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HomeMy WebLinkAboutSWP272000(2) (2) Washington State Department of Ecology Printed: Sep 23,2010 Wastewater Permit Invoice W A S N I N 6 T C N S T A T E C E P A P T M E N T C E E C O L O G Y RENTON,CITY OF Invoice#: 2011-WAG992028 Attn:DENIS LAW Permit: WAG992028 1055 S GRADY WAY Fee Type: Wastewater RENTON,WA 98057 Category: Aquatic Pest Control-Mosquito Control Districts Date Description Annual Fee Amount Billed Amount Paid Amount Due Due Date 09/23/2010 Annual Fee Amount $412.87 $0.00' $0.00' $0.00' 09/23/2010 Billing Amount $0.00 $412.87 $0.00 541187 11/07/2010 Total Annual Fee: $412.87 1 $412.87 ,'' — $0.00 = $412.87 This invoice covers Fiscal Year 2611 (July 1,2010,through June 30,2011). * Small business/extreme hardship fee reduction application requests must be received by Ecology no later than September 30th of any given fiscal year. Requests received after that date will NOT be given consideration. Application forms can be obtained by calling 360/407-7330. New permit holders will have 45 days from their first billing due date to submit small business/extreme hardship fee reduction applications. * Permit fees will continue until the permit has been terminated by Ecology regardless of when the permitted activity ceased. * Delinquent accounts will be turned over for collection. * Wastewater and State Waste Discharge Permit Fee Questions should be addressed to: Shirley Rollins,360/407-7330(SROL461@ecy.wa.gov, Please send check or money order payable to: (DO NOT SEND CASH!) Department of Ecology Cashiering Unit PO Box 47611 Olympia WA 98504-7611 9/23/2010 12:00:37PM 1&00 Detach and return this portion with your check. PLEASE INCLUDE THE INVOICE NUMBER ON YOUR CHECK. Printed: Sep 23,2010 Wastewater Fee Billing Notice Past Due Amount This Fiscal Year: Current Amount Due: $41287 Total Amount Due: $41287 This Amount Due By 11/07/2010 RENTON, CITY OF Invoice#: 2011-WAG992028 Attn:DENIS LAW Permit: WAG992028 1055 S GRADY WAY Coding: 176 - WWD - 02-86-000196 RENTON,WA 98057 ECY 010-72b (6/99) STATE,0 9 6 J x 18S9 STATE OF WASHINGTON DEPARTMENT OF ECOLOGY PO Box 47600 • Olympia, WA 98504-7600 • 360-407-6000 711 for Washington Relay Service • Persons with a speech disability can call 877-833-6341 September 24,2010 Denis Law RECEIVED City of Renton 1055 S Grady Way SEP 2 7 2010 Renton,WA 98057 MAYOR'S OFFICE Dear Mr. Law: Re: Wastewater/Storm water Discharge Permit Fee for: Permit Number: WAG992028 Site Name: Port of Renton The Washington Department of Ecology is required by law to collect fees from all wastewater and/or storm water dischargers in the state that hold or apply for a discharge permit. The permit fee provisions of this law (RCW 90.48.465) are designed to fund Ecology's administration of the federal and state water quality wastewater pollution control regulatory program. As a result of this law,Ecology developed Chapter 173-224 WAC that sets a permit fee for holders of wastewater and/or storm water discharge permits. This regulation was originally adopted in 1988 and undergoes an amendment every two years. Ecology last amended the fee regulation in September 2009. A copy of this regulation is included in this packet. The above referenced site received permit coverage under the Ecology Aquatic Mosquito Control General Permit on July 1,2010. This letter is meant to inform you what the annual fee and permit fee category will be for Fiscal Year 2011 (July 1, 2010 through June 30,2011). Fee Category: Aquatic Pest Control Subcategory: Mosquito Control Districts Annual Permit Fee: $414.00 Prorated Annual Fee: $412.87 An invoice is included with this letter. Nonpayment of Permit Fees Permit holders who do not pay the assessed permit fee by the billing due date are considered delinquent. Delinquent industrial permit holders are notified directly by f � City of Renton Page 2 September 24,2010 Ecology that if payment is not received upon a specified date, the account will be turned over for collection. In addition,a surcharge of 20% is added to the delinquent amount owed to cover the cost of the collection action. Delinquent municipal permit holders are notified by Ecology that if payment is not submitted within 45 days,Ecology will begin proceedings to terminate the permit for nonpayment of fees. Permit Fees Cease When the permit has been terminated by Ecology,the permit holder will not receive further invoices for future fiscal years. However,the full annual fee is owed for the fiscal year the permit termination occurred in. Please contact your permit manager to find out how to terminate this permit coverage. Permit Fee Appeal Any permit holder not agreeing with the permit fee category and/or subcategory may file a written appeal to the department no later than the billing due date for payment of fees. Such appeal shall state the reasons the aggrieved person believes that the department's determination is contrary to the requirements of RCW 90.48.465, and specific actions that he/she is requesting that are consistent with those requirements. The department shall either issue a revised determination or a statement upholding the original determination. A revised determination shall be consistent with RCW 90.48.465. Appeals should be addressed to: Washington Department of Ecology Attn: Bev Poston PO Box 47600 Olympia,WA 98504-7600. 7 City of Renton Page 3 September 24,2010 Ecology Assistance If you have questions regarding your permit,please contact Jonathan Jennings at(360) 407-6283. If you have any questions regarding your fee assessment,please call me at (360)407-6425 or e-mail me at bpos461@ecy.wa.gov. Sincerely, �Beverly A. PostoniqA'� Fee Program Administrator Water Quality Program Frequently Asked Questions mw� W A S H I N 6 T 0 N S T A T E NPDES/Stormwater/State Waste Discharge DEPARTMENT OF E c o L o c Y Permit Fees in Washington State Q Why do people pay permit fees? A. In 1988 Washington voters passed Initiative 97 (RCW 90.45.465) requiring wastewater discharge permit holders to pay for a permit that allows for discharges to state surface and ground waters. The Department of Ecology is required by state law to fund the wastewater and stormwater permit program by collecting annual permit fees. Q. Who pays permit fees? A. Industries, municipalities and/or businesses that have National Pollution Discharge Elimination System(NPDES)permits, state wastewater discharge permits, and facilities issued temporary wastewater permits must pay annual fees. Q. What do permit fees pay for? A. Fees pay for Ecology's management of the Wastewater/Stormwater Discharge Permit Program. Some of these activities include: ➢ Reviewing permit applications, issuing permits ➢ Conducting on-site inspections ➢ Review various technical documents • Engineering reports, discharge monitoring reports • Solid waste plans, operating plans ➢ Providing technical assistance Q. How are permit fees billed? A. Ecology mails invoices directly to permit holders. Most permit holders owing more than $500 in fees are billed in two equal payments. If the fee is less than the $500 the full amount is billed at the beginning of the state fiscal year(July 1). Construction stormwater permit holders are billed once per fiscal year. Q. When does someone stop paying permit fees? A. Permit fees stop when Ecology officially cancels or terminates the permit. Permit holders need to contact their Ecology regional office representative as soon as a permitted activity stops. Permit fees will continue until Ecology cancels the permit, regardless of when the permitted activity stopped. Q. What time period does the annual permit fee cover? A. Permit fees are based on the state fiscal year(July 1 through June 30). In the case of new permit issuance, the fee begins upon the permit coverage date. November 2009 Ecology is an equal opportunity agency Focus No. 99-029 %**Printed on Recycled Paper Q. Does Ecology provide any relief for small businesses? A. Yes. The permit fee regulation, Wastewater Discharge Permit Fees (Chapter 173-224 WAC), contains a provision that allows Ecology to reduce annual permit fees for any eligible small business. Approval or denial of the fee reduction requests are based on annual gross revenue. Please contact Shirley Rollins to obtain an application form or to receive more information. Her phone number is 360.407.7330, or you can send email to srol461gecy.wa.gov. Q. Who do I contact if I have questions regarding wastewater or stormwater permits? A. Water quality permit coordinators in each of Ecology's regional offices are the primary contacts for information about,specific permits. Northwest Regional Office Southwest Regional Office Tricia Miller Carey Cholski-Municipal/General Permits 425.649.7201 360.407.6279 trni1461 .ecy.wa.gov c�eru461na,ecy.wa. ov Island, King, Kitsap, San Juan, Skagit, Snohomish, Sherri Greenup-Industrial Permits Whatcom 360.407.6280 swa1461(.a,ecy.wa.gov Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, Wahkiakum Central Regional Office Eastern Regional Office Cynthia Huwe Cynthia Wall 509.457.7105 509.456.5310 chuw46l a.ecy.wa.goy cywa461(a)ecy.wa.gov Benton, Chelan, Douglas, Kittitas, Klickitat, Adams, Ferry, Franklin, Grant, Lincoln, Pend Okanogan, Yakima Oreille, S okane, Stevens, Whitman Ecology Headquarters Stormwater Permit Managers Josh Klimek Josh Klimek iok146I gecy.wa.gov Kitsap, Pierce, City of Seattle, Thurston Charles Gilman Adams, Asotin, Columbia, Franklin, Ferry, Garfield, 360.407.6437 ch ig 461gec .wwa.gov Grant, Lincoln, Pend Oreille, Skagit, Snohomish, Spokane, Stevens, Walla Walla, Whatcom, Whitman Joyce Smith Benton, Chelan, Clallam, Clark, Cowlitz, Douglas, Grays 360.407.6858 josm461 gecy.wa.gov Harbor, Jefferson, Kittitas, Klickitat, Lewis, Mason, Okanogan, Pacific, Skamania, Wahkiakum, Yakima Elaine Tomita ewor461 gecy.wa.gov Island, King(exclude City of Seattle), San Juan, 360.407.7229 Q. Who do I contact if I have questions regarding permit fees? A. For more information, please contact: Fee Administrator Municipal,Wastewater,and Municipal Phase 1 &2 Stormwater, Industrial Stormwater Construction Stormwater Shirley Rollins Delinquent Accounts 360.407.7330 Bev Poston sro1461(a�ecy.wa.gov 360.407.6425 bpos461(alecy.wa.go_v RCW 90.48.465 Water Discharge Fees (1) The department shall establish fees to collect expenses for issuing and administering each class of permits under RCW 90.48.160, 90.48.162, and 90.48.260. An initial fee schedule shall be established by rule and be adjusted no more often than once every two years. This fee schedule shall apply to all permits,regardless of date of issuance, and fees shall be assessed prospectively. All fees charged shall be based on factors relating to the complexity of permit issuance and compliance and may be based on pollutant loading and toxicity and be designed to encourage recycling and the reduction of the quantity of pollutants. Fees shall be established in amounts to fully recover and not to exceed expenses incurred by the department in processing permit applications and modifications, monitoring and evaluating compliance with permits, conducting inspections, securing laboratory analysis of samples taken during inspections, reviewing plans and documents directly related to operations of permittees, overseeing performance of delegated pretreatment programs, and supporting the overhead expenses that are directly related to these activities. (2) The annual fee paid by a municipality, as defined in 33 U.S.C. Sec. 1362, for all domestic wastewater facility permits issued under RCW 90.48.162 and 90.48.260 shall not exceed the total of a maximum of eighteen cents per month per residence or residential equivalent contributing to the municipality's wastewater system. (3) The department shall ensure that indirect dischargers do not pay twice for the administrative expense of a permit. Accordingly, administrative expenses for permits issued by a municipality under RCW 90.48.165 are not recoverable by the department. (4) In establishing fees,the department shall consider the economic impact of fees on small dischargers and the economic impact of fees on public entities required to obtain permits for storm water runoff and shall provide appropriate adjustments. (5) The fee for an individual permit issued for a dairy farm as defined under chapter 90.64 RCW shall be fifty cents per animal unit up to one thousand two hundred fourteen dollars for fiscal year 1999. The fee for a general permit issued for a dairy farm as defined under chapter 90.64 RCW shall be fifty cents per animal unit up to eight hundred fifty dollars for fiscal year 1999. Thereafter,these fees may rise in accordance with the fiscal growth factor as provided in chapter 43.135 RCW. (6) The fee for a general permit or an individual permit developed solely as a result of the federal court of appeals decision in Headwaters, Inc. v. Talent Irrigation District, 243 F.3rd 526 (9th Cir. 2001) is limited, until June 30, 2003, to a maximum of three hundred dollars. Such a permit is required only, and as long as,the interpretation of this court decision is not overturned or modified by future court rulings, administrative rule making, or clarification of scope by the United States environmental protection agency or legislative action. In such a case the department shall take appropriate action to rescind or modify these permits. (7) All fees collected under this section shall be deposited in the water quality permit account hereby created in the state treasury. Moneys in the account may be appropriated only for purposes of administering permits under RCW 90.46.220, 90.48.160, 90.48.162, and 90.48.260. [11.05.09] (8) The department shall present a biennial progress report on the use of moneys from the account to the legislature. The report will be due December 31 st of odd-numbered years. The report shall consist of information on fees collected, actual expenses incurred, and anticipated expenses for the current and following fiscal years. 12009 c 456 §6;2009 c 249 § 1;2002 c 361 §2; 1998 c 262 § 16; 1997 c 398 §2; 1996 c 37 §3; 1992 c 174 § 17; 1991 c 307 § 1; 1989 c 2 § 13 (Initiative Measure No.97,approved November 8, 1988).] [11.05.091 Chapter 173-224 WAC WASTEWATER DISCHARGE PERMIT FEES (Ecology Version) Last Update: 09/28/09 WAC Sections 173-224-015 Purpose 173-224-020 Applicability 173-224-030 Definitions 173-224-040 Permit fee schedule 173-224-050 Permit fee computation and payments 173-224-060 Permits issued by other governmental agencies 173-224-080 Transfer of ownership or control 173-224-090 Small business fee reduction 173-224-100 Administrative appeals to the department 173-224-110 Deposits DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS CHAPTER 173-224-070 Credits. [Statutory Authority: Chapter 43.21A RCW. 89-12-027 and 90-07-015 (Order 89-8 and 89-8A), § 173-224-070, filed 5/31/89 and 3/13/90, effective 4/13/90.] Repealed by 96-03-041 (Order 94-21), filed 1/10/96, effective 2/10/96. Statutory Authority: Chapter 90.48 RCW. 173-224-120 Past due payments. [Statutory Authority: Chapter 90.48 RCW. 92-03-131 (Order 91- 45), § 173-224-120,filed 1/21/92, effective 2/21/92. Statutory Authority: Chapter 43.21A RCW. 89-12- 027 and 90-07-015 (Order 89-8 and 89-8A), § 173-224-120, filed 5/31/89 and 3/13/90, effective 4/13/90.] Repealed by 08-16-109 (Order 08-05),filed 8/5/08, effective 9/5/08. Statutory Authority: Chapter 90.48.RCW. WAC 173-224-015 Purpose. The purpose of this chapter is to establish a fee system for state waste discharge and NPDES permits issued by the department pursuant to RCW 90.48.160, 90.48.162, or 90.48.260. RCW 90.48.465 authorizes the department to base fees on factors related to the complexity of permit issuance and compliance and to charge fees to fully recover, but not exceed the costs of the permit program based on expenses incurred in the issuance and comprehensive administration of state waste discharge and NPDES permits. Fee amounts contained in this chapter represent the department's true estimate of fee eligible permit program costs and reflect the department's commitment to fully recover all eligible expenses. The department shall continue to examine the feasibility of adopting, when applicable, alternative permit fee systems. Any alternative fee system, such as variable permit fees, shall ensure continued full recovery of eligible program costs and may be based on pollutant loading and toxicity and may be designed to encourage recycling and reduction of the quantity of pollutants. [Statutory Authority: Chapter 90.48 RCW. 92-03-131 (Order 91-45), § 173-224-015, filed 1/21/92, effective 2/21/92. Statutory Authority: Chapter 43.21A RCW. 89-12-027 and 90-07-015 (Order 89-8 and 89-8A), § 173-224-015, filed 5/31/89 and 3/13/90,effective 4/13/90.] WAC 173-224-020 Applicability. This chapter applies to all persons holding or applying for a state waste discharge or NPDES permit issued by the department pursuant to RCW 90.48.160, 90.48.162, 90.48.200 or 90.48.260, including persons holding permits that remain in effect under WAC 173-216-040, 173-220- 180(5), or 173-226-050. This chapter does not apply when a wastewater discharge permit is written for a state conducted remedial action under the Model Toxics Control Act. That is, ecology will not charge itself for wastewater discharge permits written for sites where the agency is conducting a cleanup. [Statutory Authority: Chapter 90.48 RCW. 94-10-027(Order 93-08), § 173-224-020, filed 4/28/94, effective 5/29/94; 92-03-131 (Order 91-45), § 173-224-020,filed 1/21/92,effective 2/21/92. Statutory Authority: Chapter 43.21A RCW. 89-12-027 and 90-07- 015 (Order 89-8 and 89-8A), § 173-224-020, filed 5/31/89 and 3/13/90,effective 4/13/90.] WAC 173-224-030 Definitions. "Administrative expenses" means those costs associated with issuing and administering permits under RCW 90.48.160, 90.48.162, and 90.48.260. "Aggregate production" means the mining or quarrying of sand, gravel, or rock, or the production of concrete, or asphalt or a combination thereof. "Aluminum and magnesium reduction mills"means the electrolytic reduction of alumina or magnesium salts to produce aluminum or magnesium metal. "Animal unit" means the following: Number of Animals Animal Type er Animal Unit Dairy Cows Jersey Breed Milking Cow 0.900 Dry Cow 0.900 Heifer 0.220 Calf 0.220 Other Breeds Milking Cow 1.400 Dry Cow 1.000 Heifer 0.800 Calf 0.500 Feedlot Beef 0.877 Horses 0.500 Sheep 0.100 Swine for breeding 0.375 Swine for slaughter 0.110 Laying hens &pullets> 3 months 0.004 Broilers &pullets <3 months 0.002 For those concentrated animal feeding operations not listed on the above table,the department will use 1,000 pounds of live animal weight and the weight of the type of animal in determining the number of animal units. "Annual permit fee" means the fee charged by the department for annual expenses associated with activities specified in RCW 90.48.465. This annual fee is based on the state's Page 2 Ecology Chapter 173-224 WAC fiscal year(July 1 -June 30). "bbls/d" means barrels per day of feedstock for petroleum refineries. "bins/yr"means total standard bins used during the last complete calendar year by a facility in the crop preparing industry. The bins measure approximately 47.5 inches x 47.4 inches x 29.5 inches and hold approximately 870 pounds of fruit. "Chemical pulp mill w/chlorine bleaching" means any pulp mill that uses chlorine or chlorine compounds in their bleaching process. "Combined food processing waste treatment facility" means a facility that treats wastewater from more than one separately permitted food processor and receives no domestic wastewater or waste from industrial sources other than food processing. "Combined industrial waste treatment" means a facility which treats wastewater from more than one industry in any of the following categories: Inorganic chemicals, metal finishing, ore concentration, organic chemicals, or photofinishers. "Combined sewer overflow(CSO)" means the event during which excess combined sewage flow caused by inflow is discharged from a combined sewer, rather than conveyed to the sewage treatment plant because either the capacity of the treatment plant or the combined sewer is exceeded. "Concentrated animal feeding operation" means an "animal feeding operation" that meets the criteria in Appendix B of 40 CFR 122 as presently enacted and any subsequent modifications thereto. "Contaminants of concern" means a chemical for which an effluent limit is established (this does not include pH, flow, temperature, or other"nonchemical parameters"). Petroleum constituents will be considered as one contaminant of concern even if more than one effluent limit is established(e.g., Total Petroleum Hydrocarbons and BTEX). "Crane" means a machine used for the hoisting and lifting of ship hulls. "Crop preparing" means the preparation of fruit for wholesale or retail sale by washing and/or other processes in which the skin of the fruit is not broken and in which the interior part of the fruit does not come in direct contact with the wastewater. "cu. yds/yr" means the total production from an aggregate production facility in cubic yards during the most recent completed calendar year. "Department" means the department of ecology. "Director" means the director of the department of ecology. "Disturbed acres" means the total area which will be disturbed during all phases of the construction project or common plan of development or sale. This includes all clearing, grading, and excavating, and any other activity which disturbs the surface of the land. Ecology Chapter 173-224 WAC Page 3 "Domestic wastewater" means water carrying human wastes, including kitchen,bath, and laundry wastes from residences,buildings, industrial establishments or other places, together with any ground water infiltration or surface waters that may be present. "Domestic wastewater facility" means all structures, equipment, or processes required to collect, carry away,treat, reclaim or dispose of domestic wastewater together with such industrial waste as may be present. "Existing operations"means those industrial operations requiring a wastewater discharge permit before July 1, 1993. "EPA" means the United States Environmental Protection Agency. "Fin fish rearing and hatching" means the raising of fin fish for fisheries enhancement or sale, by means of hatcheries, net pens, or other confined fish facilities. "Flavor extraction"means the recovery of flavors or essential oils from organic products by steam distillation. "Food processing" means the preparation of food for human or animal consumption or the preparation of animal byproducts, excluding crop preparing. This category includes, but is not limited to, fruit and vegetable processing, meat and poultry products processing, dairy products processing,beer production, rendering and animal feed production. Food processing wastewater treatment plants that treat wastes from only one separately permitted food processor must be treated as one facility for billing purposes. "Gross revenue for business" means the gross income from Washington business activities as reported to the Washington state department of revenue. "Hazardous waste clean up sites" means any facility where there has been confirmation of a release or threatened release of a hazardous substance that requires remedial action other than RCRA corrective action sites. "Industrial facility" means any facility not included in the definition of municipal/domestic facility. "Industrial gross revenue" means the annual amount of the sales of goods and services produced using the processes regulated by the wastewater discharge permit. "Industrial storm water" means an operation required to be covered under ecology's NPDES and state waste discharge baseline general permit for storm water discharges associated with industrial activities or modifications to that permit or having an individual wastewater permit for storm water only. - "MGD" means permitted flow expressed in million gallons per day. "Manufacturing" means the making of goods and articles by hand or especially, by machinery into a manufactured product. Page 4 Ecology Chapter 173-224 WAC "Median household income" means the most recent available census data, updated yearly based on inflation rates as measured by the Federal Bureau of Labor Statistics and published as the Consumer Price Index. "Metal finishing" means the preparation of metal surfaces by means of electroplating, electroless plating, anodizing, coating (chromating,phosphating and coloring), chemical etching and milling, and printed circuit board manufacture. "Municipal/domestic facility" means a publicly owned facility treating domestic wastewater together with any industrial wastes that may be present, or a privately owned facility treating solely domestic wastewater. "Municipal gross revenue" means gross receipts from monthly, bimonthly, and/or quarterly user charges for sewer services received from all classes of customers; Included in these user charges are user charges and fees based on wastewater constituents' strengths and characteristics including high-strength surcharges and charges based on biochemical oxygen demand, suspended solids, oil and grease, toxicants, heavy metals, and flow, etc. Municipal gross revenue includes charges for receipt and treatment of septic tank wastes, holding tank wastes, chemical toilet wastes, etc. Municipal gross revenue includes all amounts received from other municipalities for sewage interception,treatment, collection, or disposal. Gross revenue excludes: • Amounts derived by municipalities directly from taxes levied for the support or maintenance of sewer services. • Late charges,penalties for nontimely payment by customers, interest on late payments, and all other penalties and fines. • Permit fees and compliance monitoring fees for wastewater discharge permits issued by municipalities with local pretreatment programs. Permit fees which are charged to cover the cost of providing sewer service are not excluded from municipal gross revenue. • Receipts by a municipality of special assessments or installments thereof and interests and penalties thereon, and charges in lieu of assessments. • Connection charges. • Revenues from sales of by-products such as sludge,processed wastewater, etc. "Municipality" means a city, town, county, district, association, or other public body created by or in accordance with state law and that has jurisdiction over disposal of sewage, industrial wastes, or other wastes, or an Indian tribe or an authorized Indian tribal organization, or a designated and approved management agency under 33 U.S.C. Sec. 1288. State government agencies are not included in this definition. Ecology Chapter 173-224 WAC Page 5 "Noncontact cooling water with additives" means water used for cooling that does not come into direct contact with any raw materials, intermediate product, waste product or finished product,but which may contain chemicals or additives added by the permittee to control corrosion or fouling of the cooling system. "Noncontact cooling water without additives" means water used for cooling that does not come into direct contact with any raw material, intermediate product,waste product or finished product, and which does not contain chemicals added by the permittee. The noncontact cooling water fee without additives category applies to those facilities which discharge only noncontact cooling water and which have no other wastewater discharges required to be permitted under RCW 90.48.160, 90.48.162, and 90.48.260. "Nonferrous metals forming" means the manufacturing of semifinished products from pure metal or metal alloys other than iron or steel or of metals not otherwise classified in WAC 173-224-040(2). "Nonoperating aggregate site" means a location where previous mining or processing has occurred; that has not been fully reclaimed; that has no current mining or processing, and that may include stockpiles of raw materials or finished products. The permittee may add or withdraw raw materials or finished products from the stockpiles for transportation offsite for processing, use, or sale and still be considered a nonoperating site. This definition can be found in Ecology's National Pollutant Discharge Elimination System and State Waste Discharge Permit for Process Water, Storm Water, and Mine Dewatering Water Discharges Associated with Sand and Gravel Operations, Rock Quarries and Similar Mining Facilities including Stockpiles of Mined Materials, Concrete Batch Operations and Asphalt Batch Operations. "NPDES permit" means a National Pollutant Discharge Elimination System permit issued by the department under Section 402 of the federal Clean Water Act and RCW 90.48.260. "Person" means any political subdivision, government agency, municipality, industry, public or private corporation, partnership, association, firm, individual, or any other entity whatever. "Portable facility" means a facility that is designed for mobility and is moved from site to site for short term operations. A portable facility applies only to an asphalt batch plant, portable concrete batch plant and portable rock crusher. "RCRA" means Resource Conservation Recovery Act clean up sites required to have a wastewater discharge permit resulting from a corrective action under relevant federal authorities or under chapters 70.105 and 70.105D RCW including chapters 173-303 and 173-340 WAC, and are not subject to cost recovery. "Residential equivalent" means a single-family residence or a unit of sewer service that yields an amount of gross revenue equal to the annual user charge for a single-family residence. In cases where the permit holder does not maintain data on gross revenue, user charges, and/or the number of single-family residences that it serves, "residential equivalent" means an influent flow of two hundred fifty gallons per day. Page 6 Ecology Chapter 173-224 WAC "Seafood processing"means: • Preparing fresh, cooked, canned, smoked,preserved, or frozen seafoods, including marine and freshwater animals (fish, shellfish, crustaceans, etc.) and plants, for human or animal consumption; or • Washing, shucking, and/or packaging of mollusks or crustaceans. "Sewer service" means the activity of receiving sewage deposited into and carried off by a system of sewers, drains, and pipes to a common point, or points, for disposal or for transfer to treatment for disposal, and activities involving the interception, transfer, storage, treatment, and/or disposal of sewage, or any of these activities. "State waste discharge permit" means a permit required under RCW 98.48.260. "Storm water" means an industrial operation or construction activity discharging storm water runoff as defined in 40 CFR 122.26 (b)(14) or facilities that are permitted as a significant contributor of pollutants as allowed in the federal Clean Water Act at Section 402 (p)(2)(E). "Tons/yr." means the total production from an asphalt production facility in tons during the most recent completed calendar year. "Vegetable/bulb washing" means the washing,packing, and shipping of fresh vegetables and bulbs when there is no cooking or cutting of the product before packing. [Statutory Authority: Chapter 90.48 RCW. 08-16-109 (Order 08-05), § 173-224-030, filed 8/5/08, effective 9/5/08. Statutory Authority: RCW 90.48.465. 04-15-046, § 173-224-030, filed 7/13/04, effective 8/13/04. Statutory Authority: Chapter 90.48 RCW. 02-12-059, § 173-224-030, filed 5/30/02, effective 6/30/02; 00-02-031 (Order 99-03), § 173-224-030, filed 12/28/99,effective 1/28/00; 98-03-046 (Order 97-27), § 173-224-030,filed 1/15/98, effective 2/15/98; 94-10-027 (Order 93-08), § 173-224-030, filed 4/28/94,effective 5/29/94; 92-03-131 (Order 91-45), § 173-224-030,filed 1/21/92,effective 2/21/92. Statutory Authority: Chapter 43.21A RCW. 89-12-027 and 90-07-015 (Order 89-8 and 89-8A), § 173-224-030, filed 5/31/89 and 3/13/90,effective 4/13/90.] WAC 173-224-040 Permit fee schedule. (1)Application fee. In addition to the annual fee, first time applicants (except those applying for coverage under a general permit)will pay a one time application fee of twenty-five percent of the annual permit fee, or$250.00, whichever is greater. An application fee will be assessed for RCRA sites regardless of whether a new permit is being issued or an existing permit for other than the discharge resulting from the RCRA corrective action is being modified. (2) Industrial facility categories. FY2010 Annual FY2011 Annual Industrial Facility Categories Permit Fee Permit Fee ` Aluminum Alloys $16,713.00 $16,713.00 Aluminum and Magnesium Reduction Mills a. NPDES Permit 98,554.00 98,554.00 b. State Permit 49,279.00 49,279.00 Aluminum Forming 50,136.00 50,136.00 Ecology Chapter 173-224 WAC Page 7 FY2010 Annual FY2011 Annual Industrial Facility Categories Permit Fee Permit Fee Aggregate Production- Individual Permit Coverage a. Mining Activities 1. Mining, screening,washing and/or crushing 2,876.00 2,876.00 2. Nonoperating aggregate site (fee per site) 118.00 118.00 b. Asphalt Production 1. 0 -< 50,000 tons/yr. 1,198.00 1,198.00 2. 50,000 -<300,000 tons/yr. 2,877.00 2,877.00 3. 300,000 tons/yr. and greater 3,598.00 3,598.00 c. Concrete Production 1. 0 - <25,000 cu. yds/yr. 1,198.00 1,198.00 2. 25,000 -<200,000 cu. yds/yr. 2,877.00 2,877.00 3. 200,000 cu. yds/yr. and greater 3,598.00 3,598.00 The fee for a facility in the aggregate production category is the sum of the applicable fees in the mining activities and concrete and asphalt production categories. d. Portable Operations 1. Rock Crushing 2,876.00 2,876.00 2. Asphalt 2,876.00 2,876.00 3. Concrete 2,876.00 2,876.00 Aggregate Production- General Permit Coverage a. Mining Activities 1. Mining, screening,washing and/or crushing 2,012.00 2,012.00 2. Nonoperating aggregate site (fee per site) 83.00 83.00 b. Asphalt Production 1. 0 -< 50,000 tons/yr. 840.00 840.00 2. 50,000 -<300,000 tons/yr. 2,013.00 2,013.00 3. 300,000 tons/yr. and greater 2,517.00 2,517.00 c. Concrete Production 1. 0 -<25,000 cu. yds/yr. 840.00 840.00 2. 25,000 -<200,000 cu. yds/yr. 2,013.00 2,013.00 3. 200,000 cu. yds/yr. and greater 2,517.00 2,517.00 The fee for a facility in the aggregate production category is the sum of the applicable fees in the mining activities and concrete and asphalt production categories. d. Portable Operations 1. Rock Crushing 2,013.00 2,013.00 2. Asphalt 2,013.00 2,013.00 3. Concrete 2,013.00 2,013.00 Aquaculture a. Finfish hatching and rearing- Individual Permit 5,012.00 5,012.00 _ b. Finfish hatching and rearing - General Permit Coverage 3,511.00 3,511.00 c. Shellfish hatching 182.00 190.00 Aquatic Pest Control Page 8 Ecology Chapter 173-224 WAC FY2010 Annual FY2011 Annual Industrial Facili Categories Permit Fee Permit Fee a. Irrigation Districts 397.00 414.00 b. Mosquito Control Districts 397.00 414.00 c. Invasive Moth Control 397.00 414.00 d. Aquatic Species Control & Eradication 397.00 414.00 e. Oyster Growers 397.00 414.00 f Rotenone Control 397.00 414.00 Boat Yards - Individual Permit Coverage a. With storm water only discharge 428.00 428.00 b. All others 856.00 856.00 Boat Yards - General Permit Coverage a. With storm water only discharge 313.00 326.00 b. All others 633.00 659.00 Coal Mining and Preparation a. <200,000 tons per year 6,680.00 6,680.00 b. 200,000 - <500,000 tons per year 15,042.00 15,042.00 c. 500,000 - < 1,000,000 tons per year 26,739.00 26,739.00 d. 1,000,000 tons per year and greater 50,136.00 50,136.00 Combined Industrial Waste Treatment a. < 10,000 gpd 3,342.00 3,342.00 b. 10,000 -< 50,000 gpd 8,354.00 8,354.00 c. 50,000 -< 100,000 gpd 16,713.00 16,713.00 d. 100,000 -< 500,000 gpd 33,422.00 33,422.00 e. 500,000 gpd and greater 50,136.00 50,136.00 Combined Food Processing Waste Treatment Facilities 16,000.00 16,000.00 Combined Sewer Overflow System a. < 50 acres 3,342.00 3,342.00 b. 50 -< 100 acres 8,354.00 8,354.00 c. 100 -<500 acres 10,030.00 10,030.00 d. 500 acres and greater 13,368.00 13,368.00 Commercial Laundry 428.00 428.00 Concentrated Animal Feeding Operation a. <200 Animal Units 180.00 188.00 b. 200 -<400 Animal Units 450.00 469.00 c. 400 -<600 Animal Units 901.00 939.00 _ d. 600 -< 800 Animal Units 1,351.00 1,407.00 e. 800 Animal Units and greater 1,803.00 1,878.00 Crop Preparing- Individual Permit Coverage a. 0 -< 1,000 bins/yr. 333.00 333.00 b. 1,000 - <5,000 bins/yr. 669.00 669.00 c. 5,000 - < 10,000 bins/yr. 1,337.00 1,337.00 Ecology Chapter 173-224 WAC Page 9 FY2010 Annual FY20II Annual Industrial Facility Categories Permit Fee Permit Fee d. 10,000 -< 15,000 bins/yr. 2,676.00 2,676.00 e. 15,000 -<20,000 bins/yr. 4,425.00 4,425.00 f. 20,000-<25,000 bins/yr. 6,183.00 6,183.00 g. 25,000 -<50,000 bins/yr. 8,271.00 8,271.00 h. 50,000 -<75,000 bins/yr. 9,192.00 9,192.00 i. 75,000 -< 100,000 bins/yr. 10,694.00 10,694.00 j. 100,000 -< 125,000 bins/yr. 13,368.00 13,368.00 k. 125,000-< 150,000 bins/yr. 16,712.00 16,712.00 1. 150,000 bins/yr. and greater 20,055.00 20,055.00 Crop Preparing - General Permit Coverage a. 0 - < 1,000 bins/yr. 232.00 232.00 b. 1,000 -<5,000 bins/yr. 468.00 468.00 c. 5,000 -< 10,000 bins/yr. 937.00 937.00 d. 10,000-< 15,000 bins/yr. 1,873.00 1,873.00 e. 15,000-<20,000 bins/yr. 3,100.00 3,100.00 f 20,000 -<25,000 bins/yr. 4,328.00 4,328.00 g. 25,000 -<50,000 bins/yr. 5,788.00 5,788.00 h. 50,000 - <75,000 bins/yr. 6,433.00 6,433.00 i. 75,000 -< 100,000 bins/yr. 7,481.00 7,481.00 j. 100,000-< 125,000 bins/yr. 9,360.00 9,360.00 k. 125,000 -< 150,000 bins/yr. 11,698.00 11,698.00 1. 150,000 bins/yr. and greater 1 14,037.00 14,037.00 Dairies $.50 per Animal Unit not to exceed$1,261.00 for FY2010and$1,314.00 for FY2011 Facilities Not Otherwise Classified-Individual Permit Coverage a. < 1,000 gpd 1,671.00 1,671.00 b. 1,000 -< 10,000 gpd 3,342.00 3,342.00 c. 10,000 -<50,000 gpd 8,355.00 8,355.00 d. 50,000 -< 100,000 gpd 13,368.00 13,368.00 e. 100,000 -<500,000 gpd 26,606.00 26,606.00 f. 500,000 -< 1,000,000 gpd 33,422.00 33,422.00 g. 1,000,000 gpd and greater 1 50,135.00 50,135.00 Facilities Not Otherwise Classified- General Permit Coverage a. < 1,000 gpd 1,172.00 1,172.00 b. 1,000 -< 10,000 gpd 2,425.00 2,425.00 c. 10,000 -< 50,000 gpd 5,851.00 5,581.00 d. 50,000 - < 100,000 gpd 9,360.00 9,360.00 e. 100,000 - < 500,000 gpd 18,715.00 18,715.00 f 500,000 - < 1,000,000 gpd 23,394.00 23,394.00 g. 1,000,000 gpd and greater 35,095.00 ' 35,095.00 Page 10 Ecology Chapter 173-224 WAC FY2010 Annual FY2011 Annual Industrial Facility Categories Permit Fee Permit Fee Flavor Extraction a. Steam Distillation 171.00 171.00 Food Processing a. < 1,000 gpd 1,670.00 1,670.00 b. 1,000 -< 10,000 gpd 4,259.00 4,259.00 c. 10,000 -<50,000 gpd 7,604.00 7,604.00 d. 50,000 -< 100,000 gpd 11,948.00 11,948.00 e. 100,000 -<250,000 gpd 16,712.00 16,712.00 f. 250,000 -<500,000 gpd 21,977.00 21,977.00 g. 500,000 - <750,000 gpd 27,572.00 27,572.00 h. 750,000 -< 1,000,000 gpd 33,422.00 33,422.00 i. 1,000,000 -<2,500,000 gpd 41,175.00 41,175.00 j. 2,500,000 -< 5,000,000 gpd 45,957.00 45,957.00 k. 5,000,000 gpd and greater 50,136.00 50,136.00 Fuel and Chemical Storage a. <50,000 bbls 1,671.00 1,671.00 b. 50,000 -< 100,000 bbls 3,342.00 3,342.00 c. 100,000 -<500,000 bbls 8,354.00 8,354.00 d. 500,000 bbls and greater 16,713.00 16,713.00 Hazardous Waste Clean Up Sites a. Leaking Underground Storage Tanks (LUST) 1. State Permit 4,383.00 4,383.00 2. NPDES Permit Issued pre 07/01/94 4,383.00 4,383.00 3. NDPES Permit Issued post 07/01/94 8,765.00 8,765.00 b. Non-LUST Sites 1. 1 or 2 Contaminants of concern 8,570.00 8,570.00 2. >2 Contaminants of concern 17,140.00 17,140.00 Ink Formulation and Printing a. Commercial Print Shops 2,571.00 2,571.00 b. Newspapers 4,286.00 4,286.00 c. Box Plants 6,856.00 6,856.00 d. Ink Formulation 8,571.00 8,571.00 Inorganic Chemicals Manufacturing a. Lime Products 8,354.00 8,354.00 _ b. Fertilizer 10,058.00 10,058.00 c. Peroxide 13,368.00 13,368.00 d. Alkaline Earth Salts 16,713.00 16,713.00 e. Metal Salts 23,393.00 23,393.00 f. Acid Manufacturing 33,416.00 33,416.00 g. Chlor-alkali 66,846.00 66,846.00 Ecology Chapter 173-224 WAC Page 11 FY2010 Annual FY2011 Annual Industrial Facility Categories Permit Fee Permit Fee Iron and Steel a. Foundries 16,713.00 16,713.00 b. Mills 33,453.00 33,453.00 Metal Finishing a. < 1,000 gpd 2,004.00 2,004.00 b. 1,000 -< 10,000 gpd 3,341.00 3,341.00 c. 10,000 -<50,000 gpd 8,353.00 8,353.00 d. 50,000 -< 100,000 gpd 16,712.00 16,712.00 e. 100,000 -< 500,000 gpd 33,420.00 33,420.00 f 500,000 gpd and greater 50,133.00 50,133.00 Noncontact Cooling Water With Additives -Individual Permit Coverage a. < 1,000 gpd 1,046.00 1,046.00 b. 1,000 -< 10,000 gpd 1,459.00 1,459.00 c. 10,000 <50,000 gpd 3,136.00 3,136.00 d. 50,000 -< 100,000 gpd 7,314.00 7,314.00 e. 100,000 -<500,000 gpd 12,531.00 12,531.00 f 500,000 -< 1,000,000 gpd 17,758.00 17,758.00 g. 1,000,000 -<2,500,000 gpd 22,982.00 22,982.00 h. 2,500,000 -<5,000,000 gpd 28,082.00 28,082.00 i. 5,000,000 gpd and greater 33,422.00 33,422.00 Noncontact Cooling Water With Additives -General Permit Coverage a. < 1,000 gpd 733.00 733.00 b. 1,000-< 10,000 gpd 1,461.00 1,461.00 c. 10,000-<50,000 gpd 2,195.00 2,195.00 d. 50,000 < 100,000 gpd 5,120.00 5,120.00 e. 100,000 -< 500,000 gpd 8,773.00 8,773.00 f 500,000 - < 1,000,000 gpd 12,432.00 12,432.00 g. 1,000,000 - < 2,500,000 gpd 16,086.00 16,086.00 h. 2,500.000-<5,000,000 gpd 19,739.00 19,739.00 i. 5,000,000 gpd and greater 23,394.00 23,394.00 Noncontact Cooling Water Without Additives - Individual Permit Coverage a. < 1,000 gpd 838.00 838.00 b. 1,000 -< 10,000 gpd 1,671.00 1,671.00 c. 10,000 -< 50,000 gpd 2,509.00 2,509.00 d. 50,000 -< 100,000 gpd 5,851.00 5,851.00 e. 100,000 <500,000 gpd 10,030.00 10,030.00 f. 500,000 -< 1,000,000 gpd 14,203.00 14,203.00 g. 1,000,000-<2,500,000 gpd 18,310.00 18,310.00 h. 2,500,000-<5,000,000 gpd 22,559.00 22,559.00 i. 5,000,000 gpd and greater 26,739.00 26,739.00 Page 12 Ecology Chapter 173-224 WAC FY2010 Annual FY2011 Annual Industrial Facility Categories Permit Fee Permit Fee Noncontact Cooling Water Without Additives - General Permit Coverage a. < 1,000 gpd 586.00 586.00 b. 1,000 -< 10,000 gpd 1,1 72.00 1,172.00 c. 10,000 -<50,000 gpd 1,757.00 1,757.00 d. 50,000 -< 100,000 gpd 4,095.00 4,095.00 e. 100,000 -<500,000 gpd 7,019.00 7,019.00 f 500,000 -< 1,000,000 gpd 9,944.00 9,944.00 g. 1,000,000 -<2,500,000 gpd 12,868.00 12,868.00 h. 2,500,000 -<5,000,000 gpd 15,793.00 15,793.00 i. 5,000,000 gpd and greater 18,715.00 18,715.00 Nonferrous Metals Forming 16,713.00 16,713.00 Ore Mining a. Ore Mining 3,342.00 3,342.00 b. Ore mining with physical concentration processes 6,682.00 6,682.00 c. Ore mining with physical and chemical concentration processes 26,739.00 26,739.00 Organic Chemicals Manufacturing a. Fertilizer 16,713.00 16,713.00 b. Aliphatic 33,422.00 33,422.00 c. Aromatic 50,136.00 50,136.00 Petroleum Refining a. < 10,000 bbls/d 33,422.00 33,422.00 b. 10,000-<50,000 bbls/d 66,266.00 66,266.00 c. 50,000 bbls/d and greater 133,699.00 133,699.00 Photofinishers a. < 1,000 gpd 1,337.00 1,337.00 b. 1,000 gpd and greater 3,342.00 3,342.00 Power and/or Steam Plants a. Steam Generation—Nonelectric 6,680.00 6,680.00 b. Hydroelectric 6,680.00 6,680.00 c. Nonfossil Fuel 10,028.00 10,028.00 d. Fossil Fuel 26,739.00 26,739.00 Pulp, Paper and Paper Board a. Fiber Recyclers 16,711.00 16,711.00 _ b. Paper Mills 33,422.00 33,422.00 c. Groundwood Pulp Mills 1. <300 tons per day 50,136.00 50,136.00 2. >300 tons per day 100,270.00 100,270.00 d. Chemical Pulp Mills w/o Chlorine Bleaching 133,692.00 133,692.00 e. Chemical Pulp Mills w/Chlorine Bleaching 150,400.00 150,400.00 Ecology Chapter 173-224 WAC Page 13 FY2010 Annual FY2011 Annual Industrial Facility Categories Permit Fee Permit Fee Radioactive Effluents and Discharges (RED) a. <3 waste streams 32,332.00 32,332.00 b. 3 -< 8 waste streams 56,147.00 56,147.00 c. 8 waste streams and greater 92,478.00 92,478.00 RCRA Corrective Action Sites 23,490.00 23,490.00 Seafood Processing a. < 1,000 gpd 1,671.00 1,671.00 b. 1,000 -< 10,000 gpd 4,259.00 4,259.00 c. 10,000 -<50,000 gpd 7,604.00 7,604.00 d. 50,000 -< 100,000 gpd 11,948.00 11,948.00 e. 100,000 gpd and greater 16,713.00 16,713.00 Shipyards a. Per crane,travel lift, small boat lift 3,342.00 3,342.00 b. Per drydock under 250 ft in length 3,342.00 3,342.00 c. Per graving dock 3,342.00 3,342.00 d.- Per marine way 5,012.00 5,012.00 e. Per sycrolift 5,012.00 5,012.00 f. Per drydock over 250 ft in length 6,682.00 6,682.00 g. In-water vessel maintenance 6,682.00 6,682.00 The fee fora facility in the shipyard category is the sum of the fees for the applicable units in the facility. Solid Waste Sites (nonstorm water) a. Nonputrescible 6,682.00 6,682.00 b. <50 acres 13,367.00 13,367.00 c. 50 -< 100 acres 26,739.00 26,739.00 d. 100 - <250 acres 33,422.00 33,422.00 e. 250 acres and greater 50,136.00 50,136.00 Textile Mills 66,846.00 66,846.00 Timber Products a. Log Storage 3,342.00 3,342.00 b. Veneer 6,682.00 6,682.00 c. Sawmills 13,368.00 13,368.00 d. Hardwood,Plywood 23,393.00 23,393.00 e. Wood Preserving 32,094.00 32,094.00 Vegetable/Bulb Washing Facilities a. < 1,000 gpd 110.00 110.00 b. 1,000 - <5,000 gpd 224.00 224.00 c. 5,000 - < 10,000 gpd 440.00 440.00 d. 10,000-<20,000 gpd 887.00 887.00 e. 20,000 and greater 1,464.00 1,464.00 Page 14 Ecology Chapter 173-224 WAC FY2010 Annual FY2011 Annual Industrial Facility Categories Permit Fee Permit Fee Vehicle Maintenance and Freight Transfer a. <0.5 acre 3,342.00 3,342.00 b. 0.5 -< 1.0 acre 6,682.00 6,682.00 c. 1.0 acre and greater 10,028.00 10,028.00 Water Plants - Individual Permit Coverage 4,180.00 4,180.00 Water Plants - General Permit Coverage 2,925.00 2,925.00 Wineries a. < 500 gpd 341.00 341.00 b. 500 - < 750 gpd 684.00 684.00 c. 750 -< 1,000 gpd 1,367.00 1,367.00 d. 1,000 - <2,500 gpd 2,734.00 2,734.00 e. 2,500 - <5,000 gpd 4,362.00 4,362.00 f. 5,000 gpd and greater 5,987.00 5,987.00 (a)Facilities other than those in the aggregate production, shipyard, or RCRA categories that operate within several fee categories or subcategories, shall be charged from that category or subcategory with the highest fee. (b) The total annual permit fee for a water treatment plant that primarily serves residential customers may not exceed three dollars per residential equivalent. The number of residential equivalents is determined by dividing the facility's annual gross revenue in the previous calendar year by the annual user charge for a single family residence that uses nine hundred cubic feet of water per month. (c) Crop preparation and aggregate production permit holders are required to submit information to the department certifying annual production(calendar year) or unit processes. When required, the department will send the information form to the permit holder. The permit holder shall complete and return the information form to the department by the required due date. Failure to provide this information will result in a fee determination based on the highest subcategory the facility has received permit coverage in. (i)Information submitted shall bear a certification of correctness and be signed: (A) In the case of a corporation,by an authorized corporate officer; (B) In the case of a limited partnership,by an authorized general partner; (C) In the case of a general partnership,by an authorized partner; or (D) In the case of a sole proprietorship, by the proprietor. (ii) The department may verify information submitted and, if it determines that false or inaccurate statements have been made, it may, in addition to taking other actions provided by law, revise both current and previously granted fee determinations. (d)Fees for crop preparers discharging only noncontact cooling water without additives shall pay the lesser of the applicable fee in the crop preparing or noncontact cooling water without additives categories. (e) Where no clear industrial facility category exists for placement of a permit holder, the department may elect to place the permit holder in a category with dischargers or permit holders that contain or use similar properties or processes and/or a category which contains similar permitting complexities to the department. (f) Hazardous waste clean up sites and EPA authorized RCRA corrective action sites with Ecology Chapter 173-224 WAC Page 15 whom the department has begun cost recovery through chapter 70.105D RCW shall not pay a permit fee under chapter 173-224 WAC until such time as the cost recovery under chapter 70.105D RCW ceases. (g)Any permit holder,with the exception of nonoperating aggregate operations or a permitted portable facility,who has not been in continuous operation within a consecutive eighteen-month period or who commits to not being in operation for a consecutive eighteen- month period or longer can have their permit fee reduced to twenty-five percent of the fee that they would be otherwise assessed. This nonoperating mode must be verified by the appropriate ecology staff. Once operations resume, the permit fee will be returned to the full amount. Facilities who commit to the minimum eighteen-month nonoperating mode but go back into operation during the same eighteen-month period will be assessed permit fees as if they were active during the entire period. (h)Facilities with subcategories based on gallons per day(gpd) shall have their annual permit fee determined by using the maximum daily flow or maximum monthly average permitted flow in gallons per day as specified in the waste discharge permit,whichever is greater. (i)RCRA corrective action sites requiring a waste discharge permit will be assessed a separate permit fee regardless of whether the discharge is authorized by a separate permit or by a modification to an existing permit for a discharge other than that resulting from the corrective action. (3)MUNICIPAU/DOMESTIC FACILITIES (a) The annual permit fee for a permit held by a municipality for a domestic wastewater facility issued under RCW 90.48.162 or 90.48.260 is determined as follows: FY2010 Annual FY2011 Annual Residential Equivalents E Permit Fee Permit Fee <250,000 $ 1.89 $ 1.97 >250,000 1.32 1.38 (b)The annual permit fee under RCW 90.48.162 or 90.48.260 that is held by a municipality which: (i)Holds more than one permit for domestic wastewater facilities; and (ii)Treats each domestic wastewater facility as a separate accounting entity, is determined as in (a) of this subsection. A separate accounting entity is one that maintains separate funds or accounts for each domestic wastewater facility. Revenues are received from the users to pay for the costs of operating that facility. (c)The sum of the annual permit fees for permits held by a municipality that: (i)Holds more than one permit for domestic wastewater facilities issued under RCW 90.48.162 or 90.48.260; and (ii)Does not treat each domestic wastewater facility as a separate accounting entity, as described in (b) of this subsection, is determined as in(a) of this subsection. (d) The permit fee for a privately owned domestic wastewater facility that primarily serves residential customers is determined as in(a) of this subsection. Residential customers are those whose lot,parcel or real estate, or building is primarily used for domestic dwelling purposes. (e)The annual permit fee for privately owned domestic wastewater facilities must be determined by using the maximum daily flow or maximum monthly average permitted flow in Page 16 Ecology Chapter 173-224 WAC million gallons per day,whichever is greater, as specified in the waste discharge permit. Permit fees for privately owned domestic wastewater facilities that do not serve primarily residential customers and for state-owned domestic wastewater facilities are the following: FY2010 Annual FY2011 Annual Permitted Flows Permit Fee Permit Fee 1 MGD and greater $8,788.00 $9,154.00 .05 MGD to< .1 MGD 3,516.00 3,663.00 .0008 MGD to < .05 MGD 1,758.00 1,831.00 < .0008 MGD 530.00 552.00 (f) The number of residential equivalents is calculated in the following manner: (i) If the facility serves only single-family residences,the number of residential equivalents is the number of single-family residences that it served on January 1 of the previous calendar year. (ii) If the facility serves both single-family residences and other classes of customers, the number of residential equivalents is calculated in the following manner: (A) Calculation of the number of residential equivalents that the facility serves in its own service area. Subtract from the previous calendar year's gross revenue: (I) Any amounts received from other municipalities for sewage interception,treatment, collection, or disposal; and (II) Any user charges received from customers for whom the permit holder pays amounts to other municipalities for sewage treatment or disposal services. Divide the resulting figure by the annual user charge for a single-family residence. (B) Calculation of the number of residential equivalents that the facility serves in other municipalities which pay amounts to the facility for sewage interception, treatment, collection, or disposal: (I) Divide any amounts received from other municipalities during the previous calendar year by the annual user charge for a single-family residence. In this case "annual user charge for a single-family residence" means the annual user charge that the facility charges other municipalities for sewage interception,treatment, collection, or disposal services for a single- family residence. If the facility charges different municipalities different single-family residential user fees, then the charge used in these calculations must be that which applies to the largest number of single-family residential customers. Alternatively, if the facility charges different municipalities different single-family residential user fees, the permit holder may divide the amount received from each municipality by the annual user charge that it charges that municipality for a single-family residence and sum the resulting figures. (II) If the facility does not charge the other municipality on the basis of a fee per single- family residence, the number of residential equivalents in the other municipality is calculated by dividing its previous calendar year's gross revenue by its annual user fee for a single-family residence. If the other municipality does not maintain data on its gross revenue,user fees, and/or the number of single-family residences that it serves, the number of residential equivalents is calculated as in(f)(iv) of this subsection. (III) If the other municipality serves only single-family residences, the number of residential equivalents may be calculated as in (f)(i) of this subsection. The sum of the resulting figures is the number of residential equivalents that the facility serves in other municipalities. (C) The number of residential equivalents is the sum of the number of residential Ecology Chapter 173-224 WAC Page 17 equivalents calculated in(f)(ii)(A)and(B)of this subsection. (iii)The annual user fee for a single-family residence is calculated by either of the following methods, at the choice of the permit holder: (A)The annual user fee for a single-family residence using nine hundred cubic feet of water per month. If users are billed monthly, this is calculated by multiplying by twelve the monthly user fee for a single-family residence using nine hundred cubic feet of water per month. If users are billed bimonthly, the annual user fee is calculated by multiplying by six the bimonthly user fee for a single-family residence using one thousand eight hundred cubic feet of water per two-month period. If the user fee for a single-family residence varies, depending on age, income, location, etc., then the fee used in these calculations must be that which applies to the largest number of single-family residential customers. (B)The average annual user fee for a single-family residence. This average is calculated by dividing the previous calendar year's gross revenue from provision of sewer services to single-family residences by the number of single-family residences served on January 1 of the previous calendar year. If the user fee for a single-family residence varies, depending on age, income, location, etc.,then the gross revenue and number of single-family residences used in making this calculation must be those for all the single-family residential customers. In either case, (f)(iii)(A) or(B) of this subsection, the permit holder must provide the department with a copy of its complete sewer rate schedule for all classes of customers. (iv) If a permit holder does not maintain data on its gross revenue, user fees, and/or the number of single-family residences that it serves, and therefore cannot use the methods described in(f)(i) or(ii) of this subsection to calculate the number of residential equivalents that it serves, then the number of residential equivalents that it serves is calculated by dividing the average daily influent flow to its facility for the previous calendar year by two hundred fifty gallons. This average is calculated by summing all the daily flow measurements taken during the previous calendar year and then dividing the resulting sum by the number of days on which flow was measured. Data for this calculation must be taken from the permit holder's discharge monitoring reports. Permit holders using this means of calculating the number of their residential equivalents must submit with their application a complete set of copies of their discharge monitoring reports for the previous calendar year. (g)Fee calculation procedures for holders of permits for domestic wastewater facilities. (i)Municipalities holding permits for domestic wastewater facilities issued under RCW 90.48.162 and 90.48.260, and holders of permits for privately-owned domestic wastewater facilities that primarily serve residential customers must complete a form certifying the number of residential equivalents served by their domestic wastewater system. The form must be completed and returned to the department within thirty days after it is mailed to the permit holder by the department. Failure to return the form could result in permit termination. (ii) The form shall bear a certification of correctness and be signed: (A) In the case of a corporation, by an authorized corporate officer; (B) In the case of a limited partnership, by an authorized partner; (C) In the case of a general partnership,by an authorized partner; (D)In the case of a sole proprietorship,by the proprietor; or (E) In the case of a municipal or other public facility,by either a ranking elected official _ or a principal executive officer. (iii)The department may verify the information contained in the form and, if it determines that the permit holder has made false statements,may, in addition to taking other actions provided by law,revise both current and previously granted fee determinations. (4) STORM WATER PERMIT COVERAGES (UNLESS SPECIFICALLY CATEGORIZED ELSEWHERE IN WAC 173-224-040(2)1 Page 18 Ecology Chapter 173-224 WAC FY2010 Annual FY2011 Annual Permit Fee Permit Fee a. Individual Construction or Industrial Storm Water Permits 1. <50 acres $3,516.00 $3,663.00 2. 50 -< 100 acres 7,027.00 7,320.00 3. 100 -< 500 acres 10,549.00 10,989.00 4. 500 acres and greater 14,063.00 14,649.00 b. Facilities Covered Under the Industrial Storm Water General Permit 1. Municipalities and state agencies 1,151.00 1,199.00 2. New permit holders without historical gross revenue information 605.00 630.00 3. The permit fee for all other permit holders shall be based on the gross revenue of the business for the previous calendar year Gross Revenue Less than $100,000 112.00 117.00 $ 100,000 - <$ 1,000,000 485.00 505.00 $ 1,000,000 -<$ 2,500,000 581.00 605.00 $ 2,500,000 -< $ 5,000,000 969.00 1,009.00 $ 5,000,000 -< $10,000,000 1,454.00 1,515.00 $10,000,000 and greater 1,756.00 1,829.00 To be eligible for less than the maximum permit fee,the permit holder must provide documentation to substantiate the gross revenue claims. Documentation shall be provided annually in a manner prescribed by the department. The documentation shall bear a certification of correctness and be signed: (a) In the case of a corporation,by an authorized corporate officer; (b) In the case of a limited partnership, by an authorized general partner; (c)In the case of a general partnership,by an authorized partner; or (d) In the case of a sole proprietorship, by the proprietor. The department may verify the information contained in the submitted documentation and, if it determines that the permit holder has made false statements,may deny the adjustment, revoke previously granted fee adjustments, and/or take such other actions deemed appropriate or required under state or federal law. c. Construction Activities Covered Under the Construction Storm Water General Permit(s) 1. Less than 5 acres disturbed area $ 454.00 $ 473.00 2. 5 -< 7 acres of disturbed area 740.00 771.00 3. 7 - < 10 acres of disturbed area 999.00 1,041.00 4. 10 -<20 acres of disturbed area 1,362.00 1,419.00 5. 20 acres and greater of disturbed area 1,695.00 1,766.00 (5)MUNICIPAL SEPARATE STORM SEWER SYSTEM PERMITS (a)Except as provided for in(d) of this subsection, the municipal storm water permit annual fee for the entities listed below will be: Ecology Chapter 173-224 WAC Page 19 FY2010 Annual FY2011 Annual Permit Fee Permit Fee King County $40,046.00 $41,716.00 Snohomish County $40,046.00 $41,716.00 Pierce County $40,046.00 $41,716.00 Tacoma, City of $40,046.00 $41,716.00 Seattle, City of $40,046.00 $41,716.00 Washington Department of Transportation $40,046.00 $41,716.00 Clark County $40,046.00 $41,716.00 (b) Municipal storm water general permit fees for cities and counties, except as otherwise provided for in(a), (c), and(d) of this subsection,will be determined in the following manner: For fiscal year 2010, Ecology will charge $1.17 per housing unit inside the geographic area covered by the permit for those cities and counties whose median household income exceeds the state average. Cities and counties whose median household income is less than the state average will have their fee per housing unit reduced to $.56 per housing unit inside the geographic area covered by the permit. For fiscal year 2011, Ecology will charge $1.22 per housing unit inside the geographic area covered by the permit for those cities and counties whose median household income exceeds the state average. Cities and counties whose median household income is less than the state average will have their fee per housing unit reduced to $.58 per housing unit inside the geographic area covered by the permit. Fees will not exceed$40,046.00 for fiscal year 2010 and$41,716 for fiscal year 2011. The minimum annual fee will not be lower than $1,666.00 for fiscal year 2010 and $1,735.00 for fiscal year 2011 unless the permitted city or county has a median household income less than the state average. In this case,the city or county will pay a fee totaling $.56 per housing unit for fiscal year 2010. The fee amount for FY 2011 will be $.58 per housing unit. (c) Other entities required to have permit coverage under a municipal storm water general permit will pay an annual fee based on the entities' previous year's annual operating budget as follows: FY2010 Annual FY2011 Annual Annual Operating Budget Permit Fee Permit Fee Less than $100,000 $117.00 $ 122.00 $ 100,000 -< $ 1,000,000 469.00 489.00 $ 1,000,000 -< $ 5,000,000 1,172.00 1,221.00 $ 5,000,000 -< $10,000,000 1,757.00 1,830.00 $10,000,000 and greater 2,929.00 3,051.00 For the purposes of determining the annual permit fee category, the annual operating budget shall be the entities' annual operating budget for the entities' previous fiscal year and shall be determined as follows: (i) For diking, drainage, irrigation, and flood control districts,the district's annual operating budget. (ii) For ports, the annual operating budget for the port district. (iii) For colleges, schools, and universities, the portion of the operating budget related to plant or facilities operation and maintenance for the site or sites subject to the permit. (iv)For state agencies, the annual operating budget for the site or sites subject to the permit. Page 20 Ecology Chapter 173-224 WAC (v) For other entities not listed,Ecology will consider annual revenue, and the noncapital operating budget for the site subject to the permit. (d)Municipal storm water permits written specifically for a single entity, such as a single city, county, or agency, issued after the effective date of this rule will have its annual fee determined in the following manner: (i)For cities and counties listed in(a) of this subsection, the fee shall be five times the amount identified. (ii)For cities and counties whose median household income exceeds the state average, the fee shall be the higher of either five times the otherwise applicable general permit fee or $30,000. For municipalities whose median household income is less than the state average,the fee shall be the higher of 2.5 times the otherwise applicable general permit fee or$15,000. (iii)For entities that would otherwise be covered under a municipal storm water general permit as determined in(c) of this subsection, the fiscal year 2010 annual fee for a permit written for a specific entity shall be $8,330. For FY2011,the annual fee will be $8,714.00. (e)Ecology will assess a single permit fee for entities which apply only as co-permittees or co-applicants. The permit fee shall be equal to the highest single permit fee which would have been assessed if the co-permittees had applied separately. [Statutory Authority: Chapter 90.48.465. 09-20-020(Order 09-06), § 173-224-040, filed 09/28/09, effective 10/29/09. [Statutory Authority: Chapter 90.48.RCW. 08-16-109 (Order 08-05), § 173-224- 040, filed 8/5/08, effective 9/5/08. Statutory Authority: RCW 90.48.465. 06-12-028 (Order 05-17), § 173-224-040, filed 05/30/06, effective 06/30/06; 04-15-046, § 173-224-040, filed 7/13/04,effective 8/13/04. Statutory Authority: Chapter 90.48 RCW. 02-12-059, § 173-224-040, filed 5/30/02, effective 6/30/02; 00-13-010(Order 00-06), § 173-224-040,filed 6/9/00,effective 7/10/00; 00-02-031 (Order 99- 03), § 173-224-040,filed 12/28/99, effective 1/28/00; 98-03-046 (Order 97-27), § 173-224-040, filed 1/15/98, effective 2/15/98; 96-03-041 (Order 94-21), § 173-224-040, filed 1/10/96, effective 2/10/96; 94-10-027(Order 93-08), § 173-224-040, filed 4/28/94,effective 5/29/94; 92-03- 131 (Order 91-45), § 173-224-040, filed 1/21/92, effective 2/21/92. Statutory Authority: Chapter 43.21A RCW. 89-12-027 and 90-07-015 (Order 89-8 and 89-8A), § 173-224-040,filed 5/31/89 and 3/13/90,effective 4/13/90.] WAC 173-224-050 Permit fee computation and payments. (1) The department shall charge permit fees based on the permit fee schedule contained in WAC 173-224-040. The department may charge fees at the beginning of the year to which they apply. The department shall notify permit holders of fee charges by mailing billing statements. Permit fees must be received by the department within forty-five days after the department mails a billing statement. The department may elect to bill permit holders a prorated portion of the annual fee on a monthly, quarterly, or other periodic basis. (2) Permit fee computation for individual permits. Computation of permit fees shall begin on the first day of each fiscal year. In the case of facilities or activities not previously covered by permits, fee computation begins on the issuance date of the permit. In the case of applicants for state waste discharge permits who are deemed to have a temporary permit under RCW 90.48.200, computation shall begin on the sixty-first day after the department accepts a completed application. In the case of NPDES permit holders who submit a new,updated permit • application containing information that could change their assigned permit fee, computation and permit fee category reassignment begins upon acceptance of the application by the department. Any facility that obtains permit coverage but fails to operate will still be obligated to pay the annual permit fee assessment until the permit has been terminated by the department. Permits terminating during the fiscal year will pay the annual fee assessment regardless of the permit termination date. Ecology Chapter 173-224 WAC Page 21 (3)Permit fees for sand and gravel(aggregate) general permit holders will be assessed as in subsection(2) of this section and: (a)Nonoperating aggregate sites. A facility conducting mining, screening,washing and/or crushing activities excluding portable rock crushing operations is considered nonoperating for fee purposes if they are conducting these activities for less than ninety cumulative days during a calendar year. A facility producing no asphalt and/or concrete during the calendar year is also considered nonoperating for fee purposes. (b)Nonoperating sites that become active for only concrete and/or asphalt production will be assessed a prorated fee for the actual time inactive. For the actual time a concrete and/or asphalt facility is active excluding asphalt portable batch plants and concrete portable batch plants, fees will be based on total production of concrete and/or asphalt. (c)Fees for continuously active sites that produce concrete and/or asphalt excluding asphalt portable batch plants and concrete portable batch plants, will be based on the average of the three previous calendar years production totals. Existing facilities must provide the department with the production totals for concrete and/or asphalt produced during the previous three calendar years or for the number of full calendar years of operation if less than three. New facilities with no historical asphalt and/or concrete production data will have their first year fee based on the production levels reported on the application for coverage under the National Pollutant Discharge Elimination System and State Waste Discharge Permit for Process Water, Storm Water, and Mine Dewatering Water Discharges Associated with Sand and Gravel Operations, Rock Quarries and Similar Mining Facilities including Stockpiles of Mined Materials, Concrete Batch Operations and Asphalt Batch Operations general permit. The second year fee will be determined based on the actual production during the first year and estimated production for the second year. The third year fee will be determined based on the average of actual production for the first two years and estimated for the third year. Fee calculation for subsequent years will be based on the average production values of previous years. (d)Asphalt portable batch plants, concrete portable batch plants and portable rock crushing operations will be assessed fees as in subsection(3) of this section. Each permitted operation must commit to being shut down for a minimum of twelve calendar months before the status can be changed to nonoperating. (4) Fees for crop preparation general permit holders will be assessed as in subsection(3) of this section and will be computed on the three previous calendar years production totals. Existing facilities must provide the department with the production totals in the manner described in WAC 173-224-040 (2)(d).New facilities with no historical production data will have their first year fee based on the estimated production level for that year. The second year fee will be determined based on the actual production during the first year and estimated production for the second year. The third year fee will be determined based on the average of actual production for the first two years and estimated for the third year. Fee calculation for subsequent years will be based on the average production values of previous years. (5)Facilities with construction and industrial storm water general permit coverage will have their annual permit fees begin on the permit issuance date. Permit fee accrual will continue until the permit has been terminated by the department regardless if the activity covered under the permit has already ceased. (6)Facilities with an existing NPDES and/or state wastewater discharge permit who also have obtained industrial and/or construction storm water general permit coverage shall only pay an annual fee based on the permit with the highest permit fee category assessment. (7) Computation of fees shall end on June 30th, the last day of the state's fiscal year, regardless of the permit termination date. (8) The applicable permit fee shall be paid by check or money order payable to the Page 22 Ecology Chapter 173-224 WAC "Department of Ecology" and mailed to the Wastewater Discharge Permit Fee Program, P.O. Box 47611, Olympia, Washington 98504-761 L (9)In the event a check is returned due to insufficient funds,the department shall consider the permit fee to be unpaid. (11) Delinquent accounts. Permit holders are considered delinquent in the payment of fees if the fees are not received by the first invoice billing due date. Delinquent accounts will be processed in the following manner: (a) Municipal and government entities shall be notified by regular mail that they have forty-five days to bring the delinquent account up-to-date. Accounts that remain delinquent after forty-five days may receive a permit revocation letter for nonpayment of fees. (b)Nonmunicipal or nongovernrnent permit holders shall be notified by the department by regular mail that they have forty-five days to bring the delinquent account up-to-date. Accounts that remain delinquent after forty-five days will be turned over for collection. In addition, a surcharge totaling twenty percent of the delinquent amount owed will also be added. The surcharge is to recover the costs for collection. If the collection agency fails to recover the delinquent fees after twelve months, the permit holder may receive a permit revocation letter for nonpayment of fees. [Statutory Authority: RCW 90.48.465. 09-20-020(Order 09-06), § 173-224-050, filed 09/28/09, effective 10/29/09. Statutory Authority: Chapter 90.48 RCW. 08-16-109 (Order 08-05), § 173-224- 050, filed 8/5/08,effective 9/5/08. Statutory Authority: RCW 90.48.465. 04-15-046, § 173-224-050, filed 7/13/04,effective 8/13/04. Statutory Authority: Chapter 90.48 RCW. 02-12-059, § 173-224-050, filed 5/30/02, effective 6/30/02; 00-02-031 (Order 99-03), § 173-224-050, filed 12/28/99,effective 1/28/00; 98-03-046(Order 97-27), § 173-224-050,filed 1/15/98, effective 2/15/98; 96-03-041 (Order 94-21), § 173-224- 050, filed 1/10/96,effective 2/10/96; 94-10-027 (Order 93-08), § 173-224-050, filed 4/28/94, effective 5/29/94; 92-03-131 (Order 91-45), § 173-224-050,filed 1/21/92,effective 2/21/92. Statutory Authority: Chapter 43.21A RCW. 89-12-027 and 90-07-015 (Order 89-8 and 89-8A), § 173- 224-050, filed 5/31/89 and 3/13/90, effective 4/13/90.] WAC 173-224-060 Permits issued by other governmental agencies. The department shall not charge permit fees for: (1) Permits issued by a city, town, or municipal corporation under RCW 90.48.165; (2) Permits issued by the energy facilities site evaluation council under RCW 80.50.071; (3)Permits administered by the EPA under 33 U.S.C. 1251 et seq. Nothing herein shall restrict the department from charging fees to recover administrative expenses of permits it issues under RCW 90.48.160 for discharges into municipal sewer systems,nor for charging fees to recover administrative expenses related to monitoring compliance with delegated pretreatment programs. [Statutory Authority: Chapter 43.21A RCW. 89-12-027 and 90-07-015 (Order 89-8 and 89-8A), § 173- 224-060,filed 5/31/89 and 3/13/90, effective 4/13/90.] WAC 173-224-080 Transfer of ownership or control. The department shall charge permit fees from the permit holder on record with the department. In the event that ownership or K control of a permitted facility or activity is transferred, it shall not be the responsibility of the department to transfer funds between a new and previous permit holder, and the department shall not refund fee charges prospectively in the event of a transfer. Fees paid by a previous permit holder shall be deemed to satisfy the corresponding fee payment requirements of a new permit holder. Agreements between a new and previous permit holder are not binding on the department. Ecology Chapter 173-224 WAC Page 23 [Statutory Authority: Chapter 43.21A RCW. 89-12-027 and 90-07-015 (Order 89-8 and 89-8A), § 173- 224-080, filed 5/31/89 and 3/13/90, effective 4/13/90.] WAC 173-224-090 Permit fee reductions. With the exception of facilities covered under the industrial stormwater general permitwho are not eligible to apply for a fee reduction, any business required to pay a fee under an industrial or construction fee category may receive a reduction of its permit fee. Small business fee reduction. (1) To qualify for the fee reduction, a business must: (a)Be a corporation, partnership, sole proprietorship, or other legal entity formed for the purpose of making a profit; (b)Be independently owned and operated from all other businesses (i.e., not a subsidiary of a parent company); (c)Have annual sales of one million dollars or less of the goods or services produced using the processes regulated by the waste discharge permit; and (d)Have an original annual fee assessment totaling five hundred dollars or greater. (2)To receive a fee reduction,the permit holder must submit an application in a manner prescribed by the department demonstrating that the conditions of subsection(1) of this section have been met. The application shall bear a certification of correctness and be signed: (a)In the case of a corporation, by an authorized corporate officer; (b) In the case of a limited partnership, by an authorized general partner; (c) In the case of a general partnership,by an authorized partner; or (d) In the case of a sole proprietorship, by the proprietor. (3) The department may verify the information contained in the application and, if it determines that the permit holder has made false statements,may deny the fee reduction request and revoke previously granted fee reductions. (4) The permit fee for small businesses determined to be eligible under subsection (1) of this section shall be reduced to fifty percent of the assessed annual permit fee. Extreme hardship fee reduction. Any industrial or construction small business with annual gross revenue totaling one hundred thousand dollars or less of the goods and services produced using the processes regulated by the waste discharge or storm water discharge permit may apply for an extreme hardship fee reduction. The small business must provide sufficient evidence to support its claim of an extreme hardship. In no case will a permit fee be reduced below$112.00 for fiscal year 2010 and$117.00 for fiscal year 2011. [Statutory Authority: RCW 90.48.465. 09-20-020(Order 09-06), § 173-224-090, filed 09/28/09, effective 10/29/09. Statutory Authority: Chapter 90.48 RCW. 08-16-109 (Order 08-05), § 173-224- 090, filed 8/5/08, effective 9/5/08. Statutory Authority: RCW 90.48.465. 04-15-046, § 173-224-090, filed 7/13/04, effective 8/13/04. Statutory Authority: Chapter 90.48 RCW. 96-03-041 (Order 94-21), § 173-224-090, filed 1/10/96,effective 2/10/96; 94-10-027 (Order 93-08), § 173-224-090, filed 4/28/94, effective 5/29/94; 92-03-131 (Order 91-45), § 173-224-090,filed 1/21/92,effective 2/21/92. Statutory Authority: Chapter 43.21A RCW. 89-12-027 and 90-07-015 (Order 89-8 and 89-8A), § 173-224-090, filed 5/31/89 and 3/13/90,effective 4/13/90.] WAC 173-224-100 Administrative appeals to the department. Any person aggrieved by a determination made under this chapter by the department may file a written appeal to the department no later than each fiscal year's first billing due date for payment of fees. Such appeal shall state the reasons that the aggrieved person believes that the department's determination is Page 24 Ecology Chapter 173-224 WAC contrary to the requirements of RCW 90.48.465, and specific actions that he/she is requesting that are consistent with those requirements. The department shall either issue a revised determination or a statement upholding the original determination. A revised determination shall be consistent with the requirements of RCW 90.48.465. Any person feeling aggrieved by the administrative appeals decision made by the department regarding their permit fee may obtain review thereof by filing an appeal with the Pollution Control Hearings Board, P.O. Box 40903, Olympia, Washington 98504-0903, within thirty days of receipt of the department's decision. In addition, a copy of the appeal must be served on the Department of Ecology,Attention: Water Quality Program Permit Fee Unit, P.O. Box 47600, Olympia, Washington 98504-7696,within thirty days of receipt. These procedures are consistent with the provisions of chapter 43.21 B RCW and the rules and regulations adopted there under. [Statutory Authority: Chapter 90.48 RCW. 08-16-109(Order 08-05), § 173-224-100, filed 8/5/08, effective 9/5/08. Statutory Authority: Chapter 90.48 RCW. 94-10-027(Order 93- 08), § 173-224-100, filed 4/28/94,effective 5/29/94; 92-03-131 (Order 91-45), § 173-224-100,filed 1/21/92, effective 2/21/92. Statutory Authority: Chapter 43.21A RCW. 89-12-027 and 90-07-015 (Order 89-8 and 89-8A), § 173-224-100, filed 5/31/89 and 3/13/90,effective 4/13/90.] WAC 173-224-110 Deposits. The department shall deposit permit fee payments in the water quality permit account in the state treasury. Funds collected shall not be available for use by the department until appropriated by the legislature. [Statutory Authority: Chapter 43.21A RCW. 89-12-027 and 90-07-015 (Order 89-8 and 89-8A), § 173- 224-110, filed 5/31/89 and 3/13/90, effective 4/13/90.] Ecology Chapter 173-224 WAC Page 25 Chapter 43.21B RCW ENVIRONMENTAL HEARINGS OFFICE POLLUTION CONTROL HEARINGS BOARD RCW 43.21B.310Appeal of orders, permits, and licenses. (1) Except as provided in RCW90.03.210(2), any order issued by the department or local air authority pursuant to RCW 43.27A.190, 70.94.211, 70.94.332, 70.95.315, 70.105.095, 86.16.020, 88.46.070, 90.46.250, or 90.48.120(2) or any provision enacted after July 26, 1987, or any permit, certificate, or license issued by the department may be appealed to the pollution control hearings board if the appeal is filed with the board and served on the department or authority within thirty days after the date of receipt of the order. Except as provided under chapter 70.1051)RCW and RCW 90.03.210(2), this is the exclusive means of appeal of such an order. (2) The department or the authority in its discretion may stay the effectiveness of an order during the pendency of such an appeal. (3)At any time during the pendency of an appeal of such an order to the board, the appellant may apply pursuant to RCW 43.21B.320 to the hearings board for a stay of the order or for the removal thereof. (4)Any appeal must contain the following in accordance with the rules of the hearings board: (a) The appellant's name and address; (b) The date and docket number of the order,permit, or license appealed; (c) A description of the substance of the order, permit, or license that is the subject of the appeal; (d) A clear, separate, and concise statement of every error alleged to have been committed; (e)A clear and concise statement of facts upon which the requester relies to sustain his or her statements of error; and (f) A statement setting forth the relief sought. (5) Upon failure to comply with any final order of the department, the attorney general, on request of the department, may bring an action in the superior court of the county where the violation occurred or the potential violation is about to occur to obtain such relief as necessary, including injunctive relief,to insure compliance with the order. The air authorities may bring similar actions to enforce their orders. (6) An appealable decision_or order shall be identified as such and shall contain a conspicuous notice to the recipient that it may be appealed only by filing an appeal with the hearings board and serving it on the department within thirty days of the date of receipt. [2009 c 456 § 18;2009 c 178 § 3;2004 c 204 § 5.Prior:2001 c 220 §4;2001 c 36 §3; 1992 c 73 §3; 1989 c 2 § 14 (Initiative Measure No.97,approved November 8, 1988);(1987 3rd ex.s.c 2 §49 repealed by 1989 c 2 §24, effective March 1, 1989); 1987 c 109 §6.] If you need additional guidance on the appeal process,please contact the Pollution Control Hearings Board at 360.459.6327. Visit the website at http://-%vww.elio.wa.gov/Boards PCHB.aspx [11.05.09] 12/06/2010 09: 47 FAX 2533451133 WHITWORTH PEST SOLUTIONS (�001/010 WHITWORTH PEST CLUTIONS, INC. Caring for your home, business, and environment. FAX COVER SHEET Date; Fax Number; �}2 � .j_ --7Z� T T From: e.�a� oU.11 e Pa es includin cover sheet : 10 Regarding: If there was a problem with the transmission, please contact us. 2533 Inter Ave - Puyallup, WA 98372 • 253-845.1818 888-959-1818 Fax 253-845-1133 , www whItworlhpestsolutions,com 12/06/2010 09:47 FAX 2538451133 WHITWORTH PEST SOLUTIONS 12002/010 Date of Application: Year:2010 Month;5 Day: 6 Firm Name: Whitworth pest Solutions Phone No. (253)845-1a18 Commercial Applicator: Terry Whitworth License No: 374 Address; 2633 Inter Ave.,Puyallup,WA 98372 Person(s)who applied the pesticide; LEVON License No(s): 67765 Apparatus license No: Pesticide Information:See Chemical Sheet Dated: 1 ''+11 '1 N.11. it 1 , ' 1 . i 1 , Product&Amount Used Application Sito Time In/Out Temp Wind Dir/Vol Comments 143169 City of Renton—Panther Creek Wet-98055 Mosquito Control Weekly Product&Amount Used Application Site Time In/Out Temp Wind DirfVel - `-)-'� Comments i V 1 �i\�'LIf_. •�, + _- - \`. 1 .`• ' -'F � ,� i '1.�1 `� i; ./��'�•� � 1 ,Fes,. ' ,�• + - ` • �' - ' ' ' ' f••`•+ ,•• c ,' .I' i 1. 4 , T''-+�—i . 12/06/2010 09:47 FAX 2538451133 WHITWORTH PEST SOLUTIONS 003/010 Date of Application; Year;2010 Month: 6 Day: 1 o Firm Name: Whitworth Pest Solutions Phone No: (253)845-1818 Coinmerclai Applicator: Terry Whitworth License No: 374 Address: 2533 Inter Ave.,Puyallup, WA 98372 Person(s)who applied the pesticide: LEVON License No(s): 67765 I Apparatus Licen e No: � — Pesticide Information:See Chemical Sheet Dated: y — i I 144343 City of Renton--Panther Creek Wet-98055 Mosquito Control Weekly Product&Amount Used Application Site Time In/Out Temp Wind NrNel Comments "D L - L i o Vv N4- LC-----V 0 ►� 12/06/2010 09: 47 FAX 2538451133 kHIT140RTH PEST SOLUTIONS d 004/010 Date of Application: Year; 2010 Month: 6 Day: 17 Firm Name; Whitworth Pest Solutions Phone No: (253) 845-1818 Commercial Applicator: Terry Whitworth License No; 374 Address: 2533 Inter Ave.,Puyallup,WA 98372 Person(s)who applied the pesticide: LEVON License No(s): 67765 Apparatus License No: Pesticide Information: See Chemical Sheet Dated: I ' I I 144344 City of Renton-- Panther Creek Wot-9a055 wiosgwRLJ%UIILIUr vVobm,r Product&Amount Used Application Slte Time In/Out Temp Wind Dir/Vel Comments 4 12/08/2010 09: 47 FAX 2538451133 WHITWORTH PEST SOLUTIONS d 005/010 Date of Application: Year: 2010 Month' G Day: 24 Firm Name: Whitworth Pest Solutions Phone No, (253)845-1818 Commercial Applicator; Terry Whitworth License No: 374 Address: 2533 Inter Ave., Puyallup, WA 98372 Person(s)who applied the pesticide: LEVON � License No(s): 67765 Apparatus License No: �} Pesticide Information:See Chemical Sheet Dated: 144345 City of Renton --Panther Creek Wet-98055 Mosquito Control Weekly Product&Amount Used Application Site Time In/Out Tomp Wind DIrJVel Comments �G~�� - I '1 v�'�}S �G � tNr ►J-p � 12/06/2010 09: 47 FAX 2538451133 WHITWORTH PEST SOLUTIONS 006/010 Date of Application: Year 2010 Month: 7 Day;29 Finn Name; Whitworth Pest Solutions Phone No: (253) 845-1818 Commercial Applicator. 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I 1'• �) k yyi,��; t ;i� I ,i3'r 1. -Lw ^!•i. •y`'/ .�Hr' 'I�f'II ri' 1 I�•1• 'i,' F Fi F r,V.•�ii�l!'i ' . I•y^ J, rl4 r�. 'i'�. 'n?�',.;:I.„ik,Z�" ',.$. 'i.1.h 'S I 'rf 1 � t+�tiy.. _ — —_ '.. � '..�.,.� y,. �1 '����ri '� � 'a '•�1. 1- 'Y '.r'i �:gyp':'" r®AWIIIY 'R"'I-�IIIIIIdINY➢!II®T 147055 City of Renton -- Panther Creek Wet-98055 � Product&Amount Used Application Site Time In/Out Temp Wind DiNVel Mosquito Control Weekly o P S7` Comments ZL 71 r�a v� C� �•' 08/18/2010 09: 09 FAX 2538451133 WHITWORTH PEST SOLUTIONS 002/003 Date of Application: Year. 2010 Month: 6 Day, 17 Firm Name: Whitworth Pest Solutions Phone No: (253)845-1818 Commercial Applicator: Terry Whitworth License No: 374 Address: 2533 Inter Ave., Puyallup,WA 98372 Person(s)who applied the pesticide: LEVON License No(s);61765 Apparatus License No-- Pesticide Information:See Chemical Sheet Dated: 1 D o ecp5 m05 'r CE Appointment Customer Name/Address Information Service(s) 144340 Cascade Water Allian --Wickersham Basin-98321 Mosquito Control Weekly Product&Amount Used A Ilcation Site Time Input Temp Wind DirNel 1/0 !nb Comments 144344 City of Renton--Panther Creek Wet-98055 Mosquito Control Weekly Product&Amount Used Application Site Time Input Temp Wind Dir/Vel 25 �l�l Comments 144786 '-,,.Renee Jean-508 Train St SE-98360 Spring Weed Application Product&A r Used Application Site Time IrdOut Temnp, ind DirNel 1'' �- Ir yj 5 Comments 144766 Paul Ho90boom- 07172nd S%11360 Spring Weed Application Product&Amount Used Application INOut Temp Wind Dir/Vel Comments 144880 Gary Laycock- 15403 Main Street East-98390 Weed Bid Product&Amount Used Application Site Time In/Out Temp Win�Iirfve ? ' 5 Comments u Vj � � C e)Lo wP\s VE'Q-� vim' Pr m AWN-o GAL- r� rrnOsQ0 c-s\v►�� 1 5��, ) Qv ITC -T V\ Po \K)IEF T P�T F- -D vi( \ " V df-�Ig . I 07/18/2010 08'. 34 FAX 2538451133 WHITWORTH PEST SOLUTIONS 14 003/003 WHITWORTH PIF;ST SOLUTYONS,INC. - • 145323 2533 Inter Ave. Puyallup, WA 98372 CUSTOMER# OTHER SERVICES PROVIDED 253.845,1818 •206.248.2222 2347 APPOINTMENT 1.888-059-1818 145323 Commercial SERVICE ■ DATE!�TIME 07/15/10 City of Renton— Panther Creek Wet TARGET PEST Renton, WA 98055 GATE CODE: 425-430.7264 Main TECH Levon 425-430-7247 Alt LICENSE 1! 67765 MAP PAGE 1!; 33 City of Renton AMOUNT 1055 S Grady Way Mosquito Control Weekly $840.00 Renton, WA 98055 Tax $79.80 COA$0.00 DISCOUNTS $0.00 TOTAL D $919.80 Send Invoice in addition to service slip. Fax daysheet to Hebe Bernardo- TOTAL ::� 7BILL ❑CASH I 1 CK# CUSTOMER SICNATURr DATE LAID L CC/AP 8 WHITWORT]i PEST SOLUTIONS, INC. - - • 145323 2533 Inter Ave. TIME 1N: TIME IN; %0 Puyallup, WA 96372 253.845.1818 206.248.2222 CUSTOMER// 2347 TECH Levon 1,888,959.1818 APPOINTMENT 145323 SERVICE ADDRESS DATE&TIME 07/15/10 LICENSE N 67765 City of Renton -- Panther Creek Wet TARGET PEST Renton, WA 98055 ❑DO NOT ENTER TREATED AREA UNTIL DRY(ABOUT ONE HOUR) I I WEI-Q CONTROL L SHRUB BEDS L GRAVEL 1 I NOXIOUS WEEDS BILLING ADDRESS ❑TREE&SHRUB SPRAY FOR; CI INSECT F1 DISCASE City of Renton ❑SHRUB FERTILIZATION ❑OCEP ROOT FEEDING 1055 S Grady Way rl INJECTION FI OAK n MAPLE I I BIRCH 17 OTH[p Renton, WA 98055 ❑GRAN,TRTMT L ROSES ❑LILACS LJ RHODYS ❑OTHER_ !-1 LAWN FE-PTILIZATION L'I NO WA'rERING NEEDED LJ PLEASE WATER IN SERVICE TYPE __ INCH, IF NO EQUIVALENT RAINFALL OCCURS WITHIN 24 HOURS. L CRANEFLY CONTROL L MOSS CONTROL 1_1 LAWN WEED CONTROL- DO NOT WATER FOR AT LEAST 24 HOURS Mosquito Control Weekly $840-00 ❑WATERING IS NOT NEEDED ❑AERATION ❑PRUNING Tax $79.80 1 1AQUATIC WCCDS COA$0,00 DISCOUNTS $0.00 TOTAL DUE $919.80 J OTHER COMMENTS: -T— f t PROPERPAYMENT RECEIPT:PLEASE RETURN WITM PAYMENT FOR . ACCOUNT City of Renton -- Panther Creek Wet Mosquito Control Weekly $840-00 Tax $79-80 COA 0.00 DISCOUNTS $0-00 cus"rOMCI?n 9763 wvolcE a 07/15/10 TOTAL DUE $919-80 0 CusT.No. i NCH!NO. TOTAL PAID 1-1 CASH L CK# 08r/61/2W 09: 07 FAX 2538451133 WHITWORTH PEST SOLUTIONS 002/005 Mosquito Manap_ement Day Sheet Year_ Ot D Month $ —_Day 30 Person Making application/sampling (tee✓LI AJ License # (o 7??°s Terry Whitworth Applicator#374 Whitworth Pest Solutions 2533 Inter Avenue Puyallup, WA 98372 Product: Vectolex CC FR/0 73049-20 Time-Depart Shop j..oa `AU/PM Time Return to Shop` `� AM/1 M "Total time for billing 15- 0 0 co 0 � #of Amount o Location Type Date Time In/Out ^We Larval Product Larvacide Name Count dame/EPA# Applied ev bs'- O"C. 1l�13O 9-'oe- Z s� Alaple,vood Golf Course (west) Maple:rood Golf Course Hole#18JPond 9=25 5 Y E�eu 70 190-Z-, Ma le-:rood Golf Course m,�t-central) PJa teviood Golf Course Hote#9/Pond `40 ' 9 0/ 5 4 16 o-Z. Maplewood G0If Course(east-central) Maplewood Goff Course Hale#7/Pond IS$ 3S �0x- 2007— Cl' Maplewood Golf Course(east) Maplewood Golf Course Hole#61Pond CD i �— �— Golf Course-Vadous Pola ievood Golf Course Catch Basins CD Stoneaate NE 26th and L orns Ave WO fond w NE 10th st P on d(D etentio n NE 10th St and Anacortes Ave Detention 3 '25• 3'3�' Jr ���'- Talbot Ridge 2 !S 471h St and 1uZnd Ave SE WG Pond �� Oz cc o c Talbot RdS Pond ' Al�� '1�./S 1,0� 7� 77Z Talbot Estates H S Benson Woods ii'ith PI SE Pond OI moic Peak Estates S. 196th PI Pond Larson Parke 112ih Ave SE Pond � Watershed Terrace l SE 200th St Pond i $ Wilkens Wood 113th Ave SE Pond co N Serenity Ridge.-,ract A 110th PI Se Pond rr S3•(,�I �' r S �' o Z, <c Serenity Ridge Tract B 110th Pl Se Pond j 1; �2' 7 2 r�' /O a Z. U `` Auria'JVocds Tract C SE 186th St Pond $ — - 0 o SR In"9 146th Wa'SE Pond %�� 10 15V Z _ 0 cv cY+ coe o - LO 0 \ 0 / o �} l� Frederick's Place SE 185th St Pond 3 li: Z+-//:g•l � r Aster Dark NE 13th PI Pond f 2 '25-3'qa LjX 1 57o7— #of Larval Product Amount of Name Location Type Date Time In 10uk -4efes-- Count NamelEPA# Larvacide omS. Harnil;on Place 160th Ave SE Pond 3',D` 3:x' 3 fG )0 o Z /D s Z Evendell 1o01h Ave SE Pond . 2 � Ellis Park 124th St S.E & 149th Ave S E z o Nicho's Place 160th Ave SE/SE 5th St Pond Z�� J Various Catch Basins x Various Locations f- Parks Maintenance Division _ �( x X Various Various Catch Basins / , Facil yes Di l.sion I X x = Crtyriaii �G.ad�'Y^ya;:'ar...Viot �- CC — v�EsT L7 � I CD ��1 r" e�� cTcK 4as�N �o:94-ro:so �00sg N,4 2, soz H 2 7 CO C1 CO CO L N l' N 111 O O O D N • 6`) �O O ' 008/31/2010 09: 07 FAX 2538451133 WHITWORTH PEST SOLUTIONS 001/005 WHITWORTH PEST SOLUTIONS, INC. Caring for your home, business, and environment. FAX COVER SHEET Date: Fax Number: T To: From: Pa es (including cover sheet): Regarding- �ck If there was a problem with the transmission, please contact us. 2533 inter Ave- Puyallup, WA 98372 - 253-B45-1818 - 888-959.1818 - Fax 253-845-1133 - www,whitworthpestsolutions,com 8/20/2010 09: 14 FAX 2538451133 WHITWORTH PEST SOLUTIONS 001/003 WHITWORTH PEST SOLUTIONS, INC. Caring for your home, business, and environment. FAX COVER SHEET Date: Fax Number. Ll 2� - L4:>6 -72_H T To: From: Pa es includin cover sheet): Regarding- u, �V ( ot C If there was a problem with the transmission, please contact us. 2533 Inter Ave • Puyallup, WA 98372 , 253-845-1618 - 888-959.1818 - Fax 253-845-1133 • www.whitworthpestsolulions com 08/20/2010 09: 14 FAX 2538451133 WHITWORTH PEST SOLUTIONS 003/003 WHITWORTH PEST SOLUTIONS,INC. • 146251 2533 Inter Ave. Puyallup, WA 98372 C IST01'4FR# OTHER SERVICES PROVIDED 253.845.1818 •206,248.2222 2347 1,888,959.1818 APPOINTMENT 146251 Commercial SERVICE ADDRESS DATE&TIME 08/19/10 City of Renton -- Panther Creek Wet TARGET PEST Renton, WA 93055 425.430.7264 Maln TECH GATE CODE:425-430-7247 Alt James LICENSE n 67673 MAP PAGE I/: City of Renton I I AMOUNT 1055 S Grady Way Mosquito Control Weekly $840.00 Renton, WA 98055 Tax $79,80 COA$0.00 DISCOUNTS $0.00 TOTAL ■ $919.80 Send Invoice in addition to service slip. Fax daysheet to Hebe Bernardo. TOTAL ❑BILL r1 CASH ❑CK# CUSTOMER 81014ATURE DATE PAID U CC/AP# WHITWORTH PEST SOLUTIONS,INC• • 146 2 51 2533 Inter Ave. MTME IN, TIME IN; Puyallup, WA 98372 253.84.5,1818 •206,248.2222 CUSTOME19# 2347 TECH James 1.888.959.1818 APPOINTMENT 146251 ADDRESSSERVICE DATE&TIME 06/1 9/1 0 LICENSE# 67673 City of Renton -- Panther Creek Wet TARGET PEST Renton, WA 98055 ❑DO NOT ENTER TREATED AREA UNTIL DRY(ABOUT ONE HOUR) LJ WEED CONTROL LJ SHRUB BEDS LI GRAVEL ❑NOXIOUS WEEDS ■■ Cl TREE&SHRUB SPRAY FOR; I-]INSECT CI DISEASE City of Renton 77I SHRUD FERTILIZATION 0 DEEP ROOT FEEDING 1055 S Grady Way n INJECTION 1 OAK F I MAPLE I I BIRCH I'-I OTHCR__ Renton, WA 98055 ]GRAN.TRTMT. L I ROSES []LILACS I-I RHODYS []OTHER I'1 LAWN rERTILIZATION I I NO WATERING NEEDED ❑PLEASE WATER IN AMOUNTSERVICE TYPE __INCH,IF NO EQUIVALENT RAINI OCCURS WITHIN 24 HOURS. I I CRANFFLY CONTROL 1-1 MOSS CONTROL M LAWN WEED CONTROL-DO NOT WATER FOR AT LEAST 24 HOURS Mosquito Control Weekly $840.00 L.I WATERING IS NOT NEEDED CIAERATION LJ PRUNING Tax $79.80 COA$0.00 DISCOUNTS $0.00 1 1 AQUATIC WEEDS • $919.80 ❑OTHER _ COMMENTS: PAYMENT RLCEIPT:PLEASE ArETURN WITH PAYMENT �OFI PROPERM OF ■ ACCOUNT City of Renton — Panther Creek Wet Mosquito Control Weekly $840.00 Tax $79.80 27 COA$0.00 DISCOUNTS $0.00 cut;romLna 9763 INVOICE 08/19/10 • ■ $919.80 R COST NO, TECH/NO. TOTAL PAID ❑CASH u CK# 08/20/2010 09: 14 FAX 2538451133 WHITWORTH PEST SOLUTIONS 002/003 Date of Application; Year: 2010 Month: 8 Day: 19 Firm Name: Whitworth Pest Solutions Phone No: (253)845-1818 Commercial Applicator: Terry Whitworth License No; 374 Address: 2533 Inter Ave., Puyallup, WA 9837.2 Person(s)who applied the pesticide: PCO JAMES License No(s); 67673 Apparatus License No: Pesticide Information; See Chemical Sheet Dated; Appointment Cuslorner Name/Address Information Service(s) Technician: PCO JAMES Date of Application: Year: 2010 Month: 8 Day: 19 --- --- - 146251 City of Renton-- Panther Creek Wet- 98055 {y�- Mosquito Control WesKly Product S Amount Used Application Site Time In/Out Tom Wind DirNel I- _ 2 5 3— 7 i-j hie be Y�e ✓ f'e w r�0 5 g u t f o S 5 e e,� fu .do aver Tk /l y Ho' v e � 08/16/2010 16: 36 FAX 2538451133 WHITWORTH PEST SOLUTIONS 002/002 Date of Application; Year: 2010 Month' 8 Day. 12 Firm Name: Whitworth Post Solutions Phone No: (253) 645-1818 Y Commercial Applicator: Terry Whitworth License No: 374 Address: 2533 Inter Ave., Puyallup,WA 98372 Person(s)who applied the pcsticide. PCO JAMES/ .once No($): 67673 Apparatus License No'— Pcsticide Information',5Ge'C11em�cal Sheet Dated; _ ,lrhninlin�r,t Customar Name 1 r\.ddres3 Informal ion 'rc:,cl}nician; PCO JAMGS - Date of Application; Year' 2010 Month' 8 Day; 12 Mosquito Control Weekly 14625U City of Renton Panther Creek Wet-98055 Product&Amount Used Application site Time In/out T c m Wind Dir/Vol Comments --.----••---..�--'._—'J� Nkwnrcinrmr==�iunvnnoowunquanunnneumiuuuornu9 nummuunm�ar—,rnnn.mirannxnrwmna+nmmwu maaminMunm�mioeeiqnrJvonnmanadniror.•wieuonn��nanwmmuuwoumvmu�nnrz..imr.c� 1111MMA& 1a1lurmdnn==n nmr.nnnnnnu--w wp nr�idnuaminorn Ne be -- &- /off d- /"v y 1 ) 8/16/2010 16: 36 FAX 2538451133 WHITWORTH PEST SOLUTIONS IA 001/002 WHITWORTH PEST SOLUTIONS, INC. Caring for your home, business, and environment. FAX COVER SHEET Date: S-/ (P - /0 Fax Number: f- VZS-- K 0 - 77 T To: From: ;� �e�.� Svl��r��►s �5�� Pa es (including cover sheet): Regarding: If there was a problem with the transmission, please contact us. 2533 Inter Ave • Puyallup,WA 98372 - 253-645-1818 - 886-959-1018 - Fax 253-045-1133 - www,whilworthpestsolul+ons.com 08/04/2010 08: 54 FAX 2538451133 WHITWORTH PEST SOLUTIONS �005/005 WHITWORTH PEST SOLUTIONS, INC, ,, R • 146407 2533 Inter Ave. Puyallup, WA 98372 cusTOMEa# OTHER SERVICES PROVIDED 253.845.1818 •206.248.2222 APPOINTMENT 9763 1.888.959.1818 146407 Commercial ADDRESSSERVICE DATE&TIME 08/03/10 City of Renton TARGET PEST 1055 S Grady Way GATE CODE; Renton, WA 98055 TECH Levon 425-430-7264 Maln 425-430-7247 Alt LICENS`P 67765 MAP PAGE it: City of Renton' 1055 S Grady Way Mosquitoes $1,080.01 Renton, WA 98055 Tax $102.60 COA$0.00 DISCOUNTS $0.00 r $1,182.60 Dip and then apply larvacide as necessary. see additional sheet for locations. includes maplewood golf course on additional day sheet.contact @ city of renton is Hobe Bernardo. Fax day sheet and reports after every treatment. cost varies depending on treatments needed, TOTAL ❑BILL ❑CASH ❑CK k CUSTOMER SIGNATURE DATE PAID L CC/AP# w WHITWORTH PEST SOLUTIONS,INC. EM4 4 102111 • 146407 2533 Inter Ave- TIME IN; TIME IN; Puyallup, WA 98372 253.84.5,1818 •206.248.2222 CUSTOMER!I 9763 TECH Levon 1,888,959.1818 APPOINTMENT 146407 SERVICE ADDRESS DATE&TIME 08/03/10 LICENSE// 67765 City of Renton TARGET PEST 1055 S Grady Way Renton, WA 98055 ❑DO NOT ENTER TREATED AREA UNTIL DRY(ABOUT ONE HOUR) L WEED CONTROL I.1 SHRUB BEDS LI GRAVEL L NOXIOUS WEEDS BILLING ADDRESS I ITREE&SHRUB SPRAY FOR; ❑INSECT I.I DISEASE City of Renton ❑SHRUB FERTILIZATION I7 DEEP ROOT FEEDING 1055 S Grady Way I I INJECTION 71 OAK I-1 MAPLE. Fl BIRCH I I OTHER _ Renton, WA 98055 ❑GRAN.TRTMT. ❑ROSES ❑LILACS ❑RHODYS CI OTHER 1.1 LAWN FERTILIZATION I I NO WATERING NEEDED IJ PLEASE WATER IN SERVICE TYPE • INCH,IF NO EQUIVALENT RAINFALL OCCURS WITHIN 24 HOURS. LI CRANEFLY CONTROL L MOSS CONTROL Mosquitoes $1,080.01 L_I LAWN WEED CONTROL-DO NOT WATER FOR AT LEAST 24 HOURS Tax S1 02,60 ❑WATERING IS NOT NEEDED LJAERATION fl PRUNING COA$0.00 DISCOUNTS $0,00 1-1AOUATIC WEEDS TOTALr $1,182.60 ❑OTHER COMMENTS: PAYMENT RECEIPT:PLEASE RIETU14N WITH PAYMENT FOR PROPER CREDITING OF • City of Renton Mosquitoes $1,080.01 Tax $102.60 146407 GOA$0.00 DISCOUNTS $0,00 cJ:;TOMEii INVOICCN 08/03/10 r $1,182.50 V CUST.NO. TECH i NO TOTAL PAID ❑CASH ❑CK# In)8/04/2010 08: 54 FAX 2538451133 WHITWORTH PEST SOLUTIONS 001/005 WHITWORTH PEST SOLUTIONS, INC. Caring for your home, business, and environment, FAX COVER SHEET Date: �~y Fax Number: To: �� 1C�►�G,1 O From: � v)n� Pages (including.cover sheet): �J Regarding: M r iM o�4'-�a �- V'j vV` i h �oiCP If there was a problem with the transmission, please contact us. 2533 Inter Ave- Puyallup, WA 96372 • 253-845-1818 -888-959-1818 - Fax 253-845-1133 - www,whitworthPosisolutions.com ,8/04/2010 08: 54 FAX 2538451133 WHITWORTH PEST SOLUTIONS 002/005 Mosquito Management Day Sheet Year 2- 10 Month Day Person Making application/sampling LCVO>J License#-_�0��(OJT Terry Whitworth Applicator#374 Whitworth Pest Solutions 2533 Inter Avenue Puyallup, WA 98372 Product: Vectolex CG EPA# 73049-20 Time-Depart Shop ev v q 50 AM/PM Time Return to Shop^-1C9 D D AM/PM Total time for billing f��5 Pp- PO/Vo 15 67ATr l5 X = W E D�1>JT -1-2 CAT Lcn ° G°s'�►� 0 #of Amount of Name Location Type Date Time In/Out Acres Larval Product Larvacide Count NamelEPA# Applied 9a11 bs 1 2, Maplewood GoY Course(west) Maplewood Goff Course Hole#18/Pond 3/)O fo a 2. G Maplewood Gott Caurse west-central) Ma le-wood Golf Course Hole#9/Pond p 5� )5 o-Z, Maplewood Gott Course(east-central) Maplewood Golf Course Hole#71Pond +p`r�'l�•-=� ILK i 5 vZ 1 b -IG �� Cl) � Maplewood Goff Course (east) Maplewood Golf Course Hofe#f6/Pond OZ lv z CD X Golf Course-Various Ma !ewood Golf Course Catch Basins Stonegate NE 26th and Lyons Ave WQ Pond �,'t{S �:1� �l fL Z J o oZ, NE 10th st Pond/Detention NE 10th St and Anacortes Ave Detention :Z�" �� `j rL / ! b Z , 2b Talbot Ridge 2 S 47th St and 102nd Ave SE WO Pond 5,/6- S 3a 200 S NA 112 bz . Cr 0 Talbot Estates Talbot Rd S Pond 111 05'I f:1� �•� l d JQ oz H CO Benson Woods 111th PI SE Pond P Z O mpic Peak Estates IS. 196th PI Pond Larson Parke 112th Ave SE Pond CO 3 Watershed Terrace �SE 200th St Pond c2 n f1 Wilkens Wood 113th Ave SE jPond CO CID � d ! Serenfty Ridge Tract A 110th PI Se Pond 2'SS Z ZU I0 62- SereriN Ridge Tract B 110th PI Se Pond l:20 l:3D Z)L- v-z- 5 Auria Woods Tract C SE 186th St Pond LO CO 1� SR-169 140th Way SE Pond Asa-2=70 10 �Sd� 0 0 N O CO O Ln 0 0 \ S 3 Jr 0 i Z, 22' � �Q Frederick's Place SE 186th St Pond / f2=30 L11 nZ i Aster Park NE 13th PI Pond 3 2(2"3' 14 IL t 5 02 , Name Location Type Date Time in Out #of Larval Product Amountof Acres Count NarnetEPA# Larvacide e- Harn ton Place 16M Ave SE Pond UI3l �3 Evendell 160th Ave SE Pond Z: �'Z 3 �� Z !D o-,, Cl) R Ellis Park 124th St S.E 8 14M Ave S.E u;qS fro 2,)LCD 3 D p z z Nichols Place 1Wth Ave SE!SE 5th St Pond 2 qo 10 !D o a CD ZD Various Locations Various Catch Basins � V Parks Maintenance Division w /` Varous Various Catch Basins FaiCity all Division \ / = X City Hall Grady Way Parking Lot WQ /x` �JECD ET C ( III( rig AVE CATGrt '6ASF rf �f0. 11 y'p SDO s NA h-I 2 CO � I47 V CO I CO 47 N X Q L� V LO CO O O O N O CO O 7/26/2010 10: 13 FAX 2538451133 WHITWORTH PEST SOLUTIONS — IA 001/002 ■ WHITWORTH PEST SOLUTIONS, INC. Caring for your home, business, and environment. FAX COVER SHEET Date: Fax Number: From: Pages (including cover sheet): 'Z. Regarding: "ervt � c 11 ��ct,►��S If there was a problem with the transmission, please contact us. 2533 Inter Ave• Puyallup,WA 98372 - 253-845-1818 - 888.959.1818 • Fax 253-845-1133 - www.whitworthpestsolutions,com 07/26/2010 10: 13 FAX 2538451133 WHITWORTH PEST SOLUTIONS 002/002 Date of Application: Year: 2010 Month: 7 Day: 22 Firm Name, Whitworth Pest Solutions Phone No: (253) 845-1818 Commercial Applicator: Terry Whitworth License No; 374 Address: 2533 Inter Ave., Puyallup, WA 98372 Person(s)who applied the pesticide: PCO JAMES —IL-4 /\- License NOW; 67673 3 (.3J � ) Apparatus License No; Pesticide Information: lee Chemical Sheet Dated: Appoinunerrl Customer Name /Address Information Service(s) Technician; PCO JAMES Date of Application: Year. 2010 Month: 7 Day: 22 145302 River Mobile Estates-3611 1 St NE-98002. Mosquito Control Visit Product&Amount Used Application Site Time In/Out Temp Wind Dir/Vel L - /( le 7- Comments mmsemnmmmxomnmmmm nn�me+vimunimumm��umwuuuumni.ao•umu au�,e„o��m.mmnmimmanoa»�ia-�n vm®uum �i���• 145324 City of Renton-- Panther Creek Wet- 98055 Mosquito Control Weekly Product&Amount Used Application Site Time In/Out Temp Wind Dir[Vel 1-7 5� All-9 Comments WIH11T'WORTFI PEST SOLUTIONS,INC. • 1453 24 2533 Inter Ave. TIME IN: I Puyallup, WA 98372 TIME IN. 253.845.1818 -206,248.2222 CUSTOMER# 2347 TECH James)L uYC 1,888,959.1818 APPOINTMENT 145324 SERVICE ADDRESSDATE 8 TIME 07/22/1 LICENSE# 67673 City of Renton--Panther Creek Wet TARGET PEST mpSp.,f Dj Renton, WA 98055 I-1 DO NOT ENTER TREATED AREA UNTIL DRY(ABOUT ONE HOUR) L WEED CONTROL I'1 SHRUB BEDS I'I GRAVEL I_I NOXIOUS WEEDS BILLING ADDRESS L TREE E SHRUB SPRAY FOR: 1.1 INSECT 1 1 DISEASE City of Renton 7 SHRUB FERTILIZATION 7 DEEP ROOT FEEDING 1055 5 Grady Way LJ INJECTION LJ OAK LJ MAPLE LJ BIRCH LJ OTHER Renton, WA 98055 rl GRAN.TRTMT. 7 ROSES II LILACS M RHODYS 7 OTHER ❑LAWN FERTILIZATION ❑NO WATERING NEEDED O PLEASE WATER IN SERVICE TYPE AMOUNT INCH,IF NO EQUIVALENT RAINFALL OCCURS WITHIN 24 HOURS. ❑CRANEFLY CONTROL ❑MOSS CONTROL Mosquito Control Weekly $840.00 LJ LAWN Wrr_D CONTROL—00 NOT WATER FOR AT LEAST 24 HOURS Tax $79.50 ❑WATERING IS NOT NEEDED ❑AERATION ❑PRUNING COA$0.00 DISCOUNTS $0.00 IJ AQUATIC WEEDS TOTAL $919.80 n OTHER COMMI=NT$ PAYMENT AECEIPT�PLEASE RETURN WITH PAYMENT FOR PROPER CREDITING OF YOUR ACCOUNT City of Renton -- Panther Creek Wet Mosquito Control Weekly $840.00 Tax $79.80 COA$0.00 DISCOUNTS $0.00 !,CSU EIN IN9763 INVOICE a 07/22/10 • $919,80 TECH)NO. TOTAL PAID a CASH ❑CK it 7/09/2010 09: 55 FAX 2538451133 WHITWORTH PEST SOLUTIONS 001/002 ■ WHITWORTH PEST SOLUTIONS, INC. it Caring for your home, business, and environment. Fax COVER SHEET Date: �1 9 J � U Fax Number: t-i2fS-H2,b--^12Ld I To: toe- I�Cr r� 0 From: �-e novc Y,a0V Ar Pages (including cover sheet Regarding: Ervjoi(c , 9L Zk% If there was a problem with the transmission, please contact us. 2533 Inter Ave• Puyallup,WA 98372- 253-845-1818 -888-859.1816• Fax 253-845-1133 - www.whitworthpestsolutions.com 07/09/2010 09: 55 FAX 2538451133 WHITWORTH PEST SOLUTIONS 1j�002/002 FW&A WHITWOWrH PEST SOLU"r[ONS,INC. - - • 145322 2533 Inter Ave. Puyallup. WA 98372 CUSTOMER# OTHER SERVICES PROVIDED 253.845.1518 -206,248.2222 2347 APPOINTMENT 1.888.959.1818 145322 Commercial SERVICE ,D D_ESS DATE&TIME 07/08/10 - City of Renton--Panther Creek Wet TARGET PEST Renton, WA 98055 GATC CODE: 425-430-7264 Main TECH LeVOn 425-430-7247 Alt I.ICENSE H 67765 MAP PAGE 0! City of Renton 1055 S Grady Way Mosquito,Control Weekly $840.00 Renton, WA 98055 Tax I $79.a0 COA$0.00 DiscouNrs $0.00 TOTAL $919.60 Send Invoice in addition to service slip. Fax daysheet to Hebe Bernardo- TOTAL ❑PILI. ❑CASH I I CK# CUSTOMER SIGNATURE DATE PAID L CC l AP U 45322 City of Renton— Panther Creek Wet-98055 Mosquito Control Weekly Product&Amount Used Application Site Time In/Out Temp Wind Dlr/Vel 4LleC �s c' 2 tp Comments �(/16/2010 08, 34 FAX 2538451133 WHITWORTH PEST SOLUTIONS 14001/003 WHITWORTI`I PEST SOLUTIONS, INC. Caring for your home, business, and environment. FAX COVER SHEET Date: 1 u 2 C l O Fax Number: To: �"� t_���c rh�rd C� From: cnov\ -e Pa es (including cover sheet): Regarding: vi )h VC)ic � If there was a problem with the transmission, please contact us. 2533 Inter Ave- Puyallup, WA 98372 - 253-845-1a19 -888-959-1818 - Fax 253-645-1133 • www,whitworthpestsolutions.com 07/16/2010 08: 34 FAX 2538451133 41HIT4YORTH PEST SOLUTIONS 002/003 Date of Application: Year:2010 Month: 7 Day: 15 Firm Name: Whitworth Pest Solutions Phone No: (253)845-1818 Commercial Applicator: Terry Whitworth License No: 374 Address: 2533 Inter Ave., Puyallup,WA 98372 , _ Person(s)who applied the pesticide: LEVON, atS� w e—t; License No(s): 67765 OV73 to 3 i7o Z Apparatus License No: Pesticide Information: See Chemical Sheet Dated: rYY)5Q J i7t;ia 5-, 2&1 AM Date of Application: Year. 2010 Month:7 Day: 15 145323 City of Renton— Panther Creek Wet-98055 Mosquito Control Weekly Product$Amount Used Application Site Time INOut Temp Wind Dir/Vel � -T'4 1�oE�ff7 � -io' U 3 gv Comments ,r��a���R- �u}� �=t° ��►-� c9� fro oA� �o� T�z P,�J��►�-c A N)D '-fio P_c-\l A r-v\p -TV-P�i L, - tr 4f�rs '$mil '-I_fV\vs-T- 6v"uR-Y 5/14/2010 10: 05 FAX 2538451133 WHITWORTH PEST SOLUTIONS ljj001/002 ■ WHITWORTH PEST SOLUTIONS, INC. Caring for your home, business, and environment. FAX COVER SHEET Date: - I L-I , LZ� b Fax Number: 'd 'L7DZ�I P To: oc_ �c r- ►rv&r C\ U From: ���Q� 1�r�o�►�t� Pages (including cover sheet): Z- Regarding: r v C e t' 1Y-\ vpiC , If there was a problem with the transmission, please contact us. 2533 Inter Ave - Puyallup,WA 98372 • 253-845.1818 - 888-959.1818- Fax 253-845-1133 . www.whitworthpastsolutions.com 05/14/2010 10: 05 FAX 2538451133 WHITWORTH PEST SOLUTIONS IA 002/002 Date of Application: Year:2010 Month:5 Day: 13 Firm Name: Whitworth Peat Solutions Phone No: (253)845-1818 Commercial Applicator. Terry Whitworth License No: 374 Address: 2533 Inter Ave., Puyallup,WA S8372 Persons)who applied the pesticide; LEVON/ J A rf1 G} License No(s):67765 4,7tO-7 3 Apparatus License No: Pesticide Information:See Chemical Sheet Dated: 1 p WHITWORTH PEST SOLUTIONS,INC. e 143170 2533 Inter Ave. Puyallup, WA 98372 TIME IN; TIME IN' 253,845.1810 -206.248.2222 CUSTOMER# 2347 TECH Levon 1.888.959.1818 APPOINTMENT 143170 ' PATE&TIME 05/13/10 LICENSE# 67765 City of Renton T Panther Creek Wet TARGET PEST Renton, WA 98055 7 DO NOT ENTER TREATED AREA UNTIL DRY(AI30UT ONE HOUR) ..- LJ WEED CONTROL ❑SHRUB BEDS D GRAVEL ❑NOXIOUS WEEDS ESS 1-JTREE&SHRUB SPRAY FOR: I.I INSECT 1 1 DISEASE City of Renton !�SHRUB FERTILIZATION rl DEEP ROOT FEEDING R ent S Grady Way TION Ll OAK LJ MAPLE U BIRCH ❑OTHER Renton, WA 98055 LJ INJEC .— Ll GRAN,TRTMT. ❑ROSES r-1 LILACS F1 RHODYS FI OTHER ❑LAWN FERTILIZATION ❑NO WATERING NEEDED ❑PLEASE WATER IN AMOUNTSeFIVICE TYPE INCH, IF NO EQUIVALENT RAINFALL OCCURS WITHIN 24 HOURS. ❑CRANEFLY CONTROL ❑MOSS CONTROL Mosquito Control Weekly $840.00 1_I LAWN WEED CONTROL-DO NOT WATER FOR AT LEAST 24 HOURS Tax $79.80 ❑WATERING IS NOT NEEDED ❑AERATION M PRUNING COA$0.00 DISCOUNTS $0.00 1_1AQUATIC WEEDS TOTAL ■ $919.80 ❑OTHER COMMENTS: l 4-��N�- �/o c,t✓ - .- City of Renton --Panther Creek Wet Mosquito Control Weekly $840.00 Tax $79.80 COA$0.00 DISCOUNTS $0.00 CUSTOmEk# 9763 INVOICE9 05/13/10 • r $919-80 11 OUST.NO. TECH/NO TOTAL Mal PAID n CASH 1-1 CK# -�Q vJ ,� L a u p(—t� �i�Jc�2 01 �s �oc l�I�.� 1/� -TAG C­1 �Ap�t3v"- -/L)'A \j �_Evo o 5/21/2010 09: 37 FAX 2538451133 WHITWORTH PEST SOLUTIONS 001/002 WHITWORTH PEST SOLUTIONS, INC. Caring for your home, business, and environment. FAX COVER SHEET Date: 5 . 21 . 2b1b Fax Number: �2�J • ' ��� T To: 4tti cc ?tr h GLr-(A- From: 'p—that -) / r l vs pages (including cover sheet): Regarding: SCrvi L� S, - i C b Or L v a If there was a problem with the transmission, please contact us. 2533 Inter Ave- Puyallup.WA 98372 - 253-845-1818 • 888-959-1818 - Fax 253-845-1133 - www.whitworthpesisolutions.com 05/21/2010 09: 37 FAX 2538451133 WHITWORTH PEST SOLUTIONS 002/002 WHITWORTH PEST SOLUTIONS.INC. "T SERVICE SLIP/ INVOICE # 2533 Inter Ave. Puyallup, WA 98372 TIME IN;7 TIME IN: 253.545.1818 -206.248.2222 CUSTOMER# 2347 TECH LeVon 1,888,959.1818 APPOINTMENT 143171 SERVICE ■.- DATE 8 TIME 05/20/10 LICENSC N 67765 City of Renton—Panther Creek Wet TARGET PEST Renton, WA 98055 I DO NOT ENTER TREATED AREA UNTIL DRY(ABOUT ONE HOUR) LJ WEED CONTROL LJ SHRUB BEDS ❑GRAVEL ❑NOXIOUS WEEDS l TREE&SHRUB SPRAY FOR: 1 1 INSECT L I DISEASE City of Renton LJ SHRUB FERTILIZATION Cl DEEP ROOT FEEDING 1055 S Grady Way I=1 INJECTION 1-1 OAK I I MAPLE 'I RIPICH 1"I OTHER Renton,WA 98055 I_.1 GRAN.TRTMT. ❑ROSES ❑LILACS ❑RHODYS []OTHER ` LJ LAWN FERTILIZATION I INC)WATERING NEEDED LJ PLEASE WATER IN AMOUNTSERVICE TYPF- INCH. IF NO EQUIVALENT RAINFALL OCCURS WITHIN 24 HOURS. ❑CRANEFLY CONTROL I.I MOSS GONTROL Mosquito Control Weekly $840.00 1 1 I-AWN WEED CONTROL-DO NOT WATER FOR AT LEAST 24.HOURS Tax $79.80 ❑WATERING IS NOT NEEDED I'IAERATION LJ PRUNING COA$0.00 DISCOUNTS $0.00 1 1 AQUATIC WEEDS TOTAL DUE $919.80 ❑OTHER _ COMMENTS: PAYMENT RECEIPT,PLEA$F-RIjTUAN WITH PAYMENT IFOn PROPER . . . City of Renton—Panther Creek Wet Mosquito ontro ly Tax $79.80 143171 COA$0.00 DISCOUNTS $0.00 CUSTOMER p 9763 INVOICE N 05/20110TOTAL $919.60 'I•i_CH r NO. TOTAL PAID ❑CASH a CK# uommemb 143171 City of Renton—Panther Creek Wet-98055 Mosquito Control Weekly Product&Amount Used Application Site Time IntOut Temp Wind DlrNel Q 1 Z1 Comments iPLE5 HAD FA,L-L c N , t6o Vj 4161.4 VJ �� ��1-- �► jD 00,7 OIc- D j-T Se-F At-0 i O� J'T°E-5 1 4 1 -�4e tJ S V ���� r 6/18/2010 09:09 FAX 2528451133 WHITWORTH PEST SOLUTIONS U 001/003 WHITWORTH PEST SOLUTIONS, INC. Caring for your home, business, and environment. FAX COVER SHEET Date: E C)I Fax Number: ��2 - Ll To: r Ac) From: Pages (including cover sheet Regarding: If there was a problem with the transmission, please contact us. 2533 Inter Ave • Puyallup,WA 98372 - 253-845-1818 • 886-959-1818 • Fax 253-845-1133 - www,whitworthpsstsolutions.com 06/18/2010 09: 09 FAX 2538451133 WHITWORTH PEST SOLUTIONS Ij003/003 Whitworth Pest Solutions INVOICE L 144344 2533 Inter Avenue Puyallup , WA 96372 253-845-1818 INVOICE DATE 06117/10 DUE DATE 7/17/2010 CUSTOMER# 9763 TERMS NET 30 PO# City of Renton 1055 S Grady Way Renton, WA 98055 AMOUNT DUE $919.80 For Service At: City of Renton -- Panther Creek Wet Renton, WA 98055 PLEASE RETURN WITH PAYMENT Service/ Product Description Quantity/ Price Amount Mosquito Control Weekly 1 @ $840.00 $840.00 City of Renton Send Payment To 1055 S Grady Way Whitworth Pest Solutions Total Tax: $79.80 Renton, WA 98055 2533 Inter Avenue Total This Invoice: $919.80 Puyallup , WA 98372 Payments Received: $0.00 253-845-1818 Invoice: 144344 Invoice Date: 06/17/10 $919.80 Send Invoice in addition to service slip. Fax daysheet to Hebe Bernardo. 05/28/2010 09: 55 FAX 2538451133 WHITWORTH PEST SOLUTIONS IA002/003 Whitworth Pest Solutions INVOICE 143, 72 2533 Inter Avenue Puyallup , WA 98372 253-845-1818 INVOICE DATE DUE DATE 6/26/2010 CUSTOMER# 9763 TERMS � _� PO 1i City of Renton 1055 S Grady Way Renton, WA 98055 AMOUNT DUE $919.80 For Service At: City of Renton -- Panther Creek Wet Renton, WA 98055 PLEASE RETURN WITH PAYMENT Service/Product Description Quantity / Price Amount Mosquito Control Weekly 1 @ $840.00 $840.00 City of Renton Send Payment To 1055 S Grady Way Whitworth Pest Solutions Total Tax: $79.80 Renton, WA 98055 2533 Inter Avenue Total This Invoice: $919.80 Puyallup , WA 98372 Payments Received: $0.00 253-845-1818 Invoice: 143172 Invoice Date: 05/27/10 MOP $919.80 Send Invoice in addition to service slip. Fax daysheet to Hebe Bernardo. 05/28/2010 09:55 FAX 2538451133 WHITWORTH PEST SOLUTIONS 003/003 Date of Application: Year:2010 Month:5 Day:27 Firm Name: Whitworth Pest Solutions Phone No: (253)845-1818 Commercial Applicator: Terry Whitworth License No: 374 Address: 2533 Inter Ave.,Puyallup,WA 98372 Person(s)who applied the pesticide: LEVON t A RMk;S License No(s):67765 CD-7(D 7 3 Appals Umnse No:.. 143172 City of Renton--Panther Creek Wet-98055 Mosquito Control Weekly Product&Amount Used Application Site Time In/Out Temp Wind DirNel do s ter' z o 08,) 0 4r ,Q 155 Comments W. e — W 6 1� CA 0\—\�5 _VC, 01A V� � YOvrniD �o� 1 �� r ANJD � W R� I Tp S U Lv S �r✓c.� `$ ��� 5/28/2010 09: 55 FAX 2538451133 WHITWORTH PEST SOLUTIONS 1�tO01/003 WHITWORTH PEST SOLUTIONS, INC. Caring for your home, business, and environment. 1W FAX COVER SHEET Date: 5 - 2g- 2-0 10 Fax Number- T7 �'� P To: �Ve �3� e�,t r np�_rA.0 From: ?-ma� V_J� V\ Pa es (including cover sheet): Regarding: I�o� c� � v,vo► ave a 41 ce n If there was a problem with the transmission, please contact us. 2533 Inter Ave• Puyallup.WA 98372 - 253-845-1818 -BBB-959-1818 • Fax 253-845-1133 - www.whitworthpostsolutions.com 6/04/2010 10: 18 FAX 2538451133 WHITWORTH PEST SOLUTIONS 001/002 WHITWORTH All- -,IA PEST SOLUTIONS, INC. Caring for your home, business, and environment. FAX COVER SHEET Date: —L4 O Fax Number: 14qf5- L4Sb-- To: 0-r6t, RCrr nar8 b From: �—)t af- '(-V10W Its 3 es (including cover sheet): Regarding: AkO ►r-.VN v- a+ If there was a problem with the transmission, please contact us. 2533 Inter Ave- Puyallup,WA 98372 - 253-845-1818 -868-959-1818 - Fax 253-845-1133 - www.whitworthpestsolutions.com 08/04/2010 10: 18 FAX 2538451133 WHITWORTH PEST SOLUTIONS 002/002 WHITWQRTII PEST SOLUTIONS,iNC. • 144342 2533 Inter Ave, Puyallup,WA 98372 TIME IN: TIME IN: 2-93.645.1818 •206.248.2222 CUSTOMER/r 2347 TECH 1.888.959.1818 Levon APPOINTMENT 144342 SERVICE ADDRESSDATE&TIME 06/03/10 LICENSE# 67765 City of Renton—Panther Creek Wet TARGET PEST Renton, WA 98055 1 1 DO NOT ENTER TREATrD AREA UNTIL DRY(ABOUT ONE HOUR) ADDRESS ■, ❑WEED CONTROL n SBILLING HRUB BEDS ❑GRAVEI. CJ NOXIOUS WEEDS 1 ITMEE&SHRUB SPRAY FOR; LI INSECT LJ DISEASE City of Renton 7 SHRUB FERTII_I7_ATION 1-1 DEEP ROOT FEEDING 1055 S Grady Way I I INJECTION 0 OAK LJ MAPLE ❑BIRCH ❑OTHER Renton, WA 98055 M GRAN.TRTMT. I I ROSES I I LILACS I.I I u-IODYS I I OTHER_ SIERVICE TYPE I•I LAWN FERTILIZATION I 1 NO WATERING NEEDED rl PLEASE WATER IN ■ INCH.IF NO EQUIVALENT RAINFALL OCCURS WITHIN 24 HOURS, I­1 CRANEFLY CONTROL 71 MOSS CONTROL Mosquito Control Weekly $840.00 L I LAWN WEED CONTROL-DO NOT WATER FOR AT LEAS'r 24 HOURS Tax $79 60 11 WATERING IS NOT NEEDED I-•I AERATION 1 I PRUNING COA$0.00 DISCOUNTS $0.00 ❑AQUATIC WEEDS 0 • $919.80 1.1OTHER COMMENTS; City of Renton-- Panther Creek Wet Mosquito Control Weekly $840.00 Tax $79,80 COA$0-00 DISCOUNTS $0.00 CUSTOMER 8 INVOICE-:- HCUST.NO. Q7fi� ��1n ' $919.80 recrl i No. TOTAL PAIb cash IJ CK# V VIIIIIICIIIJ 144342 City of Renton—Panther Creek Wet-98055 Mosquito Control Weekly Product&Amount Used Application Site Time INOut Temp Wind DirNel 0 --'z0 Comments CLOGS i t e--ON Ate, �E"PF9_- 1 s Zvi Y.oS Q 0 ►iMt":S t�aS��y o IJ 0 P- t fY1 �o.1S 1�C- Q i5 � tzol3c�C3L�1 vJ }2 ALL OVE'P--- -TkA-4-)tJ v?_ YOLL t-r-7,V00 s R Whitworth Pest Solutions INVOICE ( 145781 2533 Inter Avenue Puyallup , WA 98372 253-845-1818 INVOICE DATE DUE DATE8/12/2010 CUSTOMER# 9763 TERMS NET 30 PO# City of Renton 1055 S Grady Way Renton, WA 98055 AMOUNT DUE $410.63 For Service At: City of Renton 1055 S Grady Way Renton, WA 98055 PLEASE RETURN WITH PAYMENT — —I Service/ Product Description Quantity/Price Amount Mosquitoes 1 @ $375.00 $375.00 Ctkr' 4�tSA°1'fO� abbe City of Renton Send Payment To 1055 S Grady Way Whitworth Pest Solutions Total Tax: $35.63 Renton, WA 98055 2533 Inter Avenue Total This Invoice: $410,63 Puyallup , WA 98372 Payments Received: $0.00 253-845-1818 Invoice: 145781 Invoice Date: 07/13/10 • $410.63 MIUMMTN:Treated Stonegate& NE 10th St Pond/Detention. Travel costs also included: i 07/14/2010 11 :23 FAX 2538451133 WHITWORTH PEST SOLUTIONS Ia003/005 NOTE: This form must De completed same dey ua tnu applicatlon and it must be retalned for 7 years(Ref.ROW 17.21) `- Time'. S t:C SDE Date of Application - Year, �,�,,,. . . Month: .,.:�,�,,,.� Da�,......13.. ... 1 2 Name of Person for whom the pesticide was applied:. ...... .................... " Jig Finn Name(if applicable): ...... .. ...... ....... ............. .,........,...,.,.... ....,.,...........,.........,........ ... . . . ' 1 . �.......... ...... city: �. .......... ....State: ,A 'Zip' ��& ) Y Street Address., ...., .Q .W ,,. Yr! 1,.l„4✓1?CL.� T 3 Licensed Applicator's Name (11 dltlerent from t►2 above): .........License No.r� _ _ f�ti11-f,.1 .I. �!rQ�?Tt(, .. .{ ,I, .,,��4� L ? cN S..Tel.No..� Firm Name (if applicable): ^ �� • � 'n �; 7Z Street Address; ,�Z,S ,7.��...... ,ti'.�C.,t ..,ttU .................. city:,,,. !�..�. .. ..........State: �� Zip'�/C Name of person($)who applied the pesticide(if different from#3 above):.......................................................... ... Lac J�'iti . ••�.I..r��.,��.•I.................... license No(s).If applicable; .. (�7.77�.r�.,1........................................... .. ' 5 Application Crop or Site; ... .......I.YI, „`�. k .`- -c:,.....1... ,.�?,.`. ............ ....... ................... .. o Total Area Treated (acre,sq. h., etc.): ............... .........., ............ ... ........'(.... .......I`....... ., ... was finis application made as a result of a WSDA Permit? ❑No @ Yes (if yes, give Permit No,) 0 .C.try. b fir" clesuc,ae information (please list all information for each pesticide in the tank mix): C)Total Amount of d) Pesticide Pesticide Applied Applled/Acre a) Concentrallon a) Product Name b)EPA Reg.No. In Arse Trested (or other measure) Applied tv L'c'v h : x I0 Ibs / �c tzE too0k, I / / I � I I 9 Address or exact location of application. NOTE: If the application is made to one acre or more of agricultural land,the field location must be shown on the map on page two of this form. 10 Wina cirecuon and estimated velocity during me application: ...©" , .. ,.,,.,,................... O f 1 Temperawre during the application. .. . - 60 ... ...... ......... ... .. ... ....... 12 Apparatus license plate number(it applicable); ....................... 13 �:) Au 3 Ground 0 Chemigation 1,4 Miscellaneous Information' i i 4.RQNIFe. cYJ t } O A O Amo unt of o #of Larval Product Larvacide Name Location Type Date Time In lout Acres Count NameJEPA# Applied Tteated G aUl bs LF..GTOI,bX GC-� -n Maplewood Golf Course(west) Maplewood Golf Course Hole#181Pond 275-' '< N Maplewood GO Course(west-central) Maplewood Golf Course Hole#91Pond w CO A Maplewood Goll`Course east central) Maplewood Golf Course Hole#7/Pond 2 CO Ma levxod Golf Course(east) Maplewood GoK Course Hole#61Pond Goff Course-Various Maplewood Golf Course Catch Basins Z- Stone ate NE 26th and 1- onsAve WO Pond Q -rt'3f ro g:�{o `t;to tj��sQ� t p R a 7 o / / 1 tsJE�� -2-0 cz NE 1Dth st PondfOetenton NE 10th St and An aco rtes.Ave Detention �� ro H --I Talbot Ridge 2 S 47th St and 102nd Ave SE WQ Pond 0 Talbot Estates Talbot Rd S Pond = -o m Benson Woods 111th Pt SE Pond Oirmpic Peak Estates S. 196th PI Pond o r c Larson Parke 112th Ave SE Pond H 0 Watershed Terrace SE 200th St Pond CO Wilkens Wood 113th Ave SE Pond Seren Rid a Tract A 110th PI Se Pond Sere nity Ridge Tract B i i0th Pi Se Pond Auria Woods Traci C SE 186th St jPorkd ISRA69 1140th Way SE Pond 0 0 A (h 0 A N O O Frederick's Place SE 186ih St Pond Aster Park HE 13th PI Pond rO Name Location Type Date Time In[Out of Larval Product Amount of a Acres Count NameJEPA 9 Larvacide x Hamilton Place 160th Ave SE Pond P01 O CO Go Evendell 160th Ave SE Pond " Liberty Grove 160th Ave SE Pond Z' Nichols Place 160th Ave SEJ SE 5th St Pond Various Locations Various Catch Basins Parks Maintenance Division Various Various Catch Basins _ Fadlitie*Division _ Cry Hall Grady Way Parking Lot wo 0 CIO -o m 0 r c H O CIO O O Ui O O 10/29/2410 09: 35 FAX 2538451133 WHITWORTH PEST SOLUTIONS 001/021 WHITWORTH PEST SOLUTIONS, INC. Caring for your home, business, and environment. FAX COVER SHEET Date: 10 Z f I 0 Fax Number: -���^1-� To: From: Pa es includin cover sheet . Z ) Regarding: If there was a problem with the transmission, please contact us. 2533 Inter Ave - Puyallup, WA 98372 - 253-845-1818 - 888-959-1818 - Fax 253.845-1133 - www.whitworthpestsolutions.com 1A/29/2910 09:35 FAX 2538451133 WHITWORTH PEST SOLUTIONS 1 la002/021 NOTE Thie form mue( be curioutiou seams day its me applrcatwo end A must be retained for 7 years (Ref RCw 17,21) �lJ -jate of Application � 1 O L Day: .. 3 Tlme:.. .., Year' Month: 1 5 Name of Person for whom the pesticide was applied: u- y� �' a►.)'� >>�� �F�xrTo' Farm Name iiI applicable); . . . . . .��....'.......,.,� .......�.�,............ .f. . ...... .... . ...I........ ....... ... ,,....,,,,., r SIMet Aodre55 ,�,C',c�,.�> L� 4� J - ) �E I\,1 ��''I� . .............� LU . . City . .,..,, I State: Zip icensea Applicator's Name (If dittbrem from 02 above); .... k, F�. )� ��14 l 4"f'.�L.H.. .. License No � I .. Firm Name (if applicable)- . �ti�l� ! !,.-W 11.4T.d. . . J>E',�>.T C,C, L L? TjOA—j S Tel.No 3„ I'a/ Sweet Address L 5 .. I ti .� ,.. �� . . .. . . Ci c ry� „t"�. .�./�I.L � �,,,,,,,,,,,,,State Gti/,� zip F) 72 Name of person(s) who applied the pesticide (if ditterent from#3 above):.......... .. . ... ... ......... LEA' .. ..I... ....... , License No(s), it applicable; ,.,,.,,, Application Crop or Site ...... . �,tiL L 5�.. �..t �' ...1..,,j„t?.,�.F.`....... ...................... Total Area Treated (acre, sq. h , etc ): ... ............. ...,........:1r,� ,,,.:..... . ..... ,',.,.,..,......! Was INS application made as a result of a WSDA Permit? 0 No @ Yes (it yes, give Permit No.) k Cr't•Y 0 F r .� oesticice information (please list all information for each pesticide in the tank mix) !—ENZ't, c)Total Amount of d) Pesticide Pesticide Applied Apphed/Acre e) Concentration a) Producl Name b) EPA Reg, No. In Arve Trestod (or other measure) Appiled =7U Ae-0 - Address or exact location of application. NOTE: if the application is made to one acre or more of agricuriturai land, the field location must be shown on the map on page two of this lorm. wine oirection and estimated velocity during the application �7 .. ..0-'- Temperature dunng the application 62 Apparaws license plate number(if applicable). „ „ , , ...... , ' Air 'S Ground d Chemigation a Miscellaneous Information: y O N Amount of CO Name # Larval Product Larvacide o Location Type Date Time In lout +4cF�es Count Name/EPA ft Applied o Ttt*eted !Eu FT Gatflbs o VcLTotk:rc cep CD Maplewood Gotf Course(west) Maplewood Golf Course Hole#1 B/Pond 215 01 Maplewood Golf Course 'west-cenlfal Maplewood Golf Course Hole#9/Pond x Maplewood God Course east-central Maplewood Golf Course Hole#71Pond N 01 W Maplewood God Course(east) Maplewood Golf Course I Hole#B/Pond p 01 God Course-Various Maplewood Golf Course Catch Basins w jj W Stone ate NE 26th and Lyons Ave WQ Pond 7/5 LC �"r;R C `�0 1. 1C h r`� D,I 2 .5 CZ . NE 10th st Pond/Detenlion NE 10th St and Anacories Ave Detention -7/+j/10 9.2 %.y i 14004 SQ o;rtre N ZO c' Talbot Ridge 2 S 47th St and 102ad Ave SE WQ Pond Talbot Estates Talbot Rd S Pond 0 Benson Woods 111th PI SE Pond I OJ m -c Peak Estates S. 196th PI Pond m C) Larson Parke 112th Ave SE Pond 0 r— ,Watershed Terrace SE 200th SI Pond CD W41kens Wood 113th Ave SE Pond Serenity Ridge Tract A 110th PI Se Pond Serenity Ridge Tract B 110th PI Se Pond Auna Woods Tract C SE 186th St Pond SR-169 1140th Way SE Pond 'CDfC4 = Z 0 0 CO O Y N Frederick's Place SE 186th St Pond N 0 Aster Park NE 131h PI Pond 0 co Name Location Type Date Time In/Out #of Larval Product Amount of Acres I Count I NamelEPA# Larvacide n Hamilton Place 160th Ave SE Pond a x Evendell 160th Ave SE Pond N w Liberty Grove 160th Ave SE Pond p cn Nichols Place 160th Ave SE/SE 5th St Pond c, w Various Locabons Various Calch Basins Parks Maintenance Division Vadous Various Catch Basins FaclMes Division City Hall Grady Way Pal lung Lot WQ 2 H �G O �J H 2 m w - o r c H O Z O • O A O N 1,0/29/2,010 09: 35 FAX 2538451133 WHITWORTH PEST SOLUTIONS Z 005/021 Mosquito Management Day Sheet Year 1010 Month �' Day 3 Person Making application/sampling Lo-\1o!J License# (o�1(�7 Terry Whitworth Applicator 4374 Whitworth Pest Solutions 2533 Inter Avenue Puyallup, WA 98372 Product: Vectolex CG EPA-9 73049-20 Time-Depart Shop - q' 30 AM/PM Time Return to Shop t" �0 AM/PM Total time for billing C� i r'ONC) 15 VJE D�rJ� TP2EA CO UeA L9 #of Amount of Larval Product Larvacide !Jame Location Type Date Time In 10ut Aires Count Count i'JarnelEPA# Applied 9aftss 2 , a Ma ewood Golf Course(west) Maplewood Goff Course Hole#1 WPond 3�+0 1�=.f�-#0: �S S/� 0 u e-. C Maplewood Golf Course(west-central) Maplewood Golf Course Hole#9JP4ond 00 15 07 Maplewood Golf Course east-central) Maplewood Golf Course Hole##71Pond 1; /t-1l !c)k -2- i 5 o Z A Maplewood Golf Course(east) Ma ewood Golf Course Hole#6/Pond f ACD z F-A X Golf Course -Various Maplewood Golf Course Catch Basins C Sione ate NE 26th and Lyons Ave WQ Pond NE 10th st PondADetention NE 10th St and Anacortes Ave Detention ; 2s" y� �j 1�- r #`� b 2 w Talbot Kltl e 2 S 47ih Sl and i02nci Ave Sc I+TJ:1 Pond Erj::j 3a I Lam' yF� l Nl� I I y2CD b ( Talbot Estates Talbot Rd S Pond 111 C 5 )O o Z H 6 P � Benson Woods 111th PI SE Pond 2- 11' Z �' 3 JOVz . OI m is Peak Estates S 196th PI Pond Larson Parke 112th Ave SE Pond CO Watershed Terrace SE 200th St Pond YJ CO Lc, l) Mkens Wood 113th Ave SE Pond v CO I Sereni Rid e TractA 11Oth PI Se Pond l 5 N x r Serenity Ride Tract B 110th PI Se Pond I / 20 -1130 7- lO Q ,yc LO 5 Auna Woods Tract C SE 186th St _ Pond (75 CO ( Y� °' f SR-169 140th Way SE Pond i. �' 2=�c^ (O rL 0 0 0 N O) N O a N O N O O S rO 1} 22" Fredenck's Place SE 186th St Pond 3� 12:30 �C �Q Ito caZ. Aster Park NE 13th PI Pond � 3 �� y 14- Narne Location Type Date Time In lout #of Larval Product Amount of Acres Count NarneIEPA N Larvacide +� Ham ifton Place 166th Ave SE Pond S /ooz . 1 Evendell 16171h Ave SE Pond 2' "Z�S �� Z !D 0-2., CIO cl Ellis Park 124th St S.E& 149th Ave S E �'�S "� '� �L '� I D 0CD 2 H Nichols Place 160th Ave SE/SE 5th St Pond 2= qo" 2= � 21�- to /0 a z H o X Vanous Locations Various Catch Basins Parks Maintenance Division \/ >/ \/ Various Vanous Catch Basins /` /\ FaGrties rnsion = X Gdy Han �Gr� V:a � Parkin Lct � ay ay a 'v'VQ rr_ CD �J�ST C tEf.1 pq tip AVG GPT�rI $AS ri �G.lf do 5DG FT tJA 2 oz H S C`) CrJ 00 CO LO N X Li LO CO J! O O N CA N O 10/29/20.10 09:35 FAX 2538451133 WHITWORTH PEST SOLUTIONS f�008/021 NYMSDA Washington State Department of neat Division PESTICIDE APPLICATION RECORD (Version 1) Pesticide ManagPO Box 42560 111l1� NOTE' TNs form muss be completed same day as the application Olympia WA 9a504-2560 and i1 must be retained for 7 years(Ref,chapter 17,21 RCW) (877)301-4555 1. Date of Application-Year: v I U Month, f U','t Day; / Start Time Stop Time `Y r- 2, Name of person for whom the pesticide was applied: /� •�, � � � � _) ? r .J Firm Name(if applicable); Street Address; / 5.. ....... I }/ City: />-✓t tar State WA Zip t' qo` S 3. Licensed Applloalors Name(If different from 02 above): Li cense No.- Firm Name If a licabler i, -;�h f L r rr S 3 ocf S !�1 y ( PP ) ...vt/�1,..�' �,! ,-!uri��........ Tel No.; J Street n�� ......-...... 2 3..3..... n.rc/ hv-t City: /;!-�V''/ I Stale:l/vW Zip: 9 5 j 1 .............. ... . 4 Name of person(s)who applied the pesticide (if different from#3 above): License No(s). If applicable: 5. Application Crop or Site; .... .................. ...................... ...... ........ .. 6. Total Area Treated(acre, sq.ft..etc) 7. Was this application made as a result of a WSDA Permit? No ❑Yes(If yes, give permit No.)# 6. Pesticide Information(please list all information for each pesticide, including adjuvants(buffer,surfactant,etc.), in the tank mix). c)Total Amount of d)Pesticide Pesticide Applied Applied/Acre e)Concentration a)Full Product Name b)EPA Reg. No, in Area Treated (or other measure) Applied Ve�.{•c�r, �,�, ?3�� l4'-z� C��/� � S fib`- l �.��' ! / / 9 Address or exact location of application. NOTE: If the application is made to one acre or more of agricultural land, the field location must be L shown on the map on page two of this form 10. Wind direction and estimated velocity(mph)during the application: ��.......... „ ........ ........... 11. Temperature during the application: 12 Apparatus license plate number(if applicable), 13 ❑Air R Ground ❑ Chemigation 14. Miscellaneous Information, AGR FORM 640.4220(waror)Pape 1 of 3 lOY2912010 09: 36 FAX 2538451133 WHITWORTH PEST SOLUTIONS Z 009/021 NYASMPESTICIDE Washington State Department ofAgnculturs APPLICATIONPes"icide ManagPO Sox 42560 RECORD (Version 1) PO Box 42560 NOTE: This form must be completed same day as the application Olympia WA 98504-2560 and it must be retained for 7 years(Ref,chapter 17 21 RCW) (877)JOI.4555 1. Date of Application-Year: c. Month: V i 7 Day, /9 Start Time: Stop Time: /2 2. Name of person for whom the pesticide was applied; Firm Name(i(applicable): Street Address. j S .......... ......................�......:�..`...... hJ! CiIY: /�-2rufv.1 State: zip, 3 Licensed Applicator's Name(if different from 02 above): j[rf r r1 .ttfYr.�.... ................. License No., �7l /�...t S t'.............. Tel No.: ......-......, /. �....... Firm Name(if applicable) (�Jla..�.....�r.k , r/v A5 7 qyr/ 4ll ...... Street - -------------- 3 3 / 1 ,nd A I�racc ................ 'L .............. ................ ..„............_City �rV��l t{L.��!T1.-.-.- Slate:..A�Y.�!,T...... zip ... � ...� .. .. 4, Name of person(s)who applied the pesticide (If different from#3 above), 1 ;C.0 41 License No(s). If applicable: 5, Application Crop or Site �F,,;r' ( Zvr (M,pv /1,,Z,u•/S s�^� 4f[arrr;,` . . �'pr.�S .......... ...................... 6. Total Area Treated(acre,sq. ft., etc.): X, Sil. >.2 t h 7. Was this application made as a result of a WSDA Permit? No ❑Yes(If yes, give Permit No.)# B. Pesticide Information(please list all information for each pesticide, including adjuvants(buffer,surfactant,air,.), in the tank mix)', c)Total Amount of d)Pesticide Pesticide Applied Applied/Acre e)Concentration ''// a)Full Product Name b) EPA Reg, No, in Area Treated (or other measure) Applied 1/i?Ltc.,'r,Y i l I 9 Address or exact location of application, NOTE: If the application is made to one acre or more of agricultural land,the field location must be shown on the map on page two of this form. 10. Wind direction and estimated velocity(mph)during the application, 4'' .................................... .................................... .. ..... 11. Temperattire dunng the application' r / 12. Apparatus license plate number(if applicable). '-y/ ............................. ...... .. .. ........................................ .............................. .......... 13. ❑Air [p Ground ❑ Chemigation 14. Miscellaneous Information: AGR FORM 640-<!ZF(R1411W)Pape 1 of 3 10/29/2010 09: 36 FAX 2538451133 WHITWORTH PEST SOLUTIONS IA010/021 Mos uito Management Day Sheet le" II y I524,-nar ,ti;, ,id n� i Unr� T-;, V Year Month _ ��;;v --- -- Day Person Making application/samplings. ;'I Terry Whitworth Applicator#374 Whitworth Pest Solutions 2533 Inter Avenue Puyallup, WA 98372 Produce_ Vectolex CG EPA# 73049-20 -� - Time-Depart Shop _(?, L _AN)TM Time Retum to Shop AM(PNp Total time for billing /Z h �S. Z - x A., A 5 A. 11-u 1j" CajCk y t S Ff I ET 0 #of Amount of Name Location T Larval Product Larvacide ype Date Time in lOul Acres Count Name/EPA# Applied Treated Galllbs Ma lewood Golf Course(west) Maplewood Golf Course Hole#18/Pond S'1k�(1; �r� `�•t�� /��N� Maplewood Golf Course(vest-central) Maplewood Golf Course Hole#9/Pon4d 2-16-L(J Yy ':�'r-3 Maplewood Golf Course east-central) M apiewood GDIF Coe rse Ho1e#71Pond -r�-,C ���- �•?a✓ ��< 7 ''�z c/) Maplewood Goff Course(east) Maplewood Golf Course Hole #&!PondcD z Golf Course-Various Maplewood Golf Course Catch Basins x o Slone ate NE 26th and Lyons Ave WQ Pond EVE 101h st Pond/Detention NE 10th St and Anacortes Ave Detention abet Ridgy 2 S "'t`^ S• `C2 `l Ave SE I,�„.,_ = T-I--- a �r n rand i iw v v rVl•u ;J'f7 iu - i✓iJV� �� cD Talbot Estates Talbot Rd S Pond -re - ;'r:�j 11• �y /( / /L••,7- H Benson Woods 111th PI SE Pand 11:35 Olympic Peak Estates S. 196th PI Pond `S`l�'(c, /1-1t) -Z:2-4 ✓`''AC Larson Parke 1121h Ave SE Pond �'K ,� ,2:3c ,2:10" Nan �J M Watershed Terrace SE 200th St Pond fZ.IG• J C2 Wilkens Wood 113th Ave SE Pond :,; W, to Y5 00 i co Serenity Rid a TractA 110ih PI Se Pond y-r7'IL' 3Z 3•�C /l�^/ �� � _ N x Serenity Ridge Traci B 1101h PI Se Pond ;G'_,j r< j (j,r)7. _ C - Aura Woods Tract C SE 186th 5t Pond co M t/ -- v� SR-169 1401b Way SE Pond 0 0 0 N OJ N a N O cli 1!9 Frederick's Place SE 186th St Pond 7(C Z"T'i 3.2 °f,C��.� I , /��z Aster Park NE 13th PI Pond C%��tt S ��'? `{,7�tv �/:!Z 11.3E k. Name Location Type Date Time In foul #of Larval Product Amount of Acres Count NarneIEPA# Larvacide Hamilton Place 160th Ave SE Pond -to ;/'Sd L;72. N.,MC- (j Evendell 160111 Ave SE Pond r)-•C, Elfis Park 124th St S.E& 149th Ave S.E f- -ram 1G �k rt= NON£ t_> z Nichols Place 160th Ave SEISE 5th St Pond -17-fa :L-Zr LZ=3y N'�✓k C> Z o Various Locabons Vanous Catch Basins X Parks Maintenance Division Various Vanous Catch Basins X w Facilities Division = Cify Hail IGrady Way Pariong Lot Wo IK 0 H S C'J CO 00 C'7 LC/ N X Li CO CO CO O O O N CTJ N O 10/23/2010 09: 36 FAX 2538451133 WHITWORTH PEST SOLUTIONS d 013/021 Mosquito Mana ement Day Sheet I Year_ 2O1 0 — --- Month 4 --- Day 30 Person Making application/sampling Le5V"P A-J License 4 (p 771? - 'ferry Whitworth Applicator#374 Whitworth Pest Solutions 2533 Inter Avenue Puyallup, WA 98372 Product: Vectolex CG EPA4 73049-20 Time-Depart Shop 7-.o0 ,,M/PM Time Return to Shop '`" AM%M Total time for billing; --�. 5- 1 _ �,- = �o� �[Z y o �t (�ats r+�?3 �✓+t,o,v� L��1� N O O 4 of Amount of Name Location Type Date Time In lout Aefes Larval Product Larvacide aFfeSted Count Name7EPA# Applied ti Oafffbs- OZ_ Maplewood Golf Course est; 5�(�V✓i p 4W Maplewood Gott Coure Hole#18fPond Maplewood Golf Course iviest-central) Maplewood Golf Course Hole#91Pond Maplewood GaffCourse Least-central) A9 Bpi evaood Gelf Course EHole 47lPcnd �`r5' g'9S !OK f r„ Maplewood Golf Course%east) Maplewood Golf Course Hole#6/Pond z ! o Gol'Course- Various Maplewood Golf Course Catch Basins J CD Stonegate NE 26th and Lyons Ave WQ Pond Z;�s-3 '10 *- Z 1D o Z L" NE 10th st Pond/Detenlion NE 101h St and Anacortes Ave Detention ?j :2 S 3:3`� w (� r1 = T aibol Ridge 2 4J 471h S4 and 1 V2nd A'Ve JE IvvV Mono I j'• I r�! I I Y1. 2- CD F- CD Talbot Estates Talhot Rd S Pond !� -rp/S 1")V -5 /0 +z H Benson Woods 111 th PI SE Pond Olympic Peak Estate_ S 196[h PI Pond MmB- =9i Larson Parke 1 12th Ave SE Pond .� a �- -4a- CO Wale shed Teirace SE 2001h St ]Pond � •� I -+� �' CO LO Wilkens Wood 1 13th Ave SE (Pond v LO Serenity Ridge Tiact A 110th Pl Se Pond r!-53 4 -2 z N i-t :1 >� SerenityRidge Tract B 11!%th P!Se I Pond 5 /2: I 2 1 /p d Z- Q ll �— CO Auna Woods 1 ract C SE i86th St Pond '�— M L CO SR-169 i40ih V'Ja� SE Pond ��•5�'/%// /D /�-- lJ�;P Z 0 0 0 N O� N O y N O 4') O Frederick's Place SE 1861h Si Pond S/3o -/1;3./ S' fo O z. Aster Paris NE 13th PI Pond I 2 '25-3;ya y rL t Soz Name Location Type Date Time In 1Oui #of larval Product Amount of .Aeres-I Count Name)EPA# Larvacide Hamilton Place 160th Ave SE Pond 3:f°' f-'Z' 314 10 a Evendell 160th Ave SE Pond ;�' " 1a35 5 3 O' Z Cl) Elks Park 124th St S E 8 148th Ave S.E 3= -/•'� 2 /b• Z. . z 0 Nichols Place 160th Ave SEI SE 5th St Pond /0 o Various Locations Various Catch Basins X x x x Pa As A4am ten ance Division w Various Various Catch Basins Far!it es Division ? City Haii I Grady way Parking Lot NQ I I ><, x' sao� WESti E7UEt.1 ��U r�+ aaG crt"TcK �wsr� ror5o 4 TI N/S 2.3o Z . H S CO M � a i 47 d CO o-j LO N I X I IIV L� CD CO CO O O O N OJ N O 10/29/2010 09: 36 FAX 2538451133 WHITWORTH PEST SOLUTIONS 12 016/021 Mosquito Management Day Sheet i Year 20 Month �( — Day _ 13 Person Making application/sampling L,6do rj - License 4 z Teo Terry Whitworth Applicator#374 Whitworth Pest Solutions 2533 Inter Avenue Puyallup, WA 98372 Product; Vectolex CG EPA# 73049-20 Time-Depart Shop 51cf AM/PM Time Return to Shop _ 5 AM/PM Total time for billing y N oP- p�sT bl r�r✓crcon) ��raT+✓� �5 ��Dt�Z� ,4Li��► J NN o # Amount of Name Location Type Date Time In lout Acres I_drVal Product Larvacides Count Narnef EPA# Applied 5+ F szc n►1 C F', 6atfttrr b L- Ma levaood Golf Course(west) Maplewood Golf Course Hole#981Pond ��3 Ma !evrood Golf Course(west-centraij Maplewood Golf Course Hole#9/Pond Maplewood Golf.Course(east-central) Maplewood Goff Course Hole#7/Pond I Ma !evrood Golf Course(east) Ma plewood Go`:f Course I Flo.le#61Pond c� CD z Gof Course-Various Maplewood Golf Course 'Catch Basins J Stone ate NE 26th and Lyons Ave IWQ Pond Z '•30 '(S 0 ( b NE 1 Qth sl PondlDet2nticn NE 10th St and Anacortc-s Ave Detention w � _ l Z C l alDot Ridae 2 S 47th St and 102nd Ave SE [WQ Pond 4 3 S�'t'r'f aJ x - o J Talbot Estates Talbot Rd S Pond `i a°"et.Zo H _ (a Benson Woods 1111h PI SE Pond L Olympic Peak Estates S 1961h PI Pond z5 - % le Z� Z �D oZ . Larson Parke 112th Ave SE Pond Y' 3 Waiershed Terrace SE 200th St Pond CO CO Wrkens':Noco 113Ih Ave SE Pond u, v � CO co a /r:oo - i1: ZK if I JOoz 1 Serenity Ridge Tract A 1 loth PI Se Pond LO N !b Serenity Ridge Tract B 110th PI Se Pond 1'fv - it b4 2 1G r 00 z x S Auria Woods Tract C SE 186th St Pond SR-169 14oth Way SE Pond `7 1 2:ao 12:J 10(� 3 �/ 2002 - 0 O N N O N O 00 Frederick's Place SE 1861h St pond ct�t3 I�'35-/0 (G 10 o Z. r�Q As_er Park NE 13th PI Pond Name Location Type Date Time rn lout #of Larval Product Amount of Acres Count NamefEPA N Larvacide f Hamilton Place 160th Ave SE Pond ��r 3 1 3a 3 rL C RE Frio lO p Z. 13 Evendell 160th Ave SE Pond 12 3+�-�l�`-J* �� j S70 2 19 Ellis Park 124th St S E& 149th Ave S E 3•20 3:�oCD Z /q Nichols Place 16Dth Ave SE/SE 51h St Pond +'��-1,r S � � S )CI o'L o Various Locations Various Catch Basins Parks Maintenance DivisrOn Vanous Various Catch Basins LU F aciidies Givision - City Hall GiadyVVay Pa,,Ring Lot v' � 1 vqCsT uT" L4il� GA�cct $Rs�p� ` t1� �� F VSo r H _ J x I+ I MCO I 47 V CO CO LO N x Q U ti i CO O O O N OJ N - O 10/29/2910 09: 37 FAX 2538451133 WHITWORTH PEST SOLUTIONS Z 019/021 MOM uito Management Day Sbeet i Year 2 o ► o Month 7'- _ Day Person Making application/sampling, L-e-�G^) License # (07 Terry Whitworth Applicator#374 Whitworth Pest Solutions 2533 Inter Avenue Puyallup, WA 98372 Product: Vectolex CG EPA# 73049-20 Time-Depart Shop 7-, -1 AM/PM Time Return to Shop 3 = AM/PM Total time for billing __ ' N sz-5 o �r v C-) TE L-C'ctcL-D N E� CO �-- 0 19 of Amount of Name Location Type Date Time to IOul Acres Larval Product Larvacide Treated Count Name1EPA# Applied �[ Galllbs Maplewood Golf Course(west) Maplewood Golf Course Hole#113/Pond =,11.,w'o.,Golf Course(west-central) Maplewood Golf Course Hole#9/Pond Ma lewood Golf Course(east-central) Maplewood Golf Course Hole#71Pond Maplewood Golf Course(east) Maplewood Golf Course Hole#6/Pond H Golf Course Various Ma lev,,00d Gclf Course Catch Basins H CD Stone ate NE 26th and Lyons Ave WO Pond t 2'4 - i eO ~ l B NE 16th st Pond/Deten lion NE 1 Oth St and Anacortes Ave Detention r 2S i s V w a- 2 0 = Talbot Ridge 2 c :?th S;and 102nd Ave SE Q Pond ?";.� 3 ^ 1 P �ZoL l Talbot Estates Talbot Rd S Pond 9'o S Uir IL Benson Woods 11 ith PI SE Pond (� Z Olympic Peak Estates S 196th PI Pond 8 Larson Parke 1121h Ave SE Pond 3 Watershed Terrace SE 2001h St Pond J CO CO - f lr Wilkens Wood 1 13th Ave SE Pond Ln CO y Serenity Ridge Tract A 110th PI Se Pond 5 S' Oa/ j 5 0o -Z LO N - / -Serenity Ridge Tract 8 11M PI Se Pond �;2� " / F 3 i o z x a � 7 Aurra Woods Tract C SE 1861h St Pond r` CO SR-169 140th Wa SE Pond 0 Ia rS0-[ t0 FJ r pZ 0 0 N OJ N O Y N O N JC- Q O 7 L9 Frederick's Place SE 186th St Pond 1 Aster Pafk NF 13th PI Pond a 7- Name Location Type Date Time In JOut #of Larval Product Amount of / Acres Count I NameIEPA# Larvacide Hamilton Place 1601h Ave SE Pond g/ 2? i a- Ia- i 2 °1 i 3 to p z 13 Evendell 160th Ave SE Pond 1 i % 20 t S 7 2 o Z. Ellis Park 124th St S E & 149th Ave S.E r• t{ . 2 0 3 o L � 1 � CD Nichols Place 160th Ave SEI SE 5Ih St Pond r '-� !�rj 2 5 Q L H J Various Locations Various Catch Banns 0 Parks Maintenance Division H Various CIO Various Ca(ch Basins w Facilities Qivlsion ° City Hall Grady Way Parking Lot 1WQCD L (ZILC I- cc H A H H S M ('7 V 0 co N x Cl) m 0 0 0 N OJ N O mapping, emerging management, surface water management plans,hydrological and hydraulic modeling capital improvement projects, dredging, and maintenance. The COR SWU supervisor has over 20 years of experience in the engineering field. The COR Project Manager has over 3 years of experience and has successfully modeled surface water infrastructure projects including continuous and single event computer models to support planning and engineering design projects. For the proposed NE 10th Street/Anacortes Avenue NE Detention Pond Retrofit to Povide Basic WQ Treatment Project,the City will hire a consultant firm to finalyze the design and construction plans, therefore, all technical reports and costruction plans will be stamped and signed by a Profesional Enginner registered in the State of Washington. Project Description 4.1 Site Location and existing site conditions The project is located in the northeast corner of Renton,WA. The site is roughly bounded on the north by Sunset Boulevard,on the east by 138th Avenue SE,on the south by NE 10th Street,and on the west by Union Avenue NE. taE 1',fhC1 33d D 6 K ~' I NE tttfi St ^� FrEo yNE I Ith Stm NE loin PI nm NE loth PI 1�0 NE 10th St �D NE lottt St NE loth St u`s 3 ropose wd roject NE gin PI m K NE Yi{'i �+ gift Pt R m py 9. S NE 9th St D NE 9m St. v. 4.2 Project Objective NE 10th Street and Anacortes Avenue NE detention pond receives runoff from parking lots, streets, and building roofs that characterizes the land use. The runoff quality contains various mixtures of hydrocarbons,oils,sediment and other runoff continuents that mix with stormwater runoff collected via catchbasins, ditches and other conveyance structures. The project proposal will be to help reduce the existing water quality problems in May Creek by providing basic water quality treatment to approximately 3.31 acres of impervious area prior to discharge to Honey Creek. The project discharges to Honey Creek,from there to May Creek and ultimately to Lake Washington. Basic water quality treatment will be provided by converting the existing detention pond into a combined detention and two cell wetpond (combined detention and water quality treatment) facility. Refer to Appendix A for sizing calculations. �Sm �r�U(� snl � n� � ZL � gun b� - � I , � z � Ucb� ,_, � ,, � �� — �. Z Z — ` � faau OCY 6d i o o k 4"afyL PROJECT NO. Knva Coves Res PROJECT Wes' - Land R�uo n ELLIS PARK (a.k.a. EDENWOOD) LOCAnON 14900 S E.124TH Street KROLL PAGE 23-5 BAMN Lower Cedar Rive TB PAGE 657 Al TYPE Pond FACILITY SKETCH MAM DIVISION 2 DATE November. 2004 OUT OF SERVICE YES GALS_ VPP ❑SPECIAL USE PERMIT ❑NO MOW H ❑X Mow Approx 500 sq yds NTS ❑SPECIAL MOW 9� --------------------------------------- Access 1v Road(15') r WET POND I I I I I I I I I I I I N \ I _ CS/CB- CB-4 a ry 16'Gate _ ————— Nv --------- CB-9 590 ¢ o of v CB-2 CB-3 SE. 124T" Street <—To 148T"AVE.SE. PROJECT NO. Spring Brook Treeace KING COUNTY PROJECT D91142 Department of Natural Resources LOCATION 19215 981h PL. S. Water and Land Resource Division xxoLL PAGE 606 BASIN Duwam-Green TB PAGE 686C2 TYPE Pond FACILITY SKETCH MAINT. DIVISION 3 DATE 4-12-04 OUT OF SERVICE NO INITIALS - SAB ❑ SPECIAL USE PERMIT ❑ NO MOW N MOW 1000 SQ. YDS. NTS ❑ SPECIAL MOW I � I � ICB-4 (PVT) I � 19203 I � I � I �lllli i Illlliiilli I IIh� i E = s a upIlVlplb !.I' ��'L14a I� I U a IIII II Asphalt Parking N �g 00 CB-2 (PVT) r �Q cn Ia111_D 71 ^ 19215 CS/C -1 I � (20'-21"CP I I Q I It---------------- ON I � ~ I I (Rock lined ditch) 19227 CB-3(RO _�__—_90_15" CMP _—_ ® PROJECT NO. KING COUNTY PROJECT TALBOT ESTATES Department of Natural Resources Water and Land Resource Division LOCATION 19400 TALBOT RD S KROLL PAGE 608 E SUB BASIN BLACK RV FACILITY SKETCH SHEET TB PAGE 686 B-2 TYPE WETPOND MAINT. DIVISION MD 4 DATE 6-23-00 OUT OF SERVICE NO INITIALS - APM ❑ SPECIAL USE PERMIT ❑ NO MOW N ❑X MOW 400 SQ YDS NTS ❑ SPECIAL MOW 5LF12"HDP 1 LF 12"HDPE C 1(1 Q J H U m ZZ y N / Z Z J O W z � � a CCESS DOORS(3) J O LL 0 2 Z m W LL O 0 W N / N W Q U Q a W O ° � 3 OJ n M W W U J 9� s� 9� O O�LETTING FFS11E 12"CMP WITH TRASH RACK END CB 97 ❑ PUBLIC WORKS DEPARTMENT ° City of e ��(s M E M O R A N D U M DATE: April 1, 2010 TO: Colleen Shannon, Risk Management Technician FROM: Hebe C. Bernardo, Surface Water Utility Engineer (ext. 7264)1W SUBJECT: 2010 Mosquito Abatement Program Contract Insurance Certificate for Whitworth Pest Solutions Please review the attached Insurance Certificate for the Addendum No. 1 to the 2009- 2010 Mosquito Abatement Program Contract (CAG-09-098) for risk management concerns. The addendum is in the amount of$53,972.55 for entomologist/pest control agent services. Attachment H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Certificate of Liability Insurance\HR memo.doc\HBtp 04/01/2010 06:26 FAX 2538451133 WHITWORTH PEST SOLUTIONS IZO02/004 12:10 Reiviui.e I Imprint ID ACORDt, CERTIFICATE OF LIABILITY INSURANCE U/ ILIIJJYYYY) D3/31/31/10 IIKOUIJCLK UDO@408 1-415-541-7900 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION walls Fargo Inanr.ance Services USA, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. THIS CERTIFICATE DOES NOT AMEND, LXILNL) ON 45 Titrontont scr6131; ALTER THE COVERAGE AEI-OHUE:IU BY THE POLICIES BELOW. ;3vi[n F00 1 ),;•111 Kr.IIlCi61-:6, CA 94 111', INSURERS AFFORDING COVERAGE __ NAIC 4 N;IUNL-U IN;;IIHI NA AmOrican sArn[y C,fivaley Iuauranc-., Whitworth PAst Solutions Inc. INSURERG National IITliarl Fire lns. Co. of PA I 2533 Inror Avli- I'mi 11:I Rr Puyallup, WA 90372 IN-11121- 1F1'iUI+LIII COVERAGES I1IL NL:rLil.11 :,til INS JRAN CL Llo I-J Li--LOW I IAVL LJLLN IF,..IJLU Ii1 I I IL IN 1'JKLU NAMLLI AI{qVl,I t7h 11IL F10LICY I'LN10--i IV.JII:A I;..I VG I UVI I I1; IANuINtI ANY h_OJIREML-M, TLkki Ok CONDITION 01 ANY CONTRACT OR OPI-Ian QCX.UrALN1 WITH P,ESPEC1' 10 WIII01I 1IIIS CLR'fIfICA12- MAY UL IS5IILU 10AV IJL WAIN 11 IL IN::I IyAVCL Al I Okll L U LAY I'FIL• 130LICIIL:I il..iCM10LO hIERLIN IS SUL7.,CCl 10 ALI- I FIL- I E-�ti1S,EXCLLISION,^,,,ANLI(;t)N.11 lloNS L)I SUCH -IIILICII FI AGC'tLCAI L LIMI I PI:'.I IOWN kIF,Y I IAV'_13L I N I,LUUCLU L'Y I'AILI CLAIMS wSK ALWL POLICYEFFECTIVE POLICY LXFIkAI ION I LIMII� I Lu —J-Yl'7L•^h,JM:�!Jliatl.�J- _-,,.,, POLICY NUMUtN AIL•IMMIUjuYYI I OA I t lM[d(Lizzi1.— A GL•-NkRALLIA91LITY 160TAGS00009401 11/nl/09 12/01/10 LACHUL:L:IIKHINCI g1..000.000 x 17An1ACCTOI•TEWTCTT-- rfJMM1 m;1AJ ,,I NI RAI I IN:II 11/ 11PI W'I:,(1 100,000,,n1�'nllrp;nl �' -I CU+IM5 MAIJI_ L X- uGt;UH �!rv1LULxI1(Anyt)i%0pL)rroiI _ K,0 00-- _ _X !'TLIJ• GAP PI 1*11JNN FCAI'V INA'HI g 1,UUU,UI10 • GENtKALAC;f'_KFf/tIF %2.000,000 1.IW'I nI.r,NI LYUII MIN'I'I II'Ii I'I 1+ I•HCIUIIGI:i CIJMI'll1'M 1. 1.2.0110 001"1 X I'LJ1 ICY •.•- JH I I J I CC .._. I INII I AU I OMOc11Le L1AL•1IL11 Y 1;(1ML'INU J:;Ilvl d l Ir:l it(illl(Jnll ANY AH I C; _. 1 ALI UWIVI U AI11 U;; UUU11_Y IN KIKY fp01;.'efrvnl S ;CI 11!"iUl I I IAI I l l)li I II RI.U+U II:.75 I!UIJII Y INJI 114� -- (PcfacaaertT Nf:N;JVVNI I)Al 1101, 1'I F✓H(;PF-1:1�UAhIl1LL= � -- - •-- mt,al;aar�nn GAKAGL LIAWLIIY AUI J GNLY•L•A AL:LAN N I_- - ,1 Arh'n111L' hull It IIIAN I AU I J LiNLY AG(: 3 L•XCC:1;%UMHKLLLA LIABILI I Y 1'NTTO 0643937 1'/7LU/09 1�/10/10 I An I C -'miKUI NLI g1.on0,Dno X nI:CI1F I I ClAlhl.^,MADIF I AGGKtGhlt-- g 1,000,000 IJ('OLICT101I -•- ••---• g X 1:111iNIILIN '110,000 4 __ WCSTATU WOKKhKti COMPLNWION ANI) I I'DRYI(MTi I-N LMMOY 1.1113'LIAUILI I Y I I I AUII ACQ!II NI g ANY PN.JrPIF,T:)r,PAK I NhFJFKI:CUTIVF �n•I.1',--I-f:I}dtFLu•IFI:Fx;auuFIJ7 I•I IIISIA:;I 1-Ahnn+Iu-1-I T. ;,�4 ih'!Ir,fID^Inulrr 1 I I)ISI AU. I ULIL'Y I P411 I. •1-t:�Al I'Kt IVI:iI:JN i Ix:II,W O I FILK DESCI•LIP I ION OF OPERA 1 IONS/LOCATIONS/VENICLES/FXCLU:WNS ADDED 13Y LNL')OKSEMENT/SPECIAL PKO VISIQNS covtiEicarm hohldnr la Includod as additional iuDur•i)d per blankot policy ondoreenlent. CERTIFICATE HOLDEN CANCELLATION SI•IOULD ANY OF 1 HL AIA0VL L1tSAK0iLD I'OLICIL-$LIL CANCtIAI-U BEI-ORL IIiL LWINA IOW DATP THEKEOh, INE Li RLJINF INSUKL)1 WrLL ENDEAVOR IO MAIL -0 DAYS WKII IEN city r l Kuu tau NOIIOL 10 Irlt CtK I1FIGAIL-HOLUtK NAMED IO INL-LL-F I,GUI All-tiIKE I O UD:iU tSYIALL IMPfI;:I NO ORI MAIION ON I IMU1 i1Y OF ANY KIND UP11IN I NI'IN411HFK.1I;i ACS1 Win 1"114 1055 s. Grady WAY KLPKL'✓LN'I A'lIvE3. I,nnmrnl, WA 9Rn97 JALITHOKIZLDRUMK ENIAIIVL " ? u:!A (If ACOKIJ 25(200110B)1n'a1 bn]'1u11 4 ACORD CORPORATION 198H 150665'!2 04/01/2010 06:27 FAX 2538451133 WHITWORTH PEST SOLUTIONS IA 003/004 %'.I 0 IS:1D R_rrnte ID Imprint 1 D d _,!.4 IMPORTANT If the certificate holder is an ADDITIONAL INSURED. the policy(ies) must be endorsed_ A stair_ment on this ccrtillanle does not conler rights to the certificalo holder in lluu of such endorsement(c)_ It SUBROGATION 15 WAIVED, subject rn the terms and cundltions of the policy, cerraln polloles may require sn endorsement. A statement on this c ortificate aloes not confer rights to the: certificara holder in lieu or such endorsement(s). DISCLAIMER The Certifi;ate of Insurance on the reverse side of this form does not constitute s contrail between the issuing insurer(s), nuthorized representativc or producer, ahrJ the: redificnte holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25[2001103) 04/01/2010 06:27 FAX 2538451133 WHITWORTH PEST SOLUTIONS 004/004 i.;1./,=O*0 lo!11.1 F'erriu IL 1 MID rir-,T IL 171 �1/41 Whitworth Year- Solution.: Inc. COMMERCIAL GENERAL LIABILITY ieoxAcs0000ygai CG 20 33 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 — Who Is An Insured Is amendeiJ lu b. "Bodily iirjury" car "property rINniage•' uccui'- include as an insured any person or organization ring after: for whom your are performing operations when you (1) All work, including rnalerials. parts or and such person or organization have agreed in equipment furnished in ronnection with wriTrng in a contract or agreement that such per- such work, on the projerl (olher than son or organization be added as an additional in- service, maintenance or repairs) to be surcd on your policy. Such person or- organization perormed by or on behalf of the addi- is an additional insured only with respect to liability tional insured(s) at the site of the cov- arising out of your ongoing operations performed ered operntions has been completed; or for that insured. A person's or organization's `1at�rs as an insured render This endorsemr:nl ends (2) Thnt pnrlirnl of "your work" nin of whirh when your operations for that insured are com- the injury or damage arises has been III(-And pull to its inter'rded use by any pe:rsnn nr B. With respect to the insurance afforded to these organization other than another contrac- addltlonal Insureds, the following additional exclu- for or subcontractor engaged in per- sions apply: forming operations for a principal as a pp Y 2. Exclusions part of the Came project. This insurance does not apply to: a. "Bodily injury", "property damage" or "per- sonal and adveilisrng injury" arising oul of the rendering of, or the failure to render, any professional arrhiier.lural, engineering or surveying services, including; (1) "rhe preparing, approving, or falling to prepare or approve, maps, shop draw- Ings, opinions, reports, surveys, Held or- ders, changa orders or drawings and specifications: and (2) Supervisory, inspection, architectural or engineering activities. CG 20 33 10 01 cc'-) ISO PropelliFr, Inc , 2000 Page 1 of 1 171 STATE OF WASHINGTON, COUNTY OF KING } AFFIDAVIT OF PUBLICATION CITY OF RENTON PUBLIC NOTICE Public Notice City of Renton to Apply Linda M Mills, being first duly sworn on oath that she is the Legal Mosquito Control Pesticides Advertising Representative of the The City of Renton may usemosquito larvicides made of a natural bacterium (Bacillus sphaericus) and adulticides (BIOMISTO and/or Kontrol Renton Reporter 4-40)to help control mosquitoes in accordance with the Washington State Department of Ecology's Aquatic Mosquito a weekly newspaper, which newspaper is a legal newspaper of Control General Permit. Treatments may occur between general circulation and is now and has been for more than six months August 3 and October 30, 2010. prior to the date of publication hereinafter referred to, published in Larvicide treatment will generally the English language continuously as a weekly newspaper in King occur in smarm ater facilities owned or maintained by the County, Washington. The Renton Reporter has been approved as City. Adulticide treatment areas a Legal Newspaper by order of the Superior Court of the State of are generally located in upland areas east of SR-167 and west of Washington for King County. Lake Avenue South/Talbot Road The notice in the exact form annexed was published in regular issues South between SW 39th Street to the south and I-405 to the of the Renton Reporter (and not in supplement form) which was north,within the City of Renton, regularly Washington. Information about u arl distributed to its subscribers during the below stated.period.g y g p the larvicides, adulticides and a The annexed notice, a: map of the specific locations are Publi �T available at www.rentonwa.gov. c jr�tlCe For more information about the City's commitment to help reduce the threat of West Nile virus and control mosquitoes, contact was published on July 23, 2010. xebe Bemardo, City of Renton Surface Water Utility Engineer, at 425-430-7264 or by email at 5EG hbemardo@rentonwa.eov. The full amount of the fee charged for said foregoing publication is +++ For additional information about the sum of $108.50. QP ��Z'I' Y For Aquatic Mosquito + z: =cp FY t'Control General Permit, please Zcontact the City of Renton or Jon g. ',- 'o Ab t7�5 Co Washington S Quality Department of ; ,0� F° = T lRology, at 360-407-6283 or by Linda M. Mills z �ht z t 1G,.�`�S' xmail at j_onathan.jenningseecX Subscribed and sworn to methis e23d day enton Reporter y�2010. ///���t+ll S,rA'Te�`Zz' Bonnie 1.Walton Published in the Renton Reporter July 23,2010.#385015. athy D eg, Notary Pu c for the State of Washington, Residing in Covington,Washington H � P. O. Number: AUG 1 6 2010 CITY OF RE iv":ON t TE!!TY S`STEMS ADULT/CIDE TREATMENT Contract Budget Total contract budget $19,315.80 Remaining project budget $1,839.60 (this includes the treatment of 09/09/2010 not yet performed) Last adulticide treatment for the 2010 calendar year will be 09/09/2010 Total number of treatments 21 adulticide treatments were included in the 2010 contract 18 adulticide treatments were performed between 05/06/2010—09/02/2010 Last adulticide treatment for the 2010 calendar year will be 09/09/2010 for a total of 19 treatments. See attached exhibit A for adulticide treatment LARVICIDE TREATMENT Contract Budget Total contract budget $20,695.50 Remaining project budget $17,208.39 (this include invoice from 08/30/2010) —see exhibit B Total number of treatments The 2010 Mosquito Abatement Program includes a total of 8 larvicide treatments per stormwater facility 4 Larvicide treatments were performed between 07/13/2010—08/30/2010 City of kenton Public Works Department Surface Water Utility EXHIBIT A- 2009 NPDES Annual Treatment Report-Adulticide Total Date Location Product Total(oz.) Invoice amount ProjectBudget Remaining budget 05/06/2010 uphill area of wetland Kontrol 4-4 919.8 $919.80 $18,396.00 05/13/2010 uphill area of wetland Kontrol 4-4 919.8 $1,839.60 $17,476.20 05/20/2010 uphill area of wetland Kontrol 4-4 2 gal 919.8 $2,759.40 $16,556.40 05/27/2010 uphill area of wetland Kontrol 4-4 2 gal 919.8 $3,679.20 $15,636.60 06/03/2010 uphill area of wetland Kontrol 4-4 see invopice 919.8 $4,599.00 $14,716.80 06/10/2010 uphill area of wetland Kontrol 4-4 919.8 $5,518.80 $13,797.00 06/17/2010 uphill area of wetland Kontrol 4-4 2 gal 919.8 $6,438.60 $12,877.20 06/24/2010 uphill area of wetland Kontrol 4-4 919.8 $7,358.40 $11,957.40 07/08/2010 uphill area of wetland Kontrol 4-4 919.8 $8,278.20 $11,037.60 07/15/2010 uphill area of wetland Kontrol 4-4 2 gal 919.8 $10,117.80 $9,198.00 07/22/2010 uphill area of wetland Kontrol 4-4 4onz/acre 919.8 $11,037.60 $8,278.20 07/29/2010 uphill area of wetland Kontrol 4-4 919.8 $11,957.40 $7,358.40 08/05/2010 uphill area of wetland Kontrol 4-4 919.8 $12,877.20 $6,438.60 08/12/2010 uphill area of wetland Kontrol 4-4 919.8 $13,797.00 $5,518.80 08/19/2010 uphill area of wetland Kontrol 4-4 919.8 $14,716.80 $4,599.00 08/26/2010 uphill area of wetland Kontrol 4-4 919.8 $15,636.60 $3,679.20 0910212010 uphill area of wetland Kontrol 4-4 919.8 $16,556.40 $2,759.40 0910912010 uphill area of wetland Kontrol 4-4 919.8 $17,476.20 $1,839.60 TOTAL 0 Toal adulticide treatment bugnet 1 $19,315.80 2010-Mosquito Management Day Sheet Summary.xls City of'Renton Public Works Department Surface Water Utility Exhibit B- 2009 NPDES Annual Treatment Report Total Remaining Date Location Product Total(oz.) Invoice amount Project Budget budget 07/13/2010 Maintenance(ponds) Vectolex CG 22.5 410 410 $20,285.50 08/03/2010 Maintenance(ponds) 1034 1444 $19,251.50 08/17/2010 Maintenance(ponds) 985 2429 $18,266.50 08/30/2010 Maintenance(ponds) 1058.11 3487.11 $17,208.39 09/07/2010 Maintenance(ponds) TOTAL 22.5 Total larvicide treatment contract amount $20,695.50 2010- Mosquito Management Day Sheet Summary.xls Denis Law City Of o �Y Mayor -- r -� Public Works Department-Gregg Zimmerman,P.E.,Administrator December 14, 2010 Aquatic Pesticide Permit Manager Washington State Department of Ecology Water Quality Program P.O. Box 47600 Olympia, WA 98504-7600 RE: CITY OF RENTON 2010 MOSQUITO CONTROL NPDES GENERAL PERMIT ANUAL REPORT Dear Ecology: The City of Renton is submitting the attached signed 2010 Annual Report as required under the Aquatic Mosquito Control General NPDES Permit. If you have any questions, please call me at 425-430-7264 or email me at hbernardo@rentonwa.r?ov. Sincerely, r V Hebe C. Bernardo, Surface Water Utility Engineer Enclosure cc: Lys Hornsby,P.E.,Utility Systems Director Ronald J Straka,P.E.,Surface Water Utility Engineering Supervisor H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Annual Report\2010 larvicide report.doc\HCBah Renton City Hall • 1055 South Grady Way• Renton,Washington 98057 • rentonwa.gov Denis Law Mayor City Of;^ SY aws�iE L N r� Public Works Department-Gregg Zimmerman, P.E.,Administrator December 14, 2010 Aquatic Pesticide Permit Manager Washington State Department of Ecology Water Quality Program P.O: Box 47600 Olympia, WA 98504-7600 RE: CITY OF RENTON 2010 MOSQUITO CONTROL NPDES GENERAL PERMIT ANUAL REPORT Dear Ecology: The City of Renton is submitting the attached signed 2010 Annual Report as required under the Aquatic Mosquito Control General NPDES Permit. If you have any questions, please call me at 425-430-7264 or email me at hbernardo@rentonwa.gov. Sincerely, r � � i Hebe C. Bernardo, Surface Water Utility Engineer Enclosure cc: Lys Hornsby,P.E.,Utility Systems Director Ronald J Straka,P.E.,Surface Water Utility Engineering Supervisor H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Annual Report\2010 larvicide report.doc\HCBah Renton City Hall • 1055 South Grady Way• Renton,Washington 98057 • rentonwa.gov Mosquito General Permit- Annual Report Page 1 of 1 Treatment Annual Report-AQUATIC MOSQUITO CONTROL GENERAL PERMIT To comply with the terms of the statewide general permit for discharges of aquatic pesticides to control mosquito larvae to surface waters of the state. R A S X I N fi 1 N N S E A l E Print,sign,and mail the Annual Report Form to the address below: N E 1 A X T Y f N T o E Department of Ecology,Attn:Aquatic Pesticide Permit Manager PO Box 47600 Olympia,WA 98504 ECOLOGY Permit Number Entity Name Active Ingredient Used Amount A.I.&Units Location Treated WAG992028 City of Renton Bacillus sphaericus 757.5 oz Drainage facilities owned by the CDR and Golf Course WAG992028 City of Renton Permethrin 36 Gal Upland of the Panther Creek Wetland "I certify under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified'personnel properly gathered and evaluated the information submitted.Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I am aware that there are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations.Unless the Department of Ecology Permit has more stringent requirements,all FIFRA label directions and requirements will be followed." Signature: 4 9 omwo Dater Printed name of permittee: �t Y`�i�f2y'0-C,6-, https://secureaccess.wa.gov/ecy/wgmosquito/PrintReport.aspx 12/06/2010 December 13, 2010 Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504-7600 RE: CITY OF RENTON 2010 MOSQUITO CONTROL NPDES GENERAL PERMIT ANUAL REPORT Dear Ecology: The City of Renton is submitting the attached signed 2010 Annual Report as required underthe Aquatic Mosquito Control General NPDES Permit. If you have any questions, please call me at 425-430-7264 or email me at hbernardo@rentonwa.gov. Sincerely, Hebe C. Bernardo, Surface Water Utility Engineer Enclosure cc: Lys Hornsby,P.E.,Utility Systems Director Ronald J Straka,P.E.,Surface Water Utility Engineering Supervisor H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Annual Report\2010 larvicide report.doc\HCB ah Mosquito General Permit - Annual Report Page 1 of 1 lhw� Treatment Annual Report - AQUATIC MOSQUITO CONTROL GENERAL PERMIT To comply with the terms of the statewide general permit for discharges of aquatic pesticides to control mosquito larvae to surface waters of the state. im W N S H N fi i N M s i N F F Print,sign,and mail the Annual Report Form to the address below: I F P A N T M F N T o F Department of Ecology,Attn: Aquatic Pesticide Permit Manager PO Box 47600 Olympia,WA 98504 ECOLOGY Permit Number Entity Name Active Ingredient Used Amount A.I.&Units Location Treated WAG992028 City of Renton Bacillus sphaericus 757.5 oz Drainage facilities owned by the CDR and Golf Course WAG992028 City of Renton Permethrin 36 Gal Upland of the Panther Creek Wetland "I certify under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I am aware that there are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations.Unless the Department of Ecology Permit has more stringent requirements,all FIFRA label directions and requirements will be followed." Signature: A ie& F Date: Printed name of permittee: �t"2 Z�V.,A, 0, 1�1+r.o•//cariiraorrnca wo rtnv/ar•v/�x�mm�crniitn/PrintRannrt acr�sr ��mi;i�n�n City of Renton Public Works Department Surface Water Utility 2010 NPDES Annual Treatment Report-Adulticide Date Location Product Total (gal) 05/06/2010 uphill area of wetland Kontrol 4-4 2 05/13/2010 uphill area of wetland Kontrol 4-4 2 05/20/2010 uphill area of wetland Kontrol 4-4 2 05/27/2010 uphill area of wetland Kontrol 4-4 2 06/03/2010 uphill area of wetland Kontrol 4-4 2 06/10/2010 uphill area of wetland Kontrol 4-4 2 06/17/2010 uphill area of wetland Kontrol 4-4 2 06/24/2010 uphill area of wetland Kontrol 4-4 2 07/08/2010 uphill area of wetland Kontrol 4-4 2 07/15/2010 uphill area of wetland Kontrol 4-4 2 07/22/2010 uphill area of wetland Kontrol 4-4 4 07/29/2010 uphill area of wetland Kontrol 4-4 2 08/05/2010 uphill area of wetland Kontrol 4-4 2 08/12/2010 uphill area of wetland Kontrol 4-4 2 08/19/2010 uphill area of wetland Kontrol 4-4 2 08/26/2010 uphill area of wetland Kontrol 4-4 2 0910212010 uphill area of wetland Kontrol 4-4 2 0910912010 uphill area of wetland Kontrol 4-4 2 TOTAL 36 2010- Mosquito Management Day Sheet Summary.xls City of Renton Public Works Department Surface Water Utility Exhibit B - 2010 NPDES Annual Treatment Report- Larvicide Treatment Date Product Total (oz.) 07/13/2010 Vectolex CG 22.5 08/03/2010 Vectolex CG 188 08/17/2010 Vectolex CG 44 08/19/2010 Vectolex CG 29 08/30/2010 Vectolex CG 203 09/13/2010 Vectolex CG 133 09/27/2010 IVectolex CG 138 TOTALI 757.5 2010- Mosquito Management Day Sheet Summary.xls' PUBLIC WORKS DEPARTMENT City of MEMORANDUM _5MIECEIVED DEC 3 2010 DATE: December 10, 2010. LCCITY OF uEEN T ON TO: Gregg Zimmerman, Public Works Administrator lELIC ',NORKS ADN?IN FROM: aP__Ron Straka, Surface Water Engineering Supervisor x7248 STAFF CONTACT: Hebe C. Bernardo, x7264 SUBJECT: Aquatic Mosquito Control NPDES General Permit Annual Report The City of Renton's Surface Water Utility has completed the required Aquatic Mosquito Control General NPDES General Permit Annual Report. This annual report is required to comply with the requirements on the Permit that covers discharges of pesticides or pesticide residues to waters of the state. The annual report was prepared by the Surface Water Utility based upon day sheets provided by Whitworth Pest Solutions, containing type and amount of pesticide used on each adulticide and larvicide treatment. Whitworth has been the sole-source provider of pest control consultant services for the City's mosquito abatement efforts since 1990. The Department of Ecology has specified, according to General Condition G19 of the NPDES Permit that, "all applications, reports, or information submitted to Ecology must be signed by a principal executive officer or ranking elected official." This annual report is required to comply with the requirements on the Permit that covers discharges of pesticides or pesticide residues to waters of the state and must be signed and delivered to the Department of Ecology by December 31, 2010. Please sign the Treatment Annual Report (attached), stating that the annual report was prepared by qualified personnel who properly gathered and evaluated the information submitted, and that the information is true, accurate, and complete. Please return the documents after the certification page is signed to Hebe C. Bernardo, Surface Water Utility, for submission to the Department of Ecology. Attachments cc: Lys Hornsby,Utility Systems Director H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Annual Report\Memo To Mayor.doc/HBah City of _, EXECUTIVE DEPARTMENT gill D Q �O� ✓ M E M O R A N D U M DATE: April 21, 2010 4 D TO: Hebe Bernardo— PW—Utility Systems APR 2 1 2010 CITY OF REN i ON FROM- Cindy Moya, Records Management Specialist UTILITY SYSTEMS SUBJECT: CAG-09-098,Adden #1-10—Whitworth Pest Solutions, inc. The attached original documents have been fully executed and are being returned to you. Please transmit the original to the contractor and retain a copy for your file. The City Clerk has retained an original for the file. Thank you! hAcityclerk\records specialist\correspondence & memos - cindy\fully executed contract memo.doc CAG-09-098 , Adden #1-10 ADDENDUM NO. 1 to CAG-09-098 CONSULTANT CONTRACT FOR ENTOMOLOGIST/PEST CONTROL AGENT SERVICES for 2009-2010 MOSQUITO ABATEMENT PROGRAM y1t" This Addendum is made and entered into this �9 day of 2010, by and between the City of Renton, hereinafter called the "City", and Whitworth Pest Solutions, Inc., whose address is 2533 Inter Ave., Puyallup,WA 98372-3428, hereinafter called the"Consultant". WITNESSETH THAT: WHEREAS,the City engaged the services of the Consultant under Consultant Agreement CAG-09-098 dated May 12, 2009,to provide entomologist/pest control agent services for the 2009- 2010 Mosquito Abatement Program; and WHEREAS,the 2009 Mosquito Abatement Program has been completed in accordance with the original agreement; and WHEREAS,the City desires that the Consultant provide the services identified in the attached Exhibit A for the 2010 Mosquito Abatement Program. NOW,THEREFORE, in accordance with Section Vlll- Extra Work of the original Agreement CAG-09-098, dated May 12, 2009, it is mutually agreed upon that Consultant Agreement CAG-09-098 is amended as follows: 1. The scope of work for the 2010 Mosquito Abatement Program shall be as set forth in Exhibit A of this addendum. 2. Payment for the work defined in Exhibit A shall be at the rates set forth in Exhibit C of this addendum. Payment for services rendered in 2010 shall not exceed$53,972.55 without a written amendment to the contract, agreed to and signed by both parties. All other provisions of Consultant Agreement CAG-09-098 dated May 12, 2009, apply to this addendum. EXECUTION IN WITNESS WHEREOF, the parties have executed this Addendum No. 1 to CONSULTANT AGREEMENT CAG-09-098 as of the day and year first above written. WHITWORT PESTS UTIONS CI OF RENTON Signature Denis Law,Mayor Date Type or Print Name e-1- Title ATTEST . �� Bonnie I . Walton , City Clerk H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Addendum 1.doc\I-Mab EXHIBIT A SCOPE OF WORK 2010 MOSQUITO ABATEMENT PROGRAM TASK NO. 1: TREATMENT OF UPLOAD AREAS ADJACENT TO THE PANTHER CREEK WETLANDS Treatment Methods and Materials: Land treatment applications of an ultra low volume (ULV), Environmental Protection Agency registered insecticide will be applied to brush and other upland vegetation using a gasoline-powered, backpack-mounted, portable fogger. Treatment must be conducted in accordance with the conditions of the Determination of Non- Significance-Mitigated (Application Number LUA05-022, ECF) for the program made by the City of Renton Environmental Review Committee on April 1, 2005 and included as Exhibit D of this addendum to the 2009-2010 Mosquito Abetement Program contract (CAG-09-098). Treatment must also be conducted in accordance with the Aquatic Mosquito Control National Pollutants Discharge Elimination System General Permit included in Exhinit E of this contract, and other federal and state regulations.All necessary licenses and permits shall be the responsibility of the consultant to ensure their issuance prior to treatment. The synthetic pyrethroid insecticide product to be used is Permanone or other products containing similar formulations. Area of Treatment, The treatment area, shown in Exhibit F, is adjacent to and upland of the eastern edge of the Panther Creek Wetland generally located between SR-167 on the west and Lake Avenue South/Talbot Road South on the east and extending from SW 39th Street on the south to 1-405 on the north, within the City of Renton, Washington. The project area covers approximately 60 acres to the east of the approximately 65-acre Panther Creek Wetland complex. Prior to treatment, the City will provide a highlighted copy of the map included in Exhibit D of this contract to indicate the properties within the project area for which authorization and release for access and treatment has been granted by the property owner or the owner's legal representative. The City will aso provide public notification of persitice use in accordance with section S6 of the NPDES Permit included in exhibit E. The treatment application will be performed from foot trails through the project area used in the previous Mosquito Abatement Program treatment applications. The cost per treatment shall include all necessary work for clearing of the trails to allow the treatment to be applied. Frequency of Treatment: Fogging will be conducted in coordination with and at the request of the City at a maximum frequency of once per week during the months of April through August. The City may request treatments as frequent as twice per week if larger than normal mosquito H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Scope of work and budget.doc\HBtp populations justify more frequent treatment. The contract budget assumes a maximum number of 21 treatment applications. Coordination: Following each treatment, the consultant shall provide to the City a brief summary of the area treated and the type of chemical used, weather conditions during the treatment application, the time during which treatment was conducted, an estimate of the relative abundance and distribution of mosquitoes, and a recommendation on the scope and timing of subsequent treatment. TASK NO. 2: TREATMENT OF CITY STORMWATER AND IRRIGATION FACILITIES AND CATCH BASINS Treatment Methods and Materials: Water treatment applications of an Environmental Protection Agency registered larvicide will be applied to City owned stormwater/irrigation impoundment facilities using hand applied briquettes or granules. Treatment will be applied in accordance with the product label, the Aquatic Mosquito Control National Pollutants Discharge Elimination System General Permit and other federal and state regulations. Larvicide treatment must also be conducted in accordance with City obtained Aquatic Mosquito Control National Pollutant Discharge Elimination System (NPDES) Waste Discharge General Permit. All necessary licenses shall be the responsibility of the consultant to ensure their issuance prior to treatment. The larvicide product to be used is Bacillus Sphaericus (BS) and is sold under the trade name VectoLex. Area of Treatment: The treatment areas consist of the following facilities: Owner Facility Name/Type Facility Location Surface Water Utility Stonegate/WQ Pond NE 26th and Lyons Ave Surface Water Utility NE 10th St Pond/Detention NE 10th St and Anacortes Ave Surface Water Utility Talbot Ridge 2/WQ Pond S 47th St and 102nd Ave SE Surface Water Utility Talbot Estates/Pond Talbot Rd S Surface Water Utility Benson Woods/Pond ill th PL SE Surface Water Utility Olympic Peak Estates/Pond S. 196th PL Surface Water Utility Larson Parke/Pond 112th Ave SE Surface Water Utility Watershed Terrace/Pond SE 200th St H:Tile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Scope of work and budget.doc\HBtp Surface Water Utility Wilkens Wood/Pond 113th Ave SE Surface Water Utility Serenity Ridge Tract A/Pond 110th PL SE Surface Water Utility Serenity Ridge Tract B/Pond 110th PL SE Surface Water Utility Auria Woods Tract C/Pond SE 186th St Surface Water Utility SR-169/Pond 140th Way SE Surface Water Utility Fredericks Place/Pond SE 186th St Surface Water Utility Aster Park/Pond NE 13th PL Surface Water Utility Hamilton Place/Pond 160th Ave SE Surface Water Utility Evendell/Pond 160th Ave SE Surface Water Utility Nichols Place/Pond 160th Ave SE/SE 5th St Surface Water Utility Ellis Park 124th St. SE/ 149th Ave. SE. Surface Water Utility Catch Basins Various Golf Course Hole #18 Pond/Irrigation Maplewood Golf Course (west) Golf Course Hole #9 Pond/Irrigation Maplewood Golf Course (west- central) Golf Course Hole#7 Pond/Irrigation Maplewood Golf Course (east- central) Golf Course Hole #6 Pond/Irrigation Maplewood Golf Course (east) Golf Course Catch Basins Various Parks Maintenance Division Catch Basins Various Facilities Division City Hall/WQ Grady Way Parking Lot Frequency of Treatment: Each water impoundment facility and catch basin as described above shall be tested for the presence of mosquito larve every two weeks. If the larve count exceeds 0.3 larva per dip then larvicide shall be applied in accordance with the requirements of the City obtained Aquatic Mosquito Control NPDES Permit. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Scope of work and budget.doc\HBtp Reporting: Following each treatment, the consultant shall provide to the City a brief summary of all stormwater/irrigation impoundment facilities tested and treated. Information to be provided for each shall include the following: 1. Date, time, and street location of facility or catch basin tested. 2. Type of Larvicide and EPA registration number. 3. Amount of larvicide in gallons or pounds that was applied. 4. The number of acres treated. 5. Name and address of person applying larvicide. 6. Larval count (larve per dip). 7. Number of manhours per facility visited (includes testing and larviciding). Notification: Maplewood Golf Course — Whitworth Pest Solutions, Inc. shall contact the Golf Course Manager 24 hours in advance of entering the Golf Course. Whitworth Pest Solutions, Inc. shall arrange with the Golf Course Manager to be escorted onto the golf course and in no circumstances shall Whitworth Pest Solutions, Inc., enter upon the golf course without one golf course employee in attendance at all times while on golf course property (this is a mandatory safety requirement). H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Scope of work and budget.doc\HBtp EXHIBIT B TIME OF COMPLETION 2010 MOSQUITO ABATEMENT PROGRAM Upon contract execution and issuance of Notice to Proceed, adulticiding of the upland areas east of the Panther Creek Wetlands will be conducted in coordination with and at the request of the City at a frequency of once per week during the months of April through September. The City may request a treatment frequency of twice per week if larger than normal mosquito populations justify more frequent application. The project budget assumes a maximum number of 21 treatment applications. Larve concentrations for City stormwater facilities, irrigation facilities, and catch basin will be conducted at a frequency of once every two weeks from July through September. If the larve count exceeds 0.3 larva per dip then larvicide shall be applied in accordance with the requirements of the City obtained Aquatic Mosquito Control NPDES Permit. By direction from the City, testing and larviciding may begin prior to July and extend past September if recommended by King County Department of Health. All work and treatment reports as required by the Aquatic Mosquito Control NPDES Permit are to be completed by December 31, 2010. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Scope of work and budget.doc\HBtp EXHIBIT C COST ESTIMATE 2010 MOSQUITO ABATEMENT PROGRAM TASK NO. 1: The estimated total cost of Task 1 including Washington States sales tax is $19,315.80. The cost shall include all necessary work for 21 treatments including clearing of the trails. Work conducted in performance of Task 1 will be billed at the following rates: For 12 or more total treatments: $840/treatment For 6 to 11 total treatments: $890/treatment For 1 to 5 total treatments: $990/treatment The billing rates include state sales tax. Subtotal Contract Cost: $17,640.00 State Sales Tax (9.5%) $1,675.80 Total Cost Task 1: $19,315.80 TASK NO. 2: The estimated total cost of Task 2 including Washington States sales tax is $34,656.75. The cost shall be based on a rate of$125.00 per manhour, which includes labor, materials, and equipment required to apply larvicide as specified in the scope of work and shall include but not be limited to the following: 1. Transportation costs associated with transit from the consultant's office to the stormwater/irrigation facilities, and transit between facilities including catch basins. 2. Material costs for larvicide. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(C1P)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Scope of work and budget.doc\HBtp 3. Equipment necessary to test and apply larvicide including sampling cups, protective gloves, and respirators, etc. At the City's discretion, facilities listed under "Areas of Treatment" above may be eliminated or treatment frequency reduced and other facilities added depending on mosquito levels and recommendations from the Public Health Department. Catch basins will only be treated when requested in writing by the City. A minimum scheduled trip charge from the consultant's office to the stormwater/irrigation facilities of$375.00 shall apply. Below is the estimated contract cost for the three City divisions, based on the billing rate of $125.00 per manhour for a total of 180 manhours: Surface Water Utility Costs Stormwater facilities: 19 Total number of treatments per stormwater facility: 8 Total manhours per stormwater facility (including travel time): 0.6 hrs Total stormwater facility manhours: 91.2 hrs Subtotal cost for stormwater facilities: $11,400.00 Sales Tax (9.5%): $1,083.00 Total cost for stormwater facilities: $12,483.00 Total manhours available for catch basin treatment: 60 hrs Total cost for catch basin treatment: $7,500.00 Sales Tax (9.5%): $712.50 Total cost for catch basin treatment: $8,212.50 Total manhours (stormwater facilities + catch basins): 151.2 hrs Subtotal cost (stormwater facilities + catch basins): $18,900.00 Sales Tax (9.5%): $1,795.50 Total cost (stormwater facilities + catch basins): $20,695.50 Golf Course Costs Irrigation facilities: 4 Total number of treatments per facility: 8 Total manhours per irrigation facility (including travel time): 1 hr Total irrigation facility manhours: 32 hrs Subtotal cost for irrigation facilities: $4,000.00 Sales Tax (9.5%): $380.00 H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Scope of work and budget.doc\HBtp Total cost for irrigation facilities: $4,380.00 Total manhours available for catch basin treatment: 3 hrs Subtotal cost for catch basin treatment: $375.00 Sales Tax (9.5%): $35.63 Total cost for catch basin treatment: $410.63 Total manhours (irrigation facilities + catch basins): 35 hrs Subtotal cost (stormwater facilities + catch basins): $4,375.00 Sales Tax (9.5%): $415.63 Total cost (stormwater facilities + catch basins): $4,790.63 Parks Division Costs Irrigation facilities: 0 Total manhours available for catch basin treatment: 61 hrs. Subtotal cost for catch basin treatment: $7,625.00 Sales Tax (9.5%): $724.37 Total cost for catch basin treatment: $8,349.37 Total manhours (irrigation facilities + catch basins): 61 hrs Subtotal cost (stormwater facilities + catch basins): $7,625.00 Sales Tax (9.5%): $724.37 Total cost (stormwater facilities + catch basins): $8,349.37 Facilities Division Costs Stormwater facilities: 1 Total number of treatments per facility: 8 Total manhours per stormwater facility (including travel time): 0.75 hrs Total stormwater facility manhours: 6 hrs Subtotal cost for stormwater facilities: $750.00 Sales Tax (9.5%): $71.25 Total cost stormwater facilities: $821.25 Catch Basin: 0 Total manhours (stormwater facilities + catch basins): 6 hrs Subtotal cost (stormwater facilities + catch basins): $750.00 Sales Tax (9.5%): $71.25 Total cost: $821.25 H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Scope of work and budget.doc\HBtp Total Contract Cost for all Divisions: $31,650.00 State Sales Tax (9.5%): $3,006.75 Total Cost Task 2: $34,656.75 Total Contract Cost (Task 1 +Task 2): $53,972.55 Invoicing Whitworth Pest Solutions, Inc. shall submit a separate invoice to the City of Renton Surface Water Utility Section, Parks Maintenance Division, Maplewood Golf Course, and Facilities Division for any services it provides under this project. Payment cannot be authorized or payment may be delayed until separate invoices are received. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(C1P)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Scope of work and budget.doc\11Btp EXHIBIT D DETERMINATION OF NOW SIGNIFICANCE - MITIGATED MITIGATION MEASSURES CITY OF'RENTON DETERMINATION OF NON-SIGNIFICANCE-MITIGATED .. ,.MITIGATION MEASURES , APPLICATION NO(S): . LUA05 022, ECF APPLICANT City of Renton=Surface Water.U..tility. PROJECT NAME: Mosquito Abatement Program (2005-2009) LOCATION OF PROPOSAL Adjacent,to and upland of the eastern edge,of the Panther`Creek Wetlands generally located between.SR-167 on the west and Lake Avenue South/Talb6t Road South on the east and extending from SW' 43`d Street on the south to I-405 on the north. DESCRIPTION OF PROPOSAL. The applicant is requesting. Environmental (SEPA) Review in order to continue a Mosquito Abatement Program for:another five (5) - year period, April 2005 through:September 2009. Tlie mosquito abatement program covers an area adjacent to and upland from the,Panther Creek Wetland. .It will consist only of land treatment applications of an ultra low volume (U- -synthetic.insecticide'spray to brush and other upland vegetation:using agasoline-powered, backpack-mounted;portable blower.' LEAD AGENCY.: The City of Renton Department,of Planning/Building/Public Works:. Development Planning Section MITIGATION MEASURES 1 To .prevent excess drift of the proposed insecticide"sprays and potential drift into the, Panther Creek :. Wetlands, application shall only be made as conditions permit in accordance with EPA and Department of Agriculture'approved application 'requirements,e.g., restrictions on.the maximum wind speed above which treatment shall not be conducted: Wind speeds determined by#he`applicator..at the time of treatment must` be.10 miles per hour or less,and must be blowing in an easterly direction away from,the Panther Creek-`? Wetlands or the treatment shall not be conducted. - 2. ' Equipment wash-down water shall be disposed of off-site in accordance with EPA and Department of Aoriculture:requirements so as not to contaminate the surface or ground waters 3. Accidental spills shall be reported immediately by the applicator to the City.of Renton, the'State Department , of Health',.the,Department.of Agriculture, and. the Department of Ecology (spills in water). Appropriate measures shall be immediately implemented by the applicator to first contain and then to clean-up.the spill in accordance with.Department.of Agriculture and/or`other applicable agency requirements.. Only._small quantities of the proposed insecticide will be on the project site to minimize impacts if a spill occurs 4. :The.City of Renton Project Manager/Representative shall: a) Provide written information which fully describes the proposed abatement program and schedule to all property owners within the proposed project area; and b) Conduct th 1.e program only on City property and on those privately owned parcels for which authorization has been received from the property owner or the owner's:legal representative;and.: c) Post a description and schedule.of the program-at regular intervals in the vicinity.of the project area. The: :. information will include.the:name and telephone number of a.City representative who can provide further information about the program to interested parties. 5 The insecticide spraying must be conducted in upland areas away from water areas and.homes I* a licensed applicator in accordance with EPA (Federal Insecticide, Fungicide and Rodenticide Act or FIFRA) and Department of Agriculture-(WAC-16-228)approved application requirements.: 6. The applicator will'immediately notify the City of:Renton and stop treatment if any animals.are. killed in association,with the abatement program. No animal kill is expected because BIOMIST®/IControl 4-40,when used according to.the manufacturer's.instructions.as approved by EPA, are reported to have low toxicity to animals. CITY OF RENTON DETERMINATION.OF NON-SIGNIFICANCE-MITIGATED ADVISORY NOTES APPLICATION NO(S):' LUA05-022, ECF ' APPLICANT: City of Renton-Surface Water Utility -PROJECT.NAME: Mosquito Abatement Program (2005-2009) LOCATION OF PROPOSAL: Adjacent to and upland of the eastern edge of the Panther Creek Wetlands generally located-between SR-167 on.the west and Lake Avenue South/Talbot Road South on the east and extending from SW rd - ..43 .Street on the south to 1-405 on the north. ; DESCRIPTION OF PROPOSAL: :The'. applicant is requesting Environmental (SEPA) Revievu in order.to continue a Mosquito Abatement.Program for.another five (5) -"year period,April.2005 through September 2009. .,The mosquito abatement'program covers an area adjacent to and upland from the Panther Creek Wetland. It will consist only of land treatment applications of an:ultra low volume (ULV synthetic insecticide spray to brush and other upland vegetation,using a gasoline=powered, backpack-mounted, portable blower. LEAD AGENCY The City of Renton Department of Planning/Building/Public Works . Development Planning Section Advisory Notes to Applicant. The following notes are supplemental information provided in conjunction with the environmental `determination. Because these notes are provided as information only,theyare.not subject to the appeal. : process for environmental determinations. The mitigation measures included in this:determination are,proposedby the applicant in the project application documents. It is the responsibility of the applicant to ensure that all 'mitigation- implemented as proposed; and that any additional information requiring review is submitted and approved prior to starting work 2.• - - r .. EXHIBIT E AQUATIC MOSQUITO CONTROL NPDES GENERAL PERMIT Issuance Date: 2010 Effective Date: 2010 Expiration Date: 2015 DRAFT February 3,2010 AQUATIC MOSQUITO CONTROL NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM STATE WASTE DISCHARGE GENERAL PERMIT State of Washington Department of Ecology Olympia, Washington 98504-7600 In compliance with the provisions of the State of Washington Water Pollution Control Law Chapter 90.48 Revised Code of Washington as amended And The Federal Water Pollution Control Act as amended (The Clean Water Act) Title 33 United States Code, Section 1251 et seq. Until the expiration date or until Ecology modifies or revokes this permit, Permittees granted coverage under this permit are authorized to discharge to waters of the state in accordance with the special and general conditions that follow. Kelly Susewind,Manager Water Quality Program Department of Ecology TABLE OF CONTENTS SUMMARY OF PERMIT SUBMITTALS....................................................................................4 SPECIAL PERMIT CONDITIONS ............................................................................................... 5 S1.PERMIT COVERAGE......................................................................................................... 5 A. Activities Covered Under This Permit............................................................................5 B. Activities That May Not Need Coverage Under This Permit.................................... 5 C. Geographic Area Covered...............................................................................................5 D. Washington State Department of Health Blanket Permit Coverage............................... 5 S2.APPLICATION FOR COVERAGE..................................................................................... 6 S3.DISCHARGE LIMITS.......................................................:................................................. 7 A. Compliance with Standards............................................................................................ 7 B. Temporary Exceedance of Water Quality Standards for Larvicides.............................. 7 C. Pesticide Application Requirements...............................................................................7 S4. LARVICIDE USE................................................................................................................ 8 A. Authorized Discharges................................................................................................ 8 B. Larvicides Authorized for Use Under This Permit......................................................... 8 C. Experimental Use of Larvicides.................................................................................. 9 D. Additional Restrictions on the Use of Larvicides...........................................................9 S5.ADULTICIDE USE FOR NUISANCE AND VECTOR CONTROL............................... 10 A. Nuisance Mosquito Control.......................................................................................... 10 B. Vector Mosquito Control.............................................................................................. 10 C. Adulticides authorized for use under this permit.......................................................... 10 D. Experimental Use of Adulticides.................................................................................. 11 S6.PUBLIC NOTICIFICATION OF PESTICIDE USE......................................................... 11 A. Public Notice................................................................................................................. 11 B. Posting Requirements................................................................................................... 12 S7.MONITORING REQUIREMENTS................................................................................... 12 S8.REPORTING REQUIREMENTS...................................................................................... 13 A. Annual Report............................................................................................................... 13 B. Records Retention......................................................................................................... 13 C. Reporting Permit Violations......................................................................................... 14 S9.APPENDICES.................................................................................................................... 15 GENERALCONDITIONS .......................................................................................................... 16 G1.DISCHARGE VIOLATIONS............................................................................................ 16 G2.PROPER OPERATION AND MAINTENANCE............................................................. 16 G3.RIGHT OF ENTRY........................................................................................................... 16 G4.PERMIT COVERAGE REVOKED.................................................................................. 16 G5. GENERAL PERMIT MODIFICATION AND REVOCATION...................................... 17 G6.REPORTING A CAUSE FOR MODIFICATION............................................................ 17 Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 2 G7. TOXIC POLLUTANTS.........................................................:........................................... 18 G8. OTHER REQUIREMENTS OF 40 CFR........................................................................... 18 G9. COMPLIANCE WITH OTHER LAWS AND STATUTES............................................. 18 G10.ADDITIONAL MONITORING...................................................................................... 18 G11.PAYMENT OF FEES...................................................................................................... 18 G12. REQUESTS TO BE EXCLUDED FROM COVERAGE UNDER A GENERAL PERMIT.................................................................................................................................... 18 G13. TRANSFER OF PERMIT COVERAGE......................................................................... 19 G14.PENALTIES FOR VIOLATING PERMIT CONDITIONS ........................................... 19 G15. SIGNATORY REQUIREMENTS................................................................................... 19 G16.APPEALS ........................................................................................................................20 G17. SEVERABILITY.............................................................................................................20 G18.DUTY TO REAPPLY.....................................................................................................21 APPENDIX A: GLOSSARY........................................................................................................22 APPENDIX B: STATE LISTED SPECIES RESTRICTED USE AREAS .................................26 APPENDIX C: TRANSFER OF PERMIT COVERAGE............................................................29 APPENDIX D: PUBLIC NOTICE TEMPLATE FOR NEW COVERAGES.............................30 Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 3 SUMMARY OF PERMIT SUBMITTALS Refer to the Special and General Conditions of this permit for submittal requirements. Permit � First , Snbiriittal F requency .Section , `' Submittal Date; S 1.D Transfer coverage from DOH Once Tentative: By July XX,2010 Application for New S2 Coverage(NOI and SEPA Once th least 60 days prior to Checklist) the start of discharge Develop or Update Integrated One year from permit S3.B Once Pest Management Plan effective date S4.1) Request to use Larvicides in As Necessary Appendix B areas S5.13 Request to use Adulticides in As Necessary Appendix B areas S8.A Annual Reporting Annually By December 31 of each treatment year S8.0 Permit Violation Reporting As Necessary G5 Permit Actions As Necessary G6 Reporting Planned Changes As Necessary G 13 Transfer of Permit Coverage As Necessary Once per Enter date within 180 G18 Duty to Reapply days of permit effective permit cycle date The text of this permit contains words in italics. Words in italics are the first usage of a word in this permit and are defined in the Glossary,Appendix A. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 4 SPECIAL PERMIT CONDITIONS S1.PERMIT COVERAGE This permit revokes and replaces the Aquatic Mosquito Control General Permit issued on March 7, 2007 and covers the use of larvicides and adulticides to control mosquitoes in the State of Washington. A. Activities Covered Under This Permit All entities that control mosquitoes must obtain coverage under this permit when the activity causes a discharge of pesticide or their residues to waters of the state. Entities must obtain permit coverage when conducting activities under a Federal Experimental Use Permit. B. Activities That May Not Need Coverage Under This Permit Mosquito control entities need not obtain coverage under this permit for pesticide applications made to the following types of waterbodies: 1. Man-made detention or retention ponds designed specifically for wastewater or stormwater treatment that do not have an outlet to surface waters of the state, or ponds that are not likely to discharge during, or for two weeks after,treatment. 2. Any constructed water body five acres or less in surface area with no discharge to other surface waters of the state during, or for two weeks after, treatment. 3. Upland farm ponds with no discharge to other surface waters of the state. 4. Standing irrigation water that will not discharge to waters of the state during application or for two weeks following application. 5. Any water body less than one acre in size that is subject to research covered under a state experimental use permit. C. Geographic Area Covered This general permit covers mosquito control activities anywhere in the State of Washington where the Department of Ecology has authority. D. Washington State Department of Health Blanket Permit Coverage 1. New coverages under Washington State Department of Health(DOH) blanket coverage will no longer occur on or after the effective date of this permit. 2. Blanket coverage under DOH expires on DATE,60 days after the effective date .. . ....... .. of this permit. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 5 3. Mosquito control entities have until DATE (60 days after effective date of the permit) to complete a transfer of permit coverage from DOH. 4. To transfer permit coverage from DOH use the transfer form provided in Appendix C. Both DOH and the New Permittee must fill out and sign the transfer form. 5. Submit the completed transfer form to: Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504-7600 S2.APPLICATION FOR COVERAGE New Applicants that propose to begin activities that will result in a discharge to waters of the state on or after the effective date of this general permit must: A. Notify Ecology by submitting a completed application for coverage at least 60 days prior to the planned activity that will result in the discharge to waters of the state. B. Complete a Notice of Intent(NOI) for the proposed activity electronically. The new applicant must access Ecology's online data management system SecureAccess Washington (http://secureaccess.wa. og_v), fill out the NOI online,then print and sign the document. C. Complete and sign a SEPA checklist for the proposed activity. D. Mail the complete application to: Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504-7600 E. Publish public notice only after Ecology has received the complete application for coverage. F. Use the Public Notice Template provided as Appendix D of this permit. Applicants may add information to the template but must include the required information as stated on the template. G. Publish two times, one week apart, public notice in a local newspaper of general circulation(or regional newspaper if a local newspaper is not available) that an application for permit coverage has been made pursuant to WAC 173-226-130(5). Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 6 H. Submit an original copy of the portion of the newspaper publication containing the public notice and newspaper date to Ecology for each week the public notice is published, or submit a signed,notarized affidavit of publication indicating what is included in the public notice and the dates the public notice was published. At the end of the required 30-day public comment period, Ecology will consider comments about the applicability of this permit to the proposed discharge activity before deciding to issue permit coverage. If the applicant does not receive notification of the coverage decision from Ecology, coverage under this permit will automatically commence on the 61 st day following Ecology's acceptance of a completed application. S3. DISCHARGE LLVHTS A. Compliance with Standards 1. The application of adulticides must not cause or contribute to violations of the Water Quality Standards for Surface Water of the State of Washington (chapter 173-201A WAC). 2. For the purposes of this permit, Permittees must use all known, available, and reasonable methods ofpollution control,prevention and treatment (AKART)when applying adulticides. The requirements of this permit, compliance with the Washington Pesticide Control Act and the requirements of the FIFRA label constitute AKART. Permittees must use the minimum amount of pesticide to obtain the mosquito control objectives. B. Temporary Exceedance of Water Quality Standards for Larvicides Exceedance of water quality standards for up to 5 years are allowed under this permit provided that the Permittee complies with WAC 173-201A-410. C. Pesticide Application Requirements The Permittee must comply with the requirements in this permit and Federal Insecticide, Fungicide, Rodenticide Act(FIFRA) label requirements. Permit requirements do not reduce the requirements on the FIFRA label. 1. The Permittee must: a. Ensure that a licensed pesticide applicator with the appropriate Washington State Department of Agriculture(WSDA) license and certification be on site and have direct management responsibilities for the use of pesticides during application. b. Ensure that all applicators under supervision of the licensed applicator have current training in the use of the equipment necessary to apply pesticides correctly. c. Use Ultra Low Volume (ULV) spray apparatus to apply adulticides. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 7 d. Only apply adulticides when wind speeds are above 1 mile per hour and below 10 miles per hour. e. Appropriately trained personnel must properly calibrate the ULV equipment for the pesticide formulation used. £ Follow its Integrated Pest Management Plan. S4. LARVICIDE USE A. Authorized Discharges The Permittee may apply larvicides under this permit only for the control of mosquitoes. B. Larvicides Authorized for Use Under This Permit 1. The Permittee may apply larvicides with the following active ingredients without additional permit restrictions outside of Appendix B areas: a. Bacillus sphaericus(H-5a5b) b. Bacillus thuringiensis israelensis(Bti) c. Methoprene d. Monomolecular surface films (MSF) 2. The Permittee must follow the additional permit restrictions below when applying larvicides with the following active ingredients: a. Malathion and Paraffinic white mineral oil Permittees may only use malathion and paraffinic white mineral oil in the case of a human health threat and must obtain Ecology approval prior to use. The Permittee may not use paraffinic white mineral oil in waters of the state unless other pesticides are ineffective at a specific treatment site and the water body is non-fish-bearing. Consult WDFW to determine if the water body is fish bearing. Contact information for WDFW Regional Wildlife Biologists may be accessed at http://wdfw.wa.gov/about/contact/. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 8 b. Temephos The Permittee may not apply temephos in lakes, streams, in the littoral zone of water bodies, or on sites listed in Appendix B of this permit. The permit allows the use of temephos only: i. In response to the development of pesticide resistance within a specific mosquito population or a human health threat with the approval of Ecology. ii. To minimize the development of resistance the Permittee must rotate the use of temephos with one or more of the other approved larvicides with a different mode of action. C. Experimental Use of Larvicides The Permittee may apply other larvicides not listed in this permit on a limited basis in the context of a research and development effort under the jurisdictions of EPA and WSDA through the issuance of a Federal Experimental Use Permit (40 CFR 172). Permittees must not apply larvicides covered under an experimental use permit to areas identified in Appendix B. D. Additional Restrictions on the Use of Larvicides 1. Appendix B of this permit details specific geographical areas that are important to state and federally listed species. Listed species are those that are state or federally designated sensitive,threatened, candidate, and endangered species in the State of Washington. Ecology may update Appendix B based on new information. 2. Prior to use of methoprene, monomolecular surface films, malathion, or paraffinic white mineral oil in Appendix B areas, WDFW and Ecology must approve the use. 3. The Permittee must not apply larvicides unless it meets one or more of the following conditions. a. Surveillance of a potential application site indicates that at least one larvae/pupae is present in at least one of three dips. In the event that the Permittee finds larvae, and the area is treated, the Permittee may continue pre-emptive larvicide treatments without dipping for the remainder of the treatment season. b. The Permittee has developed and obtained Ecology approval of a large site sampling protocol prior to treatment. c. The application site is in or adjacent to a county in which mosquito, bird, animal, or human mosquito-borne disease cases are confirmed within the current treatment season. d. The treatment site is a catch basin, storm drain, utility or transportation vault, Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 9 e. State or local authorities declare a public health emergency related to mosquito- borne disease. S5. ADULTICIDE USE FOR NUISANCE AND VECTOR CONTROL A. Nuisance Mosquito Control Adulticides and their residues used for nuisance mosquito control must not be discharged to waters of the state. B. Vector Mosquito Control 1. The Permittee is authorized to discharge incidental amounts of adulticides and their residues to surface waters of the state during vector mosquito control. The Permittee must limit incidental deposition to the extent possible by not applying adulticides directly to a surface water of the state. Adulticides may not be used in Appendix B areas unless WDFW and Ecology approve the use. 2. The vector mosquito control period, April 1 to October 31 of the same year, is the only time incidental discharge is authorized. The Permittee may request an extension of this period in writing from Ecology if natural population control (die-off) after October 31 is not expected. 3. Mosquito Control Districts A Permittee that is an organized mosquito control district(chapter 17.28 RCW)may use adulticides to control vector mosquitoes provided it: conducts mosquito surveillance, mosquito disease testing,monitors other disease indicators (such as dead birds, equine disease cases, or human health cases) and follows available DOH vector control guidance (e.g. the West Nile Outbreak Response Plan where the trigger for adulticiding is Alert Level 3). 4. Areas without a Mosquito Control District A Permittee that is not part of an organized mosquito control district(chapter 17.28 RCW)may use adulticides to control vector mosquitoes provided DOH makes the determination that adulticiding for vector mosquito control is necessary to protect public health due to an overriding public health concern. C. Adulticides authorized for use under this permit 1. This permit allows the application of adulticide products that are EPA registered and FIFRA labeled for wide-area mosquito control. DraftAquatic Mosquito Control General Permit—February 3, 2010 Page 10 2. The following active ingredients are allowed for use: a. Permethrin b. Resmethrin c. Sumithrin (8-phenothrin) d. Natural Pyrethrins e. Piperonyl Butoxide (PBO) as a synergist f. Malathion g. Naled The Permittee may only use Malathion and Naled in case of documented pyrethroid resistance development in a specific vector mosquito population. D. Experimental Use of Adulticides The Permittee may apply other adulticides not listed in this permit on a limited basis in the context of a research and development effort under the jurisdictions of EPA and WSDA through the issuance of a Federal Experimental Use Permit(40 CFR 172). Permittees must not apply adulticides covered under an experimental use permit to areas identified in Appendix B. S6.PUBLIC NOTICIFICATION OF PESTICIDE USE A. Public Notice 1. The Permittee must publish a public notice at least ten days prior to the first pesticide application of the season. This notice must include: a. The pesticide(s)planned for use and the active ingredient(s). b. The approximate date ranges of treatments. c. The approximate treatment location(s). d. The online location where the public may find pesticide application updates (if available online). e. Where the public can find accurate information about the pesticides planned for use. f. The water use restrictions or precautions. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 11 g. The application area posting procedures. h. The name and telephone number of the Permittee and the Ecology Aquatic Pesticides Permit Manager. 2. The Permittee's notification to the public regarding mosquito control activities must continue throughout the treatment season if pesticide applications occur. After the initial newspaper notice, the Permittee may notify the public using a method other than notices in the newspaper, such as website posting or mailings. 3. For expected applications of pesticides that have a water-use restriction (currently only applies to malathion,temephos and paraffinic white mineral oil),the Permittee must publish a public notice in a local newspaper of general circulation (or nearest regional paper if a local newspaper does not exist). B. Posting Requirements 1. The Permittee must post notices at all reasonable points of ingress and egress to the treatment areas when applying larvicides with water use restrictions to water bodies that are used for water supply, fish and shellfish harvesting, or water contact activities. 2. The Permittee must make maps available to the public of the adulticide application areas. Online maps or available hard copies meet this requirement. Permittees must keep the maps for the entire treatment season. S7.MONITORING REQUIREMENTS A. The Permittee must monitor the amounts of pesticides used and report pesticide application quantities as required in section S8. B. Dip Sampling 1. When Perinittees conduct larva treatments requiring dip samples (sections S4.D), the Permittee must record the: a. Date and place dipping occurred; b. The contractor firm or individual who collected the sample or performed the measurement; c. The larvae count of the dip sample. 2. The Permittee need not submit this information as part of the annual report but must make the information available to Ecology upon request. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 12 S8.REPORTING REQUIREMENTS The Permittee must submit pesticide application information in accordance with the following conditions. A. Annual Report 1. By December 31 of each year,the Permittees must submit its annual report electronically through Ecology's online data management system (SecureAccess Washington at https:Hsecureaccess.wa.gov. A signed and dated copy of the annual report must be mailed to: Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504-7600 2. The annual report includes: a. Permit Number, b. Permittee Name, c. Name of the location treated. The location is the area that the Permittee has permit coverage for(e.g.Acme Golf Club, City storm drain system,Acme County, Acme mosquito control district), d. Active Ingredient (e.g. Bti, permethrin, etc.), e. Total amount of active ingredient applied this season. The Permittee may total the amount of active ingredient applied at a location, and f. Measurement units(pounds or gallons). B. Records Retention The Permittee must retain records of all monitoring information for a minimum of five (5)years. Such information must include copies of all reports and records required by this permit, and records of all data used to complete the application for this permit. The Permittee must extend this period of retention during the course of any unresolved litigation regarding the discharge of pollutants by the Permittee or when requested by Ecology. The records, reports, other information and documents required by this permit must be made available to Ecology upon request. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 13 C. Reporting Permit Violations The Permittee must take the following actions when it violates or is unable to comply with any permit condition: I. Immediately take action to stop, contain, and cleanup unauthorized discharges or otherwise stop the noncompliance and correct the problem. 2. The Permittee must report any noncompliance that may endanger health or the environment by telephone to Ecology at the regional spills hotline and the aquatic pesticides permit manager, within 24 hours from the time the Permittee becomes aware of the noncompliance. a. Southwest Regional Office: 1-360-407-6300 (Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Mason, Lewis,Pacific, Pierce, Skamania, Thurston, and Wahkiakum counties) b. Northwest Regional Office: 1-425-649-7000 (Island, King,Kitsap, San Juan, Skagit, Snohomish, and Whatcom counties) c. Central Regional Office: 1-509-575-2490 (Benton, Chelan, Douglas, Kittitas, Klickitat, Okanogan, and Yakima counties) d. Eastern Regional Office: 1-509-329-3400 (Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lincoln,Pend Oreille, Spokane, Stevens, Walla Walla, and Whitman counties) e. Aquatic Pesticide Permit Manager: 1-360-407-6283 3. The Permittee must also provide a written submission within five days of the time that the Permittee becomes aware of any event required to be reported under 1 or 2 above. The written submission must contain: a. A description of the noncompliance and its cause. b. The period of noncompliance, including exact dates and times. c. The estimated time noncompliance is expected to continue if it has not been corrected. d. Steps taken or planned to reduce, eliminate, and prevent recurrence of the noncompliance. e. Updates that will be included in the Permittee's Integrated Pest Management Plan to address the issue and prevent future noncompliance. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 14 4. Ecology may waive the written report required in part 3, above, on a case-by-case basis upon written request if it has received a timely oral report. 5. The Permittee must submit noncompliance reports to: Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504-7600 S9. APPENDICES The attached appendices are incorporated by reference into this permit and are subject to enforcement. 1. APPENDIX A: Glossary 2. APPENDIX B: Endangered, Candidate, Threatened, and Sensitive Species List Areas 3. APPENDIX C: Transfer of Permit Coverage Form 4. APPENDIX D: Permit Coverage Public Notice Template Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 15 GENERAL CONDITIONS G1.DISCHARGE VIOLATIONS All discharges and activities authorized by this general permit shall be consistent with the terms and conditions of this general permit. The discharge of any pollutant more frequently than, or at a concentration in excess of that authorized by this general permit shall constitute a violation of the terms and conditions of this general permit. G2.PROPER OPERATION AND MAINTENANCE The Permittee shall, at all times, properly operate and maintain all facilities or systems of treatment and control(and related appurtenances)which are installed to achieve compliance with the terms and conditions of this permit. Proper operation and maintenance also includes adequate laboratory controls and appropriate quality assurance procedures. This provision requires the operation of back-up or auxiliary facilities or similar systems,which are installed by a Permittee only when the operation is necessary to achieve compliance with the conditions of this permit. G3.RIGHT OF ENTRY The Permittee shall allow an authorized representative of Ecology, upon the presentation of credentials and such other documents as may be required by law: A. To enter upon the premises where a discharge is located or where any records shall be kept under the terms and conditions of this permit; B. To have access to and copy at reasonable times any records that shall be kept under the terms of this permit; C. To inspect at reasonable times any monitoring equipment or method of monitoring required in this permit; D. To inspect at reasonable times any collection,treatment,pollution management, or discharge facilities; and E. To sample at reasonable times any discharge of pollutants. G4.PERMIT COVERAGE REVOKED Pursuant with chapter 43.21B RCW and chapter 173-226 WAC,the Director may require any discharger authorized by this permit to apply for and obtain coverage under an individual permit or another more specific and appropriate general permit. Cases where revocation of coverage may be required include,but are not limited to,the following: A. Violation of any term or condition of this permit; Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 16 B. Obtaining coverage under this permit by misrepresentation or failure to disclose fully all relevant facts; C. Failure or refusal of the Permittee to allow entry as required in RCW 90.48.090; D. A determination that the permitted activity endangers human health or the environment, or contributes to water quality standards violations; E. Nonpayment of permit fees or penalties assessed pursuant to RCW 90.48.465 and chapter 173-224 WAC; F. Failure of the Permittee to satisfy the public notice requirements of WAC 173-226- 130(5),when applicable; or Permittees who have their coverage revoked for cause according to WAC 173-226-240 may request temporary coverage under this permit during the time an individual permit is being developed, provided the request is made within ninety(90) days from the time of revocation and is submitted along with a complete individual permit application form. G5. GENERAL PERMIT MODIFICATION AND REVOCATION This permit may be modified, revoked and reissued, or terminated in accordance with the provisions of chapter 173-226 WAC. Grounds for modification or revocation and reissuance include, but are not limited to, the following: A. When a change which occurs in the technology or practices for control or abatement of pollutants applicable to the category of dischargers covered under this permit; B. When effluent limitation guidelines or standards are promulgated pursuant to the FWPCA or chapter 90.48 RCW, for the category of dischargers covered under this permit; C. When a water quality management plan containing requirements applicable to the category of dischargers covered under this permit is approved; or D. When information is obtained which indicates that cumulative effects on the environment from dischargers covered under this permit are unacceptable. G6.REPORTING A CAUSE FOR MODIFICATION A Permittee who knows or has reason to believe that any activity has occurred or will occur which would constitute cause for modification or revocation under Condition G5 above, or 40 CFR 122.62 shall report such plans, or such information,to Ecology so that a decision can be made on whether action to modify coverage or revoke coverage under this permit will be required. Ecology may then require submission of a new application for coverage under this, or another general permit, or an application for an individual permit. Submission of a new application does not relieve the Permittee of the duty to comply with all the terms and conditions of the existing permit until the new application for coverage has been approved and corresponding permit has been issued. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 17 G7. TOXIC POLLUTANTS The Permittee shall comply with effluent standards or prohibitions established under Section 307(a) of the Clean Water Act for toxic pollutants within the time provided in the regulations that establish those standards or prohibitions, even if this permit has not yet been modified to incorporate the requirement. G8. OTHER REQUIREMENTS OF 40 CFR All other requirements of 40 CFR 122.41 and 122.42 are incorporated in this general permit by reference. G9. COMPLIANCE WITH OTHER LAWS AND STATUTES Nothing in this permit shall be construed as excusing the Permittee from compliance with any applicable Federal, State, or local statutes, ordinances, or regulations. G10. ADDITIONAL MONITORING Ecology may establish specific monitoring requirements in addition to those contained in this permit by administrative orders or permit modification. GI L PAYMENT OF FEES The Permittee shall submit payment of fees associated with this permit as assessed by Ecology. Ecology may revoke this permit coverage or take enforcement, collection, or other actions, if the permit fees established under chapter 173-224 WAC are not paid. G12.REQUESTS TO BE EXCLUDED FROM COVERAGE UNDER A GENERAL PERMIT Any discharger authorized by this permit may request to be excluded from coverage under this general permit by applying for an individual permit. The discharger shall submit to the Director an application as described in WAC 173-220-040 or WAC 173-216-070,whichever is applicable,with reasons supporting the request. These reasons must fully document how an individual permit will apply to the applicant in a way that the general permit cannot. Ecology may make specific requests for information to support the request. The Director shall either issue an individual permit or deny the request with a statement explaining the reason for the denial. When an individual permit is issued to a discharger otherwise subject to this general permit, the applicability of this general permit to that Permittee is automatically terminated on the effective date of the individual permit. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 18 G13. TRANSFER OF PERMIT COVERAGE This permit coverage may be automatically transferred to a new Permittee if- A. The Permittee notifies the Department at least 30 days in advance of the proposed transfer date. B. The notice includes a written agreement between the existing and new Permittees containing a specific date transfer of permit responsibility, coverage, and liability between them. C. The Department does not notify the existing Permittee and the proposed new Permittee of its intent to modify or revoke permit coverage. G14. PENALTIES FOR VIOLATING PERMIT CONDITIONS Any person who is found guilty of willfully violating the terms and conditions of this permit shall be deemed guilty of a crime, and upon conviction thereof shall be punished by a fine of up to ten thousand dollars and costs of prosecution, or by imprisonment in the discretion of the court. Each day upon which a willful violation occurs may be deemed a separate and additional violation.Any person who violates the terms and conditions of a waste discharge permit shall incur, in addition to any other penalty as provided by law, a civil penalty in the amount of up to ten thousand dollars for every such violation. Each and every such violation shall be a separate and distinct offense, and in case of a continuing violation, every day's continuance shall be and be deemed to be a separate and distinct violation. G15. SIGNATORY REQUIREMENTS All applications, reports, or information submitted to Ecology shall be signed and certified. A. In the case of a municipal, State or other public facility, all permit applications shall be signed by a principal executive officer or ranking elected official. In the case of a corporation, partnership, or sole proprietorship, all permit applications shall be signed by either a principal executive officer of at least the level of vice president of a corporation, a general partner of a partnership, or the proprietor of a sole proprietorship. B. All reports required by this permit and other information requested by Ecology shall be signed by a person described above or by a duly authorized representative of that person. A person is a duly authorized representative only if: 1. The authorization is made in writing by a person described above and submitted to Ecology. 2. The authorization specifies either an individual or a position having responsibility for the overall operation of the regulated facility, such as the position of plant manager, superintendent, position of equivalent responsibility, or an individual or position having overall responsibility for environmental matters. (A duly authorized Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 19 representative may thus be either a named individual or any individual occupying a named position.) C. Changes to authorization. If an authorization under paragraph 13.2 above is no longer accurate because a different individual or position has responsibility for the overall operation of the facility, a new authorization satisfying the requirements of paragraph 13.2 above must be submitted to Ecology prior to or together with any reports, information, or applications to be signed by an authorized representative. D. Certification. Any person signing a document under this section shall make the following certification: I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. G16. APPEALS The terms and conditions of the mosquito control general permit are subject to appeal. There are two different appeal categories. A. The permit terms and conditions as they apply to the appropriate class of dischargers are subject to appeal within thirty(30) days of issuance of the mosquito control general permit in accordance with chapter 43.21(B)RCW and chapter 173-226 WAC; and B. The applicability of the permit terms and conditions to an individual discharger are subject to appeal in accordance with chapter 43.21(B)RCW within thirty(30) days of the effective date of coverage of that discharger. An appeal of the coverage of the mosquito control general permit to an individual discharger is limited to the applicability or non-applicability of the mosquito control general permit to that same discharger.Appeal of this permit coverage of an individual discharger will not affect any other individual dischargers. If the terms and conditions of the mosquito control general permit are found to be inapplicable to any discharger(s), the matter shall be remanded to Ecology for consideration of issuance of an individual permit or permits. G17. SEVERABILITY The provisions of this permit are severable, and if any provision of this general permit or application of any provision of this general permit to any circumstance is held invalid,the application of such provision to other circumstances, and the remainder of this general permit, shall not be affected thereby. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 20 G18. DUTY TO REAPPLY The Permittee shall reapply for coverage under this permit, at least, one hundred and eighty (180) days prior to the specified expiration date of this permit.An expired permit and coverage under the permit continues in force and effect until Ecology issues a new permit (coverage) or until Ecology cancels it. Only those facilities which have reapplied for coverage under this permit are covered under the continued permit. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 21 APPENDIX A: GLOSSARY All definitions listed below are for use in the context of this permit only. Active Ingredient: The ingredient in a pesticide product formulation that provides the insecticidal effects. There may be more than one in a product formulation and maybe combined with other additives to increase the insecticidal effects. Adjacent: Something or somewhere near but not necessarily right next to something else. Adulticide: A pesticide product designed to target adult mosquitoes and applied using ultra-low volume techniques. Alert Level: Levels assigned by Washington Department of Health to the relative threat of a disease outbreak based on infection rates,time of year,mosquito surveillance and other factors in the West Nile Virus Outbreak Response Plan. All Known and Reasonable Technologies (AKART): All known, available, and reasonable methods of pollution control and prevention as described in 90.48.010, 90.48.520, 90.52.040, and 90.54.020 RCW and 173-201A-020, 173-204-120, 173-204-400, 173-216-020, 173-216-050, 173-216-110, 173-220-130 WAC . Best Management Practices (BMP): Practices, procedures,techniques, equipment, physical controls or anyactions that minimize discharges to waters of the state in addition to permit requirements;may be synonymous with AKART. The Ecology publication"Best Management Practices for Mosquito Control"are BMPs. Blanket Coverage: Permit coverage extended to mosquito control entities by Washington Department of Health through their NPDES permit coverage to control mosquitoes in Washington State. Complete Application: A completed and signed Notice of Intent and SEPA checklist for the proposed activity. Constructed water body: A human-made water body in an area that is not part of a previously existing watercourse, such as ponds, streams,wetlands, etc. Dip/Dipping: The act of scooping up a small amount of water and examining it for the presence/absence of mosquito larvae. Discharge: The addition of any pollutant to a water of the state. Entity(s): Who is in control of pesticide applications,would apply for permit coverage and includes,but is not limited to Mosquito Control Districts, Commercial Pest Applicators, Cities, Counties, Public Utility Districts, Public Health Districts, Municipalities, State and Local agencies, and any other commercial,private, public, or government entity providing mosquito control. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 22 Experimental Use Permit: Federal and state permits that allow the use of unregistered pesticides in the context of research and development for registration of the pesticide under FIFRA Section 3, or in the context of research and development for registration of a new use of a currently registered pesticide under FIFRA Section 3. See 40 CFR 172, 15.58.405 RCW, and WAC 16-228-1460. FIFRA: Federal Insecticide, Fungicide, and Rodenticide Act Incidental: The minimum amount of adulticide deposition possible to surface waters of the state during properly conducted pesticide applications (in accordance with this permit and the FIFRA label) for controlling vector mosquitoes. Integrated Pest Management Plan (IPMP): An ecologically based strategy for pest control that incorporates monitoring, biological, physical, and chemical controls in order to manage pests with the least possible hazard to people, then environment and property. IPMP considers all available control actions, including no action. Pesticide use is only one control action. Larvicide: A pesticide product designed to target mosquitoes in larva and pupa life stages and applied directly to water. Mosquito Control District (MCD): A district organized under the authority of chapter 17.28 RCW for the control of mosquitoes in Washington State. Mosquito Control Entity: See `Entity.' Natural Pyrethrins: Chemicals isolated from the chrysanthemum flower that have insecticidal properties. New Applicant: An entity or mosquito control entity that proposes to begin discharge of pesticides to control mosquitoes and that does not yet have permit coverage but is beginning the permitting process by submitting a complete application to Ecology. New Permittee: Permittees who begin mosquito control activities that discharge pesticides after the effective date of this permit. This does not include Permittees who were covered under Washington State Department of Health's blanket NPDES permit coverage unless they fail to transfer permit coverage (section S 1.13)within 60 days of the effective date of this permit. Nuisance Mosquito Control: The use of IPM, larvicides, and adulticides to control mosquitoes that are an annoyance to humans and animals but are not known in Washington State to carry disease that may be transmitted to humans. Open Accessible Areas: Areas that are easily accessible by the public (e.g. wetlands,ponds, lakes, etc.) Permittee: Entities that apply for and gain coverage under this permit and have control of or cause the discharge permitted under coverage of this permit. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 23 Pesticide: A chemical formulation that has insecticidal properties and is used to control mosquitoes. Pesticide Applicator(s): An individual with the appropriate Washington State Department of Agriculture(WSDA) license(s)to apply pesticides (larvicides and/or adulticides) . Pesticide Resistance: The build-up of a tolerance to a pesticide by the target insect through survival of individuals who are not impacted by enough pesticide to cause mortality or through genetic variance have natural tolerance. When an insect is pesticide resistant to a specific formula, that formula will have reduced efficacy or sometimes no effect at all. Planned Treatments: A schedule of treatment dates developed by the mosquito control entity at the beginning of the treatment season. Pollutant(s): Means any substance discharged that would alter the chemical,physical, thermal, biological, or radiological integrity of the waters of the state of would be likely to create a nuisance or renders such waters harmful, detrimental or injurious to the public health, safety, or welfare, or to any legitimate beneficial use, or to any animal life, either terrestrial or aquatic. Pollutants include, but are not limited to,the following: dredged spoil, solid waste, incinerator residue, filter backwash, sewage, garbage, sewage sludge, munitions, chemical wastes, biological materials,radioactive materials, heat,wrecked or discarded equipment, rock, sand, cellar dirt, pH,temperature, TSS,turbidity, color,BOD5, TDS, toxicity, odor, and industrial, municipal, and agricultural waste. Product Formulation(s): The active, inert, and other ingredients specific to a brand name pesticide (e.g.Altosid,Permanone, or Trumpet EC). Pyrethroid: A synthetic chemical insecticide formulated to mimic the action of the natural pyrethrins. Qualified toxicologist: A person with a PhD in toxicology or in a health or ecological science with an emphasis in toxicology, or a person with a Master's degree in toxicology or a related science with an emphasis in toxicology,who is working in the field of toxicology. Range: A specific series of dates that anticipates the months of planned treatment. This is a planned range-it can be exceeded if public health concerns arise. Representative sampling: In a large treatment area,the sites selected within that area that provide statistical significance(as determined by a statistician). Residue: Any excess pesticide applied during an application and any excess pesticide, all chemicals, and their degredants left behind after a pesticide has completed its purpose. Secure Access Washington (SAW): The web based application where persons may apply for permit coverage and Permittee's may update information and submit annual reports. SAW is located at https://secureaccess.wa.gov. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 24 Synergist: An additive or other active ingredient that increases the effectiveness of the main active ingredient in a pesticide formulation. Surveillance: The act of setting traps to monitor for the presence of mosquitoes and to trap wild mosquitoes for mosquito-borne disease testing. Ultra Low Volume(ULV): A type of pesticide application that uses very small amounts of pesticide per acre(approximately 1 fluid ounce per acre depending on FIFRA label requirements).This type of application creates an invisible fog with particles approximately 30 microns in size that drifts to impact adult mosquitoes. Upland farm pond: Private farm ponds created from upland sites that did not incorporate natural water bodies (WAC 173-201A-260(3)(f)). Vector Mosquito Control: The use of IPM, larvicides and adulticides to control mosquitoes that are known carriers, in Washington State, of disease that may be transmitted to humans. The current list of endemic diseases in Washington includes West Nile virus, Western Equine Encephalitis, and St. Louis Encephalitis. Washington Pesticide Control Act: Chapter 15.58 Revised Code Washington (RCW) Water Supply, Conveyance,Drainage, or Other Restricted Access Systems: Restricted access areas that are accessible only through manholes or other means.Not readily accessible to the public (e.g.water, electrical or transportation vaults, storm drains, catch basins, etc.) Waters of The State: All surface and ground waters in Washington State as defined by chapter 90.48.020 RCW 173-201A-020 WAC and 173-226-030 WAC including any future amendments of state law. Also includes drainages to waters of the state. Water-use Restriction: This refers to any product labeled for restricted water use immediately after treatment(currently applies only to malathion,temephos, and paraffinic white mineral oil). In the absence of other definitions set forth herein,the definition as set forth in 40 CFR Part 403.3 or in chapter 90.48 RCW shall be used for circumstances concerning discharges. Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 25 APPENDIX B: STATE LISTED SPECIES RESTRICTED USE AREAS Criteria Used for the Restrictions The criteria WDFW used for denoting species as vulnerable were: 1) State species of concern(e.g. listed as state endangered,threatened, sensitive, or candidate). 2) Current range and distribution of the species was highly localized. 3) The species inhabited freshwater wetlands during most of the mosquito control treatment period. Six species initially met those criteria: northern leopard frog (Rana pipiens), Oregon spotted frog (Rana pretiosa), western toad(Bufo boreas), western pond turtle(Clemmys marmorata), American white pelican(Pelecanus erythrorhynchos), and one butterfly,the Yuma skipper (Ochlodes yuma). WDFW identified areas occupied by the two extant populations of northern leopard frog;two extant western Washington populations of Oregon spotted frog;western toad breeding ponds (for western Washington only); the three remaining western pond turtle populations;the single American white pelican breeding colony; and the one known Washington Yuma skipper population. Based on the review of published literature, expert advice, and the vulnerability of these rare and endangered animals and their freshwater invertebrate food resources WDFW requested that if mosquito control is deemed necessary in the areas WDFW described in April 2003,that it be restricted to the use of Bacillus products. Aerial Applications An exception to the WDFW request regarding the use of certain larvicides was made for the single American white pelican breeding colony. The colony resides on islands and along the shores of the Columbia River, south of the confluence of the Snake River, in Walla and Benton counties. While bio-chemicals such as methoprene were not of concern for the pelican breeding colony,the method of aerial application was believed to be unacceptably disturbing for their successful breeding. It was agreed that aerial applications would not be made on the pelican breeding areas,whereas less obtrusive methods of mosquito control were acceptable near these sites. Discussions among several WDFW biologists found that aerial applications of larvicides disturbed work being done in a few wildlife refuge areas around the state. It was therefore agreed that operators making aerial applications over wildlife refuges should notify the appropriate regional WDFW office of their scheduled aerial applications at least 24 hours prior to spraying. The notification can be made by phone or fax. Area of Impact Only a few populations of northern leopard frog, Oregon spotted frog,western toad, western pond turtle, and Yuma skipper remain in Washington. The total area occupied by these species in Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 26 rivers, lakes, ponds, and wetlands is tiny, comprising of portions of 117 sections (<O.18% of Washington State).The areas identified for northern leopard frog(36 Sections) and western pond turtle (13 Sections)are owned or managed by WDFW.A prudent, risk-adverse approach is warranted with vulnerable threatened and endangered species. The following areas are restricted to the use of Bacillus thuringiensis israelensis (Bti) and Bacillus sphaericus(H-5a5b): 1. Grant County, north of Moses Lake, within the Crab Creek watershed: T21N R27E Sections 1, 12, and 13; T21N R28E Sections 7, 17, 18, 19, 28, 29, 30, 31, 32, and 33. 2. Grant County, south and west of Moses Lake and south of Interstate-90,the northern portion of the Potholes: T19N R27E Sections 33, 34, 35, and 36; T19N R28E Sections 31 and 32, 29, 30; T18N R27E Sections 1, 2, 3, 4, 8, 9, 10, 11, 12, 13, 14, 15, and 16, 17; T18N R28E Sections 5, 6, 7, 8, 17, and 18. 3. Grant County, area within and near the Sun Lakes-Dry Falls State Park wetlands: T24N R27E and 28E. 4. Kitsap County: lakes, ponds, and wetlands located in T22N Rl W Sections 1, 2, 10, 11, and 12. 5. Klickitat County, west of the Klickitat River, all waters in T3N R12E Sections 28, 29, 32, and 33. 6. Mason County, on the Kitsap Peninsula: lakes,ponds, and wetlands located in T23NR2W Sections 11, 12, 13, 14, 15, 22, and 23. 7. Pierce and Kitsap counties, Carney Lake, located in T22N RI W. 8. Pierce, Thurston, and Lewis counties, within the Nisqually River watershed: Alder Lake (or Alder Lake Reservoir), located in townships: T15N R4E and 5E. 9. Pierce County, south of Tacoma, Chambers Creek and associated waters in T20NR2E Sections 26 and 27. 10. Skamania County, east of Carson, all waters in T3N R8E Sections 23, 24, 25, 26, and 36; T3NR9E Sections 30 and 31. 11. Thurston County,west of Yelm: lakes, ponds, and wetlands located in T17N R1E Sections 8, 9, 16, and 21. 12. Thurston County, south of Olympia and east of Interstate-5,within the Black River watershed,the Beaver Creek drainage, located in T16N R2W Sections 9, 10, 11, and 12; T16N RI W Section 7. 13. Thurston County, south of Olympia and west of Interstate-5,within the Black River watershed: Black River proper from south of Black Lake to the Chehalis River confluence, Draft Aquatic Mosquito Control General Permit-February 3, 2010 Page 27 and the following tributaries, Stony Creek, Dempsey Creek, Salmon Creek, and Blooms Ditch. Legal description as follows for these sensitive areas: T17N R3 W Sections 10, 11, 12, 13, 14, 15, 23, 24, 25, 35, and 36; T17N R2W Sections 7, 18, 19, and 30; T16N R3W Sections 2, 11, 14, 19, 20, 21, 22, 23, 30, and31; T16N R4W Sections 25, 26, 27, 31, 32, 33, 34, 35, and 36. Draft Aquatic Mosquito Control General Permit-February 3, 2010 Page 28 APPENDIX C: TRANSFER OF PERMIT COVERAGE Mosquito Control General Permit DO NOT ALTER THIS FORM DEPARTMENT OF Both the current Permittee and the new Permittee(s) must sign this form. Provide the date ECOLOGY that the new applicator assumes responsibility for the facility.Attach additional sheets if State of Washington necessary. I. Original Permittee Permittee's Name: Permit Number: Agency/Company: Mailing Address: City: Olympia State: WA Zip: Phone Number: Fax Number: Email address: Signature: H.New Permittee Name: Title: Agency/Company: Mailing Address: City: State: Zip: Phone Number: Fax Number: Email address: New Permittee will assume responsibility and liability for coverage on: Month/Day/Year Signature: III.New On-Site Contact Person (if different than above) Contact Name: Title: Company Name: Mailing Address: City: State: Zip: Phone: Cell Phone: Email Address(optional): Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 29 APPENDIX D: PUBLIC NOTICE TEMPLATE FOR NEW COVERAGES The public notice must be published at least once each week for two consecutive weeks, in a single newspaper of general circulation in the county or counties where the mosquito control activities will take place. The bold language is required by WAC 173-226-130 and must be included as part of the public notice in its entirety. Information may be added to this template, but no information may be removed or changed. PUBLIC NOTICE TEMPLATE (Insert Applicant Name) is seeking coverage under the NPDES Waste Discharge General Permit for mosquito control. (Insert Applicant Name) is located at(Insert applicant business address and phone number). The proposed coverage applies to the geographical area describe below (Describe the boundaries of mosquito control operations): Areas within the described boundaries may be treated to control mosquitoes. The chemicals planned for use are (list all active ingredients anticipated for use): Any person desiring to present their views to the Department of Ecology regarding this application may do so in writing within 30 days of the last date of publication of this notice. Comments must be submitted to the Department of Ecology. Any person interested in the Department's action on the application may notify the Department of their interest within 30 days of the last date of publication of this notice. Submit comments to: Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager P.O.Box 47600 Olympia,WA 98504-7696 Draft Aquatic Mosquito Control General Permit—February 3, 2010 Page 30 rlhSq 1-405 Ramp 4t St �s CO R rn Ca SW c co �N N — c l � r Ca SCD _ 1 � Mosquito Abatement, Program N Exhibit F: Site Plan 0 500 1,000 W E i I i Note: Treatment will not be applied within 100' of water. Feet S Treatments will not be performed near homes. Treatment will only be done on the upland area between the wetland eastern edge Project Boundary and the residential areas. Property owner approval required prior to tea ; _i J , fr—f—+ nn nrivofo nrnnorfv hS 1-405 Ramp 4t St a� rn CO S CD I N Q N — c S � l Mosquito Abatement, Program N Exhibit F: Site Pian 0 500 1,000 W E i i i t i Note: Treatment will not be applied within 1 00'of water. Feet S ' Treatments will not be performed near homes.I Treatment will only be done on the upland area between the wetland eastern edge Project Boundary and the residential areas. Property owner approval required prior to treatment on private property. surface water Utility j G.Del Rosario I Printed 03/16/2010 Hebe Bernardo From: Hebe Bernardo Sent: Thursday, October 21, 2010 7:29 AM To: 'Erik Hodson' Subject: Mosquito Abatement Rrogram - end of 2010 year contract. Hi Erik, Per our conversation early this week, we should stop all treatments (larvicide and adulticide). September 27, 2010 should have been the day of the last treatment under the 2010 contract. Please send all pending invoices to the City. Also, I will very much appreciate if you could send to me the day sheets for the days were larvicide treatments where performed.The information included in the daysheets will be incorporated in the for the required Annual Report to the Department of Ecology. Thank you and please let me know if you have any questions. Hebe C. Bernardo Civil Engineer II City of Renton I Public Works I Surface Water Utility 1055 S. Grady Way 15th Floor I Renton, WA 98057 Direct: 425.430.7264 0000 City of 4 i RECEIVEU .JUL 19 2010 CITY OF RE.NTON UTILITY SYSTEMS CITY OF RENTON Public Notice City of Renton to Apply Mosquito Control Pesticides The City of Renton may use mosquito larvicides made of a natural bacterium (Bacillus sphaericus) and adulticides (BIOMIST° and/or Kontrol 4-40) to help control mosquitoes in accordance with the Washington State Department of Ecology's Aquatic Mosquito Control General Permit. Treatments may occur between August 3 and October 30, 2010. Larvicide treatment will generally occur in stormwater facilities owned or maintained by the City. Adulticide treatment areas are generally located in upland areas east of SR-167 and west of Lake Avenue South/Talbot Road South between SW 39th Street to the south and 1-405 to the north, within the City of Renton, Washington. Information about the larvicides, adulticides and a map of the specific locations are available at www.rentonwa.gov. For more information about the City's commitment to help reduce the threat of West Nile virus and control mosquitoes, contact Hebe Bernardo, City of Renton Surface Water Utility Engineer, at 425-430-7264 or by email at hbernardo@rentonwa.gov. For additional information about Ecology's Aquatic Mosquito Control General Permit, please contact the City of Renton or Jon Jennings, Water Quality Program, Washington State Department of Ecology, at 360-407-6283 or by email at ionathan.jennings@ecy.wa.gov. Bonnie I. Walton City Clerk Published: Renton Reporter July 23, 2010 Account No. 50640 Teresa Phelan From: Teresa Phelan Sent: Wednesday, July 14, 2010 11:29 AM To: Bonnie Walton Cc: Hebe Bernardo Subject: Public Notice for Mosquito Control Pesticides Attachments: Mosquito Abatement Program 2010 larvicide treatment.doc Hi Bonnie, Attached is the draft public notice for the Mosquito Control Pesticides for publishing on July 16, if possible. Per Permit requirements, the public notice must be published 10 days before the first treatment (listed on notice as July 27). If it is not published in Friday's edition, then we will need to change the treatment date on the public notice so we are in compliance with the permit. Sorry for the rush. Thanks, Teresa 1 NAME Public Notice The City of Renton to Apply Mosquito Control Pesticides The City of Renton may use mosquito larvicides made of a natural bacterium (Bacillus sphaericus) and adulticides (BIOMIST® and/or Kontrol 4-4®) to help control mosquitoes in accordance with the Washington State Department of Ecology's Aquatic Mosquito Control General Permit. Treatments may occur between July 27 and October 30, 2010. Larvicide treatment will generally occur in stormwater facilities owned or maintained by the City. Adulticide treatment areas are generally located in upland areas east of SR-167 and west of Lake Avenue South/Talbot Road South between SW 39th Street to the south and I-405 to the north, within the City of Renton, Washington. Information about the larvicides, adulticides and a map of the specific locations are available at www.rentonwa.gov. For more information about the City's commitment to help reduce the threat of West Nile virus and control mosquitoes, contact Hebe Bernardo, City of Renton Surface Water Utility Engineer, at 425-430-7264 or by email at hbernardo@rentonwa.gov. For additional information about Ecology's Aquatic Mosquito Control General Permit, please contact the City of Renton or Jon Jennings, Water Quality Program, Washington State Department of Ecology, at 360-407-6283 or by email at jonathan.jennings@ecy.wa.gov. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Public Notice\Mosquito Abatement Program 2010 larvicide treatment.doc\HCBtp sh © ,rt;l LA)ATE ------------ Public Notice The City of Renton to Apply Mosquito Control Pesticides , the C04f Renton may�use mosquito la cides�` made of a natural bacterium (Bacillus sph�ricus) and adulticides (BIOMIST® and/or I<Qntrrol 4-4®) to help control mosquitoes. Treatments may occur between July 27 and I aerrIt'Vei 3G, 2010. Larvicide treatment will generally occur in stormwater facilities owned or maintained by the City. Aqult�cide treatment areas are generally located lr1e� o between SR-167 aa4he-mot and Lake Avenue South/Talbot Road South nn + t--ate "4-L reek, o +o .dam., ,fr.. e�„u�,�„�SW 39th Street err the Bout �1-405 'n the Wort within the City of Renton, Washington. Information about-the arvicides, adulticides and a map of the specific locations are available at www.rentonwa.gov. For more information about the City's commitment to help control mosquitoes, contact Hebe Bernardo, City of Renton Surface Water Engineer, at 425-430-7264 or by email at hbernardo@rentonwa.gov. v+t k1- For additional information about the it, please contact the City of Renton or Jon Jennings, Water Quality Program, Washington State Department of Ecology, at 360- 407-6283 or by email at jonathan.iennin�s@ecy.wa. ov. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Public Notice\Mosquito Abatement Program 2010 larvicide treatment.doc\HCBtp STATE OF WASHINGTON, COUNTY OF KING } AFFIDAVIT OF PUBLICATION CITY OF RENTON Public Notice PUBLIC NOTICE City of Renton to Apply Linda M Mills, being first duly sworn on oath that she is the Legal Mosquito Control Pesticides The City of Renton may use Advertising Representative of the mosquito larvicides made of a natural bacterium (Bacillus sphaericus) and adulticides (BIOontrol Renton Reporter 4-40)t help and/or Kuitoes 4-4��)to help control mosquitoes in accordance with the Washington State Department of Ecology's Aquatic Mosquito a weekl news a er, which news a er is a le al news a er of Control General Permit. y p p p p g p p Treatments may occur between general circulation and is now and has been for more than six months August 3 and October 30, 2010. prior to the date of publication hereinafter referred to, published in Larvicide treatment will generally occur in stormwater facilities the English language continuously as a weekly newspaper in King owned or maintained by the County, Washington. The Renton Reporter has been approved as City. Adulticide treatment areas a Le al News a er b order of the Su erior Court of the State of are generally located in upland g p p y P areas east of SR-l67 and west of Washington for King County. Lake Avenue SoutWalbot Road The notice in the exact form annexed was published in regular issues South between SW 39th Street to the south and I-405 to the of the Renton Reporter (and not in supplement form) which was north,within the City of Renton, regularly distributed to its subscribers during the below stated period. Washington. Information about The annexed notice, a: the larvicides, adulticides and a map of the specific locations are Public Notice available at www.rentonwa.gov. For more information about the City's commitment to help reduce the threat of West Nile virus and control mosquitoes, contact was published on July 23, 2010. HeW Bernardo, City of Renton Surface Water Utility Engineer, `CIS\ 1 i, at 425-430-7264 or by email at �� CJE� hbemardo@rentonwa.gov. The full amount of the fee charged for said foregoing publication is ,. �� For additional information about the sum of $108.50. `pP ��P'' `=' O Ecology's Aquatic Mosquito J =0 p,Y % ��Control General Permit, please n hP • u contact the City of Renton or Jon _' O _ Z Jennings,Water Quality Program, ���Z 10 of" co Washington State Department of of Y '� �Q I�c Email at jonathanology, at 360-407-6283 or by Linda M. Mills // N S .jennings@ecX Subscribed and sworn to methise2Renton d d y Reporter July, ////i°11 j S1TA\E ��� � cy clerk Walton Published in the Renton Reporter July 23,2010.#385015. athy Daoeg,Notary Pu c for the State of Washington, Residing in Covington,Washington P. O. Number: STATE Off, 4 �W V. ti 0 4)� RECEIVED STATE OF WASHINGTON SEP a 7 2010 DEPARTMENT OF ECOLOGY MAYOR'S OFFICE PO Box 47600 • Olympia, WA 98504-7600 • 360-407-6000 711 for Washington Relay Service • Persons with a speech disability can call 877-833-6341 September 2, 2010 EC J VE Mr. Denis Law City of Renton SEP �� c 01fJ 0 1055 S Grady Way � �MI �OFON Renton, WA 98057 1-1 �uNi7y SERVICES RE: Transfer of Coverage under the Aquatic Mosquito Control General Permit Permit Number: WAG992028 Coverage Area: City of Renton Dear Mr. Law: The Department of Ecology (Ecology) received a Transfer of Coverage form for the Aquatic Mosquito Control General Permit(permit) coverage held by Washington State Department of Health. This is notification that our records have been updated to show City of Renton is now responsible for meeting permit requirements, effective 7/l/2010. Please retain this letter with your permit documentation. It is part of the official record for transfer of permit coverage. Please refer to the permit number above when contacting Ecology. Examples of when you should contact Ecology include: 1. Appointment of a new contact person and/or telephone number. 2. Changes in the operation and management of aquatic pesticides. 3. Submittal of a Notice of Termination because the aquatic pesticide use has terminated or your activity no longer requires NPDES permit coverage. Please read the permit carefully. As a Permittee, City of Renton is legally obligated to comply with its terms and conditions. Permit Fees State law (RCW 90.48.465)requires that all permit holders pay an annual permit fee. The state fiscal year begins on July 1 and ends on June 30 of the following year. Ecology will notify permit holders of permit fee charges by mailed billing statements. Annual billing notices will be mailed to you each August. If you would like more information on the fee process, contact Bev Poston, Permit Fee Administrator, at (360) 407-6425. t� Ecology Technical Assistance If you have questions regarding this letter, or need more information about other requirements, please contact Jon Jennings at (360) 407-6283 orjonathanjennings@ecy.wa.gov. Sincerely, a C� Bill Moore, P.E., Manager Program Development Services Section Water Quality Program Enclosure: Aquatic Mosquito Control General Permit Text cc: Bev Poston, WQP, FMS Jon Jennings, WQP, PDS Issuance Date: May 19, 2010 Effective Date: June 18, 2010 Expiration Date: June 18,2015 AQUATIC MOSQUITO CONTROL GENERAL ]PERMIT A National Pollutant Discharge Elimination System (NPDES) and State Waste Discharge General Permit for Pesticide Discharges Associated With Mosquito Control Activities State of Washington Department of Ecology Olympia, Washington 98504-7600 In compliance with the provisions of The State of Washington Water Pollution Control Law a Chapter 90.48 Revised Code of Washington and The Federal Water Pollution Control Act (The Clean Water Act) Title 33 United States Code, Section 1251 et seq. Until this permit expires, is modified or revoked, Permittees that have properly obtained coverage under this general permit are authorized to discharge in accordance with the special and general conditions that follow. *eu ewind,P.E.,P.G. Water Quality Program Manager Department of Ecology TABLE OF CONTENTS SUMMARY OF PERMIT SUBMITTALS.................................................................................... 4 REQUIRED ONSITE DOCUMENTATION................................................................................. 4 SPECIAL PERMIT CONDITIONS............................................................................................... 5 Sl. PERMIT COVERAGE......................................................................................................... 5 A. Who Must Obtain Permit Coverage................................................................................ 5 B. Permit Area..................................................................................................................... 5 C. Authorized Discharges.................................................................................................... 5 D. Transfer of Washington State Department of Health Blanket Permit Coverage............ 5 S2. APPLICATION FOR COVERAGE..................:.................................................................. 6 S3. DISCHARGE LIMITS......................................................................................................... 7 A. Compliance with Standards............................................................................................ 7 B. Temporary Exceedance of Water Quality Standards for Larvicides.............................. 7 C. Pesticide Application Requirements............................................................................... 7 S4. PESTICIDE ACTIVE INGREDIENTS............................................................................... 8 A. Larvicide Active Ingredients Authorized for Use........................................................... 8 B. Adulticide Active Ingredients Authorized for Use......................................................... 8 C. Additional Restrictions for Larvicides and Adulticides..................................................9 D. Experimental Use of Pesticide Active Ingredients ....................................................... 10 S5. INTEGRATED MOSQUITO MANAGEMENT PLAN.................................................... 10 A. Plan Objectives............................................................................................................. 10 B. General Information...................................................................................................... 11 C. Surveillance................................................................................................................... I D. Mapping........................................................................................................................ 11 E. Action Thresholds......................................................................................................... 11 F. Mosquito Control Methods........................................................................................... 12 G. Monitoring for Efficacy/Resistance.............................................................................. 12 H. Record Keeping and Reporting..................................................................................... 12 I. Education and Outreach................................................................................................ 13 J. New Staff Training and Continuing Training for Existing Staff.................................. 13 K. Signature Requirements................................................................................................ 13 L. Public Access to IMM Plans......................................................................................... 13 S6. PUBLIC NOTICIFICATION OF PESTICIDE USE......................................................... 14 A. Public Notice................................................................................................................. 14 B. Posting Requirements ................................................................................................... 14 ST MONITORING REQUIREMENTS................................................................................... 15 A. Pesticide Use................................................................................................................. 15 B. Dip Sampling................................................................................................................ 15 S8. REPORTING REQUIREMENTS...................................................................................... 15 A. Annual Report............................................................................................................... 15 B. Records Retention......................................................................................................... 16 Aquatic Mosquito Control General Permit—May 19, 2010 Page 2 C. Noncompliance Notifications....................................................................................... 16 S9. APPENDICES.................................................................................................................... 17 GENERALCONDITIONS .......................................................................................................... 19 G1. DISCHARGE VIOLATIONS............................................................................................ 19 G2. PROPER OPERATION AND MAINTENANCE............................................................. 19 G3. RIGHT OF ENTRY........................................................................................................... 19 G4. PERMIT COVERAGE REVOKED.................................................................................. 19 G5. GENERAL PERMIT MODIFICATION AND REVOCATION...................................... 20 G6. REPORTING A CAUSE FOR MODIFICATION............................................................ 20 G7. TOXIC POLLUTANTS..................................................................................................... 21 G8. OTHER REQUIREMENTS OF 40 CFR........................................................................... 21 G9. COMPLIANCE WITH OTHER LAWS AND STATUTES.............................................21 G 10. ADDITIONAL MONITORING......................................................................................21 GI1. PAYMENT OF FEES......................................................................................................21 G12. REQUESTS TO BE EXCLUDED FROM COVERAGE UNDER A GENERAL.........21 PERMIT....................................................................................................................................21 G13. TRANSFER OF PERMIT COVERAGE.........................................................................22 G14. PENALTIES FOR VIOLATING PERMIT CONDITIONS ...........................................22 G15. SIGNATORY REQUIREMENTS...................................................................................22 G16. APPEALS ........................................................................................................................ 23 G17. SEVERABILITY............................................................................................................. 24 G18. DUTY TO REAPPLY .....................................................................................................24 APPENDIX A: GLOSSARY........................................................................................................25 APPENDIX B: AREAS OF RESTRICTED PESTICIDE USE DUE TO PRESENCE OF LISTEDSPECIES........................................................................................................................29 APPENDIX C: TRANSFER OF PERMIT COVERAGE............................................................ 32 APPENDIX D: PUBLIC NOTICE TEMPLATE FOR NEW APPLICANTS............................. 33 APPENDIX E: SECTION S5 IMM PLAN CRITERIA EXAMPLES......................................... 34 Aquatic Mosquito Control General Permit—May 19, 2010 Page 3 SUMMARY OF PERMIT SUBMITTALS Refer to the Special and General Conditions of this permit for submittal requirements. Permit Section Submittal Frequency Due Date(s) S l.D Transfer Coverage from DOH Once By August 17,2010 SLD DOH Blanket Coverage Once October 16, 2010 Expires Application for Permit At least 60 days prior to S2 Coverage Once the start of discharge S2.F Complete Development of Once Before coverage is issued IMM for New Applicants S5 Update IMM for Existing As Necessary By June 18, 2011 then as Permittees necessary S5 Ecology Request for IMM Per Ecology Within 14 days of request Request S8.A Annual Report 1/year By December 31 each year S8.0 Noncompliance Notification As Necessary As Necessary S8.D Public Request for IMM As Necessary Within 14 days of request G5 Permit Modification and As Necessary As Necessary Revocation G6 Request for Modification As Necessary As Necessary G13 Request for Transfer of As Necessary As Necessary Coverage G18 Re-Application for Permit Once per Must be received by Coverage permit cycle December 20, 2014 REQUIRED ONSITE DOCUMENTATION Document S5 Integrated Mosquito Management Plan Existing Permittees June 18,2011 S2.F and Integrated Mosquito Management Plan Before coverage is issued S5 for New Applicants The text of this permit contains words in italics. Words in italics are the first usage of a word in this permit and are defined in the Glossary,Appendix A. Aquatic Mosquito Control General Permit—May 19, 2010 Page 4 SPECIAL PERMIT CONDITIONS S1. PERMIT COVERAGE This permit covers the use of larvicides and adulticides to control mosquitoes in the State of Washington. A. Who Must Obtain Permit Coverage All entities that control mosquitoes must obtain coverage under this permit when the activity, including activities conducted under a Federal Experimental Use Permit, results in a discharge of pesticides) or pesticide residues to waters of the state. Applicants for coverage must be the operator that is in functional control of the pesticide application and may include mosquito control districts, local or state government and private licensed applicators. This permit does not apply to homeowner use of residential pesticides. B. Permit Area This general permit covers mosquito control activities in all areas of Washington State, except for federal and tribal lands. C. Authorized Discharges Permittees are authorized to discharge pesticides and pesticide residues from mosquito control activities provided the Permittee complies with the terms and conditions of this permit. Adulticides may be discharged to the following water bodies. 1. Man-made detention or retention ponds designed specifically for wastewater or stormwater treatment that does not have an outlet to surface waters of the state, or ponds that are not likely to discharge during, or for two weeks after,treatment. 2. Any constructed water body five acres or less in surface area with no discharge to other surface waters of the state during, or for two weeks after, treatment. 3. Upland farm ponds with no discharge to other surface waters of the state during, or for two weeks after,treatment. 4. Standing irrigation water that will not discharge to surface waters of the state during application or for two weeks following application. D. Transfer of Washington State Department of Health Blanket Permit Coverage Aquatic Mosquito Control General Permit—May 19, 2010 Page 5 1. New coverages under Washington State Department of Health(DOH) blanket coverage will no longer occur on or after May 19,2010. 2. Existing blanket coverage under DOH expires on October 16,2010, 120 days after the effective date of this permit. 3. Entities that control mosquitoes currently covered under DOH blanket coverage,have until August 17,2010 to complete a transfer of permit coverage from DOH. 4. To transfer permit coverage from DOH, entities that control mosquitoes must complete the transfer form provided in Appendix C and submit it to Ecology at the following address: Washington State Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504-7600 5. If the applicant does not receive notification of the coverage decision from Ecology, coverage under this permit will begin automatically on the 61 st day following Ecology's receipt of a complete transfer form. S2. APPLICATION FOR COVERAGE Entities that propose to begin mosquito control activities on or after the effective date of this general permit must: A. Submit a complete and accurate permit application (Notice of Intent or NOI)to Ecology at least 60 days before beginning the mosquito control activity that will result in a discharge to waters of the state. B. Complete the NOI for the proposed activity online. The applicant must access Ecology's online data management system Secure Access Washington(http://secureaccess.wa.gov), fill out the NOI online,then print and sign the document. C. The application must include certification that the application has met the applicable public notice and State Environmental Policy Act(SEPA) requirements in Washington Administrative Code (WAC) 173-226-200(f). D. Mail the complete NOI hard copy to: Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504-7600 Aquatic Mosquito Control General Permit—May 19, 2010 Page 6 E. Use the Public Notice Template provided as Appendix D of this permit. Publish the public notice twice, one week apart, in a local newspaper of general circulation (or regional newspaper if a local newspaper is not available)that an application for permit coverage has been made. F. If using adulticides, develop a complete Integrated Mosquito Management(IMM)Plan that meets the requirements in Section S5. The IMM plan must be completed so that the public may view it during the public comment period. At the end of the required 30-day public comment period, Ecology will consider comments about the applicability of this permit to the proposed mosquito control activity before deciding to issue permit coverage. If the applicant does not receive notification of a coverage decision from Ecology, coverage under this permit will begin automatically on the 61"day following Ecology's acceptance of a completed NOI. S3. DISCHARGE LIMITS A. Compliance with Standards 1. The application of pesticides must not cause or contribute to violations of the Water Quality Standards for Surface Water of the State of Washington (chapter 173-201A WAC), Ground Water Quality Standards (chapter 173-200 WAC), Sediment Management Standards (chapter 173-204 WAC), and human health-based criteria in the National Toxics Rule(40 CFR 131.36). Discharges that do not comply with these standards are prohibited. 2. For the purposes of this permit, Permittees must use all known, available, and reasonable methods of pollution control,prevention and treatment(AKARI)when applying pesticides. Compliance with this permit,the Washington Pesticide Control Act and the requirements of the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) label constitute AKART. B. Temporary Exceedance of Water Quality Standards for Larvicides Short and long-term exceedance of water quality standards are allowed under this permit provided the Permittee complies with the provisions of WAC 173-201A-410. C. Pesticide Application Requirements The Permittee must comply with the requirements in this permit and FIFRA label requirements. Permit requirements do not reduce the requirements on the FIFRA label. The Permittee must: 1. Ensure that a licensed pesticide applicator, with the appropriate Washington State Department of Agriculture(WSDA) license and certification, have direct supervision responsibilities for the use of pesticides during application. Aquatic Mosquito Control General Permit—May 19, 2010 Page 7 2. Ensure that all applicators under supervision of the licensed applicator have current training in the use of the equipment necessary to apply pesticides correctly. 3. Use Ultra Low Volume (ULV)application equipment to apply adulticides if available. If ULV equipment is not available, use other FIFRA label-approved application techniques. 4. Appropriately trained personnel must calibrate the application Equipment for the pesticide product used. 5. Adulticide discharges to waters of concern may only be incidental. S4. PESTICIDE ACTIVE INGREDIENTS A. Larvicide Active Ingredients Authorized for Use 1. Bacillus sphaericus(H-5a5b) 2. Bacillus thuringiensis israelensis (Bti) 3. Malathion 4. Methoprene 5. Monomolecular surface films (MSF) 6. Paraffinic white mineral oil 7. Spinosad 8. Temephos B. Adulticide Active Ingredients Authorized for Use 1. Etofenprox 2. Malathion 3. Naled 4. Natural Pyrethrins 5. Permethrin 6. Piperonyl Butoxide(PBO) 7. Prallethrin Aquatic Mosquito Control General Permit—May 19, 2010 Page 8 8. Resmethrin 9. Sumithrin (d-phenothrin) C. Additional Restrictions for Larvicides and Adulticides 1. The Permittee may apply larvicides provided one or more of the following conditions are met. a. Pretreatment surveillance of a potential larvicide application site indicates that at least one larvae/pupae is present in at least one of three dips. In the event that the Permittee finds larvae/pupae, and the area is treated, the Permittee may continue pre-emptive larvicide treatments without dipping for the remainder of the treatment season. b. Methoprene may be used as a pre-emergent dry-land treatment without dipping on intermittently flooded areas that have a historical record of mosquito hatches following flooding. c. The Permittee has developed and obtained Ecology approval of a large-site sampling protocol prior to treatment. d. The application site is in, or adjacent to a county in which mosquito,bird, animal, or human mosquito-borne disease cases are confirmed during the current treatment season. e. The treatment site is a catch basin, storm drain, and utility or transportation vault. f. State or local health authorities declare a public health threat or emergency related to mosquito-borne disease. 2. Appendix B of this permit details specific geographical areas that are important to species that are state designated as sensitive,threatened, candidate, and endangered in the State of Washington. Ecology may update Appendix B based on new information. Prior to the use of malathion, monomolecular surface films, paraffinic white mineral oil, or adulticides in Appendix B areas,the Permittee must obtain Washington State Department of Fish and Wildlife (WDFW) approval. Contact information for WDFW Regional Wildlife Biologists may be accessed at http://wdfw.wa.gov/about/contact/. 3. Permittees may only use paraffinic white mineral oil or malathion as larvicides if other pesticides are ineffective at a specific treatment site and the water body is non- fish-bearing. To determine if the water body is fish bearing, consult with WDFW. Contact information for WDFW Regional Wildlife Biologists may be accessed at hqp://wdfw.wa.gov/about/contact/. Aquatic Mosquito Control General Permit—May 19, 2010 Page 9 4. The Permittee may not apply temephos in lakes, streams, in the littoral zone of water bodies, or on sites listed in Appendix B of this permit. The permit allows the use of temephos only in response to the development of pesticide resistance within a specific larval mosquito population with the approval of Ecology. 5. The use of malathion and naled as an adulticide shall be done in accordance with the Permittee's IMM plan to control adult mosquito pesticide resistance. D. Experimental Use of Pesticide Active Ingredients The Permittee may apply other pesticide active ingredients not listed in this permit on a limited basis in the context of a research and development effort under the jurisdictions of EPA and WSDA through the issuance of an Experimental Use Permit(State or Federal). Permittees may not apply pesticide active ingredients covered under an Experimental Use Permit to areas identified in Appendix B. Discharges for the sole purpose of research and development are not required to develop and implement an IMM plan(Section S5)but must follow all other permit requirements. S5. INTEGRATED MOSQUITO MANAGEMENT PLAN Permittees that transfer coverage from DOH have one year from the effective date of this permit to develop and implement an IMM plan for the mosquito control activities that take place within their permit coverage area. Permittees with an existing IMM plan in place, must review it to see that it contains the information required in this section. After the effective date of this permit,the Permittee must keep the IMM plan updated. An updated copy of the IMM plan must be maintained at the Permittee's business office and available upon request to Ecology and the public. Permittees who only apply larvicides may use the Ecology publication"Best Management Practices for Mosquito Control, May 2004 (publication number 03-10-023) or equivalent in place of developing their own IMM plan. If the Permittee later decides to include adulticides in its mosquito control operations, it must develop a full IMM plan. Appendix E provides examples of information that may be used to satisfy specific IMM plan elements. Appendix E is not an all-inclusive list;there are likely other options available that may be used to satisfy the permit requirements. A. Plan Objectives 1. Ensure that discharges from mosquito control activities do not cause or contribute to a violation of Water Quality Standards for Surface Water of the State of Washington (chapter 173-201A WAC), Ground Water Quality Standards (chapter 173- 200 WAC), Sediment Management Standards(chapter 173-204 WAC), and human health-based criteria in the National Toxics Rule(40 CFR 131.36). Aquatic Mosquito Control General Permit—May 19, 2010 Page 10 2. Adequately control adult mosquitoes while minimizing the incidental discharges to waters of concern. 3. Document the decision process of where,when, and how mosquito control is implemented within a Perinittee's permit coverage area. B. General Information 1. Permittee contact information(name,business phone,physical business address, and mailing address if different); 2. Permittee's permit coverage area; 3. Map showing permit coverage area; and 4. Emergency reporting(e.g. pesticide exposure or spills to waters of the state) C. Surveillance 1. Larval Mosquito Surveillance Refer to permit Section S4.C.La. If post-larviciding surveillance is conducted, describe the surveillance method and procedures. 2. Adult Mosquito General Surveillance If the Permittee applies pesticides for the control of adult mosquitoes,the Permittee must implement an adult mosquito surveillance program. Describe the adult mosquito surveillance procedures that are used to determine when and where adult mosquito control is employed. D. Mapping The Permittee must implement a mapping and/or tracking system to document the following. 1. Mosquito breeding sites, 2. No-spray zones including organic farms, beehives, etc., 3. Endangered species critical habitat in the Permittee's permit coverage area (provided in Appendix B), and 4. Other relevant information as decided by the Permittee. E. Action Thresholds 1. Larval Mosquito Action Thresholds Aquatic Mosquito Control General Permit—May 19, 2010 Page 11 For larval mosquito action thresholds, refer to permit section S4.C.La-f. 2. Adult Mosquito Action Thresholds The Permittee must identify thresholds to determine when adult mosquito control is necessary. Describe the thresholds used and the surveillance values for the chosen surveillance method or methods(Section S5.C)that meet the thresholds. F. Mosquito Control Methods The Permittee must evaluate and identify the mosquito control methods that will be used in its permit coverage area. Mosquito control methods may include: 1. Physical Control and/or Source Reduction 2. Biological Mosquito Control 3. Pesticide-Based Larval Mosquito Control a. Section S4.A lists allowed larvicides. The Permittee must include labels for all larvicide products used in the IMM plan. b. Equipment Calibration and Maintenance The Permittee must also address schedules and procedures for maintaining the application equipment in proper operating condition, including calibrating, cleaning, and repairing the pesticide application equipment. 4. Pesticide-Based Adult Mosquito Control a. Section S4.B lists allowed adulticides. The Permittee must include labels for all adulticide products used in the IMM plan. b. Equipment Calibration and Maintenance The Permittee must also address schedules and procedures for maintaining the application equipment in proper operating condition, including calibrating, cleaning, and repairing the pesticide application equipment. G. Monitoring for Efficacy/Resistance If the Permittee has implemented a pesticide resistance-monitoring program, describe it here. H. Record Keeping and Reporting Refer to permit section S&A-D. Aquatic Mosquito Control General Permit—May 19, 2010 Page 12 I. Education and Outreach If the Permittee conducts any public education or outreach about mosquito control, describe it here. J. New Staff Training and Continuing Training for Existing Staff Describe staff training procedures for new staff and on-going routine training. Alternatively,the Permittee may reference its training manual, if available. If a training manual is referenced, include the date it was last updated. K. Signature Requirements The person with signature authority(General Condition G15)must sign and certify the IMM plan has been developed and implemented as written using the language below. "I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering information, the information in the IMM is,to the best of my knowledge and belief,true, accurate, and complete and will be updated as necessary. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Unless the Department of Ecology Permit has more stringent requirements, all FIFRA label directions and requirements will be followed." L. Public Access to IMM Plans The Permittee must provide access to, or a copy of, the IMM plan to the public when requested in writing. Upon receiving a written request from the public for the IMM plan, the Permittee must: 1. Provide a copy of the IMM plan to the requester within 14 days of receipt of the written request; or 2. Notify the requester within 10 days of the receipt of the written request of the location and times within normal business hours when the requester may view the IMM plan and provide access to the IMM plan within 14 days of receipt of the written request; or 3. Provide a copy of the IMM plan to Ecology,where the requester may view the records,within 14 days of a request; or the Permittee may arrange with the requester for an alternative location for viewing and/or copying the IMM plan. If access to the IMM plan is provided at a location other than an Ecology office,the Permittee will provide reasonable access to copying services for which it may charge a reasonable fee. Aquatic Mosquito Control General Permit—May 19, 2010 Page 13 S6. PUBLIC NOTICIFICATION OF PESTICIDE USE A. Public Notice 1. The Permittee must publish a public notice at least ten(10) days before the first pesticide application of the season. This notice must include: a. The pesticide(s)planned for use and the active ingredient(s). b. The approximate date ranges of planned treatments. c. The approximate treatment location(s). d. The online location where the public may find pesticide application updates (if available online). e. Where the public can find accurate information about the pesticides planned for use. f. The application area posting procedures if the use of larvicides with water-use restrictions is planned. g. The name and telephone number of the Permittee and the Ecology Aquatic Pesticides Permit Manager. h. The telephone number, email address or web site where a person may contact the Permittee to have their name put on a"No Spray" list. 2. State agencies with statewide permit coverage (e.g. WSDOT),may publish a public notice in one major newspaper of general circulation for each agency region(e.g. WSDOT Olympic Region,North Central Region, etc.)where the mosquito control activity will take place. 3. The Permittee's notification to the public regarding mosquito control activities must continue throughout the treatment season if pesticide applications occur. After the initial newspaper notice, the Permittee may notify the public using a method other than notices in the newspaper, such as web site postings, mailings,or radio spots. B. Posting Requirements l. The Permittee must post notices at all reasonable points of public ingress and egress to the treatment areas when applying larvicides with water-use restrictions to water bodies used for water supply, fish and shellfish harvesting, or water contact activities. 2. The Permittee need not post notices at sites that are not directly accessible to the public (e.g. catch basins, storm drains, utility and transportation vaults, etc). Aquatic Mosquito Control General Permit—May 19, 2010 Page 14 3. The Permittee must make maps available to the public of the adulticide application areas. Web site maps or available hard copies meet this requirement. S7. MONITORING REQUIREMENTS A. Pesticide Use The Permittee must monitor the amounts of pesticides used and report pesticide application quantities as required in Section S8. B. Dip Sampling 1. When Perm ittees conduct larval treatments requiring dip samples (Sections S4.C.1), the Permittee must record the: a. Date and location dipping occurred; b. The contractor firm or individual who collected the sample or performed the measurement; c. The larvae count of the dip sample. 2. The Permittee need not submit this information as part of the annual report but must make the information available to Ecology upon request. S8. REPORTING REQUIREMENTS The Permittee must submit pesticide application information in accordance with the following conditions. A. Annual Report 1. By December 31 of each year,the Permittees must submit an annual report electronically through Ecology's online data management system(Secure Access Washington at https:Hsecureaccess.wa.izov. A signed and dated hard copy of the annual report must also be mailed to: Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504-7600 2. The annual report must include: a. Permit Number. Aquatic Mosquito Control General Permit—May 19, 2010 Page 15 b. Permittee Name. c. Name of the location treated. The location is the area for which the Permittee has permit coverage for(e.g. ABC Golf Club, ABC City storm drain system,ABC County,ABC Mosquito Control District, etc), d. Active Ingredient(e.g. Bti,permethrin, etc.), e. Total amount of active ingredient applied for each season, and f. Measurement units (pounds or gallons). B. Records Retention The Permittee must retain records of all monitoring information for a minimum of five (5) years. Such information must include copies of all reports and records required by this permit, and records of all data used to complete the application for this permit. The Permittee must keep records longer in the event of unresolved litigation regarding the discharge of pollutants by the Permittee or when requested by Ecology. The Permittee must make the records, reports, other documents, and information required by this permit available to Ecology upon request. C. Noncompliance Notifications The Permittee must take the following actions when it violates or is unable to comply with any permit condition: 1. Immediately take action to minimize potential pollution or otherwise stop the noncompliance and correct the problem. 2. Immediately notify the appropriate Ecology regional office and the aquatic pesticides permit manager of the failure to comply via the regional spills telephone hotline and the aquatic pesticides permit manager's phone number below. a. Southwest Regional Office: 1-360407-6300 (Clallam, Clark, Cowlitz, Grays Harbor,Jefferson, Mason, Lewis, Pacific,Pierce, Skamania, Thurston, and Wahkiakum counties) b. Northwest Regional Office: 1-425-649-7000 (Island, King, Kitsap, San Juan, Skagit, Snohomish, and Whatcom counties) c. Central Regional Office: 1-509-575-2490 (Benton, Chelan, Douglas,Kittitas, Klickitat, Okanogan, and Yakima counties) Aquatic Mosquito Control General Permit—May 19, 2010 Page 16 d. Eastern Regional Office: 1-509-329-3400 (Adams,Asotin, Columbia, Ferry,Franklin, Garfield, Grant, Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, and Whitman counties) e. Aquatic Pesticide Permit Manager: 1-360-407-6283 3. The Permittee must provide a written report to Ecology within 30 days of the time that the Permittee becomes aware of any permit non-compliance unless Ecology requests and earlier submission. The report must contain: a. A description of the noncompliance and its cause. b. The exact date,time,place, and duration of the noncompliance. c. Whether the noncompliance has been corrected and, if not,when the noncompliance will be corrected. d. Steps taken or planned to reduce, eliminate, and prevent recurrence of the noncompliance. 4. Compliance with the requirements of this section does not relieve the Permittee from responsibility to maintain continuous compliance with the terms and conditions of this permit of the resulting liability for failure to comply. 5. The Permittee must submit noncompliance reports to: Washington State Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504-7600 6. The Permittee must update its IMM plan to address the noncompliance to reduce the likelihood of the incident occurring again. S9.APPENDICES The attached appendices are incorporated by reference into this permit. A. APPENDIX A: GLOSSARY B. APPENDIX B: AREAS OF RESTRICTED PESITICIDE USE DUE TO PRESENCE OF LISTED SPECIES C. APPENDIX C: TRANSFER OF PERMIT COVERAGE FORM D. APPENDIX D: PERMIT COVERAGE PUBLIC NOTICE TEMPLATE Aquatic Mosquito Control General Permit—May 19, 2010 Page 17 E. APPENDIX E: SECTION S5 IMM PLAN CRITERIA EXAMPLES Aquatic Mosquito Control General Permit—May 19, 2010 Page 18 GENERAL CONDITIONS G1. DISCHARGE VIOLATIONS All discharges and activities authorized by this general permit shall be consistent with the terms and conditions of this general permit. The discharge of any pollutant more frequently than, or at a concentration in excess of that authorized by this general permit shall constitute a violation of the terms and conditions of this general permit. G2. PROPER OPERATION AND MAINTENANCE The Permittee shall, at all times, properly operate and maintain all facilities or systems of treatment and control(and related appurtenances)which are installed to achieve compliance with the terms and conditions of this permit.Proper operation and maintenance also includes adequate laboratory controls and appropriate quality assurance procedures. This provision requires the operation of back-up or auxiliary facilities or similar systems,which are installed by a Permittee only when the operation is necessary to achieve compliance with the conditions of this permit. G3. RIGHT OF ENTRY The Permittee shall allow an authorized representative of Ecology, upon the presentation of credentials and such other documents as may be required by law: A. To enter upon the premises where a discharge is located or where any records shall be kept under the terms and conditions of this permit; B. To have access to and copy at reasonable times any records that shall be kept under the terms of this permit; C. To inspect at reasonable times any monitoring equipment or method of monitoring required in this permit; D. To inspect at reasonable times any collection,treatment,pollution management, or discharge facilities; and E. To sample at reasonable times any discharge of pollutants. G4. PERMIT COVERAGE REVOKED Pursuant with chapter 43.2113 RCW and chapter 173-226 WAC,the Director may require any discharger authorized by this permit to apply for and obtain coverage under an individual permit or another more specific and appropriate general permit. Cases where revocation of coverage may be required include,but are not limited to,the following: Aquatic Mosquito Control General Permit—May 19, 2010 Page 19 A. Violation of any term or condition of this permit; B. Obtaining coverage under this permit by misrepresentation or failure to disclose fully all relevant facts; C. Failure or refusal of the Permittee to allow entry as required in RCW 90.48.090; D. A determination that the permitted activity endangers human health or the environment, or contributes to water quality standards violations; E. Nonpayment of permit fees or penalties assessed pursuant to RCW 90.48.465 and chapter 173-224 WAC; F. Failure of the Permittee to satisfy the public notice requirements of WAC 173-226- 130(5), when applicable; or Permittees who have their coverage revoked for cause according to WAC 173-226-240 may request temporary coverage under this permit during the time an individual permit is being developed,provided the request is made within ninety(90) days from the time of revocation and is submitted along with a complete individual permit application form. G5. GENERAL PERMIT MODIFICATION AND REVOCATION This permit may be modified, revoked and reissued, or terminated in accordance with the provisions of chapter 173-226 WAC. Grounds for modification or revocation and reissuance include, but are not limited to,the following: A. When a change which occurs in the technology or practices for control or abatement of pollutants applicable to the category of dischargers covered under this permit; B. When effluent limitation guidelines or standards are promulgated pursuant to the FWPCA or chapter 90.48 RCW, for the category of dischargers covered under this permit; C. When a water quality management plan containing requirements applicable to the category of dischargers covered under this permit is approved; or D. When information is obtained which indicates that cumulative effects on the environment from dischargers covered under this permit are unacceptable. G6. REPORTING A CAUSE FOR MODIFICATION A Permittee who knows or has reason to believe that any activity has occurred or will occur which would constitute cause for modification or revocation under Condition G5 above, or 40 CFR 122.62 shall report such plans, or such information,to Ecology so that a decision can be made on whether action to modify coverage or revoke coverage under this permit will be Aquatic Mosquito Control General Permit—May 19, 2010 Page 20 required. Ecology may then require submission of a new application for coverage under this, or another general permit, or an application for an individual permit. Submission of a new application does not relieve the Permittee of the duty to comply with all the terms and conditions of the existing permit until the new application for coverage has been approved and corresponding permit has been issued. G7. TOXIC POLLUTANTS The Permittee shall comply with effluent standards or prohibitions established under Section 307(a)of the Clean Water Act for toxic pollutants within the time provided in the regulations that establish those standards or prohibitions, even if this permit has not yet been modified to incorporate the requirement. G8. OTHER REQUIREMENTS OF 40 CFR All other requirements of 40 CFR 122.41 and 122.42 are incorporated in this general permit by reference. G9. COMPLIANCE WITH OTHER LAWS AND STATUTES Nothing in this permit shall be construed as excusing the Permittee from compliance with any applicable Federal, State, or local statutes, ordinances, or regulations. G10.ADDITIONAL MONITORING Ecology may establish specific monitoring requirements in addition to those contained in this permit by administrative orders or permit modification. G11. PAYMENT OF FEES The Permittee shall submit payment of fees associated with this permit as assessed by Ecology. Ecology may revoke this permit coverage or take enforcement, collection, or other actions, if the permit fees established under chapter 173-224 WAC are not paid. G12. REQUESTS TO BE EXCLUDED FROM COVERAGE UNDER A GENERAL PERMIT Any discharger authorized by this permit may request to be excluded from coverage under this general permit by applying for an individual permit. The discharger shall submit to the Director an application as described in WAC 173-220-040 or WAC 173-216-070,whichever is applicable, with reasons supporting the request. These reasons must fully document how an individual permit will apply to the applicant in a way that the general permit cannot. Aquatic Mosquito Control General Permit—May 19, 2010 Page 21 Ecology may make specific requests for information to support the request. The Director shall either issue an individual permit or deny the request with a statement explaining the reason for the denial. When an individual permit.is issued to a discharger otherwise subject to this general permit,the applicability of this general permit to that Permittee is automatically terminated on the effective date of the individual permit. G13. TRANSFER OF PERMIT COVERAGE This permit coverage may be automatically transferred to a new Permittee if: A. The Permittee notifies the Department at least 30 days in advance of the proposed transfer date. B. The notice includes a written agreement between the existing and new Permittees containing a specific date transfer of permit responsibility, coverage, and liability between them. C. The Department does not notify the existing Permittee and the proposed new Permittee of its intent to modify or revoke permit coverage. G14. PENALTIES FOR VIOLATING PERMIT CONDITIONS Any person who is found guilty of willfully violating the terms and conditions of this permit shall be deemed guilty of a crime,and upon conviction thereof shall be punished by a fine of up to ten thousand dollars and costs of prosecution, or by imprisonment in the discretion of the court. Each day upon which a willful violation occurs may be deemed a separate and additional violation.Any person who violates the terms and conditions of a waste discharge permit shall incur, in addition to any other penalty as provided by law, a civil penalty in the amount of up to ten thousand dollars for every such violation. Each and every such violation shall be a separate and distinct offense, and in case of a continuing violation, every day's continuance shall be and be deemed to be a separate and distinct violation. G15. SIGNATORY REQUIREMENTS All applications,reports, or information submitted to Ecology shall be signed and certified. A. In the case of a municipal, State or other public facility, all permit applications shall be signed by a principal executive officer or ranking elected official. In the case of a corporation,partnership, or sole proprietorship, all permit applications shall be signed by either a principal executive officer of at least the level of vice president of a corporation, a general partner of a partnership, or the proprietor of a sole proprietorship. B. All reports required by this permit and other information requested by Ecology shall be signed by a person described above or by a duly authorized representative of that person. A person is a duly authorized representative only if: Aquatic Mosquito Control General Permit—May 19, 2010 Page 22 1. The authorization is made in writing by a person described above and submitted to Ecology. 2. The authorization specifies either an individual or a position having responsibility for the overall operation of the regulated facility, such as the position of plant manager, superintendent,position of equivalent responsibility, or an individual or position having overall responsibility for environmental matters. (A duly authorized representative may thus be either a named individual or any individual occupying a named position.) C. Changes to authorization. If an authorization under paragraph 13.2 above is no longer accurate because a different individual or position has responsibility for the overall operation of the facility, a new authorization satisfying the requirements of paragraph 13.2 above must be submitted to Ecology prior to or together with any reports, information, or applications to be signed by an authorized representative. D. Certification. Any person signing a document under this section shall make the following certification: I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. G16.APPEALS The terms and conditions of the mosquito control general permit are subject to appeal. There are two different appeal categories. A. The permit terms and conditions as they apply to the appropriate class of dischargers are subject to appeal within thirty(30)days of issuance of the mosquito control general permit in accordance with chapter 43.21(B) RCW and chapter 173-226 WAC; and B. The applicability of the permit terms and conditions to an individual discharger are subject to appeal in accordance with chapter 43.21(13)RCW within thirty(30)days of the effective date of coverage of that discharger. An appeal of the coverage of the mosquito control general permit to an individual discharger is limited to the applicability or non-applicability of the mosquito control general permit to that same discharger. Appeal of this permit coverage of an individual discharger will not affect any other individual dischargers. If the terms and conditions of the mosquito control general permit are found to be inapplicable to any discharger(s),the matter shall be remanded to Ecology for consideration of issuance of an individual permit or permits. Aquatic Mosquito Control General Permit—May 19, 2010 Page 23 G17. SEVERABILITY The provisions of this permit are severable, and if any provision of this general permit or application of any provision of this general permit to any circumstance is held invalid, the application of such provision to other circumstances, and the remainder of this general permit, shall not be affected thereby. G18. DUTY TO REAPPLY The Permittee shall reapply for coverage under this permit at least one hundred and eighty (180) days prior to the specified expiration date of this permit. An expired permit and coverage under the permit continues in force and effect until Ecology issues a new permit (coverage)or until Ecology cancels it. Only those facilities that have reapplied for coverage under this permit are covered under the continued permit. Aquatic Mosquito Control General Permit—May 19, 2010 Page 24 APPENDIX A: GLOSSARY All definitions listed below are for use in the context of this permit only. Active Ingredient(s): The ingredient(s) in a pesticide product that provides the insecticidal effects. Action Threshold: A level of mosquito abundance, based on surveillance, at which mosquito control is conducted. Adulticide: A pesticide product designed to kill adult mosquitoes. All known,available,and reasonable methods of pollution control, prevention and treatment(AKART): a technology-based approach to limiting pollutants from discharges. Described in chapters 9.0.48 and 90.54 RCW and chapters 173-201A, 173-204, 173-216 and 173- 220 WAC. Applicant: An entity that submits a completed NOI and SEPA checklist to Ecology for permit coverage after the effective date of this permit. This does not include entities that transferred coverage from DOH before blanket coverage expired October 16, 2010. Best Management Practices (BMP): Practices, procedures,techniques,equipment,physical controls, or any actions that minimize the discharge of pollutants to waters of the state in addition to other permit requirements. Blanket Coverage: Coverage extended to entities that control mosquitoes by Washington Department of Health under their NPDES permit coverage. Expires October 16,2010. Constructed water body: A human-made water body that is not part of a previously existing natural water of the state, such as ponds, streams,wetlands, etc. Dip(s)/Dipping: The act of scooping up a small amount of water and examining it for the presence/absence of mosquito larvae. Discharge: The addition of any pollutant to a water of the state. Entity(s): Any person or organization that is in operational control of mosquito control pesticide applications. This may include mosquito control districts, commercial pesticide applicators, cities, counties,public utility districts,public health districts, municipalities, state and local agencies, and any other commercial,private,public, or government entity providing mosquito control. Experimental Use Permit: Federal and state permits that allow the use of unregistered pesticides in the context of research and development for registration of the pesticide under FIFRA Section 3. Also covers research and development for registration of a new use of a currently registered pesticide under FIFRA Section 3. See 40 CFR 172, RCW 15.58.405, and WAC 16-228-1460. Aquatic Mosquito Control General Permit—May 19, 2010 Page 25 Federal Insecticide, Fungicide, and Rodenticide Act(FIFRA): A set of Federal regulations that establishes uniform pesticide product labeling, use restrictions, and review of new pesticides. Incidental: A trivial amount of adulticide that does not cause or contribute to a violation of water quality standards and which occurs due to circumstances beyond the control of the applicator during a proper pesticide application following the terms and conditions of this permit including FIFRA label requirements and practices to control incidental discharges of adulticide to surface water. Circumstances beyond the applicators control include, but are not limited to, sudden shifts in wind direction, an increase in wind speed at the target application area, equipment malfunction, etc. Practices to control incidental discharge to surface waters include, but are not limited to, altering course around waters of concern, using other types of spray equipment that have a smaller spray width(swath), and turning application equipment off when passing waters of concern. Integrated Mosquito Management(IMM) Plan: An ecologically-based strategy for mosquito control that incorporates monitoring, biological,physical, and chemical controls in order to manage pests with the least possible hazard to people,the environment and property. IMM considers all available control actions, including no action. Larvicide: A pesticide product that targets mosquito larva and pupa life stages. Mosquito Control District(MCD): A district organized under the authority of chapter 17.28 RCW for the control of mosquitoes in Washington State. Permittee: Entities that are in operational control of the pesticide discharge and have coverage under this permit. Permit Coverage Area: The area included in a Permittee's coverage, for example, a city that has permit coverage would have coverage for entire area within the city's incorporated area. Pesticide: A product that has toxic properties and is used to control pest organisms. Pesticide Applicator: An individual with the appropriate Washington State Department of Agriculture (WSDA) license(s)to apply larvicides and/or adulticides. Pesticide Resistance: Adaptation of a pest to a specific pesticide that results in reduced efficacy on the target pest. Planned Treatments: A schedule of treatment dates developed by the Permittee at the beginning of the treatment season. Pollutant(s): Any substance discharged that would alter the chemical,physical,thermal, biological, or radiological integrity of the waters of the state or would be likely to create a nuisance or renders such waters harmful, detrimental or injurious to the public health, safety, or welfare, or to any legitimate beneficial use, or to any animal life,either terrestrial or aquatic. Pollutants include, but are not limited to,the following: dredged spoil, solid waste, incinerator residue, filter backwash, sewage, garbage, sewage sludge, munitions, chemical wastes, biological Aquatic Mosquito Control General Permit—May 19, 2010 Page 26 materials, radioactive materials, heat,wrecked or discarded equipment, rock, sand, cellar dirt, pH,temperature, TSS, turbidity, color, BOD5, TDS,toxicity, odor, and industrial, municipal, and agricultural waste. Primary Contact Recreation: Means activities where a person would have direct contact with water to the point of complete submergence including,but not limited to, skin diving, swimming, and water skiing(WAC 173-201A-020). Product(s): The set of active, inert, and other ingredients specific to a pesticide formulation (e.g. Altosid, Permanone, or Trumpet EC). Range(s): A specific series of dates that anticipates the months of planned treatment. This is a planned range - it can be exceeded if public health concerns arise. Residue: Any excess pesticide applied during an application or any excess pesticide and its degradation products left behind after the pesticide has completed its purpose. Restricted Access Systems: Restricted access areas that are accessible only through manholes or other means.Not readily accessible to the public (e.g. water, electrical or transportation vaults, storm drains, catch basins, etc.) Secondary Contact Recreation: Means activities where a person's water contact would be limited(e.g. wading or fishing)to the extent that bacterial infections of eyes, ears, respirator or digestive systems or urogenital areas would normally be avoided(173-201A-020 WAC). Secure Access Washington (SAW): The web-based application where entities may apply for permit coverage and Permittee's may update permit coverage information and submit annual reports. SAW is located at https://secureaccess.wa.gov. State Environmental Policy Act: Chapter 43.21C RCW and chapter 197-11 WAC. Surveillance: For larviciding purposes,this is using a dip sampler to check for the presence/absence of mosquito larva and/or pupa in a waterbody. For adulticiding this is using the method(s) specified in the IMM plan for determining, if necessary, when and where to initiate adult mosquito control measures. Ultra Low Volume(ULV): A type of pesticide application in which an extremely fine aerosol fog is generated with a particle size between 0.1 and 50 microns (microns=micrometers) and 80%of the particles are between 0.1 and 30 microns. Actual particle size is regulated on the FIFRA label. Uses approximately 1 fluid once per acre, depending FIFRA label requirements. Upland farm pond: Private farm ponds created on upland sites that did not incorporate natural water bodies (WAC 173-201A-260(3)(f)). Washington Pesticide Control Act: Chapter 15.58 Revised Code Washington(RCW) Water Contact Activities: Activities defined in 173-201A-020 as primary contact recreation or secondary contact recreation. Aquatic Mosquito Control General Permit—May 19, 2010 Page 27 Waters of Concern: All natural bodies of water, including but not limited to, lakes, rivers, streams,ponds and wetlands, and the natural tributaries to those bodies of water. Waters of the State: includes those waters defined as "waters of the Unites States" in 40 CFR Subpart 122.2 within the geographic boundaries of Washington State. State statute defines "waters of the state"to include lakes rivers,ponds, streams, wetlands, inland waters, underground waters, salt waters and all other surface waters and water courses within the jurisdiction of the state of Washington (chapter 90.48. RCW). Water-Use Restriction: This refers to any product labeled for restricted water use immediately after treatment(currently applies only to malathion (larvicide), temephos, and paraffinic white mineral oil). In the absence of other definitions set forth herein,the definitions set forth in 40 CFR Part 403.3 or in chapter 90.48 RCW apply. Aquatic Mosquito Control General Permit—May 19, 2010 Page 28 APPENDIX B: AREAS OF RESTRICTED PESTICIDE USE DUE TO PRESENCE OF LISTED SPECIES Criteria Used for the Restrictions The criteria WDFW uses for denoting species as vulnerable are: 1) State species of concern (e.g., listed as state endangered,threatened, sensitive, or candidate). 2)Current range and distribution of the species was highly localized. 3)The species inhabited freshwater wetlands during most of the mosquito control treatment period. Six species initially met those criteria: northern leopard frog(Rana pipiens), Oregon spotted frog (Rana pretiosa),western toad(Bufo boreas), western pond turtle(Clemmys marmorata), American white pelican(Pelecanus erythrorhynchos), and one butterfly,the Yuma skipper (Ochlodes yuma). WDFW identified areas occupied by the two extant populations of northern leopard frog;two extant western Washington populations of Oregon spotted frog;western toad breeding ponds (for western Washington only); the three remaining western pond turtle populations;the single American white pelican breeding colony; and the one known Washington Yuma skipper population. Based on the review of published literature, expert advice, and the vulnerability of these rare and endangered animals and their freshwater invertebrate food resources WDFW requested that if mosquito control is deemed necessary in the areas WDFW described in April 2003,that it be restricted to the use of Bacillus products. Aerial Applications An exception to the WDFW request regarding the use of certain larvicides was made for the single American white pelican breeding colony. The colony resides on islands and along the shores of the Columbia River, south of the confluence of the Snake River, in Walla Walla and Benton counties. While bio-chemicals such as methoprene were not of concern for the pelican breeding colony, the method of aerial application was believed to be unacceptably disturbing for their successful breeding. It was agreed that aerial applications would not be made on the pelican breeding areas,whereas less obtrusive methods of mosquito control were acceptable near these sites. Discussions among several WDFW biologists found that aerial applications of larvicides disturbed work being done in a few wildlife refuge areas around the state. It was therefore agreed that operators making aerial applications over wildlife refuges should notify the appropriate regional WDFW office of their scheduled aerial applications at least 24 hours prior to spraying. The notification can be made by phone or fax. Area of Impact Aquatic Mosquito Control General Permit—May 19, 2010 Page 29 Only a few populations of northern leopard frog, Oregon spotted frog, western toad,western pond turtle, and Yuma skipper remain in Washington. The total area occupied by these species in rivers, lakes,ponds, and wetlands is tiny, comprising of portions of 117 sections (<O.18%of Washington State). The areas identified for northern leopard frog(36 Sections) and western pond turtle (13 Sections) are owned or managed by WDFW.A prudent,risk-adverse approach is warranted with vulnerable threatened and endangered species. The following areas are restricted to the use of Bacillus thuringiensis israelensis(Bti) and Bacillus sphaericus(H-5a5b): 1. Grant County, north of Moses Lake, within the Crab Creek watershed: T21N R27E Sections 1, 12,and 13; T21N R28E Sections 7, 17, 18, 19, 28, 29, 30, 31, 32, and 33. 2. Grant County, south and west of Moses Lake and south of Interstate-90,the northern portion of the Potholes: T19N R27E Sections 33, 34, 35, and 36; T19N R28E Sections 31 and 32, 29, 30; T18N R27E Sections 1, 2, 3,4, 8, 9, 10, 11, 12, 13, 14, 15,and 16, 17; T18N R28E Sections 5, 6, 7, 8, 17, and 18. 3. Grant County, area within and near the Sun Lakes-Dry Falls State Park wetlands: T24N R27E and 28E. 4. Kitsap County: lakes,ponds, and wetlands located in T22N R1W Sections 1, 2, 10, 11, and 12. 5. Klickitat County, west of the Klickitat River, all waters in T3N R12E Sections 28, 29, 32, and 33. 6. Mason County, on the Kitsap Peninsula: lakes,ponds, and wetlands located in T23NR2W Sections 11, 12, 13, 14, 15, 22, and 23. 7. Pierce and Kitsap counties, Carney Lake, located in T22N R1 W. 8. Pierce, Thurston,and Lewis counties,within the Nisqually River watershed: Alder Lake (or Alder Lake Reservoir), located in townships: T15N R4E and 5E. 9. Pierce County, south of Tacoma, Chambers Creek and associated waters in T20NR2E Sections 26 and 27. 10. Skamania County, east of Carson, all waters in T3N R8E Sections 23, 24, 25, 26, and 36; T3NR9E Sections 30 and 31. 11. Thurston County,west of Yelm: lakes, ponds, and wetlands located in T17N RI Sections 8, 9, 16, and 21. 12. Thurston County, south of Olympia and east of Interstate-5,within the Black River watershed,the Beaver Creek drainage, located in T16N R2W Sections 9, 10, 11, and 12; T16N R1W Section 7. Aquatic Mosquito Control General Permit-May 19, 2010 Page 30 13. Thurston County, south of Olympia and west of Interstate-5,within the Black River watershed: Black River proper from south of Black Lake to the Chehalis River confluence, and the following tributaries, Stony Creek,Dempsey Creek, Salmon Creek, and Blooms Ditch. Legal description as follows for these sensitive areas: T17N R3W Sections 10, 11, 12, 13, 14, 15,23, 24, 25, 35, and 36; T17N R2W Sections 7, 18, 19, and 30; T16N R3W Sections 2, 11, 14, 19, 20, 21, 22, 23, 30, and31; T16N R4W Sections 25, 26, 27, 31, 32, 33, 34, 35, and 36. Aquatic Mosquito Control General Permit-May 19, 2010 Page 31 APPENDIX C: TRANSFER OF PERMIT COVERAGE Mosquito Control General Permit "INFORDO NOT ALTER THIS FORM DEPARTMENT OF The new Permittee(s)must sign this form. Provide the date that the new Permittee ECOLOGY assumes responsibility for the permit coverage. Attach additional sheets if necessary. State of Washington I. Original Permittee Permittee's Name: Permit Number: Mailing Address: City: State: Zip: Phone Number: Fax Number: Email address: II. New Permittee Name: Title: Agency/Company: Mailing Address: City: State: Zip: Phone Number: Fax Number: Email address: New Permittee will assume responsibility and liability for coverage on: Month/Day/Year **Signature: III. New On-Site Contact Person (if different than above) Contact Name: Title: Company Name: Mailing Address: City: State: Zip: Phone: Cell Phone: Email Address (optional): ** The new Permittee signature in Section II of this form must be in compliance with General Condition G15 of this permit. Aquatic Mosquito Control General Permit—May 19, 2010 Page 32 APPENDIX D: PUBLIC NOTICE TEMPLATE FOR NEW APPLICANTS The public notice must be published at least once each week for two consecutive weeks, in a single newspaper of general circulation in the county or counties where the mosquito control activities will take place. The bold language is required by WAC 173-226-130 and must be included as part of the public notice in its entirety. The Permittee may add information to this template, but no information may be removed or changed. PUBLIC NOTICE TEMPLATE (Insert Applicant Name) is seeking coverage under the Aquatic Mosquito Control General Permit. (Insert Applicant Name) is located at(Insert applicant business address and phone number). The proposed coverage applies to the geographical area describe below (Describe the boundaries of mosquito control operations): Areas within the described boundaries may be treated to control mosquitoes. The insecticides planned for use are(list all active ingredients anticipated for use): Any person desiring to present their views to the Department of Ecology regarding this application may do so in writing within 30 days of the last date of publication of this notice. Comments must be submitted to the Department of Ecology. Any person interested in the Department's action on the application may notify the Department of their interest within 30 days of the last date of publication of this notice. Submit comments to: Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager P.O. Box 47600 Olympia,WA 98504-7600 Aquatic Mosquito Control General Permit—May 19, 2010 Page 33 APPENDIX E: SECTION SS tMM PLAN CRITERIA EXAMPLES This appendix provides examples of criteria that may be used to meet IMM planning requirements listed in Section SS. These examples cover the sections that have many possible options for meeting the requirements. Other possible options may be available. C. Surveillance Examples of adult mosquito surveillance include,but are not limited to: • Complaints • Historical data(e.g. mapping from previous seasons) • Landing counts • Mosquito population density • Mosquito trapping(e.g. female mosquito counts) • Mosquito identification • Service requests • Staff observation Mosquito-borne disease surveillance may also include,but is not limited to: • Avian morbidity/mortality and disease testing • Community involvement(e.g. reporting of dead birds,horse disease cases, etc) • Animal disease case monitoring • Historical disease data • Human disease case monitoring • Live bird surveillance (captive or free-range sentinel birds) • Mosquito trapping, identification,and disease testing • RAMP testing for West Nile Virus from Response Biomedical Corporation • VecTest for West Nile virus, St. Louis Encephalitis, Western Equine Encephalitis from Medical Analysis Systems,Inc. • State, university, commercial lab testing(e.g. PCR testing) D. Mapping Examples of what may be included in a mapping system include,but are not limited to: • Mosquito surveillance data • Mosquito breeding sites • Mosquito population trends • Where and what mosquito control measures are implemented • Mosquito-borne disease surveillance data • Organic farm locations • Locations of chemically sensitive individuals, • No-Spray request locations Aquatic Mosquito Control General Permit—May 19, 2010 Page 34 E. Action Thresholds Examples of action thresholds include,but are not limited to: • Mosquito population densities(e.g. community accepted mosquito population density levels) • Larval counts (e.g. dip counts— 1 larval in three dips) • Routine adult mosquito control thresholds based on surveillance • Actions when surveillance indicates a threat of disease outbreak. • Actions during a mosquito-borne disease outbreak. F. Mosquito Control Methods 1. Physical Control or Source Reduction Examples include, but are not limited to: • Habitat modification—public and private lands (e.g. ditch and impoundment maintenance) • Vegetation Management • Sanitation(cleaning gutters, bird baths, unused swimming pools, etc) • Water holding container cleanup (e.g. tire pile removal) • Water management(e.g. irrigation water, stormwater run-off) • Regional water management projects (e.g.proactive collaboration with public and/or private landowners,wastewater treatment facilities, etc) 2. Biological Control Examples include,but are not limited to: • Stocking of native or non-native fish species. • Terrestrial predator(e.g. bird, bat, and predatory insect)habitat creation and/or restoration. • Aquatic predator(e.g. dragonfly naiads, diving beetles, etc)habitat restoration/creation. 3. Pesticide-Based Larval Mosquito Control Larvicides allowed for use are listed in S4.A. 4. Pesticide-Based Adult Mosquito Control Adulticides allowed for use are listed in S4.13. I. Education and Outreach Aquatic Mosquito Control General Permit—May 19, 2010 Page 35 Examples of what may be included in education and outreach include,but are not limited to: • Fairs • Workshops for community • Education materials • Web site • Presentations J. New Staff Training and Continuing Training for Existing Staff Examples of what may be included in a training program include;but are not limited to: • Employee training manual or program • Employee quick reference guides • New employees work with experienced employees • Conferences • Training classes • WSDA pesticide licensing Aquatic Mosquito Control General Permit—May 19, 2010 Page 36 Denis Law C1 Of 'Y o Mayor 000 cr' + Public Works Department-Gregg Zimmerman R E.,Administrator July 8, 2010 Water Quality Program Washington State Department of Ecology P.O. Box 47600 Olympia, WA 98504-7600 RE: AQUATIC MOSQUITO CONTROL NPDES AND STATE WASTE DISCHARGE GENERAL PERMIT To Whom It May Concern: Enclosed please find the City of Renton's transfer of the Washington State Department of Health Blanket Permit Coverage to the City of Renton Aquatic Mosquito Control NPDES and State Waste Discharge General Permit for pesticide discharges associated with mosquito control activities. If you have any questions, please call me at 425-430-7264 or Ron Straka, Surface Water Utility Supervisor at 425-430-7248. Sincerely, 6( %a e Hebe C. Bernardo Surface Water Utility Engineer Enclosure cc: Gregg Zimmerman,P.E.,Public Works Administrator Lys Hornsby,P.E.,Utility Systems Director Ron Straka,P.E.,Surface Water Utility Supervisor H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\City Correspondance\submittal letter.doc\HBah Renton City Hall • 1055 South Grady Way• Renton,Washington 98057 • rentonwa.gov APPENDIX C: TRANSFER OF PERMIT COVERAGE DEPARTMENT of Mosquito Control General Permit ECOLOGY DO NOT ALTER THIS FORM State of Washington The new Permittee(s)must sign this form. Provide the date that the new Permittee assumes responsibility for the permit coverage. Attach additional sheets if necessary. I. Original Permittee Permittee's Name: Nancy Napolilli Permit Number: WAG992001 Mailing Address: PO Box 47825 City: Olympia State: WA Zip:98504-7825 Phone Number: 360.236.3325 Fax Number: Email address: nancy.napolilli@doh.wa.gov H. New Permittee Name: Denis Law Title: Mayor Agency/Company: City of Renton Mailing Address: 1055 S. Grady Way City: Renton State: WA Zip: 98057 Phone Number: 425-430-6500 Fax Number: 425-430-6523 Email address: dlaw@rentonwa.gov New Permittee will assume responsibility and liability for coverage on: Month/Day/Year "Signature: ATTEST : X.Jd &W,46 [ /ale oT` III. New On-Site Contact Person (if different than above) Contact Name: Ronald J. Straka, P. E. Title: Surface Water Utility Engineering Supervisor Company Name: City of Renton Mailing Address: 1055 S. Grady Way City: Renton State: WA Zip: 98057 Phone: 425-430-7248 Cell Phone: 206-919-4281 Email Address (optional): rstraka@rentonwa.gov EXECUTIVE DEPARTMENT D Q0 City Of RECEIVED M E M O R A N D U M JUL 0 2 2010 CITY OF RENTON DATE: July 2, 2010 UTILITY SYSTEMS TO: Ron Straka, PW Utilities FROM: Ik,Tdy Moya, Records Management Specialist SUBJECT: PAG-10-003 —WA Ecology The attached document has been fully executed and is being returned to you. The City Clerk has retained an original for the file. Thank you! Attachment hAcityclerk\recoras specialist\correspondence &memos - cindy\fully executed permit memo.doc EXECUTIVE DEPARTMENT D City of RECEIVED M E M O R A N D U M JUL 0 2 2010 CITY OF RENTON DATE: July 2, 2010 UTILITY SYSTEMS TO: Ron Straka, PW Utilities FROM: Itk' indy Moya, Records Management Specialist SUBJECT: PAG-10-003—WA Ecology The attached document has been fully executed and is being returned to you. The City Clerk has retained an original for the file. Thank you! Attachment hAcityclerk\records specialist\correspondence &memos - cindy\fully executed permit memo.doc APPENDIX C: TRANSFER OF PERMIT COVERAGE DEPARTMENT OF Mosquito Control General Permit ECOLOGY DO NOT ALTER THIS FORM State of Washington The new Permittee(s)must sign this form. Provide the date that the new Permittee assumes responsibility for the permit coverage. Attach additional sheets if necessary. I. Original Permittee Permittee's Name: Nancy Napolilli Permit Number: WAG992001 Mailing Address: PO Box 47825 City: Olympia State: WA Zip:98504-7825 Phone Number: 360.236.3325 Fax Number: Email address: nancy.napolilli@doh.wa.gov II. New Permittee Name: Denis Law Title: Mayor Agency/Company: City of Renton Mailing Address: 1055 S. Grady Way City: Renton State: WA Zip: 98057 Phone Number: 425-430-6500 Fax Number: 425-430-6523 Email address: dlaw@rentonwa.gov New Permittee will assume responsibility and liability for coverage on: Month Day/Year "Signature: ATTEST :/Lquo� -/-A0 III. New On-Site Contact Person (if different than above) Contact Name: Ronald J. Straka, P. E. Title: Surface Water Utility Engineering Supervisor Company Name: City of Renton Mailing Address: 1055 S. Grady Way City: Renton State: WA Zip: 98057 Phone: 425-430-7248 Cell Phone: 206-919-4281 Email Address (optional): rstraka@rentonwa.gov Issuance Date:May 19, 2010 Effective Date: June 18,2010 Expiration Date: June 18,2015 AQUATIC MOSQUITO CONTROL GENERAL PERMIT A National Pollutant Discharge Elimination System (NPDES) and State Waste Discharge General Permit for Pesticide Discharges Associated With Mosquito Control Activities State of Washington Department of Ecology Olympia, Washington 98504-7600 In compliance with the provisions of The State of Washington Water Pollution Control Law Chapter 90.48 Revised Code of Washington and The Federal Water Pollution Control Act (The Clean Water Act) Title 33 United States Code, Section 1251 et seq. Until this permit expires,is modified or revoked,Permittees that have properly obtained coverage under this general permit are authorized to discharge in accordance with the special and general conditions that follow. e Su ewind,P.E.,P.G. Water Quality Program Manager Department of Ecology TABLE OF CONTENTS SUMMARY OF PERMIT SUBMITTALS....................................................................................4 REQUIRED ONSITE DOCUMENTATION.................................................................................4 SPECIAL PERMIT CONDITIONS ............................................................................................... 5 S 1.PERMIT COVERAGE......................................................................................................... 5 A. Who Must Obtain Permit Coverage................................................................................ 5 B. Permit Area..................................................................................................................... 5 C. Authorized Discharges................................................................................................ 5 D. Transfer of Washington State Department of Health Blanket Permit Coverage............5 S2.APPLICATION FOR COVERAGE.....................................................................................6 S3.DISCHARGE LIMITS......................................................................................................... 7 A. Compliance with Standards............................................................................................7 B. Temporary Exceedance of Water Quality Standards for Larvicides..............................7 C. Pesticide Application Requirements...............................................................................7 S4.PESTICIDE ACTIVE INGREDIENTS ............................................................................... 8 A. Larvicide Active Ingredients Authorized for Use........................................................... 8 B. Adulticide Active Ingredients Authorized for Use......................................................... 8 C. Additional Restrictions for Larvicides and Adulticides..................................................9 D. Experimental Use of Pesticide Active Ingredients ....................................................... 10 S5.INTEGRATED MOSQUITO MANAGEMENT PLAN.................................................... 10 A. Plan Objectives ............................................................................................................. 10 B. General Information...................................................................................................... I C. Surveillance................................................................................................................... 11 D. Mapping.......................................................................................................................1. 11 E. Action Thresholds......................................................................................................... I I F. Mosquito Control Methods........................................................................................... 12 G. Monitoring for Efficacy/Resistance.............................................................................. 12 H. Record Keeping and Reporting..................................................................................... 12 I. Education and Outreach................................................................................................ 13 J. New Staff Training and Continuing Training for Existing Staff.................................. 13 K. Signature Requirements................................................................................................ 13 L. Public Access to IlVIM Plans......................................................................................... 13 S6.PUBLIC NOTICIFICATION OF PESTICIDE USE......................................................... 14 A. Public Notice................................................................................................................. 14 B. Posting Requirements................................................................................................... 14 ST MONITORING REQUIREMENTS................................................................................... 15 A. Pesticide Use................................................................................................................. 15 B. Dip Sampling................................................................................................................ 15 S8.REPORTING REQUIREMENTS...................................................................................... 15 A. Annual Report............................................................................................................... 15 B. Records Retention......................................................................................................... 16 Aquatic Mosquito Control General Permit—May 19, 2010 Page 2 C. Noncompliance Notifications ....................................................................................... 16 S9. APPENDICES.................................................................................................................... 17 GENERAL CONDITIONS .......................................................................................................... 19 G1. DISCHARGE VIOLATIONS............................................................................................ 19 G2. PROPER OPERATION AND MAINTENANCE............................................................. 19 G3. RIGHT OF ENTRY........................................................................................................... 19 G4. PERMIT COVERAGE REVOKED.................................................................................. 19 G5. GENERAL PERMIT MODIFICATION AND REVOCATION ......................................20 G6. REPORTING A CAUSE FOR MODIFICATION............................................................20 G7. TOXIC POLLUTANTS.....................................................................................................21 G8. OTHER REQUIREMENTS OF 40 CFR...........................................................................21 G9. COMPLIANCE WITH OTHER LAWS AND STATUTES............................................. 21 G 10. ADDITIONAL MONITORING......................................................................................21 G11. PAYMENT OF FEES......................................................................................................21 G12. REQUESTS TO BE EXCLUDED FROM COVERAGE UNDER A GENERAL.........21 PERMIT....................................................................................................................................21 G13. TRANSFER OF PERMIT COVERAGE.........................................................................22 G14. PENALTIES FOR VIOLATING PERMIT CONDITIONS ...........................................22 G15. SIGNATORY REQUIREMENTS...................................................................................22 G16.APPEALS ........................................................................................................................23 G17. SEVERABILITY.............................................................................................................24 G18. DUTY TO REAPPLY .....................................................................................................24 APPENDIX A: GLOSSARY........................................................................................................25 APPENDIX B: AREAS OF RESTRICTED PESTICIDE USE DUE TO PRESENCE OF LISTEDSPECIES ........................................................................................................................29 APPENDIX C: TRANSFER OF PERMIT COVERAGE............................................................ 32 APPENDIX D: PUBLIC NOTICE TEMPLATE FOR NEW APPLICANTS.............................33 APPENDIX E: SECTION S5 I M PLAN CRITERIA EXAMPLES.........................................34 Aquatic Mosquito Control General Permit—May 19, 2010 Page 3 SUMMARY OF PERNIIT SUBNHTTALS Refer to the Special and General Conditions of this permit for submittal requirements. Permit fip � Section K11'4 I, Submittal ,: Frequency Due Date(s) S LD Transfer Coverage from DOH Once By August 17, 2010 S 1.D DOH Blanket Coverage Once October 16, 2010 Expires Application for Permit At least 60 days prior to S2 Coverage Once the start of discharge S2.17 Complete Development of Once Before coverage is issued DY1M for New Applicants Update IMM for Existing By June 18, 2011 then as SS Permittees As Necessary necessary S5 Ecology Request for INIM Per Ecology Within 14 days of request Request S&A Annual Report 1/year By December 31 each year S&C Noncompliance Notification As Necessary As Necessary S8.13 Public Request for IMM As Necessary Within 14 days of request G5 Permit Modification and As Necessary As Necessary Revocation G6 Request for Modification As Necessary As Necessary G 13 Request for Transfer of As Necessary As Necessary Coverage G 18 Re-Application for Permit Once per Must be received by Coverage permit cycle December 20,2014 REQUERED ONSITE DOCUMENTATION Permit Document,. , I n�q ; Due Date Section00 S5 Integrated Mosquito Management Plan Existing Permittees June 18, 2011 S2.F and Integrated Mosquito Management Plan Before coverage is issued S5 for New Applicants The text of this permit contains words in italics. Words in italics are the first usage of a word in this permit and are defined in the Glossary, Appendix A. Aquatic Mosquito Control General Permit—May 19, 2010 Page 4 SPECIAL PERMIT CONDITIONS S1.PERMIT COVERAGE This permit covers the use of larvicides and adulticides to control mosquitoes in the State of Washington. A. Who Must Obtain Permit Coverage All entities that control mosquitoes must obtain coverage under this permit when the activity, including activities conducted under a Federal Experimental Use Permit, results in a discharge of pesticides) or pesticide residues to waters of the state. Applicants for coverage must be the operator that is in functional control of the pesticide application and may include mosquito control districts, local or state government and private licensed applicators. This permit does not apply to homeowner use of residential pesticides. B. Permit Area This general permit covers mosquito control activities in all areas of Washington State, except for federal and tribal lands. C. Authorized Discharges Permittees are authorized to discharge pesticides and pesticide residues from mosquito control activities provided the Permittee complies with the terms and conditions of this permit. Adulticides may be discharged to the following water bodies. 1. Man-made detention or retention ponds designed specifically for wastewater or stormwater treatment that does not have an outlet to surface waters of the state, or ponds that are not likely to discharge during, or for two weeks after, treatment. 2. Any constructed water body five acres or less in surface area with no discharge to other surface waters of the state during, or for two weeks after, treatment. 3. Upland farm ponds with no discharge to other surface waters of the state during, or for two weeks after, treatment. 4. Standing irrigation water that will not discharge to surface waters of the state during application or for two weeks following application. D. Transfer of Washington State Department of Health Blanket Permit Coverage Aquatic Mosquito Control General Permit—May 19, 2010 Page 5 1. New coverages under Washington State Department of Health (DOH) blanket coverage will no longer occur on or after May 19,2010. 2. Existing blanket coverage under DOH expires on October 16,2010, 120 days after the effective date of this permit. 3. Entities that control mosquitoes currently covered under DOH blanket coverage,have until August 17,2010 to complete a transfer of permit coverage from DOH. 4. To transfer permit coverage from DOH, entities that control mosquitoes must complete the transfer form provided in Appendix C and submit it to Ecology at the following address: Washington State Department of Ecology Water Quality Program Attn:Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504-7600 5. If the applicant does not receive notification of the coverage decision from Ecology, coverage under this permit will begin automatically on the 6lst day following Ecology's receipt of a complete transfer form. S2.APPLICATION FOR COVERAGE Entities that propose to begin mosquito control activities on or after the effective date of this general permit must: A. Submit a complete and accurate permit application(Notice of Intent or NOI)to Ecology at least 60 days before beginning the mosquito control activity that will result in a discharge to waters of the state. B. Complete the NOI for the proposed activity online. The applicant must access Ecology's online data management system Secure Access Washington(http://secureaccess.wa. og_v), fill out the NOI online,then print and sign the document. C. The application must include certification that the application has met the applicable public notice and State Environmental Policy Act (SEPA) requirements in Washington Administrative Code (WAC) 173-226-200(f). D. Mail the complete NOI hard copy to: Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504-7600 Aquatic Mosquito Control General Permit—May 19, 2010 Page 6 E. Use the Public Notice Template provided as Appendix D of this permit. Publish the public notice twice, one week apart, in a local newspaper of general circulation(or regional newspaper if a local newspaper is not available)that an application for permit coverage has been made. F. If using adulticides, develop a complete Integrated Mosquito Management(IMM)Plan that meets the requirements in Section S5. The RvIM plan must be completed so that the public may view it during the public comment period. At the end of the required 30-day public comment period,Ecology will consider comments about the applicability of this permit to the proposed mosquito control activity before deciding to issue permit coverage. If the applicant does not receive notification of a coverage decision from Ecology, coverage under this permit will begin automatically on the 61St day following Ecology's acceptance of a completed NOI. S3. DISCHARGE LIMITS A. Compliance with Standards 1. The application of pesticides must not cause or contribute to violations of the Water Quality Standards for Surface Water of the State of Washington (chapter 173-201A WAC), Ground Water Quality Standards (chapter 173-200 WAC), Sediment Management Standards(chapter 173-204 WAC), and human health-based criteria in the National Toxics Rule (40 CFR 131.36). Discharges that do not comply with these standards are prohibited. 2. For the purposes of this permit, Permittees must use all known, available, and reasonable methods ofpollution control,prevention and treatment(AKAR7)when applying pesticides. Compliance with this permit,the Washington Pesticide Control Act and the requirements of the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) label constitute AKART. B. Temporary Exceedance of Water Quality Standards for Larvicides Short and long-term exceedance of water quality standards are allowed under this permit provided the Permittee complies with the provisions of WAC 173-201A-410. C. Pesticide Application Requirements The Permittee must comply with the requirements in this permit and FIFRA label requirements. Permit requirements do not reduce the requirements on the FIFRA label. The Permittee must: 1. Ensure that a licensed pesticide applicator, with the appropriate Washington State Department of Agriculture(WSDA) license and certification,have direct supervision responsibilities for the use of pesticides during application. Aquatic Mosquito Control General Permit—May 19, 2010 Page 7 2. Ensure that all applicators under supervision of the licensed applicator have current training in the use of the equipment necessary to apply pesticides correctly. 3. Use Ultra Low Volume (ULV)application equipment to apply adulticides if available. If ULV equipment is not available, use other FIFRA label-approved application techniques. 4. Appropriately trained personnel must calibrate the application equipment for the pesticide product used. 5. Adulticide discharges to waters of concern may only be incidental. S4.PESTICIDE ACTIVE INGREDIENTS A. Larvicide Active Ingredients Authorized for Use 1. Bacillus sphaericus (H-5a5b) 2. Bacillus thuringiensis israelensis (Bti) 3. Malathion 4. Methoprene 5. Monomolecular surface films(MSF) 6. Paraffinic white mineral oil 7. Spinosad 8. Temephos B. Adulticide Active Ingredients Authorized for Use 1. Etofenprox 2. Malathion 3. Naled 4. Natural Pyrethrins 5. Permethrin 6. Piperonyl Butoxide(PBO) 7. Prallethrin Aquatic Mosquito Control General Permit—May 19, 2010 Page 8 8. Resmethrin 9. Sumithrin(d-phenothrin) C. Additional Restrictions for Larvicides and Adulticides 1. The Permittee may apply larvicides provided one or more of the following conditions are met. a. Pretreatment surveillance of a potential larvicide application site indicates that at least one larvae/pupae is present in at least one of three dips. In the event that the Permittee finds larvae/pupae, and the area is treated,the Permittee may continue pre-emptive larvicide treatments without dipping for the remainder of the treatment season. b. Methoprene may be used as a pre-emergent dry-land treatment without dipping on intermittently flooded areas that have a historical record of mosquito hatches following flooding. c. The Permittee has developed and obtained Ecology approval of a large-site sampling protocol prior to treatment. d. The application site is in, or adjacent to a county in which mosquito, bird, animal; or human mosquito-borne disease cases are confirmed during the current treatment season. e. The treatment site is a catch basin, storm drain, and utility or transportation vault. f. State or local health authorities declare a public health threat or emergency related to mosquito-borne disease. 2. Appendix B of this permit details specific geographical areas that are important to species that are state designated as sensitive,threatened, candidate, and endangered in the State of Washington. Ecology may update Appendix B based on new information. Prior to the use of malathion,monomolecular surface films,paraffinic white mineral oil, or adulticides in Appendix B areas,the Permittee must obtain Washington State Department of Fish and Wildlife(WDFW) approval. Contact information for WDFW Regional Wildlife Biologists may be accessed at http://wdfw.wa.gov/about/contact/. 3. Permittees may only use paraffinic white mineral oil or malathion as larvicides if other pesticides are ineffective at a specific treatment site and the water body is non- fish-bearing. To determine if the water body is fish bearing, consult with WDFW.. Contact information for WDFW Regional Wildlife Biologists may be accessed at http://wdfw.wa.gov/about/conta6t/. Aquatic Mosquito Control General Permit—May 19, 2010 Page 9 4. The Permittee may not apply temephos in lakes, streams, in the littoral zone of water bodies, or on sites listed in Appendix B of this permit. The permit allows the use of temephos only in response to the development of pesticide resistance within a specific larval mosquito population with the approval of Ecology. 5. The use of malathion and naled as an adulticide shall be done in accordance with the Permittee's INIM plan to control adult mosquito pesticide resistance. D. Experimental Use of Pesticide Active Ingredients The Permittee may apply other pesticide active ingredients not listed in this permit on a limited basis in the context of a research and development effort under the jurisdictions of EPA and WSDA through the issuance of an Experimental Use Permit(State or Federal). Permittees may not apply pesticide active ingredients covered under an Experimental Use Permit to areas identified in Appendix B. Discharges for the sole purpose of research and development are not required to develop and implement an HVIM plan(Section S5)but must follow all other permit requirements. S5. INTEGRATED MOSQUITO MANAGEMENT PLAN Permittees that transfer coverage from DOH have one year from the effective date of this permit to develop and implement an 1MM plan for the mosquito control activities that take place within their permit coverage area. Permittees with an existing IMM plan in place, must review it to see that it contains the information required in this section. After the effective date of this permit,the Permittee must keep the IMM plan updated. An updated copy of the DAM plan must be maintained at the Permittee's business office and available upon request to Ecology and the public. Permittees who only apply larvicides may use the Ecology publication"Best Management Practices for Mosquito Control,May 2004(publication number 03-10-023) or equivalent in place of developing their own IMM plan. If the Permittee later decides to include adulticides in its mosquito control operations, it must develop a full IMM plan. Appendix E provides examples of information that may be used to satisfy specific IMM plan elements. Appendix E is not an all-inclusive list;there are likely other options available that may be used to satisfy the permit requirements. A. Plan Objectives 1 ' Ensure that discharges from mosquito control activities do not cause or contribute to a violation of Water Quality Standards for Surface Water of the State of Washington (chapter 173-201A WAC), Ground Water Quality Standards(chapter 173-200 WAC), Sediment Management Standards(chapter 173-204 WAC), and human health-based criteria in the National Toxics Rule(40 CFR 131.36). Aquatic Mosquito Control General Permit—May 19, 2010 Page 10 2. Adequately control adult mosquitoes while minimizing the incidental discharges to waters of concern. 3. Document the decision process of where,when, and how mosquito control is implemented within a Permittee's permit coverage area. B. General Information 1. Permittee contact information(name,business phone,physical business address, and mailing address if different); 2. Permittee's permit coverage area; 3. Map showing permit coverage area; and 4. Emergency reporting(e.g.pesticide exposure or spills to waters of the state) C. Surveillance 1. Larval Mosquito Surveillance Refer to permit Section S4.C.La. If post-larviciding surveillance is conducted, describe the surveillance method and procedures. 2. Adult Mosquito General Surveillance If the Permittee applies pesticides for the control of adult mosquitoes,the Permittee must implement an adult mosquito surveillance program. Describe the adult mosquito surveillance procedures that are used to determine when and where adult mosquito control is employed. D. Mapping The Permittee must implement a mapping and/or tracking system to document the following. .-I. Mosquito breeding sites, 2. No-spray zones including organic farms, beehives, etc., 3. Endangered species critical habitat in the Permittee's permit coverage area(provided in Appendix B), and 4. Other relevant information as decided by the Permittee. E. Action Thresholds 1. Larval Mosquito Action Thresholds Aquatic Mosquito Control General Permit—May 19, 2010 Page 11 For larval mosquito action thresholds,refer to permit section S4.C.l.a-f. 2. Adult Mosquito Action Thresholds The Permittee must identify thresholds to determine when adult mosquito control is necessary. Describe the thresholds used and the surveillance values for the chosen surveillance method or methods(Section S5.C)that meet the thresholds. F. Mosquito Control Methods The Permittee must evaluate and identify the mosquito control methods that will be used in its permit coverage area. Mosquito control methods may include: 1. Physical Control and/or Source Reduction 2. Biological Mosquito Control 3. Pesticide-Based Larval Mosquito Control a. Section S4.A lists allowed larvicides. The Permittee must include labels for all larvicide products used in the INIM plan. b. Equipment Calibration and Maintenance The Permittee must also address schedules and procedures for maintaining the application equipment in proper operating condition, including calibrating, cleaning, and repairing the pesticide application equipment. 4. Pesticide-Based Adult Mosquito Control a. Section S4.13 lists allowed adulticides. The Permittee must include labels for all adulticide products used in the DOM plan. b. Equipment Calibration and Maintenance The Permittee must also address schedules and procedures for maintaining the application equipment in proper operating condition, including calibrating, cleaning, and repairing the pesticide application equipment. G. Monitoring for Efficacy/Resistance If the Permittee has implemented a pesticide resistance-monitoring program, describe it here. H. Record Keeping and Reporting Refer to permit section S&A-D. Aquatic Mosquito Control General Permit—May 19, 2010 Page 12 I. Education and Outreach If the Permittee conducts any public education or outreach about mosquito control, describe it here. J. New Staff Training and Continuing Training for Existing Staff Describe staff training procedures for new staff and on-going routine training. Alternatively,the Permittee may reference its training manual, if available. If a training manual is referenced, include the date it was last updated. K. Signature Requirements The person with signature authority(General Condition G15)must sign and certify the IMM plan has been developed and implemented as written using the language below. "I certify under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering information,the information in the 11MM is,to the best of my knowledge and belief,true, accurate, and complete and will be updated as necessary.I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.Unless the Department of Ecology Permit has more stringent requirements, all FIFRA label directions and requirements will be followed." L. Public Access to IMM Plans The Permittee must provide access to, or a copy of,the IMM plan to the public when requested in writing. Upon receiving a written request from the public for the EMA4 plan, the Permittee must: 1. Provide a copy of the 11VIM plan to the requester within 14 days of receipt of the written request; or 2. Notify the requester within 10 days of the receipt of the written request of the location and times within normal business hours when the requester may view the IMM plan and provide access to the IlVM4 plan within 14 days of receipt of the written request; or 3. Provide a copy of the P4M plan to Ecology,where the requester may view the records,within 14 days of a request; or the Permittee may arrange with the requester for an alternative location for viewing and/or copying the IMM plan. If access to the IMM plan is provided at a location other than an Ecology office,the Permittee will provide reasonable access to copying services for which it may charge a reasonable fee. Aquatic Mosquito Control General Permit—May 19, 201.0 Page 13 S6.PUBLIC NOTICIFICATION OF PESTICIDE USE A. Public Notice 1. The Permittee must publish a public notice at least ten (10)days before the first pesticide application of the season. This notice must include: a. The pesticide(s)planned for use and the active ingredient(s). b. The approximate date ranges of planned treatments. c. The approximate treatment location(s). d. The online location where the public may find pesticide application updates(if available online). e. Where the public can find accurate information about the pesticides planned for use. f. The application area posting procedures if the use of larvicides with water-use restrictions is planned. g. The name and telephone number of the Permittee and the Ecology Aquatic Pesticides Permit Manager. h. The telephone number, email address or web site where a person may contact the Permittee to have their name put on a"No Spray" list. 2. State agencies with statewide permit coverage (e.g. WSDOT),may publish a public notice in one major newspaper of general circulation for each agency region(e.g. WSDOT Olympic Region,North Central Region, etc.)where the mosquito control activity will take place. 3. The Permittee's notification to the public regarding mosquito control activities must continue throughout the treatment season if pesticide applications occur. After the initial newspaper notice, the Permittee may notify the public using a method other than notices in the newspaper, such as web site postings, mailings, or radio spots. B. Posting Requirements 1. The Permittee must post notices at all reasonable points of public ingress and egress to the treatment areas when applying larvicides with water-use restrictions to water bodies used for water supply, fish and shellfish harvesting, or water contact activities. 2. The Permittee need not post notices at sites that are not directly accessible to the public(e.g. catch basins, storm drains, utility and transportation vaults,etc). Aquatic Mosquito Control General Permit—May 19, 2010 Page 14 3. The Permittee must make maps available to the public of the adulticide application areas. Web site maps or available hard copies meet this requirement. S7. MONITORING REQUIREMENTS A. Pesticide Use The Permittee must monitor the amounts of pesticides used and report pesticide application quantities as required in Section S8. B. Dip Sampling 1. When Permittees conduct larval treatments requiring dip samples(Sections S4.C.1), the Permittee must record the: a. Date and location dipping occurred; b. The contractor firm or individual who collected the sample or performed the measurement; c. The larvae count of the dip sample. 2. The Permittee need not submit this information as part of the annual report but must make the information available to Ecology upon request. S8.REPORTING REQUIREMENTS The Permittee must submit pesticide application information in accordance with the following conditions. A. Annual Report 1. By December 31 of each year,the Permittees must submit an annual report electronically through Ecology's online data management system(Secure Access Washington at hitps:Hsecureaccess.wa.gov. A signed and dated hard copy of the annual report must also be mailed to: Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504-7600 2. The annual report must include: a. Permit Number. Aquatic Mosquito Control General Permit—May 19, 2010 Page 15 b. Permittee Name. c. Name of the location treated. The location is the area for which the Permittee has permit coverage for(e.g. ABC Golf Club,ABC City storm drain system,ABC County,ABC Mosquito Control District, etc), d. Active Ingredient(e.g. Bti,permethrin, etc.), e. Total amount of active ingredient applied for each season, and f. Measurement units(pounds or gallons). B. Records Retention The Permittee must retain records of all monitoring information for a minimum of five (5)years. Such information must include copies of all reports and records required by this permit,and records of all data used to complete the application for this permit. The Permittee must keep records longer in the event of unresolved litigation regarding the discharge of pollutants by the Permittee or when requested by Ecology. The Permittee must make the records, reports, other documents, and information required by this permit available to Ecology upon request. C. Noncompliance Notifications The Permittee must take the following actions when it violates or is unable to comply with any permit condition: 1. Immediately take action to minimize potential pollution or otherwise stop the noncompliance and correct the problem. 2. Immediately notify the appropriate Ecology regional office and the aquatic pesticides permit manager of the failure to comply via the regional spills telephone hotline and the aquatic pesticides permit manager's phone number below. a. Southwest Regional Office: 1-360-407-6300 (Clallam, Clark, Cowlitz, Grays Harbor, Jefferson,Mason,Lewis, Pacific, Pierce, Skamania, Thurston, and Wahkiakum counties) b. Northwest Regional Office: 1-425-649-7000 (Island,King,Kitsap, San Juan, Skagit, Snohomish, and Whatcom counties) c. Central Regional Office: 1-509-575-2490 (Benton, Chelan, Douglas,Kittitas,Klickitat, Okanogan, and Yakima counties) Aquatic Mosquito Control General Permit—May 19, 2010 Page 16 d. Eastern Regional Office: 1-509-329-3400 (Adams,Asotin, Columbia,Ferry, Franklin, Garfield, Grant, Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, and Whitman counties) e. Aquatic Pesticide Permit Manager: 1-360-407-6283 3. The Permittee must provide a written report to Ecology within 30 days of the time that the Permittee becomes aware of any permit non-compliance unless Ecology requests and earlier submission. The report must contain: a. A description of the noncompliance and its cause. b. The exact date,time,place,and duration of the noncompliance. c. Whether the noncompliance has been corrected and, if not,when the noncompliance will be corrected. d. Steps taken or planned to reduce, eliminate, and prevent recurrence of the noncompliance. 4. Compliance with the requirements of this section does not relieve the Permittee from responsibility to maintain continuous compliance with the terms and conditions of this permit of the resulting liability for failure to comply. 5. The Permittee must submit noncompliance reports to: Washington State Department of Ecology Water Quality Program Attn:Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504-7600 6. The Permittee must update its IMM plan to address the noncompliance to reduce the likelihood of the incident occurring again. S9.APPENDICES The attached appendices are incorporated by reference into this permit. A. APPENDIX A: GLOSSARY B. APPENDIX B: AREAS OF RESTRICTED PESITICIDE USE DUE TO PRESENCE OF LISTED SPECIES C. APPENDIX C: TRANSFER OF PERMIT COVERAGE FORM D. APPENDIX D: PERMIT COVERAGE PUBLIC NOTICE TEMPLATE Aquatic Mosquito Control,General Permit—May 19, 2010 Page 17 E. APPENDIX E: SECTION S5 INIl4 PLAN CRITERIA EXAMPLES Aquatic Mosquito Control General Permit—May 19, 2010 Page 18 GENERAL CONDITIONS G1.DISCHARGE VIOLATIONS All discharges and activities authorized by this general permit shall be consistent with the terms and conditions of this general permit.The discharge of any pollutant more frequently than, or at a concentration in excess of that authorized by this general permit shall constitute a violation of the terms and conditions of this general permit. G2.PROPER OPERATION AND MAINTENANCE The Permittee shall, at all times,properly operate and maintain all facilities or systems of treatment and control (and related appurtenances)which are installed to achieve compliance with the terms and conditions of this permit.Proper operation and maintenance also includes adequate laboratory controls and appropriate quality assurance procedures.This provision requires the operation of back-up or auxiliary facilities or similar systems,which are installed by a Permittee only when the operation is necessary to achieve compliance with the conditions of this permit. G3.RIGHT OF ENTRY The Permittee shall allow an authorized representative of Ecology,upon the presentation of credentials and such other documents as may be required by law: A. To enter upon the premises where a discharge is located or where any records shall be kept under the terms and conditions of this permit; B. To have access to and copy at reasonable times any records that shall be kept under the terms of this permit; C. To inspect at reasonable times any monitoring equipment or method of monitoring required in this permit; D. To inspect at reasonable times any collection, treatment, pollution management, or discharge facilities; and E. To sample at reasonable times any discharge of pollutants. G4.PERMIT COVERAGE REVOKED Pursuant with chapter 43.21B RCW and chapter 173-226 WAC,the Director may require any discharger authorized by this permit to apply for and obtain coverage under an individual permit or another more specific and appropriate general permit. Cases where revocation of coverage may be required include,but are not limited to,the following: Aquatic Mosquito Control General Permit—May 19, 2010 Page 19 A. Violation of any term or condition of this permit; B. Obtaining coverage under this permit by misrepresentation or failure to disclose fully all relevant facts; C. Failure or refusal of the Permittee to allow entry as required in RCW 90.48.090; D. A determination that the permitted activity endangers human health or the environment, or contributes to water quality standards violations; E. Nonpayment of permit fees or penalties assessed pursuant to RCW 90.48.465 and chapter 173-224 WAC; F. Failure of the Permittee to satisfy the public notice requirements of WAC 173-226- 130(5),when applicable; or Permittees who have their coverage revoked for cause according to WAC 173-226-240 may request temporary coverage under this permit during the time an individual permit is being developed, provided the request is made within ninety(90) days from the time of revocation and is submitted along with a complete individual permit application form. G5. GENERAL PERMIT MODIFICATION AND REVOCATION This permit may be modified,revoked and reissued, or terminated in accordance with the provisions of chapter 173-226 WAC. Grounds for modification or revocation and reissuance include,but are not limited to,the following: A. When a change which occurs in the technology or practices for control or abatement of pollutants applicable to the category of dischargers covered under this permit; B. When effluent limitation guidelines or standards are promulgated pursuant to the FWPCA or chapter 90.48 RCW, for the category of dischargers covered under this permit; C. When a water quality management plan containing requirements applicable to the category of dischargers covered under this permit is approved; or D. When information is obtained which indicates that cumulative effects on the environment from dischargers covered under this permit are unacceptable. G6.REPORTING A CAUSE FOR MODIFICATION A Permittee who knows or has reason to believe that any activity has occurred or will occur which would constitute cause for modification or revocation under Condition G5 above,or 40 CFR 122.62 shall report such plans, or such information,to Ecology so that a decision can be made on whether action to modify coverage or revoke coverage under this permit will be Aquatic Mosquito Control General Permit—May 19, 2010 Page 20 required. Ecology may then require submission of a new application for coverage under this, or another general permit, or an application for an individual permit. Submission of a new application does not relieve the Permittee of the duty to comply with all the terms and conditions of the existing permit until the new application for coverage has been approved and corresponding permit has been issued. G7. TOXIC POLLUTANTS The Permittee shall comply with effluent standards or prohibitions established under Section 307(a) of the Clean Water Act for toxic pollutants within the time provided in the regulations that establish those standards or prohibitions, even if this permit has not yet been modified to incorporate the requirement. G8. OTHER REQUIREMENTS OF 40 CFR All other requirements of 40 CFR 122.41 and 122.42 are incorporated in this general permit by reference. G9. COMPLIANCE WITH OTHER LAWS AND STATUTES Nothing in this permit shall be construed as excusing the Permittee from compliance with any applicable Federal, State, or local statutes, ordinances, or regulations. G10. ADDITIONAL MONITORING Ecology may establish specific monitoring requirements in addition to those contained in this permit by administrative orders or permit modification. GIL PAYMENT OF FEES The Permittee shall submit payment of fees associated with this permit as assessed by Ecology.Ecology may revoke this permit coverage or take enforcement, collection, or other actions, if the permit fees established under chapter 173-224 WAC are not paid. G12.REQUESTS TO BE EXCLUDED FROM COVERAGE UNDER A GENERAL PERMIT Any discharger authorized by this permit may request to be excluded from coverage under this general permit by applying for an individual permit. The discharger shall submit to the Director an application as.described in WAC 173-220-040 or WAC 173-216-070,whichever is applicable,with reasons supporting the request. These reasons must fully document how an individual permit will apply to the applicant in a way that the general permit cannot. Aquatic Mosquito Control General Permit—May 19, 2010 Page 21 Ecology may make specific requests for information to support the request. The Director shall either issue an individual permit or deny the request with a statement explaining the reason for the denial. When an individual permit is issued to a discharger otherwise subject to this general permit,the applicability of this general permit to that Permittee is automatically terminated on the effective date of the individual permit. G13. TRANSFER OF PERMIT COVERAGE This permit coverage may be automatically transferred to a new Pennittee if: A. The Permittee notifies the Department at least 30 days in advance of the proposed transfer date. B. The notice includes a written agreement between the existing and new Permittees containing a specific date transfer of permit responsibility, coverage, and liability between them. C. The Department does not notify the existing Permittee and the proposed new Permittee of its intent to modify or revoke permit coverage. G14.PENALTIES FOR VIOLATING PERMIT CONDITIONS Any person who is found guilty of willfully violating the terms and conditions of this permit shall be deemed guilty of a crime, and upon conviction thereof shall be punished by a fine of up to ten thousand dollars and costs of prosecution, or by imprisonment in the discretion of the court.Each day upon which a willful violation_occurs may be deemed a separate and additional violation.Any person who violates the terms and conditions of a waste discharge permit shall incur, in addition to any other penalty as provided by law, a civil penalty in the amount of up to ten thousand dollars for every such violation.Each and every such violation shall be a separate and distinct offense, and in case of a continuing violation, every day's continuance shall be and be deemed to be a separate and distinct violation. G15. SIGNATORY REQUIREMENTS All applications,reports, or information submitted to Ecology shall be signed and certified. A. In the case of a municipal, State or other public facility, all permit applications shall be signed by a principal executive officer or ranking elected official. In the case of a corporation,partnership, or sole proprietorship, all permit applications shall be signed by either a principal executive officer of at least the level of vice president of•a corporation, a general partner of a partnership, or the proprietor of a sole proprietorship. B. All reports required by this permit and other information requested by Ecology shall be signed by a person described above or by a duly authorized representative of that person. A person is a duly authorized representative only if: Aquatic Mosquito Control General Permit—May 19, 2010 Page 22 1. The authorization is made in writing by a person described above and submitted to Ecology. 2. The authorization specifies either an individual or a position having responsibility for the overall operation of the regulated facility, such as the position of plant manager, superintendent, position of equivalent responsibility, or an individual or position having overall responsibility for environmental matters. (A duly authorized representative may thus be either a named individual or any individual occupying a named position.) C. Changes to authorization. If an authorization under paragraph 13.2 above is no longer accurate because a different individual or position has responsibility for the overall operation of the facility, a new authorization satisfying the requirements of paragraph 13.2 above must be submitted to Ecology prior to or together with any reports, information, or applications to be signed by an authorized representative. D. Certification.Any person signing a document under this section shall make the following certification: I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. G16.APPEALS The terms and conditions of the mosquito control general permit are subject to appeal. There are two different appeal categories. A. The permit terms and conditions as they apply to the appropriate class of dischargers are subject to appeal within thirty(30) days of issuance of the mosquito control general permit in accordance with chapter 43.21(13) RCW and chapter 173-226 WAC; and B. The applicability of the permit terms and conditions to an individual discharger are subject to appeal in accordance with chapter 43.21(B)RCW within thirty(30) days of the effective date of coverage of that discharger. An appeal of the coverage of the mosquito control general permit to an individual discharger is limited to the applicability or non-applicability of the mosquito control general permit to that same discharger.Appeal of this permit coverage of an individual discharger will not affect any other individual dischargers. If the terms and conditions of the mosquito control general permit are found to be inapplicable to any discharger(s),the matter shall be remanded to Ecology for consideration of issuance of an individual permit or permits. Aquatic Mosquito Control General Permit—May 19, 2010 Page 23 G17. SEVERABILITY The provisions of this permit are severable, and if any provision of this general permit or application of any provision of this general permit to any circumstance is held invalid,the application of such provision to other circumstances, and the remainder of this general permit, shall not be affected thereby. G18. DUTY TO REAPPLY The Permittee shall reapply for coverage under this permit at least one hundred and eighty (180)days prior to the specified expiration date of this permit:An expired permit and coverage under the permit continues in force and effect until Ecology issues a new permit (coverage) or until Ecology cancels it. Only those facilities that have reapplied for coverage under this permit are covered under the continued permit. Aquatic Mosquito Control General Permit—May 19, 2010 Page 24 APPENDIX A: GLOSSARY All definitions listed below are for use in the context of this permit only. Active Ingredient(s): The ingredient(s) in a pesticide product that provides the insecticidal effects. Action Threshold: A level of mosquito abundance,based on surveillance, at which mosquito control is conducted. Adulticide:A pesticide product designed to kill adult mosquitoes. All known,available,and reasonable methods of pollution control, prevention and treatment(AKART): a technology-based approach to limiting pollutants from discharges. Described in chapters 90.48 and 90.54 RCW and chapters 173-201A, 173-204, 173-216 and 173- 220 WAC. Applicant: An entity that submits a completed NOI and SEPA checklist to Ecology for permit coverage after the effective date of this permit. This does not include entities that transferred coverage from DOH before blanket coverage expired October 16, 2010. Best Management Practices(BMP): Practices, procedures,techniques, equipment,physical controls, or any actions that minimize the discharge of pollutants to waters of the state in addition to other permit requirements. Blanket Coverage: Coverage extended to entities that control mosquitoes by Washington Department of Health under their NPDES permit coverage. Expires October 16, 2010. Constructed water body: A human-made water body that is not part of a previously existing natural water of the state, such as ponds, streams,wetlands, etc. Dip(s)/Dipping: The act of scooping up a small amount of water and examining it for the presence/absence of mosquito larvae. Discharge: The addition of any pollutant to a water of the state. Entity(s): Any person or organization that is in operational control of mosquito control pesticide applications. This may include mosquito control districts, commercial pesticide applicators, cities, counties,public utility districts,public health districts,municipalities, state and local agencies, and any other commercial,private,public, or government entity providing mosquito control. Experimental Use Permit: Federal and state permits that allow the use of unregistered pesticides in the context of research and development for registration of the pesticide under FIFRA Section 3. Also covers research and development for registration of a new use of a currently registered pesticide under FIFRA Section 3. See 40 CFR 172, RCW 15.58.405, and WAC 16-228-1460. Aquatic Mosquito Control General Permit—May 19, 2010 Page 25 Federal Insecticide,Fungicide,and Rodenticide Act (FIFRA): A set of Federal regulations that establishes uniform pesticide product labeling, use restrictions, and review of new pesticides. Incidental: A trivial amount of adulticide that does not cause or contribute to a violation of water quality standards and which occurs due to circumstances beyond the control of the applicator during a proper pesticide application following the terms and conditions of this permit including FIFRA label requirements and practices to control incidental discharges of adulticide to surface water. Circumstances beyond the applicators control include,but are not limited to, sudden shifts in wind direction, an increase in wind speed at the target application area, equipment malfunction, etc. Practices to control incidental discharge to surface waters include, but are not limited to, altering course around waters of concern,using other types of spray equipment that have a smaller spray width(swath), and turning application equipment off when passing waters of concern. Integrated Mosquito Management(EYEVI) Plan: An ecologically-based strategy for mosquito control that incorporates monitoring,biological, physical, and chemical controls in order to manage pests with the least possible hazard to people,the environment and property. UVIM considers all available control actions, including no action. Larvicide: A pesticide product that targets mosquito larva and pupa life stages. Mosquito Control District(MCD): A district organized under the authority of chapter 17.28 RCW for the control of mosquitoes in Washington State. Permittee: Entities that are in operational control of the pesticide discharge and have coverage under this permit. Permit Coverage Area: The area included in a Permittee's coverage, for example, a city that has permit coverage would have coverage for entire area within the city's incorporated area. Pesticide: A product that has toxic properties and is used to control pest organisms. Pesticide Applicator: An individual with the appropriate Washington State Department of Agriculture(WSDA) license(s)to apply larvicides and/or adulticides. Pesticide Resistance:Adaptation of a pest to a specific pesticide that results in reduced efficacy on the target pest. Planned Treatments: A schedule of treatment dates developed by the Permittee at the beginning of the treatment season. Pollutant(s): Any substance discharged that would alter the chemical,physical,-thermal, biological, or radiological integrity of the waters of the state or would be likely to create a nuisance or renders such waters harmful, detrimental or injurious to the public health, safety, or welfare,or to any legitimate beneficial use, or to any animal fife, either terrestrial or aquatic. Pollutants include,but are not limited to,the following:.dredged spoil, solid waste, incinerator residue, filter backwash, sewage, garbage, sewage sludge,munitions,chemical wastes,biological Aquatic Mosquito Control General Permit—May 19, 2010 Page 26 materials, radioactive materials,heat,wrecked or discarded equipment,rock, sand, cellar dirt, pH,temperature, TSS,turbidity, color, BOD5, TDS,toxicity, odor, and industrial, municipal, and agricultural waste. Primary Contact Recreation: Means activities where a person would have direct contact with water to the point of complete submergence including, but not limited to, skin diving, swimming, and water skiing(WAC 173-201A-020). Product(s): The set of active, inert,and other ingredients specific to a pesticide formulation (e.g. Altosid,Permanone,or Trumpet EC). Range(s): A specific series of dates that anticipates the months of planned treatment. This is a planned range-it can be exceeded if public health concerns arise. Residue: Any excess pesticide applied during an application or any excess pesticide and its degradation products left behind after the pesticide has completed its purpose. Restricted Access Systems: Restricted access areas that are accessible only through manholes or other means.Not readily accessible to the public(e.g. water, electrical or transportation vaults, storm drains, catch basins, etc.) Secondary Contact Recreation: Means activities where a person's water contact would be limited(e.g.wading or fishing)to the extent that bacterial infections of eyes, ears, respirator or digestive systems or urogenital areas would normally be avoided(173-201A-020 WAC). Secure Access Washington (SAW): The web-based application where entities may apply for permit coverage and Permittee's may update permit coverage information and submit annual reports. SAW is located at https:Hsecureaccess.wa.gov. State Environmental Policy Act: Chapter 43.21C RCW and chapter 197-11 WAC. Surveillance: For larviciding purposes, this is using a dip sampler to check for the presence/absence of mosquito larva and/or pupa in a waterbody. For adulticiding this is using the method(s) specified in the I VIM plan for determining, if necessary,when and where to initiate adult mosquito control measures. Ultra Low Volume(ULV): A type of pesticide application in which an extremely fine aerosol fog is generated with a particle size between 0.1 and 50 microns(microns=micrometers) and 80%of the particles are between 0.1 and 30 microns. Actual particle size is regulated on the FIFRA label. Uses approximately 1 fluid once per acre, depending FIFRA label requirements. Upland farm pond: Private farm ponds created on upland sites that did not incorporate natural water bodies(WAC 173-201A-260(3)(f)). Washington Pesticide Control Act: Chapter 15.58 Revised Code Washington (RCW) Water Contact Activities: Activities defined in 173-201A-020 as primary contact recreation or secondary contact recreation. Aquatic Mosquito Control General Permit—May 19, 2010 Page 27 Waters of Concern: All natural bodies of water, including but not limited to, lakes,rivers, streams, ponds and wetlands, and the natural tributaries to those bodies of water. Waters of the State: includes those waters defined as"waters of the Unites States"in 40 CFR Subpart 122.2 within the geographic boundaries of Washington State. State statute defines "waters of the state"to include lakes rivers, ponds, streams,wetlands, inland waters, underground waters, salt waters and all other surface waters and watercourses within the jurisdiction of the state of Washington(chapter 90.48.RCW). Water-Use Restriction: This refers to any product labeled for restricted water use immediately after treatment(currently applies only to malathion(larvicide),temephos, and paraffinic white mineral oil). In the absence of other definitions set forth herein,the definitions set forth in 40 CFR Part 403.3 or in chapter 90.48 RCW apply. Aquatic Mosquito Control General Permit—May 19, 2010 Page 28 APPENDIX B: AREAS OF RESTRICTED PESTICIDE USE DUE TO PRESENCE OF LISTED SPECIES Criteria Used for the Restrictions The criteria WDFW uses for denoting species as vulnerable are: 1) State species of concern(e.g., listed as state endangered,threatened, sensitive, or candidate). 2) Current range and distribution of the species was highly localized. 3)The species inhabited freshwater wetlands during most of the mosquito control treatment period. Six species initially met those criteria: northern leopard frog(Rana pipiens), Oregon spotted frog (Rana pretiosa), western toad(Bufo boreas),western pond turtle (Clemmys marmorata), American white pelican (Pelecanus erythrorhynchos), and one butterfly,the Yuma skipper (Ochlodes yuma). WDFW identified areas occupied by the two extant populations of northern leopard frog;two extant western Washington populations of Oregon spotted frog;western toad breeding ponds(for western Washington only);the three remaining western pond turtle populations;the single American white pelican breeding colony; and the one known Washington Yuma skipper population. Based on the review of published literature, expert advice, and the vulnerability of these rare and endangered animals and their freshwater invertebrate food resources WDFW requested that if mosquito control is deemed necessary in the areas WDFW described in April 2003,that it be restricted to the use of Bacillus products. Aerial Applications An exception to the WDFW request regarding the use of certain larvicides was made for the single American white pelican breeding colony. The colony resides on islands and along the shores of the Columbia River, south of the confluence of the Snake River, in Walla Walla and Benton counties. While bio-chemicals such as methoprene were not of concern for the pelican breeding colony,the method of aerial application was believed to be unacceptably disturbing for their successful breeding. It was agreed that aerial applications would not be made on the pelican breeding areas,whereas less obtrusive methods of mosquito control were acceptable near these sites. Discussions among several WDFW biologists found that aerial applications of larvicides disturbed work being done in a few wildlife refuge areas around the state.It was therefore agreed that operators making aerial applications over wildlife refuges should notify the appropriate regional WDFW office of their scheduled aerial applications at least 24 hours prior to spraying. The notification can be made by phone or fax. Area of Impact Aquatic Mosquito Control General Permit—May 19, 2010 Page 29 Only a few populations of northern leopard frog, Oregon spotted frog,western toad,western pond turtle, and Yuma skipper remain in Washington.The total area occupied by these species in rivers, lakes,ponds, and wetlands is tiny, comprising of portions of 117 sections (<O.18%of Washington State). The areas identified for northern leopard frog(36 Sections)and western pond turtle(13 Sections)are owned or managed by WDFW.A prudent,risk-adverse approach is warranted with vulnerable threatened and endangered species. The following areas are restricted to the use of Bacillus thuringiensis israelensis (Bti) and Bacillus sphaericus(H-5a5b): 1. Grant County, north of Moses Lake, within the Crab Creek watershed: T21N R27E Sections 1, 12, and 13;T21N R28E Sections 7, 17, 18, 19,28, 29, 30, 31, 32, and 33. 2. Grant County, south and west of Moses Lake and south of Interstate-90,the northern portion of the Potholes:T19N R27E Sections 33, 34, 35, and 36;T19N R28E Sections 31 and 32, 29, 30;T18N R27E Sections 1, 2, 3, 4, 8, 9, 10, 11, 12, 13, 14, 15, and 16, 17;T18N R28E Sections 5, 6, 7, 8, 17, and 18. 3. Grant County, area within and near the Sun Lakes-Dry Falls State Park wetlands: T24N R27E and 28E. 4. Kitsap County: lakes, ponds, and wetlands located in T22N R1 W Sections 1, 2, 10, 11, and 12. 5. Klickitat County, west of the Klickitat River, all waters in T3N R12E Sections 28, 29, 32, and 33. 6. Mason County, on the Kitsap Peninsula: lakes,ponds, and wetlands located in T23NR2W Sections 11, 12, 13, 14, 15, 22, and 23. 7. Pierce and Kitsap counties, Carney Lake, located in T22N Rl W. 8. Pierce, Thurston, and Lewis counties,within the Nisqually River watershed: Alder Lake(or Alder Lake Reservoir), located in townships: T15N R4E and 5E. 9. Pierce County, south of Tacoma, Chambers Creek and associated waters in T20NR2E Sections 26 and 27. 10. Skamania County, east of Carson, all waters in T3N R8E Sections 23, 24,25, 26, and 36; T3NR9E Sections 30 and 31. 11.Thurston County,west of Yelm: lakes,ponds, and wetlands located in T17N R1E Sections 8, 9, 16, and 21. 12.Thurston County, south of Olympia and east of Interstate-5,within the Black River watershed,the Beaver Creek drainage, located in T16N R2W Sections 9, 10, 11, and 12; T16N R1W Section 7. Aquatic Mosquito Control General Permit-May 19, 2010 Page 30 13. Thurston County, south of Olympia and west of Interstate-5,within the Black River watershed: Black River proper from south of Black Lake to the Chehalis River confluence, and the following tributaries, Stony Creek,Dempsey Creek, Salmon Creek, and Blooms Ditch.Legal description as follows for these sensitive areas: T17N R3W Sections 10, 11, 12, 13, 14, 15, 23, 24,25, 35, and 36;T17N R2W Sections 7, 18, 19, and 30;T16N R3W Sections 2, 11, 14, 19, 20,21, 22,23, 30, and31;T16N R4W Sections 25,26, 27, 31, 32, 33, 34, 35, and 36. Aquatic Mosquito Control General Permit-May 19, 2010 Page 31 r, APPENDIX C: TRANSFER OF PERMIT COVERAGE Mosquito Control General Permit i DO NOT ALTER THIS FORM DEPARTMENT OF The new Permittee(s)must sign this form. Provide the date that the new Permittee ECOLOGY assumes responsibility for the permit coverage.Attach additional sheets if necessary. State of Washington I. Original Permittee Permittee's Name: Permit Number: Mailing Address: City: State: Zip: Phone Number: Fax Number: Email address: H.New Permittee Name: Title: Agency/Company: Mailing Address: City: State: Zip: Phone Number: Fax Number: Email address: New Permittee will assume responsibility and liability for coverage on: Month/Day/Year **Signature: M.New On-Site Contact Person (if different than above) Contact Name: Title: Company Name: Mailing Address: City: State: Zip: Phone: Cell Phone: Email Address (optional): ** The new Permittee signature in Section II of this form must be in compliance with General Condition G15 of this permit. Aquatic Mosquito Control General Permit—May 19, 2010 Page 32 APPENDIX D: PUBLIC NOTICE TEMPLATE FOR NEW APPLICANTS The public notice must be published at least once each week for two consecutive weeks, in a single newspaper of general circulation in the county or counties where the mosquito control activities will take place. The bold language is required by WAC 173-226-130 and must be included as part of the public notice in its entirety. The Permittee may add information to this template, but no information may be removed or changed. PUBLIC NOTICE TEMPLATE (Insert Applicant Name) is seeking coverage under the Aquatic Mosquito Control General Permit. (Insert Applicant Name) is located at (Insert applicant business address and phone number). The proposed coverage applies to the geographical area describe below (Describe the boundaries of mosquito control operations): Areas within the described boundaries may be treated to control mosquitoes. The insecticides planned for use are (list all active ingredients anticipated for use): Any person desiring to present their views to the Department of Ecology regarding this application may do so in writing within 30 days of the last date of publication of this notice. Comments must be submitted to the Department of Ecology. Any person interested in the Department's action on the application may notify the Department of their interest within 30 days of the last date of publication of this notice. Submit comments to: Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager P.O. Box 47600 Olympia, WA 98504-7600 Aquatic Mosquito Control General Permit—May 19, 2010 Page 33 APPENDIX E: SECTION S5 IMM PLAN CRITERIA EXAMPLES This appendix provides examples of criteria that may be used to meet IMM planning requirements listed in Section S5. These examples cover the sections that have many possible options for meeting the requirements. Other possible options may be available. C. Surveillance Examples of adult mosquito surveillance include, but are not limited to: • Complaints • Historical data(e.g.mapping from previous seasons) • Landing counts • Mosquito population density • Mosquito trapping(e.g. female mosquito counts) • Mosquito identification • Service requests • Staff observation Mosquito-borne disease surveillance may also include,but is not limited to: • Avian morbidity/mortality and disease testing • Community involvement(e.g.reporting of dead birds,horse disease cases, etc) • Animal disease case monitoring • Historical disease data • Human disease case monitoring • Live bird surveillance(captive or free-range sentinel birds) • Mosquito trapping, identification, and disease testing • RAMP testing for West Nile Virus from Response Biomedical Corporation • VecTest for West Nile virus, St.Louis Encephalitis,Western Equine Encephalitis from Medical Analysis Systems,Inc. • State,university, commercial lab testing(e.g.PCR testing) D. Mapping Examples of what may be included in a mapping system include,but are not limited to: • Mosquito surveillance data • Mosquito breeding sites • Mosquito population trends • Where and what mosquito control measures are implemented • Mosquito-borne disease surveillance data • Organic farm locations • Locations of chemically sensitive individuals, • No-Spray request locations Aquatic Mosquito Control General Permit—May 1.9, 2010 Page 34 E. Action Thresholds Examples of action thresholds include,but are not limited to: • Mosquito population densities (e.g. community accepted mosquito population density levels) • Larval counts (e.g. dip counts— 1 larval in three dips) • Routine adult mosquito control thresholds based on surveillance • Actions when surveillance indicates a threat of disease outbreak. • Actions during a mosquito-borne disease outbreak. F. Mosquito Control Methods 1. Physical Control or Source Reduction Examples include,but are not limited to: • Habitat modification—public and private lands (e.g. ditch and impoundment maintenance) • Vegetation Management • Sanitation (cleaning gutters, bird baths, unused swimming pools, etc) • Water holding container cleanup (e.g. tire pile removal) • Water management (e.g. irrigation water, stormwater run-off) • Regional water management projects (e.g. proactive collaboration with public and/or private landowners, wastewater treatment facilities, etc) 2. Biological Control Examples include, but are not limited to: • Stocking of native or non-native fish species. • Terrestrial predator(e.g. bird, bat, and predatory insect) habitat creation and/or restoration. • Aquatic predator(e.g. dragonfly naiads, diving beetles, etc) habitat restoration/creation. 3. Pesticide-Based Larval Mosquito Control Larvicides allowed for use are listed in S4.A. 4. Pesticide-Based Adult Mosquito Control Adulticides allowed for use are listed in S4.B. I. Education and Outreach Aquatic Mosquito Control General Permit—May 19, 2010 Page 35 Examples of what may be included in education and outreach include, but are not limited to: • Fairs • Workshops for community • Education materials • Web site • Presentations J. New Staff Training and Continuing Training for Existing Staff Examples of what may be included in a training program include,but are not limited to: • Employee training manual or program • Employee quick reference guides • New employees work with experienced employees • Conferences • Training classes • WSDA pesticide licensing Aquatic Mosquito Control General Permit—May 19, 2010 Page 36 �STATE RECEIVED JUN 16 2010 CITY OF RENTON UTILITY SYSTEMS STATE OF WASHINGTON DEPARTMENT OF HEALTH OFFICE OF ENVIRONMENTAL HEALTH,SAFETY,AND TOXICOLOGY 243 Israel Road SE •PO Box 47825.Olympia, Washington 98504-7825 TDD Relay Service: I-800-833-6388 June 14, 2010 Mr. Allen Quynn City of Renton 1055 South Grady Way Renton, WA 98057 Dear Mr. Quynn: RE: Transfer of Aquatic Mosquito Control General Permit Coverage from Washington State Department of Health to Former Limited Agents Since 2007, the Washington State Department of Health(DOH) has held statewide permit coverage under the Aquatic Mosquito Control General Permit (permit) and has extended that permit coverage to limited agents (e.g. mosquito control districts) who carry out mosquito control activities. On May 19, 2010, the Washington State Department of Ecology(Ecology) issued an updated permit that covers the use of mosquito larvicides and adulticides. On October 16, 2010, the statewide permit coverage issued to DOH will expire and limited agents (list enclosed) under the previous permit who wish to have permit coverage must complete a transfer of coverage form. This transfer of coverage form must be submitted to Ecology no later than August 17, 2010. The transfer of coverage moves the responsibility for all permit requirements from DOH to the former limited agent. This letter notifies former limited agents that effective June 14, 2010, DOH is transferring permit coverage to the limited agents currently covered by DOH's statewide permit coverage. To transfer permit coverage, please follow steps one and two below. 1. In order for the transfer to take effect, limited agents must complete and submit the Transfer of Coverage Form (enclosed) to Ecology at: Department of Ecology Water Quality Program Attn: Aquatic Pesticide Permit Manager PO Box 47600 Olympia, WA 98504 2. Submit the Transfer of Coverage Form to Ecology by August 17, 2010. Mr. Quynn June 14, 2010 Page 2 Ecology will send you a letter notifying you that our records are updated to show that you are now responsible for meeting permit requirements under your own permit coverage. If you do not receive notification of a coverage decision from Ecology, coverage under the permit begins automatically on the 61 St day following Ecology's receipt of a complete transfer form. Limited agents who do not complete the transfer process by August 17, 2010, and who plan to carry out mosquito control activities, must begin the application process as a new permittee. This process includes submitting a new permit application (Notice of Intent), completing the SEPA process and completing the public notice/public comment process. Until the permit coverage is issued, no adulticides or larvicides may legally be.discharged. The permit coverage process takes a minimum of 60 days. If you have questions about this letter and the transfer of coverage, please contact Jon Jennings at 360.407.6283 or jonathan.jennigs@ecy.wa.gov, or contact Jo Marie Brauner at 360.236.3064 or jomarie.brauner@doh.wa.gov. Sincerely, �b UP-VA-L, Jo Marie Brauner, Surveillance Coordinator Zoonotic Disease Program Enclosure: Transfer of Coverage Form c: Jon Jennings, Ecology lw.� APPENDIX C: TRANSFER OF PERMIT COVERAGE qgwFwm Mosquito Control General Permit DEPARTMENT OF DO NOT ALTER THIS FORM ECOLOGY The new Permittee(s)must sign this form. Provide the date that the new Permittee State of Washington assumes responsibility for the permit coverage. Attach additional sheets if necessary. I. Original Permittee Permittee's Name: Permit Number: Mailing Address: City: Olympia State: WA Zip: Phone Number: Fax Number: Email address: II. New Permittee Name: Title: Agency/Company: Mailing Address: City: State: Zip: Phone Number: Fax Number: Email address: New Permittee will assume responsibility and liability for coverage on: Month/Day/Year 'Signature: III. New On-Site Contact Person (if different than above) Contact Name: Title: Company Name: Mailing Address: City: State: Zip: Phone: Cell Phone: Email Address (optional): STATg 9EDEIVED 1889 a0y MAY 2 1 201u STATE OF WASHINGTON CITY OF DENT ON DEPARTMENT OF ECOLOGY ;�TILITYSYSTEMS PO Box 47600 • Olympia, WA 98504-7600 •360-407-6000 711 for Washington Relay Service •Persons with a speech disability can call 877-833-6341 May 19, 2010 RE: Issuance of Aquatic Mosquito Control General Permit Dear Limited Agent under Department of Health's Mosquito General Permit Coverage: Aquatic Mosquito Control General Permit Issuance The Department of Ecology(Ecology) issued a final Aquatic Mosquito Control NPDES and State Waste Discharge General Permit (permit) on May 19, 2010. Purpose of the Permit The purpose of the permit is to regulate the discharge of pollutants into waters of the state from mosquito control activities. This general permit provides coverage for the discharge of larvicides and adulticides to waters of the state of Washington, subject to permit conditions. Ecology received a substantial number of comments on the draft version of this permit. Because of comments received, we made a number of important changes to the final permit. For example: • We eliminated the distinction between nuisance and disease-carrying mosquitoes. There is no longer a requirement to meet a disease threshold before spraying. • We now require permit holders (permittees)to develop an Integrated Mosquito Management (IMM) Plan. This plan will document where, when, and how permittees do their mosquito control work. • As a part of their IMM Plan, permittees will develop a plan to manage pesticide resistance in mosquito populations. This may include the use of alternate, approved pesticides and a description of when and where they may be used. Public Notice Process and Comments Ecology accepted public comments on the draft permit and fact sheet from February 3, 2010 until March 17, 2010. Ecology held a two-part hearing and workshop in Moses Lake, Washington on March 9, 2010. Ecology received over 500 comments during the public comment period and responded to these comments in a response to comments document appended to the fact sheet. The comments and the fact sheet are available for review at Ecology's website at: http://www.ecy.wa.gov/programs/wq/pesticides/final pesticide permits/mosquito/mosquito ind ex.html. Limited Agent under Department of Health's Mosquito General Permit Coverage May 19, 2010 Page 2 Copies of the Permit You may download a copy of the permit, fact sheet, and response to comments at http://www.ecy.wa.gov/programs/wq/pesticides/final pesticide permits/mosquito/mosquito ind ex.html. Alternatively, you may request hard copies of the documents from Julie Robertson at 360-407-6575, or email at:julie.robertsongecy.wa.gov. Appeal The terms and conditions of this general permit, issued May 19, 2010, may be appealed by filing with the Pollution Control Hearings Board and by serving it upon the Department of Ecology at the addresses below. Appeals of the permit must be made within 30 days of issuance or receipt, whichever is later(see chapter 43.21B RCW). ("RCW" is the Revised Code of Washington). The procedures and requirements for the appeal process are contained in RCW 43.2113.310. An appeal must be filed with: Pollution Control Hearings Board Department of Ecology PO Box 40903 PO Box 47600 Olympia, WA 98504-0903 Olympia, WA 98504-7600 The applicability of a permit coverage to a specific discharger is also appealable within 30 days of the effective date of coverage of that discharger, in accordance with chapter 43.21B RCW. Questions If you have any questions about this letter, please contact Jon Jennings at 360-407-6283, or email at:jonathan.jenningsgecy.wa.gov. Sincerely, Bill Moore, P.E. Program Development Services, Section Manager Water Quality Program Hebe Bernardo From: Erik Hodson [whitworthpestman@comcast.net] Sent: Friday, March 19, 2010 9:26 AM To: Hebe Bernardo Subject: Mosquito Control Hello- For the upcoming 2010 Mosquito Abatement Program, the cost for all project tasks listed in the existing contract signed by Terry Whitworth on 4/29/09 will remain the same as they did in 2009. Under Exhibit B on the contract it states "The term of the contract shall extend until December 31, 2010." Please let us know when you would like us to start each project task listed on the contract. Typically, treatment begins in April and runs through September/October. Best Regards, Erik Erik Hodson General Manager Whitworth Pest Solutions, Inc. 1 Gregory E. Stroh - 2010 Mosquito Abatement Program Contract Addendum #1 to CAG 09-098.txt From: Gregory E Stroh Sent: Tuesday, April 06, 2010 9:31 AM To: Teresa Phelan; Kelly Beymer Cc: Hebe Bernardo; Ronald Straka Subject: RE: 2010 Mosquito Abatement Program Contract Addendum #1 to CAG 09- 098 Hi Teresa, I have reviewed the Facilities - Mosquito Abatement addendums and concur and approve. Regards, Greg -----Original message----- From: Teresa Phelan Sent: Thursday, April 01, 2010 4:32 PM To: Kelly Beymer; Gregory E Stroh Cc: Hebe Bernardo; Ronald Straka subject: 2010 Mosquito Abatement Program Contract Addendum #1 to CAG 09-098 Hi Kelly and Greg, with the implementation of the updated Purchasing, Bidding and Contracting Requirements Policy 250-02, effective April 1, 2010, we will be asking Gregg to authorize the addendum and request the Mayor to sign it. However, before Gregg authorizes the addendum, he will want it to have been concurred by the Golf Course, Parks, and Facilities, since it includes participation from each group. Please review the attached addendum and send me your concurrence email by Friday, April 9, if possible. If you have any questions, please contact Hebe, Project Manager for this program, at ext. 7264. Thanks for your help, Teresa Page 1 Hebe Bernardo From: Kelly Beymer Sent: Monday, April 05, 2010 10:33 AM To: Teresa Phelan; Gregory E Stroh Cc: Hebe Bernardo; Ronald Straka; Terry Higashiyama Subject: RE: 2010 Mosquito Abatement Program Contract Addendum#1 to CAG 09-098 Hello Teresa, I have reviewed both Golf Course and Parks - Mosquito Abatement addendums and I am approving as written. Thank you for allowing the review time. Kelly -----Original Message----- From: Teresa Phelan Sent: Thursday, April 01, 2010 4:32 PM To: Kelly Beymer; Gregory E Stroh Cc: Hebe Bernardo; Ronald Straka Subject: 2010 Mosquito Abatement Program Contract Addendum #1 to CAG 09-098 Hi Kelly and Greg, With the implementation of the updated Purchasing, Bidding and Contracting Requirements Policy 250-02, effective April 1, 2010, we will be asking Gregg to authorize the addendum and request the Mayor to sign it. However, before Gregg authorizes the addendum, he will want it to have been concurred by the Golf Course, Parks, and Facilities, since it includes participation from each group. Please review the attached addendum and send me your concurrence email by Friday, April 9, if possible. If you have any questions, please contact Hebe, Project Manager for this program, at ext. 7264. Thanks for your help, Teresa 1 PUBLIC WORKS DEPARTMENT p City of aw NIrl M E M O R A N D U M DATE: June 28, 2010 TO: Denis Law, Mayor FROM: Gregg Zimmerma&Aulic Works Administrator STAFF CONTACT: Ron Straka, Surface Water Engineering Supervisor, x7248 Hebe C. Bernardo, Surface Water Engineer, x7264 SUBJECT: Updated Aquatic Mosquito Control General Permit—A national Pollutant Discharge Elimination System (NPDES) and State Waste Discharge Permit for Pesticide Discharges Associated with Mosquito Control Activities. Please sign the attached Transfer of Permit Coverage for the Aquatic Mosquito Control General Permit. The Washington State Department of Ecology (Ecology) has updated the 2007 Aquatic Mosquito Control General Permit in order to meet federal and state regulatory requirements. The 2010 Aquatic Mosquito Control General Permit addresses discharges of adulticides to waters of the state that occur during control of vector mosquitoes. The Aquatic Mosquito Control General Permit (Permit) has covered discharges of larvicides since 2002 but has not covered discharges from adulticide use to control adult mosquito population. Updating the Permit was a necessary step that Ecology had to take in order to address discharges of adulticides to waters of the state that occur during control of vector mosquitoes. The 2010 Permit continues to cover larvicide use (the larvicides remain the same from 2007), but now also covers the use of adulticides to control vector mosquitoes when human health is at risk due to the West Nile virus. West Nile Virus is a mosquito-borne virus that is spread to humans by the bite of an infected mosquito and not by person-to-person contact. Last year, Washington State had 32 human cases, 22 birds, 67 horses and 341 positive mosquito samples. In Western Washington, only birds have tested positive in King (2), Pierce (1),Lewis (1), Mason (1) and Grays Harbor (1) counties. In an effort to reduce the risk of human infection, the City has developed a response plan that includes larviciding City stormwater facilities, irrigation facilities, and catch basins, if needed, with Bacillus sphaericus. The City's adulticide treatment consists of applying a low concentration of EPA approved adulticide using a gasoline powered, backpack-mounted, portable fogger. The adulticide treatment is limited to the upland areas located between the Talbot Hill 1► Denis Law, Mayor Page 2 of 3 June 28,2010 neighborhood and the Panther Creek Wetlands only and is conducted in strict accordance with the conditions of the Determination of Non-significance-Mitigated statement issued by the City's Environmental Review Committee and Aquatic Mosquito Control General Permit. SEPA COMPLIANCE Mosquito control activities have undergone numerous environmental impact evaluations. The conditions of the 2010 Aquatic Mosquito Control General Permit satisfies any water quality related SEPA concerns. NPDES PERMIT BACKGROUND The Washington State Department of Ecology requires discharges of pesticides to waters of the state to be covered under a National Pollution Discharge Elimination System (NPDES) Permit. The Clean Water Act (CWA) requirements do not allow Ecology to exempt "incidental" discharges from permitting requirements. If a discharge of pollutants to the waters of the state occurs, regardless of the amount, a permit must cover it. The CWA does not prohibit discharges,just discharges without a permit. In the case of adulticides, incidental discharges may occur, therefore the City must obtain coverage under a NPDES permit. When Ecology issued the current Permit in 2007, it issued coverage to Washington State Department of Health (DOH), and three other separate entities (Columbia Mosquito Control District, City of Seattle, and Pierce County Public Utility District). Ecology issued DOH blanket coverage for the entire state. The DOH NPDES Mosquito Control Permit allowed the City and numerous other entities (referred to as "limited agents")to actually perform the pesticide applications for mosquito control. As a Limited agent under DOH blanket coverage, the City was responsible for applying mosquito control pesticides in compliance with the terms of the permit, but was not directly responsible for permit violations as permittees, or responsible for the permit fees associated with having a coverage that allows discharge to waters of the state. In the 2010 Aquatic Mosquito Control General Permit, Ecology has determined that DOH does not meet the definition of permittee. DOH is not directly in control of the pesticide discharges, the limited agents are, but because it holds permit coverage it is liable for any violations of permit conditions. The City (limited agents) must obtain permit coverage directly from Ecology because the City (and not DOH) discharges the pollutants. The City shall also submit payments of annual fees associated with this permit as established under chapter 173-224 WAC. The fee established for 2010 is $397.00. After June 18, 2010 (the effective date of the 2010 Permit), the City will have 60 days to transfer coverage from DOH. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Memo To Mayor.doc\HCBtp r Denis Law,Mayor Page 3of3 June 28,2010 2010 AQUATIC MOSQUITO CONTROL GENERAL PERMIT REQUIREMENTS The Aquatic Mosquito Control General Permit (attached) includes the following requirements: 1. Permit coverage 2. Application for coverage 3. Discharge limits 4. Pesticide active ingredients 5. Integrated mosquito management plan 6. Public notification of pesticide use 7. Monitoring requirements 8. Reporting requirements TRANSFER OF PERMIT COVERAGE To transfer coverage, the City must fill out and sign the Transfer of Permit Coverage form provided as Permit Appendix C (attached), and then submit the completed form to Ecology. If the City does not transfer coverage as described above, then the City will no longer be authorized to discharge any pesticide to waters of the state until it gains coverage under the Permit. Should the City continue to discharge pesticide to waters of the state after October 16, 2010 without permit coverage, Ecology will consider the discharge as a discharge without a permit (90.48.080 and 90.48.160 RCW and 173-226- 020 WAC) and the City would be subject to fines up to $10,000 per day. The Department of Ecology has specified, according to the NPDES General Condition G15 Signatory Requirements of the permit that, "The principle executive officer is to sign and certify all applications and reports required by the Permit." The transfer of coverage form must be signed and delivered to the Department of Ecology by August 17, 2010. Please sign the Transfer of Permit Coverage, stating that the City will assume responsibility and liability for coverage and return the documents to Hebe C. Bernardo, Surface Water Utility, for submission to the Department of Ecology. Attachments cc: Lys Hornsby,Utility Systems Director File H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Memo To Mayor.doc\HCBtp PUBLIC WORKS DEPARTMENT ^Crof�O� M E M O R A N D U M DATE: April 15, 2010 TO: Denis Law, Mayor FROM: Gre Zimmermak, Administrator gg , STAFF CONTACT: Ron Straka, Surface Water Utility Supervisor (ext. 7248) Hebe C. Bernardo, Surface Water Utility Engineer (ext. 7264) SUBJECT: Addendum No. 1 to CAG-09-098, 2010 Mosquito Abatement Program with Whitworth Pest Solutions, Inc. Please sign and execute Addendum No. 1 to the 2009-2010 Mosquito Abatement Program contract (CAG-09-098), in the amount of$53,972.55, authorizing Whitworth Pest Solutions, Inc., as a sole-source provider of the 2010 Mosquito Abatement Program to apply adulticide in the areas upland and east of the Panther Creek Wetlands (i.e., Talbot Hill area) and apply larvicide to City stormwater facilities, irrigation facilities and catch basins for the control of mosquitoes. BACKGROUND: Whitworth has been the sole-source provider of pest control consultant services for the City's mosquito abatement efforts since 1990. Whitworth is the only known, qualified provider of this type of service and is familiar with the overall project area, including the areas where mosquitoes tend to congregate; e.g., access trails, wetlands, springs and adjacent residences. Whitworth also has an experienced entomologist on staff to provide assistance in responding to public inquiries. Last year, Washington State had 32 human cases, 22 birds, 67 horses and 341 positive mosquito samples. In Western Washington only birds have tested positive in King (2), Pierce (1), Lewis (1), Mason (1) and Grays Harbor (1) Counties. West Nile is a mosquito-borne virus that is spread to humans by the bite of an infected mosquito and not by person-to-person contact. In an effort to reduce the risk of human infection, the City has developed a response plan that includes larviciding City stormwater facilities, irrigation facilities and catch basins, if needed, with Bacillus sphaericus. The response plan will augment the Department of Health program, which emphasizes prevention as the best protection from West Nile Virus. Larvicide treatment and adulticide treatment will be conducted in accordance with the City's Aquatic Mosquito Control Permit or as directed by the Department of Ecology. Denis Law,Mayor Page 2 of 3 April 15,2010 The total expenditure required for the 2010 Mosquito Abatement Program contract is $53,972.55, and includes the following tasks: Task 1 (Treatment of Upload Areas Adjacent to Panther Creek Wetlands) Whitworth will apply an Environmental Protection Agency (EPA) registered insecticide spray to brush and other upland vegetation, using a gasoline-powered, backpack- mounted, portable fogger. The applications will be conducted at a maximum frequency of twice per week during the months of April through August. Treatment will be conducted in upland areas, away from water or wetland areas, as weather conditions allow, and in accordance with the product label and other local, state and federal requirements. Treatment must also be conducted in accordance with the Aquatic Mosquito Control National Pollutants Discharge Elimination System General Permit, and other federal and state regulations. The cost for adulticiding the areas upland and east of the Panther Creek wetland area is $19,315.80 and will be funded through the approved 2010 Surface Water Utility's Mosquito Abatement Program Capital Improvement Program budget of$50,000. Task 2 (Larvicide Treatment of City Stormwater and Irrigation Facilities and Catch Basins) Larvicide treatment is scheduled to begin July 2010 and will continue for the duration of the mosquito season, which typically extends through the end of September. The contract scope of work and budget covers larviciding stormwater facilities, irrigation facilities and catch basins. These facilities and catch basins are owned and maintained by the Surface Water Utility, and the Community Services Department's Parks Division, Facilities Division and the Maplewood Golf Course. However, the City must authorize targeted catch basin treatment and the decision to treat will depend on whether there is confirmation of the West Nile Virus in King County. The total cost to treat City stormwater and irrigation facilities and catch basins is $34,656.75 and will be funded as follows: Surface Water Utility- Larvicide treatment to be funded through the approved Surface Water Utility 2010 Capital Improvement Program budget for the 2010 Mosquito Abatement Program. The approved 2010 adjusted budget for the Mosquito Abatement Program is $50,000. The estimated cost to treat the stormwater facilities and catch basins with larvicide is $20,695.50. The remaining balance in the project account of $29,304.50 will be used to complete Task 1 ($19,315.80) leaving a balance of$9,988.70 for City staff time to administer both tasks. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Addendum 1 Memo to Mayor.doc\HBtp Denis Law,Mayor Page 3 of 3 April 15,2010 Maplewood Golf Course— Larvicide treatment to be funded through the 2010 Golf Course Operating Fund. The estimated cost to treat the Maplewood Golf Course irrigation pond, stormwater ponds, and catch basins with larvicide is $4,790.63. Should all ponds and catch basins need to be treated with larvicide, the estimated project cost shall not exceed $4,790.63. Parks Division —Larvicide treatment to be funded through the Repairs and Maintenance Operating Fund. The estimated cost to treat Parks Maintenance Division catch basins with larvicide is estimated not to exceed $8,349.37. Facilities Division — Larvicide treatment to be funded through the 2010 Repairs and Maintenance Operating Fund. The estimated cost to treat Facilities Division stormwater facilities with larvicide is $821.25. Attachments cc: Terry Higashiyama,Community Services Administrator Lys Hornsby,Utility Systems Division Director Kelly Beymer,Parks and Golf Course Director Greg Stroh,Facilities Maintenance Manager File H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Addendum 1 Memo to Mayor.doc\HBtp PUBLIC WORKS DEPARTMENT PoTityof 5 M E M O R A N D U M ¢ " � l n � i ATE DATE: April 15, 2010 /g o TO: Denis Law, Mayor - �('(��(d FROM: Gregg Zimmerman, Administrator STAFF CONTACT: Ron Straka, Surface Water Utility Supervisor (ext. 7248 Hebe C. Bernardo, Surface Water Utility Engineer (ext. 7264) SUBJECT: Addendum No. 1 to CAG-09-098, 2010 Mosquito Abatement Program with Whitworth Pest Solutions, Inc. Please sign and execute Addendum No. 1 to the 2009-2010 Mosquito Abatement Program contract (CAG-09-098), in the amount of$53,972.55, authorizing Whitworth Pest Solutions, Inc., as a sole-source provider of the 2010 Mosquito Abatement Program to apply adulticide in the areas upland and east of the Panther Creek Wetlands (i.e., Talbot Hill area) and apply larvicide to City stormwater facilities, irrigation facilities and catch basins for the control of mosquitoes. BACKGROUND: Whitworth has been the sole-source provider of pest control consultant services for the City's mosquito abatement efforts since 1990. Whitworth is the only known, qualified provider of this type of service and is familiar with the overall project area, including the areas where mosquitoes tend to congregate; e.g., access trails, wetlands, springs and adjacent residences. Whitworth also has an experienced entomologist on staff to provide assistance in responding to public inquiries. Last year, Washington State had 32 human cases, 22 birds, 67 horses and 341 positive mosquito samples. In Western Washington only birds have tested positive in King (2), Pierce (1), Lewis (1), Mason (1) and Grays Harbor (1) Counties. West Nile is a mosquito-borne virus that is spread to humans by the bite of an infected mosquito and not by person-to-person contact. In an effort to reduce the risk of human infection, the City has developed a response plan that includes larviciding City stormwater facilities, irrigation facilities and catch basins, if needed, with Bacillus sphaericus. The response plan will augment the Department of Health program, which emphasizes prevention as the best protection from West Nile Virus. Larvicide treatment and adulticide treatment will be conducted in accordance with the City's Aquatic Mosquito Control Permit or as directed by the Department of Ecology. Mr.Law,Mayor Page 2 of 3 April 15,2010 The total expenditure required for the 2010 Mosquito Abatement Program contract is $53,972.55, and includes the following tasks: Task 1 (Treatment of Upload Areas Adjacent to Panther Creek Wetlands) Whitworth will apply an Environmental Protection Agency (EPA) registered insecticide spray to brush and other upland vegetation, using a gasoline-powered, backpack- mounted, portable fogger. The applications will be conducted at a maximum frequency of twice per week during the months of April through August. Treatment will be conducted in upland areas, away from water or wetland areas, as weather conditions allow, and in accordance with the product label and other local, state and federal requirements. Treatment must also be conducted in accordance with the Aquatic Mosquito Control National Pollutants Discharge Elimination System General Permit, and other federal and state regulations. The cost for adulticiding the areas upland and east of the Panther Creek wetland area is $19,315.80 and will be funded through the approved 2010 Surface Water Utility's Mosquito Abatement Program Capital Improvement Program budget of$50,000. Task 2 (Larvicide Treatment of City Stormwater and Irrigation Facilities and Catch Basins) Larvicide treatment is scheduled to begin July 2010 and will continue for the duration of the mosquito season, which typically extends through the end of September. The contract scope of work and budget covers larviciding stormwater facilities, irrigation facilities and catch basins. These facili ' s and catch basins are owned and maintained by the Surface Water Utility, and e,m unity Services Department's Parks Division, Facilities Division and the Mapl oo -G"olf ourse. However, the City must authorize rgeted catch basin treatment and the decision to treat will depend on whether there is confirmation of the West Nile Virus in King County. The total cost to treat City stormwater and irrigation facilities and catch basins is $34,656.75 and will be funded as follows: Surface Water Utility— Larvicide treatment to be funded through the approved Surface Water Utility 2010 Capital Improvement Program budget for the 2010 Mosquito Abatement Program. The approved 2010 adjusted budget for the Mosquito Abatement Program is $50,000. The estimated cost to treat the stormwater facilities and catch basins with larvicide is $20,695.50. The remaining balance in the project account of $29,304.50 will be used to complete Task 1 ($19,315.80) leaving a balance of$9,988.70 for City staff time to administer both tasks. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Addendum 1 Memo to Mayor.doc\HBtp Mr.Law,Mayor Page 3 of 3 April 15,2010 Maplewood Golf Course— Larvicide treatment to be funded through the 2010 Golf Course Operating Fund. The estimated cost to treat the Maplewood Golf Course irrigation pond, stormwater ponds, and catch basins with larvicide is $4,790.63. Should all ponds and catch basins need to be treated with larvicide, the estimated project cost shall not exceed $4,790.63. Parks Division — Larvicide treatment to be funded through the Repairs and Maintenance Operating Fund. The estimated cost to treat Parks Maintenance Division catch basins with larvicide is estimated not to exceed $8,349.37. Facilities Division — Larvicide treatment to be funded through the 2010 Repairs and Maintenance Operating Fund. The estimated cost to treat Facilities Division stormwater facilities with larvicide is $821.25. Attachments cc: Terry Higashiyama,Community Services Administrator Lys Hornsby,Utility Systems Division Director Kelly Beymer, Parks and Golf Course Director Greg Stroh,Facilities Maintenance Manager File H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\2010 Contract Addendum\2010 Addendum 1 Memo to Mayor.doc\HBtp Teresa Phelan From: Gregory E Stroh Sent: Tuesday, April 06, 2010 9:31 AM To: Teresa Phelan; Kelly Beymer Cc: Hebe Bernardo; Ronald Straka Subject: RE: 2010 Mosquito Abatement Program Contract Addendum #1 to CAG 09-098 Hi Teresa, I have reviewed the Facilities - Mosquito Abatement addendums and concur and approve. Regards, Greg -----Original Message----- From: Teresa Phelan Sent: Thursday, April 01, 2010 4:32 PM To: Kelly Beymer; Gregory E Stroh Cc: Hebe Bernardo; Ronald Straka Subject: 2010 Mosquito Abatement Program Contract Addendum #1 to CAG 09-098 Hi Kelly and Greg, With the implementation of the updated Purchasing, Bidding and Contracting Requirements Policy 250-02, effective April 1, 2010, we will be asking Gregg to authorize the addendum and request the Mayor to sign it. However, before Gregg authorizes the addendum, he will want it to have been concurred by the Golf Course, Parks, and Facilities, since it includes participation from each group. Please review the attached addendum and send me your concurrence email by Friday, April 9, if possible. If you have any questions, please contact Hebe, Project Manager for this program, at ext. 7264. Thanks for your help, Teresa 1 Teresa Phelan From: Kelly Beymer Sent: Monday, April 05, 2010 10:33 AM To: Teresa Phelan; Gregory E Stroh Cc: Hebe Bernardo; Ronald Straka; Terry Higashiyama Subject: RE: 2010 Mosquito Abatement Program Contract Addendum #1 to CAG 09-098 Hello Teresa, I have reviewed both Golf Course and Parks - Mosquito Abatement addendums and I am approving as written. Thank you for allowing the review time. Kelly -----Original Message----- From: Teresa Phelan Sent: Thursday, April 01, 2010 4:32 PM To: Kelly Beymer; Gregory E Stroh Cc: Hebe Bernardo; Ronald Straka Subject: 2010 Mosquito Abatement Program Contract Addendum #1 to CAG 09-098 Hi Kelly and Greg, With the implementation of the updated Purchasing, Bidding and Contracting Requirements Policy 250-02, effective April 1, 2010, we will be asking Gregg to authorize the addendum and request the Mayor to sign it. However, before Gregg authorizes the addendum, he will want it to have been concurred by the Golf Course, Parks, and Facilities, since it includes participation from each group. Please review the attached addendum and send me your concurrence email by Friday, April 9, if possible. If you have any questions, please contact Hebb, Project Manager for this program, at ext. 7264. Thanks for your help, Teresa 1 Denis Law -- Clty Of; Mayor 1I" r ,+0� y i i V J o N Public Works Department-Gregg Zimmerman RE.,Administrator April 27, 2010 Mr. Erik Hodson Whitworth Pest Solutions, Inc. 2533 Inter Avenue Puyallup, WA 98372-3428 RE: 2010 Mosquito Abatement Program Addendum No. 1 Notice to Proceed, CAG-09-098 Dear Mr. Hodson: For your records, please find enclosed one signed original contract addendum. You are authorized to begin mosquito treatment of the Panther Creek Wetlands beginning Thursday, May 7, 2010. An authorization treatment map that identifies residents in the Talbot Hill area who have authorized treatment on their property is also included. Please call me at 425-430-7264, if you have any questions. Sincerely, r 1 0 Hebe C. Bern rdo Surface Water Utility Engineer Enclosures H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Contractor Correspondance\2010-NTP.doc\HCBah Renton City Hall • 1055 South Grady Way• Renton,Washington 98057 • rentonwa.gov PUBLIC WORKS DEPARTMENT citv"' M E M O R A N D U 144 DATE- ATE r � ATE DATE: June�4 , 2010 Z3 TO: Denis Law, Mayor 5 , FROM: Gregg Zimmerman, Administrator STAFF CONTACT: Ron Straka, Surface Water Engineering Supervisor, x7248 Hebe C. Bernardo, Surface Water Engineer, x7264 SUBJECT: Updated Aquatic Mosquito Control General Permit—A national Pollutant Discharge Elimination System (NPDES) and State Waste Discharge Permit for Pesticide Discharges Associated with Mosquito Control Activities. Please sign the attached Transfer of Permit Coverage for the Aquatic Mosquito Control General Permit. The Washington State Department of Ecology (Ecology) has updated the 2007 Aquatic Mosquito Control General Permit in order to meet federal and state regulatory requirements. The 2010 Aquatic Mosquito Control General Permit addresses discharges of adulticides to waters of the state that occur during control of vector mosquitoes. The Aquatic Mosquito Control General Permit (Permit) has covered discharges of larvicides since 2002 but has not covered discharges from adulticide use to control adult mosquito population. Updating the Permit was a necessary step that Ecology had to take in order to address discharges of adulticides to waters of the state that occur during control of vector mosquitoes. The 2010 Permit continues to cover larvicide use (the larvicides remain the same from 2007), but now also covers the use of adulticides to control vector mosquitoes when human health is at risk due to the West Nile virus. West Nile virus is a mosquito-borne virus that is spread to humans by the bite of an infected mosquito and not by person-to-person contact. Last year, Washington State had 32 human cases, 22 birds, 67 horses and 341 positive mosquito samples. In Western Washington, only birds have tested positive in King (2), Pierce (1), Lewis (1), Mason (1) and Grays Harbor (1) Counties. In an effort to reduce the risk of human infection, the City has developed a response plan that includes larviciding City stormwater facilities, irrigation facilities, and catch basins, if needed, with Bacillus sphaericus. The City's adulticide treatment consists of applying a low concentration of EPA approved adulticide using a gasoline powered, backpack-mounted, portable fogger. The adulticide treatment is limited to the upland areas located between the Talbot Hill Mr. Law,Mayor Page 2 of 3 June 24,2010 neighborhood and the Panther Creek Wetlands only and is conducted in strict accordance with the conditions of the Determination of Non-significance-Mitigated statement issued by the City's Environmental Review Committee and Aquatic Mosquito Control General Permit. SEPA COMPLIANCE Mosquito control activities have undergone numerous environmental impact evaluations. The conditions of the 2010 Aquatic Mosquito Control General Permit satisfies any water quality related SEPA concerns. NPDES PERMIT BACKGROUND The Washington State Department of Ecology requires discharges of pesticides to waters of the state to be covered under a National Pollution Discharge Elimination System (NPDES) permit. The Clean Water Act (CWA) requirements do not allow Ecology to exempt "incidental" discharges from permitting requirements. If a discharge of pollutants to the waters of the state occurs, regardless of the amount, a permit must cover it. The CWA does not prohibit discharges,just discharges without a permit. In the case of adulticides, incidental discharges may occur, therefore the City must obtain coverage under a NPDES permit. When Ecology issued the current Permit in 2007, it issued coverage to Washington State Department of Health (DOH), and three other separate entities (Columbia Mosquito Control District, City of Seattle, and Pierce County Public Utility District). Ecology issued DOH blanket coverage for the entire state. The DOH NPDES Mosquito Control Permit allowed the City and numerous other entities (referred to as "limited agents") to actually perform the pesticide applications for mosquito control. As a limited agent under DOH blanket coverage, the City was responsible for applying mosquito control pesticides in compliance with the terms of the permit, but was not directly responsible for permit violations as permittees, or responsible for the permit fees associated with having a coverage that allows discharge to waters of the state. In the 2010 Aquatic Mosquito Control General Permit, Ecology has determined that DOH does not meet the definition of permittee. DOH is not directly in control of the pesticide discharges, the limited agents are, but because it holds permit coverage it is liable for any violations of permit conditions. The City (limited agents) must obtain permit coverage directly from Ecology because the City (and not DOH) discharges the pollutants. The City shall also submit payments of annual fees associated with this permit as established under chapter 173-224 WAC. The fee established for 2010 is $397.00. After June 18, 2010 (the effective date of the 2010 Permit), the City will have 60 days to transfer coverage from DOH. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Memo To Mayor.doc\HCBtp f Mr.Law,Mayor Page 3 of 3 June 24,2010 2010 AQUATIC MOSQUITO CONTROL GENERAL PERMIT REQUIREMENTS The Aquatic Mosquito Control General Permit (attached) includes the following requirements: 1. Permit coverage. 2. Application for coverage. 3. Discharge limits. 4. Pesticide active ingredients. 5. Integrated mosquito management plan. 6. Public notification of pesticide use. 7. Monitoring requirements. 8. Reporting requirements. TRANSFER OF PERMIT COVERAGE To transfer coverage, the City must fill out and sign the Transfer of Permit Coverage form provided as Permit Appendix C (attached), and then submit the completed form to Ecology. If the City does not transfer coverage as described above, then the City will no longer be authorized to discharge any pesticide to waters of the state until it gains coverage under the Permit. Should the City continue to discharge pesticide to waters of the state after October 16, 2010 without permit coverage, Ecology will consider the discharge as a discharge without a permit (90.48.080 and 90.48.160 RCW and 173-226- 020 WAC) and the City would be subject to fines up to $10,000/day. The Department of Ecology has specified, according to the NPDES General Condition G15 Signatory Requirements of the permit that, "the principle executive officer is to sign and certify all applications and reports required by the Permit." The transfer of coverage form must be signed and delivered to the Department of Ecology by August 17, 2010. Please sign the Transfer of Permit Coverage, stating that the City will assume responsibility and liability for coverage and return the documents to Hebe C. Bernardo, Surface Water Utility, for submission to the Department of Ecology. Attachments cc: Lys Hornsby,Utility Systems Director File H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Memo To Mayor.doc\HCBtp PUBLIC WORKS DEPARTMENT City of .('.'e4�� M E M O R A N D U M DATE: April 1, 2010 TO: Colleen Shannon, Risk Management Technician FROM: Hebe C. Bernardo, Surface Water Utility Engineer (ext. 7264) SUBJECT: 2010 Mosquito Abatement Program Contract Insurance Certificate for Whitworth Pest Solutions Please review the attached Insurance Certificate for the Addendum No. 1 to the 2009- 2010 Mosquito Abatement Program Contract (CAG-09-098) for risk management concerns. The addendum is in the amount of$53,972.55 for entomologist/pest control agent services. RECEIVED Attachment APR 07 2010 City of Renton CITY OF HF-NT"N Received UTILITY SYSTEMS 2010 Human resources & Risk Management H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Certificate of Liability Insurance\HR memo.doc\HBtp 04/01/2010 06:26 FAX 2538451133 WHITWORTH PEST SOLUTIONS 002/004 / l/L'U.11`I 113:10 F:cn1111.l JG Imprint ID f� !•I ACORD U3/3r�, CERTIFICATE OF LIABILITY INSURANCE L Mll/11J"YYY, U3/31/10 I'Kouuchlr UVOH908 - 1-415-541-79DO THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wnlle Fargo Insurance servic9e USA. 7ne. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER, THIS CERTIFICATE DOES NOT AMEND, tX 1 LND OK 46 Fromout str6et ALTER THE COVERAGE AFFOKUED BY THE POLICIES BELOW. ❑vile 000 J,L,I. F'r.LuciL3La, CA b'9I11', INSURERS AFFORDING COVERAGE NAIC 4 N:IUKLU.•.--.--- ----. 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AU I OM IDWILL LIAW ILI I Y I;rJMI:INLI l:(1N(d l l Udl I (�:r,rvllnnll � ANY AI I I C; _. ALI UWNI LI All I(L'; O(JU1LY IN ItIKY frepelwill S iClll�4!I I ItnU 1u1.1 I IIHI.0 AUI US IKJIJII Y INJIWF S --'NNN:lVVNI I J Ak rl r1- --- I (PrY'UC�tlEflt }'H(jPtKl�unMnCt 3 IrL.acGtlmlt G ANAGL LIAtSI LIL Y _ AUI:J CNL I`-L•A A(:C IUI NI 1 A•\r( 1 MIl'nn1(' hllll li IlUtnl AUI,IUNI.Y AiI<: 3 ii LXC'Lt1:aLIMHKkLLALIAh4LIIY RHT1f1%0f;4 937 1'/:LD/09 11/10/10 1 All I(Il:t:IIKkINII % 1,On0,nn0 )( :11:CIIR I t;lAImsmt%I:I- AGGHLLA11: - 51,000,000 X I KI II:NIIUN 10,000 ( __ WO K K I:KF C OM PL NSA I ION ANI7 WRY1110TCSTATU :f-w 11•C1F1Y 1 IA4 T;, t-K L M MOY LUM'LIAJIILI I Y I 11 I A(;I I AI'I:f 11 N I ANY FR OPR IFT.'11:,PAK I NF,FJkKI?C UT I VF ',I.1•I;:I•I:'MF1.1HF1:F71;:11JIJI-117 1-I 11I51 A;;i I-A1•M11LI-FI U :,�I•I:IAI I'HL IV'ItiI:JN^a IIIIInVi - I I I111i1 lil:l. I101.4:V I Rdl l I OIHLK DESCRIP IUN OF OFERAI IONS I LOCATIONS I VEHICLESIEXGLUSIONS ADDED Sy ENU0K5tMEN1!$PEGIALPKOVISIONS c',,ecti Yiear❑ hphldnr is J 1,1,udod atl addl.t9.ona1 illDur•3d pmi blankat palir_y ondoraenienr„ CER111•ICArE HOLDEK CANCELLATION SFIOULD ANY OF IMF AIiOVL Ut5CKIk(LU IIDLIGIL';UL CANCLI.I.FU 61:+OKL IML LXF'INA 110N DATE TKhKtOF, THE I°,SUINLT INSUKkH WILL ENDEAVOR lD MAIL .10 DAYS WRIT ILN City 4J: Run tuU NOIIGL 10 II'1t CtKIIFIGAIL•FIOLUGK NAMfD 10 IKL LLF I,tlU I►AILLJK6 1 O UO DU 3rlALL IMPrrr:l NO OKI Ir AIION OH 11-ItIl fly 111' ANY KIND UPON IMF INRUW-M,ITS AGI NIA 1114 1055 S. Grady W.y HtPKhDLNl Al IVIES. 6nntml, WA 9Rn57 wUTHOKIZLD KLFItL.^.ENl Al1VL ` +' f' USA If >� ACOI D 25(2001/OLI)JIllanang,Juil 4 ACORD CORPORATION 198H 15066572 04/01/2010 06:27 FAX 2538451133 WHITWORTH PEST SOLUTIONS Z 003/004 /^,I /201.0 18:10 P.c_rnctre ID Imi ]D l� _,/.a IMPORTANT If the certificate holder is an ADDITIONAL INSURED_ the policy(ies) must be. endorsed. A statr_menr. on I,his ccrtilicale clots not c:onler rights to the certlflcatc holder in Iluu of such endorsement(::). II SUBROGATION IS WAIVED, subject TO The terms and rundltlons of the policy, cerr,aln pcllCles may require an endorsement. A statement on this eertificitE. ii4eS nol confer rights to the. ccrtific,,irr. holder in lieu of such endorsement(s). DISCLAIMER The Certfi-.xe of Insurance on the reverse side of this form does not constitute a nontract between the issuing insurer(s), authorized representative or producer, and the rerlificite. holder, nor doe2 it affimiatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001IDS) 04/01/2010 06: 27 FAX 2538451133 WHITWORTH PEST SOLUTIONS 004/004 :.1./.=171.i� 1'": Jll keriiulc IL lriq_rcr�: IL L'1 -I/'I Whitwcrch Peet 'olu`ior,n Inc. COMMERCIAL GENERAL LIABILITY cG 20 33 10 01 loDT?.GSD0005gG1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 — Who Is An Insured i,, ame-nded lu b. "Bodily iiijury" c3i "property rin111LIgU' uccUl'- include as an insured any person or organization ring after: for whom you arr> performing operations when yoia (1) All work, including rrralerials. parts or and such person or organization have agreed in equipment furnished in rnnntction with writing in a conk;act or agrr-.emen1 that such per- such work, on the projerl (other than son or organization be added as an additional in- service, maintenance or repairs) to be surcd on your policy. Such person or organization performed by or on behalf of the addi- Is an additional insured only with respect to liability tional insured(s) at the site of the cov- arising out of your ongoing operations performed ered opernlions has been completed; or for that insured. A person's or organiZalion's slr,ur.s as an insured under this r_ndorsemFnl ends (2) That pnrlinn of "yolir work" oid of whir.h when your operations for that insured are corn- the injury or damage arises has been hlnlnd put to its interidecl usQ by any pe:rsnn nr B. With respect to the insurance afforded to these organization other than another contrac- for or subcontractor engaged in per- sions apply:addltlonal Insureds, the following addltlonal exclu- forming operations fora principal as a 2. Exclusions pail of the same project. This insurance does riot apply to: a. "Bodily injury", "property damage" or "per- sonal rand adveilising injury" arising out of the rendering of, or the failure to render, any professional arrhiirr,lural, en0lneerinr0 or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, tield or- ders, change orders or drawings and speclPlcations: and (2) Supervisory, inspection, archilectural or engineering activities. CG 20 33 10 01 CO ISO F'roperli�­ti, Inc , 2000 Page 1 of 1 171 PUBLIC WORKS DEPARTMENT 10 000000 city of 56 00 -a M E M O R A N D U M DATE: December 10, 2010. TO: Gregg Zimmerman, Public Works Administrator FROM: (/ 0<)--Ron Straka, Surface Water Engineering Supervisor x7248 STAFF CONTACT: Hebe C. Bernardo, x7264 SUBJECT: Aquatic Mosquito Control NPDES General Permit Annual Report The City of Renton's Surface Water Utility has completed the required Aquatic Mosquito Control General NPDES General Permit Annual Report. This annual report is required to comply with the requirements on the Permit that covers discharges of pesticides or pesticide residues to waters of the state. The annual report was prepared by the Surface Water Utility based upon day sheets provided by Whitworth Pest Solutions, containing type and amount of pesticide used on each adulticide and larvicide treatment. Whitworth has been the sole-source provider of pest control consultant services for the City's mosquito abatement efforts since 1990. The Department of Ecology has specified, according to General Condition G19 of the NPDES Permit that, "all applications, reports, or information submitted to Ecology must be signed by a principal executive officer or ranking elected official." This annual report is required to comply with the requirements on the Permit that covers discharges of pesticides or pesticide residues to waters of the state and must be signed and delivered to the Department of Ecology by December 31, 2010. Please sign the Treatment Annual Report (attached), stating that the annual report was prepared by qualified personnel who properly gathered and evaluated the information submitted, and that the information is true, accurate, and complete. Please return the documents after the certification page is signed to Hebe C. Bernardo, Surface Water Utility, for submission to the Department of Ecology. Attachments cc: Lys Hornsby,Utility Systems Director H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Annual Report\Memo To Mayor.doc/HBah STAr..0 a w a — x o� 1889 STATE OF WASHINGTON DEPARTMENT OF ECOLOGY PO Box 47600 o Olympia, WA 98504-7600 a 360-407-6000 711 for Washington Relay Service Persons with a speech disability can call 877-833-6341 February 3, 2010 Dear Interested Party: The Draft Aquatic Mosquito Control General Permit The Washington State Department of Ecology (Ecology) released a draft Aquatic Mosquito Control NPDES and State Waste Discharge General Permit(permit) on February 3, 2010. Ecology will accept written comments on the draft permit, fact sheet, and notice of intent(permit coverage application)until 5 pm, March 10,2010. Oral comments maybe made at the hearing scheduled for March 9, 2010. Purpose of the Permit The purpose of the general permit is to authorize, subject to the permit conditions, the discharge of pollutants into waters of the state from mosquito control activities. This general permit provides coverage for discharges of larvicides and adulticides. Copies of the Draft Permit You may download a copy of the permit, fact sheet, and notice of intent at http://wwW.ecy.wa.gov/programs/wq/pesticides/final_pesticide_permits/mosquito/mosquito_index.html You may request a copy of the permit, fact sheet, and notice of intent from Julie Robertson at 360-407- 6575 or by email at julie.robertson@ecy.wa.gov. Ecology Contact: Jon Jennings Washington State Department of Ecology Water Quality Program P.O. Box 47600 Olympia, WA 98504-7600 Telephone: (360) 407-6283 Fax: (360) 407-6426 Email:Jonathan.iennings(cr�,ecy.wa.gov Submitting Written Comments Ecology will accept written comments on the draft permit and fact sheet until 5 pm,March 10, 2010. Ecology prefers comments be submitted by email. Emailed comments must contain the commenter's name and postal address. Comments should reference specific permit text when possible. February 3, 2010 Page 2 Submit written comments to: Jon Jennings—Mosquito Control Permit Comments Washington State Department of Ecology Water Quality Program P.O. Box 47600 Olympia, WA 98504 Submit comments by email to: ionathan.jennings@ecy.wa.gov Written comments must be postmarked no later than 5 pm, March 10,2010. You must send email comments before 5 pm, March 10,2010. Hearing and Workshop A public hearing and workshop on the permit is scheduled to be held in Moses Lake, Washington. At the workshop Ecology will explain the draft permit and answer questions. A hearing will immediately follow the workshop. The hearing will provide the opportunity for formal oral testimony and comments on the proposed permit. Hearing and Workshop March 9,2010 (1 p.m.) Moses Lake Fire Department 701 E. Third Ave. Moses Lake, WA 98837 Issuing the Permit After Ecology receives and considers all public comments, it will issue the final permit. If public comments cause a substantial change in the permit conditions from the original permit, another public notice of draft and comment period will occur. Ecology expects to issue the permit in the summer of 2010. Questions If you have any questions about this letter,please contact Jon Jennings at(360) 407-6283, or by email at i onathan.j ennin jgs@ecy.wa.gov. Sincerely, Bill Moore, P.E. �n ? Program Development Services, Section Manager Water Quality Program A7) `( `�' APR 27 20100 CITY OF Rtiv WN UTILITY SYSTEM EXHIBIT B 3340401172 CHAVEZ KATHRYN G 1607 LAKE AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or ind'vidual capacities foL jury or property damage that may arise from the use of the above-m ntioned me odn its efforts to effect mosquito control on my property. DAT GNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp _ d2D APR 2 7 2010 CITY OF Rcly fUN UTILITY EXHIBIT B 8860500220 BROADDUS SUSAN G PO BOX 58154 Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. 4wbc 5 DATE SIGNATURE St)( -7e31� 6, lz ?,rA Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp a 7 � D APR 0 7 2010 CITY OF RENYON U rmffY 8010ft 5070000060 HARVEY RICHARD D & FRANCINE 21015 148TH AVE SE Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. �/s/�o DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp t aS4 yl. 'L.l " F1 i hr a S� APR 0 7 2010 CITY OF HINTON UTILITY sysmmc EXHIBIT B 3340401165 POZZOBON TERESA & EDA 1615 LAKE AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DA E SIGNATURE 7W8 TEREsn PozZo,�on/ c-dA p0zz0ig0W Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp f,4E•1D APR 0 7 2010 U � 3340401150 NGe L•t rV,4 ����e9 S f{ 1625 LAKE AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNA RE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp APR 0 7 2010 C._ L EXHIBIT B 8860500190 KING ALBERT WONG+LYNN WING 2115 DAVIS AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. �l dt7w �&14pw DA E SIGNATURE Telephort Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp APR 0 7 2010 5070000050 lJ - `s BOSTICK HARRY G 3527 SHATTUCK AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County,Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE gIGNATU Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20,2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3023059012 NAKANISHI RUTH Y 3315 TALBOT RD S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGN URE ir Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 8860500350 VALLEY VUE ESTATES HOA 332 S 20TH PL Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. Z- -/ o DATE ATURE r-� Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 8557000280 HOLZBOOG DAVID S+AMY L 2527 TALBOT CREST DR S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Z�� ­b� - /2Z!�Z_ -a ( �c Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 8860500150 O'STEEN JONAKAN H 2107 DAVIS AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. v r DATE SI ATURE aa� - g9 JY,CIL _A 0 +eeilq Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp r -�,� ter C APR 0 6 2010 CI1Y OF H&i ON UTILITY SYSTEMS EXHIBIT B 7222000511 GREGORIS NINFA 223 S 19TH ST Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIG A URE a Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp n- �Y1_•`T71 _2 s APR 0 5 20111:j Li 9 j""0 CrVuv EXHIBIT B 8557000290 TRAUTMANN JOHN F 2601 TALBOT CREST DR S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" dorm that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE GNATURE t J 2 r-- 2 ?-/ -S � � � 7o 4,-, /* rp v T�-I 4N1V Telephone Number Print Name COMMENTS: 6� �� 7`l. L,� PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 P rogra m\Corresponda nce\Re lease Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp APR 0 5 2010 CI-;Y OF REN r ON UTILITY SY�`IV8 EXHIBIT B 3023059063 NGHIEM HOA 3001 TALBOT RD Renton, WA 9805S PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. .e DATE SIGNATUR q Q Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp F �\ APR © 5 2010 C '"/Cr'`=`4` ;V EXHIBIT B 3340401151 TOBACCO JANA A 1701 LAKE AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SI ATURE -7 7 A , Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp APR ` p5K,, 3023059107 KREBS FREDERICK D 2703 TALBOT RD S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. K AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. fZ.z//o DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Progra m\Co rresponda nce\Re lease Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp APR 0 5 20 iU CST.YY OF RF-KTON UTILITY SYSTEMS EXHIBIT B 5070000080 CAMERINI DONALD A+CARMEL D 3503 SHATTUCK AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County,Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. r( r cJ DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20,2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp r APR 0 5 2010 Cj—tyor_R1:i) CAN UT', EXHIBIT B 8557000180 MAGNO LILY 0 2331 TALBOT CREST DR S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods nd chemicals in its efforts to effect mosquito control on my property. �/D DATE SIGNATURE �1:4ephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp t" APR 1 2 2010 C%TY O,� Jil Lh�Y�L9 `v Gu EXHIBIT B 9899200010 FAST JOHN L 3431 SHATTUCK AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. �1 DATE -SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp APR 12 2010 cITY OF Fttav i ON u-1,, V sYSTEMS EXHIBIT B 8557000250 CUMMINGS RAYMOND+MARILYN L 2509 TALBOT CREST DR S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County,Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVED APR 1 3 2010 CITY OF HEN i ON UTI UKAMS 3023059068 PHAM VANG VAN+NGOCLOAN THI 408 S 33RD PL Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. as Zz DATFF SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Progra m\Co rrespo nda nce\Re lease Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVED APR 1 3 2010 CITY OF RENTON UTILITY SYSTEMS EXHIBIT B 3023059116 FULLER NATHAN C 3113 TALBOT RD S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County,Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. IZIA DATE l� IGNATURE '-I u Telephone Number Pint Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVED APR 1 3 2010 CITY OF HEN-1-ON UTILITY SYliMIT B 8860500140 KIAZIMOV ALI+JOULIA BOGACHOV 2101 DAVIS AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. �/o9'io �oc�lLcc �o achp� DATE SIGNATURE �6'- 353-683� CF,fcC� to�ae,h ot/ Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondence\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVED APR 1 3 2010 CITY OF REN4i ON UTILITY SYST' EXHIBIT B 8557000260 TONSGARD PATRICIA L 2515 TALBOT CREST DR Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. L) lG60 DATE G NATU RE �1 / 76 vy� Telep one Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp APR 1 2 2010 G;TY , EXHIBIT B 8557000270 NESS ROSEMARY 2521 TALBOT CREST DR S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE -� & - 7 797 os��m�r �ess Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20,2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp APR 0 9 2Q crry OF r LI-r . `e'Cv EXHIBIT B 5070000020 GILLILAN ANNE LIVING TRUST 3615 SHATTUCK AVE S Renton,WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. o DATE SIGNATURE L-2�z Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 P rogra m\Corresponda nce\Re lease Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVED APR 1 9 2010 CITYO: HEN fON UTILITY SYSTEMS EXHIBIT B 8860500210 FERARA CHERYL ANN 2127 DAVIS AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. C_ DAT4 SIGNATURE Zoos SSY- 794- if#�=-;eyZ_ 11A11V FG_P 4 Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVED APR 19 2010 CITY OF HEN ION UTILITY',—;- is EXHIBIT B 8557000230 ESPEY DIANE 2419 TALBOT CREST DR S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. �C DATE SIGNATURE Telephone Number Print Name COMMENTS: ` cz PLEASE RETURN THIS FORM BY APRIL 20, 2010 U .ING THE EN LOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects ( IP)\2 0 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVED APR 1 9 2Gli� C"'y 0I-IVXMMT B 3340401115 UTILITY SYSTEMS CARROLL ELIZABETH 1805 LAKE AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. 1 DATE $I NATURE n 2-i -1 5( 31%4 � � nA ligwwt- Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20,2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVED APR 19 2010 CITY OF RENTON UTILITY SYSTEMS EXHIBIT B 8557000200 RESIDENT 2401 TALBOT CREST DR S RENTON,WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. ` ? t DATE SIGNATURE �4 -(c> ;?rt� L f1 C-' . Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exhibit B.doc\HBtp RECEIVED APR 1 9 20 P CITY OF REN fON UTILITY SYSTEMS EXHIBIT B 3023059075 TURNER DAVID E &JODIE D 3107 TALBOT RD S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIG T RE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVED APR 2 1 2010 CITY OF HEN i ON LIT ILITY B 8860500090 THOENNES NICHOLAS A 200 S 20TH PL Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. 1 i ILI lxz� DAf E SI NATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVED APR 2 1 2010 CITY OF RENfON UTILITY SYSTEMS EXHIBIT B 3340401110 AMBERWOOD Ilc 19244 39T"AVE S SEATAC, WA 98188 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County,Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I . hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned ethods and chemicals in its efforts to effect mosquito control on my property. DATE SIG A RE LI; s1�k ,pork Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exhibit B.doc\HBtp RECEIVED APR 2 1 2010 CITY OF REN fON UTILI X�IaII��Ac 3340401190 MCCALLISTER GLEN A 1503 LAKE AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE . ar (ems ✓' :/!a c/_ �i'"F/= Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVED APR 2 1 2010 CITY'OF REN rON UTILITY SYSTEMS EXHIBIT B 3340401120 DUNGAN TERREE L 1803 LAKE AVE S RENTON, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County,Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. 15 �P2 � v � o DATE SIGNATURE elep one Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exhibit B.doc\HBtp '? 71 APR 2 3 2010 CITY Or FlEw ON UTILITY SYSTEMS EXHIBIT B 3340401131 CHARLES A. VILLA 1717 LAKE AVE S RENTON,WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. lea DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exhibit B.doc\HBtp D APR 2 2 2010 CITY OF IREN i ON UTILITY SYSTEMS EXHIBIT B 3023059050 HAWKINS JACK M+JANE 1 2825 TALBOT RD S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. �4_ _ DA E SIGNAT RE '-95-. �-- Aso J P AJE t, /l r-i Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVE MAY 1 2 20�. CITY OF RENTON UTILITY SYSTEMS EXHIBIT B 5070000070 MOSS KATHERINE E 3509 SHATTUCK AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. ,I DATE SIGNATURE [y.25� U-81661kc, Moss Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp CEI V . MAY 17 2010 CITY OF RENTON UTILITY SYSTEMS EXHIBIT B 8557000190 VU HAI V 16020 SE 156TH ST Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property.DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 P rogra m\Corresponda nce\Re lease Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVED APR 2 9 2010 CITY OF REM'ON ON UTILITY SYSTEMS EXHIBIT B 8860500100 NGUYEN THUAN Q+ANH NGOC 545 INDUSTRY DR Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. €- DATE SIGNATURE i Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp RECEIVED APR 2 9 2010 CITY OF A EtWON UTILITY SYSTEMS EXHIBIT B 8860500110 MAI JOANNE 2011 DAVIS AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. tt/ y � V DAT SIG NATU R �1 ( ( „ [k OJAI Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp 77C 'l�_' D ,, rr APR 2 9 2010 CITY OF REc%, ON UTILITY MW B 5070000030 HOANG BAY T 3609 SHATTUCK AVE S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County,Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. I K,, DATE SIGNATURE _ 1011 Ed,)/ 7 0 ' , Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp Denis LawCity of ey �yD *A=%- Public Works Department-Gregg Zimmerman,P.E.,Administrator 2010 MOSQUITO ABATEMENT PROGRAM AUTHORIZATION AND RELEASE REQUEST The City of Renton is preparing to conduct its annual Mosquito Abatement Program to control mosquito populations near the Panther Creek Wetlands complex (Exhibit A). The target area is approximately 60 acres adjacent to and upland of the eastern edge of the Panther Creek Wetlands, located between SR-167 on the west, and Lake Avenue South/Talbot Road South on the east, and extending from SW 39th Street on the south to 1-405 on the north, within the City of Renton. Mosquito control will consist of land treatment applications of an Environmental Protection Agency registered, ultra-low volume insecticide spray (Exhibit C). A portable fogger (gasoline-powered backpack-mounted) will be used to apply the spray to upland vegetation. During April through September, when mosquito populations are higher, a licensed applicator/entomologist will apply the treatments in upland areas away from water and wetlands no more than twice per week. The application will be in accordance with the product label, and local, state and federal requirements. We are requesting you sign the enclosed Authorization and Release (Exhibit B) form, to allow the applicator access through your property, if needed, to apply treatment. Please return the completed Authorization and Release form, using the business reply envelope provided by April 20, 2010. If you do not return the form, we will not be able to treat your property. Thank you for your cooperation. If you would like information on precautions you may take to help repel mosquitoes, please see Exhibit C. If you have any questions, or would like more information about the Mosquito Abatement Program, please contact Hebe C. Bernardo, Surface Water Utility Engineer, at 425-430-7264, or by email at hbernardo@rentonwa.gov. Enclosures H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Release Request.doc\HBtp Renton City Hall • 1055 South Grady Way • Renton,Washington 98057 • rentonwa.gov I-405 Ramp �4 P, 6�y St 1 Li c6 S�►/ I i u i m t � � N O� Q liii N i a E C S co CO N Mosquito Abatement Program N Exhibit A: Site Plan 0 500 1,000 w" E Note: Treatment will not be applied within 100' of water. Feet S ' Treatments will not be performed near homes. Treatment will only be done on the upland area between the wetland eastern edge O Project Boundary - tya :e i 11 and the residential areas. Property owner approval required prior to , treatment on private property. `s` I Pri Surface Water Utility i G.Del Rosario i Printed 03/31l2010 EXHIBIT B 1923059016 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3023059002 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3023059003 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondence\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3023OS9004 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3023059026 RENTON CITY OF 1055 S G RADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3023059062 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3023059076 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondence\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3023059119 RENTON CITY OF 1055 S G RADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondence\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3023059124 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondence\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3023059125 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3023059126 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3340400995 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3340401010 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3340401020 RENTON CITY OF 1055 S G RADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondence\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3340401065 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3340401075 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3340401076 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT B 3340401185 RENTON CITY OF 1055 S GRADY WAY Renton, WA 98057 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT C Insecticide Products: As in previous years, we will be using products containing the insecticide permethrin. See below for more information. Permanone'31-66: Permanone`31-66 is sold under the trade names of BioMist"and Kontrolo 4- 4. They contain a synthetic version of permethrin as an active ingredient. The insecticides are formulated for dilution with oil products, such as mineral oil, and are applied at a rate between 0.0035 and 0.0070 pounds of permethrin per acre. Permanone"31-66 is degraded in soil and may last for several days. BioMist and Kontrol`4-4 are-not applied within 100-feet from water or wetland areas. Repel Mosquitoes: Not all mosquitoes will be eliminated during our Mosquito Abatement Program. Some precautions you may take to further reduce the number of mosquitoes in your area include: Mosquito Breeding Places: Some mosquitoes may breed in stagnant water. If you eliminate standing water around your home, you may eliminate their breeding places. Stagnant water may be found in ornamental pools, birdbaths, old tires, and flower pots. Methods to eliminate these and other potential breeding sites are listed in the enclosed Extension Bulletin PLS-121 April 2007 by the Washington State University Cooperative Extension titled "Pest Management for Prevention and Control of Mosquitoes". Natural Predators: By encouraging natural predators that feed on mosquitoes,you may also reduce the number of mosquitoes in your area. Natural predators include bats, swallows,frogs, and fish. In order to stock mosquito fish and three-spine stickleback fish, a permit is required from the Washington State Department of Fish and Wildlife. However,you may attract other natural predator animals by enhancing habitat and constructing cavity type houses. More information on attracting natural predators, such as instructions for constructing and locating bat houses, may be obtained from the State Department of Fish and Wildlife. Mosquito Repellent: By using mosquito repellent, netting, and screens you may reduce your exposure to mosquitoes. Additional precautions include: ♦ Wear clothes that reduce the area of exposed skin; ♦ Install screens or netting over open patios or windows; and/or ♦ Apply repellents, especially those containing the ingredient diethyltoluamide (DEET), to exposed skin. Since young children and certain adults can be sensitive to DEET, please follow application instructions carefully. Note: While bug lights eliminate some mosquitoes, they are not highly recommended, since studies show they also eliminate a large amount of beneficial and non-pest insects. Furthermore,Aedes,the most aggressive of the mosquito species,found in the Talbot Hill area, are not attracted to light and the noise emitted by the bug lights may annoy some neighbors. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Description Exhibit C.DOC IL i Wk.SHING ON STATE UNIVERSITY PLS-121 �EXI'I:,rNSION Revised April 2007 WSU-Puyallup Pest Management for Prevention and Control of Mosquitoes with Special Attention to West Nile Virus By: Art Antonelli, WSU Extension Entomologist, Todd Murray, Whatcom Co. Extension Educator and Catherine Daniels, WSU Pesticide Coordinator Mosquitoes, like many other biting flies, are important pests. They annoy and bite humans and animals. Also, they may transmit disease-causing organisms such as malaria and encephalitis. While human malaria does not occur in Washington, outbreaks of encephalitis and mosquito transmission thereof do occur from time to time. In 2002, a type of encephalitis caused by the "West Nile Virus" was found in Washington State. West Nile Virus is a mosquito-transmitted encephalitis that can impact the health of humans, many bird species, horses, and a variety of other animals. West Nile Virus is primarily a virus of birds and is transmitted from infected birds to other birds by mosquitoes; other animals and people are incidental hosts and obtain the virus from infected mosquitoes. As of 2006, there have been 3 cases of West Nile Virus found in humans, 6 cases in horses, and 13 cases in birds in Washington State. Visit the Center for Disease Control (www.cdc.gov) or Washington State Department of Health (www.doh.wa.gov) for the most recent information on West Nile Virus in North America. Life Cycle The adult stages (Fig. 1) of many mosquito species are feeders of blood, which has given some disease- causing organisms a reliable mode of transmission to animal hosts. The feeding times and behaviors can differ between mosquito species; some species will feed in daylight while some feed at dusk and dawn (Bohart & Washino, 1978). The egg (Fig. 2), L. ,I,I. � larval (Fig. 3) and pupal (Fig. 4) stages of mosquitoes are generally associated with bodies of pig. 1.An adult mosquito taking a blood meal. water. Some mosquito species are specific to tidal flood lands while others are specific to shallow, warm, stagnant water (Laird, 1988). Mosquitoes are always located near water since water is essential for growth of the immature stages, thus the presence of water is crucial in focusing control programs. The advice provided here concerns mosquito control on private property —city governments or county mosquito abatement districts handle extensive areas of control. €*'. up I I u IU�V uI I III Ro Ip I I IIIPp9 -`�, RZ Ir�Vru � m a III p PV f 3� 1�1 xIr IVI I ti �f fwf r olur ri,,l, I I Ni' M i Fig.2.An egg raft of Culex sp. mosquito. Fig.3.A mosquito larva(wiggler). At Control Prevent mosquitoes from reproducing by altering lr MIt,iIlp�"li ui Iflll ijiMi �� 4 }aa their natural habitat. Habitat alteration is a long �Itlpl�i�i� �Vyitillll�,l Ipili� .�vy' ii term solution to mosquito problems and is the best �i,�Ii�I �i��nl�W�f �k�� ��i����4������������������ ^� l;' . , means of control. In situations where habitat alteration will have undesirable consequences such oq II a a ' �. My as draining wetlands, use other approaches to augment or support natural predators such as "P native fish and frogs to assist in pest reduction. Information on mosquito eating fish is availableIq^ �aY from WDFW at 360-902-2667. This is the logical Fig.4.A mosquito pupa(tumbler). first step in integrated pest management, which by definition utilizes all reasonable methods to achieve pest reduction in a way that has the least negative impact on the environment. The following guidelines will assist you in identifying potential habitats that harbor mosquitoes. Special attention is paid to objects and structures that retain water. To eliminate breeding places: 1. Remove standing water caused by construction puddles, seepage pools, lawn, or landscaping depressions by drainage or filling with earth. 2. Check irrigation and drainage ditches for leaks or seepage and maintain free flow of water. 3. Grade newly developed land to prevent standing water. 4. Provide drainage away from premises for excess irrigation water, or collect in storage sump and reuse on land. 5. Manage weeds in areas where adult mosquitoes Fig. 5.Ornamental pool-a potential breeding site congregate (such as small man-made bodies of water, ornamental pools (Fig. 5), water retention '� lilt ili I!IVyaII �ilia Io o�Vl iii��IIII III i2�Ull� ponds (Fig. 6), lagoons or water reservoirs.) IN I 6. Regularly remove floating debris from ponds to reduce egg-laying sites. 7. Construct drainage holes on structures and containers that may trap water such as barrels. 8. Promote drainage of old tires (Fig. 7) by drilling ° m. holes. Fig.6.Water retention pond in a housing development-a potential breeding site. Application of larvacides to retention ponds requires a NPDES permit and a valid pesticide aoolicator license. 2 w 0 9. Recycle, destroy, flatten or dispose of tin cans or '�- any other artificial water containers. N, 10. Drain gutters and water from under homes. : 11. Change water in birdbaths, pet watering dishes and livestock watering troughs once or twice a week. Stock ornamental pools with predacious , fish. 12. Fill tree holes with sand or mortar, or develop drainholes so water cannot accumulate. 13. Pay particular attention to such gardening aids Fig.7.Old tires-another potential breeding site for as sheets of discarded, crumpled polyethylene mosquitoes. film (often used as plastic mulch). Since these catch water easily, they provide an excellent almost permanent breeding site. They shield against evaporation, even help moisture condense. 14. Check and regularly drain pool tarps and Jacuzzi covers for collected rainwater. Pesticides Registered for Mosquito Control If the problem cannot be solved with cultural methods such as habitat alteration, then judicious use of pesticides may be the final alternative. Commercial Applicators Pesticides used in mosquito control are designed basically as "Adulticides" and "Larvicides." Adulticides are available as "Liquid Concentrations" primarily designed for use in "Ultra-low Volume" sprayers, either by aerial applications or by ground-based equipment; and "Emulsifiable Concentrations" primarily designed to be suspended in water and used relatively coarse sprays. Both forms of concentrations can be diluted with oil and used in thermal fog generators. Lavacides are available as "Liquid Concentrations,""Emulsifiable Concentrations," are described in the preceding paragraph, and as "Granules." Granules are prepared from clay with the pesticide mixed into them or as sand granules coated with the pesticide and can be distributed by aerial application or ground- based equipment. They are best used in aquatic areas with heavy vegetation canopies and as prehatch applications in floodwater situations. There are also light paraffinic-based oils for use as larvicides as well as some specialty items, which release chemicals slowly into the water. 3 w Due to constant changes in registrations of commercial pesticides we will not list specific ones but rather refer the reader to the PNW Insect Control Handbook, which is annually revised. A copy of this handbook resides in virtually all Cooperative Extension offices. Aquatic applications, with the exception of specific products listed in the paragraph below and used according to label instructions, require the user to possess a valid pesticide applicator license with the appropriate category as well as an NPDES permit. A list of license categories can be obtained at http://agr.wa.gov/PestFert/docs/PesticideLicensingMosquitocontrol.pdf. NPDES permit applications can be found at www.ecy.wa.gov/programs/wq/pesticides/index.html. Homeowner Products Homeowners are allowed to apply certain mosquito larvacides to water on their own property. Do not apply pesticides to moving water such as streams and do not apply them in such a way that the chemical drifts or moves off your property. Products labeled only for home and garden mosquito larval control may be used. At the time this bulletin was printed these include three Bti (Bacillus thuringiensis israe%nsis) labels, the trade names of which are Quick Kill TM Mosquito Bits Bayer Advanced Garden Mosquito Preventer R-T-U TM Granules, Summit Mosquito Dunks , and Spectracide Mosquito Stop. There are also growth regulator labels (S-methoprene) available called Pre- Strike Kills Mosquitoes, Pre-Strike Mosquito Torpedo and Vet-Kem Mosquito Larvicide Granules Siphotrol. If you have questions about mosquito control on adjacent properties, housing development retention ponds, etc. contact your local city or county authority (e.g. King County- supply name, or phone number or URL.) Protection from Biting Mosquitoes To reduce the risk of mosquito-borne diseases and annoyances caused by biting mosquitoes, it is important to protect ones self. Limit outdoor activities when mosquitoes are active, such as at dusk. Keep windows and doorways tightly sealed and install window and door screens to prevent mosquitoes from entering the house. When working outside during mosquito season, wear protective clothing such as long-sleeved shirts and pants. Mosquito netting can also be used to protect one's face and neck or used on infant carriages and strollers. Repellents are commonly used to prevent mosquito bites during outdoor activities, such as hunting and gardening. Choose a repellent that best fits your outdoor activity. Apply repellents to areas that are exposed. Wash off repellents when retuning inside and reduce the amount of time of unnecessary exposure. Repellents, especially those containing diethyltoluamide (commonly known as 4 w s DEET), prevent mosquito bites for at least several hours up to a full day. DEET can be applied to both skin and clothing. For most conditions, products with 10- 40% DEET are sufficient for repelling mosquitoes on adult persons (Lilja 2002; Peterson & Marfln, 2002). Higher concentrations do not offer much benefit for longer protection (Fradin, 1998). Few people experience adverse reactions from DEET and other repellents (Fradin, 1998). Be sure to read and follow the directions on the container. Consult your physician or local health department for inquiries about use on infants and children. Citronella is a commonly used repellent that is applied topically or volatilized in citronella candles. Protection of topically applied citronella is short lasting and multiple applications may need to be made for long-lasting protection. Citronella candles, and other candles, can offer some reduction of mosquito bites but there is no evidence attributing repellency to citronella (Fradin, 1998). Permethrin has both insecticidal and repellency characteristics. Products containing permethrin, labeled for mosquito repellency can be used on clothing and other fabrics, such as tents, but should not be applied directly to skin (Fradin, 1998). Read the label and follow directions carefully when using these mosquito repellents and insecticides. Some bath oils, such as Avon Skin-So-Soft, do offer some protection from mosquito bites and contain repellents recognized by the Environmental Protection Agency. These products last only a short amount of time. Multiple applications may be needed to offer mosquito repellency (Fradin, 1998). Using mosquito-repelling plants, such as the citrosa plant, and electronic bug zappers are not known to significantly reduce mosquito numbers. Repellents containing plant-derived chemicals, such as soybean oil, may have some repellent properties but durations of repellency are not as long lasting as products containing DEET (Fradin & Day, 2002). Regarding Horses and West Nile Virus. While certain birds are the primary host, there are mammals that are dead end hosts, some of which are harmed more by the disease than others. Horses are particularly susceptible. From information garnered from Department of Ecology and Department of Health, it is anticipated that 30-40% of infected horses showing symptoms will die or be permanently disabled. Thus it is imperative that horse owners have their horses vaccinated before the next mosquito (the vector) season begins (April.) Why the urgency? It is because 2 doses, 3-6 weeks apart are required, and immunity is not achieved until 5 or 6 weeks after the second dose. This also requires an annual booster. Only a veterinarian can perform the vaccination. 5 w 2 Mosquito Control by Municipal Corporations Frequently mosquito control by an individual or a small group of individuals is impractical because the problem is too extensive. Under these conditions, a more extensive control program may be organized by the formation of a vector control district or a mosquito abatement district, or by having a program instituted through the local health department. Whether the county administration institutes such a program or a formal district is formed will depend upon the wishes of the taxpayers and voters of the area involved. Moreover, it is important to report mosquito problems to your local government to aid in their assessment and monitoring of mosquito problems. The first step in organizing a formal program of mosquito control is a survey to establish the severity of the problem, the major mosquito producing sources, and the area involved. Assistance from the local health department or appropriate office of the responsible state health department is available. The information acquired from this survey should be correlated with a feasibility study. This study should report on the need for a program, methods of organizing a formal control program, specific recommendations on methods of control, and economic ramifications result from control activities. If the report recommends a control program administered by county authorities (usually local health department), concerned citizens should then petition the governing body of the county to institute such a program, with financing to be provided through the appropriate county budget. Conversely, if the report recommends a control program conducted by a formally organized district, then appropriate action as prescribed by the applicable state law or laws must be taken. This usually involves preparation of a petition, hearings, and an election. For this type of action, legal counsel should be obtained. Technical consultation and advice on mosquito prevention and control may be obtained from the appropriate state health departments or from Extension offices. 6 References: Bohart M. R., Washino R.K. Mosquitoes of California. Berkeley. University of California-Division of Agricultural Services. Number 4084. 1978. Fradin M.S., Day J.F. Comparative efficacy of insect repellents against mosquito bites. N Engl J Med. 2002; 347(1):13-8. Fradin M.S. Mosquitoes and Mosquito Repellents: A clinician's guide. Annals of Internal Medicine 1998; 128:931-940. Laird, M. Introduction. Integrated Mosquito Control Methodologies. Vol. 1 Experience and components from conventional chemical control. Ed. M. Laird & J.W. Miles. New York. Academic Press. 1-14. 1983. Laird, M. The Natural History of Larval Mosquito Habitats. New York. Academic Press. 1988. Lilja, J. Mosquito-borne Disease Response Plan. Washington State Department of Health. 2002 Edition. Petersen L.R., Marfin A. A. West Nile Virus: A Primer for the Clinician [Review] Annals of Internal Medicine 2002; 137:173-179. Service, M.W. Mosquito Ecology: Field Sampling Methods. London. Applied Science Publishers Ltd., 1976. 7 Denis Law ® City Of Mayor Y ♦ i ♦ Public Works Department-Gregg Zimmerman, P.E.,Administrator 2010 MOSQUITO ABATEMENT PROGRAM AUTHORIZATION AND RELEASE REQUEST The City of Renton is preparing to conduct its annual Mosquito Abatement Program to control mosquito populations near the Panther Creek Wetlands complex (Exhibit A). The target area is approximately 60 acres adjacent to and upland of the eastern edge of the Panther Creek Wetlands, located between SR-167 on the west, and Lake Avenue South/Talbot Road South on the east, and extending from SW 39th Street on the south to 1-405 on the north, within the City of Renton. Mosquito control will consist of land treatment applications of an Environmental Protection Agency registered, ultra-low volume insecticide spray (Exhibit C). A portable fogger (gasoline-powered backpack-mounted) will be used to apply the spray to upland vegetation. During April through September, when mosquito populations are higher, a licensed applicator/entomologist will apply the treatments in upland areas away from water and wetlands no more than twice per week. The application will be in accordance with the product label, and local, state and federal requirements. We are requesting you sign the enclosed Authorization and Release (Exhibit B) form, to allow the applicator access through your property, if needed, to apply treatment. Please return the completed Authorization and Release form, using the business reply envelope provided by April 20, 2010. If you do not return the form, we will not be able to treat your property. Thank you for your cooperation. If you would like information on precautions you may take to help repel mosquitoes, please see Exhibit C. If you have any questions, or would like more information about the Mosquito Abatement Program, please contact Hebe C. Bernardo, Surface Water Utility Engineer, at 425-430-7264, or by email at hbernardo@rentonwa.gov. Enclosures H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Release Request.doc\HBtp Renton City Hall • 1055 South Grady Way • Renton,Washington 98057 • rentonwa.gov � cn Fj��J h S L-4N,I-405 Ramp76 TF� �4th St n �R �� C �h0 St I CO ,Cu C l t (SW / \� CIA! 93p, / tinSt CD I r 1 N . I i c d7 ►� S �— _ t11lliTf7 � N Mosquito Abatement Program N Exhibit A: Site Plan 0 500 1,000 W*- I E 11 1 1 1 Note: Treatment will not be applied within 100' of water. Feet S Treatments will not be performed near homes. Treatment will only be done on the upland area between the wetland eastern edge Project Boundary and the residential areas. Property owner approval required prior to t C 1 G treatment on private property. A�Gdt Surface Water Utility I G.Del Rosario I Printed 03/31/2010 EXHIBIT B PID Name Address City State Zip PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondence\Release Request\2010 Signature Authorization Exhibit B.doc\HBtp EXHIBIT C Insecticide Products: As in previous years, we will be using products containing the insecticide permethrin. See below for more information. Permanone®31-66: Permanone®31-66 is sold under the trade names of BioMist®and Kontrol®4- 4. They contain a synthetic version of permethrin as an active ingredient. The insecticides are formulated for dilution with oil products, such as mineral oil, and are applied at a rate between 0.0035 and 0.0070 pounds of permethrin per acre. Permanone® 31-66 is degraded in soil and may last for several days. BioMist®and Kontrol®4-4 are not applied within 100-feet from water or wetland areas. Repel Mosquitoes: Not all mosquitoes will be eliminated during our Mosquito Abatement Program. Some precautions you may take to further reduce the number of mosquitoes in your area include: Mosquito Breeding Places: Some mosquitoes may breed in stagnant water. If you eliminate standing water around your home, you may eliminate their breeding places. Stagnant water may be found in ornamental pools, birdbaths, old tires, and flower pots. Methods to eliminate these and other potential breeding sites are listed in the enclosed Extension Bulletin PLS-121 April 2007 by the Washington State University Cooperative Extension titled "Pest Management for Prevention and Control of Mosquitoes". Natural Predators: By encouraging natural predators that feed on mosquitoes,you may also reduce the number of mosquitoes in your area. Natural predators include bats, swallows,frogs, and fish. In order to stock mosquito fish and three-spine stickleback fish, a permit is required from the Washington State Department of Fish and Wildlife. However,you may attract other natural predator animals by enhancing habitat and constructing cavity type houses. More information on attracting natural predators, such as instructions for constructing and locating bat houses, may be obtained from the State Department of Fish and Wildlife. Mosquito Repellent: By using mosquito repellent, netting, and screens you may reduce your exposure to mosquitoes. Additional precautions include: ♦ Wear clothes that reduce the area of exposed skin; ♦ Install screens or netting over open patios or windows; and/or ♦ Apply repellents, especially those containing the ingredient diethyltoluamide (DEET), to exposed skin. Since young children and certain adults can be sensitive to DEET, please follow application instructions carefully. Note: While bug lights eliminate some mosquitoes, they are not highly recommended, since studies show they also eliminate a large amount of beneficial and non-pest insects. Furthermore, Aedes, the most aggressive of the mosquito species, found in the Talbot Hill area, are not attracted to light and the noise emitted by the bug lights may annoy some neighbors. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Description Exhibit C.DOC WASHINGFON STATE UNIVERSITY PLS-121 Revised April 2007 U �t"IFSIQN WSU-Puyallup Pest Management for Prevention and Control of Mosquitoes with Special Attention to West Nile Virus By: Art Antonelli, WSU Extension Entomologist, Todd Murray, Whatcom Co. Extension Educator and Catherine Daniels, WSU Pesticide Coordinator Mosquitoes, like many other biting flies, are important pests. They annoy and bite humans and animals. Also, they may transmit disease-causing organisms such as malaria and encephalitis. While human malaria does not occur in Washington, outbreaks of encephalitis and mosquito transmission thereof do occur from time to time. In 2002, a type of encephalitis caused by the "West Nile Virus" was found in Washington State. West Nile Virus is a mosquito-transmitted encephalitis that can impact the health of humans, many bird species, horses, and a variety of other animals. West Nile Virus is primarily a virus of birds and is transmitted from infected birds to other birds by mosquitoes; other animals and people are incidental hosts and obtain the virus from infected mosquitoes. As of 2006, there have been 3 cases of West Nile Virus found in humans, 6 cases in horses, and 13 cases in birds in Washington State. Visit the Center for Disease Control (www.cdc.gov) or Washington State Department of Health (www.doh.wa.gov) for the most recent information on West Nile Virus in North America. Life Cycle The adult stages (Fig. 1) of many mosquito species are feeders of blood, which has given some disease- causing organisms a reliable mode of transmission to animal hosts. The feeding times and behaviors . ulll II I II can differ between mosquito species; some species ,III � II . I'II u t" i.Ilhalao vl aST' v0r will feed in daylight while some feed at dusk and � dawn (Bohart & Washino/ 1978). The egg (Fig. 2) / larval (Fig. 3) and pupal (Fig. 4) stages of I I° I'I°Irl li,I�I mosquitoes are generally associated with bodies of Fig. 1.An adult mosquito ding a blood meal. water. Some mosquito species are specific to tidal flood lands while others are specific to shallow, warm, stagnant water (Laird, 1988). Mosquitoes are always located near water since water is essential for growth of the immature stages, thus the presence of water is crucial in focusing control programs. The advice provided here concerns mosquito control on private property —city governments or county mosquito abatement districts handle extensive areas of control. ul�l"II II I I ��o II 111 II� I unp a un �c doll I I I , g ulppm_ In lr,lw II III III I U II u h Io wt yyJ� 4 C Yu. Fig.2.An egg raft of Culex sp.mosquito. Fig.3.A mosquito larva(wiggler). Control Prevent mosquitoes from reproducing by altering their natural habitat. Habitat alteration is a long- term solution to mosquito problems and is the best means of control. In situations where habitat alteration will have undesirable consequences, such y' as draining wetlands, use other approaches to augment or support natural predators such as -""" I';wm ''" native fish and frogs to assist in pest reduction. Information on mosquito eating fish is available from WDFW at 360-902-2667. This is the logical Fig.4.A mosquito pupa(tumbler). first step in integrated pest management, which by definition utilizes all reasonable methods to achieve pest reduction in a way that has the least negative impact on the environment. The following guidelines will assist you in identifying potential habitats that harbor mosquitoes. Special attention is paid to objects and structures that retain water. To eliminate breeding places: 1. Remove standing water caused by construction puddles, seepage pools, lawn, or landscaping depressions by drainage or filling with earth. 2. Check irrigation and drainage ditches for leaks or seepage and maintain free flow of water. 3. Grade newly developed land to prevent standing water. 4. Provide drainage away from premises for excess irrigation water, or collect in storage sump and reuse on land. 5. Manage weeds in areas where adult mosquitoes Fig. 5.Ornamental pool-a potential breeding site congregate (such as small man-made bodies of water, ornamental pools (Fig. 5), water retention ponds (Fig. 6), lagoons or water reservoirs.) 6. Regularly remove floating debris from ponds to 9 Y 9 reduce egg-laying sites. ' T 7. Construct drainage holes on structures and containers that may trap water such as barrels. 8. Promote drainage of old tires (Fig. 7) by drilling holes. Fig.6.Water retention pond in a housing development-a potential breeding site. Application of larvacides to retention ponds requires a NPDES permit and a valid pesticide aoolicator license. 2 9. Recycle, destroy, flatten or dispose of tin cans or any other artificial water containers. 10. Drain gutters and water from under homes. 11. Change water in birdbaths, pet watering dishes and livestock watering troughs once or twice a week. Stock ornamental pools with predacious fish. 12. Fill tree holes with sand or mortar, or develop drainholes so water cannot accumulate. 13. Pay particular attention to such gardening aids pig_,.old tires-another potential breeding site for as sheets of discarded, crumpled polyethylene mosquitoes. film (often used as plastic mulch). Since these catch water easily, they provide an excellent almost permanent breeding site. They shield against evaporation, even help moisture condense. 14. Check and regularly drain pool tarps and Jacuzzi covers for collected rainwater. Pesticides Registered for Mosquito Control If the problem cannot be solved with cultural methods such as habitat alteration, then judicious use of pesticides may be the final alternative. Commercial Applicators Pesticides used in mosquito control are designed basically as "Adulticides" and "Larvacides." Adulticides are available as "Liquid Concentrations" primarily designed for use in "Ultra-low Volume" sprayers, either by aerial applications or by ground-based equipment; and "Emulsifiable Concentrations" primarily designed to be suspended in water and used relatively coarse sprays. Both forms of concentrations can be diluted with oil and used in thermal fog generators. Lavacides are available as "Liquid Concentrations,""Emulsifiable Concentrations," are described in the preceding paragraph, and as "Granules." Granules are prepared from clay with the pesticide mixed into them or as sand granules coated with the pesticide and can be distributed by aerial application or ground- based equipment. They are best used in aquatic areas with heavy vegetation canopies and as prehatch applications in floodwater situations. There are also light paraffinic-based oils for use as larvacides as well as some specialty items, which release chemicals slowly into the water. 3 Due to constant changes in registrations of commercial pesticides we will not list specific ones but rather refer the reader to the PNW Insect Control Handbook, which is annually revised. A copy of this handbook resides in virtually all Cooperative Extension offices. Aquatic applications, with the exception of specific products listed in the paragraph below and used according to label instructions, require the user to possess a valid pesticide applicator license with the appropriate category as well as an NPDES permit. A list of license categories can be obtained at http://agr.wa.gov/PestFert/docs/PesticideLicensingMosquitocontrol.pdf. NPDES permit applications can be found at www.ecy.wa.ciov/programs/`­­wg/pesticides/index.html. Homeowner Products Homeowners are allowed to apply certain mosquito larvacides to water on their own property. Do not apply pesticides to moving water such as streams and do not apply them in such a way that the chemical drifts or moves off your property. Products labeled only for home and garden mosquito larval control may be used. At the time this bulletin was printed these include three Bti (Baci//us thuringien5& i5raeien5&) labels, the trade names of which are Quick Kill TM Mosquito Bits Bayer Advanced Garden Mosquito Preventer R-T-U TM Granules, Summit Mosquito Dunks , and Spectracide Mosquito Stop. There are also growth regulator labels (S-methoprene) available called Pre- Strike Kills Mosquitoes, Pre-Strike Mosquito Torpedo and Vet-Kem Mosquito Larvicide Granules Siphotrol. If you have questions about mosquito control on adjacent properties, housing development retention ponds, etc. contact your local city or county authority (e.g. King County- supply name, or phone number or URL.) Protection from Biting.Mosquitoes To reduce the risk of mosquito-borne diseases and annoyances caused by biting mosquitoes, it is important to protect ones self. Limit outdoor activities when mosquitoes are active, such as at dusk. Keep windows and doorways tightly sealed and install window and door screens to prevent mosquitoes from entering the house. When working outside during mosquito season, wear protective clothing such as long-sleeved shirts and pants. Mosquito netting can also be used to protect one's face and neck or used on infant carriages and strollers. Repellents are commonly used to prevent mosquito bites during outdoor activities, such as hunting and gardening. Choose a repellent that best fits your outdoor activity. Apply repellents to areas that are exposed. Wash off repellents when retuning inside and reduce the amount of time of unnecessary exposure. Repellents, especially those containing diethyltoluamide (commonly known as 4 DEET), prevent mosquito bites for at least several hours up to a full day. DEET can be applied to both skin and clothing. For most conditions, products with 10- 40% DEET are sufficient for repelling mosquitoes on adult persons (Lilja 2002; Peterson & Marfin, 2002). Higher concentrations do not offer much benefit for longer protection (Fradin, 1998). Few people experience adverse reactions from DEET and other repellents (Fradin, 1998). Be sure to read and follow the directions on the container. Consult your physician or local health department for inquiries about use on infants and children. Citronella is a commonly used repellent that is applied topically or volatilized in citronella candles. Protection of topically applied citronella is short lasting and multiple applications may need to be made for long-lasting protection. Citronella candles, and other candles, can offer some reduction of mosquito bites but there is no evidence attributing repellency to citronella (Fradin, 1998). Permethrin has both insecticidal and repellency characteristics. Products containing permethrin, labeled for mosquito repellency can be used on clothing and other fabrics, such as tents, but should not be applied directly to skin (Fradin, 1998). Read the label and follow directions carefully when using these mosquito repellents and insecticides. Some bath oils, such as Avon Skin-So-Soft, do offer some protection from mosquito bites and contain repellents recognized by the Environmental Protection Agency. These products last only a short amount of time. Multiple applications may be needed to offer mosquito repellency (Fradin, 1998). Using mosquito-repelling plants, such as the citrosa plant, and electronic bug zappers are not known to significantly reduce mosquito numbers. Repellents containing plant-derived chemicals, such as soybean oil, may have some repellent properties but durations of repellency are not as long lasting as products containing DEET (Fradin & Day, 2002). Regarding Horses and West Nile Virus. While certain birds are the primary host, there are mammals that are dead end hosts, some of which are harmed more by the disease than others. Horses are particularly susceptible. From information garnered from Department of Ecology and Department of Health, it is anticipated that 30-40% of infected horses showing symptoms will die or be permanently disabled. Thus it is imperative that horse owners have their horses vaccinated before the next mosquito (the vector) season begins (April.) Why the urgency? It is because 2 doses, 3-6 weeks apart are required, and immunity is not achieved until 5 or 6 weeks after the second dose. This also requires an annual booster. Only a veterinarian can perform the vaccination. 5 Mosquito Control by Municipal Corporations Frequently mosquito control by an individual or a small group of individuals is impractical because the problem is too extensive. Under these conditions, a more extensive control program may be organized by the formation of a vector control district or a mosquito abatement district, or by having a program instituted through the local health department. Whether the county administration institutes such a program or a formal district is formed will depend upon the wishes of the taxpayers and voters of the area involved. Moreover, it is important to report mosquito problems to your local government to aid in their assessment and monitoring of mosquito problems. The first step in organizing a formal program of mosquito control is a survey to establish the severity of the problem, the major mosquito producing sources, and the area involved. Assistance from the local health department or appropriate office of the responsible state health department is available. The information acquired from this survey should be correlated with a feasibility study. This study should report on the need for a program, methods of organizing a formal control program, specific recommendations on methods of control, and economic ramifications result from control activities. If the report recommends a control program administered by county authorities (usually local health department), concerned citizens should then petition the governing body of the county to institute such a program, with financing to be provided through the appropriate county budget. Conversely, if the report recommends a control program conducted by a formally organized district, then appropriate action as prescribed by the applicable state law or laws must be taken. This usually involves preparation of a petition, hearings, and an election. For this type of action, legal counsel should be obtained. Technical consultation and advice on mosquito prevention and control may be obtained from the appropriate state health departments or from Extension offices. 6 References: Bohart M. R., Washino R.K. Mosquitoes of California. Berkeley. University of California-Division of Agricultural Services. Number 4084. 1978. Fradin M.S., Day J.F. Comparative efficacy of insect repellents against mosquito bites. N Engl J Med. 2002; 347(1):13-8. Fradin M.S. Mosquitoes and Mosquito Repellents: A clinician's guide. Annals of Internal Medicine 1998; 128:931-940. Laird, M. Introduction. Integrated Mosquito Control Methodologies. Vol. 1 Experience and components from conventional chemical control. Ed. M. Laird & J.W. Miles. New York. Academic Press. 1-14. 1983. Laird, M. The Natural History of Larval Mosquito Habitats. New York. Academic Press. 1988. Lilja, J. Mosquito-borne Disease Response Plan. Washington State Department of Health. 2002 Edition. Petersen L.R., Marfin A. A. West Nile Virus: A Primer for the Clinician [Review] Annals of Internal Medicine 2002; 137:173-179. Service, M.W. Mosquito Ecology: Field Sampling Methods. London. Applied Science Publishers Ltd., 1976. 7 . 2,010 PID TAXPAYER TAXPAYER ADDRESS SITUS ADDRESS 1 3023059012 NAKANISHI RUTH Y — 3315 TALBOT RD S RENTON WA 3315 1 TALBOT RD S 98055 2 3023059016 SCHULTEK JEFF& BERNADINE 2921 TALBOT RD S RENTON WA 2921 TALBOT RD S 98055 3 3023059018 OLSON SHAWN &JAIME ✓ 3101 TALBOT RD S RENTON WA 3101 TALBOT RD S 98055 4 3023059019 TATRO DON L 3211 TALBOT RD S RENTON WA 3211 TALBOT RD S 98055 s 3023059025 NOBLE JANICE M 2819 TALBOT RD S RENTON WA 2819 TALBOT RD S 98055 6 3023059036 LEE BRANDON V 2709 TALBOT RD S RENTON WA 2709 TALBOT RD S 98055 7 3023059050 HAWKINS JACK M+JANE 1 ✓ 2825 TALBOT RD S RENTON WA 2825 TALBOT RD S 98055 8 3023059063 NGHIEM HOA 3001 TALBOT RD RENTON WA 3001 TALBOT RD S 98055 9 3023059068 PHAM VANG VAN+NGOCLOAN THI I✓ 408 S 33RD PL RENTON WA 408 S 33RD PL 98055 io 3023059075 TURNER DAVID E&JODIE D I✓ 3107 TALBOT RD S RENTON WA 3107 TALBOT RD S 98055 11 3023059081 SCHNEIDER KATHLEEN E 3037 TALBOT RD S RENTON WA 3037 TALBOT RD S 98055 12 3023059105 CLIFFORD CHRISTOPHER P/CHINN SHERI J 2721 TALBOT RD S RENTON WA 2719 TALBOT RD S 98055 13 3023059106 CHINN MARY JEAN 2715 TALBOT RD S RENTON WA 2715 TALBOT RD S 98055 14 3023059107 KREBS FREDERICK D 2703 TALBOT RD S RENTON WA 2703 TALBOT RD S 98055 15 3023059114 SMITH ARTHUR L& MARIE W PO BOX 59512 RENTON WA 3117 TALBOT RD S 98055 16 3023059115 BERRY PAUL ✓ 3129 TALBOT RD S RENTON WA 3129 TALBOT RD S 98055 17 3023059116 FULLER NATHAN C 3113 TALBOT RD S RENTON WA 3113 TALBOT RD S 98055 18 3023059121 TRAN THANH VAN+THU HA NGUYEN ET ALTHI 3011 TALBOT ROAD SO RENTON WA 3011 TALBOT RD S 98055 19 3023059122 PENA ELMER C+EVELYN D 3021 TALBOT RD S RENTON WA 3021 TALBOT RD S 98055 20 3023059123 WOO PETER C ✓ 3031 TALBOT RD S RENTON WA 3031 TALBOT RD S 98055 21 3023059127 RAMIREZ RENE Q+DANILEE 426 S 33RD PL RENTON WA 426 S 33RD PL 98055 22 3023059128 CHEUNG MUI HO+CHIM KUEN KAU 420 S 33RD PL RENTON WA 420 S 33RD PL 98055 23 3023059129 WONG WING TIN 553717TH AVE S SEATTLE WA 414 S 33RD PL 98055 24 3023059130 HERNANDEZ JORGO&MARTHA 402 S 33RD PL RENTON WA 402 S 33RD PL 98055 25 3340401110 AMBERWOOD LLC ✓ 19129 SE 145TH ST RENTON WA VACANT 26 3340401115 CARROLL ELIZABETH ✓ 1805 LAKE AVE S RENTON WA 1805 LAKE AVE S 98055 27 3340401120 LARSEN KELLY F+JESSICA E 1803 LAKE AVE S RENTON WA 1803 LAKE AVE S 98055 28 3340401125 ALLEN JUSTIN P 1801 LAKE AVE S RENTON WA 1801 LAKE AVE S 98055 29 3340401130 MONTANEZ CHERIE D+MEDILO BENJIE P 1737 LAKE AVE S RENTON WA 1737 LAKE AVE S 98055 3o 3340401131 LEWIS OLGA M 1717 LAKE AVE S RENTON WA VACANT 31 3340401132 GIENG HONG 1731 LAKE SOUTH RENTON WA 1731 LAKE AVE S 98055 32 3340401133 VILLAR MARILOU 430 TEMPLETON DR VANCOUVER BC VACANT 33 3340401140 VILLA CHARLES A+CONSTANCE M 1717 LAKE AVE S RENTON WA 1717 LAKE AVE S 98055 PID TAXPAYER TAXPAYER ADDRESS SITUS ADDRESS x 3340401145 BROWN WAYNE ARTHUR JR v 1711 LAKE AVE S RENTON WA 1711 LAKE AVE S 98055 35 3340401150 DELLA ROSSA EDWIN 1625 LAKE AVE S RENTON WA 1625 LAKE AVE S 98055 36 3340401151 TOBACCO JANA A 1701 LAKE AVE S RENTON WA 1701 LAKE AVE S 98055 37 3340401160 WILLIAMS DON D I✓` 9308 46TH AVE S SEATTLE WA 1619 LAKE AVE S 98055 38 3340401165 POZZOBON TERESA& EDA 1615 LAKE AVE S RENTON WA 1615 LAKE AVE S 98055 39 3340401170 DOMINGCIL MARYANN 1521 LAKE AVE S RENTON WA 1521 LAKE AVE S 98055 4o 3340401171 SCHNEIDER SHAWN M+KATRINA M 1523 LAKE AVE S RENTON WA 1523 LAKE AVE S 98055 41 3340401172 CHAVEZ KATHRYN G 1607 LAKE AVE S RENTON WA 1607 LAKE AVE S 98055 42 3340401180 GUAN QING HUA+LI QI FENG 6916 S 124TH ST SEATTLE WA 1515 LAKE AVE S 98055 43 3340401190 MCCALLISTER GLEN A 1503 LAKE AVE S RENTON WA 1503 LAKE AVE S 98055 44 5070000010 AGOO SILVER D+GRACE T 3621 SHATTUCK AVE S RENTON WA 3621 SHATTUCK AVE S 98055 45 5070000020 GILLILAN ANNE LIVING TRUST it 3615 SHATTUCK AVE S RENTON WA 3615 SHATTUCK AVE S 98055 46 5070000030 HOANG BAY T v 3609 SHATTUCK AVE S RENTON WA 3609 SHATTUCK AVE S 98055 47 5070000040 KUMARAN RUDRA+SAVITRI 3603 SHATTUCK AVE S RENTON WA 3603 SHATTUCK AVE S 98055 48 5070000050 BOSTICK HARRY G. vl..le 3527 SHATTUCK AVE S RENTON WA 3527 SHATTUCK AVE S 98055 49 5070000060 HARVEY RICHARD D& FRANCINE 21015148TH AVE SE KENT WA 3521 SHATTUCK AVE S 98055 5o 5070000070 MOSS KATHERINE E 3509 SHATTUCK AVE S RENTON WA 3509 SHATTUCK AVE S 98055 51 5070000080 CAMERINI DONALD A+CARMEL D 3503 SHATTUCK AVE S RENTON WA 3503 SHATTUCK AVE S 98055 52 7222000410 FORD GLEN ✓ 1925 SHATTUCK AVE RENTON WA 1925 SHATTUCK AVE S 98055 s3 7222000511 GREGORIS NINFA 223 S 19TH ST RENTON WA VACANT 54 8557000170 HURST CHARLES HERMAN ✓ 2325 TALBOT CREST DR S RENTON WA 2325 TALBOT CREST DR S 98055 55 8557000180 MAGNO LILY 0 ✓ 2331 TALBOT CREST DR S RENTON WA 2331 TALBOT CREST DR S 98055 56 8557000190 VU HAI V 16020 SE 156TH ST RENTON WA 2337 TALBOT CREST DR S 98055 57 8557000200 NGUYEN XIN v 2401 TALBOT CREST DR S RENTON WA 2401 TALBOT CREST DR S 98055 58 8557000210 NGUYEN THANG T 2407 TALBOT CREST DR RENTON WA 2407 TALBOT CREST DR S 98055 59 8557000220 PICKREIGN CYNTHIA J 2413 TALBOT CREST DR S RENTON WA 2413 TALBOT CREST DR S 98055 6o 8557000230 ESPEY DIANE 2419 TALBOT CREST DR S RENTON WA 2419 TALBOT CREST DR S 98055 61 8557000240 WILLIAMS BARTOW JR+MINNIE L 2503 TALBOT CREST DR S RENTON WA 2503 TALBOT CREST DR S 98055 62 8557000250 CUMMINGS RAYMOND+MARILYN L 2509 TALBOT CREST DR S RENTON WA 2509 TALBOT CREST DR S 98055 63 8557000260 TONSGARD PATRICIA L 2515 TALBOT CREST DR RENTON WA 2515 TALBOT CREST DR S 98055 64 8557000270 NESS ROSEMARY 2521 TALBOT CREST DR S RENTON WA 2521 TALBOT CREST DR S 98055 65 8557000280 HOLZBOOG DAVID S+AMY L ✓ 2527 TALBOT CREST DR S RENTON WA 2527 TALBOT CREST DR S 98055 66 8557000290 TRAUTMANN JOHN F V 2601 TALBOT CREST DR S RENTON WA 2601 TALBOT CREST DR S 98055 PID TAXPAYER TAXPAYER ADDRESS SITUS ADDRESS 67 8557000300 GOLDMANN CHARLES J v 2607 TALBOT CREST DR S RENTON WA 2607 TALBOT CREST DR S 98055 68 8860500080 HOBSON LEE C/DIGGSHOBSON MARY V 206 S 20TH PL RENTON WA 206 S 20TH PL 98055 69 8860500090 THOENNES NICHOLAS A 200 S 20TH PL RENTON WA 200 S 20TH PL 98055 70 8860500100 NGUYEN THUAN q+ANH NGOC 545 INDUSTRY DR TUKWILA WA 2005 DAVIS AVE S 98055 71 8860500110 MAI JOANNE 2011 DAVIS AVE S RENTON WA 2011 DAVIS AVE S 98055 72 8860500120 CHINN MARCUS 2017 DAVIS AVE S RENTON WA 2017 DAVIS AVE S 98055 73 8860500130 LUONG HINH 2O23 DAVIS AVE S RENTON WA 2023 DAVIS AVE S 98055 74 8860500140 KIAZIMOV ALI+JOULIA BOGACHOV oe 2101 DAVIS AVE S RENTON WA 2101 DAVIS AVE S 98055 75 8860500150 O'STEEN JONAKAN H 2107 DAVIS AVE S RENTON WA 2107 DAVIS AVE S 98055 76 8860500160 DAVIS GEORGE E+DAVIS DALIA P to' 671 HARRINGTON AVE NE RENTON WA 303 S 21ST ST 98055 77 8860500170 DURDUEVA SVETLANA r/ 307 S 21ST ST RENTON WA 307 S 21ST ST 98055 78 8860500180 MARTIN ROBERT P& NIDA B if 2111 DAVIS AVE S RENTON WA 2111 DAVIS AVE S 98055 79 8860500190 KING ALBERT WONG+LYNN WING 2115 DAVIS AVE S RENTON WA 2115 DAVIS AVE S 98055 so 8860500200 VO ANTHONY+LE TAMMIE 2121 DAVIS AVE S RENTON WA 2121 DAVIS AVE S 98055 81 8860500210 FERARA CHERYL ANN ✓ 2127 DAVIS AVE S RENTON WA 2127 DAVIS AVE S 98055 82 8860500220 BROADDUS SUSAN G PO BOX 58154 RENTON WA 2133 DAVIS AVE S 98055 83 8860500350 VALLEY VUE ESTATES HOA 332 S 20TH PL RENTON WA VACANT 84 9899200010 FAST JOHN L 3431 SHATTUCK AVE S RENTON WA 3431 SHATTUCK AVE S 98055 8s 9899200020 HILL JAY G+DORI A 3425 SHATTUCK AVE S RENTON WA 3425 SHATTUCK AVE S 98055 86 9899200030 LEMAFA MOLIUILA M 3419 SHATTUCK AVE S RENTON WA 3419 SHATTUCK AVE S 98055 871 9899200040 BALDRIDGE BRUCE T 3422 SHATTUCK AVE S RENTON WA 3422 SHATTUCK AVE S 98055 4 PID TAXPAYER TAXPAYER ADDRESS SITUS ADDRESS i 1923059016 RENTON CITY OF 1055 S GRADY WAY RENTON WA 2 3023059002 RENTON CITY OF 1055 S GRADY WAY RENTON WA 3 3023059003 RENTON CITY OF 1055 S GRADY WAY RENTON WA 4 3023059004 RENTON CITY OF 1055 S GRADY WAY RENTON WA s 3023059026 RENTON CITY OF 1055 S GRADY WAY RENTON WA 6 3023059062 RENTON CITY OF 1055 S GRADY WAY RENTON WA 7 3023059076 RENTON CITY OF 1055 S GRADY WAY RENTON WA s 3023059119 RENTON CITY OF 1055 S GRADY WAY RENTON WA 9 3023059124 RENTON CITY OF 1055 S GRADY WAY RENTON WA 10 3023059125 RENTON CITY OF 1055 S GRADY WAY RENTON WA 11 3023059126 RENTON CITY OF 1055 S GRADY WAY RENTON WA 12 3340400995 RENTON CITY OF 1055 S GRADY WAY RENTON WA 13 3340401010 RENTON CITY OF 1055 S GRADY WAY RENTON WA 14 3340401020 RENTON CITY OF 1055 S GRADY WAY RENTON WA 15 3340401065 RENTON CITY OF 1055 S GRADY WAY RENTON WA 16 3340401075 RENTON CITY OF 1055 S GRADY WAY RENTON WA 17 3340401076 RENTON CITY OF 1055 S GRADY WAY RENTON WA 181 3340401185 RENTON CITY OF 1055 S GRADY WAY RENTON WA PUBLIC NOTICE MOSQUITO ABATEMENT PROGRAM TREATMENT AREA DATE OF APPLICATION: April 28, 2010 PROJECT NAME: MOSQUITO ABATEMENT PROGRAM PROJECT LOCATION: See Map Below APPLICANT/PROJECT CONTACT PERSON: Application —Whitworth Pest Solutions, Inc. (253) 845-1818 City of Renton — Hebe C. Bernardo (425) 430-7264 MOSQUITO CONTROL METHODS Upland Treatment: BIOMIST insecticide, or similar formulations, for the control of adult mosquitoes that emerge from the Panther Creek Wetland or other sources. A person will apply the insecticide with a backpack fogger in upland areas only. No insecticide will be applied to water bodies. The treatment program will be performed in accordance with the conditions of the program's Environmental Determination of Non-Significance (Mitigated), label requirements, the Aquatic Mosquito Control National Pollutant Discharge Elimination System General Permit, and other state and federal requirements. Note: Treatment will not be applied within 100'of water. Treatments will not be performed near homes. Treatment will only be done on the upland area between the wetland eastern edge and residential areas. Property owner approval obtained prior to treatment on private property. Q L-LLJ Pa AETDA 3 _ Pb bel+d 3 LBGEND PRO T L SE:E N N - 3AMTHIRDM 5 eny S �� PU!7 PuBur Eal T. .0 D city or t� 0� ® `` ® F41NEr BOWES Utility Systems Division, 5th Floor 02 1M $ 01.220 0004278599 APR07 2010 Public Works Department f MAILED FROM ZIPCODE 98032 CITY OF RENTON 1055 South Grady Way Renton,WA 98057 uoq O ti �°��epverablo qa qd not ForK`efd h„^ gddreSq 'ved.Deft No Ll!Jnc'�upCd dren C7 s•.,. D Refused ,4, Su.ted-Not Know 7rre,� Number tit e9,bie C . �ePtacie G £o No Order pddre� l _ II �Y POSTAGE NECESSARY IFIF MAILED IN THE UNITED STATES BUSINESS REPLY MAIL FIRST-CLASS MAIL PERMIT NO.646 RENTON WA POSTAGE WILL BE PAID BY ADDRESSEE Utility Systems Division Attn: Hebb C.Bernardo CITY OF RENTON 1055 S GRADY WAY RENTON WA 98057-9808 Denis Law City of Mayor o Y N L Public Works Department-Gregg Zimmerman,P.E.,Administrator 2010 MOSQUITO ABATEMENT PROGRAM AUTHORIZATION AND RELEASE REQUEST The City of Renton is preparing to conduct its annual Mosquito Abatement Program to control mosquito populations near the Panther Creek Wetlands complex (Exhibit A). The target area is approximately 60 acres adjacent to and upland of the eastern edge of the Panther Creek Wetlands, located between SR-167 on the west, and Lake Avenue South/Talbot Road South on the east, and extending from SW 39th Street on the south to 1-405 on the north, within the City of Renton. Mosquito control will consist of land treatment applications of an Environmental Protection Agency registered, ultra-low volume insecticide spray (Exhibit Q. A portable fogger (gasoline-powered backpack-mounted) will be used to apply the spray to upland vegetation. During April through September, when mosquito populations are higher, a licensed applicator/entomologist will apply the treatments in upland areas away from water and wetlands no more than twice per week. The application will be in accordance with the product label, and local, state and federal requirements. We are requesting you sign the enclosed Authorization and Release (Exhibit B) form, to allow the applicator access through your property, if needed, to apply treatment. Please return the completed Authorization and Release form, using the business reply envelope provided by April 20, 2010. If you do not return the form, we will not be able to treat your property. Thank you for your cooperation. If you would like information on precautions you may take to help repel mosquitoes, please see Exhibit C. If you have any questions, or would like more information about the Mosquito Abatement Program, please contact Hebe C. Bernardo, Surface Water Utility Engineer, at 425-430-7264, or by email at hbernardo@rentonwa.gov. Enclosures H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Release Request.doc\HBtp Renton City Hall • 1055 South Grady Way• Renton,Washington 98057 • rentonwa.gov 1-405 Ramp St CD 1 i SW 1 i i N O' Q t tP ,i fI � S CO HHHHH1 � N Mosquito Abatement Program N Exhibit A: Site Plan 0 500 1,000 w" E l i l i l Note: Treatment will not be applied within 1 00' of water. Feet S Treatments will not be performed near homes. Treatment will only be done on the upland area between the wetland eastern edge O Project Boundary and the residential areas. Property owner approval required prior to treatment on private property. Rosario Surface Water Utility i G.Del Rosario i Printed 03/31/2010 EXHIBIT B 3023059036 LEE BRANDON V 2709 TALBOT RD S Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP - Surface Water Projects\SWP-27-Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exh B Mail Merge Letter.doc\HBtp EXHIBIT C Insecticide Products: As in previous years,we will be using products containing the insecticide permethrin. See below for more information. Permonone*31-66: Permanones 31-66 is sold under the trade names of BioMist*and Kontrol®4- 4. They contain a synthetic version of permethrin as an active ingredient. The insecticides are formulated for dilution with oil products, such as mineral oil, and are applied at a rate between 0.0035 and 0.0070 pounds of permethrin per acre. Permanone*31-66 is degraded in soil and may last for several days. BioMist®and Kontrol"4-4 are-not applied within 100-feet from water or wetland areas. Repel Mosquitoes: Not all mosquitoes will be eliminated during our Mosquito Abatement Program. Some precautions you may take to further reduce the number of mosquitoes in your area include: Mosquito Breeding Places: Some mosquitoes may breed in stagnant water. If you eliminate standing water around your home, you may eliminate their breeding places. Stagnant water may be found in ornamental pools, birdbaths, old tires, and flower pots. Methods to eliminate these and other potential breeding sites are listed in the enclosed Extension Bulletin PLS-121 April 2007 by the Washington State University Cooperative Extension titled "Pest Management for Prevention and Control of Mosquitoes". Natural Predators: By encouraging natural predators that feed on mosquitoes,you may also reduce the number of mosquitoes in your area. Natural predators include bats, swallows,frogs, and fish. In order to stock mosquito fish and three-spine stickleback fish, a permit is required from the Washington State Department of Fish and Wildlife. However, you may attract other natural predator animals by enhancing habitat and constructing cavity type houses. More information on attracting natural predators, such as instructions for constructing and locating bat houses, may be obtained from the State Department of Fish and Wildlife. Mosquito Repellent: By using mosquito repellent, netting, and screens you may reduce your exposure to mosquitoes. Additional precautions include: ♦ Wear clothes that reduce the area of exposed skin; ♦ Install screens or netting over open patios or windows; and/or ♦ Apply repellents, especially those containing the ingredient diethyltoluamide (DEET),to exposed skin. Since young children and certain adults can be sensitive to DEET, please follow application instructions carefully. Note: While bug lights eliminate some mosquitoes, they are not highly recommended, since studies show they also eliminate a large amount of beneficial and non-pest insects. Furthermore,Aedes,the most aggressive of the mosquito species,found in the Talbot Hill area, are not attracted to light and the noise emitted by the bug lights may annoy some neighbors. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Description Exhibit C.DOC WASHINGTON STATE UNIVERSITY PLS-121 EXTENSION Revised April 2007 WSU-Puyallup Pest Management for Prevention and Control of Mosquitoes with Special Attention to West Nile Virus By: Art Antonelli, WSU Extension Entomologist, Todd Murray, Whatcom Co. Extension Educator and Catherine Daniels, WSU Pesticide Coordinator Mosquitoes, like many other biting flies, are important pests. They annoy and bite humans and animals. Also, they may transmit disease-causing organisms such as malaria and encephalitis. While human malaria does not occur in Washington, outbreaks of encephalitis and mosquito transmission thereof do occur from time to time. In 2002, a type of encephalitis caused by the "West Nile Virus" was found in Washington State. West Nile Virus is a mosquito-transmitted encephalitis that can impact the health of humans, many bird species, horses, and a variety of other animals. West Nile Virus is primarily a virus of birds and is transmitted from infected birds to other birds by mosquitoes; other animals and people are incidental hosts and obtain the virus from infected mosquitoes. As of 2006, there have been 3 cases of West Nile Virus found in humans, 6 cases in horses, and 13 cases in birds in Washington State. Visit the Center for Disease Control (www.cdc.gov) or Washington State Department of Health (www.doh.wa.gov) for the most recent information on West Nile Virus in North America. Life Cycle The adult stages (Fig. 1) of many mosquito species are feeders of blood, which has given some disease- causing organisms a reliable mode of transmission to animal hosts. The feeding times and behaviors can differ between mosquito species; some species �91 will feed in daylight while some feed at dusk and dawn (Bohart & Washino, 1978). The egg (Fig. 2), larval (Fig. 3) and pupal (Fig. 4) stages of �IiNVl�ltlld��i' IIlGtlnll'Ilil+ II mosquitoes are generally associated with bodies of Fig. 1.An adult mosquito tang a blood meal.. water. Some mosquito species are specific to tidal flood lands while others are specific to shallow, warm, stagnant water (Laird, 1988). Mosquitoes are always located near water since water is essential for growth of the immature stages, thus the presence of water is crucial in focusing control programs. The advice provided here concerns mosquito control on private property —city governments or county mosquito abatement districts handle extensive areas of control. �'{r,. WR- qV 91p ay it mp�n r yi si tl1911V11 p u I `I lib s ._ 4 �IIII j1: Fig.2.An to raft of Culex sp. mosquito.g egg q Fig.3.A mosquito larva(wiggler), Ak i Control Prevent mosquitoes from reproducing by altering their natural habitat. Habitat alteration is a long- term solution to mosquito problems and is the best plli;,NIiiV I�VIi uqui4l;l " ,, means of control. In situations where habitat alteration will have undesirable consequences, such H as draining wetlands, use other approaches to augment or support natural predators such as native fish and frogs to assist in pest reduction. Information on mosquito eating fish is available from WDFW at 360-902-2667. This is the logical Fig.4.A mosquito pupa(tumbler). first step in integrated pest management, which by definition utilizes all reasonable methods to achieve pest reduction in a way that has the least negative impact on the environment. The following guidelines will assist you in identifying potential habitats that harbor mosquitoes. Special attention is paid to objects and structures that retain water. To eliminate breeding places: 1. Remove standing water caused by construction puddles, seepage pools, lawn, or landscaping depressions by drainage or filling with earth. 2. Check irrigation and drainage ditches for leaks or seepage and maintain free flow of water. 3. Grade newly developed land to prevent standing water. 4. Provide drainage away from premises for excess irrigation water, or collect in storage sump and reuse on land. 5. Manage weeds in areas where adult mosquitoes Fig. 5.Ornamental pool-a potential breeding site congregate (such as small man-made bodies of h I'iilul lIi water, ornamental pools (Fig. 5), water retention ponds (Fig. 6), lagoons or water reservoirs.) 6. Regularly remove floating debris from ponds to reduce egg-laying sites. 7. Construct drainage holes on structures and containers that may trap water such as barrels. 8. Promote drainage of old tires (Fig. 7) by drilling holes. Fig.6.Water retention pond in a housing development-a potential breeding site. Application of larvacides to retention ponds requires a NPDES permit and a valid pesticide aoolicator license. 2 n 9. Recycle, destroy, flatten or dispose of tin cans or any other artificial water containers. n 10. Drain gutters and water from under homes. 11. Change water in birdbaths, pet watering dishes and livestock watering troughs once or twice a " week. Stock ornamental pools with predacious , fish. 12. Fill tree holes with sand or mortar, or develop � x drainholes so water cannot accumulate. ° 13. Pay particular attention to such gardening aids Fig.,.old tires-another potential breeding site for as sheets of discarded, crumpled polyethylene mosquitoes. film (often used as plastic mulch). Since these catch water easily, they provide an excellent almost permanent breeding site. They shield against evaporation, even help moisture condense. 14. Check and regularly drain pool tarps and Jacuzzi covers for collected rainwater. Pesticides Registered for Mosquito Control If the problem cannot be solved with cultural methods such as habitat alteration, then judicious use of pesticides may be the final alternative. Commercial Applicators Pesticides used in mosquito control are designed basically as "Adulticides" and "Larvicides." Adulticides are available as "Liquid Concentrations" primarily designed for use in "Ultra-low Volume" sprayers, either by aerial applications or by ground-based equipment; and "Emulsifiable Concentrations" primarily designed to be suspended in water and used relatively coarse sprays. Both forms of concentrations can be diluted with oil and used in thermal fog generators. Lavacides are available as "Liquid Concentrations,""Emulsifiable Concentrations," are described in the preceding paragraph, and as "Granules." Granules are prepared from clay with the pesticide mixed into them or as sand granules coated with the pesticide and can be distributed by aerial application or ground- based equipment. They are best used in aquatic areas with heavy vegetation canopies and as prehatch applications in floodwater situations. There are also light paraffinic-based oils for use as larvacides as well as some specialty items, which release chemicals slowly into the water. 3 Due to constant changes in registrations of commercial pesticides we will not list specific ones but rather refer the reader to the PNW Insect Control Handbook, which is annually revised. A copy of this handbook resides in virtually all Cooperative Extension offices. Aquatic applications, with the exception of specific products listed in the paragraph below and used according to label instructions, require the user to possess a valid pesticide applicator license with the appropriate category as well as an NPDES permit. A list of license categories can be obtained at http://acir.wa.gov/PestFert/docs/PesticideLicensingMosquitocontrol.pdf. NPDES permit applications can be found at www.ecy.wa.gov/pro(irams/­wg/"pesticides/index.htmi. Homeowner Products Homeowners are allowed to apply certain mosquito larvacides to water on their own property. Do not apply pesticides to moving water such as streams and do not apply them in such a way that the chemical drifts or moves off your property. Products labeled only for home and garden mosquito larval control may be used. At the time this bulletin was printed these include three Bti (Bacillus thuringiensis israeiensis) labels, the trade names of which are Quick Kill TM Mosquito Bits Bayer Advanced Garden Mosquito Preventer R-T-U TM Granules, Summit Mosquito Dunks , and Spectracide Mosquito Stop. There are also growth regulator labels (S-methoprene) available called Pre- Strike Kills Mosquitoes, Pre-Strike Mosquito Torpedo and Vet-Kern Mosquito Larvicide Granules Siphotrol. If you have questions about mosquito control on adjacent properties, housing development retention ponds, etc. contact your local city or county authority (e.g. King County- supply name, or phone number or URL.) Protection from Biting Mosquitoes To reduce the risk of mosquito-borne diseases and annoyances caused by biting mosquitoes, it is important to protect ones self. Limit outdoor activities when mosquitoes are active, such as at dusk. Keep windows and doorways tightly sealed and install window and door screens to prevent mosquitoes from entering the house. When working outside during mosquito season, wear protective clothing such as long-sleeved shirts and pants. Mosquito netting can also be used to protect one's face and neck or used on infant carriages and strollers. Repellents are commonly used to prevent mosquito bites during outdoor activities, such as hunting and gardening. Choose a repellent that best fits your outdoor activity. Apply repellents to areas that are exposed. Wash off repellents when retuning inside and reduce the amount of time of unnecessary exposure. Repellents, especially those containing diethyltoluamide (commonly known as 4 DEET), prevent mosquito bites for at least several hours up to a full day. DEET can be applied to both skin and clothing. For most conditions, products with 10- 40% DEET are sufficient for repelling mosquitoes on adult persons (Lilja 2002; Peterson & Marfin, 2002). Higher concentrations do not offer much benefit for longer protection (Fradin, 1998). Few people experience adverse reactions from DEET and other repellents (Fradin, 1998). Be sure to read and follow the directions on the container. Consult your physician or local health department for inquiries about use on infants and children. Citronella is a commonly used repellent that is applied topically or volatilized in citronella candles. Protection of topically applied citronella is short lasting and multiple applications may need to be made for long-lasting protection. Citronella candles, and other candles, can offer some reduction of mosquito bites but there is no evidence attributing repellency to citronella (Fradin, 1998). Permethrin has both insecticidal and repellency characteristics. Products containing permethrin, labeled for mosquito repellency can be used on clothing and other fabrics, such as tents, but should not be applied directly to skin (Fradin, 1998). Read the label and follow directions carefully when using these mosquito repellents and insecticides. Some bath oils, such as Avon Skin-So-Soft, do offer some protection from mosquito bites and contain repellents recognized by the Environmental Protection Agency. These products last only a short amount of time. Multiple applications may be needed to offer mosquito repellency (Fradin, 1998). Using mosquito-repelling plants, such as the citrosa plant, and electronic bug zappers are not known to significantly reduce mosquito numbers. Repellents containing plant-derived chemicals, such as soybean oil, may have some repellent properties but durations of repellency are not as long lasting as products containing DEET (Fradin & Day, 2002). Regarding Horses and West Nile Virus. While certain birds are the primary host, there are mammals that are dead end hosts, some of which are harmed more by the disease than others. Horses are particularly susceptible. From information garnered from Department of Ecology and Department of Health, it is anticipated that 30-40% of infected horses showing symptoms will die or be permanently disabled. Thus it is imperative that horse owners have their horses vaccinated before the next mosquito (the vector) season begins (April.) Why the urgency? It is because 2 doses, 3-6 weeks apart are required, and immunity is not achieved until 5 or 6 weeks after the second dose. This also requires an annual booster. Only a veterinarian can perform the vaccination. 5 Mosquito Control by Municipal Corporations Frequently mosquito control by an individual or a small group of individuals is impractical because the problem is too extensive. Under these conditions, a more extensive control program may be organized by the formation of a vector control district or a mosquito abatement district, or by having a program instituted through the local health department. Whether the county administration institutes such a program or a formal district is formed will depend upon the wishes of the taxpayers and voters of the area involved. Moreover, it is important to report mosquito problems to your local government to aid in their assessment and monitoring of mosquito problems. The first step in organizing a formal program of mosquito control is a survey to establish the severity of the problem, the major mosquito producing sources, and the area involved. Assistance from the local health department or appropriate office of the responsible state health department is available. The information acquired from this survey should be correlated with a feasibility study. This study should report on the need for a program, methods of organizing a formal control program, specific recommendations on methods of control, and economic ramifications result from control activities. If the report recommends a control program administered by county authorities (usually local health department), concerned citizens should then petition the governing body of the county to institute such a program, with financing to be provided through the appropriate county budget. Conversely, if the report recommends a control program conducted by a formally organized district, then appropriate action as prescribed by the applicable state law or laws must be taken. This usually involves preparation of a petition, hearings, and an election. For this type of action, legal counsel should be obtained. Technical consultation and advice on mosquito prevention and control may be obtained from the appropriate state health departments or from Extension offices. 6 References: Bohart M. R., Washino R.K. Mosquitoes of California. Berkeley. University of California-Division of Agricultural Services. Number 4084. 1978. Fradin M.S., Day J.F. Comparative efficacy of insect repellents against mosquito bites. N Engl J Med. 2002; 347(1):13-8. Fradin M.S. Mosquitoes and Mosquito Repellents: A clinician's guide. Annals of Internal Medicine 1998; 128:931-940. Laird, M. Introduction. Integrated Mosquito Control Methodologies. Vol. 1 Experience and components from conventional chemical control. Ed. M. Laird & J.W. Miles. New York. Academic Press. 1-14. 1983. Laird, M. The Natural History of Larval Mosquito Habitats. New York. Academic Press. 1988. Lilja, J. Mosquito-borne Disease Response Plan. Washington State Department of Health. 2002 Edition. Petersen L.R., Marfin A. A. West Nile Virus: A Primer for the Clinician [Review] Annals of Internal Medicine 2002; 137:173-179. Service, M.W. Mosquito Ecology: Field Sampling Methods. London. Applied Science Publishers Ltd., 1976. 7 �Y O NO POSTAGE G� NECESSARY - IF MAILED IN THE UNITED STATES BUSINESS REPLY MAIL FIRST-CLASS MAIL PERMIT NO.646 RENTON WA POSTAGE WILL BE PAID BY ADDRESSEE Utility Systems Division Attn: Hebe C.Bernardo CITY OF RENTON 1055 S GRADY WAY RENTON WA 98057-9808 ww Citv of O •� � �Afa:'It" I'll NI Y Kr�All S' Utility Systems Division, 5th Floor 02 1M $ 01.220 0004278599 APP12 2010 pUbIIC Works Department MAILED FROM ZIPCODE 98032 CITY OF RENTON 1055 South Grady Way Renton,WA 98057 I � 4 tt'Vol Uh yDeirverabte - �s�Je Tp F Amy APR 1 9 Z010 L], fi„+e�t Q R'ipy��ceRq�arBsa a LQ Urrat2;m�tl No Auares5 C11 L OF F3�d�e�i,7o UT/ TY SY$T3 �'"tul rS rrpkYQ mb lgeyrdre er 8p Cu Euenracle " U?tr ; ardp O'der Oap�r'y"C pr�`Jt1erHda'�35 OWN Denis Law City of Y o Mayor r _ .�__ tit p l 1j > ro Public Works Department-Gregg Zimmerman, P.E.,Administrator 2010 MOSQUITO ABATEMENT PROGRAM AUTHORIZATION AND RELEASE REQUEST The City of Renton is preparing to conduct its annual Mosquito Abatement Program to control mosquito populations near the Panther Creek Wetlands complex (Exhibit A). The target area is approximately 60 acres adjacent to and upland of the eastern edge of the Panther Creek Wetlands, located between SR-167 on the west, and Lake Avenue South/Talbot Road South on the east, and extending from SW 39th Street on the south to 1-405 on the north, within the City of Renton. Mosquito control will consist of land treatment applications of an Environmental Protection Agency registered, ultra-low volume insecticide spray (Exhibit C). A portable fogger (gasoline-powered backpack-mounted) will be used to apply the spray to upland vegetation. During April through September, when mosquito populations are higher, a licensed applicator/entomologist will apply the treatments in upland areas away from water and wetlands no more than twice per week. The application will be in accordance with the product label, and local, state and federal requirements. We are requesting you sign the enclosed Authorization and Release (Exhibit B) form, to allow the applicator access through your property, if needed, to apply treatment. Please return the completed Authorization and Release form, using the business reply envelope provided by April 20, 2010. If you do not return the form, we will not be able to treat your property. Thank you for your cooperation. If you would like information on precautions you may take to help repel mosquitoes, please see Exhibit C. If you have any questions, or would like more information about the Mosquito Abatement Program, please contact Hebe C. Bernardo, Surface Water Utility Engineer, at 425-430-7264, or by email at hbernardo@rentonwa.gov. Enclosures H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Release Request.doc\HBtp Renton City Hall • 1055 South Grady Way • Renton,Washington 98057 • rentonwa.gov 6� �I h S 4t I-405 Ramp I fit InIh- St 78 I � ' cc 1 o 1 sw i I i l I j j J � a I i NN t1 I I a i i I _ c i N i Mosquito Abatement Program N Exhibit A: Site Plan 0 500 1,000 w E I i I i I Note: Treatment will not be applied within 1 00'of water. Feet S Treatments will not be performed near homes. Treatment will only be done on the upland area between the wetland eastern edge Project Boundary and the residential areas. Property owner approval required prior to , treatment on private property. Surface Water Utility I G.Del Rosario Printed 03/31/2010 EXHIBIT B 7222000410 RESIDENT 1925 SHATTUCK AVE Renton, WA 98055 PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THIS FORM BY APRIL 20, 2010 USING THE ENCLOSED BUSINESS REPLY ENVELOPE H:\File Sys\SWP -Surface Water Projects\SWP-27 -Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Signature Authorization Exhibit B.doc\HBtp EXHIBIT C Insecticide Products: As in previous years, we will be using products containing the insecticide permethrin. See below for more information. Permanoneo 31-66: Permanoneo 31-66 is sold under the trade names of BioMist and Kontrol®4- 4. They contain a synthetic version of permethrin as an active ingredient. The insecticides are formulated for dilution with oil products, such as mineral oil, and are applied at a rate between 0.0035 and 0.0070 pounds of permethrin per acre. Permanone"31-66 is degraded in soil and may last for several days. BioMist•and Kontrols 4-4 are-not applied within 100-feet from water or wetland areas. Repel Mosquitoes: Not all mosquitoes will be eliminated during our Mosquito Abatement Program. Some precautions you may take to further reduce the number of mosquitoes in your area include: Mosquito Breeding Places: Some mosquitoes may breed in stagnant water. If you eliminate standing water around your home,you may eliminate their breeding places. Stagnant water may be found in ornamental pools, birdbaths, old tires, and flower pots. Methods to eliminate these and other potential breeding sites are listed in the enclosed Extension Bulletin PLS-121 April 2007 by the Washington State University Cooperative Extension titled "Pest Management for Prevention and Control of Mosquitoes". Natural Predators: By encouraging natural predators that feed on mosquitoes,you may also reduce the number of mosquitoes in your area. Natural predators include bats, swallows,frogs, and fish. In order to stock mosquito fish and three-spine stickleback fish, a permit is required from the Washington State Department of Fish and Wildlife. However,you may attract other natural predator animals by enhancing habitat and constructing cavity type houses. More information on attracting natural predators, such as instructions for constructing and locating bat houses, may be obtained from the State Department of Fish and Wildlife. Mosquito Repellent: By using mosquito repellent, netting, and screens you may reduce your exposure to mosquitoes. Additional precautions include: ♦ Wear clothes that reduce the area of exposed skin; ♦ Install screens or netting over open patios or windows; and/or ♦ Apply repellents, especially those containing the ingredient diethyltoluamide (DEET),to exposed skin. Since young children and certain adults can be sensitive to DEET, please follow application instructions carefully. Note: While bug lights eliminate some mosquitoes,they are not highly recommended, since studies show they also eliminate a large amount of beneficial and non-pest insects. Furthermore,Aedes,the most aggressive of the mosquito species,found in the Talbot Hill area, are not attracted to light and the noise emitted by the bug lights may annoy some neighbors. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2010 Program\Correspondance\Release Request\2010 Description Exhibit C.DOC W1S1-INGTON,STATEIJINIVERSITY PLS-121 �ElT1�75t�lti Revised April 2007 u WSU-Puyallup Pest Management for Prevention and Control of Mosquitoes with Special Attention to West Nile Virus By: Art Antonelli, WSU Extension Entomologist, Todd Murray, Whatcom Co. Extension Educator and Catherine Daniels, WSU Pesticide Coordinator Mosquitoes, like many other biting flies, are important pests. They annoy and bite humans and animals. Also, they may transmit disease-causing organisms such as malaria and encephalitis. While human malaria does not occur in Washington, outbreaks of encephalitis and mosquito transmission thereof do occur from time to time. In 2002, a type of encephalitis caused by the `West Nile Virus" was found in Washington State. West Nile Virus is a mosquito-transmitted encephalitis that can impact the health of humans, many bird species, horses, and a variety of other animals. West Nile Virus is primarily a virus of birds and is transmitted from infected birds to other birds by mosquitoes; other animals and people are incidental hosts and obtain the virus from infected mosquitoes. As of 2006, there have been 3 cases of West Nile Virus found in humans, 6 cases in horses, and 13 cases in birds in Washington State. Visit the Center for Disease Control (www.cdc.gov) or Washington State Department of Health (www.doh.wa.gov) for the most recent information on West Nile Virus in North America. Life Cycle The adult stages (Fig. 1) of many mosquito species are feeders of blood, which has given some disease- causing organisms a reliable mode of transmission to animal hosts. The feeding times and behaviors can differ between i mosquito species; some species p d q p p 4 II V pi w , r �I d14 tj l a d, S h N will feed in daylight while some feed at dusk and , � � I�1 ��p� E�°� i,ll, II dawn Bohart & Washino 1978 Thee Fi 2 ° ` ^'i' ppl�l'��I�glh l� I ( )• 99 ( 9• ), �'� i���q��lanl�.iu'� 'I larval (Fig. 3) and pupal (Fig. 4) stages ofI � _"L� mosquitoes are generally associated with bodies of Fig. 1.An adult mosquito taking a blood meal. water. Some mosquito species are specific to tidal flood lands while others are specific to shallow, warm, stagnant water (Laird, 1988). Mosquitoes are always located near water since water is essential for growth of the immature stages, thus the presence of water is crucial in focusing control programs. The advice provided here concerns mosquito control on private property —city governments or county mosquito abatement districts handle extensive areas of control. �lrrl�iPnh° �d gry ��pp Ilo I � I• ,arn* '.r vIIVpI �^'^Im^� Y ""W Ifv �IIH x p II o �t, I RRR III Ii1Nlli ullll��llijl�l yu' 'rya H�ljj . 3 k nu " a 4tk t III � Ilk M M � P - 4 yw � pp 4- 9 A I Fig.2.An egg raft of Culex sp. mosquito. Fig.3.A mosquito larva(wiggler). Control Prevent mosquitoes from reproducing by altering N^y" their natural habitat. Habitat alteration is a long term solution to mosquito problems and is the best �I means of control. In situations where habitat alteration will have undesirable consequences, such as draining wetlands use other approaches to augment or support natural predators such as native fish and frogs to assist in pest reduction Information on mosquito eating fish is available �r� l �,' from WDFW at 360-902-2667. This is the logical Fig.4.A mosquito pupa(tumbler). first step in integrated pest management, which by definition utilizes all reasonable methods to achieve pest reduction in a way that has the least negative impact on the environment. The following guidelines will assist you in identifying potential habitats that harbor mosquitoes. Special attention is paid to objects and structures that retain water. To eliminate breeding places: 1. Remove standing water caused by construction puddles, seepage pools, lawn, or landscaping depressions by drainage or filling with earth. 2. Check irrigation and drainage ditches for leaks or seepage and maintain free flow of water. 3. Grade newly developed land to prevent standing water. 4. Provide drainage away from premises for excess irrigation water, or collect in storage sump and 41 - reuse on land. 5. Manage weeds in areas where adult mosquitoes Fig.5.Ornamental pool-a potential breeding site congregate (such as small man-made bodies of water, ornamental pools (Fig. 5), water retention ponds (Fig. 6), lagoons or water reservoirs.) iL 6. Regularly remove floating debris from ponds to reduce egg-laying sites. 7. Construct drainage holes on structures and containers that may trap water such as barrels. 8. Promote drainage of old tires (Fig. 7) by drilling holes. Fig.6.Water retention pond in a housing development-a potential breeding site. Application of larvacides to retention ponds requires a NPDES permit and a valid pesticide aoolicator license. 2 9. Recycle, destroy, flatten or dispose of tin cans or any other artificial water containers. 10. Drain gutters and water from under homes. 11. Change water in birdbaths, pet watering dishes r °c and livestock watering troughs once or twice a week. Stock ornamental pools with predacious $ ' fish. 12. Fill tree holes with sand or mortar, or develop drainholes so water cannot accumulate. 13. Pay particular attention to such gardening aids Fig.7.Old tires-another potential breeding site for as sheets of discarded, crumpled polyethylene mosquitoes. film (often used as plastic mulch). Since these catch water easily, they provide an excellent almost permanent breeding site. They shield against evaporation, even help moisture condense. 14. Check and regularly drain pool tarps and Jacuzzi covers for collected rainwater. Pesticides Registered for Mosquito Control If the problem cannot be solved with cultural methods such as habitat alteration, then judicious use of pesticides may be the final alternative. Commercial Applicators Pesticides used in mosquito control are designed basically as "Adulticides" and "Larvicides." Adulticides are available as "Liquid Concentrations" primarily designed for use in "Ultra-low Volume" sprayers, either by aerial applications or by ground-based equipment; and "Emulsifiable Concentrations" primarily designed to be suspended in water and used relatively coarse sprays. Both forms of concentrations can be diluted with oil and used in thermal fog generators. Lavacides are available as "Liquid Concentrations,""Emulsifiable Concentrations," are described in the preceding paragraph, and as "Granules." Granules are prepared from clay with the pesticide mixed into them or as sand granules coated with the pesticide and can be distributed by aerial application or ground- based equipment. They are best used in aquatic areas with heavy vegetation canopies and as prehatch applications in floodwater situations. There are also light paraffinic-based oils for use as larvacides as well as some specialty items, which release chemicals slowly into the water. 3 Due to constant changes in registrations of commercial pesticides we will not list specific ones but rather refer the reader to the PNW Insect Control Handbook, which is annually revised. A copy of this handbook resides in virtually all Cooperative Extension offices. Aquatic applications, with the exception of specific products listed in the paragraph below and used according to label instructions, require the user to possess a valid pesticide applicator license with the appropriate category as well as an NPDES permit. A list of license categories can be obtained at http://agr.wa.gov/PestFert/docs/PesticideLicensinciMosquitocontrol.pdf. NPDES permit applications can be found at www.ecy.wa.gov/programs/­wg/pesticides/index.htmi. Homeowner Products Homeowners are allowed to apply certain mosquito larvacides to water on their own property. Do not apply pesticides to moving water such as streams and do not apply them in such a way that the chemical drifts or moves off your property. Products labeled only for home and garden mosquito larval control may be used. At the time this bulletin was printed these include three Bti (Bacillus thuringiensis israeiensis) labels, the trade names of which are Quick Kill TM Mosquito Bits Bayer Advanced Garden Mosquito Preventer R-T-U TM Granules, Summit Mosquito Dunks , and Spectracide Mosquito Stop. There are also growth regulator labels (S-methoprene) available called Pre- Strike Kills Mosquitoes, Pre-Strike Mosquito Torpedo and Vet-Kern Mosquito Larvicide Granules Siphotrol. If you have questions about mosquito control on adjacent properties, housing development retention ponds, etc. contact your local city or county authority (e.g. King County- supply name, or phone number or URL.) Protection from Biting Mosquitoes To reduce the risk of mosquito-borne diseases and annoyances caused by biting mosquitoes, it is important to protect ones self. Limit outdoor activities when mosquitoes are active, such as at dusk. Keep windows and doorways tightly sealed and install window and door screens to prevent mosquitoes from entering the house. When working outside during mosquito season, wear protective clothing such as long-sleeved shirts and pants. Mosquito netting can also be used to protect one's face and neck or used on infant carriages and strollers. Repellents are commonly used to prevent mosquito bites during outdoor activities, such as hunting and gardening. Choose a repellent that best fits your outdoor activity. Apply repellents to areas that are exposed. Wash off repellents when retuning inside and reduce the amount of time of unnecessary exposure. Repellents, especially those containing diethyltoluamide (commonly known as 4 DEET), prevent mosquito bites for at least several hours up to a full day. DEET can be applied to both skin and clothing. For most conditions, products with 10- 40% DEET are sufficient for repelling mosquitoes on adult persons (Lilja 2002; Peterson & Marfin, 2002). Higher concentrations do not offer much benefit for longer protection (Fradin, 1998). Few people experience adverse reactions from DEET and other repellents (Fradin, 1998). Be sure to read and follow the directions on the container. Consult your physician or local health department for inquiries about use on infants and children. Citronella is a commonly used repellent that is applied topically or volatilized in citronella candies. Protection of topically applied citronella is short lasting and multiple applications may need to be made for long-lasting protection. Citronella candles, and other candles, can offer some reduction of mosquito bites but there is no evidence attributing repellency to citronella (Fradin, 1998). Permethrin has both insecticidal and repellency characteristics. Products containing permethrin, labeled for mosquito repellency can be used on clothing and other fabrics, such as tents, but should not be applied directly to skin (Fradin, 1998). Read the label and follow directions carefully when using these mosquito repellents and insecticides. Some bath oils, such as Avon Skin-So-Soft, do offer some protection from mosquito bites and contain repellents recognized by the Environmental Protection Agency. These products last only a short amount of time. Multiple applications may be needed to offer mosquito repellency (Fradin, 1998). Using mosquito-repelling plants, such as the citrosa plant, and electronic bug zappers are not known to significantly reduce mosquito numbers. Repellents containing plant-derived chemicals, such as soybean oil, may have some repellent properties but durations of repellency are not as long lasting as products containing DEET (Fradin & Day, 2002). Regarding Horses and West Nile Virus. While certain birds are the primary host, there are mammals that are dead end hosts, some of which are harmed more by the disease than others. Horses are particularly susceptible. From information garnered from Department of Ecology and Department of Health, it is anticipated that 30-40% of infected horses showing symptoms will die or be permanently disabled. Thus it is imperative that horse owners have their horses vaccinated before the next mosquito (the vector) season begins (April.) Why the urgency? It is because 2 doses, 3-6 weeks apart are required, and immunity is not achieved until 5 or 6 weeks after the second dose. This also requires an annual booster. Only a veterinarian can perform the vaccination. 5 Mosquito Control by Municipal Corporations Frequently mosquito control by an individual or a small group of individuals is impractical because the problem is too extensive. Under these conditions, a more extensive control program may be organized by the formation of a vector control district or a mosquito abatement district, or by having a program instituted through the local health department. Whether the county administration institutes such a program or a formal district is formed will depend upon the wishes of the taxpayers and voters of the area involved. Moreover, it is important to report mosquito problems to your local government to aid in their assessment and monitoring of mosquito problems. The first step in organizing a formal program of mosquito control is a survey to establish the severity of the problem, the major mosquito producing sources, and the area involved. Assistance from the local health department or appropriate office of the responsible state health department is available. The information acquired from this survey should be correlated with a feasibility study. This study should report on the need for a program, methods of organizing a formal control program, specific recommendations on methods of control, and economic ramifications result from control activities. If the report recommends a control program administered by county authorities (usually local health department), concerned citizens should then petition the governing body of the county to institute such a program, with financing to be provided through the appropriate county budget. Conversely, if the report recommends a control program conducted by a formally organized district, then appropriate action as prescribed by the applicable state law or laws must be taken. This usually involves preparation of a petition, hearings, and an election. For this type of action, legal counsel should be obtained. Technical consultation and advice on mosquito prevention and control may be obtained from the appropriate state health departments or from Extension offices. 6 References: Bohart M. R., Washino R.K. Mosquitoes of California. Berkeley. University of California-Division of Agricultural Services. Number 4084. 1978. Fradin M.S., Day J.F. Comparative efficacy of insect repellents against mosquito bites. N Engl J Med. 2002; 347(1):13-8. Fradin M.S. Mosquitoes and Mosquito Repellents: A clinician's guide. Annals of Internal Medicine 1998; 128:931-940. Laird, M. Introduction. Integrated Mosquito Control Methodologies. Vol. 1 Experience and components from conventional chemical control. Ed. M. Laird &J.W. Miles. New York. Academic Press. 1-14. 1983. Laird, M. The Natural History of Larval Mosquito Habitats. New York. Academic Press. 1988. Lilja, J. Mosquito-borne Disease Response Plan. Washington State Department of Health. 2002 Edition. Petersen L.R., Marfin A. A. West Nile Virus: A Primer for the Clinician [Review] Annals of Internal Medicine 2002; 137:173-179. Service, M.W. Mosquito Ecology: Field Sampling Methods. London. Applied Science Publishers Ltd., 1976. 7