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PERMITTEE NAMEIAD DRESS (include Facility Name/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 />C000380124 028-A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY I MM/DD/YYYY <br />FROM 01/01/2016 TO 03/31/2016 <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />RP5 SEDI POND TO RED WASH <br />External Outfall <br />No Discharge <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 />....., <br />"""... <br />MEASUREMENT <br />840661 0 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />"'"' <br />Req. Mon. <br />INST MAX <br />Y=1;N=0 <br />"" "` <br />'^ <br />•"" <br />*" <br />Twice Month ef <br />VISUAL <br />..r„q ander Mnnu> nl la,v Ihn, lh—h nnum anJ alt an.alvneni. a ue pnpand un1—,,yd-,1 m <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER nr,�r.,,,nn,n,a-n,6 ne,y,l,,nda„EneJ,,,�.,�re,h,,r,i,,.dwadrrr,nnne,pnq-lyf,,,h,,..I n _ / TELEPHONE DATE <br />a. nivare dre,Nnenauun ealmnlmd n.uleJ,mmY,ngmry nf,he pcnan nr p<ru,n..,lm nun—b <br />,nrma.,pari„nrd,raa�rr�,rnn.darinrl;.�h���mh�nr,,,,.mnn.,he,nrr,n,annu�h,nln�d,t.(970) 675-4322 04/25/2016 <br />Scott Wanstedt, Environmental Engineer ; r,; , ^��;;; ;; e�nlnrm mnn mrladmgg thef o <br />pa 11Mlnv fine nd,p"..hcre n' f^f k„f ani <br />wi.roam ` unman n, SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED AUTHORIZED AGENT AREA Code NUMBER MMIDD/YYYY <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 I.A.1, PG.3. FOR REQUIREMENTS.OIL & GREASE REPORTING - I.B.1.A.,PG. 13. ORTRLY SAMPLING INSTRUCTIONS - I.C.7., PG, 14. <br />EPA Form 3320-1 (Rev.01106) Previous editions may be used. 0511112011 Page 2 <br />