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PARAMETER <br />i« { en r d ancehy s e m d m. m and all attachments <br />{ " n( yuna <br />tlifiedersonn ana«mydirection <br />thrand <br />xupn i accordance o w with a+ a system document m assure that n were {pr epare under nder properly gather and <br />` r • sr <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 />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />- ...., <br />Req. Mon._ _ .. <br />INST MAX <br />Y= 1:N =0_ - <br />.._ ,..... <br />...,., <br />....., <br />=Twice Per <br />Month <br />— <br />VISUAL. <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />i« { en r d ancehy s e m d m. m and all attachments <br />{ " n( yuna <br />tlifiedersonn ana«mydirection <br />thrand <br />xupn i accordance o w with a+ a system document m assure that n were {pr epare under nder properly gather and <br />` r • sr <br />0"...14 <br />Vi - y� <br />TELEPHONE <br />DATE <br />(L � c C A V r �w C p <br />r -IIE . A pl <br />L <br />vs t s exmi+m submitted. re Based on or inquiry of r { m <br />om <br />• o in e person or persons o ns wh mm the <br />a <br />xv o those persons directly Based o for gathering the peson or information. the ns w h m a ix. <br />to the but of my knowledge and belief. true. accurate. and complete. 1 am axon that Mac an sib ilieam <br />{ur+''11ic.for submitting false information. incluJing the possibility o(fine and imprisonment for knowing <br />[j 7 _, _. C p /� <br />]�/ 0 2 J O 1,1 � <br />/ 0 / a J Z o / ` <br />S I N OF PRINCIPAL EXEC L / VrIVE OFFICER OR <br />f AUTHORIZED AGENT <br />AREA Code I NUMBER <br />I r� 7 I <br />MM D/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS ( /nc /ude Facility Name/Location /f 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 />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />COG850028 <br />PERMIT NUMBER <br />002A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />07/01/2011 <br />MMIDD/YYYY <br />09/30/2011 <br />TO <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />Form Approved <br />OMB No. 2040 -0004 <br />DELTA <br />DUGOUT POND TO N FORK GUNNISON <br />Extemal Outfall <br />No Discharge <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 I.B.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE DIVISION WITHIN 48 HOURS. <br />Page 2 <br />