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PERM ITTEE NAMEIADDRESS (Include Facility Nama/Location if 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 />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038024 025 -A <br />PERMIT NUMBER I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MMIDD/YYYY MMIDD/YYYY <br />FROM 01/01/2014 1 TO 1 03/31!2014 <br />Fortn Approved <br />OMB No. 2040.0004 <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />RP4 SEDI POND TO RED WASH <br />External Outtall <br />No Discharge ❑ <br />PARAMETER <br />1r °lyun r`°° i"° ruwm "m'.aK °"`^I°" ° ° "1°`i°nrl` "°`,n` ° "^k`°ya'"'"^ <br />supervleiml in a xmWce wish n system d - y 1^ pride Idw qu°lificd pnvronel pnlpny Ow snd <br />evnlvale the i1lfMmaliun sWnnnlerl, tl°rcd ml my inquiry of the prnnn M perxms x InwS< the <br />sy�lem, M Ihme pceinN di,sedy IeSpinahk I talheeing the iMmlulien, the inf°enoti^n.utumned n. , <br />^'thy' ^fmykl" kd" Whehel•n"e•�ee.,l °•°aem., �e'°n e^R'h„1'�e,e�e,�x,fi— <br />p �h °r suMnmingflunGnminn ,includn¢IhepnsdMlryMfineandimp mmenitMknnwins <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 />...... <br />.... <br />+. <br />...... <br />MEASUREMENT <br />8406610 <br />PERMIT <br />•••••• <br />R . Mon. <br />Y =1;N� <br />..••.. <br />" "" <br />" "" <br />•""• <br />Twice Per <br />Effluent Gross <br />REQUIREMENT <br />IN r MAX <br />Month <br />VISUAL <br />NAME ITTLEPRINCIPALEXECUTIVEOFFICER <br />1r °lyun r`°° i"° ruwm "m'.aK °"`^I°" ° ° "1°`i°nrl` "°`,n` ° "^k`°ya'"'"^ <br />supervleiml in a xmWce wish n system d - y 1^ pride Idw qu°lificd pnvronel pnlpny Ow snd <br />evnlvale the i1lfMmaliun sWnnnlerl, tl°rcd ml my inquiry of the prnnn M perxms x InwS< the <br />sy�lem, M Ihme pceinN di,sedy IeSpinahk I talheeing the iMmlulien, the inf°enoti^n.utumned n. , <br />^'thy' ^fmykl" kd" Whehel•n"e•�ee.,l °•°aem., �e'°n e^R'h„1'�e,e�e,�x,fi— <br />p �h °r suMnmingflunGnminn ,includn¢IhepnsdMlryMfineandimp mmenitMknnwins <br />TELEPHONE <br />DATE <br />Scott Wanstedt, Environmental Engineer <br />9 <br />(970) 675 -4322 <br />14 <br />SIGNATURE OFPRINCIPALEXEC IVE OFFICER OR <br />AUTHORIZED AGENT <br />A A F A C h <br />F NUMBER <br />MMIDDIYYYY <br />TYPED OR PRINTED <br />1,UMN1MN r a AN uruiNA r 1UN Ur• ANY viULAI IUNS (Kererence an attacnments nere) <br />TSS & TOTAL IRON LIMITS WILL BE WANED FOR 10YR,24HR PRECIP. EVENT - SEE I.A.I.. PG. 3. FOR REQUIREMENTS.OIL & GREASE REPORTING - 1.B.1,A.,PG, 13. QRTRLY SAMPLING INSTRUCTIONS - I.C.7., PG, 14. <br />EPA Form 3320.1 (Rev.01106) Previous editions may be used. 0511112011 Page 2 <br />