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VII. Signatures <br />To the best of my knowledge, the information reported and statements made in dais Nor[h Carolina Solid Waste Groundwater <br />Coreective Action Permit Modification Application are true and correct. I am aware that there are significant penalties for <br />making any false statement, representation, or certification including the possibility of fine and imprisonment. <br />If O~~mer and Operator are the same, please sign for Owner and type or write SAME for Operator. <br />Owner <br />Owner Name (Printed or Typed): <br />Owner Signature: Date: <br />Operator <br />Operator Name (Printed or Typed): <br />Operator Signature: Date: <br />NC Professional Geologist or NC Professional Engineer <br />Name (Printed or Typed): Mathew Colone <br />Signature: Date: <br />AffixNCProfessional Geologist/Gngineer Seal: <br />GWCA Permit Modification -Page 3 of 3 <br />Attachment number 2 <br />P, _ 9 Page 108 of 199 <br />