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daie of pnbliwtion o(this notice. Commrnts can bc svbmit�ed a: Dcp��c ot Ecology, P.O. Box 47696, Olympi�, <br /> WA 98504-769G." <br /> v07E: Ecology is no longer rcquiring the subminal of thc affidavit of publicatio¢. Howzver, a rypcd copy ot whac uill be <br /> vbmiacd [o thc newspaper mast be seni along with thc NOI. 'Ibc daccs that the fusi and uwnd public noaca will run and <br /> Le name of the neuspaper in u�hich the public nodces aill appear mus[ also be provided. <br /> Plezse note: that state lau•requitcs a 30 dav public commrnt period prior to permit cwcrage, thercforc permit coveraee will <br /> �o[be �anccd s000cr t� 31 davs aher thc date ot thc ucond public noocc. TLc public notice may be publuhed <br /> dmaltaneoasly with other notices such az Sta�c Eavironmrntal Policy Act notica, and Shordine Permit notices provided tLc <br /> VOI is sen[ w Ecology on or beforc �he dac: otthe 5rse public nodce. <br /> iection X - Regulatory Status <br /> 'ans A, B, and C request information on any eAsung NPDES (iacluding stormaa�er permit for mdusuia] acti��ry), S�a[e <br /> �Vute Diuhazge, and Aic permits issued co thc facility. In GVuhington, air emission permit�arc issved by local a�enci:s or <br /> ycology. 'Ibey can be reterred � by varioiu names sucb zs a permit, an order, or a Noda of Coastrocdon. In pan D, <br /> ndicat� if your facilit}•hu bcrn assigied a Sta�e/L'SEPA Ha�ardoas a�aste ID nffibcr, and list tLat mimber. <br /> ;ection XI - Certification by Permitteelsl <br /> [his sccdon should bc read closcly by th: applicant. 'Ihe responyble offi� or anthorized repr�entarive of tLe owvcr shall � <br /> �rint theu name for clariry. th:n sign and date the da-ament on tLe linu pcwidcd. . <br /> n the case of corpomdoas. [hc NOI mase be a�.�ed by a responsble corporate officer or a dnly anthorized reprcsenadve, if <br /> uch rcpresenrative is responsible for the werall operation of the si�e from which the discharge originaces. <br /> ror a pazmership, th: NUI mase be signed by a grneral pazmer. <br /> �or a solc proprie[orship, thc NOI mutt be agned by tt�e proprietor. • <br /> �or a mimicipal, stat� or o�r publi�agcncy, th: NOI muse be agned by either a principal exccurive officer, ranLing dec�cd <br /> �f5cial, or other duly an�horiud employee. <br /> • QUEST70NS <br /> Zuestioas concemiag proper complerion of this form can be d'uected w the Deparrmeat of Ecology by calling (360) 407-6437 ,� <br /> a.dGi-6436: : <br /> '.� <br /> ,•�� <br /> . <br /> �� <br /> 4 <br />