DDW-2025-001655

OFFICE USE ONLY
DDW File No.: CC:
EQ Docs #:
PWS Admin. Contact Name:
PWS Admin. Contact Address:
REVIEWED BY
DDW Permitting Engineer
Name: Date:
Email: Phone:
Conditions or Comments:
Exception Approval Date: Exception Expiration Date:
APPROVED BY
DDW Assistant Director
Name:
Signature: Date:
Russell Seeley, P.E.
2/11/2025