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<br /> -~ m <br /> ..JU l-lJ..:S-~/ lU:16A HK~ Associates~ <br /> Inc. 612-659-0.891 P.o.4 <br /> 4( I <br /> - "ertify under penalty of law that this document and all attachments were prepared under my direction I <br /> ... supervision in accordance with a system designed to assure that quaiified personnel properly gather .. <br /> and e"aluate 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 (Minnesota Rules part 7001.0070). I <br /> I also certify under penalty of law that I have read, understood, and nccepted all terms and conditions of <br /> the National Pollutant Discharge Elimination System (NPDES) General Storm Water permit <br /> (MNRIOOOOO) that authorizes storm water discharges associated with the construction site identified on I <br /> the front side of this form. <br /> I understand that as a permittee, I am legally accountable under the Clean 'Vater Act, to ensure <br /> compliance with the terms and conditions of the NPDES General Storm Water Permit (MNRI00000). I <br /> I also understand that MPCA enforcement actions (pursuant to Minnesota Statutes sections 115.07, <br /> 116.072, and 609.71 and Section 309 of the Clean Water Act) may be taken against my company if the <br /> terms and conditions of the NPDES General Storm Water Permit (MNRlOOOOO) are not met. I <br /> Richard H Zehring <br /> ~ (Manager. CEO., elc.) <br /> .v. P. I <br /> Date <br /> I <br /> ,ertify under penalty of law that I have read, understood, and accepted all terms and conditions ofth~ <br /> _ .ational Pollutant Discharge Elimination System (NPDES) General Storm Water permit (MNR10000~) tJ <br /> that authorizes storm water discharges associated with the construction site identified on this form. <br /> I understand that for Parts I.B. through I.E, Appendix C, and Appendix D of the General Storm Water ... <br /> Permit (MNRI00000) I am becoming a co-permittee with the owner of the facility for which I have been I <br /> contracted to perform professional construction services. As a co-permittee I understand that my <br /> company is legally accountable, under the Clean Water Act, to ensure compliance with the terms and <br /> conditions of the General Storm Water Permit (MNRIOOOOO). I <br /> I also understand that MPCA enforcement actions (pursuant to Minnesota Statutes sections 115.07, <br /> 116.072, and 609.71 and Section 309 of the Clean Water Act) may be taken against my company if the <br /> terms and conditions of the NPDES General Storm Water Permit (MNRI00000) for which I am a I <br /> co.permittee, are not met. , <br /> Welsh Construction Corp 612-897-7860 I <br /> Company or Firm Telephone <br /> Greg Anderson President <br /> prinledNa~ ~ (:La - Title (Manager, CEO.. ele,) I <br /> 3-11-97 <br /> Dale <br /> Authorized Signalure <br /> 8200 Normandale Blvd, #200 I <br /> Address <br /> Bloomington MN 5543I_---.----------. <br /> ---------- <br /> ~ ~~ Zip Code I <br /> \ conlac;;:;~rs}~IIl.<<:.~.!:.:.-!~~-.----..-.------ 612-897-7844 <br /> Telephone -. <br /> Submit 10: MPCA, Walet Quality Division. Induslrial Section, 520 Lafayetle Road North, 51. Paul, MN 55155.4194 <br /> Page 2 <br /> I <br /> ------- <br />