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Plan Certification <br />Facility Name: <br />Facility Type: <br />NPDES General Permit Number: <br />Date that initial operation began: <br />Facility Address: <br />Emergency Contact: <br />Phone: <br />Operation Schedule: <br />Number of Employees: <br />Average Process Water Discharge: <br />Parsons Mine <br />Construction Sand and Gravel (SIC Code 1442) <br />Permit # not vet received <br />Currently, not yet operational <br />Weld County Road (WCR) 64%2 and WCR 25 intersection <br />Greeley, Colorado 80631 <br />Anne Johnson, Land Manager <br />(303) 684-2307 office <br />Hours vary <br />-5 <br />Up to 1.5 MGD <br />I certify under penalty of law that this document and all attachments were prepared under <br />my direction or supervision in accordance with a system designed to assure that qualified <br />personnel properly gathered and evaluated the information submitted. Based on my <br />inquiry of the person or persons who manage the system, or those persons directly <br />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 <br />penalties for submitting false information, including the possibility of fine and <br />imprisonment for known violations. <br />This Storm Water Management Plan will be implemented as herein described. <br />Anne Johnson Land Manager <br />Name (Printed) Title <br />Signature <br />Date <br />Parsons Mine <br />Storm Water Management Plan <br />Page 3 of 19