By submitting this form the Owner, or Owner’s authorized agent or representative,
acknowledges and agrees that employees of Clean Water Services have authority to
enter the project site at all reasonable times for the purpose of inspecting project
site conditions and gathering information related to the project site.
Additionally, I certify that I am familiar with the information contained in this
document, and to the best of my knowledge and belief, this information is true,
complete, and accurate.
Entries missing a fax number will
be mailed to the Applicant's postal address. Submittals returned by postal mail
will take additional time beyond our five working day timeframe to reach the applicant.