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FACILITY DESCRIPTION
6. Legal description of property where facility is located:
7. The existing, proposed, and/or expanded livestock operation will consist of: (please indicate Existing or Proposed) _____ Open Lots _____ Enclosed Bldg. _____ Both Open/Closed _____ Truck Wash _____ Other 8. Existing and/or proposed waste control systems: (please indicate Existing or Proposed) 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:
Animal Units Calculation table Please complete the table below. Be certain to identify all the types of animals that you have at your facility. Each pig, weaned or unweaned, weighing 55 pounds or less must be counted as 0.1 animal units. Similarly, for permitting purposes, dairy facilities must count calves and heifers weighing less than 700 pounds as 0.5 animal units and bulls, and heifers weighing more than 700 pounds as 1.0 animal unit. Lactating and dry dairy cows should be counted as 1.4 animal units, etc.
*Minimum EPA thresholds requiring an NPDES permit are: 700 head of mature dairy cows (lactating or dry), 1,000 head of veal calves, 1,000 head of cattle other than mature dairy cows or veal calves, 2,500 head of swine weighing greater than 55 pounds, 10,000 head of swine weighing 55 pounds or less, 500 horses, 10,000 sheep or lambs, 55,000 turkeys, 30,000 laying hens/broilers w/ liquid manure system, 125,000 chickens other than laying hens w/ other than liquid manure system, and 82,000 laying hens w/ other than liquid manure system. 1 Use a 0.033 AU conversion factor if the manure, from chicken facilities that only use dry litter systems, is exposed to precipitation during collection, when stored in stockpiles, or land applied without incorporation into the soil within 24 hours SEPARATION DISTANCE WAIVERS AND PUBLIC NOTICE REQUIREMENTS Habitable Structure Separation Distances: On Appendix 2, list all owners of habitable structures, and the headquarters of all city, county, state, or federal parks, and wildlife refuges within the applicable separation distance for the maximum animal unit capacity of the facility. Wildlife Refuge Habitable structure Separation Distance
New facility or expansion 1,000-3,724* 4,000 feet 10,000 feet Swine expansion that will meet or exceed 3,725 4,000 feet** New swine facility that will meet or exceed 3,725 5,000 feet 16,000 feet * No ceiling for non-swine ** If within original designated expansion boundary, otherwise 5,000 feet. The applicant should request owners of habitable structures within the applicable separation distance to sign a wavier of the separation distance to the proposed facility. Waivers shall be filed by the applicant with the register of deeds office of the county in which the habitable structure is located. Evidence of proper notice such as, signed waiver agreements, or signed certified mail receipts to match the list in Appendix 2 shall be provided before KDHE will notify the public a permit has been drafted. A Confined Animal Feeding Facility/Habitable Structure - Separation Distance Agreement form is available upon request from the Department or on-line at http://www.kdheks.gov/feedlots/. The applicant of a proposed new construction or new expansion of a swine facility is required to give notice to all owners of habitable structures within the applicable separation distance, by certified mail, of the applicant’s intention to apply for a water pollution control permit. The notice should include pertinent information regarding the location, size, general methods of waste management, and any other information the applicant deems necessary. ATTENTION: FAILURE TO PROVIDE REQUIRED NOTICE OF APPLICATION FOR A WATER POLLUTION CONTROL PERMIT TO OWNERS OF HABITABLE STRUCTURES, WITHIN THE SEPARATION DISTANCE, IS GROUNDS FOR AUTOMATIC DENIAL OF THE PERMIT APPLICATION BY THE SECRETARY OF KDHE. List of Property Owners Within One Mile of the Facility: On Appendix 2a, the applicant is required to provide KDHE with a list containing the names and mailing addresses for each owner of a habitable structure and any property within 1 mile of a proposed new construction or new expansion of a confined feeding facility. In addition, the applicant of a proposed new construction or new expansion of a confined feeding facility is required to provide KDHE with the address of the United States post office or offices serving the immediate area of the facility. Public Notice Requirements: Attach all wavier and public notice documentation listed in Appendix 3 to this application. PRODUCER’S CHECK LIST For this permit application to be considered complete and ready for the department to review, the applicant must provide the following documentation. Please check and assemble in the order listed. Additional guidance on specific components is available upon request through the Department. Please call (785) 296-6432 or go on-line at www.kdheks.gov/feedlots/ for assistance. Appendix Number Document _____ 1. Facility Site Maps – see page 7 for details _____ 2. List of Habitable Structure Owners within applicable separation distance – see pages 4 and 8 for details _____ 2a. List of Habitable Structures/Property Owners within one mile (proposed new construction or new expansion) – see page 9 for details _____ 3. Public Notice Documentation – see page 10 for details _____ 4. Depth to Groundwater Information _____ 5. Facility Design Calculations _____ 6. Construction Drawings* _____ 7. Waste Management Plan (Required if the facility is less than the EPA thresholds listed on page 3) _____ 8. Nutrient Management Plan (Required if the facility meets or exceeds the EPA thresholds listed on page 3) _____ 9. Swine Facility Plans (include the following as appropriate): _____ a. Manure Management Plan [Required if 1,000 AU or more] _____ b. Nutrient Utilization Plan [Required if 1,000 AU or more] _____ c. Emergency Response Plan [Required if 1,000 AU or more] _____ d. Odor Control Plan [Required if 1,000 AU or more] _____ e. Dead Swine Handling Plan [Required if 1,000 AU or more] _____ f. Facility Closure Plan [Required if 3,725 AU or more] _____ g. Financial Assurance for Facility Closure [Required if 3,725 AU or more] _____ h. Financial Assurance for Swine Waste-Retention Lagoon or Pond Closure [Required if 3,725 AU or more] _____ i. Ground Water Monitoring Plan [Required for certain swine facilities (see K.A.R. 28-18a-18).] *Provide detailed location/site plans indicating the following: Major components of the facility including structures - building sizes/locations, property lines, locations and sizes (length, width, height - area/volume capacity) of lagoons, dirt lots, pits, and manure stockpile locations. Plans should include type, size and maximum anticipated number of animals in each building and/or dirt lot. Also, depict the furthest extent of the facility boundaries to include areas that may be used for future expansion. ANNUAL PERMIT FEE When a permit is required the annual permit fee is based on the facility=s maximum number of animal units as listed below and must be paid before processing of the permit and annually to maintain the validation of the permit. These fees are non-refundable.
PLEASE MAKE CHECK PAYABLE TO: KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT SIGNATURE/CERTIFICATION Swine Facility Consultation Statement: (if applicable) I, __________________________________, will consult with the KSU county extension agent, or (Applicant’s Name) qualified agronomist or individual trained in crop protection, to ensure application of swine wastes at agronomic rates and that records of this information will be available at the swine facility office as prescribed in K.S.A. 65-1,179(b)(3)(E). Applicants Signature: Date: Permit Application Certification: (required for all species) This application is to be signed by one of the following: (1) In the case of a corporation, by the principal executive officer of at least the level of Vice President; (2) in the case of a partnership, by a general partner; and (3) in the case of a sole proprietorship, by the proprietor. I hereby certify that the information submitted herein is true and correct to the best of my knowledge and belief: Applicants Name: (Type or Print Name and Title) Applicants Signature: Date: APPENDIX 1 MAPS Please provide maps and/or aerial photographs showing the following information. You may combine information on maps as long as all required information is clearly identified and provided. It may be necessary to provide maps of different scales in order to accurately depict the required information. This information is required per K.A.R. 28-18-4 and K.A.R. 28-18a-4.
Map Distribution USGS Map Sales Box 25286 Federal Center, Bldg 810 Denver, Colorado 80225 (888) 275-8747 http://store.usgs.gov/ Kansas Geological Survey 1930 Constant Avenue University of Kansas Lawrence, Kansas 66047 (785) 864-3965
4150 Monroe Street Wichita, Kansas 67209 (316) 943-2343 Suitable aerial photographs and maps may also be obtained from the local Natural Resources Conservation Services (NRCS). A scaled drawing may also be used. Please provide or identify the following information on a map:
In addition for facilities with swine, indicate:
*Minimum separation distances apply to facilities with swine, per K.S.A. 65-1, 180 and K.S.A. 65-1, 194 Appendix 2 Habitable Structure Owners List (Habitable structures within the applicable separation distance) Using the format provided, please record the name, address, city, state, zip code of the owner, distance from the facility, and direction from the facility, of all habitable structures within the applicable separation distance as determined by the number of animal units for the facility. Habitable structures means any of the following structures which is occupied or maintained in a condition which may be occupied and which, in the case of a confined feeding facility for swine, is owned by a person other than the operator of such facility: a dwelling, church, school, adult care home, medical care service, child care facility, library, community center, public building, office building, or licensed food service, or lodging establishment, parks, and wildlife refuge.
* As measured from the currently planned maximum extent of the facility structures such as buildings or wastewater lagoons. Appendix 2a Habitable Structure/Property Owners List (For proposed new construction or expansion of an existing facility) Using the format provided, please record the name, address, city, state, zip code of the owner, distance from the facility, and direction from the facility, of all property owners and habitable structures within 1 mile of the facility1. Habitable structures means any of the following structures which is occupied or maintained in a condition which may be occupied and which, in the case of a confined feeding facility for swine, is owned by a person other than the operator of such facility: a dwelling, church, school, adult care home, medical care service, child care facility, library, community center, public building, office building, or licensed food service, or lodging establishment, parks, and wildlife refuge.
* As measured from the currently planned maximum extent of the facility structures such as buildings or wastewater lagoons. 1New and expanding swine facilities with 1,000 or more AU of swine should also provide this information for habitable structures within 1,000 feet of any land application area. Appendix 3 Public Notice Documentation (For proposed new construction or expansion of an existing facility) This appendix contains the documentation of the applicant’s efforts at giving proper public notice in accordance with K.S.A. 65-171d et seq. Please provide the following:
In addition, swine facilities must provide the following documentation of the applicant’s efforts at giving proper public notice in accordance with K.A.R. 28-18a-7(b):
* Not required as part of complete application; however, must be completed and submitted prior to KDHE’s publication of intent to issue a draft permit. KDHE BOW LWMS Permit Application form rev 4/7/2015 Page of Yüklə 215,5 Kb. Dostları ilə paylaş:
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