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STORMWATER ANNUAL REPORT -METAL MINING (& COAL) <br />Permit Cert. No. COR-04 <br />Second Inspection -Date 12 / 12 / 02. Findings, and action taken: <br />Points 020-030 okay. Section 1 1 SAE okay. S-curve and haul road topsoil stockpiles okav. Rail loop and haul <br />access road okav. Outslopes of ditches okav. Fresh water line okay. <br />Other Inspections -Date _/_/ .Findings, and action taken: <br />C. Results and interpretation of any stormwater monitoring performed. Attach a separate sheet with the lab <br />results, (Monitoring is not a requirement under the permit, unless you were specifically directed to do so by <br />the Division. However, the results of any stormwater monitoring that you performed on your own should be <br />reported here.) <br />Monitoring Results Attached? ~ No ^ Yes <br />D. Certification <br />"I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or <br />those persons directly 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 are significant penalties for <br />submitting false information, including the possibility of fine and imprisonment for knowing violations." <br />~~ <br />Signature of Permittee (legally responsible person) <br />Name (printed) Title <br />Use additional pages as needed. <br />CF 11.9.3 <br />Page 2 of 2 <br />ar6/961t <br />