Laserfiche WebLink
??;gin sr?,??• USA EPA Region 8/CDPHE-Water Quality Control Division <br />Y BIOSOLIDS ANNUAL REPORT <br />'fit Pfl# <br />SECTION VIII - SIGNATURE PAGE <br />oti' coo <br />I??. 1, ?•, ti <br />H ~-' ' <br />'••b`l `tYrf i? <br />Facility Name Permit Number: <br />PARKER AG COMPOST SITE - CLIMAX MINE COG650110 <br />CERTIFICATION <br />71 ceifify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance <br />nd evaluate the. information submitted. Based on my <br />th <br />er a <br />with the system designed to assure that qualified personnel properly ga <br />inquiry of the person or persons who manage the system of those persons directly responsible for gathering the information, the <br />information is, to the best of my knowledge and belief, true, ac urate and complete. I am aware that there are significant penalties for <br />" <br />submitting false information, including the po sibility of fine a dim 'sonment for knowing violations. <br />Name and Official Title LUKE / D COMPLIANCE MANAGER . <br />Signature - <br /> <br />Telephone Number. (719) 7 5-9870 <br />Date Signed <br />Name and Official Title LUKE B D COMPLIANCE MANAGER <br />?G <br />Signature <br />Date Signed <br /> <br />Upon request from the State, you maybe required to submit additional information necessary to assess <br />biosolids use or disposal practices at your facility or to identify appropriate permitting requirements. <br /> <br />PLEASE RETURN COMPLETED FURMS I U: <br />Elizabeth Lemonds <br />Environmental Protection Specialist <br />Domestic GW Permits Unit <br />Water Quality Control Division <br />CO Dept of Public Health & Environment <br />W CQD-P-B2 <br />4300 Cherry Creek Dr. S. <br />Denver co 80246-1530 <br />And <br />Robert B. Brobst, P. E <br />U. S. EPA Region 8 <br />1595 Wynkoop St. . <br />Denver co 80202-1129 <br />8 (12/2008)