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PERMITTEE NAME/ADDRESS (Include Farilrp• Nama/Gxanon IjDi$erenQ NA~
<br />NAME COI.O;tYO CO.L CJ."P?NY, C.P.
<br />ADDRESSCOLUYYU MICE
<br />5/31 .S?AYS 9IGNHA7 23
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<br />DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved.
<br />MONITORING REPORT,'(D
<br />Mq;9 OMB ND. 2040-0004
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<br />BER OISCMARGE;NUMBER c _ FINAL ~ ~ !~OFA~
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<br />D'AY;.'^~";YEAR ~MO~ DAY
<br />1ST QO. Ol 03 31
<br />`• "~~` NO LI`CNARGE .J/r#'~`
<br />'`- (262]) (28-291 (3031)
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<br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND
<br />AM FAMILIAR WRH THE INFORMATION SUBMITTED HEREIN
<br />AND BASED ON MV F
<br />/ ~ TELEPHON E.y::F; {; j DATE
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<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING -r
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<br />I BELIEVE THE SUBMITTED INFORMATION IS
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<br />ACCURATE ANO COMPLETE. I AM AWARE THAT THERE ARE.'SIGNIFICANi' YYY~~-_~J~/
<br />PENALTIES FOR SUBMITTING FALSE INFORMATION; INCLUDING THE . ,,,,~.;~, .
<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE519'U S.C. 4 IOBt AND 33 U.S.C. .:,SIGNATURE OF PRINCIPAL E%ECUTIVE
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