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WA ST Dept of Ecology 12/6/2023
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WA ST Dept of Ecology 12/6/2023
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Last modified
12/8/2023 3:03:37 PM
Creation date
12/8/2023 3:03:28 PM
Metadata
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Template:
Contracts
Contractor's Name
WA ST Dept of Ecology
Approval Date
12/6/2023
Department
Public Works
Department Project Manager
Tom Norris
Subject / Project Title
Electronic Signature Agreement Form - Water Quality Program Permit No. WAG643009
Tracking Number
0004061
Total Compensation
$0.00
Contract Type
Agreement
Contract Subtype
Other Agreements
Retention Period
6 Years Then Destroy
Imported from EPIC
No
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*To expedite access, the Construction Stormwater and Industrial Stormwater General Permits are accepting scanned <br /> Electronic Signature Agreement Forms(ESAF). <br /> You are required to mail the original signed ESAF to Ecology for our official records. <br /> Storm water Permit Facilities—Industrial Major Industrial Facilities(NPDES and <br /> and Construction Stormwater State Waste Discharge Permits) <br /> Washington Department of Ecology Washington Department of Ecology <br /> Water Quality Program Stormwater IT Solid Waste Management Program <br /> PO Box 47699 Industrial Section <br /> Olympia,WA 98504-7699 ATTN: Ewa Kotwicka <br /> 360-407-7097 PO Box 47600 <br /> wgwebportal@ecy.wa.gov Olympia,WA 98504-7600 <br /> 360-407-6945 <br /> WQWebDMR-Industrial@ecy.wa.gov <br /> For all other permits, please contact one of the following offices: <br /> Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Mason, Adams,Asotin, Columbia, Ferry, Franklin, Garfield, Grant, <br /> Lewis, Pacific, Pierce, Skamania, Thurston, and Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, and <br /> Wahkiakum counties Whitman counties <br /> Washington Department of Ecology Washington Department of Ecology <br /> Water Quality Program - SWRO Water Quality Program-ERO <br /> PO Box 47775 4601 N Monroe <br /> Olympia,WA 98504-7775 Spokane,WA 99205-1295 <br /> 360-407-6300 509-329-3400 <br /> WQWebDMR-SWRO@ecy.wa.gav WQWebDMR-ERO@ecy.wa.gov <br /> Benton, Chelan, Douglas, Kittitas, Klickitat, Okanogan, Island, King, Kitsap, San Juan, Skagit, Snohomish, and <br /> and Yakima counties Whatcom counties <br /> Washington Department of Ecology Washington Department of Ecology <br /> Water Quality Program - CRO Water Quality Program- NWRO <br /> 1250 W Alder St ATTN:Chris Smith <br /> Union Gap,WA 98903-0009 PO Box 330316 <br /> 509-575-2490 Shoreline,WA 98133-9716 <br /> WQWebDMR-CRO@ecy.wa.gov 206-594-0169 <br /> WQWebDMR-NWRO@ecy.wa.gov <br /> 10/2023 <br />
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