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PARAMETER <br />I eend der paulty afba. dun Pus document and all adaehments were prenatal under my dinrrwn or <br />.,,,,, m as t manommnce with a.ysran designed to mom thatnuelirrd nnaproperly galanod <br />mahute the formation submitted Rased on m) inquiry of the person or persons who many the <br />system, or those perms ducal) responsible for gathering the infonnhon. the information submitwl is. i 10/25/20 <br />the bastormyknwhdya mllki mtwg amaratc , mdeantptc , e.famawarcthau nn ns huearcsg r t <br />p n h f ,nbmnmgfals., 000,,n lading h faarMhryofGwaodi�nsafor uwwmg <br />violatrons <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 />... ». <br />...... <br />PERMIT <br />REQUIREMENT <br />""" <br />Req. Mon. <br />INS MAX <br />Y =1;N =0 <br />""° <br />" "" <br />am " <br />Quarterly <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />I eend der paulty afba. dun Pus document and all adaehments were prenatal under my dinrrwn or <br />.,,,,, m as t manommnce with a.ysran designed to mom thatnuelirrd nnaproperly galanod <br />mahute the formation submitted Rased on m) inquiry of the person or persons who many the <br />system, or those perms ducal) responsible for gathering the infonnhon. the information submitwl is. i 10/25/20 <br />the bastormyknwhdya mllki mtwg amaratc , mdeantptc , e.famawarcthau nn ns huearcsg r t <br />p n h f ,nbmnmgfals., 000,,n lading h faarMhryofGwaodi�nsafor uwwmg <br />violatrons <br />TELEPHONE <br />DATE <br />(970) 675 -4322 <br />12 <br />Scott Wanstedt, Environmental En i <br />9 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code 1 NUMBER <br />MM/DDIYYYY <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 (Rev.01106) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038024 <br />PERMIT NUMBER <br />FROM <br />001 -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 />(SUBR DW) RBLAN <br />DP -1 SEDI POND TO SCULLION GUL <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 = I.B.1.A.,PG. 13. QRTRLY SAMPLING INSTRUCTIONS - I.C.7., PG. 14. <br />05/11/2011 <br />Page 2 <br />