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<br />l7-151 l17-I91
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<br />PERMIT NUMBER DISCHARGE NUMBER
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<br />YE R O D Y YEAR MO DAY
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<br />!20.2/1 l12-231 !14251 126-171 178-I91 !34911
<br />Form Approved.
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<br />NAMElTITLE PRINCIPAL EXECUTNE OFFICER I CERT
<br />AM FA FY UNDER PENALTY OF LAW THAT I HAVE PER]ONALLY E%AMINED MID
<br />MILIAR WITH THE INFORMATON SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE
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<br />MY INQUIRY OF THOSE INDINDUALe IMMEDIATELY AE6PON6dLLE FOR _
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<br />v. Gordon Peters OBTNNING THE INFORMATION, 1 BELIEVE THE GURMITTED INFORMATION IS
<br />TRUE. ACCURATE AND COMRETE. I AM AWME THAT THFRE ARE
<br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLUgNG ~
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<br />970-824-4401
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<br />COMMENTS AND EXPLANATION OF ANY vroLAT1oN5 lRefennce e// etncnments nenl
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