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Plan Certification <br />Facility Name: Riverbend <br />Facility Type: Concrete batch plant (SIC Code 3271) <br />Asphalt plant <br />Aggregate Mining <br />NPDES General Permit Number: <br />Date that initial operation began: <br />Facility Address: <br />Emergency Contact: <br />Phone: <br />Operation Schedule: <br />Number of Employees: <br />Average Process Water Dischazge: <br />COR-500416 <br />TBD <br />12000 WCR 6 <br />Fort Lupton, CO 80601 <br />Kevin Moore, Operations Manager <br />(303) 657-3624 office <br />TBD <br />TBD <br />TBD <br />I certify under penalty of law that this document and all attachments were prepared under <br />my direction or supervision in accordance with a system designed to assure that qualified <br />personnel properly gathered and evaluated the information submitted. Based on my <br />inquiry of the person or persons who manage the system, or those persons directly <br />responsible for gathering the information, the information submitted is, to the best of my <br />knowledge and belief, true, accurate, and complete. I am aware that there aze significant <br />penalties for submitting false information, including the possibility of fine and <br />imprisonment for known violations. <br />This Storm Water Pollution Prevention Plan will be implemented as herein described. <br />Name <br />Title <br />Date <br />Signature <br />Riverbend <br />Storm Wa[er Management Plan <br />Page 3 of 19 <br />