W. Va. Code R. agency 60, tit. 60, ser. 60-07, app A
West Virginia Department of Environmental Protection
Description of Intent
Pursuant to the Water Resources Protection Act, W. Va. Code § 22-26-1 to 22-26-6, (the "Act"), the WVDEP may release confidential information to governmental entities, their employees and agents when compiling and analyzing survey and registration information and as may be necessary to develop the legislative report required by the Act or to develop water resources plans.
All requesters of confidential information must read and agree to be bound by the terms of the attached Non-Disclosure Agreement.
Requesters of confidential information must provide in writing their reason(s) for requesting this information and provide specific account of the manner in which the information will be used and for what purpose(s). The requester must understand fully, and agree to be bound by the limits placed upon the use, reproduction, and dissemination of the information under the terms and conditions of the Non-Disclosure Agreement.
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Description of Intent
Information Requested
Reason for Requesting Information (attach additional pages if necessary)
Name of Requester
Company/Institution
Project Title
Project Leader
Funding Source
Project Address
Contact Telephone
Contact Fax
Contact E-mail
W. Va. Code R. agency 60, tit. 60, ser. 60-07, app A