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PERMITTEE NAMEIADDRESS (McNde Facility Nama/Locedon !f Different) <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 />I YA � I V I •AL r VLLV 1 AI V 1 IJIJI+rlARl7C CLIM IIYI11 I V IV J T J 1 CM t1V rvCal <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038024 I 004-W <br />PERMIT NUMBER I I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY I I MM/DD/YYYY <br />FROM 10/01/2013 1 TO 1 12/31/2013 <br />roan hpptoveu <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUER DW) RBLAN <br />ACUTE WET TESTING FOR 004A <br />External Outfall <br />No Discharge <br />PARAMETER <br />leemryun� pemllyurla tbmthuE�Iml tmdallmlKlw,mssYR undamydIMImIW <br />isImax.,u, syakm dedpial m.saue aau gtaUBed her.al <br />nvilmm the inrmmmian rdimilled. Band on my inquiry or�Ae perm w � rEE d,c <br />', mm` m°. mep` ma°” li”' ly'e>�a`"` for °'he"°`d,nin`°m.m'm �em�mm"m <br />to re hem of kwo% ledv dad neimC We. anvmin, ood kle. I an awme uad dime me <br />p rmw' mttigfaHemfmmatian, iucladin6 the poa `°miyorenn«,dir>mmKmrm°mwiat <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 />LC50 Static Renewal 48Hr Acute <br />SAMPLE <br />„.... <br />.«.„ <br />. „.„ <br />« <br />Daphnia magna <br />MEASUREMENT <br />„� <br />TAM3C 10 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />100 <br />MO AV MN <br />(quarterly <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />SAMPLE <br />MEASUREMENT <br />TAN6C 10 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />,• «„ <br />100 <br />MO AV MN <br />„ „•• <br />% <br />Quarterly : <br />' - GRAB <br />NAMEI7ITLEPRMCIPALEXECUTNEOFFICER <br />leemryun� pemllyurla tbmthuE�Iml tmdallmlKlw,mssYR undamydIMImIW <br />isImax.,u, syakm dedpial m.saue aau gtaUBed her.al <br />nvilmm the inrmmmian rdimilled. Band on my inquiry or�Ae perm w � rEE d,c <br />', mm` m°. mep` ma°” li”' ly'e>�a`"` for °'he"°`d,nin`°m.m'm �em�mm"m <br />to re hem of kwo% ledv dad neimC We. anvmin, ood kle. I an awme uad dime me <br />p rmw' mttigfaHemfmmatian, iucladin6 the poa `°miyorenn«,dir>mmKmrm°mwiat <br />TELEPHONE <br />DATE <br />Scott Wanstedt, Environmental Engineer <br />9 <br />(970) 675 -4322 <br />AREA ceaa NUMBER <br />01/20/2014 <br />MMIDDIYYYY <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />wmmen i o ^mu ucruwn I lulu yr ANT vrvtA i ivna (YtererenCe an armcnments nerel <br />SEE PART I.A.2, PG. 8 -10, FOR DETAILS OF TEST PROCEDURE. REPORT LC50- STATISTICAL POINT ESTIMATE WHICHIS LETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. <br />sA Form 33204 (Rev.01106) Previous edidons may be used. 05111/2011 Page 1 <br />