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Coulson Excavating Co Inc—Brownwood Pit <br />Page 4 of 5 <br />Certification Records Information: The table below provides the information contained in Division records for this certification. <br />Any changes to the contacts listed below must be provided to the Division on a "Notice of Change of Contacts" form, and must be <br />signed by the legal contact. This form Is available on the Division's website at www.coloradowaterpermits.com. <br />Facil' : Brownwood Pit Coun : Larimer <br />Industrial Activities: Processing Sand and Gravel, Asphalt Batch Plant including SIC Code: 1442 <br />recycled asphalt <br />Legal Contact: Receives all legal documentation, pertaining to the permit certification. (including invoice; is contacted for any <br />questions relating to the facility; and receives DMRs as appropriate J <br />Richard Coulson, CEO Phone number: 970-667-2178 <br />Coulson Excavating Co Inc Email: diana@coulsonex.com <br />3609NCR13 <br />Loveland, CO 80538 <br />The General Permit for Stormwater Discharges Associated with Sand & Gravel Mining and Processing expired on September 30, <br />2012. This permit is administratively continued and remains in effect under Section 104(7) of the Administrative Procedures Act, <br />C.R.S. 1973, 24-4-101, et seq (1982 repl. vol. 10) until a new permit/certification is issued and effective. The renewal for this facility <br />will be based on the application that was received on 4/15/2013. <br />If you have any questions please contact me at 303-692-3549. <br />Sincerely, <br />Lori Mulsoff <br />Environmental Protection Specialist <br />Permits Section <br />WATER QUALITY CONTROL DIVISION <br />Enclosures: Certification page; General Permit; DMR form; Annual Report Form <br />xc: Regional Council of Government <br />Larimer County, Local County Health Department <br />D.E., Technical Services Unit, WQCD <br />Permit File <br />dkj cert