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Application for Change/Transfer of a Water Right im <br />Form No. ECY 040-1-97 (Rev 05-2020) <br />DEPARTMENT OF <br />• We strongly encourage applicants to seek pre -application consultation Eco�ocY <br />prior to applying. <br />• Refer to accompanying guidance to complete this form. <br />• Incomplete applications will be returned. <br />• All fees are non-refundable (RCW 90.03.470(13)). <br />Processing option you are choosing: <br />❑ Standard Processing <br />❑ Cost Reimbursement <br />0 County Water Conservancy <br />(Department of Ecology) <br />Processing (Ecology Contractor) <br />Board Processing <br />(not available in all counties) <br />A minimum $50 fee is required to <br />Contact Department of Ecology to <br />Fees charged by boards vary. Consult <br />apply. Additional fees may apply. <br />obtain information on fees for this <br />with the appropriate board to <br />Drought applications are exempt. <br />option. <br />determine the fee. <br />Where to mail your application: <br />Submit all applications for Department of Ecology and Cost Reimbursement processing to the Ecology's Cashiering <br />Section address below. County Water Conservancy Board applications should be submitted directly to the appropriate <br />board, if one exists. <br />DEPARTMENT OF ECOLOGY <br />CASHIERING SECTION <br />PO BOX 47611 <br />O LYM P IA, WA 98504-7611 <br />Check the box for the region where your project <br />is located. <br />Central Region <br />❑ Eastern Region <br />❑ Northwest Region <br />❑ Office of Columbia River (OCR)* <br />❑ Southwest Region <br />* OCR has jurisdiction for designated OCR projects, and new projects located within one mile of the Columbia <br />River. <br />To request ADA accommodation including materials in a format for the visually impaired, call Ecology Water Resources Program at <br />360-407-6872. People with impaired hearing may call Washington Relay Service at 711. People with speech disability may call TTY at <br />877-833-6341. <br />ECY 040-' 97 (Rev 03-2021) 1 of 16 <br />