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PERMITTEE NAMEIADDRESS (Include Facility Name/Location if Different) <br />NAME: Blue Mountain Energy Inc <br />ADDRESS: 3607 CR 65 <br />Rangely, CO 81648 <br />FACILITY: DESERADO MINE <br />LOCATION: 3607 CR 65 <br />RANGELY, CO 81648 <br />ATTN: ALAN HILLARD, MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C000380 )2 4 025-A <br />PERMIT NUMBER <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD1YYYY I I MM/DDNYYY <br />FROM 04/0 T/-2016 I TO 1 06/30/2016 <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />RP4 SEDT POND TO RED WASH <br />External Outfall <br />No Discharge! 1 I <br />PARAMETER <br />I —tify unda pmky of law that thn don and all auxtuxanm — p"pued undo my d— . <br />,pc— —d—dii.—d�W"t—lbaaquabW K—lixparly pth—al <br />a'loaw ao af—ai— at-ft4 B..d - ray qiry of ft r— or parsons wt. ovzaage ft <br />di—fly for garlwhig ffic eaf—o-, d. taf—hoa -1�oftd m <br />&d Wf, ft��,.ac W, P1 dW th— — �,gnxf— <br />lo, =g fr <br />a= zr <br />n:wr <br />'.Naans p: o, and -1—on—M f-k—.,q <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 />MEASUREMENT <br />8406610 <br />Effluent Gross <br />PERMIT <br />I REQUIREMENT <br />I <br />Req. Mon. <br />INST MAX <br />Y=1;N=0 <br />I <br />I <br />I <br />I <br />I <br />I <br />Twice Per <br />I Month <br />I VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />I —tify unda pmky of law that thn don and all auxtuxanm — p"pued undo my d— . <br />,pc— —d—dii.—d�W"t—lbaaquabW K—lixparly pth—al <br />a'loaw ao af—ai— at-ft4 B..d - ray qiry of ft r— or parsons wt. ovzaage ft <br />di—fly for garlwhig ffic eaf—o-, d. taf—hoa -1�oftd m <br />&d Wf, ft��,.ac W, P1 dW th— — �,gnxf— <br />lo, =g fr <br />a= zr <br />n:wr <br />'.Naans p: o, and -1—on—M f-k—.,q <br />I <br />TELEPHONE <br />DATE <br />(970) 675-4322 <br />07/25/2016 <br />Scott Wanstedt, Environmental Engineer <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Coda <br />I NUMBER <br />MMIODfYYYY <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 PRECIP. EVENT- SEE I A.1,, PG. 3. FOR REQUIREMENTS.011- &GREASE REPORTING - I.B.1A_PG. 13. ORTRLY SAMPLING INSTRUCTIONS - LC.7., PG. 14. <br />EPA Form 3320-1 (Rov.01106) Previous editions may be used. 05/11112011 Page 2 <br />