2026-01-21_REPORT - M1981043 ‎(4)‎

• Permit No: M1981043
• IBM Index Class Name: Report
• Doc Date: 1/21/2026
• Doc Name Note: CDPHE Stormwater Insp report
• Doc Name: Annual Report Supplemental Information
• From: CDOT
• To: DRMS
• Annual Report Year: 2025
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

SAND AND GRAVEL REPORTING
(Required for the CDPHE Annual Report) Revised: 4118118
COLORADO
• De,,Paytment of T ranspioYtation
Facility Location:
Certification No.:
North of Douglas Pass Pit
COG502081
Facility Location:
Weather Conditions
US 139 and Roe Canyon, Rio Blanco County
DRY
Monitor's Name;
Date of Inspection:
KIRK MARDESEN
10/07/2025
Facility Inspection — Stormwater Only
DRMS Permit No.:
M-81-043
SWMP Administrator Name:
KIRK MARDESEN
CDOT Work Order Number:
This inspection is being performed in compliance with Part I.J. of the Stormwater Discharge Associated with Sand and Gravel Productions. If an
inspection(s) was not conducted in accordance with the required frequency, attach an explanation of why.
1. Was this the required one time annually the monitoring was conducted during a runoff event? ('es IO No
2. Has the site created any process water (screen washing or transport slurry) or mine dewatering? O Yes E)No
OActive Site: Require 4 inspections annually (Quarterly). Date that facility became active: UN KNQWN
Inactive and Unstaffed Site wl No Exposure: Require 2 inspections annually (Spring/Fall) and a signed Certification of No Exposure (Page 4 of 5)
signed. Inactive requires that no activities have taken place atthe facility (except inspections) from the date of the last inspection listed here:L
DInactive and Unstaffed Site wt Exposure: Require 6 inspections annually (At least 20 days apart and no more than 2 months apart). Inactive requires
that no activities have taken place at the facility (except inspections) from the date of the last inspection listed here:
Control Measures at Time of Inspection
Control Measure
Maintenance
Additional Control
Comments — Include the location of
Date of
Used? (1)
Required?
Measures Needed?
control measure and description of
Correction
(2)
(3)
corrective actions required.
(4)
Y N
Y N
Y N
Clean Water Diversion
X
X
Sediment traplbasin
X
V
v
/��
Perimeter control: Berm, Silt
X
X
fence, Erosion Logs, Bales
Check dam
X
X
Outlet protection
X
X
Vegetative Buffer
v
v
Landform
X
X
X
Seed/Mulch
X
X
Seed/Soil Retention Blanket
X
v
Other: (examples -vehicle tracking
X
X
ad, fencing, etc.
t l i in CateWileffler rr ie control measure listed is in use at this facility.
(2) Indicate whether the control measure requires any type of maintenance such as repair or removal of accumulated sediment; or if the control measure has failed. As
stated in the permit, repairs or maintenance identified shall be completed immediately.
(3) Indicate whether any new or different control measures are needed on the project_ As stated in the permit, revised control measures shall be implemented before
the next anticipated storm, but in no case more than 60 calendar days afterthe inspection.
(4) Enter the date that maintenance, repair, or replacement of control measure is completed, or that an new type of control measure is installed.
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