Laserfiche WebLink
PERMITTEE NAME/ADDRESS (Include Facility Name/Location d Different) <br />NAME: Terror Creek LLC <br />ADDRESS: 43440 Bowie Rd <br />Paonia, CO 81428 <br />FACILiTY: TERROR CREEK LOADOUT <br />LOCATION: 43440 BOVVIE ROAD <br />PAONIA, CO 81428 <br />ATTN: JAMES T. COOPER, PRESIDENT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />COG850028 <br />001 -A <br />PERMIT NUMBER <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />SAMPLE <br />TYPE <br />MM /DD/YYYY <br />07/01/2013 <br />UNITS <br />09/3012013 <br />Form Approved <br />OMB No 2040 -0004 <br />DMR mailing ZIP CODE: 81428 <br />MINOR <br />DELTA <br />SEDI POND #1 TO N FORK GUNNISN <br />External Outfall <br />No Discharge <br />PARAMETER <br />I certify under penalty of law that thrs document and all attachments were prepared under my direction or <br />superwewn m accordance with a system designed to assure M nn <br />at qualified personnel property gather and <br />aluate the mformabon submitted Based on my mquiry of the person or persons who manage the <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 />840661 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />' * * * ** <br />AREA Code <br />NUMBER <br />- - - - *- <br />* * * * ** <br />- - * - -* <br />* * - - ** <br />PERMIT <br />REQUIREMENT <br />" "" <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />" "" <br />"` «" <br />' « "" <br />" * "' <br />Twice Per <br />Month <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER <br />I certify under penalty of law that thrs document and all attachments were prepared under my direction or <br />superwewn m accordance with a system designed to assure M nn <br />at qualified personnel property gather and <br />aluate the mformabon submitted Based on my mquiry of the person or persons who manage the <br />4-i / <br />TELEPHONE <br />DATE <br />p _S Q <br />�� <br />I C !QZ - <br />system, or those pemom daecdy responsible for gatherng the information, the mformabon submmed a, <br />to Me best of my knowledge and bebef, true, accurate, and complete 1 am aware that Mere are <br />SI NATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />j� AUTHORIZED AGENT <br />L�V, qt q <br />tlanficantpenalbes for submdbng false mformabonmUudmg the possibility of fine and rmphsonmentfo <br />—ng nol tons <br />/ <br />� <br />TYPED O RINTED <br />AREA Code <br />NUMBER <br />MMIDD/YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SETTLEABLE SOLIDS LIMIT WAIVED FOR10 -YR, 24 HR PRECIPT EVENT SUBJECTTO BURDEN OF PROOF <br />REQUIREMENTS INPART 1.B.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED <br />TO THE <br />DIVISION WITHIN 48 HOURS. <br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. <br />09/20/2013 <br />Page 1 <br />