HYDRO26957

• Permit No: C1981041
• IBM Index Class Name: Hydrology
• Doc Date: 10/19/1999
• Doc Name: 3rd Qtr 1999 DMRs
• From: J E STOVER & ASSOCIATES
• To: WQCD
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

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NAME POtlDEP.HOY,l7 COAT. CJt':PANY
ADDRESSnOADSIDE +:I'~i:, ?• ti , pJBTALS
P.U. NOX 1+/~1~
PALISASd CO 111525
FACILITY
LOCATION
~T'Cr~: JOHN A. ,.try,;f, pa ;:;ILF;tiT
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YEAR MO DAY YEAR MO DAY
FROM Y i / U L TO U y
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NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENKTY OF LAW THAT I HAVE PERSONALLY EXAMINED MD
AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED OM TELEPHONE yy,,., DATE
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J . ~ S-~~~-~ MY INDUIRV OF TNOBE INDIVIOUN.S IMMEDIATELY RESPONSIBLE FOR
OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
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TRUE. ACCUMTE MD COMRETE. I AM AWME THAT THERE ME
SE INFORMATION
IF
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SIGN
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' THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 1B V.S.C. ! 1001 AND 9J SIGNATURE OF PIIINCMAL E%ECUTNE -' r ~/~ /

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COMMENTS AND EXPLANATION OF ANV VIOLATIONS (Re)ersnce s// ettsenmsnts here! T ~ ~o ,
-:iiLS UUTFALL IS NOT tLIGIi3LE FOr3 EYENPTIOKS Fn0"1 TOTAL SOSPENCkC SCLICS {TSB), 70TAL IRO ANC~J;t
-iBTTLEA23LE SOLIDS LIIIITAIIONS - St:E I.n.2. ~o
EPA Form 3320.1 108-951 Previous editions mey ba used. IREPLACE6 FDA FORM T40 WNICN MAV NOT BE USED.1 0 0 313 / 9 U C 2 2 3 -12 5 6
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