Form 3400 53-2026

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The document is a Land Application Site Request form from the Wisconsin Department of Natural Resources, which must be completed and submitted for approval to apply sludge or waste to land. It outlines mandatory information required from permittees, including site details, waste types, compliance with separation distances, and necessary signatures. The form emphasizes legal obligations under state statutes and provides instructions for proper completion to avoid penalties.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in the Permittee Information section. Enter your name, address, city, state, ZIP code, and telephone number as they appear on your WPDES permit.
In the Waste Information section, select the type of waste you plan to land apply. Options include municipal sludge, industrial sludge, and more. Be specific about your waste type.
Proceed to Site Information. Provide details such as Soil Map Sheet Number, Site Number/Name, and legal descriptions. Ensure accuracy for proper site identification.
Complete the Compliance With Site Requirements section by checking all applicable criteria and providing explanations if necessary.
Finally, sign the form in the Signature Block. Print your name, title, and date signed before submitting it for approval.

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Can you get a DNR card?

A DNR Medical Photo ID Card helps communicate this decision but does not replace or create a legal DNR order. It is designed to give quick information to first responders. If you already have a formal DNR in place, carrying a card like this can help make sure your wishes are seen straight away when time matters most.

How do I get a DNR number in Wisconsin?

You can obtain a DNR Customer ID Number: by using our online web site to obtain your DNR customer ID number; by calling DNR customer service from 7 a.m. to 10 p.m. at 1-888-936-7463; or. by visiting a DNR service center during their regular scheduled hours.

What does it mean if you have a DNR bracelet?

It tells EMS (Emergency Medical Services) practitioners and emergency medical responders not to perform CPR (cardiopulmonary resuscitation) if your heart stops or you cant breathe. If you dont have a DNR order, the care team will try CPR.

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