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PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />ANALYSIS <br />STMPEE <br />OF <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX . <br />Y =1;N =0 <br />" """ <br />Twice Per . <br />Month <br />VISUAL <br />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 (Rov.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 />008 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />7/1/2011 <br />MM /DD/YYYY <br />9/30/2011 <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 />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />Scott Wanstedt, Environmental Engineer <br />TYPED OR PRINTED <br />1 certify under /filially of law that this document and all attachments were prepared under my dimetion or <br />supervision in accordance with a system designed to assure that qualified personnel properly gmher and <br />'valuate th • Nonnation submitted. eared on my inquiry critic parson or persona who manage the <br />system. or those persons directly responsible for gathering the information, the information submitted is. <br />to dm best of my knowledge and tidier, true, aw irate, and complete. l non aware that there are significant <br />penalties for suhmining false information, including the possibility of lime and imprisonment the knmvmg <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TELEPHONE <br />(970) 675-4322 <br />AREA Code 1 NUMBER <br />DATE <br />10/25/2011 <br />MM/DD/YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED FOR 10YR,24HR PRECIP. EVENT - SEE I.A.1, PG. 3. FOR REQUIREMENTS.OIL & GREASE REPORTING - I.B.1.A„ PG. 13. QRTRLY SAMPLING INSTRUCTIONS - I.C.7., PG, 14. <br />05/11/2011 Page 2 <br />0 <br />