2016-02-24_REVISION - C1996084 - Laserfiche WebLink

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PART I Page 12 of 31 Permit No.: CO0048988 i. Corrective Action Documentation: The permittee must maintain a copy of all corrective actions documentation for actions taken consistent with of this permit (see CORRECTIVE ACTIONS section) with the facility SWMP. 1. Annual Report: ICIS Code Description Due date Frequency 00308 The permittee shall submit an annual report to the division for the reporting March 1, Annual period January 1 through December 31 2017 a. The Annual Report shall include: • Name of permittee, address, phone number • Permit certification number • Facility name and physical address • Contact person name, title, and phone number • Summary of inspection dates • Corrective action documentation as required in the CORRECTIVE ACTON section and status of any outstanding corrective action(s). b. The signed copy of each annual report shall be submitted to the Division at the address below, and a copy maintained with the SWMP. Attn: Annual Report Colorado Department of Public Health and Environment Water Quality Control Division WQCD-P-B2 4300 Cherry Creek Drive South Denver, Colorado 80246-1530 2. SWMP Records: The permittee shall retain copies of the facility SWMP, including any modifications made during the term of this permit, documentation related to corrective actions taken, all reports and certifications required by this permit, monitoring data, and records of all data used to complete the application to be covered by this permit, for a period of at least 3 years from the date that coverage under this permit expires or is terminated. 3. Additional Reporting In addition to the reporting requirements stipulated in this Part, the permittee is also subject to the standard permit reporting provisions of Part II of this permit. 4. Signatory and Certification Requirements a. All reports and other information required by the Division, shall be signed and certified for accuracy by the permittee in accord with the following criteria: i. In the case of corporations, by a responsible corporate officer. For purposes of this section, the responsible corporate officer is responsible for the overall operation of the facility from which the discharge described in the form originates; ii. In the case of a partnership, by a general partner; iii. In the case of a sole proprietorship, by the proprietor;