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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />PERMITTEENAMEIADDRESS (/ncludefacilil.YNeme/LocationilOillereni)
<br />NAME:
<br />ADDRESS:
<br />FACILITY:
<br />LOCATION:
<br />ATTN:JAME
<br />Terror Creek LLC
<br />43440 Bowie Rd
<br />Paonia, CO 81428
<br />TERROR CREEK LOADOUT
<br />43440 BOWIE ROAD
<br />PAONIA, CO 81428
<br />'S T. COOPER, PRESIDENT
<br />COG850028 002A
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM/DD/YYYY MMIDDIYYYY
<br />FROM 10101/2009 TO 12131/2009
<br />Form Approved
<br />OMB No. 2040-0004
<br />DMR Mailing ZIP CODE: 81428
<br />MINOR
<br />DELTA
<br />DUGOUT POND TO N FORK GUNNISON
<br />External Outfall
<br />No Discharge Y
<br /> QUANTITY OR LOADING QUALITY OR CONCENTRATION E
<br />
<br />X
<br />NO.
<br />EX
<br />
<br />ENCY
<br />OF F ANALYSIS
<br />
<br />SAMPLE
<br />TYPE
<br />PARAMETER
<br />
<br /> VALUE VALUE UNITS VALUE VALUE VALUE UNITS
<br />Oil and grease visual SAMPLE ...... ...... ... ...... ......
<br /> MEASUREMENT
<br />84066 1 0 PERMIT Req. Mon. Y=1;N=0 """` """ """
<br />Twice Per
<br />VISUAL
<br />Effluent Gross REQUIREMENT INST MAX Month
<br />
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<br />TELEPHONE
<br />DATE
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<br />?Inl hi1. GNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />TYPED 051 PRINTED AUTHORIZED AGENT AREA Cod. NUMBER MM/ DIYYYY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />SETTLEABLE SOLIDS LIMIT WAIVED FOR10-YR, 24 HR PRECIP EVENT SUBJECT TO BURDEN OF PROOF REQUIREMENTS INPART 1.B.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE DIVISION WITHIN 48 HOURS.
<br />EPA Form 3320.1 (Rov.01106) Previous editions may be used. Page 2
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