2026-0206 Cle Elum Transfer Station Project Manual

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New Operator/Permittee Information (the remainder of this form applies to the new Operator/Permittee) I. New Operator/Permittee (Party with operational control over plans and specifications or day -today operational control of activities which ensure compliance with Stormwater Pollution Prevention Plan (SWPPP) and permit conditions. Ecology will send correspondence and permit fee invoices to the permittee on record.) Name: Ext.: Company: Cell Phone (optional): E-mail: Mailing Address: Unified Business Identifier (UBI): City: (UBI is a nine -digit number used to identify a business State: entity. Write "none" if you do not have a UBI number.) Zip + 4: Business Phone: II. Property Owner (The party listed on the County Assessor's records as owner and taxpayer of the parcel[s] for which permit coverage is requested. Ecology will not send correspondence and permit fee invoices to the Property Owner unless he/she is also the permittee. The Property Owner information will be used for emergency contact purposes.) Name: Cell Phone (optional): Company: E-mail: Business Phone: Mailing Address: Ext.: City: Unified Business Identifier (UBI): State: (UBI is a nine -digit number used to identify a business Zip + 4: entity. Write "none" if you do not have a UBI number.) III. On -Site Contact Person(s) (Typically, the Certified Erosion and Sediment Control Lead or Operator/Permittee) Name: Email: Company: Mailing Address: Business Phone: City: Ext.: State: Cell Phone: Zip+4: IV. Site/Project Information Site or Project Name Street Address or Location Description City (or nearest city): County: Zip Code: ECY 020-87a (10/2025)