Biosolids Reporting Forms

The following forms are for use in the biosolids program. They are provided here as PDF files.

Other Methods of Disposal or Distribution Report (3400-52). Instructions are included on the form. This report is required to be submitted by January 31 each year after any of the following has occurred:
• Biosolids hauled to another facility for further treatment or storage
• Biosolids which are landfilled
• Biosolids which are incinerated
• Biosolids which are designated as Exceptional Quality (EQ) and are distributed, given away, or land applied.

Land Application Site Request (3400-53). This form is to be submitted for any land application sites you wish to have approved. Instructions are included on the form.

Agricultural Site Worksheet (Application Rate Calculations) (3400-54). This form can be used to determine appropriate application rates dependent upon biosolids nitrogen and solids characteristics, past site use, other fertilizer additions, and crop needs.

Annual Land Application Report (3400-55). This report is due by January 31 following each year in which biosolids are land applied. Instructions are included on the form.

Land Application Records Worksheet (3400-56). This form may be used to determine actual loadings of biosolids, nitrogen, and metals to each land application site. This form can be used to gather information to report on the 55 form and for other permit required recordkeeping.

For more information regarding the biosolids program, contact:

Greg Kester, P.E.
Residuals Coordinator
(608) 267-7611
greg.kester@dnr.wi.gov