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NOTICE OF INTENT Page 2 of 4 <br /> 10 <br /> • <br /> Maintained Drainage SAMMAMISH160 Lbs., Est. Amt., Applied <br /> Facilities Inside Everett WRIA-08 47.9792/ On:5/21/03-11/1/06 .6 <br /> City Limits 122.2008 <br /> All Publicly Owned and Methoprene - Pellet , EPA #- , 2800 <br /> Maintained Drainage SNOHOMISH 47.9792/ Lbs., Est. Amt., Applied On:5/21/03- 3 <br /> Facilities Inside Everett WRIA-07 122.2008 11/1/06 <br /> City Limits <br /> All Publicly Owned and CEDAR- Bacillus thuringiensis israelensis <br /> Maintained Drainage SAMMAMISH 47'9792/ (Bti) , EPA#-6218-47 , 400 Lbs., 6 <br /> Facilities Inside Everett WRIA-08 122.2008 Est. Amt., Applied On:5/21/03-11/1/06 <br /> City Limits <br /> All Publicy Owned and Bacillus thuringiensis israelensis <br /> Maintained Drainage SNOHOMISH 47.9792/ (Bti) , EPA #-6218-47 , 2000 Lbs., 3() <br /> Facilities inside Everett WRIA-07 122.2008 Est. Amt., Applied On:5/21/03-1 1/1/06 <br /> City Limits <br /> Everett Water Pollution SNOHOMISH 47.9792/ Bacillus sphaericus (H-SaSb) , EPA # <br /> Control Facility WRIA-07 122.2008 50 Lbs., Est. Amt., Applied 175 <br /> On:5/21/03-11/1/06 <br /> V. REGULATORY STATUS: (Applicator Information Only) <br /> 1. Dept. of Agriculture Pesticide Applicator License No. <br /> 2. YES NO I have an Aquatic Endorsement. <br /> 3. Dept. of Agriculture Pesticide Applicator License Expiration Date <br /> 4. YES NO My renewal has been satisfied and will remain current. <br /> VI. BEST MANAGEMENT PRACTICES EMPLOYED TO REDUCE POLLUTANTS: <br /> 1. Indicate the Best Management Practice (BMP)/Integrated Pest Management (IPM) Plan you <br /> will be complying with (check one) <br /> a. Ecology's Best Management Practice Plan. <br /> b . X Specific BMP/IPM plan specify name and include the plan(s) with your signed <br /> application: City IPM for Mosquito Control <br /> VII. OBLIGATIONS OF ENTITY AND APPLICATOR IN CONSIDERATION OF COVERAGE UNDER <br /> HEALTH'S NPDES PERMIT <br /> On April 25, 2003, the Washington State Department of Ecology issued coverage to the Washington <br /> State Department of Health under a statewide General National Pollutant Discharge Elimination <br /> System (NPDES)permit authorizing the discharge of aquatic pesticides in accordance with the permit <br /> to control mosquito larvae in surface waters of the United States. The Entity identified above has <br /> applied for coverage under Health's general permit as set forth above, for the Entity and the Entity's <br /> pesticide Applicator. In consideration of the coverage that may be extended by Department of Health <br /> to the Entity and Applicator under the NPDES permit, the Entity and Applicator jointly and severally <br /> agree as follows: <br /> A. MONITORING AND REPORTING REQUIREMENTS <br /> Entity and Applicator shall comply with the submission of pesticide spray records and discharge 2 <br />