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Electronic Waiver Request form

Form number Date Published Date Revised
ECY 070-381 November 2010 July 2016
VIEW NOW Electronic Waiver Request form (Number of pages: 2) (Publication Size: 329KB)
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Description This form is used to request a waiver from electronic applications, submittals and reporting per a National Pollutant Discharge Elimination System (NPDES)and/or a State Waste Discharge Permit.
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.

ADA Accessibility
The Department of Ecology is committed to providing people with disabilities access to information and services by meeting or exceeding the requirements of the Americans with Disabilities Act (ADA), Section 504 and 508 of the Rehabilitation Act, and Washington State Policy #188.
Visit Ecology’s website for more information
Contact James Maroncelli at 360-407-6588 or
Keywords waiver request, WAWebdmr, Water Quality form, Official Ecology Form
WEB PAGE Permit Application Forms