1. (a) To obtain a provisional ITA, the ITA applicant shall submit a written application that includes the following:

   1. (1) If the ITA applicant is an individual, the individual’s name, mailing address, daytime telephone number, and, if available, an e-mail address;
   2. (2) If the ITA applicant is other than an individual, the name and mailing address of the ITA applicant and the name and daytime telephone number, and, if available, an e-mail address, for an individual who can be contacted on behalf of the ITA applicant regarding the application;
   3. (3) A narrative description of the proposed technology, together with any diagrams or schematics that are helpful to understanding the proposed technology;
   4. (4) If the ITA applicant believes that installation in accordance with a manufacturer’s design manual is required for the proposed technology to meet the criteria specified in Env-Wq 1024.08(c), a copy of the design manual;
   5. (5) Whether approval is sought for use of the proposed technology in residential ISDS, commercial ISDS, or both;
   6. (6) All operational reports, patent information, technical reports, and laboratory reports published on the proposed technology, even if the information might in whole or in part reflect negatively on the technology;
   7. (7) A description of any advantages of the proposed technology over conventional technology in the prevention of health hazards, surface and groundwater pollution, and any other environmental benefits;
   8. (8) A description of the possible risks to public health, surface or ground waters, or other aspects of the environment of using the proposed technology;

   9. (9) A list of the states or provinces that have approved the technology, and for each such state or province:

      1. a. The name, mailing address, and main telephone number of the specific agency that issued the approval;
      2. b. The name and daytime telephone number and, if available, an e-mail address, of an official at the state or provincial agency which issued the approval who can be contacted regarding the approval; and
      3. c. A statement of whether the approval contains any restrictions, limitations, or other conditions on the use of the technology;
   10. (10) The names, addresses, and phone numbers of at least 3 individuals who have experience in the design and operation of the same type of technology, if available;
   11. (11) The effect of the proposed technology on the area of land required for operation;
   12. (12) A list of any rules under Env-Wq 1000 for which waivers will be requested as part of the ITA; and
   13. (13) A list of site locations where the technology has been used, if available, whether successfully or not.
2. (b) If information addressing more than one category of (a)(3) through (13), above, is found within the same document, the ITA applicant shall identify on a separate sheet of paper which categories are covered in that document, listed by page number.

Source. (See Revision Notes #1 and #2 at chapter heading for Env-Wq 1000) #11184, eff 10-1-16; ss by #14486, eff 2-1-26, EXPIRES: 2-1-36