3850-PM-BCW0045d 4/2017
Sewer Extension Information
Applicant Name:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF CLEAN WATER
WQG-02
WATER QUALITY MANAGEMENT
GENERAL PERMIT FOR SEWER EXTENSIONS AND PUMP STATIONS
SEWER EXTENSION INFORMATION
APPLICANT NAME
PROJECT INFORMATION
If the project is associated with existing or proposed residential or industrial development, complete the following:
Name of Development
Type of Development
Number of Units
Project Acreage
WQM Permit No. of Receiving Sewers
BASIS OF DESIGN
Design Year:
Design Population:
SEWER SYSTEM
1.
INITIAL POPULATION
DESIGN POPULATION
2.
List the WQM Permit number of the sewer to which this system connects.
3.
List the WQM Permit number of the treatment facility receiving flow from this system.
4.
What is the reserve capacity of the most limiting component between this connection and the treatment facility?
5.
LOCATION
USGS Quadrangle Name
Latitude/Longitude of Connection Point
6.
7.
Latitude
Degrees
Minutes
Longitude
Seconds
Degrees
Minutes
DESIGN FLOW DATA
a.
Submain Sewers
(GPCD)
b.
Average Daily Flow
(mgd)
c.
Infiltration/Inflow (I/I)
(mgd)
d.
Industrial Waste Flow
(mgd)
e.
Total Average Design Flow
(mgd)
f.
Maximum Expected Flow Rate
(Peak Instantaneous)
(mgd)
Describe measures taken to minimize I/l in the system including leakage test and reference applicable portion of the specifications.
Seconds