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STORMWATER ANNUAL REPORT - SANn AND GR.iv};1, <br />Permit Cerr. No. COCr50 <br />Second Inspection -Date L11 ! J 7Findings, and action <br />., . . <br />Otbcr Inspections -Hate _/_/, Findings, and action taken: <br />-!~~ <br />C. Results omd imterpretariox of any stornvrarer mam/rorimg performed, Artach a separate sheet witk the lab <br />results. (Monitoring is not a tegrrinment under the permit, unless yon were apeciFically directed to do so by <br />the Division. However, the results oCany stormwrtcr monitoring that you paCotmed nn your own should be <br />reported h<rc.) <br />Monitoring Results Anached? ®No ^ Ya <br />D. CertiGcatfon <br />"I certify under penalty of law that this dtxument and all nttachments were prepared under my direction or <br />supervision in accordance witb a system designed to assure that qua)ified perwnnel properly gather and <br />evaluate the infottttatiwr submitted. Hasid on my inquiry of the person or persons who manage tha system, or <br />dtose persons directly responsible Cot gathering the information, the information submitted is, to the Crest of <br />my knowledge sod belief, trot, accnrrte, and cnmptetc. I am aware that there are significant penalties for <br />submitting false information, including the possibifiry of 5tre and imprisotttttent Cor knowing violations." <br />Sign~~aApture of Pernuttce (legally respotm'ble person) Date Signed <br />f- ut SC n ~(1 t~Cu/tC~' <br />Name (printed) ~ Title <br />Ux additioml gages u seeded. Psge 2 of 2 <br />RFGEIVED <br />FEB 2 0 2007 <br />Division of Reclamation, <br />Mining and Safety <br />Laor+s <br />~.1 <br />~' <br />