Laserfiche WebLink
NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I anity under penalty of law that this document and all attachments were prepared under my direction or <br />sup e rvwoainaacawnce with a system d« ig° eda« sme that gmwadparcannulproperlygath «and <br />my inquiry of the *son persons who manage the <br />evaluate the information submitted. Based m « <br />system, or those persons directly respoosibic for gathesiog the reformation, the i°fomratioo submitted is, <br />' °fmy'm°w'ed andf me tadeompkk Iamawarethattb4eaevgrsea <br />t° ' <br />p oi tions. subminiog6 tnfomubnlie6oaindudingthepoui 'tryoffinemdimpsismmeotf«koow <br />�� <br />i � <br />��/ � �� ..f " <br />TELEPHONE <br />DATE <br />_ <br />(970) 675 -4322 <br />07/25/2011 <br />Scott Wans Environmental Engineer <br />7 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Coda <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 />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 />004 -W <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 />ACUTE WET TESTING FOR 004A <br />External Outfall <br />PARAMETER <br />LC50 Static Renewal 48Hr Acute <br />Daphnia magna <br />TAM3C 1 0 <br />Effluent Gross <br />LC50 State 96Hr Acute Pimephales <br />TAN6C 1 0 <br />Effluent Gross <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 />flettitsint <br />UNITS <br />QUALITY OR CONCENTRATION <br />VALUE <br />100 <br />MO AV MN <br />100 <br />MO AV MN <br />VALUE <br />VALUE <br />UNITS <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />Quarterly <br />Quarterly <br />SAMPLE <br />TYPE <br />GRAB <br />GRAB <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE PART I.A2, PG. 8 -10, FOR DETAILS OF TEST PROCEDURE. REPORT LC50- STATISTICAL POINT ESTIMATE WHICHIS LETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. <br />05/11/2011 <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />Page 1 <br />0 <br />