Kansaswater Pollution Control Permit Foragricultural Andrelated Wastes Permit Application Page 2

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FACILITY DESCRIPTION
6. Legal description of property where facility is located:
South
E
W
:
Circle
or
Facility ID
Quarter(s)
Section
Township
Range
County
E
W
South
:
Circle
or
Facility ID
Quarter(s)
Section
Township
Range
County
E
W
South
:
Circle
or
Facility ID
Quarter(s)
Section
Township
Range
County
E
7. The existing, proposed, and/or expanded livestock operation will consist of: (please indicate
xisting or Proposed)
_____ Open Lots _____ Enclosed Bldg. _____ Both Open/Closed _____ Truck Wash
_____ Other
E
P
8. Existing and/or proposed waste control systems: (please indicate
xisting or
roposed)
Lagoon
Sedimentation Basin
Concrete Storage Structure
Other (explain)
9. Are there any local comprehensive land use plans or zoning requirements or restrictions at this site?
Yes______ No______.
If yes, please explain:
10. Indicate the type and size of equipment available for: 1) land application, and 2) transportation of process
waste (in any form: liquid, slurry, or solid), and for each piece of equipment whether it is owned, leased, or
contractor provided:
Equipment Description
Equipment Purpose
Capacity
(Transportation, collection, land
(Gallons per
Owned (O),
(55 hp tractor, high lift, pto
application, agitate manure in basin, etc.)
minute, gallons,
Leased (L), or
driven pump, manure wagon,
bushels, acres,
Contractor=s (C)
honey wagon, center pivot,
cubic yards, etc.)
traveling gun, etc.)
KDHE BOW LWMS Permit Application form rev 4/7/2015
Page 2 of 10

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