PERMITTEE NAME/ADDRESS (/nclode Facility NamelLocanon ifDifferen!)
<br />NAME tlLUE MOUNTAIN ENERGY, INC.
<br />ADORESSD'ESEpADD NINE
<br />36D7, ~DUNTY !TOAD 65 '
<br />FACILITY RAtlGj.Y CD 91b79
<br />LOCATION
<br />ATTN: JEFF DUHNEHI'
<br />NATIONAL POLLUTANT OISCHARGE ELIMINATION SYSTEM (NPOES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />:1iNJR
<br />(SU9R RY)
<br />P MITNUMBER DISCHARGE NUMBER c- FI N A L
<br />' ~ .. OflIJ1T(1BIN(: PFGIAD H ? -1 S E D I
<br />Form Approved.
<br />OMB No. 2040-0004
<br />POND TO RF'U ifAS'I
<br />NOTE: Read Instructions before ~mpleting this form.
<br />RRLAA
<br /> OUANTiTY OR LOA QUANTITY Ofl CONCENTRATION NO. FREOUENC SAMPLE
<br />P
<br />E
<br />A ~ ~ EX of TYPE
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<br />M
<br />TER
<br />_ AVERAGE MAXIMUM _
<br />UN1TS'~ IMUM AVERAGE MAXIMUM UNRS '~~75
<br />1'H SAMPLE ^. ;f r,:p y.y ..': r,: ;rY^• ###e;. ( I')
<br />~' MEASUREMENT
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<br />EFFLUE~NS GHJSS YALU ~ ';!" •~ r ' =~ "- SU ~., ~
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<br />53LIUS, TOTAL SAMPLE ,;:#~^^ ='~~'~= ~~`
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<br />SUSPEN UQD MEASUREMENT
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<br />EFh'LUENT GRDSS YALU U~M~f1Yf <.'-".- PG "
<br />SJLIDS, SE? LBABLE SAMPLE 'f'''•^'c4" `° ~'~~~~ ###### ( ZS)
<br /> MEASUREMENT
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<br />r"r h'LUENT CRASS VALU W~QUIR~ ; . S"-•.: '. -
<br />.)IL r GREASE SAMPLE ~r`4t:r,t '-':%;';t# r##,k## ###### ( 1G)
<br /> MEASUREMENT _
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<br />i:FFLUENT GRDSS YALU ~` '
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<br />IRON, T-DTAL SAMPLE rn~'
<br />^"-' #'~#`-~`"•` '`^#;'!"~# ( 19)"
<br />(A j F E) MEASUREMENT
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<br />aFFLUENT CROSS YALU ~ NT'~ ~ ~ ;:r:::r;: S~ ,`t• )
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<br />%L)>+, IN CONDUIT UP, SAMPLE ( vl) =#~### ##the#' #####'
<br />1'dRU TREATMENT PLAN MEASUREMENT
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<br />c:t'FL'UENi GRUSS YALU Ft~C '~~~~ '~ ~•°~ ~, 17GD `' ~~" "~~x':, '< ##;=;: :.`
<br />:;OLIDS, TOTAL SAMPLE •-'•#'='so ,a r.rv,r-,t;,t ,t::,Ar.:~;: ( ],y)
<br />D I~ S O L~ E D MEASUREMENT
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<br />cFFLUENT GRDSS YALJ A~~UIRR ~'~ ~ "~~, ~ "~'~ .'~'.k ##;# ~'
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ICediry under penalty of law that this daumentantl all enachmenLS were TELEPHONE ~ DATE
<br />.,I_ prepared under my diracson asupervision in accordance vnth esystam designed
<br />~e~~ r7 ,$ l e to assurethst qualified personnel propMy gather endevaluala The inlormadon
<br />"
<br />submitted. Gazed on my inquiry M the person a persons who manage the systtkn,
<br />or (hose persons directly respmsible br gathering the iMOm,ation, the iMOrmetlon
<br />r ~ r ,~ c- submitted is, to the best of my knowledge end belief, bue, accurate, end complete.,.
<br />, _
<br />SIGNATURE OF PRINCIPAL EXECUTIVE X~ //n7 = y 3
<br />OI
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<br />TYPED OR INTED lam aware thatthere dre significant penalties torsubmining lalselnlormation,
<br />includin the osslblll dfine and im risonmeM for knowi violatbns. OFFICER OR AUTHOR12ED AGENT NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />P55 i TOTAL iP.09 LISITS HILL 9E wAlVii~, 9ND SETTLEABLE: SOLIDS LIyiT APFLI^U FOR <=l0YR,2uHR PRF:CIP RYENT-
<br />;EE L.A.Z, PG V, FOR RE~UIRE!fENTS. UIL 6 GREASE REPORTING-SEE Y. 8. 1. F, PS VII. 1RTRLL SAh1PLIlIG
<br />A- orm ~ 3 9 revi6us a lions may be used- IS 1 •PART ftORM PAGE ~ OF
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