HYDRO21966

• Permit No: C1981044
• IBM Index Class Name: Hydrology
• Doc Date: 10/29/1999
• Doc Name: 3RD QTR 1999 DMRS
• From: RAG EMPIRE CORP
• To: WQCD
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

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NAME/TITLE PRINCIPAL IXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF L
AM FAMILIAR Wm1 THE INFORM AW THAT I HAVE PERSO
ATION SUBMITTED HERE NALLY E%AMINED AND
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AND BASED ON MY TELEPHONE DATE

Richard M(Ils INQUIRY OF THOSE INDIVIDUAL
THE INFORMATION
I BELIEV ;
S IMMEDIATELY RESPONSIBLE FOP OBTAINING
E THE SUBMITTED INFORMATON IS TAUE ~
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n VIrOTlmen tal
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ACCURATE AND COMPLETE.
PENALTIES FOR SUBMITTING ,
I AM AWARE THAT THERE ARE SIGNIFlCANf
FALSE INFORMATION
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OFFICER OR AUTNORU'ED AGENT
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UUMMtN7S AND EXPLANATION OF ANY VIOLATIONS (Rererence ell attachments here)
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