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State of Wisconsin Department of Natural Resources Bureau of Watershed Management Box 7921 Madison, WI 53707 LIFT STATION DESIGN CHECKLIST Form 3400-168 Rev. 1-98 Note: Use of this form is required.

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How to fill out the Wdnr Form 3400-168 online

Filling out the Wdnr Form 3400-168 online is an essential step for anyone submitting a new lift station or major modifications plan to the Wisconsin Department of Natural Resources. This guide will provide clear and comprehensive instructions to ensure the form is completed accurately and efficiently.

Follow the steps to electronically fill out your lift station design checklist.

  1. Press the ‘Get Form’ button to access the Wdnr Form 3400-168 and open it in your preferred document editor.
  2. Review the first section regarding the type of lift station. Select the appropriate type by checking the corresponding box, such as wet well/dry well or grinder pump.
  3. Respond to questions regarding the removable status of motors and pumps without entering the wet well, ensuring accuracy in your responses.
  4. Continue to complete the design report section, confirming if a report and calculations have been submitted. If applicable, respond to questions related to distance requirements from wells.
  5. Fill in the access and safety questions about the wet well, ensuring to answer whether there are proper signage and ventilation.
  6. Proceed to the section regarding pumps and piping, and check boxes based on the design and specifications provided.
  7. Complete sections on alarms and electrical equipment, ensuring all necessary safety measures are documented.
  8. Finally, verify that all sections of the form, including emergency operations provisions and responsibilities, are accurately filled out.
  9. After filling out the form, review your entries, then save changes, download, print, or share the completed form as required.

Begin filling out your Wdnr Form 3400-168 online today and ensure your lift station plans are submitted without delay.

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