Get Form 3400-192 Mercury Variance Application - Dnr Wi

The Form 3400-192 Mercury Variance Application is a crucial document for individuals or organizations seeking to apply for a variance concerning mercury discharge limits. This guide provides you with a detailed, step-by-step approach to completing the form online effectively.

Follow the steps to complete the Mercury Variance Application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling in the Applicant Information section by entering the required details such as company name, contact name, WPDES permit number, street address, facility name, city, telephone number, fax number, state, ZIP code, receiving water, and email address.
3. In the Source of Water Supply and Average Discharge Flow Rate fields, provide accurate information regarding the origin of your water supply and the average flow rate of discharge.
4. Answer the Alternatives section by outlining the primary sources of mercury to your facility and detailing any feasible actions taken or planned to reduce mercury discharge levels.
5. Specify the types of waste materials or byproducts that might result from the actions described and indicate their ultimate disposal methods.
6. Provide estimated costs associated with the actions discussed, including capital costs and annual operational costs, and compare these with current costs.
7. If applicable, describe any public health or welfare dangers that the variance will help mitigate if this is a new discharge.
8. If you have not submitted a Pollutant Minimization Program (PMP) plan previously, include it with the application or explain why it cannot be submitted at this time. If you have submitted one, provide an update on its implementation.
9. Share any additional relevant information that may support your request in the Other Information section.
10. Proceed to the certification section where the individual submitting the request must certify the accuracy of the provided information, sign, indicate their title, and date of signing.
11. Finally, complete the Test Data section on page 2, supplying mercury data as required, and ensure all fields are filled out before submission.
12. Once finished, save changes, download, print, or share the form as needed.

Begin your application process online today to ensure your compliance with mercury discharge regulations.