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STORMWATER ANNU, <br />F <br />COLORADO DEPT. OF PUBI <br />Water Quality Control Division <br />WQCD -P -B2 <br />4300 Cherry Creek Drive South <br />Denver, Colorado 80246 -1530 1 <br />Make enough copies of form fo <br />www.cdphe.state.co.us/wq1Perm <br />Permittee (Company Name): _ <br />Facility Name: <br />Mailing Address: IDb5 ` <br />Facility Phone Number: 'L CI <br />Stormwater Permit Certification <br />(or Process Water Certification <br />REPORT - SAND AND GRAVEL <br />HEALTH & ENVIRONMENT <br />each reporting year. Or go to <br />Jo. COR34- -q— �d V1 <br />o. COG50- I I I ) <br />V <br />3' <br />Check if this is a <br />THIS IS A REQUIRED FIELI) If this is not filled in the report trill he returned. — Please do not input "0000" <br />Reporting Period: Jan. 1 -Dec. <br />"Each section must be <br />A. A report on the facility's t <br />to comply with your Store <br />made in any of your Best <br />encountered, etc. How is <br />ere rs Gil (It vile a <br />be,n sed�merl��tert <br />et"0 Srei�i d Se0"?nell <br />s, 5 ;mMed,Olel y � <br />�,�fure be amejt�14?c1 <br />(S cc;rlme,4, Petd <br />Were changes made to <br />t 4� 5,0 AP 0607- Ct <br />B. A summary of each col <br />taken. (The permit req <br />permit. Include here a <br />not necessary to summ <br />First Inspection - Date <br />a 1/0 •r1 '7 ( <br />Note - form may be reproduced <br />,20 (Form is due by Feb. 15 of the following year) <br />Please print or type." <br />call compliance with the SWAP. (Include here a summary of any measures taken <br />rater Management Plan (SWMP), to fully implement it, changes or improvements <br />anagement Practices (BMPs), employee training, spills, other problems <br />)ur plan working ?) <br />Oii 7``1r5. C t t <br />�.m w ,art Wo t7r <br />/y <br />tywa sareS <br />n,li c j. eppo /75 )6 ch, art 5/ ee f s-aw/7 k's ra , AW .?s S -krm c ccler <br />tK? bcomfesei ?IWA� S/"' ea 're q f s &'MP M ;fit f n <br />V i/iC /cfh Bl ily eiMS�oi't 4 seal Aje q t3 ov(1iW 111?0tsa "es , <br />1 <br />i <br />SWMP? IN No ❑ Yes - Describe changes on a separate sheet. <br />"w't�t ca+,'I�c� `7�itsteru r'�t�Q7- i�bBt.E>yt� c��►tJINI� � +ll� �S . ) <br />iensive stormwater facility inspection made, including date, findings, and action <br />at least two comprehensive facility inspections per year - see page 12 of the <br />nary of those inspections, plus any other comprehensive inspections made. It is <br />day -to -day inspections, unless significant problems were noted.) <br />t <br />Findings, and action taken: <br />g � z e,fe0t $�1p'u<r uu�� �trte.4c/' brt y l y <br />d' j :), k <br />Page 1 'f 2 ar6 /06mm <br />