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STORMWATER ANNUAL REPORT -COAL MINE Permit No. COG-850000 <br />Second Inspection -Date: August 27, 2003 Findings, and action taken: <br />Sediment control system functioning as designed. No maintenance required, no action taken. <br />Other Inspections -Date: June 19, October 28-29, 2003 Findings, and action taken: <br />100-yeaz storm event in September 2003 caused some erosion and rilling on road surfaces. <br />No damage or loss of function to sediment control system, No dischazges. <br />Repairs to road surfaces to be made in Spring 2004. <br />C. Results and interpretation of any stormwater monitoring performed. Attach a separate sheet <br />with the lab results. (Monitoring is not a requirement under the permit, unless you were <br />specifically directed to do so by the Division. However, the results of any stormwater <br />monitoring that you performed on your own should be reported here.) <br />Monitoring Results Attached? No XX Yes <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 evaluate the <br />information submitted Based on my inquiry of the person or persons who manage the system, or those persons <br />dvectly responsible for gathering the information, the information submitted is, to the best of my knowledge and <br />belief, true, accurate, and wmplete. I am aware that there are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment for knowing violations." <br />Signature of Permittee (legally responsible person) Date <br />Michael S. Savage, Savage and Savage, Inc, Principal <br />Name (printed) <br />Title <br />Use additional pages as needed. Page 2 of 2 <br />