Form 04-573 - Alaska Seafood Processor And Exporter 1998 License And Permit Application Intent To Operate Page 8

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Name
Federal EIN
ADEC Permit or Shellfish Number
SEWAGE WASTE DISPOSAL - Shore-based facilities
(For disposal of toilet, shower, kitchen and bathroom sink waste)
Contact: Bill Rieth (907) 269-7519
Treatment Type
Disposal Method
Description or Permit #
Capacity
(Circle one)
(Circle one)
Septic system
Subsurface
Municipal system
Surface to water
Gallons ______________________
Lagoon
Other
Other
SEWAGE WASTE DISPOSAL - Vessels
(For disposal of toilet, shower, kitchen and bathroom sink waste)
Contact: Robert Dolan (907) 269-7565
Y
Y
Check if discharged at:
Shore-based facility
At sea If at sea, indicate distance from shore
USCG approved system:
type 1
Holding tank (# gallons)
type 2
Capacity (gpd)
Distance from shore
Depth
Other
Capacity
FISH WASTE DISPOSAL
(For disposal of solid waste disposal (fish heads, carcasses, shells, etc.))
Contact: Robert Dolan (907) 269-7565
Land burial (See Other Solid Waste below)
Other
Grinder (type)
Size of waste particle (
inch)
Yearly Amount (
lbs.)
Water depth of discharge below Mean Lower Low Water (MLLW): (
ft)
Y
Y
Y
Discharge distance in nautical miles from shore at MLLW
less than 0.5
between 0.5 and 1
1 nautical mile and more
Name of water body(ies) to which facility discharges
Name of adjacent larger water body(ies)

If discharges occur within 1 nautical mile from shore at MLLW, attach
(1) Area map of facility and outfall(s) based upon NOAA or USGS chart of scale resolution from 1:20,000 to 1:65,000
(2) Bathymetric chart of receiving water within 1 nautical mile of discharge and showing discharge points

If discharges occur within 3 nautical miles of national parks, preserves, wildlife refuges, state game sanctuaries, refuges,
critical habitat areas or impaired water bodies, list specific areas:
OTHER SOLID WASTE DISPOSAL
(Circle waste types and predisposal methods)
Contact: Laura Ogar (907) 269-7590
Identify waste type (circle applicable types)
animal/fish
plastic
scrap metal
glass
paper goods
other
Predisposal method (circle applicable types)
incineration
baling
salvage
shredding
dewatering
other
3
Solid waste permit #
Annual quantity:
tons or
yd
AIR QUALITY
(Permits to construct and operate may be required for any of the following. Check all that apply)
Contact: Bill MacClarence (907) 269-7575
Y
Diesel generators rated cumulative of over 500 hp or over 375 kw
Y
Fish meal plant
Y
Fish tanks with capacity of over 10,600 gallons
Y
Boilers rated over 10mmBtu/hr
Form 04-573 (Rev. 9/97)
Page 8

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