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PERM ITTEE NAME/ADDRESS (Include FacilityName/Location If Different) <br />NAME: <br />Blue Mountain Energy Inc <br />ADDRESS: <br />3607 CR 65 <br />NO. <br />EX <br />Rangely, CO 81648 <br />FACILITY: <br />DESERADO MINE <br />LOCATION: <br />3607 CR 65 <br />VALUE <br />RANGELY, CO 81648 <br />ATTN: ALAN HILLARD, MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038024 .003 -A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MWDD/YYYY MMIDD/YYYY <br />FROM 04/01 /2013 TO 06/30/2013 <br />Form Approved <br />OMB No. 2040.0004 <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUER DW) RBLAN <br />RP -2 &3 SEDI POND TO RED WASH <br />External Outfall <br />No Discharge ED <br />PARAMETER <br />1w1j —ip"h) Fbwa°tth,.J. — °.m itil.0 n��, — -par d-d c °yd—ta- <br />wpm— w—dam with a symtn d ,tmed u—that quhrd r-1 rm lty suem t <br />nahwethc mfmmuum <br />tYFinn. M iM'e 1,ctAa fcryHnutd,hmie hmN Y RmynftMpus 5e the <br />M4,-,ly =g hro <br />Mail— �� mm�;;u; �; i�J;�s "N ^ Y�!�M� ; that,he> —xapaf�^ <br />.wwtmt utprsmm,em rw.t—r <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 />Oiland grease visual <br />SAMPLE <br />...... <br />...... <br />...... <br />...... <br />...... <br />MEASUREMENT <br />8406610 <br />PERMIT <br />"ef' <br />Req. Mon. <br />INST MAX <br />Y =1;N=O <br />...... <br />'t'w" <br />... <br />• "'•• <br />Twice Per <br />VISUAL <br />Effluent Gross <br />REQUIREMENT <br />I <br />Month <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />1w1j —ip"h) Fbwa°tth,.J. — °.m itil.0 n��, — -par d-d c °yd—ta- <br />wpm— w—dam with a symtn d ,tmed u—that quhrd r-1 rm lty suem t <br />nahwethc mfmmuum <br />tYFinn. M iM'e 1,ctAa fcryHnutd,hmie hmN Y RmynftMpus 5e the <br />M4,-,ly =g hro <br />Mail— �� mm�;;u; �; i�J;�s "N ^ Y�!�M� ; that,he> —xapaf�^ <br />.wwtmt utprsmm,em rw.t—r <br />TELEPHONE <br />DATE <br />(970) 675 -4322 <br />07/16/2013 <br />Scott Wanstedt, Environmental Engineer <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA ced. <br />NUMBER <br />MMIDDIYYYY <br />TYPED OR PRINTED <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.I. PG. 3. FOR REQUIREMENTS.OIL & GREASE REPORTING - I.B.1 A.,PG. 13. QRTRLY SAMPLING INSTRUCTION - I.C.7., PG.14. <br />EPA Form 33204 (Rev.01106) Previous edMons may be used. 0511112011 Page 2 <br />