Laserfiche WebLink
Sep 02 03 11:10a p.4 <br />permit Cert. No. COR-040126 <br />C. Results and interpretation of any stormwater monitoring performed. Attach a separate sheet with the lab <br />results. (Monitoring is not a requirement under the permit, unless you were specifically directed to do so <br />by the Division. However, the results of any stormwater monitoring that you performed on your own <br />should be reported here.) <br />Monitoring Results Attached? ONo DYes <br />D. Certification <br />"I certify under penalty of law that this document and all attachments were prepared under my direction of <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the information submitted. Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible For gathering the information, the Information submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are <br />significant penalties for submitting false information, including the possibility of fine and Imprisonment for <br />knowing violations." <br />William Ivy President <br />Name (printed) Title <br />- ._ ._._._.__...„__._...__ .............T~~.,., <br />