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PERMITTEE NAME/ADDRESS (/nclude Foriliry,VamdGocanon ifDifferenq <br />NAME BLUE MQUNTAIN ENERGY, INC <br />ADDRES~E5ERAD0 MINE <br />3607 (:RUNTY ROAD 6`' <br />FACILITYRANGLY CFJ 81b4B <br />LOCATION <br />n rTni. rrr nr innroT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMA) <br />,. ~ , <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM OS CI TO C 0 <br />Form Approved. <br />OMB No. 2040-0004 <br />r~ I NGk <br />(BURR NWI <br />F '- T" I IVAL <br />kA-5 L0,4r0UT <br />TO RL~.D (+'AS'H <br />4 ?.i i.. A P! <br />### iJu Di5CHARGE i ~(" I #a# <br />NOTE: Read Instructions before_~'Smpleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX OF TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />'li SAMPLE ###### +t-tt~##it ttat-+r+t#+. 1'21 <br /> MEASUREMENT <br />JUr::1C 1 u 1 PERMIT' .'+iNw~Flt+kr .'M'+ti~k~~Fiy'+F #~' :'S ~+t~at+o-* .0 ~k;1,.Y ltBt'11J <br />-rFLVE.^.IT GF:^S5 VALUE REQUIREMENT °! ##x 'U <br />OI-IDS TD~~AL SAMPLE ~ #####it #####q" ###ltK# 1S) <br />?ll"~F'clVll'cD MEASUREMENT <br />)(i;:,0 1 G O ~'. EAMIj i~ik ~I6iFINNIWi"~ tra ~ '1tIF~9i~1E# '~ O CET A8 <br />~'-I LU!=fJT GROS'S VALUE REQUIREMENT ### ILY / . <br />iUl_IDS. SETTLEABLE SAMPLE ####~ar it##### #####tr 25) <br /> MEASUREMENT <br />0545 1 O 0 .iP2~ilYIIT JF•l~#1i-' ~r ~•+F ## ~~~~~ REPDRT REF+AR7 L~+'~ A~ <br />.=i-"FL'.'ENT GROS5 VALUE REQUIREMENT '' "~ - ,', , #:ta ,. G A Y i.-/L- <br />'li. '~ GREASE SAMPLE ###il## tc#iF##» +n~u#~'## i!'a ila#a 1`.~i <br /> MEASUREMENT <br />,11556 1 ~ 0 0 ~ ` PF,RM1 ' ' <br />~ '>~F!(~ r ~' iF~~~ <br />~` #;r ;~, ~iliF3ydtii ~. ": :~F4-ie9H-# O ~ j <br />''FL.UFNT GF;OSS VAL-UE RE{IUTRE <br />ENT " , ### r! " <br />i=ON, TOTAL SAMPLE ##ir~t#~rt #au•#+r•a +t#Ir##tl Iv) <br />(AS FF_) MEASUREMENT <br />' t045 1 0 0 RMIF;- <br />~ "~F '.~iF~t~i~i; ~ ~Fi~l~J}1~( <br />-~ ## -IF##'~1F~ . O - . O ' O C~,~. - /A~°a <br /> <br />=rFLUENT GFi05S VALUE , <br />REQUIREMENT " <br />= <br />py.p <br />I <br />_/~ _ <br />" <br />~L.OWr IN CONDUIT OR SAMPLE 03) '~###t~# ~a,r ~: t-.:a ~•*-s~^a~ <br />"tiR.1 -~P.t:.ATM'cNT PLANT MEASUREMENT <br />-^U50 1 ~J O ?':~PERAh1T' ~~- RI~R 1i`F~''E7'"`," IMNHf1Fi[~ - it**~#* ~r*irs*# it a~ L+1 EKE~Y NS'fAN <br />-"'~Ll!ENT GF20SS VALVE REQUIREMENT - nti~ <br />1L AIdD GRFfISE SAMPLE #aa#itst '-)41 #w#~+~,r ':k#r'^+ ,:-.<r>~ <br />' f SUAL_ MEASUREMENT <br />?.(i6t 1 O O -'•~ -FERMF'~-~ ~.,~; .,. "r..;?~--.».,--y S=1 :_wwux~~ktt. ..jrw+F+t+t# au(f~c## * ~-o-,t W I~ftt:Y' ~ISl1AL. <br />:F'FLUENT GROSS VALI E REQUIREMENT . ~ _ #.,~~ <br />NAME(TITLE PRINCIPAL EXECUTIVE OFFICER ICediy under penalty of law that Nis tlocumentaM aA attachments were <br />l TELEPHONE DATE <br /> gned <br />prepared under my direction or supeMSion in accordance wrth a system tles <br />~ <br />~ <br />-:/` <br />S <br />'~ to assure that qualiBetl personnel properly gather antl evaluato Ne inlonnation • <br />_ <br />L! ~'? r /ryf'OG <br />eG+~ submitted. aasetl on my inquiry of tlra person or persons who marege Ne system, ~ r,,.-n°'-+ <br /> or those persons tlirecUy responsible for gaNering the ntlonnatlon <br />the mbrmagon -~ ~ ~ - <br /> <br />h /, C-. , <br />submitted rs, to the best of my Mnowledge end beliel, wa. eaurale, and complete. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />7- <br />% 7 ~ "' / <br />Ce <br /> <br />TYPEB'GR PRINTED 1 am avmre that (here are signlM1Carrt penelhes for submitting Ielse inlormation. <br />inclutlin the sibili offne end lm risonment for knovnn violations. OFFICER OR AUTHORIZED AGENT <br />p <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Helerence an attachments Here) <br />TES `• TOTAL. IRON LIMITS WILL EE WAIVED. AND SET"TLEADLE SULIDS LIMIT A!'FL IED '-')`~ '= i•)YR. 24H1± pliE" (P I-'v: lu? <br />SEE I A 2. PG V, FOR RE~VIREMENTS. OIL. & CREASE REPORTING-SEE I. D I. {~-, P',, ','I; GR"FI<LY SraM{rl_:NG <br />E or 332 - 3 99) P iou iti fray be used. ~ THIS IS A 4-PART FORM PAGE OF <br />