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.<:; <br />NPDES General Permit for Storm water Discharges <br />Annual Site Compliance Evaluation <br />Page 3 <br /> <br />certification by Environmental Supervisor <br />"I certify under penalty of law that this doctimtent and all attachments were prepared tinder ~ - ~ - <br />my direction or supervision in accordance with a system designed to~assiue that qualified <br />personnel properly gather and evaluate the information submitted. Based on my inquiry of ~. <br />the person or persons who manage the system or those persons directly responsible for _ _ <br />_ gathering the information, the information submitted is, to the best of my knowledge and - = ...:" <br />belief, true, accurate and complete. I am aware that there are significant penalties for „:~` .- .:: ~ '; ° ::~: <br />_ submitting false infotmatitin, including the possibility of fine and imprisonmtent for ~• ", -~;' <br />knowing violations." ': ... - - - <br />. Signature: - , <br />Title: <br />Date: <br /> <br />