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APPLICATION for DISCHARGES ASSOCIATED WITH SAND & GRAVEL MINING AND PROCESSING <br />10. CHEMICAL TREATMENT <br />Will any flocculants (settling agents or chemical additives) be used to treat water prior to discharge? ?E NO 0 YES <br />If YES, list here, and include the Material Safety Data Sheet (MSDS): <br />Chemical Name * Manufacturer Purpose In Which Waste Stream? <br />* If the chemical formula is unknown or confidential, provide the manufacturer's name, contact person, address and phone number or <br />a copy of the manufacturer's brochure, product label information or materials handling data sheet for each product used. Please list <br />the major constituents or active ingredient(s), if known. <br />11. FLOW MEASUREMENT <br />What method of flow measurement will be used for each discharge point (e.g., v-notch weir, pump capacity, parshall flume, etc.)? <br />pump capacity <br />12. OUTFALLS <br />For each process water outfall, provide a description of <br />- latitude and longitude (format described in section 2 of application) <br />- all operations contributing wastewater to the effluent, including water associated with product crushing or washing, equipment <br />washing, sanitary wastewater, groundwater; <br />- the treatment received by the wastewater, including an identification of any chemical additives used. <br />- the average flow contributed by each operation; <br />Use additional a es as needed <br />Outfall <br />Number Latitude and <br />Longitude Wastewater Source Treatment <br />used Average Flow, <br />MGD* Design** Flow, <br />MGD Receiving <br />Water(s) <br />001 37 14' 11.57 Groundwater in Gravel Pit no 0.4 2.6 Devil Creek <br /> 107 14' 07.11 <br />002 37 13'57.09--a Groundwater in Gravel Pit no 0.4 2.6 Devil Creek <br /> 107 14'20.37& <br /> <br /> <br />*MGD - Million gallons/day <br />**If sediment pond, indicate approximate volume of water. <br />Page 4 of 5 Revised 12/2009