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• 1 notified the appropriate local government of the intent to use chemical treatment <br /> on a site located in their jurisdiction, and they agree that the system design and <br /> use of chemicals is acceptable. <br /> • 1 will keep the use level designation, operation and maintenance manual, and <br /> training certificate on-site prior to the use of chitosan acetate. <br /> • Where necessary, a licensed engineer designed the system correctly including <br /> system sizing, pond sizing, and flow requirements. <br /> • 1 verify that discharge will not affect downstream conveyance systems or stream <br /> channels. <br /> Chapin Brackett <br /> Permittee name (printed) <br /> Permittee signature Date:VV <br /> Operator name (printed) Eric Heunisch <br /> Eric Heunisch Digitally signed by Eric Heunisch <br /> Operator signature Date:2021.09.1613:40:11-07'00' Date: 9-16-21 <br /> Your authorization to use the requested chemical treatment begins once <br /> Ecology reviews and approves your completed application. <br /> Please send your completed request to: <br /> Douglas C. Howie, P.E. <br /> Department of Ecology <br /> Water Quality Program <br /> PO Box 47696 <br /> Olympia, WA 98504-7696 <br /> To send electronically, scan signed and dated application and <br /> email to: douglas.howie(E�ecy.wa.gov <br /> To request ADA accommodation including materials in a format for the visually impaired, call <br /> the Water Quality Program at Ecology, 360-407-6600. Persons with impaired hearing may call <br /> Washington Relay Service at 711. Persons with speech disability may call TTY at 877-833-6341. <br /> City of Everett <br /> ECY 070-258 (Rev. 1/15) EVERETT Reviewed for Permit 10/20/2021 <br /> wAs .o <br />