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NAMEITITLEPRINCIPALEXECUTIVEOFFICER <br />Icerify er ptnubyof law dial this document and all attachments were prepared under mydirmionor <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />- TELEPHONE <br />DATE <br />Scott Wanstedt, Environmental Engineer <br />9 <br />evaluate the infomoation submittal Basal on my inquiry attic person or persons who manage the <br />system, or those persons directly responsible for gathenng the information, the infomation submitted in, <br />bllef, puwttcumtc. an comppe. I am aware iro theta aresi ignitcoat <br />tbebeu ofm nd c <br />po mlues for subm iw ram a i ncludin the po ssbdit let of tones and imp for knowing <br />violations <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 />MMIDD/YYYY <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 />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 />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />C00038024 <br />PERMIT NUMBER <br />MNO8 <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 />SS-1 SLOT STORAGE TO RED WASH <br />External Outfall <br />PARAMETER <br />Copper, total recoverable <br />01119 1 0 <br />Effluent Gross <br />Chromium, trivalent total recoverable <br />04262 1 0 <br />Effluent Gross <br />Manganese, total recoverable <br />11123 1 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 />• <br />VALUE <br />.......... <br />.M <br />UNITS <br />....re • <br />**M. <br />QUALITY 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 />VALUE <br />Req. Mon. <br />DAILY MX <br />Req. Mon. <br />DAILY MX <br />Req. Mon. <br />DAILY MX <br />UNITS <br />ug/L :,.. <br />ug/L <br />ug/L <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />Quarterly <br />Quarterly <br />Quarterly <br />SAMPLE <br />TYPE <br />GRAB <br />GRAB <br />GRAB <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />0 <br />05/11/2011 Page 2 <br />