Get Wi Dnr 3200-111 2011-2025

Filling out the WI DNR 3200-111 form is essential for documenting herbicide treatments in accordance with Wisconsin regulations. This guide will help users navigate each section of the form easily and effectively.

Follow the steps to complete the form seamlessly.

1. Press the ‘Get Form’ button to access the document and open it in the online editor.
2. Fill in the 'General Permit Information' section, which includes the permit number, waterbody name (including ponds), county, permit holder name, address, city, state, and ZIP code.
3. Proceed to the 'Treatment Information' section. Here, you will need to provide the treatment date (in mm/dd/yyyy format), starting and ending times (in 24-hour format), water temperature (in ºC), wind speed (in mph), wind direction, expected duration of chemical residuals, ambient air temperature (in ºC), and any adverse conditions noted (like dead fish or algae blooms).
4. If any adverse conditions were noted during treatment, indicate the corrective actions taken and provide the name of the supervisor if onsite supervision was present.
5. In the next field, select whether onsite supervision was present by marking 'Yes' or 'No'. If no onsite supervision was provided, you may need to indicate an alternative mixing and loading site location.
6. Complete the 'Herbicide Treatment and Water Use Restrictions' section by confirming that signs were posted in accordance with NR 107.
7. In the 'Applicator Information' section, fill in the individual or business name, telephone number, street address, city, state, ZIP code, and details for individuals making the pesticide application. Include names, certification numbers, and provide the signature of the person completing the form along with the date signed.
8. Move on to the 'Treatment Site and Chemical Information' section. Attach additional sheets if necessary and fill in details about each treatment site including site number, property name, address/fire number, treated acreage, permitted sensitive area status, latitude, longitude, herbicide names, EPA registration numbers, and amounts applied.
9. Record the total amounts for different herbicides and specify the aquatics at the treatment site. Use the provided designations for target species and species present.
10. After completing all sections, review the form for accuracy. Save any changes made, and then download, print, or share the completed form as required.

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