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PARAMETER <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 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />. „... <br />•• „•• <br />„,••• <br />PERMIT <br />REQUIREMENT <br />••••'• <br />Req. Mon. <br />IN MAX <br />Y = 1;N = 0 <br />• .......... <br />”" " <br />""`• <br />•••••' <br />Twice Per <br />Month <br />VISUAL <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 />NAME/TITLE PRINCIPAL. EXECUTIVE OFFICER <br />Scott Wanstedt, Environmental Engineer <br />TYPED OR PRINTED <br />EPA Form 3320.1 (Rsv.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 />005 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY <br />10/01/2012 <br />MM /DD/YYYY <br />12/31/2012 <br />TO <br />I catty under penalty of has that mu document and all atMchmans were prepared under my <br />nor ma or aewNUee with • n ra denoted to ware that WWdid personnel properly PWa <br />evaluate the mfawtnt solonaml Based co my wary of the person or persons who manage the <br />sysr those pumas dneety mpmnbk for gatherng the mfomatmah, the non submitted ms, <br />ueb t hone bebef ton e, aecu they amhmsmoatm archtns <br />p e. h,r subrmmg r, mbttn.tnm..ehhamgthe pamarl°y ter WoGwatg SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />RR -1 LOADOUT TO RED WASH <br />Extemal Outfall <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.., PG. 13. QRTRLY SAMPLING INSTRUCTIONS - I.C.7., PG. 14. <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />MM/DDIYYYY <br />05/11/2011 Page 2 <br />0 <br />