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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 />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 004-W ::::�:] <br />PERMIT NUM I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY 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 />(SUER DW) RBLAN <br />ACUTE WET TESTING FOR 004A <br />External Outfall <br />No Discharge <br />PARAMETER <br />I—fl, nl"' n'°"'11-1.1'W"kN.nm,m,ma':°'°n`°:°"°t"`— K`T'v`a°na"n'y:h—l.ee°r <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 />MRIMIDrYYYY <br />TYPED OR PRINTED <br />LC50 Static Renewal 48Hr Acute <br />SAMPLE <br />....,. <br />...... <br />...... <br />..<.., <br />...... <br />Daphnia magna <br />MEASUREMENT <br />TAM3C 1 0 <br />PERMIT <br />""" <br />"'"" <br />" <br />100 <br />""*' <br />"'"" <br />% <br />Effluent GrossREQUIREMENT <br />MO AV MN <br />Quarterly <br />GRAB <br />LC50 Statre 961 -Ir Acute Pimephales <br />SAMPLE <br />....,, <br />MEASUREMENT <br />TAN6C 1 <br />PERMIT <br />,.,.,. <br />...... <br />...... <br />100 <br />....., <br />...,,, <br />Effluent Gross <br />REQUIREMENT <br />MO AV MN <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I—fl, nl"' n'°"'11-1.1'W"kN.nm,m,ma':°'°n`°:°"°t"`— K`T'v`a°na"n'y:h—l.ee°r <br />TELEPHONE <br />DATE <br /><npcm<m :n acrnrd.mc< nn „v<�em acY:rnra to t:<<t:n• d•n tp::dtr.,i r<„nnn.•I rr�.ry E,�h<,:ma <br />n.d:wtc the inlurmeunn e:hmmcd B—d,—yn I—el the p—e or person<«hn manage the <br />Ey,7em,nnhn<ep-ntm<dtrexdire,pnmihlefnrgahenngthcmh,rmanon,themfnnalwnwtnnnicd'< <br />(970) 675-4322 <br />04/25/2016 <br />Scott Wanstedt, Environmental Engineer� <br />�';;,; e`;,°r',^ ;,";;; °,°; ;�; �e�';;��° �e;��; 6 h, p.-bdol of fir—.d:mpownmcnt r,,, k --;z <br />mi.,nnn< <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT AREA Code NUMBER <br />MRIMIDrYYYY <br />TYPED OR PRINTED <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference 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 />EPA Form 3320-1 (Rev.01106) Previous editions may be used. 05/11/2011 Page 1 <br />