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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.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 />002 -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 />RF -1 SEDI POND TO RED WASH <br />External Outfall <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.&,PG. 13. QRTRLY SAMPLING INSTRUCTIONS - IC.1.7., PG. 14. <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <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 />VALUE <br />Req. Mon. <br />MAX: <br />UNITS <br />Y=1 ;N =0:.' <br />QUALITY OR CONCENTRATION <br />• VALUE <br />VALUE <br />VALUE <br />UNITS <br />tit fritflt <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />Twice Per <br />Month <br />SAMPLE <br />TYPE <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />Scott Wanstedt, Environmental Engineer <br />TYPED OR PRINTED <br />I certify under penalty of haw that this document and all attachments were prepared under my ducction or <br />sopctvtsion in accordance with a system designed to assure that qualified personnel property gather and <br />evaluate the information submitted Based on my inquiry of the person or persons who manage the <br />system, or those pawns directly responsible for gathering the information, the information submitted <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are simrifuaot <br />penalties for submitting fal5c iofommtioq including ioudiog the possibility office and imprisonment for g SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TELEPHONE <br />(970) 675 -4322 <br />AREA Code I NUMBER <br />DATE J <br />07/25/2011 <br />MMIDD/YYYY <br />05/11/2011 Page 2 <br />