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STORMWATER ANNUAL REPORT - METAL MINING (& COAL) <br />Permit Cert. No. COR -04 Q Q <br />Second Inspection - Date 6 / 30 /1j. Findings, and action taken: <br />Ponds were fill with resent rain fall all facilities are in working order. <br />No other problem found at time of exam. <br />Other Inspections -Date _L2_/ 04 / -1. Findings, and action taken: <br />Pond were surveyed during this inspection to find the elevation of sediment. Repairs that were done to Fill 6 looks to be <br />Holding good except for the amount of wild life thought the mulch. It may need some repairs come spring. All ponds were <br />Holding a limited amount of water. All facilities are in good working order. <br />C. Results and interpretation of any stormwater monitoring performed. Attach a separate sheet with the lab <br />results. (Monitoring is not a requirement under the permit, unless you were specifically directed to do so by <br />the Division. However, the results of any stormwater monitoring that you performed on your own should be <br />reported here.) <br />Monitoring Results Attached? .2L_ No _ Yes <br />D. Certification <br />"I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or <br />those persons directly responsible for gathering _the information, the information submitted is, to the best of my <br />knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for <br />submitting false information, including the possibility of fine and imprisonment for knowing violations." <br />of Permittee (legally responsible person) <br />teLL i's He <br />Name (printed) <br />104 <br />Title <br />Use additional pages as needed. Page 2 of 2 ar6 /06mm <br />