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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 />www.cdphe.state.co.us/wq/PermitsU it a Check if this is a <br />Permittee (Company Name): Z"ate k;r CC) I,wu k-n 13 <br />Facility Name: 1 oast U i c? 13 <br />Mailing Address: ? a? 2S? (AS 'CkwLi boa n 3) CD 9 1 _-?0-3 13 <br />Facility Phone Number: 7? (10 <br />Stormwater Permit Certification No. COR34- 10 Lf o <br />(or Process Water Certification No. COG50- ) <br />THIS IS A REQUIRED FIELD If this is not filled in the report will be returned. - Please do not input 110000" <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 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?A' No 0 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 Findings, and action taken: <br />3?1°I lob N, 5;?,n w` Acme A- ?x>rmi? c? i?, <br />' 5 ?r „xis + Ke re taC-C <br />Ck C OSS rcckd. <br />Note - form may be reproduced Page 1 of 2 ar6l06mtn