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PARAMETER <br />I certify coder penally of law that Ilya docmnrnl and all attachments were prepared coder my direction or <br />n,ps,,,,a„ma,entdan vendee, goodto a mmo ih atgoalcedptm,n.1prowiygamerand <br />evaluate die Infoon auommed Based on my Inquiry of the omen or persons who manage the <br />hk for gathnd the l rat a e t ntio m wmm <br />to )mb best shove p d n m information bd ia. <br />d tespa m e i le 1 <br />to the ba knowledge osmons t my persons and belief, tme, acamt4+nd the am aware that a are ds e re <br />p u ` whmmmgfalemfmn.enn, nnhdmgthe po..,hdny of fine and n,Qn nm <br />s,ne„t for lmowtng <br />' I <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 9 rease visual <br />84066 1 0 <br />Effluent Gross <br />MEASUREM ENT <br />......• <br />M.... a.M......•• <br />as aa <br />» <br />a .aa <br />PERMIT <br />REQUIREMENT <br />" <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />""'ea <br />••••• <br />efea' <br />" <br />Twice Per <br />Month <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify coder penally of law that Ilya docmnrnl and all attachments were prepared coder my direction or <br />n,ps,,,,a„ma,entdan vendee, goodto a mmo ih atgoalcedptm,n.1prowiygamerand <br />evaluate die Infoon auommed Based on my Inquiry of the omen or persons who manage the <br />hk for gathnd the l rat a e t ntio m wmm <br />to )mb best shove p d n m information bd ia. <br />d tespa m e i le 1 <br />to the ba knowledge osmons t my persons and belief, tme, acamt4+nd the am aware that a are ds e re <br />p u ` whmmmgfalemfmn.enn, nnhdmgthe po..,hdny of fine and n,Qn nm <br />s,ne„t for lmowtng <br />' I <br />- ( <br />TELEPHONE <br />DATE <br />♦ <br />�C <br />, ^N ' n I <br />W e . /, <br />" . — olv � <br />7a 1_/y// iy�� 1 U ! O <br />! 1 �� 1 , J 2.0/ <br />M � + 7 p / <br />M D/YYYY <br />e NATURE OF PRINCIPA ECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />� <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include FacilityNamelocafion ifDiffemnt) <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.01/00) 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 />04/01/2012 <br />MM /DD/YYYY <br />06/30/2012 <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 />External Outfail <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 />1 � <br />Pane 2 <br />