Original DDR concurrence date: c. d. DDR Amendment concurrence date(s): Section V Description of the Treatment Facility: (Continued) – All questions must be answered unless otherwise instructed. 3. Storage capacity: Not Applicable Provide volume for each storage pond or storage tank: a. gal d. gal gal gal b. e. gal gal f. c. 4. Is the treated wastewater land applied on a dedicated site? No Go to Section VI. – Yes Answer questions below. – 5. Irrigation system: Not Applicable Provide a map or drawing showing: a (If applying for a phased permit, provide information for all phases) Locations of all land application sites. Include ID and surface area for each irrigation zone or field. Locations of all groundwater monitoring wells. Groundwater monitoring wells should be identified by the following symbols: Upgradient wells U1, U2, U3, etc.; Midfield wells M1, M2, M3, etc.; Downgradient wells D1, D2, D3, etc. Surface water monitoring location(s). Type of system: b. (Check all that apply) Sprayfield Sprinklers i. Center pivot(s) Dripfields Above-ground emitters ii. Subsurface emitters Drainfields Infiltration chambers iii. Perforated pipes with gravel bed
c. Original DDR concurrence date: d. DDR Amendment concurrence date(s): Section V – Description of the Treatment Facility: (Continued) All questions must be answered unless otherwise instructed. 3. Storage capacity: Not Applicable Provide volume for each storage pond or storage tank: a. gal d. gal b. gal e. gal c. gal f. gal 4. Is the treated wastewater land applied on a dedicated site? No – Go to Section VI. Yes – Answer questions below. 5. Irrigation system: Not Applicable a Provide a map or drawing showing: (If applying for a phased permit, provide information for all phases) Locations of all land application sites. Include ID and surface area for each irrigation zone or field. Locations of all groundwater monitoring wells. Groundwater monitoring wells should be identified by the following symbols: Upgradient wells U1, U2, U3, etc.; Midfield wells M1, M2, M3, etc.; Downgradient wells D1, D2, D3, etc. Surface water monitoring location(s). b. Type of system: (Check all that apply) i. Sprayfield Sprinklers Center pivot(s) ii. Dripfields Above-ground emitters Subsurface emitters iii. Drainfields Infiltration chambers Perforated pipes with gravel bed