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STORMWATER MANAGEM. PLAN 2/20/09 <br />Maryland Creek Ranch <br />INCIDENT INSPECTION <br />If a significant spill or other reportable discharge occurs, an Incident Inspection should be <br />conducted. The following information should be gathered: the spilled substance, quantity of the <br />spill, quality and quantity of stormwater which was affected, corrective actions taken. <br />Copy and use the form, INCIDENT INSPECTION, to record the information gathered about the <br />incident. Keep a copy with the SWMP records. <br />PERMIT # COR-50-0433 OPERATOR Everist Materials LLC <br />PERMIT <br /> <br />HOLDER Everist Materials LLC SITE NAME Maryland Creek Ranch <br />ry <br />MAILING <br />ADDRESS PO Box 1150, Silverthorne, CO SITE <br />LOCATION 28755 Hwy 9 Silverthorne, CO 80498 <br />INSPECTED INSPECTION <br />BY DATE <br />DATE OF INCIDENT: <br />DESCRIPTION OF SIGNIFICANT SPILL OR REPORTABLE DISCHARGE <br />QUANTITY (if known): <br />SUBSTANCE: <br />OTHER DETAILS: <br />DESCRIPTION OF STORMWATER AFFECTED BY SPILL <br />QUANTITY (if known): <br />QUALITY: <br />CORRECTIVE ACTIONS TAKEN <br />20