Laserfiche WebLink
r' <br />'" -STORMWATER A~AL REPORT -SAND AND G <br />Permit Cert. No. COG500 g ~ ~ <br />Second Inspection -Date 9 / 25/ q~! Findings, and action taken: Some rPtanti nn hPrmc wPrP <br />reinforced during season's ooeration~ Th rP chnnl~i ha nn prnhlamt thrnii9hniit the <br />winter. <br />Other Inspections -Date _/_/_, Findings, and action taken: <br />C. Results ¢nd interpretation of any srormwater monitoring performed. Attach a separate sheet with the lab <br />results. (Monitoring is not a requirement under the stormwater section of the permit, unless you were <br />specifically directed to do so by the Division. However, the results of any stormwater monitoring that <br />you performed on your own should be reported here. Any monitoring you performed under the process <br />water section of the permit is reported sepazately, on DMR forms, and should not be included here.) <br />Monitoring Results Attached? X^ No ^ Yes <br />D. Certification <br />"I certify under penalty of law that this document and all attachments were prepazed 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 <br />system, or those persons directly responsible for gathering the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete. I am awaze thaz there aze <br />significant penalties for submitting false information, including the possibility of fine and imprisonment for <br />knowing violations." <br />iz/z/ /sg <br />of Pernlitt~(legally responsible person) Date Signed <br />John 0. Buckner Owner/Oneratnr <br />Name (printed) Title <br />Use additional pages as needed. Page 2 of 2 arl t/9H` <br />