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PERMITTEE NAME/ADDRESS (Include Faahty NamerLocaBon 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 81428 <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 DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />10/01/2015 12/31/2015 <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 =y <br />PARAMETER <br />cuoer m n acc«dwtce wdtt a system dm9ned to enure Out 4turfied PMWWW VopeM Onh« and <br />aero.eor a mro mart three ted Beed en my othw or the person «persons qm memo t e <br />eywem. «tno.e a� weeny reePor.afe ser t,�e*e+P ft mfe,madea, we mlwmwon .uemmea <br />to Oro brow of my knowledge end bekef, true. acetate. and oomgeee. f am owwe OW Otae we <br />s p flea n Penabec r«: �mnr g abee nr«maran, ma ang the p�wNbyorr a and mo �« mane r« <br />nen maeoene <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 />8406610 <br />Effluent GfOSS <br />SAMPLE <br />MEASUREMENT <br />""•• <br />•••••• <br />•••«• <br />•••••• <br />•••••• <br />PERMIT <br />REQUIREMENT <br />""`•••••+ <br />Req. Mon. <br />INST MAX <br />Y=1;N=0 <br />•••••• <br />""" <br />Twice Per <br />Month <br />VISUAL <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER <br />cuoer m n acc«dwtce wdtt a system dm9ned to enure Out 4turfied PMWWW VopeM Onh« and <br />aero.eor a mro mart three ted Beed en my othw or the person «persons qm memo t e <br />eywem. «tno.e a� weeny reePor.afe ser t,�e*e+P ft mfe,madea, we mlwmwon .uemmea <br />to Oro brow of my knowledge end bekef, true. acetate. and oomgeee. f am owwe OW Otae we <br />s p flea n Penabec r«: �mnr g abee nr«maran, ma ang the p�wNbyorr a and mo �« mane r« <br />nen maeoene <br />• //V/� / <br />TELEPHONE DATE <br />SII Kc L u Dtol�1 <br />r 5 I'd to N <br />q O) O(eh6 <br />/ 70 Q �/' 46 3+ I 1 � <br />SIGNATU OF PRINCIPAL EXECUTNE OFFICER OR <br />AUTHORIZED AGENTgIIeA <br />TYPED OR PRINTED <br />cone NUMBER MMlDD/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 REQUIREMENTS INPART I.B.B. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE <br />DIVISION WITHIN 48 HOURS. <br />EPA Forth 3320-1 (Rev.01/06) Previous editions may be used. 04/10/2014 Page 2 <br />