MIXERS No. of Manufacturer / Power Plan Sheet Specification Location Units Served Mixers Type (hp) Reference Reference RECORDING DEVICES & RELIABILITY No. of Maximum Plan Sheet Specification Device Location Manufacturer Units Capacity Reference Reference EFFLUENT PUMP / FIELD DOSING TANK (IF APPLICABLE): Plan Sheet Specification Reference Reference Internal dimensions (L x W x H or x H) ft ft ft φ Total volume ft3 gallons Dosing volume ft3 gallons Audible & visual alarms Equipment to prevent irrigation during rain events EARTHEN IMPOUNDMENT DESIGN CRITERIA : – IF MORE THAN ONE IMPOUNDMENT, PROVIDE ADDITIONAL COPIES OF THIS PAGE AS NECESSARY. What is the earthen impoundment type? Storage Impoundment Coordinates (Decimal Degrees): Latitude: . Longitude: - . ○ ○ Datum: Level of accuracy: Method of measurement: Do any impoundments include a discharge point (pipe, spillway, etc)? Yes or No Are subsurface drains present beneath or around the impoundment to control groundwater elevation? Yes or No Is the impoundment designed to receive surface runoff? Yes or No If yes, what is the drainage area? ft2, and was this runoff incorporated into the water balance? Yes or No If a liner is present, how will it be protected from wind driven wave action?:
MIXERS Location No. of Mixers Units Served Manufacturer / Type Power (hp) Plan Sheet Reference Specification Reference RECORDING DEVICES & RELIABILITY Device No. of Units Location Manufacturer Maximum Capacity Plan Sheet Reference Specification Reference EFFLUENT PUMP / FIELD DOSING TANK (IF APPLICABLE): Plan Sheet Reference Specification Reference Internal dimensions (L x W x H or φ x H) ft ft ft Total volume ft3 gallons Dosing volume ft3 gallons Audible & visual alarms Equipment to prevent irrigation during rain events EARTHEN IMPOUNDMENT DESIGN CRITERIA – : IF MORE THAN ONE IMPOUNDMENT, PROVIDE ADDITIONAL COPIES OF THIS PAGE AS NECESSARY. What is the earthen impoundment type? Storage Impoundment Coordinates (Decimal Degrees): Latitude: . ○ Longitude: - . ○ Datum: Level of accuracy: Method of measurement: Do any impoundments include a discharge point (pipe, spillway, etc)? Yes or No Are subsurface drains present beneath or around the impoundment to control groundwater elevation? Yes or No Is the impoundment designed to receive surface runoff? Yes or No If yes, what is the drainage area? ft2, and was this runoff incorporated into the water balance? Yes or No If a liner is present, how will it be protected from wind driven wave action?: