under m) duectwn or <br />: wpcmawn in ....Adana w ter ..y w nem &awned assort that whited personnel properly gather and <br />cy al he f b v std y mq ry f,h Fr p who mansubm n <br />epersons tho a persons ductal, sp moib a for gad mtotu mm the us m <br />p system mg lx atron, he mfaunon submed , <br />to the best of my knowledge and belief vie accurate and complete I am aware that there are signifies <br />for submnvng false Alton/ram, mcludmg the p.nabnhty of fine and unpnsotunent for know <br />non <br />_ <br />T <br />yv • J a , <br />t �� J r <br />TELEPHONE <br />DATE <br />HVr∎ -e• (� VZ <br />e° V • <br />A. ` V f i �l /�h+ <br />/ <br />, y2 , _ y - ig _ 5'U6 <br />_ o 6 `may �� <br />O 2.0 <br />(� 1 <br />IGNATURE OF PRI CIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Cad. I NUMBER <br />MMIDD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAMEJADDRESS (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 />12/01/2012 <br />MM /DD/YYYY <br />12/31/2012 <br />TO <br />GUNIS <br />SURF RUNOFF TO N FK GUNIS RIVR <br />External Outrall <br />Form Approved <br />OMB No. 2040-0C34 <br />DMR Mailing ZIP CODE: 81424-0535 <br />MINOR <br />No Discharge <br />1 <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 IA.2, P. 5 <br />FOR RQMNTS,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 />