ACKNOWLEDGEMENT OF RECEIPT BY DNR Form 3400-105 Rev. 9-99 LEAVE BLANK - FOR DNR USE ONLY Name, Name of Firm, and Address of Consulting Engineer Date of Receipt Type of Project DNR Region Project Number Description of Project (extension, lift station, well, stp, etc.; street or subdivision) If you have any questions regarding the status of the project submitted, please contact one of the following DNR Program Bureaus: Watershed Management (608) 266-3221 Drinking Water/Groundwater - (608) 2.
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How to fill out the Dnr 3400 105 online
The Dnr 3400 105 form is an important document used by the Wisconsin Department of Natural Resources. This guide provides a step-by-step approach to successfully complete the form online.
Follow the steps to effectively fill out the Dnr 3400 105 form.
- Click ‘Get Form’ button to access the form and open it in the designated online editor.
- Fill out the 'Name and Address of Owner' section by providing the full name and address of the individual or organization responsible for the project.
- Enter the 'Date of Receipt' by selecting the appropriate date from the calendar or typing it in the required format.
- Select the 'Type of Project' from the dropdown options or by typing in the relevant description. This could include categories such as 'extension,' 'lift station,' or 'well.'
- Specify the 'DNR Region' by choosing from the list provided or entering the specific region applicable to the project.
- Fill in the 'Project Number' if available, as it helps in identifying the specific submission.
- In the 'Description of Project' section, provide a concise overview of the project, including details such as its purpose and physical location.
- If applicable, include the 'Name of Firm' and 'Address of Consulting Engineer' for any consultant supporting the project.
- Once you have completed all the required fields, review your entries for any errors or omissions.
- Finally, you can save changes made to the form, download it for your records, print a hard copy, or share it with relevant parties as needed.
Start filling out the Dnr 3400 105 form online today to ensure your project is properly acknowledged.
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