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Application for a State Waste Discharge .lmwa Permit to Discharge Industrial Wastewater to DEPARTMENT OF Ground Water by Land Treatment or ECOLOGY State of Washington Application This application is for a state waste discharge permit as required by Chapter 90.48 RCW and Chapter 173- 216 WAC. Permit applications provide Ecology with information on pollutants in the waste stream, materials that may enter the waste stream, the flow characteristics of the discharge, and the site characteristics at the point of discharge. Ecology may request additional information to clarify the conditions of this discharge. The applicant should reference information previously submitted to Ecology that applies to this application in the appropriate section. SECTION A. GENERAL INFORMATION Applicant name: Kittitas County Solid Waste Program 2. Facility name: Ryegrass Septage Management Facility (if different from applicant) 3. Applicant mail address: 925 Industrial Way Street Ellensburg, WA 98926 City/State Zip 4. Facility location 25900 Vantage Highway address: (if different from above) Street Ellensburg, WA 98926 City/State Zip 5. UBI No. 600 654 Sometimes called a registration, tax, "C," or resale number, the Unified Business Identifier (UBI) number is a nine -digit number used to identify persons engaging in 948 business activities. The number is assigned when a person completes a Master Business Application to register with or obtain a license from state agencies. The Departments of Revenue, Licensing, Employment Security, Labor and Industries, and the Corporations Division of the Secretary of State are among the state agencies participating in the UBI program. 6. Latitude/longitude of the processing facility as decimal degrees (NAD83/WGS84): 46.969065 / -120.213528, FOR ECOLOGY USE ONLY Date application received Date application accepted Check One New/Renewal ❑ Modification ❑ Application/Permit no. Date fee paid ECY-040-179 (rev. 08/2012) Page 1 of 21