HYDRO21170

• Permit No: C1981014
• IBM Index Class Name: Hydrology
• Doc Date: 2/24/2000
• Doc Name: 4th Q 1999 DMRs
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

PERMITTEE NAME/ADDRESS pkird.FrmryNa.dLacana.l/D~.,I,n)
NAME G;'1LISL>'Y 1'DELS nINING COnPANI
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r1-161 ~ I7-191
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MONITORING PERIOD
YEAR MO DAY YEAR MO DAY
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NAME/TITLE PRINCIPAL E%ECUTNE OFFICER I CERT
AM FF Fr UNDER PFNALTr OF
J.tILIM VIITH THE INFO lAW TNAT 1 HAVE PERSONALLY EXAMINED MD
RMATION SUBMIRED HEREIN; MID BASED ON ~ ~ TELEPHONE DATE
;` t'~t ~„~ ,y.
L MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
BTNNINO THE INFOMIATION
I BELIEVE THE SUBMITTED INFORMATION IS ;
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TRUE, ACCUMTE MD COMPLETE. I AM AWME THAT TNERE ME
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' SIGNIFCANT PENALTIES FOfl SUBMITTING FALSE INFORMATON
INCLUDING ,
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.,, I ~. r THE POSSINUIY OF FNE MD IMPRISONMENT. SEE 18 U.S.C. 1
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COMMENTS ANO EAPLANA71 V N V X ANT V W LA I I V NS INIreFBOCe es eNeCOTBnTS Aa/e/ '
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EPA Form 3320.1 108-95) Previous editions may be used. (REPLACES EPA FORM TAO WHICH MAY NOT BE USED.( PAGE OF
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