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PARAMETER <br />I randy under pantry of law tlw dos document and all attachments were premed under my dirxtm m <br />sup personnel properly .ahntethe in( rail) eo ndble m� tngm ng the psmwnorpawnswho manage the <br />s «th ose p rnaw thrall) nsrmwibte for gmhrnng the mformatet aware a that there information submitted IS. <br />v ,"a;to ns r su � bmnb „K `un in�m�,;,.;�u,t yot for gaming <br />aa,x <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 />».,.. <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />" " "00" <br />" """00 <br />M00f <br />00"00. <br />Twice Per <br />Month <br />VISUAL <br />NAMEITITLEPRINCIPALEXECUTIVEOFFICER <br />I randy under pantry of law tlw dos document and all attachments were premed under my dirxtm m <br />sup personnel properly .ahntethe in( rail) eo ndble m� tngm ng the psmwnorpawnswho manage the <br />s «th ose p rnaw thrall) nsrmwibte for gmhrnng the mformatet aware a that there information submitted IS. <br />v ,"a;to ns r su � bmnb „K `un in�m�,;,.;�u,t yot for gaming <br />aa,x <br />^'� <br />' _ _ <br />∎ j _ ' //' <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TELEPHONE <br />(970) 675 -4322 <br />DATE <br />10�25�2012 <br />Scott Wanstedt, Environmental Engineer <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: 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 (Rev.01i06) 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 />008 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />07/1/2012 <br />MM /DD/YYYY <br />09/30/2012 <br />TO <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUER DW) RBLAN <br />SS-1 SLOT STORAGE TO RED WASH <br />External Outfall <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 />Form Approved <br />OMB No. 2040-0004 <br />05/11/2011 Page 2 <br />