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PARAMETER <br />lccnpeirv perlty Vag! that document and all at tachments xxre pref./ad under my direction or <br />su du •with asystcmdes gmto aa. umthatqualifedpersonnelpmpdygadia una <br />d <br />submittal. Based my inquiry of the person or person' who manage the <br />c aluate the information m <br />d ep smeuymapnu; btetorpathetheinrmnatinntmm� mnt;r.nbninw . <br />pcnallicsfo summtti n t `4;nfrma n, nnelnIngt ; o I>of,rn r in ' i;;n " �m;tt L nk <br />umr,n <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />8406610 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />0 <br />1 /quarter <br />Visual <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />Quarterly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />lccnpeirv perlty Vag! that document and all at tachments xxre pref./ad under my direction or <br />su du •with asystcmdes gmto aa. umthatqualifedpersonnelpmpdygadia una <br />d <br />submittal. Based my inquiry of the person or person' who manage the <br />c aluate the information m <br />d ep smeuymapnu; btetorpathetheinrmnatinntmm� mnt;r.nbninw . <br />pcnallicsfo summtti n t `4;nfrma n, nnelnIngt ; o I>of,rn r in ' i;;n " �m;tt L nk <br />umr,n <br />,-, t� <br />TELEPHONE <br />DATE <br />Scott Wanstedt, Environmental Engineer <br />(970) 675 -4322 <br />10/25/2011 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA codo I NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name /Location it 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.01106) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038024 <br />PERMIT NUMBER <br />FROM <br />001 -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 />DP -1 SEDI POND TO SCULLION GUL <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <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 = 1.B.1.A.,PG. 13. QRTRLY SAMPLING INSTRUCTIONS - I.C.7., PG. 14. <br />05/11/2011 <br />Page 2 <br />