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PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different) <br />NAME: <br />Blue Mountain Energy Inc <br />ADDRESS: <br />3607 CR 65 <br />N. <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 />IVMIIVIVML r'VLLU I/11V 1 ✓10U17V1R167C CL11V111VM I IVIV J 101 am tIVr✓C01 <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038024 004-W <br />PERMIT NUMBER I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD)YYYY I I MM /DD/YYYY <br />FROM 10/01/2014 1 TO 1 12/31/2014 <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />ACUTE WET TESTING FOR 004A <br />External Outfall <br />No Discharger <br />PARAMETER <br />l .m1fy umhx penalty of lax that this document and all attachments were prcpanod under my duccttun m <br />aupentalon m aeurdartse vvdh •system 1yma1 to some /hat gtubfld prrsntulel pnrmana ether and <br />n alusl. tha 1n1Mmnunn aubmme Ha,ed mi my ingwry of the pmnn m pennns w manage the <br />fy�lem. "a I= pasuns dm:ctly —rimislble for gathomg the tnfomutson, the .11 —tmn s ibmmol 1s. <br />lon';t;m msubmWinglanin� Xal d,�F �blityof,;M�ndunp that lorknaw'nk <br />vlolabuns <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />N. <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <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 />TAM3C10 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />... ». <br />.".., <br />...... <br />100 <br />MO AV MN <br />....., <br />."..' <br />% <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 />....f. <br />.,...f <br />100 <br />MO AV MN <br />...... <br />,..... <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />l .m1fy umhx penalty of lax that this document and all attachments were prcpanod under my duccttun m <br />aupentalon m aeurdartse vvdh •system 1yma1 to some /hat gtubfld prrsntulel pnrmana ether and <br />n alusl. tha 1n1Mmnunn aubmme Ha,ed mi my ingwry of the pmnn m pennns w manage the <br />fy�lem. "a I= pasuns dm:ctly —rimislble for gathomg the tnfomutson, the .11 —tmn s ibmmol 1s. <br />lon';t;m msubmWinglanin� Xal d,�F �blityof,;M�ndunp that lorknaw'nk <br />vlolabuns <br />TELEPHONE <br />DATE <br />Scott Wanstedt, Environmental Engineer <br />(970) 675 -4322 <br />01/15/2015 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA c^de <br />NUMBER <br />MMIDDIYYYY <br />TYPED OR PRINTED <br />bUmmCN 10 ANU MA ANA 1IUN Ul" ANT VIOLA I IONS tKererence all attachments here) <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 />PA Form 3320.1 (Rev.01106) Previous editions may be used. 05/11/2011 Page 1 <br />