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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 />000038024 004-A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />FROM 04/01/2016 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 />PP2 TO SCULLION GULCH <br />External Outfall <br />No Discharge <br />PARAMETER <br />I , fym�"` kyoflawmam's'«„mrm'°dale—h°z"n—pmp"`°"n&rmyd°"`m"« <br />wpenuwn m aemnhrcc wvth a system vintgned to assure that qualified personnel properly gather and <br />evaluate the mfam .a subminesL Based on my equity nfthe person or persons who maruge the <br />system, a those Pusoos d—dy apoanbl. f gathermg the us .—, the mf bon submmed is, <br />rotl,ebevtofmytmowledgeaud6le we.amma.and=�p�e,amawaredmttheeae=tgmfieant <br />prnelf snMnarmg false mfommbon, mchulmg die- possibilityof fine and ntvprtsvmmerc fm �wmg <br />o <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 />AUTHORIZED AGENT <br />AREA Code <br />I NUMBER <br />MM/DD/YYYY <br />Chlorine, total residual <br />SAMPLE <br />MEASUREMENT <br />5006010 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />DAILY MX <br />mg/L <br />Twice Mon her <br />GRAB <br />Solids, total dissolved <br />SAMPLE <br />MEASUREMENT <br />7029510 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />""" <br />*'"*** <br />Req. Mon. <br />QRTR AVG <br />Req. Mon. <br />DAILY MX <br />mg/L <br />Quarterly <br />GRAB <br />Coliform, fecal general <br />SAMPLE <br />MEASUREMENT <br />740551 0 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />** <br />2000 <br />30DAVGEO <br />4000 <br />MX7DGEOA <br />#/100mL <br />Twice Per <br />Month <br />GRAB <br />Oil and grease visual <br />SAMPLE <br />,.,,,, <br />MEASUREMENT <br />84066 1 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 Per <br />Month <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />I , fym�"` kyoflawmam's'«„mrm'°dale—h°z"n—pmp"`°"n&rmyd°"`m"« <br />wpenuwn m aemnhrcc wvth a system vintgned to assure that qualified personnel properly gather and <br />evaluate the mfam .a subminesL Based on my equity nfthe person or persons who maruge the <br />system, a those Pusoos d—dy apoanbl. f gathermg the us .—, the mf bon submmed is, <br />rotl,ebevtofmytmowledgeaud6le we.amma.and=�p�e,amawaredmttheeae=tgmfieant <br />prnelf snMnarmg false mfommbon, mchulmg die- possibilityof fine and ntvprtsvmmerc fm �wmg <br />o <br />s <br />TELEPHONE <br />DATE <br />Scott Wanstedt, Environmental Engineer <br />^s <br />(970) 675-4322 <br />07/25/2016 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED <br />AUTHORIZED AGENT <br />AREA Code <br />I NUMBER <br />MM/DD/YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />OIL & GREASE REPORTING -SEE I.B.1 A, PG 13. QRTRLY SAMPLING INSTRUCTIONS - I.C.7, PG. 14. <br />EPA Form 3320-1 (Rev.01/06) Previous editions may be used. 05/11/2011 Page 2 <br />