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COLORADO DEPT. OF PUBLIC HEALTH & ENVIROMENT <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 />http:/Mrww.cdphe. state. co. us4 vo/ PermitsUnit/stormwaterfindustrial html <br />Check if this is a <br />new name, address, etc. <br />Permittee (Company Name): Northern Colorado Water Conservancy District <br />Facility Name: COR- 340942 Gravel Extraction <br />Mailing Address: NCWCD — Farr Pumping Plant, P.O. Box 1617, Grand Lake, CO 80447 <br />Facility Phone Number: ( 970 ) 627 -3406 <br />Permit Certification No. COR-34 0942 <br />Reporting Period: Jan. 1 -Dec. 31, 2011 (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 to <br />comply with your Stormwater Management Plan (SWMP), to fully implement it, changes or improvements made in <br />any of your Best Management Practices (BMPs), employee training, spills, other problems encountered, etc. How <br />is your plan working ?) <br />No spills, no production, no changes to the SWMP. <br />Were changes made to your SWMP? X 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 8 of the permit. <br />Include here a summary of those inspections, plus any other comprenhensive inspections made. It is not <br />necessary to summarize day - today inspections, unless significant problems were noted.) <br />First Inspection — Date: May 312011 Findings, and action taken- <br />No production, no changes <br />CADocuments and Settmgsystoupalocal SettingsWernporary Internet Ffles \Content OutlooWELH5HBT12011 Report doc 09/25/2007 <br />