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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