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STORMWATER ANNUAL REPORT - SAND AND GRAVEL <br />COLORADO DEPT. OF PUBLIC HEALTH & ENVIRONMENT <br />Water Quality Control Division <br />WQCD-P-B2 <br />4300 Cherry Creek Drive South <br />Denver, Colorado 80246-1530 <br />Make enough copies of form for each reporting year. Or go to <br />http: //wivw. cdphe. state. co. us/wq/Permits Unit/stormwater/industrial. html <br />Permittee (Company Name): <br />Facility Name: <br />Mailing Address: <br />Facility Phone Number: <br />Check if this is a <br />new name, address, etc. <br />Permit Certification No. COG-50 <br />Reporting Period: Jan. 1-Dec. 31, 20 _ _ (Form is due by Feb. 15 of the following year) <br />**Each section must be completed. Please print or type.** <br />A. A report on the facility's overall compliance with the SWMP. (Include here a summary of any measures <br />taken to comply with your Stormwater Management Plan (SWMP), to fully implement it, changes or <br />improvements made in any of your Best Management Practices (BMPs), employee training, spills, other <br />problems encountered, etc. How is your plan working?) <br />Were changes made to your SWMP? T No _ Yes - Describe changes on a separate sheet. <br />B. A summary of each comprehensive stormwater facility inspection made, including date, findings, and action <br />taken. (The permit requires at least two comprehensive facility inspections per year - see page 8 of the <br />permit. Include here a summary of those inspections, plus any other comprehensive inspections made. It is <br />not necessary to summarize day-to-day inspections, unless significant problems were noted.) <br />First Inspection - Date Findings, and action taken: <br />Note - form may be reproduced Page 1 of 2 ac6/06sg