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1$. STORMWATF'.RMANACEIViPNT PLAN <br />This item applies ro aD facilities. A StormwatuManagement Plan (SWMP) shah be prepared prior to %+plying for coverage under the generel pemdt, <br />and the following certifiradon signed. See the SWMP regldrerrxnts in Appetdix D. <br />"1 certify under penalty of taw that a complete Sturmwater Management Plan, in rornpliance with Appnrdix H of this application, has been <br />preparcd for my faciiiry. Based oa my inquiry of the person or persons who manage the system, or those persona directly responsible for <br />gathering the information, the SWh~ is, to the best of my knowledge and belief, tnte, accurate, and complete. tam aware that there are significant <br />penalties for falsely ceclifying [he completion of said S WMP, including the possibility offine and imprisonment" <br />19. Sienatnre ofApphcsot <br />"( certify under perrelty of law that f have personalty examined and am familiar with tha information submitted in this application and all <br />attachments and that, based on my inquiry ofthose irdividua[3 immediately responsible for obtaining [he information, I believe that the <br />information is true, acasete and wmplete I am aware that there are significant penalties for submitting false information including the <br />possibility of fine and imprisonmern." <br />Slg[18NR of Owner f7ata Signed <br />Name (printed) ~ Titre <br />Signatureofopera~ Date Signed ',/3e ~Le <br />Name (printed) Tony Rathbun <br />TaleProject Manager <br />Name(printed) Tony Rathbun Titteproject Manager <br />