Laserfiche WebLink
PARTI <br />Page No. 15 <br />Permit No.: CO-0027146 <br />The permittee, or the duly authorized representative shall make and sign the following certificafion on all such <br />documents: <br />"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in <br />accordance with a system designed to assure that qualified personnel properly gather and evaluate the infomlation <br />submitted. Based on my inquiry of the person or persons who manage the system, or those persons duecdy responsible <br />for gathering the infom3ation, the information submitted is to the best of my knowledge and belief, true, accurate and <br />complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine <br />and imprisonment for knowing violations." <br /> <br />[NC)perBP.dac <br />Revised 09/15/03 <br />