Form Tceq 20170 PDF Details

The TCEQ 20170 form serves a crucial role in the environmental management practices of Concentrated Animal Feeding Operations (CAFOs) within Texas, specifically under the jurisdiction of the Texas Commission on Environmental Quality (TCEQ). This form, designed exclusively for CAFOs authorized under the General Permit No. TXG920000, is a vital tool for reporting soil monitoring data gathered during the calendar year. It differentiates in its application between CAFOs with general versus individual permits, directing the latter to use alternative reporting mechanisms such as Discharge Monitoring Reports (DMRs) or Monthly Effluent Reports (MERs). The form meticulously requires details such as operator name, permit number, facility name, and precise dates of sample collection, alongside specifying the Land Management Unit (LMU) for which the data is reported. Notably, it mandates the submission of soil samples at various depths depending on the incorporation of manure, litter, or wastewater, with a clear emphasis on monitoring nitrate-nitrogen, phosphorus, potassium, sodium, magnesium, calcium levels, electrical conductivity/soluble salts, and pH levels. Moreover, it necessitates attaching soil analyses to the report, underscoring the form's role in ensuring that soil management practices meet environmental standards. Additionally, it specifies strict submission guidelines, including deadlines and the address to which reports should be sent, while also making provisions for State Only CAFOs. The form concludes with a certification statement that highlights the legal implications of submitting false information, reiterating the form's significance in maintaining environmental compliance and the integrity of soil management practices among CAFOs in Texas.

QuestionAnswer
Form NameForm Tceq 20170
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names20170 tceq cafo emission texas form

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CAFO SOIL MONITORING REPORT FOR GENERAL PERMIT

For Samples Collected in Calendar Year __________

Note: This form may only be used by CAFOs authorized under the General Permit No. TXG920000. CAFOs with individual permits must use Discharge Monitoring Reports (DMRs) or Monthly Effluent Reports (MERs) to report soil data.

GNo samples were collected for the LMU listed below.

Operator Name:

 

 

 

 

 

 

 

Permit No:

TXG92

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Facility Name:

 

 

 

 

 

 

 

Date Samples Collected:

 

 

 

 

 

 

 

Mailing Address:

 

 

 

 

 

 

 

LMU Name or No.: *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Should correspond to field designation located on the map included in the PPP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parameter

Units

Manure/Litter/Wastewater Not Incorporated

 

Manure/Litter/Wastewater Incorporated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(includes irrigation)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0-2 Inches

 

2-6 Inches

 

6-24 Inches

 

0-6 Inches

 

6-24 Inches

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nitrate-Nitrogen (NO3-N)

ppm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phosphorus (extractable)

ppm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Potassium

(extractable)

ppm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sodium

(extractable)

ppm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Magnesium (extractable)

ppm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calcium

(extractable)

ppm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Electrical Conductivity/Soluble Salts

dS/m

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

pH

 

 

SU

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: ppm

= parts per million; considered to be equivalent to milligrams per liter (mg/l)

dS/m = decisiemins per meter; equivalent to millimhols per centimeter (mmhols/cm)

SU = standard units

ATTACH SOIL ANALYSES TO THE REPORT FORM.

I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.

/

(

)

_____________________________________

 

Printed Name and Title of Responsible Official or Authorized Agent

 

 

Telephone No.

Signature

Date

How to submit: The soil monitoring report with attached soil analyses should be included in the Annual Report that is required to be submitted by February 15 of each year. For State Only

CAFOs, submit the form to the TCEQ, Enforcement Division (MC-224), P.O. Box 13087, Austin, Texas 78711-3087 and provide a copy to the TCEQ Regional Office.

TCEQ-20170 (10/26/04)

Instructions for

CAFO Soil Monitoring Report for General Permit

Only use this form if you are a CAFO authorized under General Permit No. TXG920000. CAFOs with individual permits must use Discharge Monitoring Reports (DMRs) or Monthly Effluent Reports (MERs) to report soil data.

Provide the calendar year of the reporting period in the space provided under the form heading.

Provide the operator’s name and address, facility name, and TXG92 permit number. Provide the date the samples were collected and the Land Management Unit (LMU) name or number. A soil monitoring report must be completed for each LMU owned, operated, controlled, rented or leased by the operator, whether or not soil samples are collected for the LMU.

Note: For LMUs where no samples were collected, check the box at the top right corner of the form and complete the top part of the form and the signature portion of the form.

Completing the chart: If manure, litter or wastewater is not incorporated (i.e., pasture, grassland, permanent crop, etc.), samples must be taken at three depths (0-2", 2-6" and 6-24"). If manure, litter or wastewater is incorporated (i.e. row crops, irrigated wastewater, etc.), only two sample depths are required (0-6" and 6-24"). For each parameter, provide the laboratory results for each required sample depth.

Attachments: Attach a copy of the laboratory analyses to the soil monitoring report form.

Signature: Read the certification statement. Print your name, title, and telephone number. Then sign and date.

How to submit:

TPDES CAFOs: Include the soil monitoring report and attached soil analyses in the Annual Report that is required to be submitted to the TCEQ Enforcement Division (MC 224) and Regional Office by February 15 of each year.

State Only CAFOs: These CAFOs, which are not required to submit an annual Report, must submit the form with attachments to the TCEQ, Enforcement Division (MC-224), P.O. Box 13087, Austin, Texas 78711-3087 and copies should be provided to the TCEQ Regional Office. State Only CAFOs in Erath, Comanche, Hamilton, Bosque and Johnson counties should provide copies of their report forms to the TCEQ Stephenville Office at TCEQ, 580-D Lingleville Road, Stephenville, Texas 76401.

If you have any additional questions about this form or soil sample collection and soil analyses requirements, contact:

TCEQ Land Application Team

Water Quality Division (MC 148)

(512) 239-4671

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The right way to prepare Form Tceq 20170 part 1

2. Your next step would be to fill in all of the following blank fields: Phosphorus extractable, Potassium extractable, Sodium extractable, Magnesium extractable, Calcium extractable, ppm, ppm, ppm, ppm, ppm, Electrical ConductivitySoluble, dSm, Note, ppm parts per million considered, and ATTACH SOIL ANALYSES TO THE REPORT.

Writing segment 2 in Form Tceq 20170

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