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PARAMETER <br />L certify under penalty of that this document and an t. attachmen were prepared under my direction m <br />s upervsi, utin accordancewith as yatmode signdwass ure thatqualiredp er..momipnmcriygatherand <br />° luat •„ • int nn ti n suhmined. Liaised on my inquiry of the perso or persot who manage the <br />ons directly responsible flu gathering the inhumation. the inf rmation submitted is. <br />• r<ysnm or those Persons <br />. the bea accurate. of my knowledge and belief. true. accura. and complete. i ant aware day there are significant <br />Winn forsuhmiuingfals c in( mmution, including the poss ibility nfline and impri>onmcm for knowing <br />vi s <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />O. EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />— - — - - <br />-- <br />PERMIT <br />REQUIREMENT <br />""'• <br />Req. Mon. <br />INST MAX <br />Y . =0 <br />" "° <br />" "" <br />"' "' <br />Twice Per <br />Month <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />L certify under penalty of that this document and an t. attachmen were prepared under my direction m <br />s upervsi, utin accordancewith as yatmode signdwass ure thatqualiredp er..momipnmcriygatherand <br />° luat •„ • int nn ti n suhmined. Liaised on my inquiry of the perso or persot who manage the <br />ons directly responsible flu gathering the inhumation. the inf rmation submitted is. <br />• r<ysnm or those Persons <br />. the bea accurate. of my knowledge and belief. true. accura. and complete. i ant aware day there are significant <br />Winn forsuhmiuingfals c in( mmution, including the poss ibility nfline and impri>onmcm for knowing <br />vi s <br />/j w . )4. e <br />�_ <br />TELEPHONE <br />DATE <br />James A X i g e r <br />970_929-5806 <br />.� ^_ Z.' f <br />ATURE OF PRINCIPAL �XECUTIVE OFFICER OR <br />/ AUTHORIZED AGENT <br />AREA code I NUMBER <br />MMIDDIYYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include FacilifyName /Location "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 />FROM <br />COG850028 <br />PERMIT NUMBER <br />001 A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />04/01/2011 <br />MM /DD/YYYY <br />06/30/2011 <br />TO <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />DELTA <br />SEDI POND #1 TO N FORK GUNNISN <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No DischargelX I <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 1.8.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE DIVISION WITHIN 48 HOURS, <br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. <br />Page 2 <br />