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11030 EVERGREEN WAY 2018-01-02 MF Import
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11030 EVERGREEN WAY 2018-01-02 MF Import
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Last modified
4/20/2023 12:45:19 PM
Creation date
2/10/2017 10:31:31 AM
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Address Document
Street Name
EVERGREEN WAY
Street Number
11030
Imported From Microfiche
Yes
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.► . <br />Vlll State EnVlronanlerKal rollCy Act tamrwl <br />If the SEPA process has not been completed at the time of NOI submittal, a follow-up letter must be sent to Ecology with the <br />following Information prior to Ecology granting permit coverage. <br />Has a SEPA review been completed? 0 Yes ® No ❑ Exempt <br />Type of SEPA document ❑ DNS O Final EIS ® MONS <br />Agency Issuing DNS, Final EIS, orExemption City of Everett ;Date (Pending) <br />Are you aware of an appeal of the adequacy of the SEPA document? ❑ Yes ® No <br />(If yes, please attach explanatory letter.) <br />ry m.111t u..610. <br />The public notice must be published at least 0M each week for 2 consecutive weeks, in a iltlgls newspaper which has general <br />circulation In the county in which the construction Is to take place. See the NOI instructions for the public notice language <br />requirements. Permit coverage will not be granted sooner than 31daYi after the date of the second public notice. Note. fMs NOI <br />crest be submitted to 6cak yr on or balm dw date of dw Mrt pub/k no". <br />Provide the e= dates (mmAkVyy) that the first and second public notices will appear In the newspaper. <br />Dace of the arst public notice 0 7 / 14 / __a; Dace of second pubac notice n_ / 21 / Q 9 <br />Name of the newspaper which wi8run the public notices Everett Herald <br />Ecology is nolorgertequfring dwsubmlttalaltheaflkkW ofpub4cadon. <br />X. ftoulatory Status <br />A. ® NPDES Permit (e g. industrial stomw ater) G (3 Ale Notice of Constructlom Permit, or Order <br />Pemdt No. Agency <br />B. (] State Waste Discharge Permit D. O State/USEPA Hazardous Waste ID No. <br />Permit No. <br />XI. Cerdficedon of Permlttee(s) <br />"i certdy under penalty of law shot thb docu"MM and roll aaachmems were prepared wrier my dinwrim or supervlslon in accordowe wide a <br />system derignerl at assure dug yualUled perxmnd pmpedY gtuhs►and evaluate the kjOrerubn sutmated Random my bapdry of she Pnson or <br />persuw who manage the systrtn, or those persons dimily responsible Jbr sasherbsg she ktiFnnauion. the hdommsbn subadued Jr. to the but trf <br />my knowledge card bent/, sew, accarate, andnswlpleri. low own that them are signy*zW penal$1"Jor8wWA jblw hybrmadmt. Inchrding <br />the possibility offine and impdsorwwnt for bowing violations. " <br />N. Kussman <br />Architect <br />Title <br />Juryg 1949 <br />Dace <br />and returrn this document to the foikwvirg address: for questions call (360) 407W37: <br />Washington Department of Ecology <br />Water Quality Program <br />Stormwater Unit <br />PO Box 47696 <br />Olympla, WA 98504-7696 <br />The Department ofEcology is an equal opportunity agencyand does nordiscrhnlnateon the bash oftace, creed, color, disability, age, <br />religion, national odgin, sew marital status, disabled veteran's status, Vietnam Era veteran's SIMS, asexual orientation. <br />2� <br />
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