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Click ‘Get Form’ to open the 3400 179 wi dnr in the editor.
Begin with Section I, where you will enter your Parent Company/Owner Information. Fill in your company name, contact details, and Standard Industrial Classification (SIC) codes relevant to your nonmetallic mining operations.
Proceed to Section II for Site/Property Information. Provide the site name, identification number, and address. Ensure to attach a site map showing the mining location and surrounding resources.
In Section III, complete the Mobile Unit Information if applicable. Enter details about mobile operations and anticipated sites.
Section IV requires you to detail Mining Process Wastewater Information. Indicate receiving waters for discharges and list types of wastewater generated during mining processes.
Finally, complete Section V by providing signatory information and ensuring that the form is signed by an authorized representative before submission.
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Permit Transfer Certification (PDF) DNR Form 3400-179 Notice of Intent (PDF) Sturgeon Bay, WI 54235. Phone: (920)746-2275. Fax: (920)746-2369. EmailRead more
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