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w1t" carefully: FOR THE PURPOSES OF THIS APPLICATION WASTE WATERS ARE CLASSIFIED AS: A—SANITARY WASTES, WASTE WATER <br /> I Pr M RESTROOMS,TOILETS,SHOWERS,AND THE LIKE; B—COOLING WATER,NONOONTACT COOLING WATER USED FOR COOLING AIR <br /> •,MI'ItESSORS.AIR CONDITIONING COMPRESSORS,STEAM GENERATION EQUIPMENT,BEARINGS,AND THE LIKE WHICH DOES NOT <br /> II''PMALLY COME IN CONTACT WITH RAW MATERIALS AND INTERMEDIATE,FINAL,OR WASTE PRODUCTS;AND C—PROCESS WASTES. <br /> vdr\TEN USED DIRECTLY IN THE MANUFACTURING PROCESS,OR FOR COOLING OR CLEANING,WHICH COMES IN CONTACT WITH RAW <br /> r.1ATERIALS AND INTERMEDIATE,FINAL,OR WASTE PRODUCTS. VOLUMES OF WASTE WATER SHOULD BE MEASURED OR CALCULATED <br /> 1': M WATER USAGE. IF IT IS NECESSARY TO ESTIMATE VOLUMES,ENCLOSE THE NUMBER IN PARENTHESES. AVERAGE DAILY VOLUME <br /> FiF ANS THE AVERAGE PER OPERATING DAY;FOR EXAMPLE,FOR A DISCHARGE OF 1,000,000 GALLONS PER YEAR FROM A FACILITY <br /> OPERATING 200 DAYS,THE AVERAGE DAILY VOLUME 15'5,000 GALLONS. <br /> "A. CIRCLE THE TERM"ALL YEAR"OR THE APPROPRIATE MONTHS IN THE FOLLOWING LINE TO INDICATE WHETHER PROCESS WASTES <br /> ARE NORMALLY DISCHARGED ALL YEAR OR ON A SEASONAL BASIS: <br /> "ALL YEAR" JAN. FEB. MAR. APR. MAY JUNE JULY AUG. SEPT. OCT. NOV. DEC. <br /> 2B. ENTER THE NUMBER OF DAYS PER WEEK WHEN SUCH DISCHARGES NORMALLY OCCUR cy 7 days <br /> ''C. ENTER THE PERCENT OF NORMAL OPERATIONS UNDER 1025% 10-18/ 5% , AND 24 10° OURS PER DAY. <br /> Discharges to surface water (lake,river,stream,bay)only. IN THE APPROPRIATE SPACES: NAME THE RECEIVING WATER,USING <br /> T1.1E NAME ON PUBLISHED MAPS (PRECEDE NAME WITH"VIA UNNAMED TRIBUTARY"IF APPROPRIATE); INDICATE WHETHER <br /> DISCHARGE IS DIRECT FROM THE FACILITY PROPERTY OR THROUGH A STORM SEWER;SHOW FOR EACH TYPE OF WASTE THE <br /> AVERAGE DAILY VOLUME AND MAXIMUM VOLUME(IN GALLONS PER DAY),THE NUMBER OF POINTS OF DISCHARGE(PIPES. <br /> DITCHES,ETC.),WHAT PERCENT OF THE AVERAGE VOLUME IS TREATED PRIOR TO DISCHARGE,AND THE TYPE OF SUCH <br /> TREATMENT. <br /> DIRECTLY <br /> DISCHARGES ARE TO N/A , VIA STORM SEWER - - - <br /> (NAME OF SURFACE WATER) <br /> AVERAGE -MAXIMUM DISCHARGE PERCENT <br /> TYPE OF DISCHARGE TYPE OF TREATMENT <br /> VOLUME VOLUME POINTS TREATED <br /> A-SANITARY WASTE <br /> B-COOLING WATER N/A <br /> C-PROCESS WASTE �L <br /> ENTER MAXIMUM TEMPERATURE OF COOLING WATER LISTED ABOVE N/A °F. IF THERE IS MORE THAN ONE <br /> COOLING DISCHARGE PQ1, LIST THE VOLUME AND MAXIMUM TEMPERATURE OF EACH. <br /> 1 t. Discharges other than to surface water. ENTER IN THE APPROPRIATE SPACE THE AVERAGE DAILY VOLUME OF EACH TYPE <br /> OF WASTE WATER DISCHARGED TO A SANITARY SEWER AND PUBLICLY OWNED TREATMENT WORKS,A SEPTIC TANK,AN <br /> UNDERGROUND WELL,OR A LAND DISPOSAL SYSTEM IDENTIFIED BY TYPE AND LOCATION. WHERE THERE IS NO DISCHARGE <br /> ENTER "X"IN THE SPACE. <br /> TYPE OF DISCHARGE TO PUBLIC TO SEPTIC TO LAND <br /> TO WELL TYPE OF LAND DISPOSAL <br /> WORKS TANK DISPOSAL <br /> A-SANITARY WASTE Existing Drainfield System <br /> B-COOLING WATER <br /> C-PROCESS WASTE Holding Pond with Custon <br /> Spray SSystem <br /> LOCATION OF LAND DISPOSAL SYSTEM: Most of Northeast of 1/2 of Sec. 17, Town of Deerfield, Dane <br /> County, Wisconsin, except that 14 a(c nSU1RT�Ii 5244>R_TERSEL'.TIOf��.O ,(V:RAM CtifOR.IPTION) <br /> 12. ARE WATER TREATMENT ADDITIVES USED IN ANY COOLING WATER AND/OR LBOIILvER11WATER JDISCHrA,aRGED? <br /> 1.11 YES CXl NO <br /> IF YES, INDICATE THE COMMERCIAL NAME, PRODUCT NAME, AND QUANTITY ADDED PER FREQUENCY OF USE (GAL/DAY, <br /> LBS/WEEK, ETC.): ATTACH SAFETY DATA SHEETS, PRODUCT LABELS,OR BIOASSAYS (TOXICITY DATA) IF POSSIBLE. <br /> COOLING WATER ADDITIVES: N/A <br /> BOILER WATER ADDITIVES: N/A <br /> 1 3. DO ANY PLANS NOW EXIST TO EXPAND OR SIGNIFICANTLY CHANGE THE OPERATIONS OF THE FACILITY WHICH MAY <br /> AFFECT EITHER THE QUANTITY OR QUALITY OF THE DISCHARGES DURING THE NEXT TWELVE MONTHS? <br /> O YES CXI NO IF YES, ATTACH A BRIEF SUMMARY OF THE PLANNED CHANGES. <br /> • <br />