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PARAMETER <br />I cenifym+dcr parr by ofla w tluuh6.hxmnent'""ntmchments w•.au prepared onJer my dirrotien o <br />designed d ru enamel �rMdyy mernJ <br />supervision in accordance nwahn „emdt m m <br />crnn who manage the <br />evaluate the Womanly. submitted. Rased on my inquiry of the pamon orpso <br />system, or those persons directly' «spotuible for gathering the information. the information sub if cd is. <br />to the hmst of my knowledge and <br />_ information. belief. ire. accurate. and complaa. I am • ware lha m hrrc a r signifcnnt <br />hmNmtinginformation. including on. including the possibility of run an " d irrrpm�mcnt t (m {a,ou'mg <br />v il a ti o n s l'or w hike <br />a <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />O. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <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 />,,,,,, <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INS MAX <br />Y =1;N =0 <br />Twice Per <br />Month .. ;: <br />VISUAL <br />NAME(TITLE PRINCIPAL EXECUTIVE OFFICER <br />I cenifym+dcr parr by ofla w tluuh6.hxmnent'""ntmchments w•.au prepared onJer my dirrotien o <br />designed d ru enamel �rMdyy mernJ <br />supervision in accordance nwahn „emdt m m <br />crnn who manage the <br />evaluate the Womanly. submitted. Rased on my inquiry of the pamon orpso <br />system, or those persons directly' «spotuible for gathering the information. the information sub if cd is. <br />to the hmst of my knowledge and <br />_ information. belief. ire. accurate. and complaa. I am • ware lha m hrrc a r signifcnnt <br />hmNmtinginformation. including on. including the possibility of run an " d irrrpm�mcnt t (m {a,ou'mg <br />v il a ti o n s l'or w hike <br />a <br />/ ^ � TELEPHONE <br />DATE <br />Scott Wanstedt, Environmental Engineer <br />� � <br />",� �,/ •°�",/— <br />..✓ srcly <br />G <br />(970) 675 - 4322 <br />10/25/2011 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I NUMBER <br />MM/DD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different) <br />NAME: <br />Blue Mountain Energy Inc <br />ADDRESS: 3607 CR 65 <br />Rangely, CO 81648 <br />FACILITY: <br />LOCATION: <br />DESERADO MINE <br />3607 CR 65 <br />RANGELY, CO 81648 <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 />028 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DDIYYYY <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 />RP5 SEDI POND TO RED WASH <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 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 />05111/2011 Page 2 <br />