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PERMITTEE NAME/ADDRESS (/nclude Faoi/iry Name/Lorabon i/DdereaQ <br />NAME <br />BLUE MOUNTAIN ENERGY, iNC <br />ADDRESSj,ESERAD'7 MINE <br />:;hU7 COUNT-Y BOAC 65 <br />FACIUIY RA!VGLY C^ HI64Ei <br />LOCATION <br />i• i TN' ,:F'F'F T111RRFRT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPOES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br /> MItJLiR <br /> <br /> <br /> PERMIT NUMBER DISCHARGE NUM6ER i .. F T NAL FBLrJJ <br /> <br /> MONITORING PERIOD RA--: L. !7r=t.`~OUT ".'J `: t::Ii 'r; A'=iri <br /> YEAR MO DAY YEAR MO DAY _ <br /> <br />FROM <br />00 <br />Gc~ <br />O1 <br />TO <br />UU <br />Ci9 <br />3i) <br />:-l rl~ Nf_~ <br />LIBCI~iAR'~: _ <br />' ~ I #i,# <br /> NOTE: Read Instrucfions hetore-completing this Corm. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX OF TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANAL151S <br />=l)L.i1)ti, 70jAL SAMPLE i+'if'#'tt## #n#ir#~R #####;r 1") <br />~TFSOLVEp MEASUREMENT <br />7G" )5 T v G ~-PERMIT 9r+F#de~F~ #F~. s ~:~ _ ;aF+f*+E#aF RrC4a <br />{`!RT P'fIDNAI. ItL~! RAH' <br />t F f..!J!=.lyT GRLi55 VALUE REOUIt~~MENT p n u#~t _ <br />~¢- VG TR MAX hC;, . <br />LlL t I-CIRt1. FcCAL SAMPLE ##ira## ~#iuir## ##iF#iF# ( ) <br />,r. r~l: Rra! MEASUREMENT <br />/J ~_~ 1 ~, o ~,...~a ry' . <br /> <br />'F `mom r ~ ~, ~~' ~ * <br /> <br />' rt-~# <br />±a ~ `-- <br />"" v <br />1600 <br />AH <br />'"i _ Vf"NT 6tiOS5 JALUE F~EQti(Rp >xN -~' ~ " <br />' Ra## b G Q ~ X7 A 100 <br />_IIL r+°!D 6REA5E SAMPLE it####it ( '-.74) is###n-# #z-„~a~at# +=uxn#M <br />r).,LIA~ MEASUREMENT <br />4USS I l:~ 0 -" P~qMIT_~` - ~ipaplF:ir+i~ ". ' . ~_ <br />~ <br />~ 5= t - '~-raF`" *tt ~ *##~x~r~'~. is# <br />~ ~ <br />G I~4JAL <br />:FFL.'JL=N'f GROSS 'JALUE ~!a@s~UUjEM~NT . ~ -" . <br />7 h 0=U ~, #iFir , ; <br />. <br />`~ ' , <br />. <br /> SAMPLE <br /> MEASUREMENT <br /> .. PERMIT`.'... _ <br />~ <br />~ r~z <br />~ - .,_. (...:~~.~: <br /> AE4UfREM~NT !_ <br />a ~ •~ '~' ~ . <br /> , <br />y <br /> SAMPLE <br /> MEASUREMENT <br /> - PEdiMIT ~ ~ ;, ~:~. ~~ ~ <br />~~~ ~. ; ;. a~.x' <br /> REQUIREMENT ~ ~~ ~__ ~~ - <br /> SAMPLE <br /> MEASUREMENT ~ - <br /> <br />f ty <br />i <br />J <br />~ <br />.(S? <br />i .-wr ,.x <br />i,: v s" ~' <br />r _ <br />.,, <br />d <br /> REQUIREMENT ~ <br />-' ~ r.:: <br />,i <br />'~ <br />w ~- ' <br /> .. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />. ,,,: <br />_. _.. - <br />~ ... ._ , <br />_ <br />' <br />'--. <br />-. - ...._ .:_ .__ .:-. -. .. _v ... t~_. <br />-- -'- - <br /> PEQUIREMENT : - <br />.. <br />. <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CeN!y under penely of lax fiat mis tlocumem antl all anxhmeMS were <br />i <br />i <br />n <br />d <br />d <br />0 TELEPHONE DATE <br />/: <br />_~y~ ~~"~ ~~ r ! /.-l <br />~ es <br />gne <br />prepared untler my tlirecbon or auper <br />sion <br />n accor <br />ance wnh a system <br />to assure that qualified personnel properly gather end evaluate Vle mbrmation ~ <br />~ (/i Wp t-r ~ submitted. aaseo on my ingmry of Ne pereon or persons who menage the system, ~ ' <br />~ <br /> the Information <br />or tiwse persons tliretlly responsiblo br gathering the inormaton -' <br />~ <br /> <br />~ ..h , <br />subminetl rs, to the bell of my knovAedge and belief, Vue, eaurate, and complete. <br />i <br />iM <br />I <br />h <br />i <br />fi <br />f <br />b <br />i <br />f <br />l <br />i <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />7u <br />i S? ~ ' <br />G G <br />/ G <br />TYPED OR NTED ng <br />ao <br />Ormat <br />on, <br />am aware t <br />at there era s <br />gni <br />cant penalties <br />or su <br />m <br />n <br />a <br />includin the svbili of Nle and im isonmeni for knovnn violations. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />GUMMtN tS ANU EXYLANA I IUN Uh ANY V IULA I IUNS (HeIB/enLB a// a([aCOmenrs lferBJ <br />CIL Ya 6REA5E REPORTING-SEE I B 1 F~, PG VII (3RiFL.Y 5P,MPLING INS,TFt:;~ ~' [~:hl';-i. :_ ~~ ~ )'_ <br />EPA Form 3320-t (REV 3/99) Previous editions may be used. THIS IS A 4-PART FORM PAGE <br />'JC)I III, Vl~ll!'~'r''). JIC <br />