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~, ~ III IIIIIIIIIIIIIIII <br />COLORADO DEPARTMENT OF HEALTH ,`; <br />.-0 <br />Water Quality Control Division <br />WQCD-PE-B2 <br />4300 Cherry Creek Drive South <br />Denver, CO 80222-1530 <br />Y <br />SAND AND GRAVEL MINING AND PROCESSING <br />GENERAL PERMIIT <br />CERTIFICATION OF COMPLETION AND IMPLEMENTATION OF ~¢ <br />STORMWATER MANAGEMENT PLAN <br />Permittee Facility Number: COG - 5 0 ~ - ~' <br />Company/Permittee Name: ~ ~T-4 ~~ ~c~ •°~~` ~~is+/e ~ ~~ <br />Facility Name: ~ ~ ~ <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 directly <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 ~^rs <br />implemented as written. I am aware 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 />/ ~l ; <br />Signature of Applicant Date Signed <br /> <br />Name (printed) <br />Title <br />;; <br />_, <br />