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PARAMETER <br />1 certify undo prnal,y aw ,ha, ,hu doct a all aeac=s prepard under d,rcnm w <br />Di rt „„ n � nwo�f l , W „h,.yam umen m ,, d ,.a�e m.,y .,rd my r„he ad <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 />""" <br />Twice Per <br />Month <br />VISUAL <br />N ME/TITLE PRINf)IPAL ECUTNE OFFICER <br />1 certify undo prnal,y aw ,ha, ,hu doct a all aeac=s prepard under d,rcnm w <br />Di rt „„ n � nwo�f l , W „h,.yam umen m ,, d ,.a�e m.,y .,rd my r„he ad <br />/, ( <br />7 <br />TELEPHONE <br />DATE <br />in, <br />�NV �awc. <br />I ■ t w bin tied , h Based on my inquiry of the r,a..., <br />or a who manage .,uge,he <br />at thready <br />ra responsible accurate., turc rn submitted t o the b <br />m,he ca of of m my knowledge and d belief, accu,, and a eompkte I am aware c arc vfi <br />gn,un, <br />renalnea f submitting ,ba d r <br />n ,tyofrnca,mpr„onman knowing <br />9 �/J/r [ / <br />Q / / i J �r� <br />(,/ 3 <br />0 / Q�l�� I <br />SIGN RE OF PRINCIPAL EX U <br />AUTHORIZED AGENT <br />SS�� <br />TYPED OR PRIMA <br />la <br />AREA Code NUMBER <br />,4/2 //{ <br />M D/YYYY <br />PERMITTEE NAME /ADDRESS (hick/de Facility Name/Location if 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 />001A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />01/01/2013 <br />MM /DD/YYYY <br />03/31/2013 <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 Discharge <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 I B 6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE DIVISION WITHIN 48 HOURS. <br />Page 2 <br />