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Total number of slips at the facility? Wet:.r. M <br />W. oormg; .: <br />Of the total number, how many are: Transient: Dedicated to one owner? <br />Does the facility allow public access to docking and marina services? O Yes O No <br />Does the facility have live-aboards? O Yes O No If yes, approximately how many? <br />Does the facility have houseboats? O Yes O No If yes, approximately how many? <br />How many slips are available for: Vessel under 26' Vessels 26' to 40' Vessels over 40' <br />Facility's Current Pumpout Information <br />Does the facility currently have pumpout equipment? ®yes ®No <br />If yes, please describe the current equipment: ❑ Stationary Pumpout ❑ Pumpout Vessel ❑Lift Station <br />F] Portable Pumpout Unit Dump Station/ <br />❑ Portable Toilet Dump ❑ Holding Tank <br />Is the pumpout equipment currently operational? O Yes O No <br />Will the proposed pumpout project replace the current equipment? O yes O No <br />Will the proposed pumpout project be in addition to the current equipment? O yes O No <br />Was the current equipment purchased through apast ¢ <br />CVA grant? Oyes ONo If yes, what was the grant number? <br />If the new pumpout equipment will be installed on a new dock, do you have dock construction permits? O Yes O No <br />If no, please let us know when the permits are expected. <br />Proposed Pumpout Project Information <br />Type of pumpout equipment ❑ Stationary Pumpout ❑ Pumpout Vessel ❑ Lift Station ❑ Pumpout Service <br />requesting (check all that apply): <br />r-1 Portable Pumpout Unit ❑Dump Station/Portable❑ Holding Tank <br />Toilet Dump <br />Where on the premises will the pumpout/dumpout be located? On a dock On land <br />Number of pumpout connections to be installed through this project? <br />Will there be connections available toall slips? O Yes O No <br />Disposal method for pumpout/dumpout/boat sewage? <br />❑ Directly to a permitted wastewater treatment facility (sewer) Domestic Wastewater Collection Permit #: <br />❑ Directly to an on-site sewage treatment system <br />❑ Directly to an on-site septic tank <br />❑ Into holding tank, then transported to permitted wastewater treatment facility <br />Availability of pumpout/dumpout services? <br />Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sun&y <br />El Available 24 hours a day <br />El Between the hours of = ' and <br />Projected number of PumPouts/dumPouts each week? <br />�,��� � � „P'' � I •� � ' � <br />.. 164 <br />