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1 r:ict;,..s iounry <br />Public Health <br />To Protect and Promote the Health and the Environment of the People of Kittitas County <br />EDEN Tracking #: <br />Certificate ID #: <br />Date Accepted: <br />Accepted By: <br />Kittitas County Interim Water Mitigation Program <br />Mitigation Certificate Application <br />LEGAL OWNER NAME: <br />MAILING ADDRESS: <br />CITY, STATE, ZIP: <br />PROJECT LOCATION CADDRESS): <br />PHONE #: <br />TAX PARCEL #: <br />E—MAIL: <br />UNIQUE WELL TAG ID: <br />PARCEL NUMBER WHERE WELL IS LOCATED: <br />HAS THE WELL BEEN DRILLED? ❑ YES ONO <br />IF NO, WHEN IS THE WELL EXPECTED TO BE DRILLED: <br />ARE THERE ANY OTHER AVAILABLE SOURCES OF WATER ON THE PROPERTY (IRRIGATION WELL, IRRIGATION COMPANY, ETC.)? IF SO, PLEASE <br />DESCRIBE: <br />NOTES: <br />INTERIM WATER MITIGATION PACKAGE: 1 EQUIVALENT RESIDENTIAL UNIT (ERU)- <br />INDOOR DOMESTIC USE AND UP TO 500 SQUARE FEET OF OUTDOOR USE <br />Last updated 04.16.2014 KCPHD <br />