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Signature:The applicant must be either the owner and operator of the construction site.Refer to Part B of the instructions for additional information. <br /> The application must be signed by the applicant to be considered complete. In all cases,it shall be signed as follows: <br /> (Regulation 61.4(1 ei) <br /> a) In the case of corporations,by the responsible corporate officer is responsible for the overall operation of the facility from which the discharge <br /> described in the form originates <br /> b) In the case of a partnership,by a general partner. <br /> c) In the case of a sole proprietorship,by the proprietor. <br /> d) In the case of a municipal,state,or other public facility,by either a principal executive officer,ranking elected official,(a principal executive <br /> officer has responsibility for the overall operation of the facility from which the discharge originates). <br /> FORMER PERMITTEE used for transfers <br /> Signature(Legally Responsible Party) Date <br /> Name(printed) Title <br /> 4 OF 4 <br />