LAND APPLICATION SITE INFORMATION - OPERATION AND ...
|SEPTIC TANK, CESSPOOL, AND PRIVY CLEANER |
|LAND APPLICATION - OPERATION AND MAINTENANCE PLAN |
|Company Name: |DEQ License Number: |
|Location of Disposal Records: |
| |
|SITE INFORMATION |
| |
|Land Application Site Name: |
| | |
|Site Address: |City: |
|Directions to Site: |
| |
|Legal Description of Site: |Section: |Township: |Range: |County: |
|(to nearest ¼ section) /4 | | | | |
|Number of acres for land application: |Type of Crop: |Crop Nitrogen Requirement: (pounds per acre per year --- lbs |
| | |N/acre/yr) |
| |
|WASTE INFORMATION |
|Check all that apply at this site: |Estimated total gallons during license year: |
| |Septage | |
| |Portable toilet/Vault toilet type waste | |
| |Grease Trap Waste | |
| |Sump Pumpings (specify type below) | |
| | Automatic Car Wash Bay Sump | |
| | Attended Car Wash Bay Sump | |
| | Unattended Car Wash Bay Sump | |
| | Other Sump (specify type) ______________ | |
| |Graywater | |
| |
|SITE OPERATION AND MAINTENANCE |
|LIST MEASURES TO CONTROL ACCESS TO THE SITE: |
| |
|LIST VECTOR ATTRACTION AND PATHOGEN REDUCTION METHODS USED: |
| |
| |
| |
|LIST ANIMAL GRAZING AND CROP HARVESTING RESTRICTIONS FOR THE SITE: |
| |
|LIST EQUIPMENT AVAILABLE TO MANAGE EACH TYPE OF WASTE: |
| |
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