HYDRO23372

• Permit No: C1981010
• IBM Index Class Name: Hydrology
• Doc Name: ATTACHMENT TO NPDES 011 DMR 3RD QUARTER 1999 7/1/99-9/30/99
• Permit Index Doc Type: NPDES
• Media Type: D
• Archive: No

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NAME/TITLE PRINCIPAL EXECUTIVE OFFlCER I CERTIFY UNDER PENMTY OF UW THAT I HAVE PERSONMLY E%AMINED AND TELEPHONE DATE :;~
AM FAMILIM N1TH 7NE INFORMATION SUBMITTFD HEREIN; AND BASED ON
MY INOgRY OF TN09E INDINDUM9 IMMEDIATELY RESPON9IBLE FOfl
W. Gordon Peters OBTAINING THE INFgIMATIOM, I BELIEVE THE 9UBMITTED INFORMATION IS ~ 970-824-4401 99 :0 Z] ~~.~
TRUE, ACCURATE ANO COMRlTE. I AM AWARE THAT TNDIE MF i
PresidentJCeneral Manager 9GNIFCANT PENKTIE9 FOR SUBMITTING FAL9E INFORMATION, IHOLUOINO
THE Po951eILITY OF RNE AND IMF'N90NMENT. 9EE 10 U.S.C. f 1001 MID 9a EIONATi1HE OF MIINCNAL EXECUTNE '
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iPA Fpm 3320-1 108-95) Prs~ROUS edrtlORS msy bs used. (REPLACES EPA FORM T40 WNICN MAY NOT BE USED,/ n ~ ~ ~ 1 ~ O r, ~ U ~~ _ ~ ~I ~ 0 pAGE :,Op~_