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PARAMETER <br />«nifyunder penalty oflaw ha this document andau. hmentsweiepre,nwm rmydi�mn« <br />superisionin a««aannnwnhasym5ndes Mamas sures�rquoli0sepersonnelproneI gamma <br />"%h me the infonnatton submitted Based on my inquiry attic person or persons who nonage the <br />s r o persons aimce m srbk f« g orhrnn g rAc infonnmmn. the mfoimmfon s s <br />p m c afm y 4 Itngfals an fomub o,soIo i.gc,ma c o bd y o( unawmc n t in n nm o <br />pe o n l oi z on a l «whnreing false mfamnarmn, minding me pssnbr my uffia aml rmn,eonnnunt mr v : <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 />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.,.e., <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />" "" <br />"' "' <br />Twice Per <br />Month <br />VISUAL <br />NAMEITITLEPRINCIPALIXECUTIVEOFFICER <br />«nifyunder penalty oflaw ha this document andau. hmentsweiepre,nwm rmydi�mn« <br />superisionin a««aannnwnhasym5ndes Mamas sures�rquoli0sepersonnelproneI gamma <br />"%h me the infonnatton submitted Based on my inquiry attic person or persons who nonage the <br />s r o persons aimce m srbk f« g orhrnn g rAc infonnmmn. the mfoimmfon s s <br />p m c afm y 4 Itngfals an fomub o,soIo i.gc,ma c o bd y o( unawmc n t in n nm o <br />pe o n l oi z on a l «whnreing false mfamnarmn, minding me pssnbr my uffia aml rmn,eonnnunt mr v : <br />TELEPHONE <br />DATE <br />(970) 675 -43 22 <br />07/26/2012 <br />Scott Wanstedt, Environmental Engineer <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA code I NUMBER <br />MMIDD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if 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.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 />002 -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 />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />RF -1 SEDI POND TO RED WASH <br />External Outfall <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 IA.1. PG. 3. FOR REQUIREMENTS.OIL & GREASE REPORTING -1.8.1 A.,PG. 13. QRTRLY SAMPLING INSTRUCTIONS - IC.1.7., PG. 14. <br />05/11/2011 <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />Page 2 <br />