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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 />DATE <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 />000038024 003 -A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY I I MM/DD/YYYY <br />FROM 01/01/2015 1 To 1 03/31/2015 <br />Form Approved <br />OMB No. 204040004 <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUER DW) RBLAN <br />RP -2 &3 SEDI POND TO RED WASH <br />External Outfall <br />No Discharge <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION EX FREQUENCY <br />A ice' <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />�n;s� ..w� s�mmvcs ew mea�ci qu°`tJua iaonalryyg lcamit <br />evalnroothe mfomvtion submete e°saloom ofthe hn <br />yAl— palmorpersonsw ge Ole <br />to mypert°usd'e - db.�o.im., �Iha� ccnram°timl,arecth„tth m= sn in <br />at. I° Ole ben of hm�i ng fhyyss and belief, we, oea°ste, and C i ere.l am mvom Owt themWf r Iowmg <br />htimm hlg(slse infntm°tian, ®chin ®gthc posibi Ny °f finesod'etryttisonnlellt for • owi°g <br />TELEPHONE <br />DATE <br />ANALYSIS <br />SAMPLE <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 />R Mon. <br />INS T MAX <br />Y =1;N =0 <br />" <br />'"' <br />Twice Per,., <br />VISUAL <br />Effluent Gross <br />REQUIREMENT <br />j <br />Month <br />A ice' <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />�n;s� ..w� s�mmvcs ew mea�ci qu°`tJua iaonalryyg lcamit <br />evalnroothe mfomvtion submete e°saloom ofthe hn <br />yAl— palmorpersonsw ge Ole <br />to mypert°usd'e - db.�o.im., �Iha� ccnram°timl,arecth„tth m= sn in <br />at. I° Ole ben of hm�i ng fhyyss and belief, we, oea°ste, and C i ere.l am mvom Owt themWf r Iowmg <br />htimm hlg(slse infntm°tian, ®chin ®gthc posibi Ny °f finesod'etryttisonnlellt for • owi°g <br />TELEPHONE <br />DATE <br />Scott Wanstedt, Environmental Engineer <br />(970) 675 -4322 <br />04/23/2015 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM1DDtYYYY <br />TYPED OR PRINTED <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED FOR 10YR,24HR RECIP. EVENT- SEE IA.1, PG. 3. FOR REQUIREMENTS.OIL & GREASE REPORTING - I.B.1.A.,PG. 13. QRTRLY SAMPLING INSTRUCTION - I.C.7., PG.14. <br />EPA Form 33204 (Rev.01106) Previous editions may be used. 05/1112011 Page 2 <br />