SRBC Form #87
07/13; Rev. 01/14
Susquehanna River Basin Commission
a water management agency serving the Susquehanna River Watershed
MINING PROJECT INFORMATION MODULE
Water Withdrawal, Use, and Related Features
for SRBC Determination
General Information
According to Susquehanna River Basin Commission (SRBC) Regulation 18 CFR
§806.4(a)(2), any project withdrawing a consecutive 30-day average of 100,000 gallons per day
(gpd) or more from a groundwater or surface water source, or a combination of such sources,
shall be required to submit an application to the SRBC for review and approval. In accordance
with SRBC Regulation 18 CFR §806.4(a)(1), any project involving consumptive water uses of
an average of 20,000 gpd or more in any consecutive 30-day period shall be required to submit
an application to the SRBC for review and approval.
Mining operations often include water use in quantities that exceed the SRBC’s
regulatory thresholds for consumptive use and withdrawal (as described above). Activities or
processes undertaken at mining facilities that often result in the consumptive use of water
include, but are not limited to, the following:
1. Materials processing;
2. Dust suppression/control (i.e., roadways, crushers, sorters);
3. Evaporative losses from production ponds, etc.; and
4. Truck and equipment washing.
This Mining Project Information Module is a request for information regarding the water
use associated with the proposed or current mining operation. The information is necessary to
determine if the project requires application(s) be completed and submitted for review and
approval by the SRBC for consumptive water use and/or water withdrawal. If available, a
completed Pennsylvania Department of Environmental Protection (PADEP) Module 17: Air
Pollution and Noise Control Plan should also be attached.
Please provide the following information and responses:
4423 North Front Street, Harrisburg, PA 17110-1788 • Phone: (717) 238-0423 • Fax: (717) 238-2436
website: http://www.srbc.net
e-mail: srbc@srbc.net
SRBC Mining Project Information Module
Section A. General Project Information
1. Project Owner:
Project Owner Name:
Authorized Representative
and Title:
Project Owner Address:
E-mail:
Telephone:
Facsimile:
2. Facility Information:
Facility Name:
Authorized Representative
and Title:
Facility Address:
Facility Municipality:
Facility County:
E-mail:
Telephone:
Facsimile:
3. Is the facility currently operating or has operated within the last 12 months?
Yes
No
If “No,” briefly describe expected future operations and provide a schedule for operations to
begin.
4. Is any portion of the acreage to be permitted located within the Susquehanna River Basin?
Yes
No
If “Yes,” complete the remainder of this form. If “No,” skip to and complete Section C
(Water Sources) of this module. Following review of the information provided in Section C
(Water Sources), SRBC staff will provide guidance if remainder of module is required to be
completed.
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SRBC Mining Project Information Module
Section B. Project Description, Features, and Water Use
1. Provide an estimate of the quantity of rock/mineral to be or currently mined per day:
tons/day
2. Will or does materials processing occur on the site?
Yes
No
If “Yes,” describe the proposed and existing crushing, screening, cleaning, and stockpiling
activities. Indicate for each material processing step if the process involves the use of water
(i.e., wet or dry process). For wet processes, include an estimate of water use per ton of
material processed and the number of tons per day processed.
Description (attach additional sheet[s], if necessary):
3. Is water used or planned for use for dust control at the site?
(If “No,” skip to No. B.5.)
Yes
No
If “Yes,” describe the proposed and existing dust control methods for materials
handling/processing (crusher, screens, conveyors, etc.). Provide an estimate of water used
for dust control on a per ton or per hour basis.
Description (attach additional sheet[s], if necessary):
4. Provide an estimate of the acreage of access roads, haul roads, public roadways, and
processing areas that require dust suppression by water application. Provide an estimate of
water use on a per acre or per lineal foot basis. Include in the estimate the acreage for public
roadways that may require street washing:
acres
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SRBC Mining Project Information Module
5. Will or does the mining activity encounter groundwater?
Yes
6. Will or does the mining activity extend below groundwater?
No
Yes
No
a. What is the current pit or mining elevation (feet above mean sea level [AMSL])?
feet AMSL
b. What is the final permitted pit or mining elevation?
feet AMSL
c. Can a mining permit application modification be submitted for mining below the
currently permitted mining elevation?
Yes
No
d. Do you anticipate applying for a modification and mining at depths below the currently
permitted elevation?
Yes
No
7. Will or does the mining activity include any dewatering activities?
(If “No,” proceed to No. B.8.)
Yes
No
a. Provide a description and the coordinates (latitude and longitude in NAD83) of all
withdrawals locations that will completed for the purpose of dewatering (attach
additional sheet[s], if necessary):
b. Provide the current and planned maximum pumping or discharge rates for dewatering.
Current:
Maximum daily discharge:
million gallons per day (mgd)
Consecutive 30-day average discharge:
mgd
Planned Maximum:
Maximum discharge:
mgd
Consecutive 30-day average discharge:
mgd
c. Does the current or will the proposed mining activities use any of the water withdrawn
for dewatering or stormwater management for materials processing, dust control, etc.?
Yes
No
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SRBC Mining Project Information Module
If “Yes,” identify the uses for the water (attach additional sheet[s], if necessary):
8. If planned or current dust control or material handling activities use water, provide existing
(or anticipated) peak day use and peak consecutive 30-day average water use for each
activity individually and as a total combined for all activities. In addition, provide a
description of how these quantities are measured or estimated for each separate use or
activity. Provide the hours and days of operation, as well as any unit rates, used to determine
the requested quantities.
Description of peak day and consecutive 30-day average water use for each activity and
measurement method (attach additional sheet[s], if necessary):
9. Provide an estimate of the surface area and capacity of existing or planned processing
impoundments (sumps, tanks, pits, ponds, etc.). If a flooded pit or pond is created with the
removal of material and is not used for processing, it should not be included.
Total Capacity:
Total Surface Area:
gallons
acres
10. Provide a description of any additional water use not specifically requested or described
above (attach additional sheet[s], if necessary):
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SRBC Mining Project Information Module
Section C. Water Sources
1. List all water sources with respective location coordinates (latitude and longitude in NAD83)
that will be used for this project. These sources can include wells, surface water (streams,
lakes, etc.), springs, public water supply connection, pit dewatering and storm water.
Water sources and coordinates (attach additional sheet[s], if necessary):
2. Provide dates of initiation of withdrawal from each of the water sources listed in No. C.1
(attach additional sheet[s], if necessary):
3. Provide consecutive 30-day average water withdrawal quantities from each source listed in
No. C.1 (attach additional sheet[s], if necessary):
4. Provide a map that clearly labels and illustrates the project boundaries; the location of all
water sources, roads, or areas requiring dust suppression; and the location of processing
equipment that utilizes water.
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Signature
I, the duly authorized representative of the corporation or entity identified in Section A of this
form, certify that the information contained herein and all information accompanying this form is
true and correct, and that I am authorized to act on behalf of the project owner.
Signature:
Date:
Printed Name:
Telephone:
Title:
Reference
Pond Evaporation Calculation (SRBC Form #74) (http://www.srbc.net/forms/index.htm)
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