HYDRO26000

• Permit No: C1981041
• IBM Index Class Name: Hydrology
• Doc Date: 10/3/2001
• Doc Name: 3rd Qtr 2001 DMRs
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

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FACILITY
LOCATION
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NAMERITLE PRINCIPAL EXECUTNE OFFICER I cERTIFr UNDER PENUTV DF
AM FAMILIM WITH THE INFO uW THAT I NAVE PERSONALLY ExAMINEO MD
RMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE

~~ Cj-~U1/C (~ MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATON IS
TRUE. ACCUMTE MD COMPLETE. I AM AWME THAT THEME ME
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1--F4 O r+ StGNIRCMT PENALTIES fOR SUBMITTING FALSE INFORMATION, INCLUDING
THE POSSIeILITV Of RNE MD IMPRISONMENT. SEE 1B U.S.C. 1 1001 MD 33
ONATUR OF PRINCIPAL EXECUTNE /j .10 /,/~/,y
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COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/lrence sll sttschments hers/
SL:TlLElHL6 SOLIDS LZeIT APPLIES ONLY IF S10YR,24HR PRECIPITATION EVENT IS CLAINFD. PERflITSEE ills
LiUNDEN OF RRDOF (iREN ltEpUESTING AfiLiEF FAOtl SETTLEABLE SOLIDS PRIlfAAY LIMITITIONS.
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EPq Fam 3320-1 (08.951 Previous editions may bs used. /REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 00 5 3 6 / 9 9 C 2 2 3 -1256 PAGE ~OF
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