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PERMITTEE NAME/ADDRESS (Include Facffity NameALocatim if Dnfemny <br />NAME: <br />Blue Mourrtain Energy Inc <br />ADDRESS: <br />3607 CR 65 <br />O <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 026-W <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERF <br />MM/DDNYYYY MMIDDAYYYY <br />FROM 04/01/2017 TO r--5680/20117- <br />Form <br />6/30/20)7 <br />Form Approved <br />Okla No. 2040-0004 <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />ACUTE WET TESTING FOR 026A <br />External Outfall <br />No Dischargem <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />O <br />EX <br />FREOWNCYANALYSISTYPE <br />OF ANxsls <br />LE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />LC50 Static Renewal 48Hr Acute <br />SAMPLE <br />..„.. <br />...». <br />...»- <br />•••»• <br />I <br />•••••• <br />% <br />0 <br />1/Quarter <br />Grab <br />Daphnia magna <br />MEASUREMENT <br />TAM3C 10 <br />PERMIT <br />•»"' <br />"'"„ <br />% <br />Effluent Gross <br />REQUIREMENT <br />tioo100 <br />AV MN <br />Quarterly <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />SAMPLE <br />,.„» <br />,„„, <br />„,.„ <br />,»„• <br />,,,,„ <br />° <br />/e <br />0 <br />1/Quarter <br />Grab <br />MEASUREMENT <br />TAN6C 10 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />»"•' <br />CMN <br />• <br />% <br />quarterly <br />GRAB <br />NAMEITITLEPRINCIPALEXECUTIVEOFFICER r°"`� ed p,�'��°� Ad d. �0� do�ud -11 TELEPHONE DATE <br />�mrm wem • ryv m <br />M1ed BasdmmJ �7ddr PepRPe� mrFlc <br />., „, &—p- ,4—dy e<- a9.mt�,a..�°'�°"�•• (970) 675-4322 07/24/2017 <br />Scott Wanstedt, Environmental En ineer ""`"m"°' <br />9 SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />MED OR PRINTED AUTHORIZED AGENT AREA cod' Numam MIAM01YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference 20 allachmeMs 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.01i66) Pnw1aus adMms mry be used. 05/11/2011 Page 1 <br />