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COLORADO DEPARTMENT OF HEALTH <br />Water Qua]ity Control Division <br />WQCD-PE-B2 <br />4300 Cherry Cheek Drive South <br />Denver CO 80222-1530 <br />SAND AND GRAVEL NIINING A)\~ PROCESSING <br />GEA'ERAL PERMIT <br />CERTIFICATION OF COMPLETION AND IMPLEMENTATION OF <br />STOR1.4V1'ATER MANAGEMENT PLAN <br />Permittee Facility Number: COG - 5 0 ~ 5 9 <br />Company/Permittee Name: Castle Concrete Company <br />Facility Name: <br />Pike~~ie~. Quarn~ <br />'I certify under penalty of law that a complete Stormwater Management Plan, in <br />compliance with Part I.C.2 of the Sand and Gravel Mining and Processing general <br />permit, has been prepared and implemented for my facility. Based on my inquiry <br />of the person or persons who manage the system, or those persons duectl}' <br />responsible for gathering the information, the Stormwater Management Plan is, to <br />the best of my knowledge and belief, true, accurate, and complete, and <br />implemented as written. I am aH•are that there are significant penalties for falsely <br />certifying the completion and implementation of said SWMP, including the <br />possibility of fine and imprisonment for knowing violations.' <br />~~ <br />GC <br />Signature of Applicant <br />Date Signed <br />=c,~ ~/~i2AD,Q~I U.zcF ~i2cs.1DrN~ <br /> <br />Name (printed) Title <br />