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HomeMy WebLinkAboutNCC191942_NOI Signed Certification_20190920NCGIO.1.:N :of InteOt (NOI . ) Certification Form Pirecriom Print this 1Q�1"1TF, po Ole. e L tPlood tp the -j PtOk friall theofigjnal form to the NC DENILP-Starmwater Pmgramit . Division. of Ertawv. M.O*m j R000rwstorftwiw pm"m, 512: N-Sallsbuiry Street,,e Floor 'Im-ma , Ii SOINIO c1t: ow Raleigh. NC 276954"z WK �WOWMOW 145.68 (1),00 POMOO Who $U7QWk* hWkes,,anyfahw.stiatement4...represtntatio4 certiftcation- i4 any-uppik, ationcrecan4 report-, plan, or tither d car !Vurt�ct . ;pfie,pipOMOVO WdOrOO*#* or2rule OipXeri entlri�r thf$ Aftk6a - - - - oft of 0: Class Zffiodoheq nor which may fr.,0ude -d not to e en thousard, d I)bm,($1 fl .,he xmed t a 0,00% Unger pehalty of low, I certify th#t (c4od,011: boxes to indicate your -agreement); I amthe .Pe"MOOPOAlefort he 060WOOlon odWitietof this-,*qdt*. foo, satisfying the re0iretnents'-df-WIS Permit, and: for any civil or criminal:penalties inwrred,due to VI lops of th-ts u kame 1: WOV ireget VO" under the mee MCKIMM Genera-lPemit: andunderstand,thatcoveroge undor :this permit wt.11constitute the perrnft,reouiremenuf the AK.0 -ot 0jjgOW,OOd is Onf ablein the Legally Respongible OWqWlona I t-ILegally ROSOOM efttin.— a.uutopher L Cam .,M(O IMPOAUNTNOIt Oy 42 espat sibl tOrOMateaffl. er thatownsor operates the q7p� immurer, ar vice pmrident, oro manwrthat is th - MeMdud erm I;- td' JQ I;- JO q��Ce with mom( P, For mom i4ormation on 4mtW?*�� fee FWT ffim (6) of, the NQ. pe WIM rmft,