Get Wi 3400-201 2011

The WI 3400-201 form is essential for requesting coverage under the General WPDES Permit for pit and trench dewatering activities. This guide will walk you through each section of the form to ensure all information is accurately completed before submission.

Follow the steps to complete the form online with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. In Section I, fill out the details of the WPDES permittee responsible for the pollutant discharge. This includes the parent company or owner, authorized representative, mailing address, and contact information (phone number, fax number, and email address).
3. For Section II, provide the facility site name and location information. Include project name, project contact name, project address, and additional contact details, such as email address and phone number. Ensure to fill in the latitude and longitude of the site.
4. In Section III, you'll need to attach the required site maps as specified. This includes a site map showing the location of the facility and a contaminated groundwater map from the DNR Remediation & Redevelopment website. Follow the provided instructions carefully to obtain these maps.
5. In Section IV, characterize the discharge by indicating the type of wastewater and the corresponding outfall numbers. You should also specify the average daily flow in gallons of water discharged per day and add any additional comments if necessary.
6. Section V involves determining eligibility. Respond to the questions regarding the nature of your discharge, including potential pollutants and the type of receiving water. Ensure to check all applicable boxes and provide specific outfall details.
7. In Section VI, you can provide any additional comments or remarks related to your application.
8. Finally, complete Section VII by certifying the application. Include your signature, date signed, printed name and title, and contact information again for clarity.
9. Once all sections are completed, review the form to ensure all information is accurate. You can then save changes, download, print, or share the completed form as necessary.

Start filling out the WI 3400-201 form online today to ensure compliance with wastewater management regulations.