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GENERAL50382
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GENERAL50382
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Entry Properties
Last modified
8/24/2016 8:35:43 PM
Creation date
11/23/2007 5:54:38 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2003091
IBM Index Class Name
General Documents
Doc Date
7/28/2003
Doc Name
CDPS Permit Application
From
Lafarge West Inc.
To
DMG
Media Type
D
Archive
No
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18. STOR.~IWATER MA;VAGEbfEi`!'[' PLAN <br />This imm applies ro all facilities. A Stormwa[er Managemen[ Plan (SWMP) shall be prepared prior [o applying for coverage under the general <br />permit, and the following cettifica[ion signed. See the SWMP requirements in Appendix B. <br />"I certify under petulry of law that a complete Stormwarer Managemem Plan, in rompliance with Appendix B of this application, has been <br />prepared for my facility. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for <br />gathering the information, the SWMP is, to the best of my latowledge and belief, true, accurate, and complete. I am aware that there are <br />signiticant penalties for falsely cettifying the completion of said SWMP, including the possibility of fine and imprisonmen[." ' <br />Signature of Permit Applican[ Dale Signed <br />Todd Ohlheiser Vice PresidendGeneml Manatter <br />Name (printed) Tide <br />l9. Signature of .Applicant <br />"I certify under penally of law [ha[ [have personalty examined and am familiar with the information submitted in this application and all <br />attachments and that, based on my inquiry of those individuals immedia[ely responsible for obtaining the information, I believe that the <br />and complete. I am aware that there are significant penalties for submitting false information, including the <br />~-22-~3 <br />Sigtmmre of Owner Dale Signed <br />Todd Ohl ~ Vice PresidendGeneral Mans er <br />Name ( t ~~ J/ Title ~ _ ~ <br />~/ Z ~ <br />Signature of Operator Date Signed <br />Todd Ohlheiser Vice PresidendGeneral Manager <br />Name (printed) Title <br />
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