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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 />FROM <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <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 />MNO4 <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 />PP2 TO SCULLION GULCH <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />PARAMETER <br />Arsenic, total recoverable <br />00978 1 0 <br />Effluent Gross <br />Selenium, total recoverable <br />00981 1 0 <br />Effluent Gross <br />Beryllium, total recoverable (as Be) <br />00998 1 0 <br />Effluent Gross <br />Nickel, total recoverable <br />010741 0 <br />Effluent Gross <br />Zinc, total recoverable <br />010941 0 <br />Effluent Gross <br />Cadmium, total recoverable <br />011131 0 <br />Effluent Gross <br />Lead, total recoverable <br />011141 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 />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <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 />• <br />.:: ........ . <br />trint It* <br />VALUE <br />..:. ....... : <br />UNITS <br />.., <br />QUAUTY OR CONCENTRATION <br />VALUE <br />VALUE <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />30DA AVG <br />Req. Mon. •: <br />30DA AVG • <br />Req. Mon. <br />30DA AVG <br />• Req Mon <br />30DA AVG <br />• <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />30DA AVG <br />VALUE <br />Req. Mon. <br />DAILY MX <br />Req. Mon. <br />DAILY. MX::: <br />Req. Mon. <br />DAILY MX <br />Re Mon:: <br />DAILY MX . <br />Req: Mon. :: <br />• '.DAILY MX <br />Re Mon <br />DAIL <br />Req. Mon. <br />DAILY MX <br />UNITS <br />:ug/L <br />ug/L <br />L <br />ug/L <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />Quarterly <br />Quarterly <br />Quarterly <br />Quarterly <br />Quarterly <br />Quarterly <br />Quarterly <br />GRAB <br />GRAB <br />GRAB <br />SAMPLE <br />TYPE <br />GRAB <br />GRAB <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />Scott Wanstedt, Environmental Engineer <br />TYPED OR PRINTED <br />I unify undo, penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualifies/ personnel properly gaper and <br />evaluate the information submitted. Based on my inquiry of the pawn or persons who manage the <br />system, or those persons directly responsible for photos the information, the information submitted is, <br />to the best of my knowledge and belmr, true, accurate, and complete. l am aware that there arc significant <br />penalties for obtaining false information, including the possibility of fine and imprisonment for knowing <br />violations. <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TELEPHONE <br />(970) 675 -4322 <br />AREA Code I NUMBER <br />DATE <br />07/25/2011 <br />MMIDDIYYYY <br />05/11/2011 Page 1 <br />