ÐÏࡱá > þÿ 9 ; þÿÿÿ 8 ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á 7 ð¿ bjbjUU Y2 7| 7| Ü $ ÿÿ ÿÿ ÿÿ l È È È È È È È $ ì – – – P æ ú t ì [ ¶ z z z z z Y Y Y þ 1 ‚ È Y U Y Y Y ¡ È È z z Û ¡ ¡ ¡ Y È z È z þ ¡ Y þ ¡ Ð ¡ q ž È È ê z n €NV°î,Âì ª – o ¶ ê + 0 [ ¾ , ³ … ³ ê ¡ ì ì È È È È Ù DEQ LANDOWNER NOTIFICATION AFFIDAVIT Tier I, II or III permit applicants must provide notice to the landowner(s). The basis for this requirement is Title 27A of the Oklahoma Statutes, Supplement 1996, § 2-14-103(9), as described in OAC 252:4-7-13 (b). Please note that you MUST fill out and return this affidavit even if you don’t have to give any landowner notice. ANOTICE TO THE LANDOWNER(S) IS NOT REQUIRED because: (check one)My application does not involve any land.My application involves only land owned by me (or applicant business).I have a current lease given to accomplish the permitted purpose.I have a current easement given to accomplish the permitted purpose. OR BNOTICE TO THE LANDOWNER(S) IS REQUIRED because the land is owned by someone other than myself or the applicant business AND I HAVE NOTIFIED the following (check one):Landowner(s)Lessor or Administrator or Executor of the landMETHOD OF DELIVERY (check one):Actual notice, for which I have a signed and dated receiptService by Sheriff or private process server, for which I have an affidavitService by certified mail, restricted delivery, for which I have a signed return receiptLegal publication, for which I have an affidavit of publication from the newspaper, because the landowners could not be located through due diligence LANDOWNER AFFIDAVIT CERTIFICATIONI, as the applicant or an authorized representative of the applicant, hereby certify that I own the real property, have a current lease or easement which is given to accomplish the permitted purpose (per Option A above), or have provided legal notice to the landowner(s) (per Option B above) about the permit application for the facility described below.Company NameFacility NameFacility Address or Legal Description.Responsible Official (signature)Date SignedResponsible Official (typed)Title If the landowner notice applies to your application (Option B above) you can send the following form to them as your notice: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - NOTICE TO LANDOWNER OF FILING Dear Landowner: (Name) (Applicant name) has filed a permit application with the Oklahoma Department of Environmental Quality for (Facility Name) facility. 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