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STOBMWATER ANNUAL, REPORT - -SAND AND GRAVEL <br /> Permit Cert.No. COR34/COG-501646 <br /> Second Inspection-Date 61�/�11` Findings, and action taken: <br /> No action necessary <br /> Other Inspections-Date�l 1 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 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 perfonned on your own should be <br /> reported here.) <br /> ? RI No, oYes <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 /> thuase s ga+�g Abe ts, k x of my <br /> know,k4 a and be&f,,1 ,male,andcompletc. Tam swum tbat t .aa nt ltie for <br /> submitting false information,including the possibility of fine and imprisonment for knowing violations." <br /> 1 /28/2015_ <br /> ftut=of ten any responEable p n:)• Daw Signed <br /> Thomas E Brubaker President <br /> Name-Orin ed) 'title <br /> 79e 7 or ii ges' sNp 2 4f 2 WI/I Isg <br />