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PARAMETER <br />In-nJy7 2 " 2ZwrWrrMCdow;t nw" "'"" <br />fcra" 11"2T:C npt na— <br />w e d. g nvlr as m r un dp <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 />LC50 Static Renewal 48Hr Acute <br />Daphnia magna <br />TAM3C 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />», "' <br />'" "' <br />PERMIT <br />REQUIREMENT <br />" "" <br />M.. <br />100 <br />MO AV MN <br />• ... <br />a /o <br />Quarterly <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />TAN6C 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />». ». <br />•» »• <br />PERMIT <br />REQUIREMENT <br />""" <br />" "" <br />100 <br />MO AV MN <br />Quarterly <br />GRAB <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />In-nJy7 2 " 2ZwrWrrMCdow;t nw" "'"" <br />fcra" 11"2T:C npt na— <br />w e d. g nvlr as m r un dp <br />�'' <br />TELEPHONE <br />DATE <br />Scott Wanstedt, Environmental Engineer <br />• vtho . :al Dared nr) pawns manage <br />I k the f r M y re pone le or apmry of the fo raon or pcno who manage the <br />ry.rem,w throe narrater drtecey rc.ponnble for garhrnng the mfnrmaion. ihe,nf non arbmmed u. <br />; r al lam ; o r w ;'" m ""s to • In f�� n,n Awhn he panbd ay offim and nnonsmunrnr for law ng <br />d... m <br />/- �'� <br />—'`_ I� /� � i�� <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />(970) 675 -4322 <br />10/25/2012 <br />AaEACOd. I NUMBER <br />MMroD/rm <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 />004 -W <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 />ACUTE WET TESTING FOR 004A <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 />SEE PART I.A.2, PG. 8 -10, FOR DETAILS OF TEST PROCEDURE. REPORT LC50- STATISTICAL POINT ESTIMATE WHICHIS LETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. <br />05/11/2011 Page 1 <br />0 <br />