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I ~ TEL!-NON! D A T E <br /> ION SUBMITTED N[REIN. AND OASED <br />AMD AM FAMILIM MTN THE INFORMA <br /> <br />ATKINSON r ~ _ <br />R <br />G ON MY BCIIIRY OF THOSE IMDVIDULLS IMMEpAT[LY wESIOrySIBI[ iOR <br />OBFAINmG THE INFORMATq~I ' BEL2YE THE SUBMITTED INFDRMATION P <br />~ ~ <br />970-8244451 <br />95 0 ~ 2 5 <br />. <br />. <br />'~ <br />GER <br />` IS TwuE. ACCURA.E AND COM0.ET[ I AM Aw.RE TN,T THERE .RE aIG <br />MFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION WCLUDING ^ <br />.~ HSEQ & LAND MANA <br />' THE POSSMILITT OF FNE ANO 'MPR50NM[NT 5[[ IB USC 1 IOOI AND <br />1 IJIB <br />(II <br />wD <br />A <br />dd .SIGNATURE OF PRINCIPAL ExECUT1VE ' <br />TYPED OR PRINT[D I, <br />IRIMIw. PMn I <br />rAr FNbb. w n <br />r Awr. AP lP <br />]] uSC <br />•^/'+"'•+'^"^"^o^w'^^•'I"//vlu..w Fwlr.nM. •nA.f ..•..I OFFICER OR AUTHORIZED AGENT; NUMBER YEAR MO DAY <br />'COMMENT AND [xPLANAT•ON OI AMY VIOLAiIONB (lagrnwcr au anucnwlrwu nrrel - ' <br />I ~ <br />SETTLERBLE SOLIDS LIMIT APPLIES ONLY IF <= 10-YRF 24-HR PRECIP EVENT IS CLAIMED. IP CLAIR APPRnYED BY <br />M',jCDT TSS E IRON LIMITS WILL NOT BE APPLIED TO REPORTED MEASUREMENTS--SEF. I.B.lA, PG 4 AND I.fl-~C, o!: F. <br />IRBFLACEa BFA FORM I ,MINION YAY MOT BE UBBD.1 <br />OF <br />