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NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />under my direction or <br />iamityunder penalty of law that this document and dlreM <br />supervision in accordance wuhasysicmdaignal uswreeutqualittedpcmomal pmpmly gather and <br />�/ /%� <br />„ y y.� <br />'� / <br />TELEPHONE <br />DATE <br />Scott Wanstedt, Environmental Engineer <br />uge th mrnuwerepepued <br />tioo submitted on my inquiry of the person or persons who the <br />evaluate the infottm Basal manage <br />system, or those persons directly rationale forgads;ngfMinfatmnlinn,th who ma d ia <br />to thebest of my Imo m ni aa d belief, true. acatmta, andm lete. I am aware that Mac are s ificant <br />penalties forwbag false iatacmat formation, including Me possibility of fine and io priwomrnt twm owiog <br />� o1ah06f <br />970 675 -4322 <br />( ) <br />07/25/2011 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I <br />NUMBER <br />MMIDDIYYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME: Blue Mountain Energy Inc <br />ADDRESS: 3607 CR 65 <br />Rangely, CO 81648 <br />DESERADO MINE <br />3607 CR 65 <br />RANGELY, CO 81648 <br />FACILITY: <br />LOCATION: <br />ATTN: ALAN HILLARD, MINE MGR <br />EPA Form 3320.1 (Rev.01106) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038024 <br />PERMIT NUMBER <br />FROM <br />001 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY <br />4/1/2011 <br />MM/DD/YYYY <br />6/30/2011 <br />TO <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />DP -1 SEDI POND TO SCULLION GUL <br />External Outfall <br />PARAMETER <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />QUANTITY OR LOADING <br />VALUE <br />YIN Irk*. <br />VALUE <br />0 <br />Req. Mon. <br />INST MAX <br />UNITS <br />0 <br />QUALITY OR CONCENTRATION <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />NO. <br />EX <br />0 <br />FREQUENCY <br />OF ANALYSIS <br />1 /quarter <br />Quarterly <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED FOR 10YR,24HR RECIP. EVENT - SEE I.A.1, PG. 3. FOR REQUIREMENTS.OIL & GREASE REPORTING = I.B.1 A.,PG. 13. QRTRLY SAMPLING INSTRUCTIONS - I.C.7., PG. 14. <br />05/11/2011 <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />SAMPLE <br />TYPE <br />Visual <br />VISUAL <br />Page 2 <br />