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PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME: <br />Blue Mountain Energy Inc <br />QUANTITY OR LOADING <br />ADDRESS: <br />3607 CR 65 <br />OFANAFREQUENCY <br />SAMPLE <br />TYPE <br />Rangely, CO 81648 <br />VALUE <br />FACILITY: <br />DESERADO MINE <br />VALUE <br />LOCATION: <br />3607 CR 65 <br />RANGELY, CO 81648 <br />ATTN: ALAN <br />HILLARD, MINE MGR <br />SAMPLE <br />MEASUREMENT. <br />NAI IUNAL POLLU IANT DISCHARGE ELIMINA I ION SYSTEM (NPL)ES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038024 004-W <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY I MM/DD/YYYY <br />FROM 4/01/2018 TO 1 6/30/2018 <br />corm Hpproveo <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />ACUTE WET TESTING FOR 004A <br />External Outfall <br />No Discharge <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />OFANAFREQUENCY <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />LC50 Static Renewal 48Hr Acute <br />Daphnia magna <br />SAMPLE <br />MEASUREMENT. <br />TAM3C 1 0 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />""" <br />""" <br />100 <br />MO Av MN <br />•••'•• <br />•••••• <br />% <br />Quarterly <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />SAMPLE <br />...„, <br />MEASUREMENT <br />TAN6C1 0 <br />Effluent Gross <br />PERMIT.,.,.. <br />REQUIREMENT <br />.,.... <br />.,,... <br />0 <br />MO AV MN <br />...,., <br />.,..,. <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />Scott Wanstedt, Environmental <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS <br />SEE PART I.A.2, PG. 8-10, FOR DETAILS OF TEST PROC <br />— eF�•••q Ir -- ma..nrs rmcuorenr Ino an unin tenrs u— prepay unea myecn <br />mron ur - <br />urtinozelydarteewith."n desiC-dm—thanynabrKdperauutel=1ypfhaand TELEPHONE DATE <br />the infamutitm submiued. Hand an my inquiry nrthe pemtm m p— wM manage the <br />>r ibom'peraws dimily responsible for gmhving the infonmliun, dw infmmalion submiecd u. <br />E.- <br />-1 Ifmy, la 'Wgse eIml helie[tne.aeemae.and-.pkft. I Im.wam dmt there ae aignifreant (970) 675-4322 07/26/2018 <br />for subi filing fa infmnmlimt, including Ilse possibility of floe and impriwnmenl fm hnnwing <br />GNATURE OF PRINCIPAL EXECUTIVE OFFICER OR aa --NUMBER MMroolrrvv <br />AUTHORIZED AGENTAMA <br />:e all attachments here) <br />REPORT LC50- STATISTICAL POINT ESTIMATE WHICHIS LETHAL TO 509/6 OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. <br />PA Form 3320-1 (Rev.01/06) Previous editions may be used. 05/11/2011 Page 1 <br />