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<br />COLORADO DEPARTMENT OF HEALTH <br />Water Quality Control Division <br />W QCD-PE-B2 <br />4300 Cherry Creek Drive South <br />Denver, CO 80222-1530 <br />SAND AND GRAVEL MINING AND PROCESSING <br />GENERAL PERMIT <br />CERTIFICATION OF COMPLETION AND IMPLEMENTATION OF <br />STORMWATER MANAGEMENT PLAN <br />Permittee Facility Number: COG - 5 0 0 (; ~( <br />Mined Land Reclamation Board Permit Number: M - ~ 1 - ~ <br />Company/Permittee Name: ~f -eS-I't',r~ 1~1n.h~ ~-P, Nf,~i"~'~'?Prl'1 ~ Zip(', <br />Facility Name: -~ ~ AY~P. <br />"I certify under penalty of law that a complete Stormwater Management Plan, in <br />compliance with Part I.C.2 of the Sand and Gravel Mining and Processing general <br />permit, has been prepared and implemented for my facility. Based on my inquiry <br />of the person or persons who manage the system, or those persons directly <br />responsible for gathering the information, the Stormwater Management Plan is, to <br />the best of my knowledge and belief, true, accurate, and complete, and <br />implemented as written. I am aware that there are significant penalties for falsely <br />certifying the completion and implerrientation of said SWMP, including the <br />possibility of fine and imprisonment for knowing violations." <br />i/93 <br />Signature of Applicant (I.e~~lly Responsible Party) Date Signed <br />V,-.ee. <br />Name (printed) Title <br />