Laserfiche WebLink
PARAMETER <br />landall werepreparedundermyatte<tmno <br />Icertiyunda � n that attachments <br />wptavusan m m.e,rdance with a system designed to that qualified personnel properly gather and <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 />REQUIREM <br />""" <br />Req. Mon. <br />INST MAX <br />1,=1;N =0 <br />a.aaaw <br />""" <br />' °"' <br />Twice Per <br />Month <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />landall werepreparedundermyatte<tmno <br />Icertiyunda � n that attachments <br />wptavusan m m.e,rdance with a system designed to that qualified personnel properly gather and <br />I ' 'T <br />t y I, {A. }.0 s '-'? - 1 , i <br />J <br />TELEPHONE <br />DATE <br />_ <br />� )(' <br />'`j ql,Y` `� i f' = .1 _ t. <br />! ` ✓ ' t r' > 1 . wit <br />I t the f t bm nc l easel m my ngmry of the person or persons who manage the <br />ooy of <br />system, ar those perms directly raspmsible for gathering the Information, the informal on submitted u, <br />m the bW of my knowkdge and belief, true, accurate, and complete I am aware that there arc slgnilitonV <br />penalties for ssubmitting fake Information. Including the pasabthty of fine and Impnsonment for knowing <br />�`( - � <br />(j � � f - j <br />(, /- <br />/ y <br />U y ` C ( <br />,SIGNATURE OF PRINOIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />.. " <br />TYPED OR PRINTED <br />m <br />AREA NUMBER <br />i MM/0131YYYY <br />i <br />PERMITTEE NAME /ADDRESS (Include Facility Name/Location ifDiferent) <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 /06) 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 />10/01/2012 <br />MM /DD/YYYY <br />12/31/2012 <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 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 13.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE DIVISION WITHIN 48 HOURS. <br />Page 2 <br />