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PARAMETER <br />f r v i ryunJr olgnf law lluu e all mnchmenswere e <br />su *1* 1 n m ac w,Ib • a aysum Je. to asuro tl yual noel pmpcd a th e onJ <br />• l,atc th • htfo n• Con - knitted hued on my inquiry of the hc parson or person who manage the <br />system, or those persons directly responsible for gathering the information. the information aubmmed is, <br />wthehasi of my knowledge and belief. true. :nnum.and complete. l am aware ilea there are significant <br />Ries for submitting Wu inpmnati,m, including the possibility of line and imprisonment for Allowing tom <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />EO. <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 />,..... <br />PERMIT <br />REQUIREMENT <br />Req. Mo <br />INST MAX .:: <br />Y =1:N =0 <br />' " ", "" <br />Twice Per <br />Month <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />f r v i ryunJr olgnf law lluu e all mnchmenswere e <br />su *1* 1 n m ac w,Ib • a aysum Je. to asuro tl yual noel pmpcd a th e onJ <br />• l,atc th • htfo n• Con - knitted hued on my inquiry of the hc parson or person who manage the <br />system, or those persons directly responsible for gathering the information. the information aubmmed is, <br />wthehasi of my knowledge and belief. true. :nnum.and complete. l am aware ilea there are significant <br />Ries for submitting Wu inpmnati,m, including the possibility of line and imprisonment for Allowing tom <br />TELEPHONE <br />DATE <br />s; `. `- i <br />(970) 675 -4322 <br />10/25/201 I <br />Scott Wanstedt, Environmental Engineer <br />g <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Cade I NUMBER <br />MM/DD/YYYY <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 (Rov.01106) 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 />003 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DDIYYYY <br />7/1/2011 <br />MM /DDIYYYY <br />9/30/2011 <br />TO <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />RP -2 &3 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 RECIP. EVENT - SEE I.A.1, PG. 3. FOR REQUIREMENTS.OIL & GREASE REPORTING - 1.B.1.A.,PG. 13. QRTRLY SAMPLING INSTRUCTION - I.C.7„ PG.14, <br />05/11/2011 Page 2 <br />