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NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my dunction or <br />supervision in accordance with a system designed to assure !hat qualified personnel roperly gadmrand <br />ii <br />'� <br />�. , .� /,/, ,,— <br />�' �� <br />TELEPHONE <br />' <br />DATE <br />S cott Wanstedt, Environmental Engineer <br />s <br />i persons who nonage Co <br />evaluate the information submitted. Based on my inquiry <br />s ar dose pusom dirxtl respomibic for g atherin g ofthc t he i tion. or C c i mbmb in, <br />tothcbo tofmyknowted eattdbeltef.bun,ocauotc nodeomplcta.IomaworoCottherouesi rtesot <br />pem hies far submittin false information. iodudin she possi ' i of fine anti impsiwnment Cor Imowio <br />viounom. <br />(970) 675 - 4322 <br />07/25/2011 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />I NUMBER <br />MMIDDIYYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME: <br />ADDRESS: <br />FACILITY: <br />LOCATION: <br />Blue Mountain Energy Inc <br />3607 CR 65 <br />Rangely, CO 81648 <br />DESERADO MINE <br />3607 CR 65 <br />RANGELY, CO 81648 <br />ATTN: ALAN HILLARD, MINE MGR <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00038024 <br />PERMIT NUMBER <br />MNO1 <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 />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />DP1 SEDI POND TO SCULLION GLCH <br />External Outfall <br />No Discharge <br />PARAMETER <br />Copper, total recoverable <br />011191 0 <br />Effluent Gross <br />Chromium, trivalent total recoverable <br />04262 1 0 <br />Effluent Gross <br />Manganese, total recoverable <br />111231 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />QUANTITY OR LOADING <br />VALUE <br />VALUE <br />UNITS <br />iltittrf <br />QUALITY OR CONCENTRATION <br />VALUE <br />... f'fNf ..... <br />VALUE <br />13 <br />Req. Mon <br />30DA AVG <br />0 <br />Req. Mon. <br />30DA AVG <br />6 <br />:Req. <br />Mon. <br />30DA AVG <br />VALUE <br />13 <br />Req. Mon. <br />DAILY MX <br />0 <br />Req. Mon. <br />DAILY MX <br />6 <br />Req. Mon. <br />DAILY MX : s <br />UNITS <br />ug/L <br />ug/L <br />ug/L <br />ug/L <br />ug/L <br />NO. <br />EX <br />0 <br />0 <br />0 <br />FREQUENCY <br />OF ANALYSIS <br />1 /quarter <br />Quarterly <br />1/quarter <br />Quarterly <br />1 /quarter <br />Quarterly <br />SAMPLE <br />TYPE <br />grab <br />GRAB <br />grab <br />GRAB <br />GRAB <br />05/11/2011 Page 2 <br />