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PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />EX- <br />FREQUENCY <br />OF ANALYSIS <br />S MP TypE E <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 />......• <br />INSq Mon. <br />r <br />Y =1;N =0 <br />" "•' <br />it* <br />Twit Month <br />VISUAL <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 />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />Scott Wanstedt, Environmental Engineer <br />TYPED OR PRINTED <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 />1 certify under penalty of law that Ma document and all vuiehnavts sere prepared under my daemon nr <br />supervalon in accordance with a aryy t vn designed to mune rho qualified pers neei properly gather and <br />evaluate the information submittal. Based on my inquiry of the persm ur persons who mange the <br />system, or thou persons daretly rcatnaable the gathering the information the mfomedion ssbmiited ms <br />to the best of my knowledge and behef, hoe, accurate, and complete. I am aware sit than are Awl <br />pewitas for stdrmnhag false inf Imo. =hap ng the pow/lathy of fire and anp nsonmens for owing <br />violations <br />025-A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY <br />04/1/2012 <br />MM /DD/YYYY <br />06/30/2012 <br />TO <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />RP4 SEDI POND TO RED WASH <br />External Outfall <br />TELEPHONE <br />(970) 675-4322 <br />AREA Coda I NUMBER <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />DATE <br />07/26/2012 <br />MM/DDIYYYY <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 IA.1., PG. 3. FOR REQUIREMENTS.OIL & GREASE REPORTING - I.B.1.A.,PG. 13. ORTRLY SAMPLING INSTRUCTIONS - I.C.7., PG. 14. <br />05111/2011 Page 2 <br />