1988-02-01_REPORT - C1981008 ‎(4)‎

• Permit No: C1981008
• IBM Index Class Name: Report
• Doc Date: 2/1/1988
• Doc Name: 1987 Annual Hydrology Report Appendix C ‎(Part 4 of 11)‎
• Annual Report Year: 1987
• Permit Index Doc Type: HYDROLOGY REPORT
• Media Type: D
• Archive: No

PERMITTEE ADDRESS (Include NATIONAL POLLUTAI CHARGE ELIMINATION SYSTEM (N)"DFS) Approved
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NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE D A T E
AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED
ON MY INQUIRY OF THOSE INDIVIDUALS IMM EOIATELY RESPONSIBLE FOR �,
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H• Theodore Smith BTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION
IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG
Hydrologist NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING
THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC I IOO1 AND SIGNATURE OF PRINCIPAL EXECUTIVE 602 774-5253 87 01 12
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COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all atluchments here)
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