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PARAMETER <br />lc penally oflaw sd« uncnt andallminehnxmtwasi reiund under mydumionor <br />ems an m rn*uI ae wtm a ayrem designed tat. t • rc that quahfima persona* properly gamer and <br />lame the rfomunm alerted. Based on my mgmry of the perms or paswr who manage the <br />system, or tlrose pawns (Mealy responsible for ythanng thc tnfrwoon • tha information submmad,s <br />to the hest of my knuwledF and belmef, true, aeumnte, and rompIeta. t am aware mat mere arc smile am <br />vpwlmonsi" nohwnmg fmlw mt noq anhrdmg the p000th,hymnin mm tmpnsonmom r tnoovtg <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />ANALYSIS <br />SAM E <br />OF <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Chlorine, total residual <br />50060 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />» "" <br />"'"' <br />.5 <br />DAILY MX <br />mg/L <br />Twice Per <br />Month <br />GRAB <br />Solids, total dissolved <br />70295 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />»..., <br />„,,.. <br />..,,» <br />PERMIT <br />REQUIREMENT <br />" "" <br />Req. Mon. <br />QRTR AVG <br />Req. Mon. <br />DAILY MX <br />mg/L <br />Quarterly <br />GRAB <br />Coliform, fecal general <br />74055 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />„„„ <br />», •, <br />t „ <br />PERMIT <br />REQUIREMENT <br />2000 <br />30DAVGEO <br />4000 <br />MX70GEOA <br /># /100mL <br />Twice Per <br />Month <br />GRAB <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />'• "" <br />""" <br />" "" <br />Twice Per <br />Month <br />VISUAL <br />NAMEITITLEPRINCIPALEXECUTIVEOFFICER <br />lc penally oflaw sd« uncnt andallminehnxmtwasi reiund under mydumionor <br />ems an m rn*uI ae wtm a ayrem designed tat. t • rc that quahfima persona* properly gamer and <br />lame the rfomunm alerted. Based on my mgmry of the perms or paswr who manage the <br />system, or tlrose pawns (Mealy responsible for ythanng thc tnfrwoon • tha information submmad,s <br />to the hest of my knuwledF and belmef, true, aeumnte, and rompIeta. t am aware mat mere arc smile am <br />vpwlmonsi" nohwnmg fmlw mt noq anhrdmg the p000th,hymnin mm tmpnsonmom r tnoovtg <br />TELEPHONE <br />DATE <br />...M.... <br />,'/ <br />/ ���i �/ <br />S cott Wanstedt, Environmental Engineer <br />(970) 675 -4322 <br />10/25/2012 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code 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 />DESERADO MINE <br />3607 CR 65 <br />RANGELY, CO 81648 <br />FACIUTY: <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 />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />OIL & GREASE REPORTING -SEE I.B.1A, PG 13. QRTRLY SAMPLING INSTRUCTIONS - I.C.7, PG. 14. <br />004 -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 />PP2 TO SCULLION GULCH <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />05/11/2011 Page 2 <br />