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Print Form <br />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 ofform for each reporting year. Or go to <br />www.cdphe.state.co.us/wq/PermitsUinj'? Check if this is a <br />Permittee (Company Name): - _ ( L(x v' m G• t. C 11 <br />Facility Name: 1"A jDn 5 L_ <br />Mailing Address: <br />Facility Phone Number: <br /> <br />Stormwater Permit Certification No. COR34- `T <br />(or Process Water Certification No. COG50- .) <br />0 <br />,j 7 <br />Reporting Period: Jan. 1-Dec. 31, 20 d q (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 taken <br />to comply with your Stormwater Management Plan (SWMP), to fully implement it, changes or improvements <br />made in any of your Best Management Practices (BMPs), employee training, spills, other problems <br />encountered, etc. How is your plan working?) <br />Were changes made to your SWMP? [B/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 12 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 <br />??,?- IDT" ?oo?l <br />Findings, and action taken: <br />5c,- Me -4- 41r% ld44 lex_ <br />-k" e rn \o- l 'W --k <br />74 <br />w ???-CL <br />,mks <br />Z1{3 <br />U -,nip. <br />Note - form may be reproduced Page 1 of 2 ar6106mm