Download Water Pollution Control Facility

Water Pollution Control Facility
Facility Plan Report
Applicant Name ___________________________________
4
DOGAMI ID No. _________________
This is item C - Required Exhibit of the WPCF application.
Maps are needed showing the site location and a more detailed map showing: permit boundary, well
locations, and nearby surface water bodies. DOGAMI may be able to help you with a base map that can
be modified for this purpose.
Site Information
Depth to groundwater
____________________
Distance to nearest stream ____________________
Name of nearest stream
________________________________________
Site geology (material underlying the facilities)
 Sand and gravel
 Bedrock
 Other – Describe
____________________
Activities Needing Water Pollution Control Facilities
 Rock washing
 Sand classifiers
 Concrete mixer-truck clean out
Asphalt plant emission controls
 Other _____________________________________________________
Facilities On-Site
 Lined settling ponds / Liner description ________________________________________________
 Unlined settling ponds
 Waste concrete sumps
 Upland disposal of concrete
 Other ______________________________________________________
Waste Disposal
 Fines from the washing plant are permanently placed in mined out areas and incorporated into the site
reclamation plan.
 Fines are recovered and sold directly or incorporated into other products and sold
 Waste concrete is used for: _______________________
 Disposition of asphalt plant sludge: __________________
How will the facilities be operated to prevent any degradation of off-site ground water or surface water:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
P:\DEQ Forms\81914456
Printed 08/01/17