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STORMWATER ANNUAL REPORT - METAL MINING (& COAL) <br />Permit Cert. No. COR -04 L . 0 IL <br />Second Inspection - Date /L�/LZFindings, and action taken: C('ou.cl Cl`'► t Gtr S 2verc -- <br />Li J AO. em 5/ 7 r eL5JI 145 / /erc. Y�O <br />Or2I C e G F <br />,b/'rw p7rE /G TC�I i"'� 1r..,14 *553 <br />Other Inspections - Date _ /j'/.,.,Findings, and action taken: 6 rcl&xc ctvIditINY <br />ra.+e , ,i l ( 1 h/ . 501 0Wc..i iteC174f 5 40( <br />tri w ere_ v ry (a arid dim , S7ec _ /. 7 ? i <br />, /) Itvl -1,1 ‘ 4071V 0 441 <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 _ Yes <br />D. Certification <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 res s onsible person) Date Signed <br />Use additional pages as needed. <br />p //odd 6_ - 7APr oitmea <br />Name (printed) / Title <br />Om <br />Page 2 of 2 ar6 /06mm <br />