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Air <br />.4TORMWATER ANNJU2 LREE I T - METAL MINING (& COAL) <br />Permit Cert. No. COR -34 <br />Second Inspection — Date Findings, and action taken: <br />/ ) �f`1 ,�1'r(� A�ic -e le la I f!117 <br />aG1e V- d- il � i 'k ), AtSSO d i5p b��c "4����i <br />��`1e O c�:'it`:c r t'i^t5/Of % L'F Sf'G'i�►�v'l f$ • %A <br />C <br />t!/ 01 G� jaTC ( %laiJ7' iS <br />Iq 6 fNN <br />(:TK r7oLzi " /vliljSa/G'S Gl PROX <br />X lv `�v:z)L A /0 'G/e elo al- C t/! 7 r <br />Other Inspections - Date Findings, and action taken: <br />C. Results and interpretation of any stormwater monitoring performed. Attach a separate sheet with the lab <br />results. (Monitoring is not requirement under the permit, unless you were specifically directed to do so by <br />the Division. However, thexesults of any stormwater monitoring that you performed on your own should be <br />reported here.) I <br />Monitoring Results Attacl <br />'Jit 00"'.k(f 2).'vi-5i <br />D. Certification <br />"I certify under penalty of <br />supervision in accordance <br />evaluate the information si <br />those persons directly resp <br />knowledge and belief, true <br />submitting false informatic <br />M No ❑' - <br />Yes L <br />d%'s-lf Lif! ,cu(/yC �`i✓ L'Ibfai7 i12� �2 " /F'��5 v "t Sft/ma,,,j�% ow,irj� <br />/ that this document and all attachments were prepared under my direction or <br />:h a system designed to assure that qualified personnel properly gather and <br />iitted. Based on my inquiry of the person or persons who manage the system, or <br />,ible for gathering the information, the information submitted is, to the best of my <br />.curate, and complete. I am aware that there are significant penalties for <br />including the possibility of fine and imprisonment for knowing violations." <br />Signature of Permittee (legally responsible person) Date Signed <br />Name (printed) <br />Title <br />Use additional pages as needed. Page 2 of 2 4 ar6 /06mm <br />