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PERMFILE110568
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PERMFILE110568
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Entry Properties
Last modified
8/24/2016 10:07:20 PM
Creation date
11/24/2007 7:51:18 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001077
IBM Index Class Name
Permit File
Doc Date
8/21/2001
From
GREG LEWICKI AND ASSOCIATES
To
CDOH
Media Type
D
Archive
No
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<br />18. STORNIV4'ATER MANAGEMENT PLAN <br /> <br />This item applies to all facilities. A Stormwater Management Plan (SWMP) shall be prepared prior to applying for coverage under the general permit, <br />and the (ollowtng certification signed. See the SWIvfP requirements in Appendix B. <br />"I cerufy under penalty of law that a complete Stormwater Management Plan, in compliance 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 />gathenng the information, the S WMP is, to the best of my Imowledge and belief, true, accurate, and complete. I am aware that there are significant <br />penalties for falsely certifying the completion of said SR+MP, including the possibility of fine and imprisonment." <br />SignaNre of Permit Applicant <br />Date Signed <br />Name (printed) <br />19. Signature o(Applicant <br />Title <br />"I certify under penalty of law that I have personally examined and am familiar with the information submitted in this application and all <br />attachments and that, based on my inquiry of those individuals ttnmediately responsible for obtaining the informa[ion, I believe that the <br />information is true, accurate and complete. i am aware that there are significant penalties for submitting false information, including the <br />possibility of fine and imprisonment." <br />Signature of Owner Date Signed <br />Name (printed) Trtle <br />Signature of Operator <br />Date Signed <br />Name (printed) Title <br />
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