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STORMWATER ANNUAL REPORT - SAND AND GRAVEL Print Form <br />COLORADO DEPT. OF PUBLIC HEALTH & ENVIRONMENT <br />Water Quality Control Division <br />WQCD-PrB2 <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.uslwqlPermits Whit <br />Permittee (Company Name): _ (. L-q.?-.7y15 Check if this is a <br />Facility Name: ? <br />- <br />Mailing Address: '4d <br />967 ? <br />Facility Phone Number: a `"R <br />Stormwater Permit Certification No. COR34- <br />(or Process Water Certification No. COG50- L ) <br />J "o <br />Reporting Period: Jan. 1-Dec. 31, 20 f? (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?) 'V" <br />? '?te CO- p <br />pt", i S w x?? e& <br />Were changes made to your SWMP? Q"'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 Findings, and action taken: <br />t-c.l k P4- c d fl' ci-r?? <br />Note - form may be reproduced Page 1 of 2 <br />- ar6/o6mm