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2009-05-01_PERMIT FILE - M2009035
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2009-05-01_PERMIT FILE - M2009035
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Last modified
8/24/2016 3:46:04 PM
Creation date
5/1/2009 2:09:35 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2009035
IBM Index Class Name
PERMIT FILE
Doc Date
5/1/2009
Doc Name
New 112c permit application
From
MA Concrete Construction
To
DRMS
Email Name
SSS
Media Type
D
Archive
No
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18. STORMWATER MANAGEMENT PLAN <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 following certification signed. See the SWMP requirements in Appendix B. <br />"I certify 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 />gathering the information, the SWMP is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant <br />penalties for falsely certifying the completion of said SWMP, including the possibility of fine and imprisonment." <br />Signature of Permit Applicant i Date Signed <br />/hi*zx-/N AuxeeA4A OWNEg- f C??L '?2 <br />Name (printed) <br />19. Signature of 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 immediately responsible for obtaining the information, 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 imprisonri) ntC' n <br />Signature of Owner Date Signed <br />94Z/AW WobVS AIAA.l'l 4ri?. <br />Name <br />0 j <br />Title <br />r A-9,"). -off <br />Signature of Operator Date Signed <br />A Ap-rfv AzG?teer44.4 Ow"Ee- opce- A-Mi <br />Name (printed) <br />Tit le <br />0
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