HYDRO21928

• Permit No: C1981010
• IBM Index Class Name: Hydrology
• Doc Name: ATTACHMENT TO NPDES 011 DMR 4TH QUARTER 1999 10/199-12/31/99
• Permit Index Doc Type: NPDES
• Media Type: D
• Archive: No

y PERMITTEE NAME/ADDRESS (/dd, fsi4yNaWlonnan UDI]finn,) NATIONK POLLUTANT pISCNMOE ELIMINATION 9YSTFM INPDESI Form Approved.
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ADDRESS T R A P P Y. H 17 C N@ ': 0 D 7 3 21I $ 012 )1, (.i n 9 P 4 LI ~ Approval expires O$-3.1-98
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NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF lAW THAT I NAVE PEM1SONAUY EAAMINED AND TELEPHONE ~ DATE
AM FAMIIIM WITH THE INFORMATION SUBMITTED HERDM; AND BASED ON '
MY INQUIRY OF THOSE IMDIVIDUAL9 IMMEDIATELY RESPONABLE FOR
W. Gordon Peters OBTNNINO 7HE INFORMATION, I BELIEVE THE SUBMITTED INFORMATON la ~fM "' ~~ 970-824-4401 UD DI ~
TRUE, ALCl1MTE AND COMPLETE. I AM AWARE THAI TNERE ARE
PTL;sident /General Manager: SIGNIRCANT PENALTIES FOR SUBMITTING' FALSE INFORMATION, INCLUDING
THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE 1B U.S.C. 1 1001 AND 33
u.s.c. t 13te. /IMW4F vIl.r INS mgPh. nlrY A,cAId~ re. Ip ro F10,000 SIONATIINE OF PRINCIPAL EXECIli1VE
• TYPED OR PRINTED wrm...MI..r lrw~ialnwnr we.w..nemmna.ndsY.v.l OFFlCER OR AIlEHORIZED AOENi CODE NUMBER YEAR MO DAY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRAerranc4 el/sttschments here/
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10 bAI AVERAGE IS H GRF.ST lfONTRLT AY P.RA :P DI1R[9G PF~
EPA Form 3320-7 108-95) PrevlDU. edRlons meY be used. IREPIACES EPA FORM X40 HICR MAY NOT E U6ED.E 0009 3 /99 0 42 1-1 0 3 p QA`GE ~OF ~,