
| Title | Application for a Wastewater Discharge Permit for Discharge of Industrial Wastewater to Groundwater | |
| Month-Year Published | December 2000 | |
| Revised on | September 2007 | |
| Online Availability |
132 kilobytes, requires version 4.0 or later of Adobe Acrobat Reader Software get Acrobat Reader
Note: This version can be filled out electronically and printed or printed out and filled in by hand, but cannot be saved to your computer with Acrobat Reader software.
(ecy040179.doc, 523 kilobytes)
| |
| Short Description |
This application is for a wastewater discharge permit as required in accordance with provisions of Chapter 90.48 RCW and Chapter 173-216 WAC. Permit applications provide the Department with information on pollutants in the waste stream, materials which may enter the waste stream, the flow characteristics of the discharge, and the site characteristics at the point of discharge. The Department may request additional information at a later date to clarify the conditions of this discharge. Information previously submitted and which is applicable to this application should be referenced in the appropriate section. The Department may request additional information at a later date to clarify the conditions of this discharge. Information previously submitted to the Department and which is applicable to this application should be referenced in the appropriate section. | |
| Publication Number | ECY 040-179 | |
| Author(s) | Gary Bailey | |
| Print Availability | ||
| Number of pages | 15 | |
| Keywords | application, discharge, flow, groundwater, industrial, Industrial Wastewater to Groundwater, Official Ecology Form, permit application, wastewater, wastewater discharge permit form, Water Quality form | |
| Related Web Content | NPDES Permit Application Forms for Discharges to Surface Waters | |
| Related Publications | Title | Relationship |
| Application to Discharge Industrial Wastewater to a Publicly - Owned Treatment Works (POTW) | related form | |
| Application For A Wastewater Discharge Permit For Discharge Of Municipal Wastewater To Groundwater | related form | |
Copyright © Washington State Department of Ecology. See http://www.ecy.wa.gov/copyright.html.