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S"F(~RMWATER ANNiJAL REPORT.- Coal. <br />Permit Cert. No. COG850 0 1 0 <br />Second Inspection -Date 61091 95 Findings, 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 /> <br /> <br /> <br />Ocher Inspecdoas - Date~~ 9 5 Findings, ffi1d action taken: Dur i n g the q <br />inspection, the site was examined for vegetative cover and uarter 1 v <br />any erosional <br />features which may have developed in the reclaimed ground. No maintenance <br />was required, No discharge occurred during the quarter. <br /> <br /> <br /> <br />C. Results and itunpretation of any stotmwater monitoring preformed Attach a separate shed with the lab <br />resukt. (Monitoring is not a requirement under the stormwsiter section of the permit, unless yon were <br />specifically directed to do so by the Division. However, the results of a>ry stormwater monitoring that <br />you performed on your own should be repotted here. .4ny monitoring you performed under the process <br />water section of the permit is reported separareiy, on DMR forests, and should not be included here.) <br />Monitoring Results Attached? ^ No ^ Yes <br />D. Certification <br />'I certify under penalty of Iaw that this doaaneat and all attachments were prepared tinder my dit+ection or <br />supervision in accordance with a rystem designed to astute that qualified perso~el ptvperly gather and <br />evaluate the information subttiimed. Based on trey inquiry of the person or pegs who manage the <br />rystem, or those persons directly responsible for gathering the information, the information subntitoed is, <br />to the best of my knowledge and belief, tote, ~~^,*~, and complete. I am aware that there are <br />significant penalties for submit false information, inchtding the posstbfLt' y of fux and ~iprisonment for <br />1Qtowing violations.' / 1 _ <br />Signature of golly responsible person) Date Signed <br />Mike Keegan Colorado Properties Manager <br />Name (printed) Title <br />Use addiCOnal pagers as needed. Page 2 of 2 ctiAki <br />