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PARAMETER <br />eenmyuuder rmwdho document and anxmchment wen: prepared under mydit«donor <br />G e ees inninaeemd:,nawhha ian itemdesir ma urematgnmiredpers onnei properly gather and <br />•valwte •'nfommion submittal. Uasal on my inquiry of the person or persons who manage the <br />'yFt`m•°rdifo: m.d`rectiyresponsibi`f gadt`ringthe in`rmanan.thein` nation`ubmm`tti` <br />to the Im.t nlmnwledge and belief, we, accurate. and complete. I am aware that there am significant <br />v i l for ahmininEr I rnIon wean, including th rnrknawmr <br />` <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO <br />FREQUENCY <br />OF ANALYSIS <br />STMP <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 />Reg, Mon.. <br />INST MAX <br />Y =1 =0 <br />Twice Per <br />Month <br />VISUAL <br />NAMEITITLEPRINCIPALEXECUTIVEOFFICER <br />eenmyuuder rmwdho document and anxmchment wen: prepared under mydit«donor <br />G e ees inninaeemd:,nawhha ian itemdesir ma urematgnmiredpers onnei properly gather and <br />•valwte •'nfommion submittal. Uasal on my inquiry of the person or persons who manage the <br />'yFt`m•°rdifo: m.d`rectiyresponsibi`f gadt`ringthe in`rmanan.thein` nation`ubmm`tti` <br />to the Im.t nlmnwledge and belief, we, accurate. and complete. I am aware that there am significant <br />v i l for ahmininEr I rnIon wean, including th rnrknawmr <br />` <br />���. <br />..r <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 />MMIDD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Facility Name/Location if Different) <br />NAME: <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 />Blue Mountain Energy Inc <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 />029 -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 />DISCHARGE TO RED WASH <br />Extemal Outfall <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 />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />05/11/2011 Page 2 <br />