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Department of Ecology 4/29/2025
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Department of Ecology 4/29/2025
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Last modified
7/3/2025 11:54:32 AM
Creation date
7/3/2025 11:53:41 AM
Metadata
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Template:
Contracts
Contractor's Name
Department of Ecology
Approval Date
4/29/2025
Department
Public Works
Department Project Manager
Jeff Marrs
Subject / Project Title
NPDES Permit WAG643009, Everett Water Treatment Plant
Tracking Number
0004887
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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All <br />following <br />I <br />supervision <br />evaluate <br />true, <br />information, <br />certify <br />submittals <br />accurate, <br />under <br />the <br />certification, <br />in <br />information <br />including <br />to <br />penalty <br />accordance <br />and <br />the <br />complete <br />Department <br />as <br />law <br />submitted. <br />required <br />a <br />system <br />of <br />I <br />this <br />by <br />am <br />Ecology <br />federal <br />document <br />fine <br />and <br />under <br />and <br />that <br />imprisonment <br />and <br />state <br />to <br />this <br />there <br />all <br />assure <br />WQWebPortal <br />regulations: <br />that <br />significant <br />for <br />is, <br />qualified <br />knowing <br />to <br />were <br />the <br />application <br />penalties <br />best <br />personnel <br />prepared <br />violations. <br />of <br />for <br />are <br />my <br />under <br />properly <br />knowledge <br />submitting <br />subject <br />my <br />to <br />gather <br />direction <br />the <br />and <br />false <br />belief, <br />and <br />or <br />of <br />the <br />that <br />and <br />with <br />possibility <br />aware <br />designed <br />information <br />submitted <br />attachments <br />are <br />The <br />of <br />I, <br />I <br />• <br />• <br />• <br />Agree: <br />agree <br />Protect <br />includes <br />and <br />Review <br />submitted <br />• <br />• <br />• <br />Within <br />that <br />my <br />stolen <br />information <br />My <br />I <br />the <br />24 <br />password, <br />my <br />Electronic <br />role <br />will: <br />my <br />hours <br />Annual <br />Electronic <br />content <br />is <br />or <br />answers <br />any <br />as <br />used <br />in <br />of <br />a <br />difference <br />I <br />signer <br />Reports <br />WebDMR; <br />submitted <br />discovery, <br />Signature <br />and <br />by <br />to <br />Signature <br />someone <br />the <br />for <br />and <br />this <br />verification <br />(initial <br />between <br />report <br />account <br />and <br />Notifications; <br />organization <br />account, <br />else; <br />the <br />of <br />here) <br />to <br />the <br />Ecology <br />questions <br />lost, <br />which <br />if: <br />I <br />• <br />Agree: <br />agree <br />Let <br />account. <br />that <br />anyone <br />I <br />will <br />' <br />else <br />' <br />not: <br />use <br />my <br />Electronic <br />(initial <br />Signature <br />here) <br />meaning <br />my <br />information <br />is <br />There <br />displayed <br />changes. <br />My <br />l <br />..,� <br />t. <br />,� <br />Ltel <br />dZ <br />t1 <br />(print <br />handwritten <br />information, <br />of <br />Electronic <br />of <br />my <br />and <br />in <br />signature <br />Signer's <br />including <br />this <br />federal <br />agreement <br />Signature <br />name), <br />for <br />possible <br />understand <br />purpose <br />when <br />account <br />fines <br />I <br />and <br />program; <br />of <br />may <br />that: <br />the <br />1. <br />2 <br />My <br />compliance <br />A <br />failure <br />in <br />are <br />to <br />my <br />liability <br />with <br />signature <br />to <br />verify <br />the <br />notify <br />for <br />penalties <br />relevant <br />documents. <br />to <br />that <br />is <br />the <br />Ecology <br />legally <br />information <br />environmental <br />for <br />federal <br />the <br />of <br />submitting <br />same <br />possible <br />Department <br />submitted; <br />as <br />the <br />false <br />regulations; <br />my <br />misuse <br />rules <br />electronic <br />a <br />Electronic <br />significant <br />timely <br />submit <br />result <br />related <br />outlined <br />Justice <br />3. <br />4. <br />will <br />the <br />There <br />imprisonment, <br />I <br />electronically <br />be <br />asked <br />I am <br />following <br />environmental <br />10/2024 ECY070-743 <br />Page 2of4 <br />
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