Lake / Pond / River Name of waterbody: Treatment of Source water: Screening Filters, Describe: UV De-Chlorination Have you contacted the DEEP Water Diversion Program?* Yes No What is your daily withdrawal volume? Gallons Per Day (GPD) *Withdrawals of 50,000 GPD from ground or surface waters requires a diversion permit. Effluent and Solid Waste: Waste: (Please estimate amount of waste based on industry standards for tanks, species, size and number of fish for the facility) amount: Collection frequency: Other: Disposal plan: Compost (on-site) Will it be contained and covered? Yes No Compost (short-term, sold, agricultural use) Contained / covered? Municipal waste collection Have notified the municipality? Yes No Contracted waste collection Company Name: Other Daily Volume: GPD Describe the quality: (Describe nature and type of materials discharged): Frequency of Discharge: Other s Effluent Treatment prior to discharge: (Check all that apply) Settling tank or pond Details: Filter: What Bio-filter Sand Other: type? Foam Fractionation protein Explain: removal Disinfection: Ultra Violet (UV) Other:
Lake / Pond / River Name of waterbody: Treatment of Source water: Screening Filters, Describe: UV De-Chlorination Have you contacted the DEEP Water Diversion Program?* Yes No What is your daily withdrawal volume? Gallons Per Day (GPD) *Withdrawals of 50,000 GPD from ground or surface waters requires a diversion permit. Effluent and Solid Waste: Waste: (Please estimate amount of waste based on industry standards for tanks, species, size and number of fish for the facility) amount: Collection frequency: Other: Disposal plan: Compost (on-site) Will it be contained and covered? Yes No Compost (short-term, sold, agricultural use) Contained / covered? Municipal waste collection Have notified the municipality? Yes No Contracted waste collection Company Name: Other Daily Volume: GPD Describe the quality: (Describe nature and type of materials discharged): Frequency of Discharge: Effluent Treatment prior to discharge: (Check all that apply) Settling tank or pond Details: Filter: What type? Bio-filter Sand Other: Foam Fractionation Other protein removal Explain: Disinfection: Ultra Violet (UV) Other: s
AQ-FishProducer_2018_%28rev2015%29.docx