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e~ <br />'' COLORADO DEPARTMENT OF HEALTH <br />Water Quality Control Division <br />' WQCD-PE-B2 <br />4300 Cherry Creek Drive South <br />Denver, CO 80222-1530 <br />' METAL MINING OPERATIONS <br />GENERAL PERNIIT <br />' CERTIFICATION OF COMPLETION AND IMPLEMENTE~TION OF <br />STORMWATER MANAGEMENT PLAN <br />Permittee Facility Number: C O.R - 0 4 _ <br />1 Company/Permittee Name: <br />' Facility Name: <br />' "I certify under penalty of law that a complete Stormwater Management Plan, in <br />' compliance with this the permit, has been prepared for my facility and has been <br />implemented at my facility. Based on my inquiry of the person or persons who <br />manage the system, or those persons directly responsible for gathering the <br />' information, the Stormwater Management Plan is, to the best of my knowledge and <br />belief, true, accurate, and complete. I am aware that there are significant penalties <br />for falsely certifying the completion and implementation of said SWMP, including <br />' the possibility of f-ne and imprisonment for knowing violations." <br />1 <br />Signature of Applicant Date Signed <br /> <br />' Name (printed) Title <br /> <br />1 <br />