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<br />NATIONAL POLLUTMT DISCHMOE ELIMINATION SYSTEM /NPDES) Form Approved.
<br />DNiCNARGE MONITORING RWORT /OMRI M T y 1 q OMB No. 2040-0004
<br />/I-l61 Il 1-T 91
<br />C D 3 211 5 OO9 q (SOP.? y 7) Approve/ expires 05-31-98
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<br />HE.O.UIREMENT:.:' .
<br />NAME/TRLE PRINCIPAL EXECUTNE OFFlCER I CERTIFY UNDER PEHILLTV OF
<br />AM FAMIUM WITH THE INFO LAW THAT I HAVE PERSONALLY ExAMINED MD
<br />RMATION SUBMITTED HEREIN; MD BMED ON TELEPHONE DATE
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<br />~~ GOYdOn Pe Cete MY INOIxRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING THE INFORMATION, I Bf11EVE THE SUBMITTED INFORMATION IS
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<br />970-834-4401
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<br />President /General Manager TRUE. ACClxV1TE MD COMPLETE. 1 AM AWME TNAT TNEAE ME
<br />SIONIFCMT PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLUDING
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<br />THE POSSIBILITY OF HNE MD IMPRISONMENT. SEE 18 U.S.C. ! 1001 MD ]]
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