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ST@RMWATER A1~iUAL REPORT- COAL <br />PFr'miL Cert. No. COG850 0 1 0 <br />Second Inspection -Date 61091 95 Futdings, and action taken: During the quarterly <br />inspection, the site was examined for vegetative cover and any erosional <br />features which may have developed in the reclaimed ground. No maintenance <br />was required. No discharge occurred during the quarter. <br />Other Itulxctions -Date ~~ 9 5 Findings, and action taloen: During the quarter 1 y <br />inspection, the site was examined for vegetative cover and any erosional <br />features which may have developed in the reclaimed ground. No maintenance <br />was required. No discharge occurred during the quarter. <br />C. Results and interpretation of any stormwater tnonttoring Performed Attach a separate sheer with the lab <br />results (Monitoring is not a requirement under the sbormwatrr section of the permit, unless yon ante <br />specifically direcxd tp do so by the Division. However, the tssults of nay stormwater monitoring that - <br />you performed on your own should be reported hers. Any monitoring you performed under the process <br />water section of the permit is reported separately, on DMR forms, and should not be included here.) <br />Monitoring Results Attached? ^ No ^ Yes <br />D. Certification <br />'I certify under penalty of law that this doc~e~ and all aZtarhments wets prepared under mY daection or <br />supervision in acwrdance with a system designed to assure that quali5ed persotmel properly gather and <br />ev.luate the information submitted. Based oa my inquiry of the person err persons who manage the <br />system, or those persons dttsctly tssponstble for gathering the information, the information submimed is, <br />to the best of mY Imowledge and belief, true, ~~~+~, and complete. I am aware that titere are <br />significant penalties for subtait~false information, including the posstbtlny of fine need imprisottttxat far <br />!mowing violations.' / l - <br />_/3 _S~ <br />Signanue of Pertnittra~(l~gally tssponstble person) Date Signed <br />Mike Keegan Colorado Properties Manager <br />Name (printed) Title <br />Use addiROnal pages u needed. Pate 2 of 2 vttA41 <br />