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Title

State Waste Discharge Permit Application - Industrial to POTW

 
Form number Date Published Date Revised
ECY 040-177 June 2001 March 2026
VIEW NOW State Waste Discharge Permit Application - Industrial to POTW (Number of pages: 14) (Publication Size: 2881KB)




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Description Applicants use this form to apply for a State Waste Discharge Permit to discharge industrial wastewater to a publicly-owned treatment works (POTW). In some circumstances it may be used for a discharge of industrial wastewater to an industrial or privately-owned domestic wastewater treatment facility.
REQUEST A COPY The mission of the Department of Ecology is to protect, preserve, and enhance Washington’s environment. To help us meet that goal, please consider the environment before you print or request a copy.

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Visit Ecology’s website for more information
Contact Laura Fricke at 425-507-5644 or laura.fricke@ecy.wa.gov
Keywords wastewater discharge permit form, industrial, wastewater, flow, permit application, treatment, permit, application, Water Quality form, Official Ecology Form, information, waste, discharge, industrial wastewater, water quality permits
WEB PAGE Water Quality Individual Permits
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