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PERM ITTE E NAM E/ADDRESS (/ nctudeFacddyName /LocationifDlferent) <br />NAME: <br />Terror Creek LLC <br />ADDRESS: <br />43440 Bowie Rd <br />EX <br />EX <br />Paonia, CO 81428 <br />FACILITY: <br />TERROR CREEK LOADOUT <br />LOCATION: <br />43440 BOWIE ROAD <br />VALUE <br />PAONIA, CO 81428 <br />ATTN: JAMES T. COOPER, PRESIDENT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />COG850028 ::1 001A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY I MM /DD/CM <br />FROM 04/01/2013 TO 1 06/30/2013 <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />DELTA <br />SEDI POND #1 TO N FORK GUNNISN <br />External Outfall <br />No Discharge <br />PARAMETER <br />I cemty under penalq of law that this dmnment and au atticnmema were prepared under my direction or <br />supensmnmauodancwithitysimdesrgncdtomaure thatqualifiedpersonnelpropertyga therand <br />evaluate the information ael m tied Baced on my inquiry of the permn or persons who manage the <br />system, or [hose persons dueand responsible forurat gathering the mfotmanon, the information .. s,gm d rs, <br />to the best of my kmwledge and behef rcae accurate and complete I am aware that there are sigmfsmp <br />oraubmmmgfaalae mtommnon, including the posetbdmry of fine and imprisonment for knowmag <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />EX <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 />TYPED OR PRINTED <br />Oil and grease visual <br />SAMPLE <br />...... <br />MEASUREMENT <br />840661 0 <br />Effluent Gross <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 />NAMEffITLEPRINCIPALEXECUTIVEOFFICER <br />I cemty under penalq of law that this dmnment and au atticnmema were prepared under my direction or <br />supensmnmauodancwithitysimdesrgncdtomaure thatqualifiedpersonnelpropertyga therand <br />evaluate the information ael m tied Baced on my inquiry of the permn or persons who manage the <br />system, or [hose persons dueand responsible forurat gathering the mfotmanon, the information .. s,gm d rs, <br />to the best of my kmwledge and behef rcae accurate and complete I am aware that there are sigmfsmp <br />oraubmmmgfaalae mtommnon, including the posetbdmry of fine and imprisonment for knowmag <br />TELEPHONE <br />DATE <br />t ✓ cl <br />1, ( ✓ <br />GNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MMIDDNYW <br />TYPED OR PRINTED <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SETTLEABLE SOLIDS LIMIT WAIVED FOR10 -YR, 24 HR PRECIPT EVENT SUBJECT-170 BURDEN OF PROOF REQUIREMENTS INPART 1.B.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE DIVISION WITHIN 48 HOURS. <br />EPA Form 3320 -1 (Rev.01 /08) Previous editions may be used. Page 2 <br />