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PERMITTEE NAME /ADDRESS (include Facility Name/Location if Different) <br />NAME: Terror Creek LLC <br />ADDRESS: 43440 Bowie Rd <br />Paonia, CO 81428 <br />FACILITY: TERROR CREEK LOADOUT <br />LOCATION: 43440 BOWIE ROAD <br />PAONIA, CO 8142$ <br />ATTN: JAMES T. COOPER, PRESIDENT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />COG850028 001 -A <br />PERMIT NUMBER I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />01/01/2014 03/31/2014 <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 this document and all attachments were prepared under my direction or <br />supervision in accordance who a system designed to assure that qualified personnel property gather and <br />valuate the information submitted. Based on my inquiry of the person or persons who manage 1h <br />system, or those persons directly responsible for gathering the information. the information submitted <br />to the best of my knowledge and belief true, accurate, and complete. I am aware that there are <br />significant penanies for submitting false information, inducting the possibility of fine am imprrsonment fo <br />nowngvrolations. <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 />Page 2 <br />... *.. <br />... *,. <br />, * *,,, <br />,,, *•, <br />MEASUREMENT <br />840661 0 <br />Effluent Gross <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 EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance who a system designed to assure that qualified personnel property gather and <br />valuate the information submitted. Based on my inquiry of the person or persons who manage 1h <br />system, or those persons directly responsible for gathering the information. the information submitted <br />to the best of my knowledge and belief true, accurate, and complete. I am aware that there are <br />significant penanies for submitting false information, inducting the possibility of fine am imprrsonment fo <br />nowngvrolations. <br />^ <br />y� I 1 <br />(�t..� n <br />l-cz,4 - �".^7� `:' � , L <br />- ` <br />TELEPHONE <br />DATE <br />` 0 <br />1 <br />/ <br />�L " %Zy S l� <br />1 <br />Qi.1bfYYYY ui! <br />SIGNATURE OF INCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA Code <br />NUMBER <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 REQUIREMENTS INPART 1.B.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE <br />DIVISION WITHIN 48 HOURS. <br />i <br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. <br />I <br />04/10/2014 <br />Page 2 <br />