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  • Mo Form Mo 780-2617 2019

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MISSOURI DEPARTMENT OF NATURAL RESOURCES WATER PROTECTION PROGRAMFACILITY PLAN OR ENGINEERING REPORT REVIEW REQUEST 1.0 REASON FOR REQUEST: Facility plan* for a wastewater treatment facility (WWTF).

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How to fill out the MO Form MO 780-2617 online

Filling out the MO Form MO 780-2617 is a crucial step for submitting a facility plan or engineering report for wastewater treatment facilities to the Missouri Department of Natural Resources. This guide will provide you with comprehensive, step-by-step instructions on how to complete the form online.

Follow the steps to successfully complete the MO Form MO 780-2617

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. In section 1.0, select the reason for your request by checking the applicable box for either a facility plan or an engineering report.
  3. For section 2.0, provide the relevant project information. Indicate whether it is federally or state funded by selecting 'Yes' or 'No' and fill in the funding agency if applicable. Also, include the project number.
  4. Complete section 2.2 by noting whether the Department of Natural Resources has approved the antidegradation review of the proposed project.
  5. Answer whether the facility is under enforcement with the department or the U.S. Environmental Protection Agency in section 2.3.
  6. In section 2.4, indicate if the facility plan or engineering report is required due to any enforcement agreement or operating permit schedule.
  7. For section 2.5, confirm whether an electronic copy of the facility plan or engineering report is included.
  8. Proceed to section 3.1 and input the name and physical address of the project along with the date the plan was sealed by a Missouri registered professional engineer.
  9. In section 3.2, provide a brief but comprehensive description of the project.
  10. Fill out section 3.3 by answering the questions regarding additional information related to the project, including maps and diagrams.
  11. In section 3.4, estimate the cost of your preferred alternative and write it in the space provided.
  12. Complete section 4.0 with the engineer's contact information.
  13. Fill out section 5.0 regarding the continuing authority responsible for operating the facility.
  14. In section 6.0, provide the information for the receiving wastewater treatment facility.
  15. Complete section 7.0 with the project owner's details.
  16. In section 8.0, sign, date, and print your name, while indicating your role before submission.
  17. Mail the completed form along with any necessary attachments to the specified address of the Missouri Department of Natural Resources.

Start filling out the MO Form MO 780-2617 online today to ensure compliance with Missouri's regulations.

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