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PERMITTEE NAMEIADDRESS (Include Facility NamaR.ocation ifDfferent) <br />NAME: <br />Blue Mountain Energy Inc <br />ADDRESS: <br />3607 CR 65 <br />NO. <br />EX <br />Rangely, CO 81648 <br />FACILITY: <br />DESERADO MINE <br />LOCATION: <br />3607 CR 65 <br />VALUE <br />RANGELY, CO 81648 <br />ATTN: ALAN HILLARD, MINE MGR <br />IVf1I RAVIAL r-VLLU INN I U10%.,r7HR"G CLIMINA I IUIN A TA 1 tM tNr'UtJ) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038024 005-A <br />PERMIT NUMBER DISCHARGE NtJMRFR_j <br />MONITORING PERIOD <br />MM /DD/fm I I MM/DD/YYYY <br />FROM 10/01/2013 1 To 1 12/31/2013 <br />I-onn Mpprovea <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />RRA LOADOUT TO RED WASH <br />External Outfall <br />No DischargeD <br />PARAMETER <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 />SAMPLE <br />MEASUREMENT <br />8406610 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST -MAX <br />Y =1;N� <br />""" <br />•„"' <br />„••- <br />T oath <br />VISUAL- . <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER T W mw yu "Cm .nu mt n thot ms aete ptepanv truer tt y m b. - a TELEPHONE DATE <br />nTmvun m b • d y . .,y M geahried prnenwl moo— ether and <br />e. the ia4rmxwn wi6mmed awed 1. my hqu�ry of the prnon �r petww wha lm ==the <br />Scott Wanstedt, Environmental Engineer ""`"`w r`p'h"ht`for` ftnn` mfor"Oh '�"°`°""°t�""h"'� (970) 675 -4322 01/20/2014 <br />m the heel n< Wma• .nJ 6ehef, hue, occumte, etN1 Ine. Inn= -the three — n <br />vI ditlona� tltmc f x mfmmotioa, ineVudins the preribt ry of fir aM itltpnfOMltOt far mwmg <br />TYPED OR PRINTED SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR Anen cis NUMBER MM/DDMfYY <br />AUTHORIZED AGENT <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED FOR 10YR,24HR PRECIP EVENT - SEE IA.1, PG. 3. FOR REQUIREMENTS.OIL & GREASE REPORTING - I.B.1.., PG. 13. QRTRLY SAMPLING INSTRUCTIONS - I.C.7., PG. 14. <br />A Form 33204 (Rev.01MM Previous ediOons may be used. <br />05/11/2011 Page 2 <br />