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STORMWATER ANNUAL REPORT - METAL MINING (& COAL) <br />Permit Cert. No. COR -04 U 1_3_ <br />Second Inspection - Date Findings, and action taken: L <br />41 1 :t — SFo#'r vl ��rl' r- -/- et;eloy StekI G�c�S <br />'41 be.A31-f <br />; fl <br />J t /'�' fi \ S P.er "(Zd� . GC1 H(4 Gck'. S <br />Other Inspections - Date k /fi /f Z. Findings, and action taken: Ic.17 4 P ' (i/f 1 Gt t� AA-s <br />f t � <br />4 zeu� (� P,Q ro- cZvI r -6 11 / � s ° / !cc <br />' tv/e <br />.f r'l (mac vt� OV1 kr a (L�77 ✓l�tG �rf /5 �a�v? <br />{ <br />6 s �'— j � 5 7 79 <br />/ tf/L�"'L / <br />D. Certification <br />Use additional pages as needed. <br />C. Results and interpretation of any stormwater monitoring performed. Attach a separate sheet with the lab <br />results. (Monitoring is not a requirement under the permit, unless you were specifically directed to do so by <br />the Division. However, the results of any stormwater monitoring that you performed on your own should be <br />reported here.) <br />Monitoring Results Attached? . No <br />"I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or <br />those persons directly responsible for gathering the information, the information submitted is, to the best of my <br />knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for <br />submitting false information, including the possibility of fine and imprisonment for knowing violations." <br />Signature of Permittee (legally responsible person) Date Signed <br />i tyik.id 6 -- /Z <br />Name (printed) <br />Yes <br />/ <br />C L L...7 ' 1 ec^ <br />a <br />t c{ <br />�� <br />c l/ e' i <br />- t< <br />� `c� f�1� C/ vC jt S — Jl l <br />CyCE'cZf� tale °pl�j 54E <br />cc vi <br />ef‘ 61 1") q L7 6,w l <br />Title <br />Page 2 of 2 ar6 /06mm <br />