United Stales       Office Of        EPA-505/8-91-002
            Environmental Protection    Water         April 1991
            Agency         (EN-336)
v>EPA     Guidance Manual
           For The Preparation Of
           NPDES Permit Applications
           For Storm Water Discharges
           Associated With
           Industrial Activity

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           GUIDANCE MANUAL
       FOR THE PREPARATION OF
      NPDES PERMIT APPLICATIONS
    FOR STORM WATER DISCHARGES
ASSOCIATED WITH INDUSTRIAL ACTIVITY
                  April 1991
          U.S. Environmental Protection Agency
      Office of Wastewater Enforcement and Compliance
               401 M Street, S.W.
             Washington, D.C. 20460
                Printed on Recycled Paper

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TABLE OF CONTENTS
LIST OF TABLES	   i

LIST OF FIGURES	  ii

PREFACE	  iii

SECTION 1.0     INTRODUCTION  	   1
      1.1    What Is The Purpose Of This Guidance Manual?	   1
      1.2    How Is This Manual Organized?	   1

SECTION 2.0     WHAT IS THE NPDES PERMIT PROGRAM?  	   2
      2.1    Authorized NPDES State Programs	   2
      2.2    What Is A Storm Water Discharge Associated With
            Industrial Activity?  	   2
      2.3    Discharges Through Large And Medium Municipal Separate
            Storm Sewer Systems  	   7
      2.4    Discharges To Combined  Sewer Systems  	   9
      2.5    Options For Applying  For Permit Coverage	   9

SECTION 3.0     INDIVIDUAL APPLICATION REQUIREMENTS ...   13
      3.1    The Process Of Submitting Individual Applications	   13
      3.2    Forms 1 And 2F	   15
      3.3    Special Provisions For Selected Discharges	   16
            3.3.1 Special Provisions For Small Businesses	   16
            3.3.2 Special Provisions For Construction Activities   	   17
            3.3.3 Mining And Oil And Gas Operations	   17
      3.4    Individual Applications Deadlines 	   18
      3.5    When Are Additional  Forms Required?	   19
      3.6    Where To Obtain And Submit Applications	   19
      3.7    Signatories	   19
      3.8    Penalties For Knowingly Submitting False Information	   20

SECTION 4.0     THE PERMITTING PROCESS  	   21
      4.1    How Are Individual Applications Processed? 	   21
      4.2    Completeness Of The  Application	   21
      4.3    Public Availability Of Submitted Information	   24
      4.4    How Long Is A Permit Valid?	   24
      4.5    How Are NPDES Permits Enforced?	   24

SECTION 5.0     TECHNICAL SUPPORT FOR SPECIFIC
                 ELEMENTS OF THE NPDES PERMIT
                 APPLICATION FORMS	  26
      5.1    Overview	  26
      5.2    Site Drainage Map	  26
      5.3    Identification Of Outfalls To Be Monitored	  27

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     5.4    Evaluation Of The Presence Of Non-storm Water Discharges    27
           5.4.1  Visual Inspection of Storm Drain at Manhole Inlet or
                Outfall Description	  29
           5.4.2  Review and Validation of Piping Schematics
                Description	  29
           5.4.3  Dye Tests Description	  30
           5.4.4  TV Line Surveys Description	  30
     5.5    Estimates Of Discharge Flow Rates And Volumes  	  31
           5.5.1  Estimating Flows and Volumes 	  31
           5.5.2  Flow  Rate Measurements 	  32
           5.5.3  Estimation of Flow Rates Based on Flow Velocity
                Measurements  	  33
           5.5.4  Estimation of Volumes Based on Row Rate Estimates .  33
     5.6    Collecting Storm Water Discharge Samples  	  37
           5.6.1  Grab  Samples	  38
           5.6.2  Flow-Weighted Composite Samples	  38
           5.6.3  Pollutants to Be Analyzed	  44
           5.6.4  Reporting	  46

SECTION 6.0     REFERENCES  	  48
                      L::l<-.V'-i
APPENDIX A:    SELECTED TEXT FROM 40 CFR SECTION 122.26 .  49

APPENDIX B:    DEFINITIONS OF KEY TERMS	  55

APPENDIX C:         INFORMATION FOR EPA REGIONAL
                     OFFICES AND STATES WITH APPROVED
                     NPDES PROGRAMS	  62

APPENDIX C.1:        FEDERAL, STATE, AND REGIONAL
                     PERMITTING AGENCY CONTACTS	  63

APPENDIX C.2:        ADDRESSES AND TELEPHONE
                     NUMBERS OF EPA REGIONAL OFFICES
                     AND STATES WITHIN THE  REGIONAL
                     OFFICE JURISDICTION	  71

APPENDIX D:         PROCEDURES FOR SUBMITTING A
                     GROUP APPLICATION 	  73

APPENDIX D.I:        EPA REVIEW PROCEDURES FOR A
                     GROUP APPLICATION 	  75

APPENDIX E:         NPDES PERMIT APPLICATION FORMS
                     AND INSTRUCTIONS FOR THE
                     PERMITTING PROCESS	  76

APPENDIX E.1:        FORM 1  	  77

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APPENDIX E.2:        FORM 2F 	  78



APPENDIX E.3:        FORM 2C	  79



APPENDIX E.4:        FORM 2D	  80



APPENDIX E.5:        FORM 2E	  81

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LIST OF TABLES
Table          Title                                   Page

2-1   CONTENTS OF 40 CFR PARTS 400 TO 471 (SUBCHAPTER N)    4

2-2   STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE
     GROUPS WHICH ARE REFERENCED IN THE NPDES STORM
     WATER REGULATIONS                                8

4-1   PERMIT APPLICATION CHECKLIST                      22

5-1   EXAMPLE CALCULATION OF THE TOTAL RUNOFF FLOW
     VOLUME FROM HELD DATA                          35

5-2   EXAMPLE PREPARATION OF A MANUALLY COMPOSITED
     FLOW-WEIGHTED SAMPLE                            41

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LIST OF FIGURES
Figure          Title                                    Page

2-1   FLOWCHART FOR NPDES PERMITTING OF
     INDUSTRIAL STORM WATER DISCHARGES                10

3-1   FLOW DIAGRAM TO IDENTIFY WHICH FORMS
     MUST BE SUBMITTED WHEN APPLYING FOR AN
     INDIVIDUAL NPDES STORM WATER DISCHARGE PERMIT    14

5-1   EXAMPLE INDUSTRIAL STORM RUNOFF OUTFALLS
     WITH STORM WATER DISCHARGE ASSOCIATED WITH
     INDUSTRIAL ACTIVITY                               28

Appendix
D-l   RAINFALL ZONES OF THE UNITED STATES                74
                            n

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PREFACE
       Water quality problems have occupied an increasingly prominent role in
the public's awareness over the past several decades.  In 1972, Congress passed
significant amendments to the Federal Water Pollution Control Act (commonly
referred to as the Clean Water Act or CWA) to prohibit the discharge of any
pollutant to waters  of the United States from a point source unless the discharge
was authorized by a National Pollutant Discharge Elimination System (NPDES)
permit. NPDES  permits specify monitoring, reporting and control requirements,
including allowable levels of pollutants in discharges.

       Efforts to  improve water quality under the NPDES program have
traditionally focused on reducing pollutants in discharges of industrial process
wastewater and municipal sewage. Industrial process discharges and sewage
outfalls were easily identified as responsible for poor, often drastically degraded
water quality conditions. However, as pollution control measures were installed
for these discharges, it became evident that more diffuse sources (occurring over
a wide area) of water pollution were also major causes of water quality problems.

       For many  years, most of the environmental law makers and the public
alike assumed that  runoff from urban and other areas subjected to man's
activities was essentially "clean" water. However,  during the past twenty years or
so, this view has changed.  It is now recognized that rainfall picks up a multitude
of pollutants from falling on and  draining off streets and parking lots,
construction and  industrial  sites, and mining, logging and agricultural areas.  The
pollutants are dissolved into and are carried off by the rainfall as it drains from
these surfaces and areas. Through natural or manmade conveyances, the runoff
is channeled into and transported by gravity flow through a wide variety of
drainage facilities.  Once in these facilities, the runoff may scour accumulated
pollutants out of  gutters, catchbasins,  storm sewers, and drainage channels. The
runoff eventually ends up in surface water bodies such as creeks, rivers, estuaries,
bays, and oceans.

       Many recent studies have shown that runoff from urban and industrial
areas typically contains significant quantities of the same general types of
pollutants that are found in wastewaters and industrial discharges and cause
similar water quality problems. These pollutants include heavy metals (e.g.,
chromium, cadmium, copper, lead, nickel, zinc), pesticides, herbicides, and
organic compounds such as fuels, waste oils, solvents,  lubricants, and grease.
These pollutants  may cause problems for both human health and aquatic
organisms.

       In general, assessments of water quality are difficult  to perform and verify.
However, several national assessments have been  made.  For the purposes of
these assessments, runoff from urban and industrial areas has been considered as
a diffuse source or  "nonpoint"source of pollution.  Legally, however, most urban

                                     iii

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runoff is discharged through conveyances such as separate storm sewers or other
conveyances which are point sources under the CWA and are, therefore, subject
to the NPDES program.

       To provide a better understanding of the nature of storm water runoff
from residential, commercial, and light industrial areas (collectively referred to as
urban), the U.S. Environmental Protection Agency (EPA) provided funding and
guidance to the Nationwide Urban Runoff Program (NURP), which was
conducted from 1978 through 1983. The NURP study provided insight on what
can be considered background levels of pollutants for urban runoff.  NURP also
concluded that the quality of urban runoff can be adversely impacted by several
sources of pollutants that were not directly evaluated in the study, including illicit
connections, construction and industrial site runoff, and illegal dumping.

       Other studies have shown that storm sewers contain illicit discharges of
non-storm water,  and that wastes, particularly used oils, are improperly disposed
of in storm sewers.  Removal of non-storm water discharges to storm sewers
presents opportunities for dramatic improvements in the quality of storm water
discharges.

       In 1987, the Clean Water Act was revised by adding Section 402(p) to
address storm water. In summary, Section 402(p) states that prior to October 1,
1992, the NPDES program cannot require permits for discharges composed
entirely of storm water unless one of the following conditions apply:

       1)     The discharge has been permitted prior to February 4, 1987 (in this
             case, the  operator is required to  maintain the existing permit).

       2)     The discharge is associated with  industrial activity.

       3)     The discharge is from a large (population greater than 250,000) or
             medium (population greater than 100,000 but less than 250,000)
             municipal separate storm sewer system.

       4)     The permitting authority determines that  the discharge contributes
             to a violation of a water quality standard or is a significant
             contributor of pollutants to the waters of the United States.

       Section 402(p) of the CWA requires EPA to establish NPDES permit
application requirements for storm water discharges associated with  industrial
activity; discharges from large municipal separate storm water systems (systems
serving a population of 250,000 or more); and  discharges from medium municipal
separate storm water systems (systems serving a population of 100,000 or more,
but less than  250,000).  In response to this requirement, EPA published permit
application requirements on November 16, 1990 (55 FR 47990). This manual
provides guidance to facility operators discharging storm water associated with
industrial activity on how to comply with  the permit application requirements.

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SECTION 1.0      INTRODUCTION
1.1   What Is The Purpose Of This Guidance Manual?

      The Federal Water Pollution Control Act (also known as the Clean Water
Act (CWA)), as amended in 1987, requires National Pollutant Discharge
Elimination System (NPDES) permits for storm water discharges associated with
industrial activity.

      On November 16, 1990, (55 FR 47990), the Environmental Protection
Agency  (EPA) issued regulations establishing  permit application requirements for
storm water discharges associated with industrial activity.  These regulations are
primarily contained in Section 122.26 of Section 40 of the Code of Federal
Regulations (40 CFR Part 122.26).

      The purpose of this manual is to assist operators of facilities which
discharge storm water associated with industrial  activity in complying with the
requirements for applying for an NPDES  permit. This manual provides operators
with an  overview of the permitting process and information regarding the permit
application requirements including: which forms are to be completed; where these
are to be submitted; and when permit applications are due.  In addition, this
manual  provides technical information on sample collection procedures.

1.2   How Is This Manual Organized?

      This guidance manual contains five sections and several appendices.
Section  2.0 explains the NPDES permit program, who must file an application
and the different options for applying. Section 3.0 discusses the individual
application requirements, including the necessary forms and  information to be
provided. Section  4.0 explains the permitting  process, how applications are
handled, whether an application is complete and public availability of the
information.  Technical guidance for the preparation of selected parts of the
permit application  forms is provided in Section 5.0. Pertinent regulatory guidance
materials and other references are provided in Section 6.0.

      Additional information is provided in the appendices to this manual.
These appendices contain selected text from 40 CFR  Part 122.26 (Appendix A),
definitions of key terms (Appendix B), addresses for EPA Regional Offices and
State agencies (Appendix C),  procedures for filing a group application (Appendix
D), and copies of the various permit application forms (Appendix E).

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SECTION 2.0      WHAT IS THE NPDES PERMIT PROGRAM?
      This section provides a description of the NPDES permitting program.
Section 2.2 describes the regulatory term "storm water associated with industrial
activity" which defines the scope of the NPDES program requirements with
respect  to industrial storm water discharges. Section 2.3 describes notification
requirements for storm water discharges associated with industrial activity to large
or medium municipal separate storm sewer systems.  (These storm water
discharges associated with industrial activity are also required to obtain NPDES
permit coverage).  Section 2.4 explains that storm water discharges associated
with industrial activity to sanitary sewers, including combined sewers, are not
required to obtain NPDES permit coverage. Section 2.5 describes three options
that operators of storm water discharges associated with industrial activity may
follow for obtaining permit coverage for storm water discharges associated with
industrial activity:  (1) individual permit applications; (2) group applications; and
(3) case-by-case requirements developed for general permit coverage.

2.1   Authorized NPDES State Programs

      The CWA allows States to request EPA authorization to administer the
NPDES program instead of EPA.  Upon authorization of a State program, the
State is primarily responsible for issuing permits and administering the NPDES
program in the State. At all times following authorization, State NPDES
programs must be consistent with minimum Federal requirements, although they
may always be more stringent.

      State authority is divided into four parts: municipal  and industrial
permitting (including permitting for storm water discharges from non-Federal
facilities); Federal facilities (including permitting for storm water discharges from
Federal facilities); pretreatment; and general permitting. At this point in time, 39
States or Territories are authorized to, at a minimum, issue NPDES permits for
municipal and industrial sources.  In the 12 States and 6 territories without
NPDES authorized programs, EPA issues all NPDES permits. In 6 of the 39
States that are authorized to issue NPDES  permits for municipal and industrial
sources, EPA issues permits for discharges from Federal facilities.
22   What Is A Storm Water Discharge Associated With Industrial Activity?

      The November 16, 1990 regulation established the following definition of
"storm water discharge associated with industrial activity" at 40 CFR
122.26(b)(14):

      "Storm water discharge associated with industrial activity"means the discharge
      from any conveyance which is used for collecting and conveying storm water

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and which is directly related to manufacturing, processing or raw materials
storage areas at an industrial plant.  The term does not include discharges
from faculties or activities excluded from the NPDES program under 40 CFR
Part 122.  For the categories of industries identified in subparagraphs (i)
through (x) of this subsection, the term includes, but is not limited to, storm
water discharges from industrial plant yards;  immediate access roads and rail
lines used or traveled by carriers of raw materials, manufactured products,
waste material, or by-products used or created by the facility; material
handling sites; refuse sites; sites used for  the application or disposal of process
waste waters (as defined at  40 CFR  401); sites used for the storage and
maintenance of material handling equipment; sites used for residual
treatment, storage, or disposal; shipping and  receiving areas; manufacturing
buildings; storage areas (including tank farms) for raw materials, and
intermediate and finished products; and areas where industrial activity has
taken place m the past and significant materials remain and are exposed to
storm water. For the categories of industries identified in subparagraph  (xi),
the term includes onfy storm water discharges from all the areas (except access
roads and  rail lines) that are listed in the previous sentence where material
handling equipment or activities, raw materials, intermediate products, final
products, waste materials, by-products, or industrial machinery are exposed to
storm water. For the purposes of this paragraph, material handling activities
include the: storage, loading and unloading, transportation, or conveyance of
any raw material, intermediate product, finished product, by-product or waste
product. The term excludes areas located on plant lands separate from the
plant's industrial activities, such as office buildings and accompanying parking
lots as long as the drainage from  the excluded areas is not mixed with storm
water drained from the above described areas.  Industrial facilities (including
industrial facilities that are Federally, State, or municipalfy owned or operated
that meet the description of the facilities  listed in this paragraph (i)-(xi))
include those facilities designated under the provisions  of 122.26(a)(l)(v).
The following categories of facilities are considered to be engaging in
"industrial activity" for purposes of this subsection:

(i) Facilities subject to storm water effluent limitations guidelines, new source
performance standards, or toxic pollutant effluent standards under 40 CFR
Subchapter N (except facilities with toxic pollutant effluent standards which
are exempted under category (xi) of this paragraph);  (See Table 2-1)

(ti) Facilities classified as Standard Industrial Classifications 24 (except 2434),
26  (except 265 and 267), 28 (except 283 and 285) 29, 311, 32  (except 323),
33, 3441, 373;

(Hi) Facilities classified as Standard Industrial Classifications 10 through 14
(mineral industry) including active or inactive mining operations (except for
areas of coal mining operations no longer meeting the definition of a
reclamation area under 40 CFR 434.11(1) because the performance bond
issued to the facility by the appropriate SMCRA authority has been released,

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Table 2-1. CONTENTS OF 40 CFR PARTS 400 TO 471 (SUBCHAPTER N)
Part                 Subchapter N - Effluent Guidelines and Standards
400                  [Reserved]
401                  General Provisions
402                  [Reserved]
403                  General pretreatment regulations for existing and new sources of pollution
405                  Dairy products processing point source category
406                  Grain mills point source category
407                  Canned and preserved fruits and vegetables processing point source category
408                  Canned and preserved seafood processing point source category
409                  Sugar processing point source category
410                  Textile mills point source category
411                  Cement manufacturing point source category
412                  Feedlots point source category
413                  Electroplating point source category
414                  Organic chemicals, plastics, and synthetic fibers
415                  Inorganic chemicals manufacturing point source category
416                  [Reserved]
417                  Soap and detergent manufacturing point source category
418                  Fertilizer manufacturing point source category
419                  Petroleum refining point source category
420                  Iron and steel manufacturing point source category
421                  Nonferrous metals  manufacturing point source category
422                  Phosphate manufacturing point source category
423                  Steam electric power generating point source category
424                  Ferroalloy manufacturing point source category
425                  Leather tanning and finishing point source category
426                  Glass manufacturing point source category
427                  Asbestos manufacturing point source category
428                  Rubber manufacturing point source category
429                  Timber products processing point source category
430                  Pulp, paper, and paperboard  point source category
431                  The builders' paper and board mills point source category
432                  Meat products point source category
433                  Metal finishing point source category
434                  Coal mining point source category; BPT, BAT,  BCT limitations and
                     new source performance standards
435                  Oil and gas extraction point source category
436                  Mineral mining and processing point source category
439                  Pharmaceutical manufacturing point source category
440                  Ore mining and dressing point source category
443                  Effluent limitations guidelines for existing sources and standards
                     of performance and pretreatment standards for new sources for the paving
                     and roofing materials (tars and asphalt) point source category
446                  Paint formulating point source category
447                  Ink formulating point source  category
454                  Gum and wood chemicals manufacturing point source category
455                  Pesticide chemicals
457                  Explosives manufacturing point source category
458                  Carbon black manufacturing point source category

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Table 2-1. CONTENTS OF 40 CFR PARTS 400 TO 471 (SUBCHAPTER N) (continued)
Part	Subchapter N • Effluent Guidelines and Standards	

459                  Photographic point source category
460                  Hospital point source category
461                  Battery manufacturing point source category
463                  Plastics molding and forming point source category
464                  Metal molding and casting point source category
465                  Coil coating point source category
466                  Porcelain enameling point source category
467                  Aluminum forming point source category
468                  Copper forming point source category
469                  Electrical and electronic components point source category
471                  Nonferrous metals forming and metal powders point source category

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 or except for areas of non-coal mining operations which have been released
from applicable State or Federal reclamation requirements after December 17,
1990 and oil and gas exploration, production, processing, or treatment
operations, or transmission facilities that discharge storm water contaminated
by contact with or that has come into contact with, any overburden, raw
material, intermediate products, finished products, byproducts or waste
products located on the site of such operations; (inactive mining operations
are mining sites that are not being actively mined, but which have an
identifiable owner/operator; inactive mining sites do not include sites where
mining claims are being maintained prior to disturbances associated with the
extraction, beneficiation, or processing of mined materials, nor sites where
minimal activities are undertaken for the sole purpose of maintaining a
mining claim);

(iv) Hazardous waste treatment, storage, or disposal facilities, including those
that are operating under interim status or a permit under Subtitle C of RCRA;

(v) Landfills,  land application sites, and open dumps that receive or have
received any industrial wastes (waste that  is  received from any of the facilities
described under this subsection) including those that are subject to regulation
under Subtitle D of RCRA;

(vi) Facilities involved in the recycling of materials, including metal scrap
yards,  battery  reclaimers, salvage yards, and automobile junkyards, including
but limited to those classified as Standard Industrial Classification 5015 and
5093;

(vii) Steam electric power generating facilities, including coal handling sites;

(viii) Transportation facilities classified as Standard Industrial Classifications
40, 41, 42  (except 4222-25), 43, 44, 45, and 5171 which have vehicle
maintenance shops, equipment cleaning operations, or airport deicing
operations.  Only those portions of the facility that are  either involved in
vehicle maintenance (including vehicle rehabilitation, mechanical repairs,
painting, fueling, and lubrication), equipment cleaning operations, airport
deicing operations, or which are otherwise identified under paragraphs (i)-
(vii) or (ix)-(xi) of this subsection are associated with industrial activity;

(ix) Treatment works treating domestic sewage or any other sewage sludge or
wastewater treatment device or system, used  in the storage treatment, recycling,
and reclamation of municipal or domestic sewage, including land dedicated to
the disposal of sewage sludge that are located within the confines of the
facility, with a design flow of 1.0 mgd or more, or required to have an
approved pretreatment program under 40  CFR 403.  Not included are farm
lands, domestic gardens or lands used for sludge management where sludge is
beneficially reused and which are not physically located in the confines of the
facility, or areas that are in compliance with Section 405 of the CWA;

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       (x) Construction activity including clearing, grading and excavation activities
       except: operations that result in the disturbance of less than five acres of total
       land area which are not pan of a larger common plan of development or
       sale;

       (xi) Facilities under Standard Industrial Classifications 20, 21, 22, 23, 2434,
       25, 265, 267, 27, 283, 285, 30, 31 (except 311), 323, 34 (except 3441), 35, 36,
       37 (except 373), 38, 39,  4221-25, (and which are not otherwise included
       within categories (ii)-(x)).''

       Table 2-2 lists Standard Industrial Classification (SIC) Code groups which
are referenced in the regulatory definition of 'storm water associated with
industrial activity'.

       Several aspects of the regulatory definition are highlighted below:

  o    The term  'storm water discharge associated with industrial activity'
       excludes storm water drained from areas located on plant lands separate
       from the plant's industrial activities, such as  office buildings and
       accompanying parking lots as long as the drainage from the excluded areas
       is not mixed with storm water drained from  the above described  areas.

  o    Storm water discharges  associated with industrial activity include
       appropriate storm water discharges from Federally, State, or municipally
       owned or  operated facilities that conduct activities that are described in
       subparagraphs
       (i)-(xi) of the regulatory definition.

  o    For the categories of industries  identified in subparagraph (xi), the term
       'storm water discharges associated with industrial activity' includes only
       storm water discharges  from all the areas (except access roads and rail
       lines) that are listed in  the regulatory  definition where material handling
       equipment or activities, raw materials, intermediate products, final
       products, waste materials, by-products, or industrial machinery are exposed
       to storm water.

2.3    Discharges Through Large And Medium Municipal Separate  Storm Sewer
       Systems

       Storm water discharges  associated with industrial activity discharged
through municipal separate storm sewers to waters  of the United States are
required to obtain NPDES  permit coverage.  In addition to meeting the
requirements discussed in Section 4.0 of this  manual, operators of storm water
discharges associated with industrial activity which discharge through large or

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Table 2-2.         STANDARD  INDUSTRIAL  CLASSIFICATION  (SIC)  CODE  GROUPS  WHICH  ARE
                  REFERENCED IN THE NPDES STORM WATER REGULATIONS
  SIC Code
                 Tide
     10

     12
     13
     14

     20
     21
     22
     23
     24
     25
     26
     27
     28
     29
     30
     31
     32
     33
     34
     35
     36
     37
     38
     39
     40
     41
     42
     43
     44
     45

    5015
    5093
    5171
Metal Mining

Coal Mining
Oil and Gas Extraction
Nonmetallic Minerals, Except Fuels

Food and Kindred Products
Tobacco Products
Textile Mill Products
Apparel and Other Textile Products
Lumber and Wood Products
Furniture and Fixtures
Paper and Allied Products
Printing and Publishing
Chemicals and Allied Products
Petroleum and Coal Products
Rubber and Miscellaneous Plastic Products
Leather and Leather Products (except 311)
Stone, Clay, and Glass Products
Primary Metal Industries
Fabricated Metal Products
Industrial Machinery and Equipment
Electronic and Other Electric Equipment
Transportation Equipment
Instruments and Related Products
Miscellaneous Manufacturing Industries
Railroad Transportation
Local and Interurban Passenger Transit
Trucking and Warehousing
United States Postal Service
Water Transportation
Transportation by Air

Motor Vehicle Parts, Used
Scrap and Waste Materials
Petroleum Bulk Stations and Terminals
Notes:
(1)
    For the exact 4-digit SIC codes within each industry group number, refer to the Standard Industrial Classification
    Manual. 1987 Edition, US. Executive Office of the President, Office of Management and Budget

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       medium municipal separate storm sewer systems are required to submit the
       following information to the operator of the municipal separate storm sewer
       receiving the discharge no later than May 15, 1991 or 180 days prior to
       commencing such discharge:

                  (i) the name of the facility;

                 (ii) a contact person and phone number;

                (iii)  the location of the discharge; and

                 (iv) a  description, including Standard Industrial Classification, which
              best reflects the principal  products or services provided by each facility.

              The terms "municipal separate storm sewer", "large municipal separate
       storm sewer system" and "medium municipal separate storm sewer system" are
       defined in Appendix  B.

       2.4     Discharges To Combined  Sewer Systems

              Discharges to  municipal sanitary systems, including combined sewer
       systems (systems  designed to convey municipal sanitary sewage and storm water)
       are not required  to obtain NPDES permit coverage.  However, these discharges
       may be subject to pretreatment requirements, including requirements
       implemented by permits issued by the operator of the municipal treatment plant.

       2.5     Options For Applying For Permit Coverage

              The NPDES regulatory scheme provides three potential tracts for
       obtaining permit  coverage for storm water discharges associated with industrial
       activity:  (1) individual  permit applications; (2) group applications; and (3) case-
       by-case requirements developed for general permit coverage.

              A flowchart illustrating the three  potential routes, or tracks for applying
       for  permit coverage, as well as a route or track for discharges to combined sewers
       is provided in Figure 2-1. The four tracks are named:  the general permit track,
       the group application track, the  individual application track, or the combined
       sewer track.  Dischargers following the first three are required to submit
       information, whereas the fourth track, the combined  sewer track, illustrates that
       permits are not required for industrial discharges to combined sewer systems1.
   - NPDES permit coverage is required for storm water discharges associated with industrial activity which
either discharge directly to waters of the United States, through a municipal separate storm sewer to waters of the
United States, or through a privately owned conveyance to waters of the United States.  Permits are not required
for industrial discharges to municipal sanitary sewer systems, including combined sewer systems. However,
municipalities operating combined sewer overflows are required to obtain NPDES permits.

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  Figure 2-1.    Flowchart for NPDES
                    Permitting of Industrial
                    Storm Water  Discharges
                                                  d)
 Identify
Permitting
Authority
                                                                         OOM
                                                                       YourFacMy
                                                                     Discharge Slorm
                                                                      Aseodettdwfth
                                                                        Industrial
                                                                        ActMry
                                         No
                                        Permit
                                       Required
                                                                         DOM
                                                                       Your Fadlty
                                                                       Discharge lo
                                                                     Waters of ID* U.S. or
                                                                       to a Municipal
                                                                        System
                                                                      a General Permit
                                                                       been Issued

                                                                          7
 Combined
Sewer System
                                  Storm Sewer
   No
 Permit
Required
Combined Sewer Track
                      Large or
                      Medium
Notes:
                                                                                      No
                                                                     (Continued on next page)
                                                                            Yes
                                                                Comply With NMIo* of Intent Provtston*
                                                                ki th* General Permit In Ueu of Submitting
                                                                an Application
                                                                 General Permit Track
    1) Permitting Authority: States which have NPDES permit authority, otherwise EPA regional offices
    0  States with NPDES permit authority can disallow participation in a group application
      Time line begins at the date of publication of the final rule
       Other forms may be required in addition to Forms 1 and 2F

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                                                 (Continued from previous page)
Individual Aplication Track
                                  Individual
(2)     Group Application Track
     Group                      (3)
                                 SEPT. 30. 1991
                           Describe
                        Storm Drainage
                           System;
                         Drainage Area
                        lor Each Outfall;
                        Storage Facilities;
                         Existing BMPt
                                                                                             EPA
                                                                                          Headquarter*
                                                                                          Approve* th*
                                                                                         Appropriated*!* 01
                                                                                          theApplcanti
                       Collect and Submit
                        Quantitative Data
                       to Permitting Authority
                                                                                             Dow
                                                                                          Your Slat* Have
                                                                                           General Permit
                                                                                            Authority
                    Permitting Authority
                        Issues Final
                   INDIVIDUAL PERMIT
                      to Each Facility
                                                                                                                   MAY 18, 1992

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      The individual permit application track (i.e., the third tier on the
flowchart) is applicable to all storm water discharges associated with industrial
activity except: where the operator of the discharge is participating in a group
application; where a general permit has been issued to cover the discharge and
the general  permit provides alternative means to obtain permit coverage; or
where the discharge is to a sanitary sewer,  including a combined sewer. For most
storm water discharges associated with industrial activity, the requirements for an
individual permit application are incorporated into Form 1 and Form 2F.  Special
individual application requirements for storm water discharges associated with
industrial activity from construction activities, mining operations, oil and gas
operations, and small businesses are discussed in Chapter 3.

      The group application track (i.e., the second tier of the flowchart)  allows a
group of similar industries to submit a group application.  This will often be an
efficient alternative to preparing and submitting individual permit applications
because it may reduce the cost for applicants. The requirements for group
applications are discussed in Appendix D.  Authorized NPDES States may
establish requirements which are more stringent than EPA requirements, and may
require facilities with storm water discharges associated with industrial activity to
submit individual applications rather than participate in a group application.

      The general  permit track (i.e., the top tier of the flowchart) may be
available where a general permit for the discharge has been issued.  In this case,
the facility operator must comply with any  applicable Notice of Intent (NOI)
provisions of the general permit instead of submitting an individual permit
application.

      The combined sewer  track (i.e., the  bottom tier of the flowchart) is
followed if an industrial facility discharges storm water associated with industrial
activity to a municipal sanitary sewer, including sewers that are part of a
combined sewer systems.  In this case, an NPDES permit  for the storm water
discharge to the combined sewer is not required. However, the operator of the
sewage treatment works may develop pretreatment requirements (including
requirements implemented through permits issued by the sewage treatment
operator) applicable to industrial facilities discharging to combined sewers.
                                      12

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SECTION 3.0       INDIVIDUAL APPLICATION REQUIREMENTS
       Section 2.5 of this manual describes the three options that operators of
storm water discharges associated with industrial activity may follow for obtaining
permit coverage for storm water discharges associated with industrial activity:  (1)
individual permit applications; (2) group applications; and (3) case-by-case
requirements  developed for general permit coverage.  In addition, section 2.4
explains that storm water discharges associated with industrial activity to
municipal sanitary systems, including combined sewer systems (systems designed
to convey municipal sanitary sewage and storm water) are not required to obtain
NPDES permit coverage.

      This Chapter focusses on the procedures and requirements associated with
submitting individual permit applications. Appendix D.2 discusses the procedures
and requirements associated with submitting group applications.

      Section 3.1  discusses the process of submitting individual permit
applications.   Section 3.2 provides an overview of the requirements of Form 1  and
Form 2F, the  individual permit application forms for most storm water discharges
associated with industrial activity.  Section 3.3 discusses special provisions for
individual applications for storm water discharges associated with industrial
activity from:  small businesses; construction activities; and mining and oil and gas
operations.  Section 3.4 discusses deadlines for submitting  individual permit
applications.   Section 3.5 describes the additional application forms that are
necessary if storm water associated with industrial activity  is mixed with non-
storm water.   Section 3.6 explains  where to obtain and submit permit applications.
Section 3.7 describes signatory requirements  for individual permit applications,
and Section 3.8 describes penalties for knowingly submitting false information.

3.1   The Process Of Submitting Individual Applications

      Figure  3-1 illustrates the process of selecting and submitting the
application forms to use for individual permit applications for storm water
discharges associated with industrial activity.  The items on this list are discussed
below:

      1)     Determine whether the discharge is considered a storm water
             discharge associated with industrial activity.  Refer to the definition
             of "storm water discharge associated with industrial activity"
             provided in Section 2.2 of this guidance.

      2)     Determine whether the State in which the discharge(s) is located
             has an authorized NPDES program.  A list of these States is
             provided in Appendix C. The permit application forms required by
                                      13

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                 Operators of a facility which:

                    1)  discharge storm water associated with an industrial activity, or
                    2)  discharge storm water that the permitting authority designates as a significant contributor of
                       pollutants to waters of the U.S., or
                    3)  discharge storm water that contributes to a violation of a water quality standard

                 are required to submit an application for a NPDES storm water discharge permit, unless a general
                 permit has been issued. In this case, the facility operator must comply with the Notice of Intent
                 provisions in Hsu of submitting an application. Facility operators  submitting an individual permit
                 application  must complete FORy 1  (EPA  Form 3510-1) and  FORM 2F (EPA  Form 3510-2F).
                 Additional forms may be required as shown below.
Complete only me prevnutiy
identified tonne
                                     I* your
                                    diedierge
                                    competed
                                    entirely of
                                    storm water
                                       i
                             Comptele Fatm 1 and Fofni y
   I* your
dieeharge a new
Murceoranew
  discharge
 combined with
   procew
  wastewater
                                                                        £flOn_2Q (EPA Form 3910-2O)
                                                                        addition to EVOLI end EOOL2E
   (•your
  dtecftarge
 combined witii
   process
 watleweleror
othernon-ttorm
   water
  waatewater
                                                                           Form 2C  (EPA Form 3S10-2C) in
                              Eam_2E (EPA Form  3510-2E) in
                              addition IB Fonnl end Fomitf
       Note:  This Mow chart does not address group application track or NOI/General permit track
 FIGURE 3-1:   FLOW DIAGRAM TO IDENTIFY WHICH FORMS MUST BE SUBMITTED WHEN
                   APPLYING FOR AN INDIVIDUAL NPOES STORM WATER DISCHARGE PERMIT

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             authorized NPDES States may be different from the EPA-required
             forms that are discussed in this manual.

       3)     Determine the track (e.g. individual permit application track, group
             application track, general permit track, etc.) that the discharger will
             pursue to comply with application requirements.  The  options for
             different tracks are discussed in section 2.5 of this guidance.

       4)     Obtain the appropriate application forms if submitting an individual
             permit application. Sections 3.2, 3.3, and 3.5 of this guidance
             manual provide information on permit application forms and
             requirements. Section 3.6 describes where forms can be obtained.

       5)     Submit the completed application to the appropriate permitting
             regulatory agency by the application deadline (Section 3.4). Section
             3.6 describes where applications are to be submitted.

3.2    Forms 1 And 2F

       The requirements for individual permit application for most types of
discharges composed of storm water associated with industrial activity are
incorporated into Form 1 and Form 2F. (Section 3.3.2 discusses alternative
individual permit application requirements for storm water discharges  associated
with industrial activity from construction activities and Section 3.5 discusses the
additional forms necessary where storm water discharges associated  with
industrial  activity are mixed with any non-storm water discharge).

       Form 1 (EPA Form 3510-1) requires general information about the facility,
including: the name and address of the facility; the facility type  (i.e., SIC code); a
map showing specified features, etc.  See Appendix D.I for a sample application
form with instructions.

       Form 2F (EPA Form 3510-2F) contains information which can  be used  to
evaluate the pollution  potential  of storm water discharges associated with
industrial  activity, including:

  o    a map showing  site drainage;

  o    an  estimate of the area of impervious surfaces and the total  area drained
       by  each outfall;

  o    a narrative description of material management practices and control
       measures;

  o    a certification that separate storm water outfalls have been tested or
       evaluated for non-storm water discharges;
                                      15

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  o    existing information regarding significant leaks or spills of toxic or
       hazardous pollutants at the facility that have taken place within the three
       years prior to the submittal of the application; and

  o    sampling data for specified parameters.

       See Appendix E.2 for a sample application form with instructions.
Section 5.0 provides technical guidance for obtaining or estimating the following
information required by Form 2F:  preparing a site drainage map, detecting the
presence of non-storm water discharges, measuring storm water runoff flow rates
and volumes, and sampling  equipment and procedures for collecting storm water
discharge samples.

3 J    Special Provisions For Selected Discharges

3.3.1   Special Provisions For Small Businesses

       Small businesses with storm water discharges associated with industrial
activity do not have to analyze storm water discharges associated with industrial
activity for the organic toxic pollutants listed in Table 2F-3  of Form 2F.  (Small
business  with storm water discharges associated with industrial activity are subject
to the other appropriate requirements of Form 1 and Form 2F, including
requirements to sample for  specified conventional pollutants and other specified
constituents (40 CFR 122.21(g)(8)).

       There are two ways in which a facility can qualify as a "small business."  If
the facility is a coal mine, and if the probable total annual production is less than
100,000 tons per year, past production data or estimated future  production (such
as a schedule  of estimated total production under 30 CFR 79514[c]) may be
submitted  instead of conducting analyses for the organic toxic pollutants.
Facilities that  are not a coal mine with gross total annual sales for the most
recent three years average less that  $100,000 per year (in second quarter  1980
dollars),  may submit sales data for those years instead of conducting analyses for
the organic toxic pollutants.  The production or sales data must be for the facility
which is  the source of the discharge. The data should not be limited to
production or  sales for the process or processes which contribute to the discharge,
unless those are the only processes at the facility.  For sales data, in situations
involving intra-corporate transfer of goods and services, the transfer price per unit
should approximate market  prices for those goods and services as closely as
possible.  Sales figures for years after 1980 should be indexed to the second
quarter of 1980  by using the gross national product price deflator (second quarter
of 1980 =  100).  This index is available  in National Income and Product
Accounts of the United States (Department of Commerce, Bureau of Economic
Analysis).
                                      16

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3J2  Special Provisions For Construction Activities

       The application requirements for operators of storm water discharges
associated with industrial activity from construction activities include Form 1  and
a narrative description of:

    (i) the location (including a map) and the nature of the construction activity;

   (ii) the total area of the site and the  area of the site that is expected to
       undergo excavation during the life of the permit;

  (iii) proposed measures, including best management practices, to control
       pollutants in storm water discharges  during construction, including a brief
       description of applicable State and local erosion and sediment control
       requirements;

   (iv) proposed measures to control pollutants in storm water discharges that will
       occur after construction operations have been completed, including a brief
       description of applicable State and local storm water management controls;

   (v) an estimate of the runoff coefficient  of the site and the increase in
       impervious area after the construction addressed in the permit application
       is completed, the  nature of fill material and existing data describing the
       soil or the quality of the discharge; and

   (vi)the name of the receiving water.

       At this time, EPA has not developed a standardized form for  the narrative
information accompanying Form 1 that is required in individual applications for
storm water discharges associated with industrial activity from construction sites.

3.3.3   Mining And Oil And Gas Operations

       Several specific regulatory provisions are applicable to storm water
discharges associated with industrial activity from mining and oil and gas
operations:

       (1)    Mining operations and Oil and Gas- (40 CFR  122.26(a)(2)):  The
             permitting  authority may not require a permit for discharges of
             storm water runoff from mining operations or oil and gas
             exploration, production, processing or treatment operations or
             transmission facilities,  composed entirely of flows which are from
             conveyances or systems of  conveyances (including but not limited  to
             pipes, conduits, ditches, and channels) used  for collecting and
             conveying precipitation runoff and which are not contaminated by
             contact with or that has not come into contact with, any overburden,
                                      17

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             raw material, intermediate products, finished product, byproduct or
             waste products located on the site of such operations.

      (2)    Oil and gas- (40 CFR 122.26(c)(l)(iii)):  The operator of an
             existing or new discharge composed entirely of storm water from an
             oil or gas exploration, production, processing, or treatment
             operation, or transmission facility is not required to. submit a permit
             application, unless the facility:

             (A) has had a discharge of storm water resulting in the discharge of
             a reportable quantity for which notification is or was required
             pursuant to 40 CFR 117.21 or 40 CFR 302.6 at anytime since
             November 16, 1987; or

             (B) has had a discharge of storm water resulting  in the discharge of
             a reportable quantity for which notification is or was required
             pursuant to 40 CFR 110.6 at any time since November 16, 1987; or

             (C) contributes to a violation of a water quality standard.

3.4   Individual Applications Deadlines

      Individual permit applications for storm water discharges associated with
industrial activity which are currently not covered by an NPDES permit must be
submitted by November 18, 1991.

      Operators of discharges which are authorized by an individual NPDES
permit must resubmit individual permit applications 180 days prior to the
termination of the existing  NPDES permit.

      Permit applications for a new discharge of storm water associated with
industrial activity must be submitted 180 days before that facility commences
industrial activity which may result in  a discharge of storm water associated with
that industrial activity. Permit applications for a new discharge of storm water
associated with industrial activity from a construction activity (see subparagraph
(x) of the definition in section 23 of this document) must be submitted at least
90 days before the date on which construction is to commence. Persons
proposing a new discharge  are encouraged to submit their application well in
advance of the 90 or  180 day requirements to  avoid delay.

      Where a general permit has been issued, deadlines  for submitting a notice
of intent (NOI) to be authorized to discharge under the permit are established in
the permit
                                     18

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3 J   When Are Additional Forms Required?

      Where a storm water discharge associated with industrial activity is mixed
with a non-storm water component prior to discharge, an additional application
form must be submitted.

      A complete permit application for a storm water discharge associated with
industrial activity mixed with process wastewater. (process wastewater is water
that comes into direct contact with or results from the production or use of any
raw material, intermediate product, finished product, byproduct, waste product or
wastewater) includes Form  1, Form 2F and Form 2C.

      A complete permit application for a storm water discharge associated with
industrial activity mixed with new sources or new discharges of non-storm water
(non-NPDES permitted discharges commencing after August 13, 1979) includes
Form 1, Form 2F and Form 2D.

      A complete permit application for a storm water discharge associated with
industrial activity mixed with nonprocess wastewater (nonprocess wastewater
includes noncontact cooling water and sanitary wastes which are not regulated by
effluent guidelines or a new source performance standard, except discharges by
educational, medical, or commercial chemical laboratories) includes Form 1,
Form 2F and Form 2E.

3.6   Where To Obtain And Submit Applications

      In States without an  authorized NPDES State program, EPA issues all
NPDES permits.  Where  EPA issues permits, permit application forms can be
obtained from and submitted to the appropriate EPA Regional office.  (See
Appendix C.2 for a list of the addresses and telephone numbers of the EPA
Regional offices).

      In States with authorized NPDES programs, application forms can be
obtained from and submitted to the appropriate State office. A list of these
States is  provided in Appendix C. The permit application forms required by
authorized  NPDES States may be different from the EPA-required forms that are
discussed in this manual.

3.7   Signatories

      Section X of Form 2F requires  that all permit applications must be signed
with the  following certification:

      "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 property gather and evaluate the

                                    19

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       information submitted.  Based on my inquiry of the person or persons who
       manage the system, or those persons directfy responsible for gathering the
       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."

       This certification is to be signed as follows:

       (A) For a corporation: by a responsible corporate official.  For purposes of
this section, a responsible corporate official means (i) a president, secretary,
treasurer, or vice-president of the corporation in charge of a principal business
function, or any other person who performs similar policy or decision-making
functions for the corporation,  or (ii) the manager of one or more manufacturing,
production, or operating facilities employing more than 250 persons or having
gross annual sales or expenditures exceeding $25,000,000  (in second-quarter  1980
dollars), if authority to sign documents has been assigned or delegated to the
manager in accordance with corporate procedures.

       EPA does not require specific assignments or  delegation of authority  to
responsible corporate officers.  The Agency will presume that these responsible
corporate officers have the requisite authority to sign permit applications unless
the corporation has notified the Director to the contrary. Corporate procedures
governing authority to sign permit applications may provide for assignment or
delegation to applicable corporate position rather than to specific individuals.

       (B) For a partnership or sole proprietorship: by a general partner or the
proprietor, respectively; or

       (C) For a municipality, State, Federal, or other public agency: by either a
principal executive officer or ranking elected official.  For purposes of this
section, a principal executive officer of a Federal agency includes (i) the chief
executive  officer of the agency, or (ii) a senior executive officer having
responsibility for the  overall operations of a principal geographic unit of the
agency (e.g. Regional Administrators of EPA).

3.8    Penalties For Knowingly Submitting False Information

       The Clean Water Act provides for severe penalties for knowingly
submitting false information on application forms.  Section 309(c)(4) of the Gean
Water Act provides that "Any person who knowingly makes any false material
statement, representation, or certification in any application, . . . shall upon
conviction, be punished by a fine of not more than $10,000 or by  imprisonment for
not more than 2 years or by both.  If a conviction of such person  is for a  violation
committed after a first conviction of such person under this paragraph, punishment
shall be by a fine of not more than $20,000 per day of violation, or by imprisonment
of not more than 4 years or by  both."

                                      20

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SECTION 4.0      THE PERMITTING PROCESS
       The purpose of this section is to provide the applicant with a summary of
the process of issuing NPDES permits for storm water discharges associated with
industrial activity.

4.1    How Are Individual Applications Processed?

       Following the submission of the NPDES permit application, the permitting
authority reviews the application for completeness.  If additional information is
required to complete the application, the permitting authority will notify the
applicant.  The permitting authority will specify a deadline for submitting the
additional information.  The effective date of the application is the date when the
permitting authority determines  that the application is complete.

       The permitting authority may request additional information beyond what
is required in the application form. The permit writer will use available
information, primarily that in the permit application, to develop a draft permit or
a notice to deny a permit.  All draft permits and notices of intent to deny a
permit will include a statement of basis or a draft fact sheet. The statement of
basis will briefly describe the rationale for either proceeding with issuing a permit
or denying a  permit. The draft fact sheet will include the principal facts,
methodology, and  any legal or policy questions considered in the decision to
proceed with issuing a  permit.

       All draft permits and notices of intent to deny a permit are subject to
public notice and will be made available for public comment. The permitting
agency will give public notice when:  (1) a permit application has been tentatively
denied, (2) a draft permit is issued, (3) an evidentiary hearing is granted, or (4)
when a new source determination has been made.

       After the close of the public comment period, the  permitting agency will
issue a final decision.  The permitting agency,  upon issuance of the final decision,
will respond to comments, identify any changes in the tentative decision (to either
permit or deny a permit) and give any reason  pertinent to the changes.  If a final
NPDES permit is issued, the permit usually specifies the effective date, at which
time, the facility is legally authorized to discharge storm water associated with an
industrial activity subject to the permit conditions.  A more complete description
of the processes involved in obtaining an NPDES Permit is provided in 40 CFR
Part 124, especially Subpart D.

42    Completeness Of The Application

       Prospective applicants seeking an NPDES permit for  storm water related
industrial activity can refer to the following list that summarizes the applicant's
primary responsibilities (Table 4-1).  This application checklist is useful

                                     21

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Table 4-1.    PERMIT APPLICATION CHECKLIST
                                                                        Date Completed/
                                                                        Signature of Person
Action Checklist                                                         Filling out
1.     Determine whether a permit is required for the
      storm water discharge.
      o  Refer to Section 3.0 of this manual

      o  Contact the permitting authority, if necessary

      o  Record name of contact person

2.     Determine whether the state in which the
      discharge(s) is located has an EPA-approved
      NPDES program.

      o  Refer to Appendix C of this manual

      o  Determine which forms need to be submitted for
         individual applications.

      o  If EPA is  the permitting authority, list
         appropriate forms (Refer to Figure 4-1)

      o  For EPA-approved states, contact the permitting
         authority for appropriate forms and instructions

3.     Determine if a general permit will be, or has
      been, issued for the discharge.

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Table 4-1. PERMIT APPLICATION CHECKLIST (continued)
                                                                         Date Completed/
                                                                         Signature of Person
Action Checklist                                                          Filling out

4.    If no general permit, select between participating                       	
      in a group application or submitting an individual
      application.

5.    Determine what the deadlines are for the                              	
      permit application.

      o   Check Section 4.6 of this manual if EPA                           	
          is the permitting authority

      o   Contact the state permitting agency if this                          	
          information is not provided in the  application
          form or instructions provided by that agency

6.    Complete the appropriate application forms.  All                        	
      applicants are to submit Forms #\ and 2F.  Refer
      to Figure 4-1 to determine if Forms 2C, 2D, and/or
      2E need to be submitted.

7.    Retain a complete copy of the permit application                        	
      and all supporting documentation.

8.    Submit the completed application forms to the                          	
      appropriate permitting agency by the application
      deadline identified above.

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for the applicant for self-checking the completeness of the application prior to
submission.  Applications will not be considered complete unless all applicable
information required is provided. If an item does not apply, "NA"(for "not
applicable") may be entered in the appropriate space. If additional information is
required, the applicant will be notified.

4.3   Public Availability Of Submitted Information

      Section 402(j) of the Clean Water Act requires that all permit applications
will be available to the public.  Information in permit applications will be made
available to the public upon request.  Any information required in  a permit
application may not be claimed as confidential. Any information submitted to
EPA which goes beyond that required by Form 1, Form 2F or other appropriate
forms may be claimed as confidential.  However, claims for confidentiality of
effluent data will be  denied.

      If a claim of confidentiality is not asserted at the time of submitting the
information, EPA may make the information public without  further notice to the
applicant. Claims  of confidentiality will be handled in accordance with EPA's
business confidentiality regulations at 40 CFR Part 2.

4.4   How Long Is A Permit Valid?

      A permit will  be issued by the permitting agency for a period up to, but
not more  than 5 years.  Dischargers must reapply for a permit 180  days before
the expiration date of the  permit

      The permit  is not transferable except after notice to and approval by the
permitting authority.  The Director of the permitting authority may require
modification or revocation and reissuance of the permit to change the name of
the permittee and  incorporate such other requirements that may be necessary
under the CWA.

45   How Are NPDES Permits Enforced?

      The CWA provides that any person who violates a permit condition is
subject to a civil penalty not to exceed $25,000 per day of violation. Any person
who willfully or negligently violates a permit is subject to a fine of  not less than
$2,500 or more than $25,000 per day of violation, or imprisonment for not more
that 1 year,  or both (40 CFR 122.41(a)).

      The operator  of a facility must allow a representative of the permitting
authority upon the presentation of credentials and other documents as may be
required by law, to enter the regulated facility and inspect records  pertaining to
the permit.  This includes, but is not limited to, monitoring and control
equipment, practices, and  operations regulated under this permit. The

                                     24

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representative may also sample the storm water discharge for any substance to
assure compliance with the permit conditions.  Inspection activities are to be
conducted at reasonable times (40 CFR 122.41(i)(l) to (4)).

      The operator must retain all records of discharge  monitoring for at least
three years from the date of the sample, measurement, report, or application.
This includes all calibration and maintenance records, all original strip charts
from continuous monitoring, copies of all records required by the permit, and all
records of data used to complete the NPDES permit application  40 CFR
122.410X2).

      The CWA provides that any person who knowingly falsifies any record or
document, tampers with or renders inaccurate any monitoring device, shall upon
conviction be punished by a fine of not more than $10,000 per violation, or by
imprisonment for not more than 2 years, or both (40 CFR 122.4l(j)(5) and
00(2)).

      Additional penalties for knowingly submitting false information in
applications are described in Section 2 of this manual.
                                     25

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SECTION 5.0      TECHNICAL SUPPORT FOR SPECIFIC ELEMENTS OF
                   THE NPDES PERMIT APPLICATION FORMS
5.1   Overview

      The instructions provided with Form 2F are expected to be sufficient for
most applicants. This section provides additional technical guidance for obtaining
information required by Form 2F, including guidance for: developing site maps;
identification of outfalls that discharge storm water associated with industrial
activity; testing for the presence of non-storm water discharges; estimating storm
water runoff flow rates and volumes; and collecting samples.

5.2   Site Drainage Map

      Section III of Form 2F requires that a  site drainage map be attached to
the application.  The site drainage map must show either topography or a
delineation of the drainage area served by each outfall which discharges storm
water associated with  industrial activity if a topographic base map is not used.
The delineation of the drainage area for each outfall that discharges storm water
associated with industrial activity, can be based on  site observations which identify
drainage patterns.  Drainage patterns should be shown on the site drainage map
so that runoff from each drainage area drains to a  separate outfall.

      The site drainage map must show the location (and size - approximate for
earthen structures) of all drainage conveyances or natural channels that convey or
drain  storm water off the applicant's property. The map must indicate whether
the drainage system receiving the discharge is a natural water body, part of a
municipal or non-municipal drainage system, or other system as applicable.

      The following information must be provided and recorded on the map
where appropriate:

             o     Paved areas and buildings at the facility

             o     Past and present outdoor areas used  for storage or disposal
                   of significant materials

             o     Hazardous waste treatment, storage or disposal facilities, or
                   accumulation areas (including those not requiring a RCRA
                   permit)

             o     Injection wells
                                     26

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             o      Material loading and access areas (e.g., loading docks and
                    main truck routes on the facility property)

             o      Areas where pesticides, herbicides, soil conditioners, and
                    fertilizers are applied

             o      Structural  control measures to reduce pollutants in storm
                    water runoff

             o      Surface water bodies which receive storm water discharges
                    from the facility

       During the preparation of a site drainage map, or the review of an existing
one, emphasis should be placed on the identification of all inflow sources to
ensure that inappropriate sources of non-storm water entry are not present.  The
map should identify points of entry to the facility site storm water drain system,
including catchbasins, floor drains, and roof leaders.

       The site drainage map required  in Form 2F should show the location and
an identifying number or name for each storm water outfall at the facility.

53    Identification Of Outfalls To Be Monitored

       Form 2F requires that applicants provide quantitative data for samples of
storm water discharges associated with  industrial activity.  If a facility discharges
storm water associated with industrial activity to a municipal separate storm
sewer, then the facility should sample the storm water from the site prior to
discharging to the municipal  separate storm sewer.   Storm runoff from areas
located on plant lands separate from the plant's industrial activities, such as
administrative buildings roofs and accompanying parking lots are not defined as
storm water associated with industrial activity and hence do not need to be
monitored unless the runoff is combined with storm water associated with
industrial activity. Figure 5-1 shows several scenarios for storm water outfalls that
may or may not need to be monitored as part of a NPDES permit application.
40 CFR J22.21(g)(7) provides that when an applicant has two or more outfalls
with substantially identical effluents, the Director may allow the applicant to test
only one outfall and report that the quantitative data also apply to substantially
identical outfalls.

5.4    Evaluation Of The Presence Of Non-storm Water Discharges

       Form 2F requires applicants to certify that all outfalls that discharge storm
water associated with industrial activity have been tested or evaluated for the
presence of non-storm water discharges. Applicants do not have to test for the
presence of non-storm water discharges already subject to an NPDES permit.
Acceptable procedures include: dry weather observations of outfalls or other
appropriate observation locations; the analysis and validation of accurate piping

                                      27

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*,
a-
1





PLANT
PARKING
OFFICE


' f

                    Receiving Stream
PARKI
                                                                 iu
                                                                 9
                                                                T  T
GE
                                        Receiving Stream
                                                                            • ,vv,
                1
        I
      PARKING
                           OFFICE
                  Receiving Stream
                            Publicly


                         conveyance
                                                             PLANT
&
                                                                       OFRCE
O
                                  •-a
leceiving Stream    SSS



PARKING
\
1
OFFICE
\
i t



PLANT
1
i i
r 1
i ^
» 1
> i




                                                              Receiving Stream
        • Outfall discharges storm water associated with Industrial activity (sampling typically required in Form 2F).

        O Outfall discharges storm water that is not assoicated with industrial activity (sample typically not required
          in Form 2F).

        •*. Storm runoff direction
Figure 5-1.  EXAMPLE INDUSTRIAL STORM RUNOFF OUTFALL0 WITH
            STORM WATER DISCHARGE ASSOCIATED WITH INDUSTRIAL ACTIVITY

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schematics; dye tests; or other procedures for ensuring that there are no
inappropriate connections or discharges to the storm drain system.  The permit
application requires a description of the method used, the  date of testing  (if
applicable), and the onsite drainage locations observed during the test.  Any non-
storm water discharge which is not already identified in a NPDES permit which is
detected must be identified in Form 2C (for process wastewater) or Form 2E (for
non-process wastewater) which must accompany the storm  water discharge
application (Form 1 and Form 2F).

       The following sections provide a description of several procedures  that can
be used in developing a certification and an overview of the  applicability  of the
tests and the resources  required for performing the tests. A  first step should be
to identify potential sources of non-storm water at the facility and to focus on
those places.

5.4.1   Visual Inspection of Storm Drain at Manhole Inlet  or Outfall Description

       A visual inspection of the system conducted during dry weather, can be an
effective method of locating illicit connections to the storm drain system.  The
observation should be made during normal business hours  when sources of non-
storm water are typically operating.  A record should be  kept of all observed
flows and any stains, sludges, or other abnormal conditions observed. Where
flows are observed, additional analysis, such as dye  testing  (described below) may
be necessary to identify the source of the flows.

       Applicability:  This method is applicable to any industrial site with a storm
drain system where an outfall or other location (e.g. manhole) down gradient
from potential  non-storm water discharges can be observed.

       Resources:  No special equipment is required.

5.4.2   Review and Validation of Piping Schematics Description

       A careful review of piping schematic drawings for industrial sites can
identify the intended routing of flows from particular areas or drains. This review
should be accompanied by visual inspection to compare the "as built" condition to
the plans and to determine whether any unrecorded piping modifications  have
been made.

       Applicability:  This method is most applicable for industrial sites which
have large or elaborate piping arrangements, usually recorded on schematic
piping drawings.  It is most applicable in conjunction with use of the other
techniques described below.

       Resources:  No special equipment is required, though  dye tests may be
useful  in specific situations to clarify discrepancies which cannot be resolved
visually.

                                     29

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5.4 J  Dye Tests Description

      Dye tests are used to determine whether a particular inlet or fixture
discharges non-storm water to the storm drain. A quantity of dye is released at
the selected location while an observer watches for the dye at a  downstream
location. If the inlet is discharging to the storm drain, the dye will be detected at
the downstream location. Dye doses should be sufficiently large so that the dye
at the downstream location is visible to the naked eye.

      Applicability: Dye tests are most effective for determining if an identified
drain or catchbasin is connected to the storm sewer where the outfall of the
storm sewer is submerged, but the receiving water can be observed.  (Where  the
outfall or other point can be observed and is not submerged, dry weather
observation can be  made or water can  be used instead of a dye). Dye tests can
also be  used where dry weather flows have been observed,  but the source  of the
flow has not yet been observed.  It is best used when there are only a limited
number of possible sources of non-storm water to the storm drain that need to be
investigated.

      Resources:  No special equipment is necessary to conduct a dye test.  Dye
is the only material required.  Effective dyes that are safe and harmless are
available in powder, tablet, or liquid form. A 20% solution of Rhodamine
(liquid) costs about $15/lb.  Dye can be purchased in 2-1/2 gallon containers
which weigh 25 pounds and  cost about $400. This can be diluted before each test
by an approximate ratio  of 10 to 1.  A minimum Held crew of two is needed, one
to apply the dye, the other to observe the storm drain.

5.4.4  TV Line Surveys Description

      TV surveys  are  conducted with a mobile closed-circuit television system
consisting of a monitor screen, camera, drag lines, and reels and cables that allow
the camera to be guided  through  a section of pipeline. The TV  picture allows a
visual inspection of the interior of the drain pipe and can be used for pipelines
with diameters that range from 4 inches to approximately 48  inches.  Television
inspection of a storm  drain provides positive information (and a  documented
record) of the interior of the pipelines.  All inlets to the  line can be identified
and located.  Systems for conducting TV surveys can be purchased, leased, or
rented.  Alternatively,  a firm which specializes in this work can be hired.

      Applicability: TV surveys  may serve as useful tools where an initial survey
identifies a non-storm  water discharge and the operator is having difficulty in
finding the source.  A  TV survey  can locate entry points  to the storm drain
system,  determine whether or not there is flow in them, and permit estimates of
the flow to be made.  However, in many cases, these observations will need to be
supplemented by other methods to identify the specific source (above ground) of
                                     30

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the connection.  This may be accomplished by inspection of drain maps, dye tests,
or possibly smoke tests.

       Resources:  Resources required for a TV survey of storm drains include
the following:

             o     TV camera

             o     TV monitor and VCR to record survey

             o     Rig consisting of video cables, tow lines, and related
                   equipment for properly guiding the camera in the line at a
                   controlled rate,  recording distance moved, and withdrawing
                   the camera from the pipeline

       The cost to conduct a TV survey can range from $1 to $3 per foot of
storm sewer.  For small surveys costs could vary from $125 to $200 per hour,
including labor and rental of the necessary equipment. However, this cost can
increase significantly if the storm sewer must be cleaned of debris prior to
conducting the TV survey. On average, approximately 1000 feet of sewer can be
inspected in a day.  In  a clean sewer, up to 2000 feet can be inspected.

       The applicant should refer to "Operation and Maintenance of Wastewater
Collection Systems" (CSU 1983) or similar appropriate reference documents for a
detailed description of  these test methods.

5.5    Estimates Of Discharge Flow Rates And Volumes

       Form 2F requires applicants to provide quantitative data based on samples
collected during  storm  event(s).  One set of parameters that must be provided for
such storm event(s) are flow estimates or flow measurements, and an estimate of
the total volume of the discharge. The method of flow estimation or
measurement must be described in the application.

       EPA intends that applicants need only provide rough estimates of flows in
Form 2F.  The following section discusses methods for obtaining the  required
information.  Section 5.5.1 presents a method for approximating flows and
volumes which does not require flow velocity measurements. The following
subsections discuss other methods that require measurements of flow velocities.

5 J.I   Estimating Flows and Volumes

       Runoff flow rates and volumes can be estimated by using the total rainfall
amount for the storm event and estimated runoff coefficients for the  facility.
Runoff coefficients represent the fraction of total rainfall that will be transmitted
as runoff from the facility. As such, the  coefficients reflect the  ground surface or
cover material.  To estimate runoff volume and rates, it can be  assumed that

                                    31

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paved areas and other impervious structures such as roofs have a runoff
coefficient of 0.90 and, therefore, 90% of the rainfall is conveyed from the facility
as runoff. For unpaved surfaces, it can be assumed that the runoff coefficient is
about 0.50.  The total volume of discharge for the event is then estimated by:

      total  runoff volume (cubic ft) = total rainfall  (ft) x [facility paved area x
      0.90 +  facility unpaved area x 0.50]

      The facility areas used in this calculation should be  in units of square feet
and should include only those areas drained by the outfall  sampled. To estimate
an average flow rate, divide the volume by the duration of the rainfall event.  If
desired, a more accurate estimate can be  made by using more specific runoff
coefficients for different parts of the facility based on the type of ground cover
(Chow 1964 contains various runoff coefficients and discusses  their use).

5.5.2  Flow Rate Measurements

      There are a variety of techniques for measuring or estimating flow rates.
Flow measuring devices based on pipe invert sections (e.g., flumes, weirs, and
others) are commercially available.  For locations that may be used for routine
monitoring in the  future, the applicant may consider installing these types of
devices for ease in future measurements.  The installed cost of a weir, for
example, typically ranges from about $1,000 to $5,000.  Once installed, the weir
must be calibrated so that future measurements of stage (i.e.,  depth of flow) can
be converted directly to flow volumes. The installation and calibration of such
devices should be  performed by experienced personnel.

      To estimate flow rates in units of volume per time such as cubic feet per
second, information on flow velocities and depth of flow are required. The
remainder of this section discusses methods for collecting these data.

      Flow rate estimates may also be  obtained by measuring depth  of flow and
velocity in a pipe of known diameter or other conveyance structure at frequent
intervals  during a  storm runoff event. For a pipe or other structure of known
size, the cross-sectional area  of flow can be calculated for any depth of flow using
geometric relationships.  Flow velocities can be measured by using suitable units
(e.g., propeller operated devices) attached to a portable current meter.  Flow
velocity measurements should be obtained from representative locations
throughout the flow cross-section.  Such units are commercially available at costs
ranging from about $1,000 to $3,000. While these devices may be fairly
expensive, they are easy to use and they provide accurate data if used properly.

      Flow velocities can be estimated using simpler methods, such as measuring
the time  of passage of an object (e.g., an  orange) between  two points a known
distance apart (e.g., manholes).
                                     32

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       Facility operators who are more familiar with measuring flows in pipes or
open channels may use the Chezy-Manning equation, for example, to calculate
flow velocities:
                                  2/3     *
                    v-  142 (rH)     (S*)
                          n
where: v  =  velocity [ft/s]
      n  =  Manning roughness constant
      rH =  hydraulic radius [ft]
      S  =  slope of the energy line [ft/ft]

      A complete discussion of the use of this equation, other appropriate
equations, and the identified parameters can be found in most fluid mechanics
references (e.g., Chow, 1964).

5.5.3  Estimation of Flow Rates Based on Flow Velocity Measurements

      If the measurements of flow depth are recorded and converted to cross-
sectional areas (in square  feet), and the corresponding velocities for each depth
are recorded (in feet per minute), then the flow rate (Q) in cubic feet per minute
(cfm) is:

                         Q = (area)(velocity)
      The maximum flow rate is the highest value recorded during the storm
event.  The time-weighted average flow rate for the storm event can be estimated
by the average of the individual values recorded.

5.5.4  Estimation of Volumes Based on Flow Rate Estimates

      The total volume of discharge can be estimated by first multiplying each of
the flow rates determined above by a time interval that represents the portion of
the total storm duration associated with the measurement, and then adding all
such partial volumes. If the time intervals used are seconds, then the total  flow
of runoff will be in units  of cubic feet.

      A procedure for calculating the total runoff volume from a set of discrete
measurements of flow depth and velocity during a storm runoff event is discussed
below and presented in Table 5-1. The basic steps for calculating this
information are as follows:

      Step 1:      Measure and tabulate flow depths and velocities every  20
                   minutes during at least the first 3 hours of the runoff event.

                                     33

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Step 2:       Calculate and tabulate the cross-sectional area of flow for
             each of the flow depths measured.  Calculate the flow rate
             (Q) for each discrete set of flow rate and flow velocity
             measurements.  Q =  (area)(velocity).

Step 3:       Plot flow rate, Q versus time as shown in Table 5-1.

Step 4:       Assign each flow rate measurement a duration equal to the
             sum of 1/2  the time interval between the preceding and
             succeeding  measurements. In the ideal case of uniform 20
             minute intervals, the  durations are  [(20)^ + (20) ^ =  20
             minutes].

Step 5:       Compute the  flow volume associated with each observation
             (Vv Vg, ..., V9) by multiplying the measured flow rate by the
             duration (in this case, 20  minutes). Be sure the units are
             consistent.  For example,  if durations are in minutes and flow
             velocities are  in cubic feet per second (cfs), convert the
             durations to seconds  or the velocities to feet per minute.

             Volume (V) = Flow  Rate (cfm) x Duration (minutes)

Step 6:       The beginning volume can be approximated by assuming that
             the flow rate is zero at time zero and increases linearly to
             the first calculated flow rate (Q,) at 20 minutes (see Table 5-
             1).

             The final volume can be approximated similarly by assuming
             that flow drops uniformly from the last calculated  flow rate
             (Q9) to zero at the time when Q,Q would have been taken.

Step 7:       Total the individual volumes calculated in Step 5 with the
             initial and final volume approximations calculated in Step 6
             to obtain the  total runoff volume.
                               34

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Table 5-1.  Example  Calculation of the Total Runoff Flow  Volume from Field  Data

     Station:    OUTFALL-1
     Date:       7-20-90
     Step  1:
Measure  or  estimate the following  data
TIME
(minutes )
0
20
40
60
80
100
120
uo
60
180
FLOW VELOCITY
(feet per minute)
.
4
8
10
8
4
6
4
i
4
FLOW DEPTH
(feet)

0 2
04
0.5
04
0.2
0.3
0.2
O.I
0 2
Step 2: Convert flow depths to area of flow based on the geometry of
the conveyance structure and calculate flow rates, Q (cubic feet
per minute - c
Step 3: Plot flow rate
25 •
20 -
Flow Rat*. Q . 5 ,
(ctm)
IQ -
5 •
0 20 40

Step 4: Assign a time
25-
Flew Hat*. Q '///

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Table 5-1.   Example  Calculation of the  Total Runoff Flow Volume from  Field Data
            (concluded)
      Step 5:      Calculate  individual flow  volumes

               Flo* Volume  (V)

                     V2
                     V3
                     V5
                     V6
                     v?
                     V8
                     V9
Flow Rate (Q)
10 cfm
20 cfm
25 cfm
20 cfm
10 cfm
15 cfm
10 cfm
5 cfm
x
x
X
X
X
X
X
X
X
Time
20 min
20 min
20 min
20 min
20 min
20 min
20 mm
20 min
                    10 cfm
x   20 min  *
200  cubic  feet
400  cubic  feet
500  cubic  feet
400  cubic  feet
200  cubic  feet
300  cubic  feet
200  cubic  feet
100  cubic  feet
200  cubic  feet
      Step 6:
Calculate  the  initial and final volumes
       Flow Rat*. 0
          (cfm)
                          Flow Matt, Q
                            (c»m)
                               20
                          Tim* (minuttt)
                               Qi
               initial volume » ~r~   x   10  minutes
                               Q9
                 final volume * --   x   10  minutes
                                                180      203
                                            Tim* (minutM)
                                     25 cubic feet

                                     25 cubic feet
      Step 7:     Total the partial volumes  calculated in steps  5  and 6

                       Total  storm runoff * 2.550 cubic feet

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5.6    Collecting Storm Water Discharge Samples

       This section provides guidance for collecting grab samples, flow-weighted
composite samples, and identifying the constituents or parameters that must be
monitored.  Section VII of Form 2F requires that specific pollutants in storm
water discharges be measured and reported as concentrations and as total mass.
At least one representative storm event must be sampled to collect  this
information.  If samples from more than one storm are analyzed and the results
are representative of the discharge, the  results must be reported in  Section VII of
Form 2F.

       A representative storm is a storm that is "typical"for the area in terms of
intensity, volume, and duration.  The storm must have a volume greater than 0.1
inch, must be preceded by at least 72 hours of dry weather,  and should not vary
by more  than 50% from the average rainfall volume and  duration.

       A representative storm event  must be sampled to provide water quality
data for the initial runoff period (i.e., a grab sample to measure first-flush
effects).  A flow-weighted composite sample must also be collected  and analyzed
separately from the grab sample to provide an estimate of the average runoff
water quality for the storm event.  Data from samples analyzed in the past may
be used,  provided that:

       o      All  data requirements in Form 2F  are met;

       o      Sampling was done no  more than three years before submission of
             the  permit application; and

       o      All water quality data are representative of the present discharge.

       Among the factors which  would cause the data to be  unrepresentative are
significant changes in production level, changes in raw materials, processes, or
final products, and significant changes in storm water management activities.

       Grab samples and flow-weighted composite samples must be collected and
analyzed from each of the storm runoff outfalls identified on the site drainage
map in Section III of Form 2F.  However, if an applicant has two or more
substantially identical outfalls, they may request permission from the permitting
authority to sample and analyze  only one outfall and submit the results of the
analysis for the other substantially identical outfalls.  Substantially identical
outfalls are those from drainage areas undergoing similar activities where the
discharges are expected to be of similar water quality. If the request is granted,
identify which outfall was tested and describe why  the outfalls which were not
tested  are substantially identical.  Provide this information on a separate sheet
attached to the application form.
                                     37

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5.6.1  Grab Samples

      A grab sample must be collected during the first 30 minutes of the runoff
(or as soon thereafter as practicable). The sample collected should be large
enough for all of the laboratory analyses to be performed, but at least 100
milliliters (ml).  Grab samples are typically collected by filling the sample
container just below the water surface in the flow channel.  Extension rods or
cables can be used to reach inaccessible locations. The grab sample should be
collected from near the center of the flow channel, where turbulence is at a
maximum (and therefore the storm runoff is well mixed), or at a site specified in
an existing permit, or at any site adequate for the collection of a sample that
would be representative of the storm water quality.

      All samples must be properly handled (i.e., holding time prior to analysis,
storage temperature, preservation methods) and analyzed by the methods
contained in  40 CFR Part 136.  Most commercial laboratories will be familiar
with these requirements and can provide information on appropriate handling
procedures.   Quality assurance/quality control (QA/QC) methods must be
implemented both in the field by the applicant and in the lab to ensure the
accuracy and validity of the analytical results. Most labs can assist applicants  in
designing a field QA/QC program and will also provide sample containers that
are suitable (e.g., container material, type, and size) to the analysis to be
performed. The labs will also typically report to the applicant the results of their
internal QA/QC upon request.

      If an analytical method is not  listed in 40 CFR 136 for a particular
pollutant, then the applicant may use any suitable method for measuring the level
of the pollutant in the  discharge provided that the applicant submits a description
of the method or a reference to a published method.  The description should
include the sample holding time, preservation methods, and the quality control
measures used.

      The parameters pH  and temperature are time-dependent and must be
measured in  the field at the time of sample collection rather than in the
laboratory.

5.6.2  Flow-Weighted Composite Samples

      A flow-weighted composite sample is a single sample intended to provide
the average water quality for the entire runoff event  Because  this type of sample
accounts for variations in flow that occur during an event, water quality data from
a flow-weighted composite  sample is  considered to be  more representative of the
average runoff quality for other methods such as a time-weighted composite.

      A flow-weighted composite sample can be collected during either the
entire runoff event (which may be less than 3 hours) or during at least the first 3
hours of the  runoff. The sample can be collected using either automatic sampling

                                     38

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equipment or by manually collecting and combining a series of discrete grab
samples (aliquots) in an appropriate manner.  In either case, appropriate
procedures must be followed to obtain a sample for analysis that is flow-weighted,
and hence will provide an indication of the average (or event mean)
concentration for the storm runoff event.

      Manually Collected Samples: A manually collected composite flow-
weighted sample can be prepared by the following procedures. Collect samples
of the same size (at least 100 ml and preferably 1000 ml) at regular intervals
during the duration of the entire runoff event or for at least the first 3 hours of
the event.  Samples should be collected every 20 minutes to meet the
requirement of at least 15 minutes between sample collection times. Storm
runoff flow rates and flow cross-sectional areas in the  conveyance should be
estimated (see Section 5.5) each time an individual sample is taken. Relative
flow rates rather than actual flow rates can be used.  Where flow rates are
estimated based on runoff coefficients, then the amount of rainfall during a  given
time period should be measured or estimated, and discharge flow rates assumed
to be proportional to the amount of rainfall occurring during a given interval.
Remove a portion (or aliquot) from each of the individual samples that is
proportional to the flow rate for that time interval  (there should be at least  nine
individual samples-i.e., three samples collected each hour during the first 3  hours
of runoff) and combine them in the container that  will be sent to the laboratory
for analysis. Only the composite sample needs to be sent to the laboratory  for
analysis.  The actual amount taken from each of the individual samples should be
in proportion to the flow rate or volume of flow associated with that sample.

      The procedure for combining aliquots of individual samples to form a
flow-weighted composite sample is described below by example and shown in
Table 5-2. The example is the same as that discussed in Section 5.5 and shown in
Table 5-1. In the example shown in Table 5-2, the minimum number of nine
samples were collected for use in preparing the composite sample.  Because a
grab sample must also be collected within the first  20 minutes of the runoff, two
separate samples should be collected. One of the grab samples will be analyzed
separately, while the second grab sample will be available for use in preparing
the flow-weighted composite sample. Note that 40 CFR 122.21(g)(7) provides
that quantitative data from grab samples, rather than flow-weighted samples, be
provided for pH, temperature, cyanide, total phenols, residual chlorine, oil and
grease, fecal coliform, and fecal streptococcus.

      Other methods can be used for collecting flow-weighted composite
samples, including the following four methods taken from EPA's NPDES
Compliance Sampling Inspection Manual. MCD-51.

      a)    Constant time interval between samples, sample volume
            proportional to flow rate at time of sampling;
                                    39

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      b)    Constant time interval between samples, sample volume
            proportional to total flow (volume) since last sample.  For the first
            sample, the flow rate at the time the sample was collected may be
            used;

      c)    Constant sample volume, time interval between samples
            proportional to flow (i.e., sample taken every "X" gallons of flow);
            and

      d)    Continuous collection of sample, with sample collection rate
            proportional to flow rate.

      A different amount of each of the nine individual aliquots is used so that
they are combined in proportion to the volume of runoff they represent. In the
case of uniform time intervals between samples, the sample portions can be based
on the measured flow rate associated with each sample rather than on the flow
volumes calculated from each flow rate. For uniform time intervals, both flow
rates (Q) and flow volumes (V) will result in the same aliquot proportions used
to prepare the composite. The procedures are as follows:

      1.    For the sample that was collected at the highest flow rate (or
            volume), add the full sample volume (e.g., 1000 ml) to the
            composite sample container. The other eight samples will provide
            smaller amounts.

      2.    For each of the other samples, take an amount that is proportional
            to the largest flow rate.  In other words, the amount of the
            individual samples used will be a simple ratio of the measured flow
            rates:

            Sample X (ml) =         Qx   (cfs)

                                    40

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Table 5-2.                          EXAMPLE PREPARATION OF A  MANUALLY  COMPOSITED FLOW-
                                  WEIGHTED SAMPLE
Station:   OUTFALL-1
Date: 7-20-90

Step 1:    Tabulate flow rates (if a constant time duration was used) or flow volumes (if a non-constant time duration
         was used)
      Sample                                                 Flow Rate term)
         1                                                          10
         2                                                          20
         3                                                          25
         4                                                          20
         5                                                          10
         6                                                          15
         7                                                          10
         8                                                          5
         9                                                          10
Step 2:   Calculate proportions of individual samples to be used in preparing the composite sample

         Sample X (ml) =  [Sample MAX (ml)]                           Qx(cfs)


     Note: Sample 3 is Q^ (25 cfm)
     Sample 1 =  Sample 3 x 10/25 =  0.40
     Sample 2 =  Sample 3 x 20/25 =  0.80
     Sample 3 =             =1.0
     Sample 4 =  Sample 3 x 20/25 =  0.80
     Sample 5 -  Sample 3 x 10/25 =  0.40
     Sample 6 *  Sample 3 x 15/25 =  030
     Sample 7 »  Sample 3 x 10/25 =  0.40
     Sample 8 -  Sample 3 x 5/25  -  0.20
     Sample 9 -  Sample 3 x 10/25 =  0.40

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Table 5-2. EXAMPLE PREPARATION OF A MANUALLY COMPOSITED FLOW-WEIGHTED SAMPLE (continued)


Step 3:   Use a convenkntvolume from the sample corresponding to the largest flow rate (Sample 3) and corresponding
         amounts from the other samples


         Note: The final volume of the composite sample must be large enough so that all of the appropriate analyses
     can be performed.  The analytical laboratory should  be  consulted prior to sample collection.  The amount of
     Sample 3 used in this sample is  1000 ml.


     Remaining amounts used:

     Sample 1: 400 ml
     Sample 2: 800 ml
     Sample 4: 800ml
     Sample 5: 400 ml
     Sample 6: 300 ml
     Sample?: 400ml
     Sample 8: 200 ml
     Sample 9: 400ml

         Therefore, the total sample  volume is 4,700 ml (i.e., 4.7 liters or about 1.2 gallons)

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In the example shown in Table 5-2, Sample 3 had the highest flow rate (Q3 =  25
cfm). Assume that 1000 ml of this sample was added to the composite container.
Then the amount of Sample 1 to add to the composite, assuming that flow rate
Q, =  10 cfm, is:

            Sample 1 (ml) =    [Sample 3 (in ml) ]  x Q,   (cfs)
                                           Q3   (cfs)

                                (1000 ml) x 10 (cfs)


                                 25  (cfs)

      3.     Repeat this process for each discrete sample to produce a flow-
             weighted composite sample for laboratory analysis. As shown in
             Table 5-2, the total composite sample volume is 4,700 ml.

      The personnel collecting the individual samples and preparing the
composite sample should contact the analytical laboratory personnel to ensure
that a large enough sample is submitted. Based on the analyses to be performed
on the composite sample, the laboratory personnel can require a minimum
sample size.

      As illustrated in the example, the computation is simplified when the time
interval  between the samples is uniform. When there are different time intervals
between samples, the procedure is only  slightly more complicated.  In this case,
the individual sample volumes used should be based on the runoff volume
(calculated from the individual flow rates and durations) associated with the
sample,  as opposed to simply the storm  flow rate associated with each sample.

      Automatic Samplers:  Automatic samplers are labor-saving devices but are
fairly expensive to purchase. The samplers consist of an intake device set in the
channel  which is attached by tubing to a pump that can draw a sample from the
storm drain into a sample bottle. However, in order for the sample obtained to
be flow-weighted composite, the automatic sampler must be triggered by the flow
sensing  device.  Samples of fixed volume are collected each time the flow sensing
device indicates that a specified  quantity of flow has passed the sample point.

      An appropriate flow sensing device, coupled to the automatic sampler is
necessary for the automatic system to produce a flow-weighted composite. If the
monitoring equipment does not employ  such a coupled system, then the
automatic sampler merely serves as a  mechanical means for withdrawing the
sample (usually at fixed time intervals).  The guidance given above for properly
                                    43

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combining manually collected samples to obtain a flow-weighted composite will
apply in this case.

      Automatic samplers generally range in price from about $8,000 to $16,000
for equipment costs alone. Units with telemetry are in the upper end of this
range. The equipment included with a standard unit includes a fabricated weir,
an automatic sampler with silica  sample containers, software to control the
remote computer data logger, housing for unit, thermistor, and pressure sensor.
The installation and flow rating of a unit will cost approximately $6,000 to $8,000
depending on whether the unit is installed in a manhole, open culvert or channel,
or stream.  Digital doppler velocity sensors can also be purchased and installed.
Such units would replace the weir, data logger, and pressure sensor identified
above.

5.63  Pollutants to Be Analyzed

      Section VII of Form 2F requires that  several common pollutants must be
analyzed for in both the grab sample and the flow-weighted composite sample
while additional  analyses are dependent upon existing  NPDES permit conditions
or whether the discharger has reason to believe other pollutants may be present
in the storm runoff discharge.  A separate table should be completed for each
outfall.  Note that 40  CFR 122.21(g)(7) provides that rather than using a flow-
weighted sample for quantitative data for pH, temperature, cyanide, total phenols,
residual chlorine, oil and grease, fecal coliform, and fecal streptococcus, a grab
sample must be used.

      Part A of Section VII requires that both grab samples and flow-weighted
composite samples be analyzed for:

                   Biological oxygen demand (BOD5)
                   Chemical oxygen demand (COD)
                   Total suspended solids (TSS)
                   Total Kjeldahl Nitrogen (TKN)
                   Nitrate  plus  nitrite nitrogen
                   Total phosphorus

      In addition, grab samples  must be analyzed for pH.

      Part B of Section VII requires that each pollutant limited in an effluent
guideline which the facility is subject to or any pollutant listed in the facility's
NPDES permit for its process wastewater (if the facility is operating under an
existing permit) be analyzed  for and reported separately for each outfall in Part
B.

      Part C of Section VII requires the listing of any pollutant shown in Tables
2F-2, 2F-3, and 2F-4  that the discharger knows or  has reason to believe is present
                                     44

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in the discharge and was not already identified above (see Form 2F in Appendix
D for these three tables).

      Table 2F-2 includes conventional and non-conventional pollutants.  For
any pollutant from this table listed in Part C, the applicant is required to either
report quantitative data or briefly describe the reason the pollutant is expected to
be discharged.

      Table 2F-3 lists toxic pollutants. For every pollutant listed in Table 2F-3
that is expected to  be discharged in concentrations of 10 parts per billion (ppb)
or greater, the  applicant is required to submit quantitative data.  For acrolein;
acrylonitrile; 2,4 dinitrophenol; and 2-methyl-4, 6 dinitrophenol the applicant must
submit quantitative data if these four pollutants (collectively) are expected to be
discharged in concentrations of 100 ppb or greater.  For every other pollutant
listed in Table  2F-3 that is expected to be discharged in concentrations less than
10 ppb (or 100 ppb total for the four pollutants listed above), then the applicant
must  either submit quantitative data or briefly describe the reasons the pollutant
is expected to be discharged.

      Table 2F-4 lists hazardous substances.  For each outfall, the applicant must
list any  pollutant from Table 2F-4 that is known or believed to be present in the
discharge and explain why they believe it to be present.  No analysis  is required,
but if the applicant has analytical data, it must be reported.

      Under 40 CFR  117.12(a)(2), certain discharges of hazardous substances
(listed in 40 CFR 177.21 or 40 CFR 302.4) may be exempted from the
requirements of Section 311 of the CWA, which establishes reporting
requirements, civil penalties, and liability for cleanup costs for spills of oil and
hazardous substances.  A discharge of a particular substance may be exempted if
the origin, source, and amounts of the discharged substances are identified in the
NPDES permit application or in the permit, if the permit contains a requirement
for treatment of the discharge, and if the treatment is in place.  To apply for an
exclusion  of the discharge of any hazardous substance from the requirements of
Section  311, attach additional  sheets of paper to the form and provide for the
following  information:

      1.     The substance and the amount of each substance which may be
             discharged.

      2.     The origin and source of the discharge of the substance.
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      3.     The treatment which is to be provided for the discharge by:

             a.     An onsite treatment system separate from any treatment
                   system treating the normal discharge;

             b.     A treatment system designed to treat the normal discharge
                   and which is additionally capable of treating the amount of
                   the substance identified  under  paragraph 1 above, or

             c.     Any combination of the  above.

      See 40 CFR 117.12(a)(2) and  (c), published  on August 29, 1979, in 44
Federal Register (FR) 50766 for further information on exclusions from Section
311 oftheCWA.

5.6.4  Reporting

      All sampling data obtained for the purpose of completing Section VII of
Form 2F must be reported as concentration and as total mass. The applicant
may report some or all of the required data by attaching separate sheets of paper
instead of filling out pages VII-1 and VII-2 if the separate sheets contain all the
required information in a  format which is consistent with pages VII-1 and VII-2
in spacing and in identification of pollutants and columns.  Use the following
abbreviations in the columns headed "Units."
                   ppm = parts per million
                   mg/1 =  milligrams per liter
                   ppb -  parts per billion
                   ug/1  = micrograms per liter
                   Ibs =  pounds
                   ton =  tons (English tons)
                   mg =  milligrams
                   g = grams
                   T =  tonnes (metric tons)
                   kg =  kilograms

      All reporting of values for metals must be in terms of "total recoverable
metal" unless:

      (i)    An applicable promulgated effluent limitation or standard specifies
             the limitation for the metal in dissolved, valent, or total form

      (ii)    All approved analytical methods for the metal measure only its
             dissolved form (e.g., hexavalent chromium)
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       (iii)   The permitting authority has determined that in establishing case-
             by-case limitations it is necessary to express the limitations on the
             metal in dissolved, valent, or total form to carry out the provisions
             of the CWA.

       If only one grab sample and one flow-weighted composite sample is
collected and analyzed for a given outfall, complete only the "Maximum Values"
columns and insert 'T'into the "Number of Storm Events Sampled" column.

       To calculate total mass from the water quality analyses, multiply the
concentration reported by the lab by the flow volume associated with the sample.
For the grab samples collected within 30 minutes of the storm runoff, the
concentrations of the individual pollutants should all be  multiplied by the flow
volume calculated in Step 5 shown in Table 5-1.  Care must be exercised to
ensure that consistent units are  used. For the flow-weighted composite sample,
the concentrations of the individual  pollutants should all by multiplied by the
total runoff volume calculated in Step 7 of Table 5-1.
                                     47

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SECTION 6.0      REFERENCES
California State University, Sacramento, Department of Civil Engineering.  1983.
      Operation and Maintenance of Wastewater Collection Systems. A field
      training program for EPA, Office of Water Programs Operations.

Chow, V.T.  1964.  Handbook of Applied Hydrology. McGraw-Hill, Inc. New
      York.  1418  p.

Shelly, P.E.  1979.  Monitoring Requirements, Methods, and Costs for the
      Nationwide Urban Runoff Program (NURP). EPA-600/9-76-014.

U.S. Environmental Protection Agency, Office of Water, Nonpoint Source
      Division. Methodology for Analysis  of Detention Basins for control of
      urban Runoff Quality.  Prepared by  Woodward-Clyde Consultants.
      September 1986.

U.S. Executive Office of the President, Office of Management and Budget.  1987.
      Standard Industrial Classification Manual.

U.S. Environmental Protection Agency, Office of Water. NPDES Compliance
      Inspection Manual, May 1988. MCD-51.
                                   48

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 APPENDIX A:   SELECTED TEXT FROM 40 CFR SECTION 122.26
        Section 122.26(a) Storm water discharges (applicable to State NPDES programs, see € 123.251
        (a) Permit requirement.  (1) Prior to October I, 1992, discharges composed entirely of storm
 water shall not be required to obtain a NPDES permit except:
        (i) a discharge with respect to which a permit has been issued prior to February 4, 1987;
        (ii) A discharge associated with industrial activity (see 122.26(a)(4));
        (Hi) A discharge from a large municipal separate storm sewer system;
        (iv) A discharge from a medium municipal separate storm sewer system;
        (v) A discharge which the Director,  or in States with approved NPDES programs, either the
 Director or the EPA Regional Administrator, determines to contribute to a violation of a water quality
 standard or is a significant contributor of pollutants to waters of the United States.  This designation
 may include a discharge from arty conveyance or system of conveyances used for collecting and
 conveying storm water runoff or a  system of discharges from municipal separate storm sewers, except for
 those discharges from conveyances which do not require a permit under paragraph (2) of this subsection
 or agricultural storm water runoff which is exempted from the definition of point source at 122.2.
        The Director may designate discharges from municipal separate storm sewers on a system-wide
 or jurisdiction-wide basis.  In making this determination the Director may consider the following factors:
        (A) The location  of the discharge with respect to waters of the United States as defined at 40
 CFR 122.2.
        (B) The size of the discharge;
        (C) The quantity and nature of the pollutants discharged to waters of the United States; and
        (D) Other relevant factors.
        (2) The Director may not require a permit for discharges of storm water runoff from mining
 operations or oil and gas exploration, production, processing or treatment operations or transmission
facilities, composed entirely of flows which are from conveyances or systems of conveyances (including
 but not limited to pipes, conduits,  ditches,  and channels) used for collecting and conveying precipitation
 runoff and which are not contaminated by contact with or that has not come into contact with, any
 overburden,  raw material, intermediate products, finished product, byproduct or waste products located
 on the site of such operations.
        (3) Large and Medium Municipal Separate Storm Sewer Systems.    (i) Permits must be
 obtained for all discharges from large and medium municipal separate storm sewer systems.
        (ii) The Director may either issue one system-wide permit covering all discharges from
 municipal separate storm sewers within a large or medium  municipal storm sewer system or issue
 distinct permits for appropriate categories of discharges within a large or medium municipal separate
 storm sewer system including, but not limited to: all discharges owned or operated by the same
 municipality; located within the same jurisdiction; all discharges within a system that discharge to the
 same watershed; discharges within a system that are similar in nature; or for individual discharges from
 municipal separate storm sewers within the system.
        (Hi) The operator of a discharge from a  municipal separate storm sewer which is part of a large
 or medium municipal separate storm sewer system must either:
        (A) participate in  a permit application (to be a permittee or a co-permittee) with one or more
 other operators of discharges from the large or medium municipal storm sewer system which covers all,
 or a portion of all, discharges from the municipal separate storm sewer system;
        (B) submit a distinct permit application which only covers discharges from the municipal
 separate storm sewers for which the operator is responsible; or
        (C) a regional authority may be responsible for submitting a permit application under the
following guidelines:
        (D the regional authority together with co-applicants shall have authority over a storm water
 management program that is in existence, or shall be in existence at the time Part I of the application is
 due;

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        (2) the permit applicant or co-applicants shall establish their ability to make a timefy
submission of Part I and Part 2 of the municipal application;
        (3) each of the operators of municipal separate storm sewer within the systems described in
paragraphs 12226(b)(4)(i), (ii), and (iii) or (b)(7)(i), (ii), and (Hi), that are under the purview of the
designated regional authority, shall comply with the application requirements of paragraph 122.26(d).
        (iv) One permit application may be submitted for all or a portion of all municipal separate
storm sewers within adjacent or interconnected large or medium municipal separate storm sewer systems.
The Director may issue one system-wide permit covering all, or a portion of all municipal separate storm
sewers in adjacent or interconnected large or medium municipal separate storm sewer systems.
        (v) Permits for all or a portion of all discharges from  large or medium municipal separate
storm sewer systems that are issued on a system-wide, jurisdiction-wide,  watershed or other basis may
specify different conditions relating to different discharges covered by the permit, including different
management programs for different drainage areas which contribute storm  water to the system.
        (vi) Co-permittees need onfy comply with permit conditions relating to discharges from the
municipal separate storm sewers for which they are operators.
        (4)      Discharges through lame and medium municipal separate storm sewer systems.
        In addition to meeting the requirements of 122.26(c),  an operator of a storm water discharge
associated with industrial activity which discharges through a large or medium municipal separate storm
sewer system shall submit, to the operator of the municipal separate storm sewer system receiving the
discharge no later than finsert date ISOdavs after publication] or 180 days prior to commencing such
discharge: the name of the facility; a contact person and phone number; the location of the discharge; a
description,  including Standard Industrial Classification, which best reflects the principal products or
services provided by each facility; and any existing NPDES permit number.
        (5) Other Municipal Separate Storm Sewers. The Director may issue permits for municipal
separate storm  sewers that are designated under subparagraph  (l)(v)  of this paragraph on a system-wide
basis, jurisdiction-wide basis, watershed basis or other appropriate basis, or may issue permits for
individual discharges.
        (6) Non-Municipal Separate Storm Sewers. For storm water discharges associated with
industrial activity from point sources which discharge through a non-municipal or non-publicfy owned
separate storm  sewer system, the Director, in his discretion, may issue: a single NPDES permit, with
each discharger a co-permittee to a permit issued to the operator of the portion of the system  that
discharges into waters of the United States; or, individual permits to each discharger of storm water
associated with industrial activity through the non-municipal conveyance system.
        (i)  All storm water discharges associated with industrial activity that discharge through a storm
water discharge system that is not a municipal separate storm sewer must be covered by an individual
permit, or a permit issued to the operator of the portion of the system that discharges to waters of the
United States, with each discharger to the non-municipal conveyance a co-permittee to that permit.
        (ii) Where there is more than one operator of a single system of such conveyances, all operators
of storm water discharges associated with industrial activity must submit applications.
        (iii) Any permit covering more than one operator shall identify the effluent limitations,  or other
permit conditions, if any, that apply to each operator.
        (7) Combined Sewer Systems. Conveyances that discharge storm water runoff combined with
municipal sewage are point sources that must obtain NPDES permits in accordance with  the procedures
of 122.21 and are not subject to the provisions of this section.
        (8) Whether a discharge from a municipal separate storm sewer is or is not subject to regulation
under this section shall have no bearing on whether the owner or operator of the discharge is eligible for
funding under rule II,  Title III or Title VI of the Clean Water Act. See  40 CFR Part 35, Subpart I,
Appendix A(b)H.2.j.


        Section 12226(c) Application requirements for storm water discharges associated with
industrial activity.
        (1) Individual application.  Dischargers of storm water associated with industrial activity are
required to appfyfbr an individual permit, appfyfor a permit through a group application, or seek
coverage under a promulgated storm water general permit. Facilities that are required to obtain an
individual permit, or any discharge of storm water which the Director is  evaluating for designation (see


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 40 CFR 124.52(c)) under paragraph (a)(l)(v) and is not a municipal separate storm sewer, and which is
 not part of a group application described under paragraph (2), shall submit an NPDES application in
 accordance with the requirements of 5 72227 as modified and supplemented by the provisions of the
 remainder of this paragraph. Applicants for discharges composed entirely of storm water shall submit
 Form 1 and Form 2F. Applicants for discharges composed of storm  water and non-storm water shall
 submit Form 1, Form 2C, and Form 2F. Applicants for new sources or new discharges (as defined in
 § 122.2 of this part) composed of storm water and non-storm water shall submit Form 1, Form 2D, and
 Form 2F.
        (i)  Except as provided in paragraphs 12226(c)(l)(ii)-(iv),the operator of a storm water
 discharge associated with industrial activity subject to this section shall provide:
        (A) a site map showing topography (or  indicating the outline of drainage areas served by the
 outfall(s) covered in the application if a topographic map is unavailable) of the facility including: each
 of its drainage and discharge structures; the drainage area of each storm water outfall; paved areas  and
 buildings  within the drainage area of each storm water outfall, each past or present area used for
 outdoor storage or disposal of significant materials, each existing structural control measure to reduce
pollutants in storm water runoff,  materials loading and access areas, areas where pesticides, herbicides,
 soil conditioners and fertilizers are applied, each of its hazardous waste treatment, storage or disposal
facilities (including each area not required to have a RCRA permit which  is used for accumulating
 hazardous waste under 40 CFR 262.34); each well where fluids from the facility are injected
 underground; springs,  and other surface water bodies which receive storm water discharges from the
facility;
        (B) an estimate of the area of impervious surfaces (including paved areas and building roofs)
 and the total area drained by each outfall (within a mile radius of the facility) and a narrative
 description of the following: significant materials that in the three years prior to the submittal of this
 application have been treated, stored or disposed in a manner to allow exposure to storm water; method
 of treatment, storage or disposal of such materials; materials management practices employed, in the
 three years prior to the submittal of this application, to minimize contact by these materials with storm
 water runoff; materials loading and access areas; the location, manner and frequency in which
pesticides, herbicides,  soil conditioners and fertilizers are applied; the  location and a description of
 existing structural and non-structural control measures to reduce pollutants in storm water runoff; and a
 description of the treatment the storm water receives, including the ultimate disposal of any solid or fluid
 wastes other than by discharge;
        (C) a certification that all outfalls that should contain storm  water discharges associated with
 industrial activity have been tested or evaluated for the presence of non-storm water discharges  which are
 not covered by a NPDES permit; tests for such non-storm water discharges may include smoke tests,
fluorometric dye tests, analysis of accurate schematics, as well as other appropriate tests.  The
 certification shall include a description of the method used, the date of any testing, and the on-site
 drainage points that were directly observed during a test;
        (D) existing information regarding significant leaks or spills of toxic or hazardous pollutants at
 the facility that have taken place  within the three years prior to the submittal of this application;
        (E) quantitative data based on samples collected during storm events and collected in
 accordance  with section 122.21 of this Part from all outfalls containing a storm water discharge
 associated with industrial activity for the following parameters:
        (I) Any pollutant limited in an effluent guideline to  which the facility is subject;
        (2) Any pollutant listed in  the facility's NPDES permit for its process wastewater (if the facility
 is operating under an existing NPDES permit);
        (& Oil and grease, pH, BODS, COD, TSS, total phosphorus, total Kjeldahl nitrogen, and
 nitrate plus nitrite nitrogen;
        (4) Any information on  the discharge required under paragraph 122.2 l(g)(7)(iii) and (iv) of this
 Part;
        (5) Flow measurements or estimates of the flow rate, and the total amount of discharge for the
 storm event(s) sampled, and the method of flow measurement or estimation; and
        (6) The date  and duration (in hours) of the storm event(s) sampled, rainfall measurements or
 estimates  of the storm event (in inches) which generated the sampled  runoff and the duration between
 the storm  event sampled and the end of the previous measurable (greater than 0.1 inch rainfall) storm
 event (in hours);


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        (F) Operators of a discharge which is composed entirely of storm water are exempt from the
requirements of paragraphs 12Z21(g)(2), (g)(3), (g)(4), (g)(5), (g)(7)(i), (g)(7)(ii), and (g)(7)(v); and
        (G) Operators of new sources or new discharges (as defined in § 122.2 of this Part) which are
composed in part or entirely of storm water must include estimates for the pollutants or parameters listed
in subparagraph (E) of this paragraph instead of actual sampling data, along with the source of each
estimate.  Operators of new sources or new discharges composed in part or entirely of storm water must
provide quantitative data for the parameters listed in subparagraph (E) of this paragraph within two
years after commencement of discharge, unless such data has already been reported under the
monitoring requirements of the NPDES permit for the discharge. Operators of a new source or new
discharge  which is composed entirely of storm water are exempt from the requirements of paragraphs
12Z21(k)(3)(ii), (k)(3)(iii), and (k)(5).
        (it) The operator of an existing or new storm water discharge that is associated with industrial
activity solely under paragraph (b)(14)(x) of this section, is exempt from the requirements of paragraphs
122.21(g) and 122.26(c)(l)(i)ofthis Part.  Such operator shall provide a narrative description of:
        (A) the location (including a map) and the nature of the construction activity;
        (B) the total area of the site and the area of the site that is expected to undergo excavation
during the life of the permit;
        (C) proposed measures, including best management practices, to control pollutants in storm
water discharges during construction, including a brief description of applicable State and local erosion
and sediment control requirements;
        (D) proposed measures to control pollutants in storm water discharges that will occur after
construction operations have been completed, including a brief description of applicable State or local
erosion and sediment control requirements;
        (E) an estimate of the runoff coefficient of the site and the increase in impervious area after the
construction addressed in the permit application is completed, the nature of fill material and existing
data describing the soil or the quality of the discharge; and
        (F) the name of the receiving water.
        (Hi) The operator of an existing or new discharge composed entirely of storm water from an oil
or gas exploration, production, processing, or treatment operation, or transmission facility is not required
to submit a permit application in accordance with paragraph (i) of this section, unless the facility:
        (A) has had a discharge of storm water resulting in the discharge of a reportable quantity for
which notification is or was required pursuant to 40 CFR 117.21 or 40 CFR 302.6 at anytime since
November 16, 1987; or
        (B) has had a discharge of storm water resulting in the discharge of a reportable quantity for
which notification is or was required pursuant to 40 CFR 110.6 at any time since November 16, 1987; or
        (C) contributes to a violation of a water quality standard.
        (iv) The operator of an existing or new discharge composed entirely of storm water from a
mining operation is  not required to submit a permit application unless the discharge has come into
contact with, any overburden, raw material, intermediate products, finished product, byproduct or waste
products located on the site of such operations.
        (v) Applicants shall provide such other information the Director may reasonably require under
paragraph 122.2 l(g)( 13) of this Part to determine whether to issue a permit and may require any facility
subject to paragraph (c)(l)(ii) to comply with paragraph (c)(l)(i) of this section.


        Section 122.26(e) Application deadlines. Any operator of a point source required to obtain a
permit under paragraph (a)(l) that does not have an effective NPDES permit covering its storm water
outfalls shall submit an application in accordance with the following deadlines:
        (1) For any storm water discharge associated with industrial activity identified in
122.26(b)(14)(i)-(xi), that is not part of a group application as described in paragraph (c)(2) or which is
not covered under a promulgated storm water general permit, a permit application made pursuant to
12226(c) shall be submitted to the Director by November 18,1991;
        (2) For any group application submitted in accordance with 122.26(c)(2):
        (i) Part 1 of the application shall be submitted to the Director, Office of Water Enforcement
and Permits by September 30,1991;
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        (ii) Based on information in the Part 1 application, the Director will approve or deny the
members in the group application within 60 days after receiving Part 1 of the group application.
        (Hi) Part 2 of the application shall be submitted to the Director, Office of Water Enforcement
and Permits no later than 12 months, or by May 18,1992 whichever comes first after the date of
approval of the Part 1 application.
        (iv) Facilities that are rejected as members of a group by the permitting authority shall have 12
months to file an individual permit application from the date they receive notification of their rejection.
        (v) A facility listed under paragraph (b)(14)(i)-(xi) may add on to a group  application
submitted in accordance with paragraph (e)(2)(i) at the discretion of the Office of Water Enforcement
and Permits, and onfy upon a showing of good cause by the facility and the group applicant; the request
for the addition of the facility shall be made no later than February 18, 1992; the addition of the facility
shall not cause the percentage of the facilities that are required to submit quantitative data to be less
than 10%, unless there are over 100 facilities in the group that are submitting quantitative data; approval
to become part of group application must be obtained from the group or the trade association
representing the individual facilities.
        (3) For any discharge from a large municipal separate storm sewer system;
        (i) Part 1 of the application shall be submitted to the Director by November 18, 1991;
        (ii) Based on information received in the Part 1 application the Director will approve or deny a
sampling plan under 122.26(d)(l)(iv)(E) within 90 days after receiving the Part 1 application;
        (Hi) Part 2 of the application shall be submitted to the  Director by November 16,  1992.
        (4) For any discharge from a medium municipal separate storm sewer system;
        (i) Part 1 of the application shall be submitted to the Director by May 18, 1992.
        (ii) Based on information received in the Part 1 application the Director will approve or deny a
sampling plan under 122.26(d)(l)(iv)(E) within 90 days after receiving the Part 1 application.
        (in) Part 2 of the application shall be submitted to the  Director by May 17, 1993.
        (5) A permit application shall be submitted to the Director within 60 days of notice, unless
permission for a later date is granted by the Director (see 40 CFR 124.52(c)),for:
        (i) a storm water discharge which the Director,  or in States with approved NPDES programs,
either the Director or the EPA Regional Administrator, determines that the discharge contributes to a
violation of a water quality standard or is a significant contributor of pollutants to waters of the United
States (see paragraph (a)(l)(v) of this section);
        (ii) A storm water discharge subject to paragraph (c)(l)(v)  of this section.
        (6) Facilities with  existing NPDES permits for storm water discharges associated with industrial
activity shall maintain  existing permits.  New applications shall be submitted in accordance with the
requirements of 40 CFR 122.21 and 40 CFR 122.26(c) 180 days before the expiration of such permits.
Facilities with expired permits  or permits due to expire before May 18, 1992 shall submit applications in
accordance with the deadline set forth under 122.26(e)(l).


        Section 122.26(f) Petitions.
        (1) Any operator of a municipal separate storm sewer system may petition the Director to
require a separate NPDES permit (or a permit issued under an approved NPDES State program) for
any discharge into the municipal separate storm sewer system.
        (2) Any person may petition the Director to require a NPDES permit for a discharge which is
composed entirety of storm  water which contributes to a violation of a water quality standard or is a
significant contributor of pollutants to waters of the United States.
        (3) The owner or operator of a municipal separate storm sewer system may petition the Director
to reduce the Census estimates of the population served by such separate system to account for storm
water discharged to combined sewers as defined by 40 CFR 35.2005(b)(ll)that is treated in a publicly
owned treatment works. In  municipalities in which combined sewers are operated, the Census estimates
of population may be reduced proportional to the fraction, based on estimated lengths, of the length of
combined sewers over the sum of the length of combined sewers and municipal separate storm sewers
where an applicant has submitted the NPDES permit number associated with each discharge point and
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a map indicating areas served by combined sewers and the location of any combined sewer overflow
discharge point.
        (4) Any person may petition the Director for the designation of a large or medium municipal
separate storm sewer system as defined by subsections (b)(4)(iv) or (b)(7)(iv) of this rule.
        (5) The Director shall make a final determination on any petition received under this section
within 90 days after receiving the petition.
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APPENDIX B:   DEFINITIONS OF KEY TERMS
The following are definitions of terms found in the NPDES general definitions (40 CFR 122.2), the
storm water regulations (55 FR 47990), and terms commonly used in relation to storm water
discharges.


        (1) "Best management practices ("BMPs")"means schedules of activities, prohibitions of
practices, maintenance procedures, and other management practices to prevent or reduce the
pollution of "waters of the United States." BMPs also include treatment requirements, operating
procedures, and practices to control plant site runoff, spillage or leaks, sludge or waste disposal, or
drainage from raw material storage.

        (2) "Contiguous zone" means the entire zone established by the United States under Article
24 of the Convention on the Territorial Sea and the Contiguous Zone.

        (3) "Co-permittee"means a permittee to a NPDES permit that is only responsible for permit
conditions relating to the discharge for which it is operator.

        (4) "Discharge"when used without qualification means  the "dischargeof a pollutant."

        (5) "Discharge of a pollutant" means:

        (i) Any addition of any "pollutanf'or combination of pollutants to "waters of the United
        States" from any "point source," or

        (ii) Any addition of any pollutant or combination of pollutants to the waters of the
        "contiguous zone" or the ocean from any point source other than a vessel or other floating
        craft which is being used as a means of transportation.

        This  definition includes additions of pollutants into waters of the United States from:
surface runoff which is collected or channelled by man; discharges through pipes, sewers, or other
conveyances owned by a State,  municipality, or other person which do not lead  to a treatment works;
and discharges through pipes, sewers, or other conveyances, leading into privately owned treatment
works. This term does not  include an addition of pollutants by  any "indirect discharger."

        (6) "Effluent limitation" means any restriction imposed  by the Director on quantities,
discharge rates, and concentrations of "pollutants"which are "discharged"from "point sources" into
"waters of the United States," the waters of the "contiguous zone," or  the ocean.

        (7) "Effluent limitations guidelines" means a regulation published by the Administrator
under section 304(b) of CWA to adopt or revise "effluent limitations."

        (8) "Illicit discharge" means any discharge to a municipal separate storm sewer that is not
composed entirely of storm water except discharges pursuant to NPDES permit (other than the
NPDES permit for discharges from the municipal separate storm sewer) and discharges from fire
fighting activities.

        (9) "Incorporated place" means the District of Columbia, or a city, town or village that is
incorporated  under the laws of the State in which it is located.

        (10) "Large municipal separate storm sewer system"  means all municipal separate storm
sewers that are either:
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        (i) located in an incorporated place with a population of 250,000 or more as determined by
        the latest Decennial Census by the Bureau of Census (Appendix F); or
        (ii) located in the counties listed in Appendix H, except municipal separate storm sewers
        that are located in the incorporated places, townships or towns within such counties; or
        (iii) owned or operated by a municipality other than those described in paragraph (i) or (ii)
        and that are designated by the Director as part of the large or medium municipal separate
        storm sewer system  due to the interrelationship between the discharges of the designated
        storm sewer and the discharges from municipal separate storm sewers described under
        paragraphs (i) or (ii).  In making this determination the Director may consider the following
        factors:
        (A) physical interconnections between the municipal separate storm sewers;
        (B) the location of discharges from the designated municipal separate storm sewer relative
        to discharges from municipal separate storm sewers described in subparagraph (i);
        (C) the quantity and nature of pollutants discharged to waters of the United States;
        (D) the nature of the receiving waters; and
        (E) other relevant factors; or
        (iv) the Director may, upon petition, designate as a large  municipal separate storm sewer
        system, municipal separate storm sewers located within the boundaries of a region defined
        by a storm water management regional authority based on a jurisdictional, watershed, or
        other appropriate basis that includes one or more of the systems described in paragraphs (i),
        (ii),
        (11) "Major municipal separate storm sewer outfall" (or "major outfall") means a municipal
separate storm sewer outfall that discharges from a single pipe with an inside diameter of 36 inches
or more or its equivalent (discharge from a single conveyance other than circular pipe which is
associated with a drainage area of more than 50 acres); or for municipal separate storm sewers that
receive storm water from lands zoned for industrial activity (based on comprehensive zoning plans or
the equivalent), an outfall that discharges from a single pipe with  an inside diameter of 12 inches or
more or from  its equivalent (discharge from other than a circular  pipe associated with a drainage
area of 2 acres or more).

        (12) "Major outfall" means a major municipal separate storm sewer outfall.

        (13) "Medium municipal separate storm sewer system" means all municipal separate storm
sewers that are either:
        (i) located in an  incorporated place with a population of 100,000 or more but less than
        250,000, as determined by the latest Decennial Census by the Bureau of Census (Appendix
        G); or
        (ii) located in the counties listed  in Appendix I, except municipal separate storm sewers that
        are located in the incorporated places, townships or towns within such counties; or
        (iii) owned or operated by a municipality other than those described in paragraph (i) or (ii)
        and that are designated by the Director as part of the large or medium municipal separate
        storm sewer system  due to the interrelationship between the discharges of the designated
        storm sewer and the discharges from municipal separate storm sewers described under
        paragraphs (i) or (ii).  In making this determination the Director may consider the following
        factors:
        (A) physical interconnections between the municipal separate storm sewers;
        (B) the location of discharges from the designated municipal separate storm sewer relative
        to discharges from municipal separate storm sewers described in subparagraph (i);
        (C) the quantity  and nature of pollutants discharged to waters of the  United States;
        (D) the nature of the receiving waters; or
        (E) other relevant factors; or
        (iv) the Director may, upon petition, designate as a medium municipal separate storm sewer
        system, municipal separate storm sewers located within the  boundaries of a region defined
        by a storm water management regional authority based on a jurisdictional, watershed, or
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        other appropriate basis that includes one or more of the systems described in paragraphs (i),
        (ii).(iii).

        (14) "Municipal separate storm sewer" means a conveyance or system of conveyances
(including roads with drainage systems, municipal streets, catch basins, curbs, gutters, ditches, man-
made channels, or storm drains):
        (i) owned or operated by a State, city, town, borough, county, parish, district, association, or
        other public body (created by or pursuant to State law) having jurisdiction over disposal of
        sewage, industrial wastes, storm water, or other wastes, including special districts under
        State law such as a sewer district, flood control district or drainage district, or similar entity,
        or an Indian tribe or an authorized Indian tribal organization, or a designated and approved
        management agency under section 208 of the CWA that discharges to waters of the United
        States;
        (ii) designed or used for collecting or conveying storm  water;
        (iii) which is not a combined sewer; and
        (iv) which is not part of a Publicly Owned Treatment Works (POTW) as defined at 40 CFR
        122.2.

        (15) "National Pollutant Discharge Elimination System (NPDES)" means the national
program for issuing, modifying, revoking and reissuing, terminating, monitoring and enforcing
permits, and imposing and enforcing pretreatment requirements, under sections 307,402,318, and
405 of CWA. The term includes an "approved program."

        (16) "Newdischarger" means any building, structure, facility, or installation:

        (i) From which there is or may be a "discharge of pollutants;"
        (ii) That did not commence the "discharge of pollutants"at a particular "site"prior to August
        13,1979;

                (iii) Which is not a "new source," and

                (iv) Which has never received a finally effective NPDES permit for discharges  at
                that "site."

        This definition includes an "indirect discharger" which commences discharging into "waters
of the  United States" after August 13,1979. It also includes any existing mobile point source (other
than an offshore or coastal oil and gas exploratory drilling rig or a coastal oil and gas developmental
drilling rig) such as a seafood processing rig, seafood processing vessel, or aggregate plant, that
begins discharging at a "site"for which it does not have a permit; and any offshore or coastal mobile
oil and gas exploratory drilling rig or  coastal mobile oil and gas developmental drilling rig that
commences the discharge of pollutants after August 13,1979, at a "site"under EPA's permitting
jurisdiction for which it is not covered by an individual or general permit and which is located in an
area determined by the Regional Administrator in the issuance of a final permit to be an area of
biological concern.  In determining whether an area is an area of biological concern, the Regional
Administrator shall consider the factors specified in 40 CFR 125.122(a) (1) through (10).

        An offshore or coastal mobile exploratory drilling rig or coastal mobile developmental
drilling rig will be considered a "new discharger" only for the duration of its discharge in an area of
biological concern.

        (17) "New source" means any building, structure, facility, or installation from which there is
or may be a "discharge of pollutants," the construction of which commenced:
                (i) After promulgation of standards of performance under section 306 of CWA
                which are applicable to such source, or
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                (ii) After proposal of standards of performance in accordance with section 306 of
                CWA which are applicable to such source, but only if the standards are
                promulgated in accordance with section 306 within 120 days of their proposal.

        (18) "Outfairmeans a "point source" as defined by 40 CFR 122.2 at the point where a
municipal separate storm sewer discharges to waters of the United States and does not include open
conveyances connecting two municipal separate storm sewers, or pipes, tunnels or other conveyances
which connects segments of the same stream or other waters of the United States and are used to
convey waters of the United States.

        (19) "Overburden"means any material  of any nature, consolidated or unconsolidated.that
overlies a mineral deposit, excluding topsoil or similar naturally-occurring surface materials that are
not disturbed by mining operations.

        (20) "Owner or operator" means the owner or operator of any "facility or activity" subject to
regulation under the NPDES program.

        (21) "Permit"means an authorization, license, or equivalent control document issued by
EPA or an "approved State" to implement the requirements of this part and Parts 123 and 124.
"Permit"includes an NPDES "general permit" (Section 122.28). Permit does not include any permit
which has not yet been the subject of final  agency action, such as a "draft permit" or a "proposed
permit"

        (22) "Person"means an individual, association, partnership, corporation, municipality, State
or Federal agency, or an agent or employee thereof.

        (23) "Point source" means any discernible, confined, and discrete conveyance, including but
not limited to, any pipe, ditch, channel, tunnel, conduit, well, discrete fissure, container, rolling stock,
concentrated  animal feeding operation, vessel, or other floating craft from which pollutants are or
may be discharged. This term  does not include return flows from irrigated agriculture.

        (24) "Pollutanf'means dredged spoil, solid waste, incinerator residue, filter backwash,
sewage, garbage, sewage sludge, munitions, chemical wastes, biological materials, radioactive
materials (except those regulated under the Atomic Energy Act of 19S4, as amended (42 (U.S.C
2011 et sea.)), heat, wrecked or discharged equipment, rock, sand, cellar dirt and industrial,
municipal, and agricultural waste discharged into water.  It does not mean:

        (i) Sewage from vessels; or

                (ii) Water, gas, or other material which is injected into a well to facilitate
                production of oil or gas, or water derived in association with oil and gas production
                and disposed of in a well,  if the well used either to facilitate production or for
                disposal  purposes is approved by authority of the State in which the well is located,
                and if the State determines that the injection or disposal will not result in the
                degradation of ground or surface water resources.

        Radioactive materials covered by the Atomic Energy Act are those encompassed in its
definition of source, byproduct, or special nuclear materials. Examples of materials not covered
include radium and accelerator-produced isotopes. See Train v. Colorado Public Interest Research
Group. Inc. 426 US. 1 (1976).

        (25) "Privately owned treatment works" means any device or system which is (a) used to
treat wastes from any facility whose operator is not the operator of the treatment works and (b) not
a "POTW."
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        (26) "Process wastewater" means any water which, during manufacturing or processing,
comes into direct contact with or results from the production or use of any raw material,
intermediate product, finished product, byproduct, or waste product.

        (27) "Proposed permit" means a State NPDES "permit"prepared after the close of the
public comment period (and, when applicable, any public hearing and administrative appeals) which
is sent to EPA for review before final issuance by the State. A "proposed permit" is not a "draft
permit."

        (28) "Publicly owned treatment works ("POTW")'Yneans any device or system used in the
treatment (including recycling and reclamation) of municipal sewage or industrial wastes of a liquid
nature which is owned by a "State"or "municipality." This definition includes sewers, pipes, or other
conveyances only if they convey wastewater to a POTW providing treatment.

        (29) "Runoffcoefficient" means the fraction of total rainfall that will appear at the
conveyance as runoff.

        (30) "Significant materials" includes, but is not limited to: raw materials; fuels; materials such
as solvents, detergents, and plastic pellets; finished materials such as metallic products; raw materials
used in food processing or production; hazardous substances designated under section 101(14) of
CERCLA; any chemical the facility is required to report pursuant to Section 313 of Title III of
SARA; fertilizers; pesticides; and waste products  such as ashes, slag and sludge that have the
potential to  be released with storm water discharges.

        (31) "Site"means the land or water area  where any "facility or activity" is physically located.
or conducted, including adjacent land used in connection with the facility or activity.

        (32) "Storm water" means storm water runoff, snow melt runoff, and surface runoff and
drainage.

        (33) "Storm water discharge associated with industrial activity" means the discharge from any
conveyance which is used for collecting and conveying storm water and which is directly related to
manufacturing, processing or raw materials storage areas at an industrial plant.  The term does not
include discharges from facilities or activities excluded from the NPDES program under 40 CFR
Part 122.  For the categories of industries identified in subparagraphs (i) through (x) of this
subsection, the term includes, but is not limited to, storm water discharges from industrial plant
yards; immediate access roads and rail lines used  or traveled by carriers of raw materials,
manufactured products, waste material, or by-products used or created by the facility; material
handling sites; refuse sites; sites used for the application or disposal of process waste waters (as
defined at 40 CFR 401); sites used for the storage and maintenance of material handling equipment;
sites used for residual treatment, storage, or disposal; shipping and receiving areas; manufacturing
buildings; storage areas (including tank farms) for raw materials, and intermediate and finished
products; and areas where industrial activity has taken place  in the past and significant materials
remain and are exposed to storm water. For the  categories of industries identified in subparagraph
(xi), the term includes only storm water discharges from all the areas (except access roads and rail
lines) that are listed in the previous sentence where material handling equipment or activities, raw
materials, intermediate products, final products, waste materials, by-products, or industrial machinery
are exposed  to storm water. For the purposes of this paragraph, material handling activities include
the: storage, loading and unloading, transportation, or conveyance of any raw material, intermediate
product, finished product, by-product or waste product  The term excludes areas located on plant
lands separate from the plant's industrial activities, such as office buildings and accompanying
parking lots  as long as the drainage from  the excluded areas is not mixed with storm water drained
from the above described areas.  Industrial facilities (including industrial facilities  that are Federally,
State, or municipally owned or operated that meet the description of the facilities listed in this
paragraph (i)-(xi)) include those facilities  designated under the provisions of 122.26(a)(l)(v).  The
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following categories of facilities are considered to be engaging in "industrial activity" for purposes of
this subsection:
        (i) Facilities subject to storm water effluent limitations guidelines, new source performance
standards, or toxic pollutant effluent standards under 40 CFR Subchapter N (except facilities with
toxic pollutant effluent standards which are exempted under category (ri) of this paragraph);
        (ii) Facilities classified as Standard Industrial Classifications 24 (except 2434), 26 (except 265
and 267), 28 (except 283) 29,311,32 (except 323), 33,3441.373;
        (iii) Facilities classified as Standard Industrial Gassifications 10 through 14 (mineral
industry) including active or inactive mining operations (except for areas of coal mining operations
no longer meeting the definition of a reclamation area under 40 CFR 434.11(1) because the
performance bond issued to the facility by the appropriate SMCRA authority has been released, or
except for areas of non-coal mining operations which have been released from applicable State or
Federal reclamation requirements after December 17,1990 and oil and gas exploration, production,
processing, or treatment operations, or transmission facilities that discharge storm water
contaminated by contact with or that has come into contact with, any overburden, raw material,
intermediate products, finished products, byproducts or waste products located on the site of such
operations; (inactive mining operations are mining sites that are not being actively mined, but which
have an
identifiable owner/operator; inactive mining sites do not include sites where mining claims are being
maintained prior to disturbances associated with the extraction, beneficiation, or processing of mined
materials, nor sites where minimal activities are undertaken for the sole purpose of maintaining a
mining claim);
        (iv) Hazardous waste treatment, storage, or disposal facilities, including those that are
operating under interim status or  a permit under Subtitle C  of RCRA;
        (v) Landfills, land application  sites, and open dumps that receive or have received  any
industrial wastes (waste  that is received from any of the facilities described under this subsection)
including those that are  subject to regulation under Subtitle  D of RCRA;
        (vi) Facilities involved in the recycling of materials,  including metal scrapyards, battery
reclaimers, salvage yards, and automobile junkyards, including but limited to those classified as
Standard Industrial Classification 5015 and 5093;
        (vii) Steam electric power generating facilities, including coal handling sites;
        (viii) Transportation facilities  classified as Standard Industrial Classifications 40, 41,42
(except 4221-25), 43,44,45, and 5171 which have vehicle maintenance shops, equipment cleaning
operations, or airport deicing operations. Only those portions of the facility that are  either involved
in vehicle maintenance (including vehicle rehabilitation, mechanical repairs, painting, fueling, and
lubrication), equipment cleaning operations, airport deicing operations, or which are otherwise
identified under paragraphs  (i)-(vii) or (ix)-(xi) of this subsection are associated with industrial
activity;
        (be)  Treatment works treating domestic sewage or any other sewage sludge or wastewater
treatment device or system, used in the storage treatment, recycling, and reclamation of municipal or
domestic sewage, including land dedicated to the disposal of sewage sludge that are located within
the confines of the facility, with a design flow of 1.0 mgd or  more, or required to have an approved
pretreatment program under 40 CFR 403. Not included are farm lands, domestic gardens or lands
used for sludge management where sludge is beneficially reused and which are not physically located
in the confines  of the facility, or areas that are in compliance with Section 405 of the CWA;
        (x) Construction activity including clearing, grading  and excavation activities except:
operations  that result in the disturbance of less than five acres of total land area which are not part
of a larger  common plan of development or sale;
        (ri) Facilities under Standard  Industrial Classifications 20, 21, 22, 23, 2434,25, 265,267,27,
283,285,30,31 (except 311). 323,34 (except 3441), 35,36,37 (except 373), 38,39,4221-25. (and
which are not otherwise included within categories (ii)-(x));

   (34) 'Total dissolved solids" means the total dissolved (filterable) solids as determined by use of
the method specified in 40 CFR Part 136.

   (35) Toxic pollutant" means any pollutant listed as toxic under section 307(a)(l) of CWA.


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    (36) "Variance"means any mechanism or provision under section 301 or 316 of CWA or under
40 CFR Part 125, or in the applicable "effluentlimitations guidelines" which allows modification to or
waiver of the generally applicable effluent limitation requirements or time deadlines of CWA.  This
includes provisions which allow the establishment of alternative limitations based on fundamentally
different factors or on sections 301(c), 301(g), 301(h), 301(i), or 316(a) of CWA.

    (37) "Waters of the United States" or "waters of the U.S." means:

      (i) All waters which are currently used, were used in  the past, or may be susceptible to use in
      interstate or foreign commerce, including all waters which are subject to the ebb and flow of
      the tide;

      (ii) All interstate water, including interstate "wetlands",

      (iii) All other water such as intrastate lakes, rivers, streams  (including intermittent steams).
      mudflats, sand flats, "wetlands" ploughs, prairie potholes, wet meadows, playa lakes, or natural
      ponds the use, degradation, or destruction of which would affect or could affect interstate or
      foreign commerce including any such waters:

           (A) Which are or could be used by interstate or foreign  travelers for recreational or
           other purposes;

           (B) From which fish or shellfish are or could be taken and sold in interstate or foreign
           commence; or

           (C) Which are used or could be used for industrial purposes by industries in interstate
           commerce:

      (iv) All impoundments of waters otherwise defined as waters of the United States under this
      definition;

      (v) Tributaries of waters identified in paragraphs (i) through (vi) of this definition;

      (vi) The territorial sea; and

      (vii) "Wetlands"adjacent to waters (other than waters that are themselves wetlands) identified
      in paragraphs (i) through (vi) of this definition.

    Waste treatment systems, including treatment ponds or lagoons designed to meet the
requirements of CWA (other than cooling ponds as defined in 40 CFR 423.11(m) which also meet
the criteria of this definition) are not waters of the United States.  This exclusion applies only to
manmade bodies of water which neither were originally created in waters of the United States (such
as disposal area in wetlands) nor resulted from the impoundment of waters of the United States.
[See Note 1 of this section.]

    (38) "Wetlands"means those areas that are inundated or saturated by surface or groundwater at
a frequency and duration sufficient to support, and that under normal circumstances, do support a
prevalence of vegetation typically adapted for life  in saturated soil  conditions.  Wetlands generally
include swamps, marshes, bogs, and similar areas.
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APPENDIX C        INFORMATION FOR EPA REGIONAL OFFICES AND STATES WITH
                   APPROVED NPDES PROGRAMS
      Cl          Federal, State, and Regional Permitting Agency Contacts

      C2          Addresses and Telephone Numbers of EPA Regional Offices
                   and States within the Regional Office Jurisdictions
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APPENDIX C.1:
FEDERAL, STATE, AND REGIONAL PERMITTING AGENCY
CONTACTS
Alabama  Department of Environmental Management
          Water Division
          1751 Cong. W.L. Dickinson Drive
          Montgomery, AL 36130
          (205) 271-7825

Alaska    Department of Environmental
           Conservation
          Division of Environmental
           Quality Management
          Pouch O
          Juneau, AK  99811
          (907) 465-2640

Arizona   Department of Health Services
          Office of Waste and Water
           Quality Management
          2005 N. Central Avenue
          Phoenix, AZ 85007
          (602) 257-2305

Arkansas  Department of Pollution
           Control and Ecology
          NPDES Branch
          8001 National Drive
          Little Rock, AR  72209
          (501) 562-7444

California  State Water Resources Control Board
          P.O. Box 100
          901P Street
          Sacramento, CA 95801
          (916) 322-3132

Colorado  Department of Health
          Water Quality Control Division
          Permits and Enforcement Section
          4210 E. llth Avenue, Room 200
          Denver, CO  80220
          (303) 331-3015

Connecticut Department of Environmental Protection
          Water Compliance and Hazardous Substances
          122 Washington Street
          Hartford, CT 06106
          (203) 566-3245
                              and
U.S. EPA
Region X
                              and
U.S. EPA
Region IX
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Delaware  Department of Natural Resources and Environmental Control
          Division of Water Resources
          89 Kings Highway
          P.O. Box 1401
          Dover, DE  19903
          (302) 736-4761

District   Department of Consumer and                 and    U.S.  EPA
          of Columbia                                        Region III
          Environmental Control Division
          5010 Overlook Avenue, S.W.
          Washington, D.C 20032
          (202) 767-7370

Florida   Department of Environmental              and   US. EPA
            Regulation                                    Region IV
          Div. of Environmental Programs
          Water Quality Planning Section
          2600 Blairstone Road, Ste 531
          Twin Towers Office Building
          Tallahassee, FL  32301
          (904) 488-0780

Georgia   Department of Natural Resources
          Environmental Protection Division,
            Water Protection Branch
          Floyd Towers East - Room 1058
          205 Butler Street, S.W.
          Atlanta,  GA  30334
          (404) 656-4887

Hawaii    Department of Health
          Pollution Investigation and
            Enforcement Division
          P.O. Box 3378
          Honolulu, HI 96801
          (808) 548-6505

Idaho     Department of Health and                 and   U.S. EPA
           Welfare                                      Region X
          Bureau of Water Quality
          State House
          Boise, ID 83720
          (208) 334-4250

Illinois    Illinois Environmental Protection Agency
          Division  of Water Pollution Control
          2200 Churchill Road
          Springfield, IL 62706
          (217) 782-1654

Indiana   Indiana Department of Environmental Management
          105 S. Meridian Street
          P.O. Box 6015
          Indianapolis, IN  46225
          (317) 232-8488
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Iowa      Department of Natural Resources
          Environmental Protection Division
          Surface and Ground Water
           Protection Bureau
          Henry A. Wallace Building
          900 E. Grand Avenue
          DCS Moines, LA  50319
          (515) 281-8690

Kansas    State Department of Health and Environment
          Division of Environment
          Bureau of Water Quality
          Forbes AFB Building No. 740
          Topeka,KS 66612
          (913) 862-9360x257

Kentucky  Department of Environmental
           Protection
          Department of Environmental Protection
          Division of Water Quality
          18 Reilly Road, Fort Boone Plaza
          Frankfort, KY 40601
          (502) 564-3410

Louisiana  Department of Environmental              and
           Quality
          Office of Water Resources
          Permits Programs
          P.O. Box 44091
          Baton Rouge, LA 70804-4091
          (504) 922-0530
      U.S. EPA
      Region VI
Maine     Department of Environmental
           Protection
          Bureau of Water Quality Control
          State House, Station 17
          Augusta, ME 04333
          (207) 289-3355
          Boston, MA 02203
          (617) 565-3519

Maryland  Department of Natural Resources
          Water Resources Administration
           (water resources programs)
          Tawes State Office Building
          Annapolis, MD 21401
          (301) 269-3846

          Department of Health and Mental Hygiene
          Environmental Health Administration
           (water quality standards, NPDES
           permits, and sewage treatment)
          201W. Preston Street
          Baltimore, MD 21203
          (301) 225-6300
and
U.S. EPA
Region I
                                          65

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Massachusetts Department of Environmental          and
           Quality Engineering
          Division of Water Pollution
           Control & Division of Water
           Supply
          1 Winter Street
          Boston, MA  02108
          (617) 292-5673

Michigan  Department of Natural Resources
          Water Resources Commission
          Water Quality Division
          P.O. Box 30028
          Lansing. MI 48909
          (517)373-1949

Minnesota Minnesota Pollution Control Agency
          Division of Water Pollution Control
          520 Lafayette Road
          St. Paul, MN 55155
          (612) 296-7202

Mississippi Dept. of Natural Resources                and
           and Water Division
          P.O. Box 10385, Southport Mall
          Jackson, MS  39209
          (601)961-5171
Missouri   Department of Natural Resources
          Water Quality Program
          Division of Environmental Quality
          Jefferson State Office Building
          205 Jefferson Street
          Jefferson City, MO 65102
          (314) 751-1300

Montana  Department of Health and Environmental
           Sciences
          Division of Environmental Sciences
          Water Quality Bureau
          Cogswell Building, Room A206
          Helena, MT 59620
          (406) 444-2406

Nebraska  Department of Environmental Control
          Water Pollution Control Division
          State House Station
          P.O. Box 94877-301 Centennial Mall
          Lincoln, NE  68509
          (402) 471-2186
US. EPA
Region I
Department of Environmental
  Quality
Surface Water Division
Bureau of Pollution Control
P.O. Box 10385
Jackson, MS  39289
                                           66

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Nevada   Department of Conservation and
           Natural Resources
          Water Resources Division
          201S. Fall Street, Room 221
          Carson City, NV 89710
          (702) 885-4380

New      Water Supply and Pollution                and   U.S. EPA
Hampshire Control Commission                           Region I
          Hazen Drive
          P.O. Box 95
          Concord, NH 03301
          (603) 271-2458
New Jersey Department of Environmental
           Protection
          Division of Water Resources
          1474 Prospect Street
          P.O. Box CN029
          Trenton, NJ 08625
          (609) 292-1638

New Mexico Health and Environment                and   U.S. EPA
           Department                                  Region VI
          Environmental Improvement
           Division
          Surface Water Quality Bureau
          1190 St. Francis Drive
          Santa Fe, NM 87504-0968
          (505) 827-2918

New York Department of Environmental
           Conservation
          Permit Administrator
          50 Wolf Road
          Albany, NY 12233

North     Department of Natural Resources
Carolina    and Community Development
          bivision of Environmental
           Management
          Water Quality Section
          P.O. Box 27687
          Raleigh, NC 27611
          (919) 733-5083

North Dakota Department of Health
          Division of Water Supply
           and Pollution Control
          1200 Missouri Avenue
          Bismark, ND 58501
          (701) 224-2345
                                         67

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Ohio      Environmental Protection Agency
          Waste Water Pollution Control
          1800 Watermark Drive
          P.O. Box 1049
          Columbus, OH 43266-0149
          (614) 466-7427
Oklahoma Water Resources Board                   and   U.S. EPA
          P.O. Box 53585                                Region VI
          Oklahoma City, OK 73152

          State Department of Health
          Permits and Compliance Division
          P.O. Box 53551
          Oklahoma City, OK 73152
Oregon    Department of Environmental Quality (DEQ)
          Water Quality Division
          522 S.W. Fifth Avenue
          P.O. Box 1760
          Portland, OR 97207
          (503) 229-5324

Pennsylvania Department of Environmental Resources
          Bureau of Water Quality Management
          P.O. Box 2063. llth Floor/Fulton Bldg.
          200 N. 3rd Street
          Harrisburg, PA 17120
          (717) 787-2666

Puerto Rico Environmental Quality Board             and   US. EPA
          Division of Water/Water                        Region n
           Resources
          P.O. Box 11488
          Santurce.PR  00910
          (809) 725-5140

Rhode Island Department of Environmental
           Management
          Division of Water Resources
          75 Davis St, 209 Cannon Bldg.
          Providence, RI  02908
          (401) 277-2234
                                         68

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South     Department of Health and
Carolina   Environmental Control
          Environmental Quality Control
          2600 Bull Street
          Columbia, SC 29201
          (803) 734-4880

South Dakota Department of Water and               and   U.S. EPA
           Natural Resources                             Region VIII
          Division of Environmental
            Regulation
          Point Source Control Program
          Joe Foss Building
          120 E. Capitol
          Pierre,SD 57501
          (605) 773-3351

Tennessee Department of Public Health
          Division of Water Quality Control
          TERRA Building, 2nd floor
          150 9th Ave., N.
          Nashville, TN  37219-5405
          (615) 741-3111

Texas     Texas Water Commission                  and   U.S. EPA
          P.O. Box 13087                                 Region VI
          Capitol Station
          Austin, TX  78711-3087
          (512) 463-8028
          Texas Railroad Commission
          P.O. Drawer 12967
          Austin, TX  78711
          (512) 463-8028

Utah      Department of Health
          Bureau of Water Pollution Control
          288 N. 1460 W.
          P.O. Box 16690
          Salt Lake City, UT 84116-0690
          (801) 538-6146

Vermont  State Water Resources Board
           (water pollution control)
          58 E. State Street
          Montpelier, VT 05602
          (802) 828-2871

          Water Quality Division
           (water quality)
          Department of Water Resources
           and Environmental Engineering
          103 S. Main Street
          Waterbuty.VT 05676
          (802) 244-5638
                                          69

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Virginia   State Water Control Board
          211N. Hamilton Street
          P.O. Box 11143
          Richmond, VA 23230
          (804) 257-0056

Washington  Washington Dcpt. of Ecology
          Office  of Water Programs
          Mail Stop PV/11
          Olympia, WA  98504
          (206) 459-6000
West      Department of Natural Resources
Virginia   Division of Water Resources
          1800 Washington Street, East
          Charleston, WV  25305
          (304) 348-2107

Wisconsin Department of Natural Resources
          Division of Environmental Standards
          Bureau of Water Resources and
           Management
          P.O. Box 7921
          Madison, WI  53707
          (608) 266-2121

Wyoming  Department of Environmental Quality
          Water Quality Division
          Herschler Building
          122 West 25th Street
          Cheyenne, WY  82002
          (307) 777-7781
                                       and   Environmental Permit
                                               Information Center
                                             Department of Ecology
                                             Headquarters Office. PV-11
                                             St. Martin's College
                                               Campus-Lacey
                                             Olympia, WA 98504
Virgin
Islands
US EPA, Region II
Guam     US EPA, Region DC

American  US EPA, Region IX
Samoa

District of US EPA. Region Itt
Columbia

Northern  US EPA, Region DC
Marianas
                                          70

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APPENDIX C.2:        ADDRESSES AND TELEPHONE NUMBERS OF EPA REGIONAL
                      OFFICES AND STATES WITHIN THE REGIONAL OFFICE
                      JURISDICTION
REGION I

       NPDES Permits, Water Management Division, EPA 9141,
       U.S. Environmental Protection Agency, John F. Kennedy Building,
       Boston, Massachusetts 02203, (617) 565-3420, FTS 835-3420.
              Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island,
              and Vermont.
REGION II
       NPDES Permits, Water Management Division, EPA 9270,
       U.S. Environmental Protection Agency, Jacob K. Javitz Federal Building,
       26 Federal Plaza, New York, New York 10278, (212) 264-2657, FTS 264-2657.

               New Jersey, New York, Virgin Islands, and Puerto Rico.

REGION III

       NPDES Permits, Water Management Division, EPA 9360,
       U.S. Environmental Protection Agency, 841 Chestnut Building,
       Philadelphia, Pennsylvania  19107, (215) 597-9800, FTS 597-9800.

               Delaware, District of Columbia, Maryland, Pennsylvania,
               Virginia, and West Virginia.

REGION IV

       NPDES Permits, Water Management Division, EPA 9441,
       U.S. Environmental Protection Agency, 345 Courtland Street, N.E.,
       Atlanta, Georgia 30365, (404) 347-4727, FTS 257-4727.

               Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina,
               South Carolina, and Tennessee.

REGION V

       NPDES Permits, Water Management Division, EPA 9560,
       U.S. Environmental Protection Agency, 230 South Dearborn Street,
       Chicago, Illinois 60604, (312) 353-2105, FTS 353-2105.

               Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin.

REGION VI

       NPDES Permits, Water Management Division, EPA 9670,
       U.S. Environmental Protection Agency, First Interstate Bank Tower at Fountain Place,
       1445 Ross Avenue, 12th Floor, Suite 1200,
       Dallas, Texas  75202, (214) 655-6444, FTS 255-6444.

              Arkansas, Louisiana, New Mexico, Oklahoma, and Texas.

                                         71

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REGION VD

       NPDES Permits, Water Management Division, EPA 9790,
       U.S. Environmental Protection Agency, 726 Minnesota Avenue,
       Kansas City, Missouri  66101, (913) 551-7000, FTS 276-7000.

              Iowa, Kansas,  Missouri, and Nebraska.

REGION VIII

       NPDES Permits, Water Management Division, EPA 9871,
       999 18th Street, Suite 500, US. Environmental Protection Agency,
       Denver, Colorado 80202, (303) 293-1603, FTS 330-1603.

              Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming.

REGION IX

       NPDES Permits, Water Management Division, EPA 9920,
       U.S. Environmental Protection Agency, 75 Hawthorne Street,
       San Francisco, California 94105, (415) 744-2125, FTS 484-2125.
              Arizona, California, Hawaii, Nevada, Guam, American Samoa, and
              Trust Territories.
REGION X
       NPDES Permits, Water Management Division, EPA 9031,
       US. Environmental Protection Agency, 1200 6th Avenue,
       Seattle, Washington 98101, (206) 442-1200, FTS 399-1200.

              Alaska, Idaho, Oregon, and Washington.
                                         72

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 APPENDIX D:          PROCEDURES FOR SUBMITTING A GROUP APPLICATION

        As an alternative to submitting an individual application, a facility (except facilities that have
 existing individual NPDES permits for storm water or process discharge) may participate in a group
 application for sufficiently similar facilities.  The intent of the group application process is to reduce
 the collection and reporting burdens of participating industries.  Group applications involve a two
 part application process.  Group applications do not have specific forms; rather, the applicants are
 required to submit the information described below.

        Acceptable participants for a group application include those facilities that are part of the
 same industrial subcategory (see Table 2-1 for a list of the SIC codes that are considered industrial
 plants in the regulations - Part 405 to Part 471) or have sufficiently similar services or activities.

        Part 1 of the group application must contain the following information:  (There is no
 standard form for Part 1 of a group application. For Part 2 the relevant portion of form 2F should
 be used.)  When determining the number of dischargers identified for Part 2 sampling under
 paragraph (D), unless the group is less than 11 members in size, a minimum of 10 facilities must
 conduct and submit quantitative sampling data.

        122.26(c)(2) Group application for discharges associated with industrial activity. In lieu of
 individual applications or notice of intent to be covered by a general permit for storm water discharges
 associated with industrial activity, a group application may be filed by an entity representing a group of
 applicants  (except facilities that have existing individual NPDES permits for storm water) that are part of
 the same subcategory (see 40 CFR Subchapter N, Part 405 to 471) or, where such grouping is
 inapplicable, are sufficiently similar as to be appropriate for general permit coverage under § 122.28 of
 this Part.  The Part 1 application shall be submitted to the Office of Water Enforcement and Permits,
 U.S. EPA,  401M Street, S. W. Washington, D.C. 20460 (EN-336)for approval.  Once a Part 1
 application is approved, group applicants are to submit Part 2 of the group application to the Office of
 Water Enforcement and Permits.  A group application shall consist of:
        (i) Part 1.  Part I of a group application shall:
        (A) identify the participants in the group application by name and location.  Facilities
participating in the group application shall be listed in  nine subdivisions, based on the facility location
 relative to the nine precipitation zones indicated in Appendix Figure D-l to this Part.
        (B) include a narrative description  summarizing the industrial activities of participants of the
group application and explaining why the participants, as a whole, are sufficiently similar to be a covered
 by a general permit;
        (C) include a list of significant materials stored exposed to precipitation by participants in the
group application and materials management practices employed to diminish contact by these materials
 with precipitation and storm water runoff;
        (D) identify ten percent of the dischargers participating in the group application  (with a
 minimum of 10 dischargers, and  either a minimum of two dischargers from each precipitation zone
 indicated in Appendix Figure D-l of this Part in which ten or more members of the group are located, or
 one discharger from each precipitation zone indicated in Appendix Figure D-l of this Part in which nine
 or fewer members of the group are located) from which quantitative data will be submitted in Part 2.   If
 more than  1,000 facilities are identified in a group application, no more than  100 dischargers must
submit quantitative data in Part 2. Groups  of between four and ten dischargers may be formed.
However, in groups of between four and ten, at least half the facilities must submit quantitative data,
 and at least one facility in each precipitation zone in which members of the group are located must
submit data. A description of why the facilities selected to perform sampling and analysis are
 representative of the group as a whole, in terms of the information provided in subparagraphs (i)(B) and
 (i) (C) of this paragraph, shall accompany this section. Different factors impacting the nature of the
storm water discharges, such as processes used and material management, shall be represented, to the
 extent feasible, in  a manner roughly equivalent to their proportion in the group.
        (ii) Part 2.  Part 2 of a group application shall contain quantitative data (NPDES Form 2F),
 as modified by paragraph (c)(l) of this section, so that when Part 1 and Part 2 of the group application
 are taken together, a complete NPDES application (Form  1, Form 2C, and Form 2F) can be evaluated
for each discharger identified in paragraph (c)(2)(i)(D) of this section.
                                              73

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                                                      25°N
                                                                                         25'N
Source: Methodology for Analysis of Detention Basins for Control of Urban Runoff Quality, prepared for
       U.S. Environmental Protection Agency, Office of Water, Nonpoint Source Division, Washington, DC, 1986.


Note:   Alaska and Hawaii are included in Zone 7. The Virgin Island and Puerto Rico are included in  Zone 3.
Appendix Figure D-l. Rainfall Zones of the United States

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APPENDIX D.I;        EPA REVIEW PROCEDURES FOR A GROUP APPLICATION


        As shown in Figure 2-1, EPA Headquarters has 60 days to approve or deny the Part 1
application.  When the Part 1 application is approved, group applicants are to submit Part 2 to the
same address.

        Part 2 of the group application must contain quantitative data (i.e., the data required in
Form 2F) so that when Parts 1 and 2 of the group application are taken together, a complete
NPDES permit application [Form 1, Form 2C (if necessary based on the criteria for use of this
form), and Form 2F] can be evaluated for each of the dischargers designated in Item 4 of Part 1.

        Although there in no such thing as  a group permit, the data submitted by the group will be
used to develop general permits or individual permits for all of the facilities participating in the
group application (see Figure 2-1).  EPA  and NPDES States with general permit authority may
develop a general permit that can then be modified as necessary for each industrial subcategory (e.g.,
based on SIC codes). NPDES States without general permitting authority can develop individual
permits for the facilities participating in the group based on the information reported in the
application.  The group application process  and related timeframes are summarized below:

        a)     Part 1  of the application must be submitted to the Director, EPA Office of Water
               Enforcement and Permits,  by September 30,1991.

        b)     Based  on information submitted in Part 1 of the group application, EPA
               Headquarters will approve or deny the group coapplicants within 60 days after
               receipt.

        c)     Part 2  of the application must be submitted to EPA, Office of Water Enforcement
               and Permits no later than May 18,1992.

        d)     A  facility identified in the definition of "storm water associated with industrial
               activity" (summarized in Table 2-2)  may add on to a group application submitted in
               accordance with item (2a) above at  the discretion of the Office of Water
               Enforcement and Permits,  and only upon a showing of good cause by the facility
               and the group applicant.

        e)     Facilities identified in Table 2-2 may apply for a storm water discharge permit as
               part of a group application previously submitted in accordance with item (2a) above,
               if the application for the additional facility is made within IS months from the date
               of publication of the final general permit rule; the addition of the facility shall not
               reduce the percentage of the facilities that are required to submit quantitative data
               below 10%, unless there  are over 100 facilities in the group that are submitting
               quantitative data.  Approval to become part of group  application must be obtained
               from the group or the trade association representing the individual facilities and
               from the Office of Water Enforcement and Permits.
                                            75

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APPENDIX E:       NPDES PERMIT APPLICATION FORMS AND INSTRUCTIONS FOR
                 THE PERMITTING PROCESS
            Appendix
            E.1         Form 1
            E2         Form 2F
            E3         Form 2C
            E.4         Form 2D
            EJ         Form 2E
                                  76

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APPENDIX El:      FORM 1
                                77

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                United Strat
                Environmental Protection
                Off to of
                Enforetmtnt
                Washington. DC 20480
EPA Form 3910-1
Revised August 1MO
                Permits DivMon
6EPA
Application  Form 1 - General
Information

Consolidated  Permits Program
                  This form must bt completed by all persons applying for
                  • permit undtr EPA's Consolidated Permits Program. Sa«
                  the general instructions to Form 1 to determine which
                  other application forms you will need.

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               DESCRIPTION OF CONSOLIDATED
                 PERMIT APPLICATION FORMS
                   FORM 1 PACKAGE
                 TABLE OF CONTENTS
The Consolidated Permit Application Forms ire:

  Form 1 - General Information (includedin thit pin);

  Form 2 — Discharge* to Surface Water (NPDESPtmitt):

    2A. Publicly Owned Treatment Workt {Rtttrvtd - not Included in
    thit ptcktgt).

    2B. Concentrated Animal Feeding Operationi and Aquatic Animal
    Production Facilities Inot includtd in thit ptcktgt),

    2C. Existing Manufacturing, Commercial, Mining, and Silviculture!
    Operations Inot includtd in thit ptcktgt), and

    2D. New  Manufacturing,  Commercial, Mining,  and Silviculture)
    Operations (Rtttrvtd — not includtd in thit ptcktgt):

  Form 3 —  Hazardous Waste Application Form (RCRA  Ptmitt —
  not included In thit ptcktgt);

  Form 4 - Underground  Injection  of  Fluids IUIC Ptrmln - fit-
  turvtd — not includtd in thit ptcktgt); and

  Form 5 - Air Emissions  in  Attainment Arees  (PSD Ptrmitt — fit-
  itrvtd — not includtd in thit ptcktgt).
Section A. General Instructions

Section B. Instructions for Form 1

Section C. Activities Which Do Not Require Permits

Section 0. Glossary

Form 1 (twocopitt)
                                             SECTION A - GENERAL INSTRUCTIONS
Who Muet Apply

With the exceptions described in Section C of these instructions, Fed-
eral laws prohibit you from conducting any of the following activities
without a permit.

NPDES INitiontl Pollutant Ditchtrgt Elimination Sytttm  Undtr tht
dttn Wtttr Act. 33  U.S.C. 1251). Discharge of pollutants into the
waters of the United States.

RCRA (Rttourct Conttrvttlon tnd Rtcovtry Act, 42 U.S.C  69011.
Treatment, storage, or dispose! of hazardous wastes.

UIC (Undtrground Injection Control Undtr tht  Sift Drinking Wtttr
Act, 42  U.S.C. 30Of). Injection of fluids underground by gravity flow
or pumping.

PSD  IPrtvtntion  of Significant Otttriorttion Undtr tht Cfttn Air
Act, 72 U.S.C. 7401). Emission of an air pollutant by a new or modi-
fied facility in or near an area which has attained the National Ambient
Air Quality Standards for that pollutant.

Each of the above permit programs is operated in any particular State
by  either the United States  Environmental Protection Agency  IEPA)
or by an approved State agency. You must use this application form to
apply for a permit for those  progrems administered by EPA. For those
programs administered by approved States, contact the State environ-
mental agency for the proper forms.

If you have any questions about whether you need a permit under any
of  the above progrems, or if you  need informetion at to whether a
particular program is administered by EPA or a State agency, or if you
need to obtain application forms, contact your EPA Regional office
(litttdln Ttblt 1).

Upon  your request, end beted upon  information supplied by you.
EPA will determine whether you are required to obtain a permit for
a particular facility.  Be sure to contact EPA if  you  have  a question,
because  Federal law* provide  that  you may be heavHy  penalized If
you do not apply for a permit when e permit •) required.

Form  1  of the  EPA  consolidated  application forms collects  general
information applying to ell progrems. You must fill out Form 1 regard-
less of which permit you ere applying for. In addition, you must fill
out one of the supplementary forms (Formt 2 — 5) for each permit
needed under eech of the ebove programs.  Item II of Form 1 will
guide you to the appropriate supplementary forms.

You should note that there are certain exclusions to the permit require-
ments listed above. The exclusions ere described  in detail in Section C
of  these instructions. If your activities are excluded from permit re-
quirements then you  do  not need to complete end return any forms.
  NOTE: Certain  activities not listed above also are subject to EPA
  administered environmental permit requirements. These include per-
  mits for ocean dumping, dredged  or  fill materiel discharging, and
  certain types of air emissions. Contact  your EPA Regional office for
  further information.
Table 1. AJdresees of EPA Regional Contacts and State* Within the
Regional Off toe Juriedtetlons

REGION I

  Permit Contact, Environmental and Economic Impact Office, U.S.
  Environmental Protection Agency, John  F. Kennedy Building, Bos-
  ton, Massachusetts 02203, (617) 223-4635, FTS 223-4635.
   Connecticut, Maine, Massachusetts, New Hampshire, Rhode Mend,
   and Vermont.

REGION II

  Permit  Contact,  Permits Administration  Branch, Room  432, U.S.
  Environmental  Protection Agency, 26 Federal  Plaza, New  York,
  New York 10007, (212) 264-9880. FTS 264-9880.
   New Jersey. New York, Virgin Islands, and Puerto Rico.

REGION III

  Permit Contact '(3 EN 23). U.S. Environmental Protection Agency,
  6th A Walnut  Streets.  Philadelphia, Pennsylvania  19106,  (215)
  597-8816. FTS 597-8816.
   Delaware,  District  of Columbia, Maryland, Pennsylvania, Virginia.
   and Watt Virginia.

REGION IV

  Permit  Contact,  Permits  Section, U.S.  Environmental Protection
  Agency, 346 Courtland Street, N.E., Atlanta, Georgia 30365. (404)
  881-2017, FTS 267-2017.
   Alabama. Florida.  Georgia, Kentucky, Mississippi,  North Carolina.
   South Carolina, and Tennessee.

REGION V

  Permit Contact (SEP). U.S.  Environmental Protection Agency, 230
  South Dearborn Street, Chicege,  Illinois  60604,  (312) 353-2105,
  FTS 353-2105.
   Illinois, Indian*, Michigan, Minnesota, Ohio, and Wisconsin.
                                                                  1-1

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                                       SECTION A - GENERAL INSTRUCTIONS (continued)
Table 1 fconlftweoV

REGION VI

  Permit  Contact (6AEP).  U.S.  Environmental  Protection Agency.
  First International Building. 1201  Elm Street, Dallas. Texat 75270,
  (214) 767-2765. FTS 729-2765.
   Arkansas, Louisiana. New Mexico, Oklahoma, and Texas.

REGION VII

  Permit  Contact,  Permits  Branch,  U.S.  Environmental Protection
  Agency. 324 East 11th Street, Kansas City, Missouri 64106, (816)
  768-5955. FTS 758-5955.
   Iowa, Kansas, Missouri, and Nebraska.

REGION VIII

  Permit Contact (8E-WE).  Suite 103. U.S. Environmental Protection
  Agency, 1860 Lincoln Street, Denver. Colorado 80295. (303) 837-
  4901. FTS 327-4901.
   Colorado,  Montana,  North   Dakota,  South  Dakota.  Utah,  and
   Wyoming.

REGION IX

  Permit Contact, Permits Branch IE—41, U.S. Environmental Protection
  Agency,  215  Fremont Street, San  Francisco, California 94105,
  (415) 556-3450, FTS 556-3450.
   Arizona, California, Hawaii,  Nevada, Guam, American Samoa, and
   Trust Territories.

REGION X

  Permit  Contact IM/S 521), U.S. Environmental  Protection Agency,
  1200 6th Avenue.  Seattle. Washington 98101, (206)  442-7176.
  FTS 399-7176.
   Alaska, Idaho, Oregon, and Washington.
 Where to File

 The application forms should be mailed to  the EPA Regional office
 whose Region includes the State in which the facility is located bee
 Tfbit II.

 If the State in which the facility is located administers a Federal permit
 program under which you need a permit, you  should contact the appro-
 priate  State agency for the correct forms. Your EPA Regional office
 ?7e6/e  1) can tell you to whom to apply and can provide the appro-
 priate address and phone number.
When to File
       i of statutory requirements, the deadline* for filing applications
vary according to the type of facility you operate and the type of per-
mit you need. These deadlines are as follows:1
 Table 2. Filing Dates for Permit*
                                     WHEN TO FILE
  IMNPDESI	180 days before your present NPDES  per-
                         mit expires.
  IB(NPDeS)	180 days before your present NPDES  per-
                         mit expires',  or  180 days prior  to start-
                         up if you are a new facility.
  2C(NPD£S>	180 days before your present NPDES  per-
                         mit expires*.
  lOINPDCS)	180 days prior to startup.
  3i>/a*eroVwf HteteA .  . .Existing  facility:  Six months following
                         publication  of regulations listing hazard-
                         ous wastes.
                        New facility: 180 days before commencing
                         physical construction.
Table 2 Icontinutd)

 4(UIC)	A  reasonable  time .prior to construction
                         for new wells; as directed by the Director
                         for existing wells.
 S(PSD)	Prior  to commencement of construction.

 1 Please  note that some of  these forms are not yet available for use
 and are listed as  "Reserved" et the beginning of these instructions.
 Contact your EPA Regional office for information on current appli-
 cation requirement! and forms.

 ' If your present permit expires on or before November 30, 1980, the
 filing date is the  date on which your permit expires. If your permit
 expires during the period December  1, 1980 - May 31. 1981, the fil-
 ing date is 90 dayi before your permit expires.

Federal regulations provide  that you may not begin to construct a
new source in the NPDES program, a new hazardous waste management
facility, a new injection well, or a facility covered by the PSD program
before the  issuance of a  permit under the applicable program. Please
note that if you are required to  obtain a permit before beginning con-
struction,  es  described above, you may  need to submit your permit
application well in advance of an applicable deadline listed in Table 2.
Faea

The U.S. EPA does not require e fee for applying for any permit under
the consolidated permit programs. (Howtwr, torn* State* which ad-
minitttr one  or mart of tfittt progrtmi nquin fee*  for fne permit*
which thty ittu».)
Availability of Information to Public

Information contained  in these application forms will, upon request,
be made available to the public for inspection and copying.  However,
you may request confidential treatment for certain information which
you submit  on certain  supplementary forms. The specific instructions
for each supplementary form state what information on the form, if
any, may be claimed es confidential and what procedures govern the
claim. No information on Forms 1 and 2A through 20 may be claimed
as confidential.
Completion of Forma

Unless otherwise specified in instructions to the forms, each item in
each form must be answered. To indicate that each item hat bean con-
sidered, enter  "NA," for not applicable, if a particular item does not
fit  the  circumstances or characteristics of  your facility or activity.

If you have previously submitted information to EPA or to an approved
State agency which answers a question, you may either repeat the in-
formation in the space provided or attach a copy of the previous tub-
mission. Some item* in the form require narrative explanation. If more
space is necessary to answer  a question, attach a separate sheet entitled
"Additional  Information."
Financial Atttotanca for Pollution Control

There are e number of direct loans, loan guarantee*, and grant* available
to firm* and communities for pollution control expenditure*. Thee* are
provided by the Small Business Administration, the Economic Devel-
opment Administration, the Farmers Home Administration, and the
Department of Housing end Urban Development.  Each EPA Regional
office  (Tubit 1> ha* an economic existence coordinator who can pro-
vide you with additional information.

EPA's  construction  grants program under Title II  of the Clean Water
Act  is  an  additional source of assistance to publicly owned treatment
works. Contact your EPA Regional office for details.
                                                                   1-2

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                                       SECTION B - FORM  1  LINE-BY-LINE INSTRUCTIONS
TMf form must be completed by ill applicants.
Completing This Form

PIMM tyP* or print in  the unih»ded areas only. Some items have imall
graduation marks in the fill-in spacts. These marks indicate the num-
ber of characters that may be entered into our data system. The marks
are spaced at 1/6" intervals which accommodate elite type t12eh»rte-
tfrt per inch).  If you  use another type you may ignore the marks. If
you print, place each character between the marks. Abbreviate if neces-
sary to  stay within the number of character* allowed for each item.
Use one space for breaks  between  words,  but not  for punctuetion
marks unless they are needed to clarify your response.


Item I

Space is provided at the upper  right hand corner of Form 1 for inser-
tion of your EPA Identification Number. If you have an existing facil-
ity, enter  your Identification Number. If you don't  know your EPA
Identification Number, please contact your EPA Regional office (Tibti
H, which  will provide you with  your number. If  your facility is new
(notyttconttructfdl, leave this item blank.
Answer each question to determine which supplementary  forms you
need to fill out.  Be sure to check  the glossary  in Section O of these
instructions for the  legel definitions of the bold faced word*. Check
Section C  of  these  instructions to determine whether your  activity
is excluded from permit requirements.

If you answer "no" to every question, then you do not need a permit,
and you do not need  to  complete and  return any of these forms.

If you answer "yes" to any question, then you must complete and file
the supplementary form by the deadline  listed  in Table 2 along with
this form.  (Th» ipptictbli form number follow* uch qutttion tad i$
tnclond in pavvniftssefj You need not submit a supplementary form if
you  already have a permit under  the appropriate  Federal program,
unless  your permit is due to expire and you wish to renew your permit.

Questions (I) and (Jl of Item II refer to major new or modified sources
subject to  Prevention of Significant Deterioration (PSD) requirements
under  the Clean  Air Act. For the purpose of the PSO program, major
sources are defined as:  (A) Sources  listed in Table 3 which have the po-
tential to emit 100 tons or more per year emissions; and (B) All other
sources with the potential to  emit 250  tons or more per yeer. See
Section C of these instructions for discussion of exclusions of certain
modified sources.

Table  3. 28 Industrial Categories Listed hi Section 169(1) of the Clean
Ah- Act of 1977

Fossil  fuel—fired steam generators of more than 250 million BTU per
 hour heat input;
Coal cleaning plants (with thtrmtl dry ml;
Kraft pulp mills;
Portland cement plants;
Primary zinc smelters;
Iron and steel mill plants;
Primary aluminum ore reduction plants;
Primary copper smelters;
Municipal incinerators capable  of charging more than 250 tons of re-
 fuse per day;
Hydrofluoric acid plants;
Nitric  acid plants;
Sulfuric acid plants;
Petroleum refineries;
Lime plants;
Phosphate rock processing plants;
Coke oven  batteries;
Sulfur recovery plants;
Carbon black plants ft/mace process/;
Primary lead smelters;
Fuel conversion plants;
Sintering plants;
Secondary  metal  production plants;
Chemical process plants;
Fossil  fuel  boilers  lor  combination thereof) totaling more than 250
 million BTU per hour heat input;
Table 3 (continued)

Petroleum  storage  and transfer  units  with a total storage capacity
 exceeding 300,000 barrels;
Taconite ore processing plants;
Glass fiber processing plants; and
Charcoal production plants.
     Ill
Enter  the  facility's  official or legal name. Do not use a colloquial
name.
     IV

Give the name, title, and work telephone number of a person who is
thoroughly familiar with the operation of the facility and with the facts
reported in this application and who can be contacted by reviewing
offices if necessary.
ItemV

Give the complete mailing address of the office where correspondence
should be sent. This often is not the address used to designate the lo-
cation of the facility or activity.
Item VI

Give the address or location of the facility identified in Item III of this
form. If the facility lacks a street name or route number, give the most
accurate alternative geographic information (t.g., lection number or
querter lection number from county recordt or et interteco'on of Rtt.
426 end 22).
Item VII

List, in descending order of significance,  the  four 4—digit  standard
industrial  classification ISICI codes which  best describe  your facility
in terms of the principal products or services you produce or provide.
Also, specify each classification in words. These classifications may dif-
fer from  the SIC codes describing the operation generating the dis-
charge, air emissions, or hazardous wastes.

SIC code  numbers are descriptions which may be found in  the "Stan-
dard Industrial  Classification Manual" prepared by the Executive Of-
fice  of  the President, Office of Management and Budget, which  is
available  from  the  Government Printing  Office,  Washington,  D.C.
Use the current edition of the manual. If you have any questions con-
cerning  the appropriate SIC code for your  facility, contact your EPA
Regional office lift Teble II.
Item VIII-A

Give the name, as it  is legally referred to, of the person, firm, public
organization, or any other entity which operates the facility described
in this application. This may or may not be the same name a* the fa-
cility. The operator of the facility i* the legal entity which  controls
the facility's operation rather than the plant or site manager. Do not
use a colloquial name.
Item VIII-B

Indicate  whether the entity which operates the facility also owns it
by marking the appropriate box.
Item VIII-C

Enter the appropriate letter to indicate the legal status of the operator
of the facility. Indicate "public" for a  facility solely owned by local
government^) such as a city, town, county, parish, etc.
Items VIII-D - H

Enter the telephone number and address of the operator identified in
Item VIII-A.
                                                                     1-3

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                                 SECTION B - FORM 1 LINE-BY-LINE INSTRUCTIONS (commued)
Item IX

Indicate whether the facility is located on Indian Lands.


Itam X

Give the number of each presently effective permit issued to the fa-
cility  for each program or, if you have previously filed an application
but have not yet received a permit, give the number of the application,
if any. Fill in the unshaded area only. If you have more, than on* cur-
rently effective permit for your facility under a particular permit pro-
gram, you  may list additional permit numbers  on a separate sheet of
paper. List any relevant environmental Federal (e.g., permits under the
Ocean Dumping Act, Section 404 of the Cittn Water Act or the Surface
Mining Control end Reclamation Act),  State (e.g.. State permit! for
new tir emission  sources in nonattainment areas under Pan D of the
Clean Air Act or Staff permits under Section 404  of the Clean  Water
Actl, or local permits or applications under "other."


Item XI

Provide  a topographic map or maps of  the  area extending at least to
one mile beyond the property boundaries of the facility which clearly
show the following:

  The legal boundaries of the facility;

  The location and serial number of each of your existing and proposed
  intake and discharge structures;

  All hazardous waste management facilities;

  Each well where you inject fluids underground; and

  All  springs and surface water bodies  in the  area, plus all  drinking
  water wells within 1/4 mile of the facility  which are identified in the
  public record or otherwise known to you.

If an intake or discharge structure,  hazardous waste disposal site, or
injection well  associated with the facility is located more than one mile
from  the  plant, include it on the map, if possible.  If not, attach addi-
tional sheets describing the location of  the  structure, disposal site, or
well, and  identify  the U.S. Geological Survey (or  otherl map corres-
ponding to the location.

On each map, include the map  scale, a meridian arrow  showing  north,
and latitude and longitude at the nearest whole second. On all map* of
rivers, show the direction of the current, and in tidal waters, show the
directions of the ebb and flow tides. Use a  7-1/2 minute series map
published  by  the U.S.  Geological  Survey,   which may be obtained
through the  U.S.  Geological Survey  Offices listed below. If a 7-1/2
minute series  map has not been published for your facility  site, than
you may use a 15 minute series map from the U.S. Geological Survey.
If neither a 7-1/2 nor  15 minute series map has been published for your
facility site, use a plat map or other  appropriate map, including  til the
requested information; in this  case,  briefly  describe land uses  in the
map area (e.g., residential, commercial).

You may  trace your map from  a geological survey  chart, or other map
meeting the above specifications. If  you do, your map should bear a
note showing  the number or title  of the  map or chart it was  traced
from. Include the names of nearby  towns, water bodies, and other
prominent points. An example of an acceptable location map ii shown
in Figure  1-1 of these instructions. (NOTE: Figure 1-1 it provided for
purpose! of illustration only, and doe* not represent any actual  fa-
cility.!
  U.S.G.S. OFFICES
AREA SERVED
  Eastern Mapping Center
  National Cartographic Information
  Center
  U.S.G.S.
  536 National Center
  Reston, Va. 22092
  Phone No. (703) 860-6336
Ala., Conn.,  Del., D.C.,  Fla.,
Ga.. Ind.. Ky.,  Maine,  Md..
Mass.,  N.H.,  N.J.. N.Y., N.C.,
S.C., Ohio, Pa., Puerto Rico,
R.I., Tenn.,  Vt., Va., W. Va.,
and Virgin Islands.
                                      Itam XI (continued!

                                       Mid Continent Mapping Canter
                                       National Cartographic Information
                                       Canter
                                       U.S.G.S.
                                       1400 Independence Road
                                       Rolla, Mo. 65401
                                       Phone No. (314) 341-0851

                                       Rocky Mountain Mapping Canter
                                       National Cartographic Infomation
                                       Canter
                                       U.S.G.S.
                                       Stop 504, Box 25046 Federal Center
                                       Denver, Co. 80225
                                       Phone No. (303) 234-2326

                                       Western Mapping Center
                                       National Cartographic Information
                                       Center
                                       U.S.G.S.
                                       345 Middlef ield Road
                                       Menlo Park, Ca. 94025
                                       Phone No. (415)323-8111
                                     Ark   HI,  low.,  Kans..  La.,
                                      Mich.,   Minn.,  Mias   Mo
                                      N. Dak., Nebr., Okla., S. Dak'
                                      and Wit.
                                     Alaska, Colo., Mont., N. Max.,
                                      Tex., Utah, and Wyo.
                                     Ariz.,  Calif.,  Hawaii,  Idaho
                                      Nev., Oreg., Wash., American
                                      Samoa,  Guam,  and  Trust
                                      Territories
                                     Item XII

                                     Briefly describe the nature of your business (e.g., product* produceo
                                     or tervicet provided).
Itam XIII

Federal statues provide for severe penalties for submitting falsa inform-
ation on this application form.

18 U.S.C. Section  1001 provides that "Whoever, in any matter within
the jurisdiction of any department or agency  of the United State*
knowingly and willfully falsifies, conceals or covers up by  any trick,
scheme, or device  a  material fact,  or makes or uses any false writing
or document knowing same to contain any false, fictitious or fraudu-
lent statement or entry, *hall  be fined not more than $10,000 or im-
prisoned not more than five years, or both."

Section 309(c)(2) of the Clean Water Act and Section  113(c)(2) of the
Clean Air Act each provide that "Any person who knowingly makes
any false statement, representation, or certification  in any  applica-
tion, .  . . shall upon conviction, be punished by a fine of no more than
$10,000 or by imprisonment for not more than six months, or both."

In addition, Section 3008(dH3) of  the Resource Conservation and Re-
covery Act provides for a fine  up to $25,000 par day or imprisonment
up to ona year, or both, for a  first conviction for making a false state-
ment In any application under the Act, and for double that* penalties
upon subsequent convictions.

FEDERAL REGULATIONS REQUIRE THIS APPLICATION TO BE
SIGNED AS FOLLOWS:

  A. For a corporation, by  a principal executive officer of at least the
  l«v«l  of vice president. However, if the, only activity in Itam II which
  is marked "yes"  is Question G, the  officer may authorize a parson
  having  responsibility  for  the overall operations of the well or well
  field  to sign the certification. In that case, the authorization mutt be
  written and submitted to  the permitting authority.

  B. For partnership or tola proprietorship, by a general partner or the
  proprietor, respectively; or

  C. For a municipality.  State, Federal,  or  other public facility, by
  either a principal executive officer  or ranking elected official.
                                                                    1-4

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                                  SECTION C - ACTIVITIES WHICH DO NOT REQUIRE PERMITS
I.  National  Pollutant Discharge Elimination  System  Permits Under
the Clean Water Act. You are not required to obtain an NPOES permit
if your discharge  il in one of the following  categories, as provided by
the Clean Water Act (CWA) and by the NPOES  regulations 140 CFR
Parts  122-125). However, under Section 510 of  CWA a discharge ex-
empted  from the  federal NPDES requirements may  Mill  be regulated
by  a State authority; contact your State environmental agency to de-
termine whether you need e State permit.

  A. DISCHARGES FROM VESSELS. Discharges of sewage from ves-
  sels, effluent  from  properly  functioning  marine engines, laundry,
  shower, end galley sink wastes, and any other discharge incidental to
  the  normal operation  of  a veisel  do  not require  NPDES permits.
  However, discharges of rubbish, trash,  garbage,  or other such mater-
  ials discharged overboard require permits, and so do other discharges
  when the veisel is  operating in a capacity other than at a means of
  transportation, such at when the vessel is being  used as an energy or
  mining  facility, a storage facility, or a seafood processing facility, or
  is secured to the bed of the ocean, contiguous zone, or weters of the
  United  States for the  purpose of  mineral  or oil exploration or de-
 velopment.

 B. DREDGED OR  FILL MATERIAL. Discharges of dredged or fill
 material into waters of the United States do not  need NPDES permits
  if the dredging or filling it  authorized by a permit issued by the U.S.
  Army  Corps of  Engineers or an EPA  approved State under Section
 404 of CWA.

 C. DISCHARGES INTO PUBLICLY OWNED TREATMENT WORKS
  (POTW). The introduction  of sewage, industrial  wastes, or other pol-
  lutants  into a POTW  does not need  an NPDES permit.  You mutt
 comply  with  all  applicable  pretreatment  standards  promulgated
 under Section 307(b) of CWA, which may  be included in the permit
 issued  to  the POTW. If you have  a plan or an  agreement to switch
 to a POTW in the future,  this does not relieve you  of the obligation
 to apply for and receive an NPDES permit  until you have stopped
 discharging pollutants into waters of the United States.

  (NOTE: Ditchargart into  privately owned treatment worki do not
 have to apply for or obttin NPDES permit* except at otherwise re-
 quired by the EPA Regional Administrator.  The owner or operator
 of the treatment workt ittelf. however, muit apply for a permit end
 identify ell users in it* application. Uteri to identified will receive
 public notice of actions taken on the permit for the treatment workt.)

 D. DISCHARGES FROM AGRICULTURAL AND SILVICULTUR-
 AL ACTIVITIES.  Most discharges from agricultural and lilvicultural
 activities to waters of  the  United States do not require NPDES per-
 mits. These include runoff from orchards, cultivated crops, pastures,
 range lands, and forest lands. However, the discharges  listed below
 do require NPDES permits. Definitions of the terms lilted below are
 contained in the Glossary section of these instructions.

   1.  Discharges  from  Concentrated  Animal  Feeding Operations.
   (See  Glossary  for definition* of "animal feeding operation!" and
   "concentrated  animal feeding operations" Only the latter require
   permits.!

   2.  Discharges  from  Concentrated   Aquatic  Animal  Production
   Facilities. (See Gloaary for site cutoff*.)

   3.  Discharges  associated with  approved  Aquaculture Projects.

   4.  Discharges  from Silviculture!  Point Sources. (See  Glossary for
   the definition  of "lilvicultural point tource.")  Nonpoint source
   tilvicultural  activities are excluded  from NPDES permit require-
   ments. However,  some of these activities, such as stream crossings
   for roads, may involve point source discharges of dredged or fill
   material which may  require a Section 404 permit. See 33  CFR
   209.120.

  E.  DISCHARGES  IN  COMPLIANCE  WITH AN ON-SCENE CO-
 ORDINATOR'S INSTRUCTIONS.
 II.  Hazardous Waste  Permits Under the Resource Conservation and
 Recovery Act You may be excluded from the requirement to obtain
 a permit  under  this program  if you fall  into one of the following
 categories:

  Generators who accumulate their  own hazardous waste on—lite for
  less than 90 days as provided in 40  CFR 262.34;

  Farmers who dispose of hazardous  waste pesticide from their own use
  as provided in 40 CFR  262.51;

  Certain  persons treating, storing, or disposing of small quantitiet of
  hazardous waste at provided in 40 CFR 261.4 or  261.5; and

  Owners  and operators of totally enclosed treatment facilities ai de-
  fined in 40 CFR 260.10.

 Check with your Regional  office  for details. Please note that even if
 you are excluded from  permit requirements, you may be required by
 Federal regulations to handle your waste in a particular manner.
III. Underground Infection Control  Permits Under the Safe Drinking
Water Act. You are not required to obtain a permit under this program
if you:

  Inject into existing wells used to enhance recovery of oil and gas or
 to store hydrocarbons (note, however, that thete underground injec-
  tion* are regulated by Federal rule*); or

  Inject into or above a stratum which containi, within 1/4 mile of the
 well bore, an underground source  of drinking water (unlett your in-
 jection it the type identified in  Item II-H, for which you do need e
 permit). However, you mutt notify EPA of your injection and tubmit
 certain required information on  formi supplied by the  Agency, and
 your operation may be phased out if you are a generator  of hazardous
 wastes  or a  hazardous waste management facility which uses wells
 or septic tanks to dispose of hazardous waste.
IV. Prevention  of  Significant Deterioration Permits Under the dean
Air Act. The PSD  program applies to newly constructed or modified
facilities (both of which ere referred to at  "new tourcet")  which in-
crease air emissions. The Clean Air Act Amendments of 1977 exclude
small new sources of air emissions from the  PSD review program. Any
new source in an industrial category listed in Table  3 of these instruc-
tions whose potential to emit is less than 100 tons  per year it not re-
quired to get a PSD permit. In addition, any new source in an industrial
category not lilted in Table 3 whose potential to emit is less than  250
tons per year is exempted from the PSD requirements.

Modified sources which increase their net  emissions (the difference
between  the total  emittion increate* and total emittion decreatet at.
the tource) less than the significant amount set forth  in EPA regulations
are also exempt from PSD  requirements. Contact your  EPA Regional
office (Table 1) for further information.
                                                                   1-5

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                                                      SECTION D - GLOSSARY
NOTE: This Glossary includes terms used  in the instructions and in Forms  1, 2B, 2C, and 3. Additional terms will be included in the
future when other forms are developed to reflect the requirements of other parts of the Consolidated Permits Program. If you have
any questions concerning the meaning of any of these terms, please contact your EPA Regional office (Table If.
ALIQUOT means • sample of specified volume uMd to make up • total
composite sample.
ANIMAL  FEEDING  OPERATION  meant a lot or facility (othar than
an aquatic animal production futility) where  the following conditions
are met:

  A.  Animals (othar than aquatic animal*) have been, art, or will be
  stabled or  confined and fed or maintained for a total of 45 days or
  more in any 12 month period; and

  B.  Crops, vegetation, forage growth, or post—harvest residues are not
  sustained in the normal growing season  over any portion of the lot
  or  facility.

Two or  more animal feeding operations under common ownership
are a single  animal feeding  operation  if they  adjoin  each other or if
they use a common area or system for the disposal of wastes.
ANIMAL UNIT  means a unit of measurement for any animal feeding
operation calculated by adding the following numbers: The number of
slaughter and feeder  cattle multiplied by 1.0; Plus the number of ma-
ture dairy cattle  multiplied by  1.4; Plus the number of swine weighing
over 25  kilograms lapproximataly 55 pound*) multiplied by 0.4; Plus
the number of sheep multiplied by 0.1; Plus  the number of horses
multiplied by 2.0.
APPLICATION means the EPA standard national forms for applying
for a permit, including any additions, revisions, or modifications to the
forms; or forms approved by EPA for use in approved States, including
any approved modifications or revisions. For  RCRA, "application"
also means "Application, Part B."
APPLICATION, PART A means that part of the Consolidated Permit
Application  form* which a  RCRA permit applicant must complete to
qualify for interim status under Section 300S(e) of RCRA and for con-
sideration for a permit. Part A consists of Form 1 (Ganarul Informa-
tion) and Form 3 (Haiardou* Watta Application Form).
APPLICATION.  PART B means that part of the application which a
RCRA permit applicant must complete to be issued a permit. (NOTE:
EPA it not davaloping » iptcific form for Pan B of tria parmit appli-
cation, out an inttruction book/at axplaining  wtiat information mutt ba
auppliadi* availabta from tha EPA Rational offica.)
APPROVED PROGRAM or  APPROVED STATE means a State pro-
gram  which has been  approved or authorized by EPA under 40 CFR
Part 123.
AQUACULTURE PROJECT  means a  defined managed water  area
which  uses discharges of pollutants into that designated area for the
maintenance  or  production  of harvestable freshwater,  enuarine, or
marine plants or animals. "Designated area" means the portions of the
waters of the United State* within which the applicant  plans to  con-
fine the cultivated species, using a method of plan or operation (includ-
ing, but not limitad to, pnyafcaV confinamant) which, on the basis of
reliable scientific evidence, i* expected to ensure the specific individual
organisms comprising an aquaculture crop will enjoy increased growth
attributable to the discharge of pollutants  and be harvested  within a
defined geographic area.
AQUIFER means a geological formation, group of formations, or part
of a formation that is capable of yielding a significant amount of water
to a well or spring.
AREA OF  REVIEW means the area surrounding  an  injection well
which is described according to the criteria set forth in 40 CFR Section
146.06.
AREA PERMIT means a UIC permit applicable to all or certain well*
within a geographic area, rather than to a specified well, under 40 CFR
Section 122.37.
ATTAINMENT AREA means, for any air pollutant, an area which has
been designated under Section  107 of the Clean Air  Act as having
ambient air quality levels better than any national primary or secondary
ambient air quality standard for that pollutant. Standards have been set
for sulfur oxides, paniculate matter, nitrogen dioxide, carbon  monox-
ide,  ozone, lead, and hydrocarbon*. For purpose* of the Glossary,
"attainment area" also refers to "unclanifiable area," which means,
for any pollutants, an area designated under Section 107 a* unclasai-
fiable with respect to that pollutant due to insufficient information.
BEST MANAGEMENT PRACTICES (BMP) means schedule* of activi-
ties, prohibition* of practice*, maintenance procedure*, and other man-
agement practice* to  prevent or reduce the pollution of water* of the
United State*. BMP'*  include treatment requirements, operation proce-
dures,  and practice*  to control  plant sit* runoff,  spillage or leaks,
sludge or watte disposal, or drainage from raw material storage.
BIOLOGICAL MONITORING  TEST means any  test which includes
the use of aquatic algal, invertebrate, or vertebrate species to measure
acute or chronic toxicity, and  any biological or chemical measure of
bioeccumulation.
BYPASS means the intentional diversion of wastes from any any por-
tion of a treetment facility.
CONCENTRATED ANIMAL FEEDING OPERATION means an animal
feeding operation which meets the criteria set forth in either (A) or (B)
below or which  the  Director designates as such  on a  case-by— case
basis:

  A.  More than the numbers of animal* specified in any of  the follow-
  ing categories are confined:

   1 . 1 ,000 slaughter or feeder cattle,

   2. 700 mature dairy cattle (whathar milkad or dry eowt),

   3. 2,500 swine each  weighing over  26 kilograms (approximataly
   SS pound*),

   4. 500 horse*.

   5. 10,000 sheep or lamb*.

   6. 55.000 turkey*.

   7. 100,000 laying hen* or broilers 
-------
                                                SECTION D - GLOSSARY (continued)
CONCENTRATED ANIMAL FEEDING OPERATION (continual)

   5. 3,000 sheep or Iambi.

   6. 16,500 turkeys,

   7. 30,000  laying  hens or broilers  (if the facility hit continuout
   overflow watering).

   8. 9,000 laying bans or broilers (if the facility his » liquid manure
   handling system!,

   9. 1,600 ducks, or

  10. 300 animal units; AND

   Either one  of  the following conditions are met: Pollutants are dis-
   charged  into waters of the United States through a manmade ditch,
   flushing  system  or  other similar manmade device  ("manmade"
   means contracted by men ind tiled for the purpose of transporting
   wastes!; or Pollutants are discharged directly into waters of the
   Unites States which originate outside of and pass  over, across,  or
   through the facility or otherwise come into direct contact with the
   animals confined in the operation.

   Provided, however, that no animal  feeding operation  is a  concen-
   trated animal  feeding  operation as  defined above if such animal
   feeding operation discharges only in the event of a 25 year,  24 hour
   storm event.
CONCENTRATED  AQUATIC ANIMAL PRODUCTION  FACILITY
means a hatchery, fish farm, or other facility which contains, grows or
holds aquatic animals in either of the following categories, or which the
Director designates as such on a case—by—case basis:

  A. Cold water fish species or other cold water aquatic animals includ-
  ing, but not limited to,  the Salmonidae family of fish (e.g.,  trout end
  salmon) in  ponds,  raceways or other  similar structures which dis-
  charge at least 30 days per year but does not include:

    1. Facilities which produce less than 9,090 harvest weight  kilograms
    (approximately 20,000 poundtl of aquatic animals per  year; and

    2. Facilities  which feed less than 2,272 kilograms  (approximately
    5,000 pounds!  of  food during the calendar month of maximum
    feeding.

  B. Warm water fish species  or other  warm  water  aquatic animals
  including,  but not limited to, the Ameiuridae, Cetrarchidae, and
  Cyprinidae families of  fish (e.g., respectively, catfish, sunfish. and
  minnows) in ponds, raceways,  or other similar structures which dis-
  charge at least 30 days per year, but does not include:

    1. Closed ponds which discharge only during periods of excess run-
    off; or

    2. Facilities  which produce  less than 45,454 harvest weight kilo-
   grams (approximately  tOO.OOO pounds) of aquatic animals per year.
CONTACT COOLING WATER means water used to reduce tempera-
ture which comes into contact with a raw material, intermediate pro-
duct, waste product other than heat, or finished product.
CONTAINER means any portable device in which a material is stored,
transported, treated, disposed of, or otherwise handled.


CONTIGUOUS ZONE means the entire zone established by the United
States under article 24 of the convention of the Territorial Sea and the
Contiguous Zone.
CWA  means the Clean Water  Act (formerly referred to the Federal
Water Pollution Control Act}  Pub. L. 92-500. as amended by Pub.
L. 95-217 and Pub. L. 95-576, 33 U.S.C. 1251  etseq.


DIKE means any embankment or ridge of either natural or manmade
materials used  to prevent the 'movement of  liquids, sludges, solids, or
other materials.


DIRECT DISCHARGE  means the discharge  of  a pollutant as defined
below.
DIRECTOR means the EPA Regional  Administrator or the  State Di-
rector as the context requires.
DISCHARGE (OF A POLLUTANT) means:

  A.  Any  addition of any pollutant or combination of pollutants to
  waters of the United States from any point source; or

  B. Any addition of any  pollutant or combination of pollutants to the
  waters of the contiguous zone or the ocean from any point source
  other than a vestal or other floating craft which is being used as a
  means of transportation.

This definition includes discharges into  waters of the United States
from: Surface runoff which is collected or channelled by man; Dis-
charges through pipes, sewers, or other conveyances owned by a State,
municipality, or other person which do not lead to POTW's; and Dis-
charges  through pipes, seweri, or other conveyances, leading  into
privately owned treatment works. This term does not include an ad-
dition of pollutants by any indirect discharger.
DISPOSAL (in the ftCRA program! means the discharge, deposit, in-
jection, dumping, spilling, leaking, or placing of any hazardous waste
into or on any land or water so that the hazardous waste or any constit-
uent of it may enter the environment  or be emitted into  the  air or
discharged into any waters, including ground water.
DISPOSAL FACILITY means a facility or part of a facility at which
hazardous waste is intentionally placed into or on land or water, and
at which hazardous waste will remain after closure.
EFFLUENT  LIMITATION  means any restriction imposed by  the
Director on quantities, discharge  rates, and concentrations of pollu-
tants  which are discharged  from  point  sources into waters  of  the
United States,  the  waters  of  the continguous zone, or the  ocean.
EFFLUENT LIMITATION GUIDELINE means a regulation published
by the Administrator under Section 304(b) of the Clean Water Act to
adopt or revise effluent limitations.
ENVIRONMENTAL  PROTECTION  AGENCY  (EPA)  means  the
United States Environmental Protection Agency.
EPA IDENTIFICATION NUMBER means the number assigned by EPA
to each generator, transporter, and facility.
EXEMPTED AQUIFER means an aquifer or its portion that meets the
criteria in the definition of USDW, but which has been exempted ac-
cording to the procedures in 40 CFR Section 122.35(b).


EXISTING HWM FACILITY means a Hazardous Waste Management
facility which was in operation, or for which construction had com-
menced, on or before October 21, 1976. Construction had commenced
if (A) the owner or operator had obtained all necessary Federal. State,
and local preconstruction approvals or permits, and either  (B1) a con-
tinuous  on-site,  physical  construction program had  begun, or  (B2)
the owner or operator had entered into contractual obligations, which
could not be cancelled or modified without substantial loss, for con-
struction of  the  facility  to be  completed  within a reasonable time.

  (NOTE: This definition  reflects the literal language of  the statute.
  However, EPA believes that amendments to RCRA now in conference
  will shortly be enacted and will change the date for determining when
  a facility is an "existing facility" to one no earlier than May of 1980;
  indications  are  the  conferees  are  considering October 30  1980.
  Accordingly, EPA encourages every owner or operator of a facility
  which  was built or under construction as of the promulgation date of
  the  RCRA program regulations to file Part A of its permit application
  so that it can be quickly processed for interim status when the change
  in the law takes  effect.  When those amendments are enacted, EPA will
  amend this definition.)


EXISTING SOURCE  or EXISTING DISCHARGER  (in  the NPDES
program)  means any source which is not a new source or a  new dis-
charger.
                                                                   1-7

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                                               SECTION D - GLOSSARY (continued)
EXISTING  INJECTION WELL meani in injection well other than •
new injection well.


FACILITY  meant any HWM facility, UIC underground injection well,
NPDES  point tource. PSD itationary tourct, or any other facility or
activity  (including  /and or appurtsvta/iCM thtnto) that  ii subject to
regulation under the RCRA, UIC, NPDES, or PSD program!.


FLUID  means material or tubstance which flows or moves whether in
a semisolid, liquid, sludge, gas, or any other form or state.
GENERATOR means any person by site, whose act or process produces
hazardous waste identified or listed in 40 CFR Part 261.
GROUNDWATER  means water below the land surface  in a zone of
saturation.
HAZARDOUS SUBSTANCE means any of the substances designated
under 40 CFR Part  116 pursuant to Section 311 of CWA. (NOTE:
That* tubtunctt trt litwd in  Ttolt 2c—4 of tht inttructiont to Form
2C.I
HAZARDOUS WASTE means a hazardous waste as defined in 40 CFR
Section 261.3 published May 19, 1980.
HAZARDOUS WASTE  MANAGEMENT  FACILITY (HWM futility)
means all  contiguous land,  structures, appurtenances, and improve-
ments on the land, used for treating, storing, or disposing of hazardous
wastes. A facility may consist of several treatment, storage, or disposal
operational units I for txtmplt. on* or mon Itadfi/tt, turftct impound-
mtntt. or combinations of them).
 IN OPERATION means a facility which is treating, storing, or disposing
 of hazardous waste.
 INCINERATOR (in  tht  RCRA program!  means an enclosed  device
 using controlled flame combustion, the primary purpose of which is to
 thermally break down hazardous waste.  Examples of  incinerators  are
 rotary kiln, fluidized bed, and liquid injection incinerators.


 INDIRECT DISCHARGER means a nondomestic discharger introduc-
 ing pollutants to a publicly owned treatment works.


 INJECTION WELL means a well into which fluids are being injected.
 INTERIM  AUTHORIZATION means approval  by EPA of  a  State
 hazardous waste program which  has met the requirements of Section
 3006(c)  of RCRA and applicable requirements of 40 CFR Part 123,
 Subparts A, B, and F.
 LANDFILL means a disposal facility or part of a facility where hazard-
 ous waste is placed in or  on  land and which  is not a land treatment
 facility, a surface impoundment, or an injection well.
 LAND  TREATMENT  FACILITY (in tht RCRA prognm)  means a
 facility  or part of a facility at which hazardous waste is applied onto or
 incorporated into the soil surface; such facilities are disposal facilities
 if the waste will remain after closure.
 LISTED STATE means  a State  listed  by the Administrator under
 Section 1422 of SDWA as needing a State UIC program.


 MGD means millions of gallons per day.
 MUNICIPALITY  means a city, village, town, borough, county, parish,
 district, association,  or other public body created by or under  State
 law and having jurisdiction over disposal  of sewage, industrial wastes,
 or other wastes, or an Indian tribe or an authorized Indian tribal organ-
 ization, or  a designated and  approved  management  agency under
 Section 208 of CWA.
NATIONAL POLLUTANT DISCHARGE  ELIMINATION  SYSTEM
(NPDES) means the national program for issuing modifying, revoking
and  reissuing,  terminating, monitoring,  and enforcing  permits and
imposing and  enforcing pretreatment  requirements, under Sections
307, 318,  402, and 405  of CWA.  The term includes  an  approved
program.
NEW  DISCHARGER means any building, structure, facility, or instal-
lation: (A) From which there is or may be a new or additional discharge
of pollutants at a site at which on October 18, 1972,  it had never dis-
charged  pollutants;  (B) Which  has  never received  a  finally effective
NPDES permit for discharges at that site; and (C) Which is not a "new
source." This definition includes an  indirect discharger which com-
mences discharging into waters of the United States. It also includes
any existing mobile point source, such as an offshore oil drilling rig,
seafood  processing vessel, or aggregate plant that begins discharging
at a location for which it does not have an existing permit.
NEW HWM FACILITY means a Hazardous Waste Management facility
which began  operation or for  which construction commenced after
October 21, 1976.
NEW INJECTION WELL means a well which begins injection after a
UIC program for the State  in which the well is located is approved.
NEW SOURCE (in trie NPDES prognm) means any building, structure,
facility, or installation from which  there is or may  be a discharge of
pollutants, the construction of which commenced:

  A. After promulgation of standards of performance under Section
  306 of CWA which are applicable to such source; or

  B. After proposal of standards of performance in accordance with
  Section 306 of CWA which are applicable to such source, but only if
  the standards are promulgated in accordance with Section 306 within
  120 days of their proposal.
NON-CONTACT COOLING  WATER means water used to reduce
temperature which does not come into direct contact with  any raw
material, intermediate product, waste product  father trim hut), or
finished product.
OFF-SITE means any site which is not "on—site."
ON—SITE means on the same or geographically contiguous property
which  may be divided by public or private rightfW—of-way, provided
the entrance and exit between the properties is at a cross—roads inter-
section, and  access is by  crossing as  opposed to going along, the
rightW-of—way. Non—contiguous properties owned by the same per-
son, but connected by a right-of-way which the person controls and
to which the public does not have access, is also considered on-site
property.
OPEN BURNING means the combustion of any material without the
following characteristics:

  A. Control  of combustion air to maintain adequate temperature for
  efficient combustion;

  B. Containment of the combustion—reaction in an enclosed device
  to provide  sufficient residence time and  mixing for complete com-
  bustion; and

  C. Control of emission of the gaseous combustion products.

/See a/fo "incintrttor" tnd "thtrmtl tnttmtnt").
 OPERATOR  means the person responsible for the overall operation
 of a facility.
OUTFALL means a point source.


OWNER means the person who owns a facility  or part of a facility.
                                                                  1-8

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                                                SECTION D - GLOSSARY (continued)
 PERMIT meant an authorization, licante, or equivalent control docu-
 ment issued by EPA or an approved State to implement the require-
 ments of 40 CFR Parts 122, 123, and 124.
 PHYSICAL CONSTRUCTION (in the RCRA program) means excava-
 tion, movement of earth, erection of forms or structures, or similar
 activity to prepare a HWM facility to accept hazardous waste.
 PILE means any  noncontainerized accumulation of solid, nonflowing
 hazardous waste that is used for treatment or storage.
 POINT SOURCE means any discernible, confined, and discrete convey-
 ance, including  but not limited to any pipe, ditch, channel,  tunnel,
 conduit, well, discrete fissure,  container,  rolling stock, concentrated
 animal feeding operation, vessel or other floating craft from which pol-
 lutants  are or may be discharged. This term does not include return
 flows from irrigated agriculture.
POLLUTANT means  dredged  spoil,  solid waste,  incinerator residue,
filter backwash, sewage,  garbage, sewage sludge, munitions, chemical
waste, biological materials, radioactive materials (except those regulated
wider the Atomic Energy Act of 1954. ft amended [42 U.S.C. Section
2011 et teq.JI, heat, wrecked or discarded equipment, rocks, sand,
cellar dirt and  industrial, municipal,  and agriculture waste discharged
into water. It does not mean:

  A. Sewage from vessels; or

  B. Water, gas, or other material which is injected into a well to facili-
  tate production of oil or gas, or water derived  in association with oil
  and gas production and disposed of in  e well, if the well used either
  to facilitate production or  for disposal  purposes is approved  by
  authority of the State in which the well is located, and if the State
  determines that the injection or disposal will not result in the degrada-
  tion of ground or surface water resources.

  (NOTE: Radioactive materials covered by the Atomic Energy Act ere
  thote encompetted in it* definition of tource, byproduct, or tpecial
  nuclear mtteritlt. Exemplet of mtteritlt not covered include redium
  end eccelerttor produced isotopes. See  Trein  v. Coloredo Public
  Interest Research Group, Inc., 426 U.S.  1 [1976].!
PREVENTION OF  SIGNIFICANT  DETERIORATION (PSD)  means
the national permitting program under 40 CFR 52.21 to prevent emis-
sions of certain pollutants regulated under the Clean Air Act from signi-
ficantly deteriorating air quality in attainment areas.
PRIMARY INDUSTRY CATEGORY means any industry category list-
ad in the NRDC Settlement Agreement (Nature/ Resources Detente
Council v. Trein, 8 ERC 2120 [D.D.C. 1976], modified 12EftC 1833
[D.D.C. 1979] t.
PRIVATELY OWNED TREATMENT WORKS  means any  device or
system which is: (A) Used to treat wastes from any facility  whose
operator  is not the operator of the treatment works; and (B)  Not a
POTW.
PROCESS WASTEWATER means any water which, during manufactur-
ing or  processing, comes into direct contact with or results from the
production or use of any raw material, intermediate product, finished
product, byproduct, or waste product.
PUBLICLY OWNED TREATMENT WORKS or POTW means any de-
vice or system used in the treatment (including recycling end reclama-
tion) of municipal sewage or industrial wastes of a liquid nature which
is owned by a State or municipality. This definition includes any  sew-
ers, pipes, or other conveyances only if they convey wastewater  to a
POTW providing treatment.


RENT means use  of another's property in return for regular payment.


RCRA means the Solid Waste Disposal Act as amended by the Resource
Conservation and  Recovery Act of 1976 (Pub. L. 94—580, at emended
by Pub. L. 95-609, 42 U. S. C. Section 6901 et teg. I.
ROCK CRUSHING AND GRAVEL WASHING FACILITIES are facil--
ities which process crushed and broken stone, gravel,  and riprap (tee
40 CFR  Pert 436, Subpert B. end trie effluent limitations guidelines
for these facilities!.
SDWA means the Safe Drinking Water Act (Pub.  L. 95-523, es amend-
ed by Pub. L. 95-1900. 42 U.S.C. Section 300[f] etteq.l.
SECONDARY INDUSTRY CATEGORY means eny industry category
which is not a primary industry category.
SEWAGE FROM VESSELS means human body wastes and the wastes
from  tiolets and other receptacles intended to receive or retain body
wastes that are discharged from vessels and regulated under Section 342
of CWA, except that  with respect to commercial vessels on the Great
Lakes this term includes gray water. For the purposes of this definition,
"graywater" means galley, bath, and shower water.
SEWAGE SLUDGE means the solids, residues, and precipitate separat-
ed from  or created in sewage  by the unit processes of a POTW. "Sew-
age" as used in this definition means any wastes, including wastes from
humans,  households, commercial establishments, industries, and storm
water  runoff,  that are discharged to or otherwise enter  a publicly
owned treatment works.
SILVICULTURAL POINT SOURCE means any discernable, confined,
and discrete conveyance  related to rock crushing, gravel washing, log
sorting, or log storage facilities which are operated in connection with
silvicultural activities  and from  which pollutants are discharged  into
waters  of  the  United States. This  term does  not  include nonpoint
source silvicultural activities such as nursery operations, site prepara-
tion, reforestation and subsequent cultural  treatment, thinning, pre-
scribed burning, pest and fire control, harvesting operations, surface
drainage,  or road construction  and maintenance from which there is
natural runoff.  However,  some of these activities (such as stream cross-
ing for roads) may  involve point source discharges of dredged or fill
material which may  require a CWA Section 404 permit. "Log sorting
and log storage facilities" are facilities whose discharges result from the
holding of unprocessed wood,  e.g., logs or  roundwood with bark or
after removal of bark  in self—contained bodies of water (mill pondt or
log ponds! or stored  on  land where water  is applied intentionally on
the logs (wet decking). (See 40 CFR Part 429, Subpert J. and the efflu-
ent limitations guidelines for these facilities. I
STATE means any  of the SO States, the District of Columbia, Guam,
the  Commonwealth of Puerto  Rico,  the  Virgin  Islands,  American
Samoa, the Trust Territory of the Pacific Islands (except in thecate of
RCRA!, and the  Commonwealth of the  Northern  Mariana Islands
(except in the case of CWA).
STATIONARY SOURCE  (in the PSD program! means any building,
structure, facility, or installation which emits or may emit any air pol-
lutant regulated under the Clean Air Act. "Building, structure, facility,
or  installation" means any  grouping  of  pollutant—emitting activities
which are located on one or more contiguous or adjacent properties
and which are  owned or operated by the same person (or by persons
under common control).
STORAGE (in the RCRA programl  means the holding of hazardous
waste for a temporary period at the end of which the hazardous waste
is treated, disposed, or stored elsewhere.
STORM WATER RUNOFF means water discharged as a result of rain,
snow, or other precipitation.


SURFACE IMPOUNDMENT  or  IMPOUNDMENT means a facility or
part of a  facility which is a natural  topographic depression, menmade
excavation, or diked  area  formed primarily of earthen materials (al-
though it may be lined with manmede materials!, which is designed to
hold an accumulation of liquid wastes or wastes containing free liquids,
and which is  not an injection  well. Examples of surface impoundments
are holding,  storage,  settling, and aeration pits, ponds,  and  lagoons.


TANK tin the RCRA program! means a stationary device, designed to
contain an accumulation of hazardous waste which is  constructed pre-
marily  of  non—earthen materials (e.g.. wood, concrete, steel, plastic)
which provide structural support
                                                                   1-9

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                                                 SECTION D - GLOSSARY (continued)
THERMAL  TREATMENT  tin tht RCRA prognm) meant the treat-
ment of hazardous watte in a device which uses elevated temperature at
the primary  meant to change the chemical, physical, or biological char-
acter or  composition of the hazardout watte.  Example! of thermal
treatment procattet are incineration, molten talt, pyrolytii, calcination,
wet air oxidation, and microwave ditcharge. (Sae also "incinerator" and
"open burning").
TOTALLY ENCLOSED TREATMENT FACILITY (in the PCFtA pro-
gnm) meant a facility for the treatment of hazardous waste which is di-
rectly connected to an industrial production process and which is con-
structed and operated  in a manner which  prevent! the release of any
hazardous waste or any constituent thereof into the environment dur-
ing treatment. An example is a pipe in which waste acid is neutrelized.
TOXIC POLLUTANT meant any pollutant listed at toxic under Section
307(a)(1) of CWA.
 TRANSPORTER (in tht RCRA prognm) meens a person engaged in
 the off—site transportation of hazardout waste by air, rail, highway, or
 water.
 TREATMENT (in tht RCRA prognm) meens any method, technique,
 or process,  including neutralization, designed to change the  physical,
 chemical, or biological character  or competition of any hazardous
 waste so as  to neutralize such waste, or so as to recover energy or ma-
 terial resources from the waste, or so as to render such waste non—haz-
 ardous, or less hazardous; tafer to transport, store, or dispose of;  or
 amenable for recovery, amenable for storage, or reduced in volume.
 UNDERGROUND INJECTION meant well injection.
 UNDERGROUND SOURCE OF DRINKING WATER or USDW means
 an aquifer or its portion which it not an exempted aquifer and:

  A. Which supplies drinking water for human consumption; or

  B. In which the ground water contains fewer than 10,000 mg/l total
  dissolved solids.
 UPSET means an  exceptional incident in which there it unintentional
 and temporary noncompliance with technology-based permit effluent
 limitations because of fectort  beyond the reasonable control  of the
 permittee. An upset  does not include noncompliance to the  extent
 caused by operational error, improperly designed treatment facilities,
 inadequate treatment facilities, lack of preventive maintenance, or care-
 less or improper operation.
WATERS OF THE UNITED STATES meant:

  A. All waters which are currently used, were used in the past, or may
  be susceptible  to ute  in  interstate or foreign commerce, including
  all water! which are subject to the ebb end flow of the tide;

  B. All interstate waters, including interstate wetlands;

  C. All  other waters such as intrastate lakes, rivers, streams (including
  intermittent streams), mudflats,  sandflats, wetlands, sloughs, prairie
  potholes, wet  meadows,  playa  lakes,  and natural  ponds,  the use,
  degradation, or destruction of which would or could affect interstate
  or foreign commerce including any such waters:

    1. Which are or could be used by interstate or foreign travelers for
    recreational or other purposes,

    2. From which fith or shellfish are  or could be taken and sold in
    interstate or foreign commerce,

    3. Which are used  or could be used  for industrial purposes by  in-
    dustries in interstate commerce;

  D. All  impoundments  of waters otherwise  defined as waters of the
  United States under this definition;

  E. Tributaries  of waters identified in paragraphs (A) — (D) above;

  F. The territorial sea; and

  G. Wetlands adjacent to waters (other than waters that are themselves
  wetlands) identified in paragraphs (A) — (F) of this definition.

Waste treatment systems, including treatment ponds or lagoons design-
ed  to meet requirement of CWA  {other thin cooling ponds as defined
in 40 CFR Section 423.1 Km) which tlso meet  the criteria of this
definition) are not waters of the United States. This exclusion applies
only to  manmade bodies of water which neither were originally created
in waters of the  United States /such as » disposal area in wetlands) nor
resulted  from the  impoundments of waters  of the  United States.
WELL INJECTION  or UNDERGROUND  INJECTION means the sub-
surface emplacement of fluids through a bored, drilled, or driven well;
or through a dug well, where the depth of the dug well is greater than
the largest surface dimension.
WETLANDS means those areas  that are inundated or saturated by
surface or groundwater at a frequency and duration sufficient to sup-
port, and that under normal circumstances do support, a prevalence of
vegetation typically adapted  for  life in saturated toil conditions. Wet-
lands  generally  include  swamps, marshes,  bogs,  and similar areas.
                                                                   1-10

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FIGURE 1-1

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Please print or TvPe in the unshaded areas only
I fill-in areas are spaced for elite type, i.e.. I2chtrtcten/inchl.
                                                                                   Form Approved.  OMB No. 2040-0086. Approval expires 5-31-92.
   FORM
                                         0.«. ENVIRONMENTAL. PROTECTION AOBNCV

                                               GENERAL INFORMATION
                                                   CoruoHdtWd Arm/at Profrtm
                                          IRtod tht "General Initructionl" btfort itgrtiniJ
       LABEL '^EMS

 [. EPA I.D. NUMBER
.  .       ..
\\V\\\
,111. FACILITY NAME  N
  ,  FACILITY
                \
    MAILING ADDRESSs
\\
 II. POLLUTANT CHARACTERISTICS
  INSTRUCTIONS:  Complete A through J te
  questions, you must submit this form and tin sutytementqtferiB
  if tht supplemental form is attached. H you anewer "he" to each
                                                                  iothe
                                                                                                    If • preprinted label hat bMn provided, affix
                                                                                                    it in the designated ipace. Review the inform-
                                                                                                    ation carefully: if any of it  it Incorrect, cross
                                                                                                    through  it and enter the correct data in  the
                                                                                                    appropriate fill—in area  below. Also, if any of
                                                                                                    the) preprinted data Is abeam (the tret to  tht
                                                                                                    toft  of Ma **•/ tpac*  littt the informttion
                                                                                                    tnat ihovtd appeevj, please  provide  it in  the
                                                                                                          fill-in •raatt/ below.  If  the  label is
                                                                                                    complete and correct, you need  not complete
                                                                                                          I.  III. V. and VI (except VI-B which
                                                                                                    mmt tt  comp/eftd ngtrdltu).  Complete  all
                                                                                                    tarn* if  no label hat been provided. Refer to
                                                                                                    the  instructions  for detailed  item  descrip-
                                                                                                              tor the  legal authorizations under
                                                                                                              '   to collected.
                                              If you answer "yes" to any
                                  Matt *V In the box in the third column
yen Mtjd not mien It any of those form Ye* may answer "no" if your activity
  is excluded from permit requirement!; see Section C of the MractkMe, IN alee, Section 0 of *• imtnictpMi for deflohsons of be*d-feeed terms.
                SPECIFIC QUaSTIOMS
                                                                                                                                   MARK '
     Is  this  facility a
     which results  m a
     (FORM2A)
                                                                                                             itf or propottd)
                                                                                                              _ ejsienttlon or
                                                                                                          ' which results in a
                                                                                            icftfta UA? (FORM 28)
     Is this a  facility which currently  results in (Neakatfea
     to  waters of the U.S. other than those described in
     A or B above? (FORM 2C)	
                                                                        D. It th» e propoaaa taoHlty rolnar (nan rnoae ottcribed
                                                                           In A or 8 atewj wMeh wilt result in a dlacharge to
                                                                                   -  -  " ".? (FORM 2DI	
  E. Does or will  this facility  treat, store, or dispose of
     hazardous westee' (FORM 3)
                                                                         F. Do yew or wiH you inject at this facility industrial or
                                                                           municipal affluent below the lowermost stratum con-
                                                                           taining, within one quarter mile of the well bore.
                                                                                              of drinking water? (FORM 4)
     Do you or will you inject at this facility any produced
     water or other fluids which are brought to the surface
     in connection with conventional oil or natural gas pro-
     duction, inject fluids used for enhanced recovery of
     oil or natural gas. or inject fluid* for Starafs of liquid
     hydrocarbons? (FORM 4)	
                                                                         H. Do vMWwtByott inject an this facility fluids for spe-
                                                                            cial proteases eueh at mining of sulfur by the Frasch
                                                                            proceas, eotution mining of minerals, in situ combus-
                                                                            tJo* of feejH fuel, or nnoxery of geotharmal energy?
                                                                            
 V. FACILITY MAILING ADDRESS
                  A. CTRCCT, ROOTS; NO. on OTHIR SPECIFIC IDENTIFIER
 it \ t«
                             B. COUNTY NAME
                              C. CITV OM TOWN
                                -i—i—i—r
                                                                                         E. ZIP CODE
EPA  Form 3510-1  (8-90)
                                                                                                                      CONTINUE ON REVERSE

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CONTINUED FROM THE FRONT
 VII. SIC CODES '4'digit. in order of priority I

                             A FIRST
 VIII. OPERATOR INFORMATION
                                                                                                                . li th« name Hma In
                                                                                                                 IMtn VIII-A »tao tlM
                                                                                                                 owner?
                                                                                                                a YES a NO
                                                                                                                •I
       C. STATUS OF OPERATOR (Enter the appropriate letter into the answer box, if 'Other ', specify.!
                                                                                                   o. PHONE (arta tuiie A no.)
   F « FEDERAL
   S- STATE
   P -PRIVATE
                M « PUBLIC (other than federal or state)
                O • OTHER (ipecify)
                              E. STREET OR P.O. BOX
                     I   I   I  I   I   I   I  I   I
                           F. CITY OR TOWN
                                                                                            It th» facility looted on Indian landt'

                                                                                                   YES     CZ1 NO
 X. EXISTING ENVIRONMENTAL PERMITS
      A. NPOES (Discharges to Surface Wafer)
                                         o. PSD I Air Emiiriom from Proposed Sources)
                                                        E. OTHER (specify)
m. uic (Underground Injection of Fluids)
          c. RCRA /Hazardous Wastes/
                                                   m. OTHER (specify/
 Attach to thit application a topographic map of the area extending to at least one mile beyond property boundaries. The map must show
 the outline of the facility, the location of each of its existing and proposed intake and discharge structures, each of its hazardous waste
 treatment, storage, or disposal facilities, and each well  where it injects fluids underground. Include all springs, rivers and other surface
 water bodies in the map area. See instructions for precise requirements.
 XII. NATURE OF BUSINESS Iprovidt * britl dncriptionj
 XIII. CERTIFICATION Ittt /hMnttffentT
                        ar-/tw0tt//>w*perKm^
  ttttehnwntt and th*t, btmd on my inquiry of that ptaont tmrnKOftth/ mpontfb* for ataMHrtfte MonmUon eonauntd In thf
  application, I believe that thf information it true, jccurtdt md compete. / «vn *¥*tn (Ae* then «v* tigniflctnt peneftiet for submitting
  false information, including the ponibiHty of fine and impriaonmtnt
 A. NAME » OFFICIAL TITLf/type or print/
 COMMENTS FOR OFFICIAL USE ONLY
EPA Form 3510-1  (8-90)

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Please pnm or tvpe in the unshaded areas only
Ifill—in areas are spaced lor elite type, i.e.. 12 chtrtcters/inchl.
                                                                                   Form Approved.  OMB No 2040-0086. Approval expires 5-31-92.
  FORM



GENERAL
                                          U.». ENVIRONMENTAL PROTECTION AGCNCV

                                                GENERAL INFORMATION
                                                    Contotidetfd rVmvw Program
                                           IRtad thr ••Gtntral Initnictioiu" btfort itartins I
                          s1
   ^   ^   ^    kj  ^    X
 \ ' \A  \   \  \.   \
   \  \  \  \  \N
    FACILITY
    MAILING ADOI
\ \  \  \ \
 II. POLLUTANT CHARACTERISTICS
                                                                                                    If • preprinted label  het been provided, affix
                                                                                                    it in the designated space. Review the inform-
                                                                                                    ation carefully; if any of it  if incorrect, cross
                                                                                                    through  it and enter the correct data in  the
                                                                                                    appropriate fill—in area below. Alao, if any of
                                                                                                    the preprinted data is abwnt (the are* to  th»
                                                                                                    /e/t  of tht Itbel apace-  littt the informtrjon
                                                                                                    thft ihouU tppeerl,  please  provide  it in  the
                                                                                                    proper  fill—in  areafrj below.  If  the label it
                                                                                                    complete and correct, you need not  complete
                                                                                                    Item*  I,  III.  V, and VI (except VI-8 which
                                                                                                    matt be  completed regerd/eal. Complete  all
                                                                                                    items if no label has been provided. Refer to
                                                                                                    the  instruction!  for  detailed  item  descrip-
                                                                                                    tions anal tor  the  legal authorization! under
                                                                                                    which (Ms data is collected.
  INSTRUCTIONS:  Complete. A throufh J to oatarmint wbatnar you naad to submit any parmit ipplication forms to the EPA, If you answer "y«" to my
 (qutrttoM, you mutt submit thai form and the mpfliajajnaj form Najaj in tin paronth»ais faHewim the qmrton. Mork "X" in the box in tht third column
 . if Uw luppltmwitol form k atajcfcsd. If you wwajor "BO" to tort OINMHM. you nood not wfamh ony of than forms. You miy answer "no" if your activity
  ii cxdudod from pormit raqvimoMitt; ON Section C of th» Mnidiora. Sw olio, Soction D of tht inotniction» for dtf initioni of boM-facad termi
                SPECIFIC QUMTIOMS
                                                               •Tr*cM«a
                                                                                            ciFic QUKTION*
                                                                                                                                   MARK  X
                                                                                                                                   ~~n  »»•«
                                                                                                                                       ATTACMBD
 A. Is  this facility  a
    which results in a
    (FORM 2AI
                                                                         B. Ooai or will thie »c4Hty U
                                                                            iVtCHlOV ( 9>MMslMsHHal BMNMI vMtNflf OpWtlOO Or
                                                                            •ejMetk antaMl ajfosfciethiii faeMMy which results in  a
                                                                            eteharge to watet* of the U.S.? (FORM 28)
  C. U this  a facility which currently results m eMaKargee
     to  water*  of tfw US. other than  those described  in
     A or B  above? (FORM 2CI	
                                                                        D. li this a proposed facility fotncr thtn thtue dacribfd
                                                                           in A or B eborei which will result in a diecharga to
                                                                           n»UDt
                                                                                                                       CONTINUE ON REVERSE

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CONTINUED FROM THE FRONT
 VII. SIC CODES 14-digit. in order at priorityi^
                                                                                                •  SECOND
              Ispecijy/
                                                                                  (specify!
                                                                                               O. FOURTH
              (specify^
 VIII. OPERATOR INFORMATION
                                                                                                                  9. Is the name lifted in
                                                                                                                     Itwn VIH-Aalto ttw
                                                                                                                     ownar?

                                                                                                                     I] YES Cj NO
      FEDERAL
   S- STATE
   P * PRIVATE
M - PUBLIC (other than federal ornate)
O • OTHER (iptcify)
                               E. STREET OK P.O. BOX
                            F. CITV OR TOWN
                                                                                               It tht facility located on Indian lands'

                                                                                                   CH YES      Cj NO
X. EXISTING ENVIRONMENTAL PERMITS
       C. STATUS OF OPCR ATOM (Enter the appropriate letter into the answer box if "Other", specify.)
                                                                                                       O. PHONE fat-ca code & no.t
      A. NPOES (Discharge! to Surface Wat*r)
                                         -U-
                          D. PSD fAir Emlisiora from Proposed Sources/
     I. uic (Underground Infection of Fluids)
                                    *.. OTHER (specify)
                                                                                          (specify/
          c. RCRA (Hazardous Wattesj
                                    c. OTHBW (iptdfyi
 Attach to this application a topographic map of ttw area extending to at tost one mile beyond property bounderies. The map must show
 the outline of the facility, the location of each of its exfeting and proposed intake and discharge structures, each of it* hazardous waste
 treatment, storage, or disposal facilities, and each well where ft injects fluids underground. Include all springs, rivers and other surface
 water bodies in the map area. See instruction* for precis* requirements.
 XII. NATURE OF BUSINESS Iprovidt» briaidmcriftionT
 XIII. CERTIFICATION fcM iratrvctiontl
  I certify under penalty of law that I have partonaity txtmitml and am famiOar with th* Information tutmfttad in th/t application and all
  attachments and that, bated on my inquiry of thoaa peraomr immatOatary responsible for obtaining the Information contained in the
  application, I believe that the information  it true, accurate and complete, I am aware that then art tignlffcant penalties for submitting
  false information, including the possibility of fine and imprisonment
 A. NAME a OFFICIAL TITLE (type or print!
 COMMENTS FOR OFFICIAL USE ONLY
EPA Form  3510-1  (8-90)

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APPENDIX EJ;      FORM 2F
                                78

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                                          EPA ,0 Number ,'cspy torn mm i of Form
=is form,  nciud^g
   suggestions which may increase or reduce this burden to:  Chief, information Policy Branch. PM-223. U.S. Environmental Protection Agency
   401  M  St..  SW.  Washington.  DC 20460. or  Director,  Office of information  and Regulatory  Affairs.  Office  of Management and Budget
   Washington. DC 20503.
 I. Outfall Location
   cor each outfall, list the latitude and longitude of its location to the nearest 15 seconds and the name o< the receiving water.
     A. Outfall Number
                                                                                 0. Receiving Water

                                                                                      (name)
  I. Improvements	                             	
   A.  Are you now required by any federal. State, or local authority to meet any implementation schedule for the construction, upgrading or
      operation of wastewater treatment equipment or practices  or any other environmental  programs  which may affect the  discharges
      described in this application? This includes, but is not limited to, permit conditions, administrative or enforcement orders, enforcement
      compliance schedule letters, stipulations, court orders, and grant or loan conditions.
    i. Identification of Conditions.

   	Agreements. Etc.	
                               2. Affected Outfalls
                       number
  source of discharge
3. Brief Description of Project
    •» Final

Compliance Cate

a. req   o orp|
      You  may attach additional  sheets describing  any  additional water pollution (or other environmental projects which  may a*»ct
      discharges) you now have under way or which  you plan, indicate whether each program is now under way or planned, and indicate
      actual or planned schedules for construction.
 III. Site Drainage Mi
   Attach a site map showing topography (or indicating the outline of drainage areas served by the outfall(s) covered in the apples: c-
   topographic map is unavailable) depicting the facility including: each of its intake and discharge structures: the drainage area of eac- •,
   water outfall: paved areas and buildings within the drainage area of each storm water outfall, each known past or present areas -•>*-
   outdoor storage or disposal of  significant materials, each existing structural control measure to reduce pollutants m storm /.ate'  .-
   materials loading and access areas, areas where pesticides, herbicides, soil conditioners and fertilizers are applied; each of its -a:i -
   waste treatment, storage or disposal units (including each area not required to have a RCRA permit which is used for accumulating - a: i :
   waste under 40 CFR 262.34); each well where fluids from the facility are miected underground; springs, and other  surface water oca »» ~-
   receive storm water discharges from the facility.                                     	
EPA Form  3S10-2P (11-90)
                                                         Page t ot 3
                                                                                               Continue on >>t9* 2

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Continued from the Front
 IV  Narrative DMcriotion of Pollutant Sources
   A.   For each outfall, provide an estimate of the area (include units) of impervious surfaces (including paved artas and building roofs]
       to the outfall, and an estimate of the total surface aria drained by trie outfall.
 Outfall
          Area of impervious Surface
Total ATM Drained

  foiavkto units\
 Outfall

jjumber
Area of Impervious Surface

      fprovidi unto)
Total Area Oramtd
   3   Provide a narrative description cf significant materials that are currently or n the past three years nave Deen treated, stored or Disposed .n
       a manner to allow exposure to storm water; mtthod of treatment, storage, or disposal: past and present materials management practices
       employed. >n the iast three years, to minimize contact by these materials with storm water runoff: materials loading and access areas, and
       the location  manner  and frequency n which pesticides. herDiddes. soil conditioners, and fertilizers are applied.
   C.  Fo' each outfall, provide the location and a description of existing structural and nonstructural control measures to reduce poiiutams n
       storm water runoff: and a description of the treatment the storm water receives, including the schedule and type of maintenance for control
       and treatment measures and the ultimate disposal of anv solid or fluid wastes other than bv discharge	
  Outfall

  Mum her
                                                          Treatment
                                                                                                                      US! Codes 'com

                                                                                                                        Table 2F-1
  V. Nonstormwater Discharges
   A  i  certify  under penalty of law  that the outfall(s) covered  by this  application  have been  tested or evaluated for the presence of
      nonstormwater discharges, and that all nonstormwater discharges from these outfall(s) are identified in  either an accompanying Form 2C
      or Form 2E application (or the outfall.	
          Fora
          lOffi
Name and Official Title (rype at print)
           Signature
                                                      I
                                         Date Signed
    3  Provide a descnotion of the method used, the date of any testing, and the onsite drainage points that *ere directly ooserved 3ur.."g a test
    Provide existing information regarding the history of significant leaks or spills of toxic or hazardous pollutants at the facility m me  ast •-'*•
    years, including tne approximate) date and location of the spill or leak, and the type and amount of material released.
 EPA  Form  3510-25  (11-M)
                                                              Page 2 of 3
                                                                                                              Continue on Pag* )

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 Continued from Pag« 2
                                          EPA ID Number (copy from lt»m i of Form 1)
  A.B.C, & 0:  See instruction* before proceeding. Complete on* set of tables (or each outfall. Annotate the outfall number in the space provide.

 	Tablet V»-A, VII-B. and V1I-C art included on separate sheets numbered VII-1 and V1I-2.	
  E:  Potential discharge* not covered by analysis - Is any pollutant listed in Table 2F-2 a substance or a component of a substance whicn you
     currently use or manufacture as an intermediate or final product or byproduct?
     I   |  Yes (list til such polluting o»low)
                                                                                         \   I  No (go to Section^
                                                                                                             IX)
 VIII. Biological Toxiertv Teatino
 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on any of your discharges or
 on a receiving water in relation to your discharge within the last 3 years?
     I   |  Yes (list all such pollutants betow)
                                                                                        I    |  No (go to Section IX)
Were any of the analyses reported in Item V performed by a contract laboratory or consulting firm?

         Yes (list t/w nan*, addrtst, and fefeptone number of, and pollutants
             anahntd ftv. mach such laboratory or firm Pa/owl	
                                                                                         [   I No (go to Section X)
                 A. Name
                                                        B Address
C. Area Code & Phone No.
D. Pollutants Analyzed
   / 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 the 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.
 A, Name & Official Title (Type or print)
                                                                                         B. Area Code and Phon* No
 C. Signature
                                                                                         D. Date Signed
EPA Form 3510-2F  (11>90)
                                                        Page 3 of 3

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                        SPA C Nurrcer .SCCyTom iwm  :t :'.
                                                                                           -cr-n Acoroved CMS So 2C40-OC86
                                Continued from oaae 3 Q' rprm 2F)
   Part A-  You  must provide trie results of at least one analyst* for every pollutant m this table. Complete on* taoie 'or eacr curtail  See
           mstfuctons for additional details.
    Pollutant
      and
  CAS Numoer
       Maximum ValuM
        (include unfa)
Grab Sampt*
Taken (Xinng
                      Minutes
                 Plow-weighted
                  Composite
                         Average Values
                          fine/ode units)
                                                                                     , Number
                  Grab Sample
                  Taken During
                    First 30
                    Minutes
                               !  Storm
                 Row-weighted  i  Events
                  Composite    , Sampled!
                                                                                                      Sources of 3ciiutants
  i and Grease
Jtoiogical Oxygen
Demand (BOOS)
Chemical Oxygen
Demand (COO)
Total Suspended
Solids (TSS)
Total Kjeidahi
Nitrogen
Mitrate plus
Nitrite Nitrogen
Total
'hosphorus
                                                I
                 Minimum
                                  Maximum
                                                    Minimum
                                                                     Maximum
   Part 8 •  Li si each pollutant mat is limited m an effluent guideline whicn the facility is subject to or any pollutant tested in ;ne 'acmty s \PCE3
           permit for its process wastewater (if the facility is operating under an existing NPOES permit)  Complete ore table 'or tacn out'aii
  	See the instruction! for additional detail and reouifementi.	 	     	                      	
                          Maximum Values
    Pollutant
      and
  CAS Number
   (if av
Grab Sample
Taken During
   First 30
   Minutes
Row-weighted
  Composite
                                          Average values
                                           (mc/i/de units)
Grab Sample
Taken During
   RrstM
   Minutes
Row-weighted
  Composite
Number
   of
 Storm
 Events
Sampled
                                                                                  Sources c< 3c
                                                                                             T
EPA Form  3S10-2F  (11-M)
                                        Page VIM

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Continued from »• front
Part C • _« taen pollutant mow n T«iea 2F-2. 2F-3. and 2F-* that you Know or ntve rtaaon to oeneve >s present. See the nnruction* '~
aaaitionai details and requirements. Complete one table for eacn outfall.
Pollutant
and
CAS Number














Maximum Values
(Vnc/ud* units)
Graft Sample
Taken During
First 30
Minute*

•





























i













Composite






























Average Value*
(includf unit*)
Graft Sample
Taken Owing
First 30
Minutes






























Flow-weighted
Composite
-





























Number
of
Storm
Events
Sampled






























. Sources of Pollutants






























Part 0 • Provide data for the storm event(s) which resulted m the maximum values tor the flow weighted composite sample.
1 2. 3. 4.
Date of Duration Total rainfall Number of hours between
Slorm of Storm during storm event ySf^XKSSS
Event (in mmures) (in mcr*t) measurable rain event

S. 6. 7. a
Maximum floe rate Total flow from Season Form of
dunng rain event rain event **maim was Precipitation
(gtitont/minutf or (gallant or iempww«» (mnfati.
ipeory t/ff/fi ipec/n/ units) taken tnowmtm

9. Provide a description of the method of flow measurement or estimate.

EPA Form 3510-2? (11-90)
Page vn-2

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                                 Instructions - Form 2F

                Application for Permit to Discharge Storm Water

                         Associated with Industrial Activity

Who Must File Form 2F

Form 2F must be completed by operators of facilities which discharge storm water associated with industrial
activity or by operators of storm water discharges that EPA is evaluating for designation as a significant
contributor of pollutants to waters of the United States, or as contributing to a violation of a water quality
standard.

Operators of discharges which are composed entirely of storm water must complete Form 2F (EPA Form
3510-2F) in conjunction with Form 1  (EPA Form 3510-1).

Operators of discharges of storm water which are combined with process wastewater (process wastewater
is water that comes into direct contact with or results from the production or use of any raw material, interme-
diate product, finished product, byproduct, waste product, or wastewater) must complete and submit Form
2F, Form 1. and Form 20 (EPA Form 3510-20).

Operators of discharges of storm water which are combined with nonprocess  wastewater (nonprocess
wastewater includes noncontact cooling water and sanitary wastes which are not regulated by effluent guide-
lines or a new source performance standard, except discharges by educational, medical, or commercial
chemical laboratories) must complete Form 1, Form 2F, and Form 2E (EPA Form 3510-2E).

Operators of new sources or new discharges of storm water associated with industrial activity which will be
combined with other nonstormwater new sources or new discharges must submit Form i. Form 2F, and
Form 20 (EPA Form 3510-20).
Where to Flit Applications

The application forms should be sent to the EPA Regional Office which covers the State in which the facility
is located. Form 2F must be used  only when applying for permits in States where the  NPOES  permits
program is administered by EPA. For facilities located in States which are approved to administer the NPOES
permits program, the State environmental agency should be contacted for proper permit application forms
and instructions.
Information on whether a particular program is administered by EPA or by a State agency can be obtained
from your EPA Regional Office. Form  1, Table  1 of the "General Instructions" lists the addresses of EPA
Regional Offices and'the States within the jurisdiction of each Office.

Completeness
Your application will not be considered complete unless you answer every question on this form and on Form
1.  If an item does not apply to you, enter "NA* (for not applicable) to show that you considered the question

Public Availability of Submitted Information
You may not claim as confidential any information required by this form or Form 1. whether the information
is reported on the forms or in an attachment. Section 402(j) of the Clean Water Act requires that all permit
applications will be available to the public. This information will be made available to the public upon request
Any information you submit to EPA which goes beyond that required by this form, Form i,  or Form 2C you
may claim as confidential, but claims for information which are effluent data will be denied.
If you do not assert a daim of confidentiality at the time of submitting the information. EPA may make the
information public without further notice to you. Claims of confidentiality will be handled in accordance with
EPA's business confidentiality regulations at 40 CFR Part 2.

Definitions
All significant terms used in these instructions and in the form are defined in the glossary found in the General
Instructions which accompany Form 1.
EPA 10 Number
Fill in your EPA Identification Number at the top of each odd-numbered page of Form 2F. You may copy r s
number directly from item I of Form 1.

 EPA Form 3810-2F (11-M>                     I - 1

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Ittml

You may use the map you provided for item XI of Form 1 to determine the latitude and longitude of each of
your outfalls and the name of the receiving water.

Item II-A

If you check "yes" to this question, complete all parts of the chart, or attach a copy of any previous submission
you have made to EPA containing the same information.
Item il-B
You are not required to submit a description of future pollution control projects if you do not wish to or if none
is planned.

Item III

Attach a site map showing topography (or indicating the outline of drainage areas served by the outfall(s)
covered in the application if a topographic map is unavailable) depicting the facility including:

    each of its drainage and discharge structures;

    the drainage area of each storm water outfall;

    paved areas and  building within the drainage area  of each storm water outfall, each known  past  or
    present areas used for outdoor storage or disposal of significant materials, each existing structural con-
    trol measure to reduce pollutants in storm water runoff,  materials loading and access areas, areas where
    pesticides, herbicides, soil conditioners and fertilizers are applied;

    each of its hazardous waste treatment, storage or disposal facilities (including each area not required to
    have a RCRA permit which is used for accumulating hazardous waste for less than 90 days under 40 CFR
    262.34);

    each well where fluids from the facility are injected underground;  and

    springs, and other surface water bodies which receive storm water discharges from the facility;

Item IV-A

For each  outfall, provide an estimate of the area drained by the outfall which is covered by impervious
surfaces.  For the purpose of this application, impervious surfaces are surfaces where storm water runs off at
rates that are significantly higher than background rates (e.g., predevelopment levels) and include paved
areas,  building roofs, parking lots, and roadways. Include an estimate of the total area (including all impervi-
ous and pervious areas) drained by each outfall.  The site map required under item ill can be used to estimate
the total area drained  by each outfall.

Item IV-B

Provide a narrative description of significant materials that are currently or in the past three years have been
treated, stored, or disposed in a manner to allow exposure  to storm water; method of treatment, storage or
disposal of these materials;  past and present materials management practices employed, in the last  three
years,  to minimize contact by these materials with storm water runoff; materials loading and access areas:
and the location, manner, and frequency in which pesticides, herbicides, soil conditioners, and fertilizers are
applied. Significant materials should be identified by chemical name, form (e.g.. powder,  liquid, etc ). and
type of container or treatment  unit Indicate any materials treated,  stored, or disposed of together.  Signifi-
cant materials" Includes, but is not limited to: raw materials; fuels; materials such as solvents, detergents, and
plastic pellets: finished materials such as metallic products: raw materials used in food processing or produc-
tion, hazardous substances  designated under Section 101 (14) of CERCLA any chemical  the facility  is  re-
quired to report pursuant to Section 313 of Title  III of SARA; fertilizers: pesticides: and waste products sucn
as ashes, slag and sludge that have the potential to be released with storm water discharges.
Ittm IV-C

For each  outfall, structural controls Include structures which enclose  material  handling or storage areas
covering materials, berms, dikes, or diversion ditches around manufacturing, production,  storage or treat
ment units, retention  ponds, etc. Nonstructural controls include practices such as spill prevention plans
employee training, visual inspections, preventive maintenance, and housekeeping measures that are used :;
prevent or minimize the potential for releases of pollutants.

EPA Form 3S10-2F (11-90)                       I  2

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ItemV

Provide a certification that all outfalls that should contain storm water discharges associated with industrial
activity have been tested or evaluated for the presence of non-storm water discharges which are not covered
by an NPDES permit Tests for such non-storm water discharges may include smoke tests, fluorometnc dye
tests, analysis of accurate schematics, as well as other appropriate tests.  Part B must include a description
of the method used, tha date of any testing, and the onsite drainage points that were directly observed during
a test. All non-storm water discharges must be identified in a Form 2C or Form 2E which must accompany
this application (see beginning of instructions under section titled "Who Must File Form 2F for a description
of when Form 2C and Form 2E must be  submitted).

Item VI

Provide a description of existing information regarding the history of significant leaks or spills of toxic or
hazardous pollutants at the facility in the last three years.
Item VII-A, B, and C

These items require ybu to collect and report data on the pollutants discharged for each of your outfalls. Each
part of this item addresses a different set of pollutants and must be completed in accordance with the specific
instructions for that part. The following general instructions apply to the entire item.
General Instructions

Part A requires you to report at least one analysis for each pollutant listed.  Parts B and C require you to report
analytical data in two ways. For some pollutants addressed in Parts B and C. if you know or have reason to
know that the pollutant is present in your discharge, you may be required to list the pollutant and test (sample
and analyze) and report the levels of the pollutants in your discharge. For all other pollutants addressed in
Parts B and C, you must list the pollutant if you know or have reason to know that the pollutant is present in
the discharge, and either report quantitative data for the pollutant or briefly describe the reasons the pollutant
is expected to be discharged.  (See specific instructions on the form and below for Parts A through C.) Base
your determination that a pollutant is present in or absent from your  discharge on your knowledge of your
raw materials, material management practices, maintenance chemicals, history of spills and releases, inter-
mediate and final products and byproducts, and any previous analyses known to you of your effluent or
similar effluent.

A.  Sampling: The collection of the samples for the  reported analyses should be supervised by a person
    experienced in performing sampling of  industrial wastewater or storm water discharges. You may con-
    tact EPA or your State permitting authority for detailed guidance on sampling techniques and for answers
    to specific questions. Any specific requirements contained in the applicable analytical methods should
    be followed for sample containers, sample preservation, holding times, the collection of duplicate sam-
    ples, etc. The time when you sample should  be representative, to the extent feasible, of your treatment
    system operating properly with no system upsets. Samples should be collected from the center of the
    flow channel, where turbulence is at a maximum, at a site specified in your present permit, or at any sue
    adequate for the collection of a representative sample.
    For pH, temperature, cyanide, total  phenols, residual  chlorine, oil and grease, and fecal conform, grab
    samples taken during the first 30 minutes (or as soon thereafter as practicable) of the discharge must be
    used (you art not required to analyze a flow-weighted composite for these parameters). For all other
    pollutants both • grab sample collected during the first 30 minutes (or as soon thereafter as practicable)
    of the discharge and a flow-weighted composite sample must be analyzed. However, a minimum of one
    grab sample may ba taken for effluents from holding ponds or  other impoundments with a retention
    period of greater than 24 hours.
    All samples shall be collected from  the discharge resulting from  a storm event that is greater than 0 1
    inches and at least 72 hours from the previously measurable (greater than 0.1 inch rainfall) storm event
    Where feasible, the variance in the  duration  of the  event and the total rainfall of the event should not
    exceed SO percent from the average or median rainfall event in that area.

    A grab sample shall be taken during the first thirty  minutes of the discharge (or as soon thereafter as
    practicable), and a flow-weighted composite shall be taken for the entire event or for the first  three hours
    of the event.
    Grab and composite samples are defined as follows:


EPA  Form 3S10-2F (11-90)                       I - 3

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       Grab sample: An individual sample of at least 100 millilrters collected during the first thirty minutes
       (or as soon thereafter as practicable) of the discharge. This sample is to be analyzed separately from
       the composite sample.

       Flow>W«tghted Composite sample: A flow-weighted composite sample may be taken with a con-
       tinuous sampler that proportions the amount of sample collected with the flow rate or as a combina-
       tion of a minimum of three sample aliquots taken in each hour of discharge for the entire event or for
       the first three hours of the event, with each aliquot being at least  100 miliiiiters and collected with a
       minimum period of fifteen minutes between aliquot collections. The composite must be flow propor-
       tional: either the time interval between each aliquot or the volume of each aliquot must be propor-
       tional to either the stream flow at the time of sampling or the total  stream flow since the collection of
       the previous aliquot. Aliquots may be collected  manually or automatically. Where GC/MS Volatile
       Organic Analysis (VOA) is required, aliquots must be combined in the laboratory immediately before
       analysis. Only one analysis for the composite sample is required.

    Data from samples taken in the past may be used, provided that:

       All data requirements are met;

       Sampling was done no  more than three years before submission; and

       All data are representative of the present discharge.

    Among the factors which would cause the data to be unrepresentative are significant changes in produc-
    tion level, changes in raw materials, processes, or final products, and changes in storm water treatment.
    When the Agency promulgates new analytical methods in 40 CFR Part 136, EPA will provide information
    as to when you should use the new methods to generate data on  your discharges. Of course, the
    Director may request additional information, including current quantitative data, if they determine  it to be
    necessary to assess your discharges. The Director may allow or establish appropriate site-specific sam-
    pling procedures or requirements, including sampling locations, the season in which the sampling takes
    place, the minimum duration between the previous measurable storm event and the storm event sam-
    pled, the minimum or maximum level of precipitation required for an appropriate storm event, the form
    of precipitation sampled (snow melt or rainfall), protocols for collecting samples under 40 CFR Part 136
    and additional-time'for submitting data on a case-by-case basis.

B.  Reporting: All levels must be reported as concentration and as total mass. You may  report some or ail
    of the required data by attaching separate sheets of paper instead of filling out pages VIM and Vil-2 if the
    separate sheets contain all the required information in a format which is consistent with pages VH-i and
    VII-2 in spacing and in identification of pollutants and columns. Use  the following abbreviations  m the
    columns headed 'Units.'
                    Concentration                                    Mass

     ppm     parts per million                      Ibs       pounds
     mg/1    milligrams  per liter                     ton      tons (English tons)
     ppb     parts per billion                       mg      milligrams
     ug/1     micrograms per liter                   g        grams
     kg       klograms                            T        tonnes (metric tons)

    All reporting of values for metals must be in terms of total recoverable metal," unless:

       (1) An applicable, promulgated effluent limitation or standard specifies the limitation for the metal >n
       dissolved, valent or total form; or
       (2) Afl approved analytical methods for the metal inherently measure only its dissolved form (e g
       hexavalent chromium);  or
       (3) The permitting authority has determined that in establishing case-by-case limitations it is neces
       sary to express the limitations on the metal in dissolved, valent. or total form to carry out the  c'c:
       sions of the CWA.  If you measure only one grab sample and one flow-weighted composite
       for a given outfall, complete only the "Maximum Values" columns and  insert T into the '
       Storm Events Sampled* column. The permitting authority may require you to conduct  ada-t
       analyses to further characterize your discharges.


 EPA Form 3510-2F (11-M)                      I-4

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    If you measure more than one value for a grab sample or a flow-weighted composite sample for a given
    outfall and those values are representative of your discharge, you must report them. You must describe
    your method of testing and data analysis. You also must determine the average of all values within the
    last year and report the concentration mass under the 'Average Values" columns, and the total number
    of storm events sampled under the 'Number of Storm Events Sampled* columns.

C.  Analysis: You must use test methods promulgated in 40 CFR Part 136;  however, if none has been
    promulgated for a particular pollutant, you may use any suitable method for measuring the level of the
    pollutant in your discharge provided that you submit a description of the  method or a reference to a
    published method. Your description should include the sample holding time, preservation techniques,
    and the quality control measures which you used. If you have two or more substantially identical outfalls,
    you may request permission from your permitting authority to sample and analyze only one outfall and
    submit the results of the analysis for other substantially identical outfalls. If your request is granted by the
    permitting authority, on a separate sheet attached to the application form, identify which outfall you did
    test, and describe why the outfalls which you did not test are substantially identical to the outfall which
    you did test.
Part VII-A

Part VII-A must be  completed by all applicants for all outfalls who must complete Form 2F.

Analyze a grab sample collected during the first thirty minutes (or as soon thereafter as practicable) of the
discharge and flow-weighted composite samples for all pollutants in this Part, and report the results except
use only grab samples for pH and oil and grease.  See discussion in General Instructions to Item VII for
definitions of grab  sample collected during the first thirty minutes of discharge and flow-weighted composite
sample. The "Average Values* column is not compulsory but should be filled out if data are available.
Part VII-8

List all pollutants that are limited in an effluent guideline which the facility is subject to (see 40 CFR Subchap-
ter N to determine which pollutants  are limited  in effluent guidelines) or any pollutant listed in the facility's
NPOES permit for its process wastewater (if the facility is operating under an existing  NPDES permit). Com-
plete one table for each  outfall. See discussion in General instructions to item VII  for  definitions of grab
sample collected during the first thirty minutes (or as soon thereafter as practicable) of discharge and flow-
weighted composite sample. The "Average Values' column is not compulsory but should be filled out If data
are available.

Analyze a grab sample collected during the first thirty minutes of the discharge and flow-weighted composite
samples for all pollutants in this Part, and report the results, except as provided in the General Instructions.
Part VII-C

Part VII-C must be completed by all  applicants for all outfalls which discharge storm  water associated  with
industrial activity, or that EPA is evaluating for designation as a significant contributor  of pollutants to waters
of the United States, or as contributing to a violation of a water quality standard. Use both a grab sample and
a composite sample for all pollutants you analyze for in this part except use grab samples for residual chlorine
and  fecal coliform. The "Average Values" column is not compulsory  but should be filled out  if  data are
available. Part C requires you to address the pollutants in Table 2F-2, 2F-3, and  2F-4 for each outfall. Pollu-
tants in each of these Tables are addressed differently.
Table 2F-2: For each outfall, list all pollutants in Table  2F-2 that you  know or have reason to believe are
discharged (except pollutants previously listed in Part VII-B). If a pollutant is limited in an effluent guideline
limitation which the facility Is subject to (e.g., use of TSS as an indicator to control the discharge of iron and
aluminum), the pollutant should be listed in Part VII-B. If a pollutant in table 2F-2 is indirectly limited by an
effluent  guideline limitation through an indicator, you must analyze for it and report data in Part Vil-C  For
other pollutants listed in Table 2F-2 (those not limited directly or indirectly by an effluent limitation guideline).
that you know or have reason to believe are discharges, you must either report quantitative data or briefly
describe the reasons the pollutant is expected to be discharged.

Table 2F-3: For each outfall, list all pollutants in Table  2F-3 that you  know or have  reason to believe are
discharged. For every  pollutant in Table 2F-3 expected to be discharged in concentrations of 10 ppb or
greater, you must  submit quantitative data. For acrolein. acrylonitrile, 2,4 dinitrophenol, and 2-methyl-4 6
dinitrophenol, you  must submit quantitative data if any of these four pollutants is expected to be discharged


EPA Form  3510-2F (11-90)                       |-5

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in concentrations of 100 ppb or greater. For every pollutant expected to be discharged in concentrations less
than 10 ppb (or 100 ppb for the four pollutants listed above), then you must either submit quantitative data
or briefly describe the reasons the pollutant is expected to be discharged.

Small Business Exemption • If you are a 'small business,' you are exempt from the reporting requirements
for the organic toode pollutants listed in Table 2F-3. There are two ways in which you can qualify as a 'small
business'. If your faciHy Is a coal mine, and if your probable total annual production is less than 100.000 tons
per year, you may submit past production data or estimated future production  (such as a schedule of esti-
mated total production under 30 CFR 795.14(C)) instead of conducting analyses for the organic toxic pollu-
tants. If your facility is not a coal mine, and if your gross total annual sales for  the most recent three years
average less than $100.000 per year (in second quarter 1980 dollars), you may submit sales data for those
years instead of conducting analyses for the organic toxic pollutants. The production or sales data must be
for the facility which is the source of the discharge. The data should not be limited to production or sales for
the process or processes which contribute to the discharge, unless those are the only  processes at your
facility. For sales data, in situations involving intracorporate transfer of goods and services, the transfer price
per unit should approximate market prices for those goods and services as closely as possible. Sales figures
for years after 1980 should be indexed to  the second quarter of 1980 by using the gross national product
price deflator (second quarter of 1980-100).  This  index is available in National  Income and Product Ac-
counts of the United States (Department of Commerce, Bureau of Economic Analysis).

Table 2F-4: For each outfall, list any pollutant in Table 2F-4 that you know or  believe to be present in the
discharge and explain why you believe it to be present. No analysis is required,  but if you have analytical
data, you must report them. Note: Under 40 CFR 117.12(a)(2), certain discharges of hazardous substances
(listed at 40 CFR 177.21 or 40 CFR 302.4)  may be exempted from the requirements of section 311 of CWA.
which establishes reporting requirements, civil penalties, and liability for cleanup costs for spills of oil  and
hazardous substances. A discharge of a particular substance may be exempted if the origin, source,  and
amount of the discharged substances are  identified in the NPOES permit application or in the permit, if the
permit contains a requirement for treatment of the discharge, and if the treatment is in place. To apply for an
exclusion of the discharge of any hazardous substance from the requirements  of section 311, attach addi-
tional sheets of paper to your form, setting forth the following information:

    1. The substance and the amount of each substance which may be discharged.

   2. The origin and source of the discharge of the substance.

   3. The treatment which is to be provided for the discharge by:

          a. An onsite treatment system  separate from any treatment  system treating your normal  dis-
            charge;

          b. A treatment system designed to treat your normal discharge and which is additionally capable
            of treating the amount of the substance identified under paragraph 1  above; or

          c. Any combination of the above.
See 40 CFR 117.12(a)(2) and (c). published on August 29, 1979, in 44 FR 50766,  or contact your Regional
Office (Table 1 on Form 1, Instructions), for further information on exclusions from section 311

Part VIM)

If sampling Is conducted during more than one  storm event,  you  only need to report the information re-
quested in Part VIM) for the storm event(s) which resulted in any maximum pollutant concentration reported
inPartVII-A,VII4,orVII-C
Provide flow measurements or estimates of the flow rate, and the total amount of discharge for the storm
event(s) sampled, the method of flow measurement, or estimation. Provide the data and duration of the storm
event(s) sampled, rainfall measurements, or estimates of the storm event which generated the sampled runoff
and the duration between the storm event sampled and the end of the previous measurable (greater than o 1
inch rainfall) storm event

Part VIM

List any toxic pollutant listed in Tables 2F-2, 2F-3,  or  2F-4 which you currently use or manufacture as an
intermediate or final product or byproduct In addition, if you know or have  reason to believe that 2.37 3 te
trachlorodibenzo-p-dk»dn (TCOD) Is discharged or if you use or manufacture 2,4.5-trichlorophenoxy acetic


EPA Form M10»2P (11-eS)                       I - 6

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acid (2.4.5.-T); 2-{2.4.5-tricnforophenoxy) propanoicacid (Silvex. 2.4.5.-TP); 2-<2.4.5-tnchioroorienoxv)
2.2-dichloropropionate (Erbon);  0,0-dimethyi 0-(2.4.5-trichlorphenyi) phosphorothioate (Ronnei): 2.4.5-
trichlorophenol (TCP); or hexachlorophene (HCP); then list TCOO. The Director may waive or modify the
requirement if you demonstrate that it would be unduly burdensome to identify each toxic pollutant and the
Director has adequate information to issue your permit. You may not claim this information as confidential:
however, you do not have to distinguish between use or production of the pollutants or list the amounts.

Item VIII

Self explanatory. The permitting authority may ask you to provide additional details after your application is
received.
IttmX

The Clean Water Act provides for severe penalties for submitting false information on this application form.
Section 309(c)(4) of the Clean Water Act provides that 'Any person who knowingly makes any false material
statement, representation, or certification in any application,... shall upon conviction, be punished by a fine
of not more than $10.000 or by imprisonment for not more than 2 years, or by both, if a conviction of such
person is for a violation committed after a first conviction of such person under this paragraph, punishment
shall be by a fine of not more than $20.000 per day of violation, or by imprisonment of not more than 4 years.
or by both.' 40 CFR Part 122.22 requires the certification to be signed as follows:

    (A) For a corporation: by a responsible corporate official.  For purposes of this section, a responsible
    corporate official means  (i) a president,  secretary, treasurer,  or  vice-president  of the corporation m
    charge of a principal business function, or any other person who  performs similar policy- or decision-
    making functions for the corporation,  or (it*) the manager of  one or more  manufacturing, production, or
    operating facilities employing more than 250 persons or having  gross  annual sales or expenditures
    exceeding S25.000.000 (in second-quarter 1980 dollars), if authority to sign documents has been as-
    signed or delegated to the manager in accordance with corporate  procedures.

    Note: EPA does not require specific assignments or delegation of authority to responsible corporate
    officers identified in  I22.22(a)(i)(i). The Agency will presume that these  responsible corporate officers
    have the requisite authority to sign permit applications unless the corporation has notified the Director to
    the contrary.  Corporate procedures governing authority to sign  permit applications may provide for
    assignment or delegation to applicable corporate position under I22.22(a)(i)(ii) rather than to specific
    individuals.
    (B) For a partnership or sola proprietorship: by a general partner or the proprietor, respectively: or

    (C) For a municipality, State, Federal, or other public agency: by either a principal executive officer
    or ranking elected official.  For purposes of this section, a principal  executive officer of a Federal agency
    includes (i) the chief executive officer of the agency, or (ii) a senior executive officer having responsibility
    for the overall operations of a principal geographic unit of the agency (e.g.. Regional Administrators of
    EPA).
 EPA  Form 3510>2P (11-90)                      I  - 7

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                                                     Table 2F-1
                                             Codw for Trtatmcnt Units
     1-A
     1-8
     i-C
     i-O
     1-6
     T.F
     i-G
     1-H
     1-4
     1-J
     1-K
     1-L


     2-A
     2-8
     2-C
     2-0
     26
     2-F
     3-A
     3-8
     3-C
     3-0
     4-A
     4-8


     5-A
     5-8
     S-C
     9-0
     5-6
     5-F
     5-G
     5-H
     5-1
     9-J
     5-K
     5-1

Ammonia Stripping
Olaryw
Dlasomaceous Earth Filtration
Distillation
Bectrodiaiysis
Evaporation
Floccuiacon
Flotation
Foam Fractionation
Freezing
Gas-Phase Separation
Grinding (Commmutors)

Carbon Adsorption
Chemical Oxidation
Chemical Precipitation
Coagulation
Dechionnation
Disinfection (Chiorm*)
rnystcai ireaonem rrw«Mm
1-M Grii
1-N Mic
1-O Mil
1-P Mo
1-O Mu
i-B Rai
1-S Rr
1-T Scr
1-U Se«
i-V Slo
1-W Sol
1-X Soi
Chemical Treatment Processes
2-G Dis
2-H Ois
2-1 8e
2-J kin
2-K Ne<
2-L Re<
nu*i>M4^*l Tr aiatMiaiani Q»A^»«ai«iA«
Activated Sludge
Aerated Lagoons
AstaeroDic Treatment
Nitntieation-Oenitridcation
Discharge to Surface Water
Ocean Discharge Through Outfall
                                                        Grit Removal
                                                        Microstraining
                                                        Mixing
                                                        Moving 8ed Piters  .
                                                        Multimedia Filtration
                                                        Rapid Sand Filtration
                                                        Reverse Osmosis |Hyp«diltration)
                                                        Screening
                                                        Sedimentation | Setting)
                                                        Slow Sand  Filtration
                                                        Solvent Extraction
                                 Disinfection (Ozonti
                                 Disinfection lOther)
                                 Sectrocfiemical Trtatmtnt
                                 kin Exchange
                                 Neutralization
                                 Reduction

                          rocess
                      3-E         Pre-A«ration
                      3-F         Spray irrigation/Land Application
                      3-G         Stabilization Ponds
                      3-H         Trickling Filtration
                                                    Other Processes
                      4.0
Reuse/ Recycle of Trtated Effluent
Underground injection
Aerob«c Digestion
Anaerobic Digestion
Sen Filtration
Centrifugation
Chemical Conditioning
Chlorine Treatment
Composting
Drying Beds
Sutriaoon
Flotation ThiclieninQ
Sludge Treatment and Disposal Processes
                      5-M        Heat Drying
                      5-N        H«at Treatment
                      5-O        incineration
                      5-P        Land Application
                      5-0        Landfill
                      S-A        Pressure Filtration
                      5-S        Pyrolysis
                      5-T        Sludge Lagoons
                      5-U        Vacuum Filtration
                      5-V        vibration
                      5-W        Wet Oxidation
Grawty Thickening
iPA  Form )810>tf  (11-M)
                                        I -8

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                                                 Table 2F-2

      Conventional and Nonconvantional Pollutantt Raquirtd To Ba Tastad by Existing Diacnanjar if
                                           Expactad To Ba Prasant
    Bromide
    Chlorine, Total Residual
    Color
    Fecal Colitorm
    Fluoride
    Nitrate-Nitrite
    Nitrogen, Total Kjedahl
    Oil and Grtas*
    Phosphorus. Total Radioactivity
    Sulfatt
    Sulfid*
    Sultit*
    Surfactants
    Aluminum. Total
    Barium. Total
    Boron, Total
    Cobalt. Total
    Iron, Total
    Magnesium, Total
    Molybdenum, Total
    Magnesium, Total
    Tin. Total
    Titanium, Total
EPA Form 3S10-2F  (11-«0)                         I  - 9

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      Antimony, Tom
      Arsenic. Total
      Beryllium. Total
      Cadmium, Tottl
      Chromium. Total
      Acrolein
      Acryionitrtle
      Benzene
      Bromoform
      Carbon Tetrachloride
      Chlorobenzene
      Chlorodibromomethane
      Chloroe thane
      2-Chloroethytvinyl Ether
      Chloroform
      2-Chlorophenol
      2.4-Oichlorophenol
      2,4-Oimetnylphenol
      4.6-Dinitro-O-Cr«SOl
      Acenaphthene
      Acenaphthylene
      Anthracene
      Benzidine
      Benzo (a)anthricene
      Benzo (a)pyrene
      3.4-8enzofluoranthene
      Benzo (ghi)perylene
      Benzo (k )fluoranth«ne
      8is(2
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                                                    Table 2F-4
                                      Hazardous substances required to be
                                identified by applicant if expected to be present
                                                    Toxic Pollutant
      Asbestos


      Acetaldehyde
      Allyl alcohol
      Allyl chlondt
      Aniyl acetatt
      Aniline
      Benzonitrile
      Benzyl chloride
      Butyl acetate
      Sutylamme
      Carbaryl
      Carbofuran
      Carbon disulfide
      Chlorpynlos
      Coumaphos

      Crawl
      Crotonaldehyde

      Cyclohexane
      2.4-0 (2,4-Dichlorophenoxyacetic
      acid)
      Diazinon
      Oicamba
      Oichlobenil
      Oichlone
      2.2-Oichloropropionic acid
      Oichlorvos
      Oiethyl amine
      Dimethyl amine
      Hazardous Substances
Oinitrobenzene
Diquat
Oisulfoton
Oiuron
Epichlorohydrin
Ethion
Ethylene diamine
Ethylene dibromide
Formaldehyde
Furfural
Guthion
Isoprene
Isopropanolamine
Kelthane

Kepone
Malathion

Mercaptodimethur
Methoxychlor

Methyl mercaptan
Methyl metfiacrylate
Methyl parathion
Mevinphos
Mexacarbate
Monoethyl amine
Monomethy! amine
Naled
Napthenic acid
Nitrotoluene
Parathion
Phenolsulfonate
Phosgene
Propargite
Propylene oxide
Pyrethrins
Quinoline
Resorcinol
Stronthium
Strychnine
Styrene
2.4,5-T (2,4.5-Trichlorophenoxyacetic
acid)
TOE (Tetrachlorodiphenyl ethane)
2.4,5-TP [2-(2,4.5-Trichlorophenoxy)
propanoic acid]
Trichlorofan
Triethylamine

Trimethylamine
Uranium
Vanadium
Vinyl acetate
Xylene
Xylenol
Zirconium
EPA Form  3510-2F (11-90)
            I- 11

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APPENDIX EJ:      FORM 2C
                                 79

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cxEPA
                                       are oosoiete
             Permits Division
Application Form 2C -
Wastewater Discharge
Information

Consolidated  Permits Program
               This form must be completed by all persons applying for
               an EPA permit to discharge waste water (existing manu-
               facturing, commercial, mining, and sitvicu/tural opera-
               tions}.

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                                    Application for Permit to Discharge Wastewater
        EXISTING  MANUFACTURING, COMMERCIAL, MINING, AND SILVICULTURAL OPERATIONS
This form mutt be completed by all applicants who check "ye*"
to item II-C in Form 1.
Public Availability of Submitted Information.
Your application will not be considered complete unless you answer
every question on this form and on Form 1. If an item does not apply
to you, enter "NA" (for not applicable) to show that you considered
the question.
You may not claim as confidential any information required by this
form or Form 1, whether the information is reported on the forms or
in an attachment. This  information will  be made available to the
public upon request.
Any information you submit to EPA which goes beyond that required
by this form or Form 1 you may claim as confidential, but claims for
information which is effluent data will be denied. If you do not assert
a claim of confidentiality at the time of submitting the information,
EPA may make the information public without further notice to you.
Claims of confidentiality will be handled  in accordance with EPA's
business confidentiality regulations at 40 CFR Part 2.
Definitions
All significant terms used in these instructions and in the form are
defined in the glossary found in  the General  Instructions which
accompany Form 1.
EPA ID Number
Fill in your EPA Identification Number at the top of each page of Form
2c. You may copy this number directly from item I of Form 1.
Item I
You may use the map you provided for item XI of Form 1 to determine
the latitude and longitude of each of your outfalls and the name of the
receiving water.
Item II-A
The line drawing should show generally the route taken by water in
your facility from intake to discharge. Show all operations contribut-
ing wastewater,  including process and production areas, sanitary
flows, cooling water, and stormwater runoff. You may group similar
operations into a single unit,  labeled to correspond to the more
detailed listing in item II-B. The water balance should show average
flows. Show all significant losses of water to products, atmosphere,
and discharge. You should use actual measurements  whenever
available; otherwise use your best estimate. An example of an accep-
table line drawing appears in Figure 2c-1 to these instructions.
Item II-B
List all sources of wastewater to  each outfall.  Operations may be
described in general terms (for example, "dye-making reactor" or
"distillation tower"). You may estimate the flow contributed by each
source if no data are available. For stormwater discharges you may
estimate the average flow, but you must  indicate the rainfall event
upon which the estimate is based and the method of estimation. For
each treatment unit, indicate its size, flow rate, and retention time,
and describe the ultimate  disposal of any solid or liquid wastes not
discharged. Treatment units should be listed in order and you should
select the proper code from Table 2c-1 to fill in column 3-b for each
treatment unit. Insert "XX" into column 3-b if no code corresponds to
a treatment unit you list. If you are applying for a permit for a privately
owned treatment works, you must also identify all of your contribu-
tors in an attached listing.
Item II-C
A discharge is intermittent unless  it occurs without interruption
during the operating hours of the facility, except for infrequent shut-
downs for maintenance, process changes, or other similar activities.
A discharge is seasonal if it occurs only during certain parts of the
year. Fill in every applicable column in this item for each source of
intermittent or seasonal discharges. Base your answers on actual
data whenever available; otherwise, provide your  best estimate.
Report the highest daily value for  flow rate and total volume in the
"Maximum Daily" columns (columns 4-a-2 and 4-b-2) Report the
average of all daily values measured during days when discharge
occurred within the last year in the "Long Term Average" columns
(columns 4-a-l and 4-6-1).
Item III-A
All effluent guidelines promulgated by EPA appear in the Federal
Register  and are published annually in 40 CFR  Subchapter N. A
guideline applies to you if you have any operations contributing
process wastewater m any subcategory covered by a BPT, BCT, or
BAT guideline. If you are unsure whether you are covered by a
promulgated effluent guideline, check with your EPA Regional office
(Table  1 in the Form 1  instructions). You must check "yes" if an
applicable effluent guideline has been promulgated, even  if the
guideline limitations are being contested in court If you believe that
a promulgated effluent guideline has been remanded for reconsider-
ation by a court and does not apply to your operations, you may check
"no."
Item III-B
An effluent guideline is expressed in terms of production for other
measure of operation) if the limitation is expressed as mass of pollu-
tant per operational parameter; for example, "pounds of BOD per
cubic foot of logs from which bark is removed," or "pounds of TSS per
megawatt hour of electrical energy consumed by smelting furnace".
An example of a guideline not expressed in terms of a measure of
operation is one which limits the concentration of pollutants.
Item I II-C
This item must be completed only if you checked "yes" to item III-B.
The production information requested here is necessary to apply
effluent guidelines to your facility and you cannot claim it as confi-
dential. However, you do not have to indicate how the reported
information was calculated. Report quantities in the units of mea-
surement used in the applicable effluent guideline. The production
figures provided must be based on actual dairy production and not on
design capacity or on predictions of future operations.  To obtain
alternate limits under 40 CFR 122.46
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                                                ^C - ,NS'AUCTIONS  :~
ITEM V — A. B. C. and D (continued)
mediate and final products and byproducts, and any previous ana-
lyses known to you of your effluent or similar effluent. If or example.
if you manufacture pesticides, you should expect those pesticides to
be present in contaminated stormwater runoff.) If you wou Id expect a
pollutant to be present solely as a result of its presence in your intake
water, you must mark "Believe Present" but you are not required to
analyze for that pollutant. Instead, mark an 'X' m the  "Intake"
column.
   A. Reporting. All levels must be reported as concentration and as
   total mass  You  may report some or all of the required data by
   attaching separate sheets of paper instead of filling out pages V-l
   to V-9 if the separate sheets contain all the required information
   in a format which is consistent with pages V-l to V-9 in spacing
   and in identification of pollutants and columns. (Forexample, the
   data system used in your GC/MS analysis may be able to print
   data in the proper format.) Use the following abbreviations in the
   columns headed "Units'7co/t/m/i 3. Part A. and column 4, Pa/is B
   and C).
         Concentration
                                           Mas*
   ppm	  paws per million
   mg/l .... milligrams per liter
   ppb	parts per billion
   ug/l.... micrograms per liter
                                Ibs	pounds
                                ton	tons (English tons)
                                mg	milligrams
                                g	grams
                                kg	 kilograms
                                T	tonnes (metric tons)
All reporting of values for metals must be in terms of "total
recoverable metal," unless:
(1) An applicable, promulgated effluent limitation or standard
specifies the limitation for the metal in dissolved, valent.  or total
form; or
(2) All approved analytical methods for the metal inherently mea-
sure only its dissolved form (e.g., hexavalent chromium); or
(3) The permitting authority has determined that in establishing
case-by-case limitations it is necessary to express the limitations
on the metal in dissolved, valent, or total form to carry  out the
provisions of the CWA.
If you measure only one daily value, complete only the  "Maxi-
mum Daily Values"columns and insert  '1' into the "Number of
Analyses" column (columns 2-a and 2-d. Part A. and column 3-a.
3-d. Parts B and C). The permitting authority may require you to
conduct additional analyses to further characterize  your dis-
charges. For composite samples, the daily value is the total mass
or average concentration found in a composite sample taken over
the operating hours of the facility during a 24-hour period; for
grab samples, the daily value is the arithmetic or flow-weighted
total mass or average concentration found  in a series of  at least
four grab samples taken over the operating hours of the facility
during a 24-hour period.
If you measure more than one daily value for a pollutant and those
values are representative of your wastestream, you must report
them. You must describe your method of testing and data analy-
sis. You also must determine the average of all values within the
last year and report the concentration and mass under the "Long
Term Average Values" columns (column 2-c. Part A. and column
3-c, Pans B and C). and the total number of daily values under the
"Number' of Analyses" columns (column 2-d, Part A. and
columns 3-d. Parts 8 and C). Also, determine the average of all
daily values taken during each calendar month, and report the
highest average under the "Maximum 30-day Values" columns
(column 2-c. Part A. and column 3-b. Parts B and C).
B. Sampling:  The collection  of the samples for the reported
analyses should be supervised by a person experienced in per-
forming sampling of industrial wastewatar. You may contact your
EPA or State permitting authority for detailed guidance on  sam-
pling techniques and for answers to specific questions. Any spe-
cific requirements contained in the applicable analytical methods
should be followed for sample containers, sample preservation.
                                                             2C-2
holding times, the collection of duplicate samples, etc. The time
when you sample should be representative of your normal opera-
tion, to the extent feasible, with all processes which contribute
wastewater in normal operation, and with your treatment system
operating properly with no system upsets. Samples should be
collected from the center of the flow channel, where turbulence
is at a maximum, at a site specified in your present permit, or at
any site adequate for the collection of a representative sample.
For pH, temperature, cyanide, total phenols, residual chlorine, oil
and grease, and fecal coliform, grab samples must be used. For all
other pollutants 24-hour composite samples must be used. How-
ever, a minimum of one grab sample may be taken for effluents
from holding ponds or other impoundments with  a retention
period of greater than 24 hours.  For stormwater discharges a
minimum of one to four grab samples may be taken, depending on
the duration of the discharge. One grab must be taken in the first
hour (or  less) of discharge, with  one additional grab (up to a
minimum of four) taken in each succeeding hour of discharge for
discharges lasting four or more hours. The Director may waive
composite sampling for any outfall for which you demonstrate
that use of an automatic sampler is infeasible and  that a min-
imum  of four grab samples will be  representative  of your
discharge.
Grab and composite samples are defined as follows:
   Grab sample: An individual sample of at least 100 milliliters
   collected  at a randomly-selected  time over a  period  not
   exceeding 15 minutes.
   Composite sample: A combination of at least 8  sample  ali-
   quot s  of at least 100 milliliters, collected at periodic intervals
   during the operating hours of a facility over a 24 hour period.
   The composite  must be  flow proportional; either the time
   interval between each aliquot or the volume of each aliquot
   must be proportional to either the stream flow at the time of
   sampling or the total stream flow since the collection of the
   previous eliquot. Aliquots may be collected manually or auto-
   matically. For GC/MS Volatile Organic Analysis (VOA), ali-
   quots  must be combined in the laboratory immediately before
   analysis. Four (4) (rather than eight) aliquots or grab samples
   should be collected for VOA. These four samples should be
   collected  during actual hours  of discharge over a 24 hour
   period and need not be flow proportioned. Only one analysis is
   required.
The Agency is currently reviewing sampling requirements in light
of recent research  on testing methods. Upon completion of its
review, the Agency plans to  propose changes to the sampling
requirements.
Data from samples taken in the past may be used, provided that:
   All data requirements are met;
   Sampling was done no more than three years before submis-
   sion; and
   All data are representative of the present discharge
   Among the factors which would cause the data to be unrepre-
   sentative are significant changes in production level, changes
   in raw materials, processes, or final products, and changes in
   wastewater treatment. When the Agency promulgates new
   analytical  methods in 40 CFR Part 136, EPA will  provide
   information as to when you should use the new  methods to
   generate data on your discharges. Of course, the Director may
   request additional information,  including current quantitative
   data, if she or he determines it to be necessary to assess your
   discharges.
C. Analysis: You must use test methods promulgated in 40 CFR
Part 136; however, if none has been promulgated for a particular
pollutant, you may use any suitable method for measuring  the
level of the pollutant in your discharge provided that you submit a
description of the method or a reference to a published method.
Your description should include the sample holding lime, preser-
vation  techniques,  and the quality control measures which you
used.If you have two or more substantially identical outfalls, you
may request permission from your permitting authority to sample
and analyse only one outfall and submit the results of the analysis

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                                         FORM 2C - INSTRUCTIONS  cj/)f,/;^
ITEM V — A, B, C. and D (continued)
   for other substantially identical outfalls. If your request is granted
   by the permitting authority, on a separate sheet attached to the
   application form, identify which outfall you did test, and describe
   why the outfalls which you did not test are substantially identical
   to the outfall which you did test.
   D. Reporting of Intake Data: You are not required to report data
   under the "Intake" columns unless you wish to demonstate your
   eligibility for a "net" effluent limitation for one or more pollu-
   tants, that is. an  effluent  limitation adjusted by subtracting the
   average level of the pollutant(s) present in your  intake water.
   NPOES regulations allow  net limitations only in certain circum-
   stances. To  demonstrate your eligibility,  under  the  "Intake"
   columns report the  average of the  results of analyses on your
   intake water (if your water is treated before use, test the water
   after it is treated), and discuss the requirements for a net limita-
   tion with your permitting authority.
   Part V-A
   Part V-A must be completed by  all applicants for all outfalls,
   including outfalls containing only noncontact  cooling water or
   storm runoff. However, at your request, the Director may waive
   the requirement to test for one or more of these pollutants, upon a
   determination that available information is adequate to support
   issuance of the permit with less stringent reporting requirements
   for these pollutants. You  also may  request a waiver for one or
   more of these pollutants for your category or subcategory from
   the Director. Office of Water Enforcement and Permits. See dis-
   cussion in General  Instructions to item V for definitions of the
   columns  in Part  A.  The "Long Term Average  Values" column
   (column 2-c) and "Maximum 30-day Values"  column (column
   2-bl are  not compulsory but should be filled out if  data are
   available.
   Use composite samples for all pollutants in this Part, except use
   grab samples for pH and temperature. See discussion in General
   Instructions to Item V for definitions of the columns in Part A. The
   "Long Term Average Values" column (column 2-c) and "Maxi-
   mum 30-Day Values" column (column 2-b) are not compulsory
   but should be filled out if data are available.
   Part V-B
   Part V-B must be completed by  all applicants for all outfalls,
   including outfalls containing only noncontact cooling  water or
   storm runoff. You must report quantitative data if the pollutants)
   in question is limited in an effluent limitations guideline either
   directly, or indirectly but expressly through limitation on an indi-
   cator (e.g., use of TSS as an indicator to control the discharge of
   iron and aluminum). For  other discharged pollutants you must
   provide quantitative data or explain their presence in  your dis-
   charge. EPA will consider requests to the Director of the Office of
   Water Enforcement and Permits to eliminate the requirement to
   test for pollutants for an industrial category or subcategory. Your
   request must be supported by data  representative of the indus-
   trial category or subcategory in question. The data must demon-
   strate that individual testing for each applicant is  unnecessary,
   because  the facilities in the category or subcategory discharge
   substantially identical levels of the pollutant or discharge the
   pollutant uniformly at sufficiently  low levels. Use composite
   samples for all pollutants you analyze for in this part, except use
   grab samples for residual chlorine, oil and grease,  and fecal
   coliform. The "Long Term Average Values" column (column 3-c)
   and "Maximum  30-day Values"  column (column 3-b) are not
   compulsory but should be filled out  if data are available.
   Part V-C

   Table 2c-2 lists the 34 "primary" industry categories in the left-
   hand column. For each outfall, if any of your processes which
   contribute wastewater falls  into  one of  those categories, you
   must mark 'X' in 'Testing Required" column (column 2-a) and
   test for (I) all of the toxic metals, cyanide, and total phenols, and
   (2) the organic toxic pollutants contained in Table 2c-2 as appli-
   cable to your category, unless you qualify as a small business (see
   below)  The organic toxic pollutants are listed by  GC/MS frac-
tions on pages V-4 to V-9 in Pan V-C. For example, the Organic
Chemicals Industry has an asterisk in all four fractions, therefore.
applicants in this category must test for all organic toxic pollu-
tants in Part V-C. The inclusion of total phenols in Part V-C is not
intended to classify total phenols as a toxic pollutant  If you are
applying for a permit for a privately  owned treatment  works,
determine your testing requirements on the basis of the industry
categories of  your  contributors. When you determine  which
industry category you are in to find your testing requirements,
you are not determining your category for any other purpose and
you are not giving up your right to challenge your inclusion in that
category (for example, for deciding whether an effluent guideline
is applicable) before your permit is issued. For all other cases
(secondary industries, nonprocess wastewater outfalls, and non-
required GC/MS fractions), you must mark "X"  in either the
"Believed Present"  column (column 2-b) or the "Believed
Absent" column (column 2-c) for each pollutant. For every pollu-
tant you know or have reason to believe is present in your dis-
charge in concentrations of 10 ppb or greater, you must report
quantitative data. For acrolein, acrylonitrile, 2, 4 dinitrophenol,
and  2-methyl-4,  6 dinitrophenol, where you expect these four
pollutants to be discharged in concentrations of 100 ppb or
greater, you must report quantitative  data. For every pollutant
expected to be discharged in concentrations less than the thresh-
olds specified above, you must either submit quantitative data or
briefly describe the reasons the pollutant is expected to be dis-
charged. At your request the Director, Office of Water Enforce-
ment and Permits, may waive the requirement to test for pollu-
tants for an industrial category or subcategory. Your request must
be supported by data representatives of the industrial category or
subcategory in question. The data must demonstrate that indi-
vidual  testing for each applicant is unnecessary, because the
facilities in question discharge substantially identical levels of
the pollutant, or discharge the pollutant uniformly at sufficiently
low levels. If you qualify as a small business (see below) you are
exempt from testing for the organic toxic pollutants, listed on
pages  V-4 to V-9 in Part C. For pollutants in intake water, see
discussion in General Instructions to this item.  The "Long Term
Average Values" column (column 3-c) and "Maximum 30-day
Values" column (column 3-b) are not compulsory but should be
filled out if data are available.You are required to mark 'Testing
Required" for dioxin if you use or manufacture one of the follow-
ing compounds:
   (a) 2,4,5-trichlorophenoxy acetic acid, (2,4,5-T);
   (b) 2-(2,4,5-trichlorophenoxy) propanoic acid, (Silvax, 2,4,5-
     TP).
   (c)  2-(2,4,5-trichlorophenoxy) ethyl 2,2-dichloropropionate,
     (Erbon);
   (d) 0,0-dimethyl 0-(2,4,5-trichlorophenyl) phosphorothioate,
     (Ronnel);
   (e) 2,4,5,-trichlorophenol, (TCP);  or
   (f) hexachlorophene. (HCP).
If you mark "Testing Required" or "Believed Present," you must
perform a screening analysis for dioxins, using gas chromoto-
graphy with an electron capture detector. A TCDD standard for
quantitation is not required. Describe the results of this analysis
in the  space  provided; for example, "no measurable baseline
deflection at the retention time of TCDD" or "a measurable peak
within the tolerances of the retention time of TCDD." The permit-
ting authority may require you to perform a quantitative analysis
if you report a positive result. The Effluent Guidelines Division of
EPA has collected and analyzed samples from some plants for the
pollutants listed in Part C in the course of its  BAT guidelines
development program. If your effluents are sampled and analyzed
as part of this program in the last three years, you may use these
data to answer Part C  provided that  the permitting authority
approves, and provided that no process change or change in raw
materials or operating practices has occurred since the samples
were taken that would make the analyses  unrepresentative of
your current discharge.
                                                              2C-3

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                                                 2C  --  NSTRUCT:CSS
ITEM V — A. B, C. and D (continued)
   Small Busmeea Exemption: If you qualify a* a "small business."
   you are exempt from the reporting requirements for the organic
   toxic pollutants, listed on pages V-4 to V-9 in Part C. There are two
   ways in which you can qualify as a "small business." If your
   facility is a coal mine, and if your probable total annual production
   is less than 100.000 tons per year, you may submit past produc-
   tion data or estimated future production (such at a schedule of
   estimated total production under 3O CFR S 79S. 14(c)l instead of
   conducting analyses for the organic toxic pollutants. If your facil-
   ity is not a coal mine,  and if your gross total annual sales for the
   most recent three years average less than 9100.000 per yeartfn
   second quarter 198O dollars}, you may submit sales data for those
   years instead of conducting analyses for the organic toxic pollu-
   tants. The production or sales data must be for the facility which
   is the source of the discharge. The data  should not be limited to
   production or sales for the process or processs which contribute
   to  the discharge, unless those are the  only processes at your
   facility. For sales data, in situations involving intracorporate
   transfer of goods and services, the transfer price per unit should
   approximate market  prices  for those goods  and services as
   closely as possible. Sales figures for yeers after 1980 should be
   indexed to the second quarter of 1980 by  using the gross national
   product price deflator (second quarter of 198O = 100). This index
   is  available in National Income and Product Accounts of the
   United States (Department of Commerce. Bureau of Economic
   Analysis).
   Part V-O
   List any pollutants in Table 2c-3 that you believe to be present and
   explain why you believe them to be present. No analysis is
   required, but if you have analytical data, you must report it.
   Note: Under 40 CFR 117.12(aX2), certain discharges of hazard-
   ous substances (listed in Table 2c-4 of these instructions) may be
   exempted from the requirements of section 311 of CWA, which
   establishes reporting requirements, civil penalties and liability
   for cleanup costs for spills of oil  and hazardous substances. A
   discharge of a particular substance may be exempted if the origin,
   source, and amount of the discharged substances are identified
   in  the NDPES  permit application  or in the permit if the permit
   contains a requirement for treatment of the discharge, and if the
   treatment is in place. To apply for an exclusion of the discharge of
   any hazardous substance from  the requirements of section 311.
   attach additional sheets of paper to your form, setting forth the
   following information:
      1. The substance and the amount of each substance which
      may be discharged.
      2. The origin and source of the discharge of the substance.
      3. The treatment which is to be provided for the discharge by:
         a. An onsite treatment system separate from any treat-
         ment system treating your normal discharge;
         b. A treatment system designed to treat your normal dis-
         charge and which is additionally capable of treating the
         amount of the substance  identified under paragraph 1
         above; or
         c. Any combination of the above.
   See 40 CFR §117.12(aX2) and (c). published on August 29,1979.
   in 44 FR 50766, or contact your Regional Office (Table 1 on Form
   1.  Instructions), for further information on exclusions from sec-
   tion 311.
Item VI
This requirement applies to current  use or manufacture of a toxic
pollutant as an intermediate or final product or byproduct. The Direc-
tor may waive or modify the requirement if you demonstrate that it
would be unduly burdensome to identify each toxic pollutant and the
Director has adequate information to issue your permit. You may not
claim this information as confidential; however, you do not have to
distinguish between use or production of the pollutants or list the
amounts.
     VII
Self explanatory. The permitting authority may ask you to provide
additional details after your application is received.
Hem IX
The Clean Water Act provides for severe penalties for submitting
false information on this application form.
Section 3O9(cX2) of the Clean Water Act provides that "Any person
who knowingly makea any false statement, representation, or certi-
fication in any application,... shall upon conviction, be punished by a
fine of not more than (10,000 or by imprisonment for not more than
six months, or by both."
40 CFR Part 122.22 requires the certification to be signed as follows:
(A)  For a corporation: by a responsible corporate official. For pur-
poses of this section, a responsible corporate official means (i) a
president secretary, treasurer, or vice-president of the corporation
in charge of a principal  business function, or any other person who
performs similar policy- or decision-making functions for the corpo-
ration, or (ii) the manager of one or more manufacturing, production,
or operating facilities employing more than 250 persons or having
gross annual  sales or expenditures exceeding  $25,000,000 (in
second-quarter 199O dollars),  if authority to sign documents has
been assigned or delegated to the  manager in accordance with
corporate procedures.
Note: EPA does not require specific assignments or delegation of
authority  to responsible corporate  officers  identified in
§122.22(aX1Xi). The Agency will presume that these responsible
corporate officers have the requisite authority to sign permit applica-
tions unless the corporation has notified the director to the contrary.
Corporate procedures governing authority to sign permit applica-
tions may provide for assignment or delegation to applicable corpo-
rate position under f122.22(aM1Mii) rather  than to specific
individuals.
(B)Fora partnership or sole proprietorship: by a general partner or
the proprietor, respectively; or
(C)  For a municipality,  State, Federal, or other public  agency: by
either a principal executive officer or ranking elected official. For
purposes of this section, a principal executive officer of a Federal
Agency includes (i) the chief executive officer of the Agency, or (ii) a
senior executive officer having responsibility for the overall opera-
tions of a principal geographic unit of the Agency (e.g., Regional
Administrators of EPA). Applications for Group II stormwater dis-
chargers may be signed by a duly authorized representative (as
defined in 4O CFR 122.22(b)) of the individuals identified above.
                                                              2C-4

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                                              cooes PO
                                              PHYSICAL TREATMENT PROCESSES
  -A	Ammonia Stripping
  -8	Dialysis
  -C	Diatomaceous Earth Filtration
  -0	Distillation
  -E	Electrodialysis
  -F	Evaporation
  -G	Flocculation
  -H	Flotation
  -I	Foam Fractionation
  -J	Freezing
  -K	Gas-Phase Separation
  -L	Grinding IComminuton)
1—M	Grit Removal
1—N	Microstraining
1—0	Mixing
1—P	Moving Bed Filters
1—Q	Multimedia Filtration
1—R	Rapid Sand Filtration
1—S	Reverse Osmosis (Hyperfiltntion)
1—T	Screening
1-U	Sedimentation (Settling)
1-V	Slow Sand Filtration
1-W	Solvent Extraction
1-X	Sorption
2—A	Carbon Adsorption
2—B	Chemical Oxidation
2—C	Chemical Precipitation
2-D	Coagulation
2—E	Dechlorination
2—F	Disinfection (Chlorine)
                                             CHEMICAL TREATMENT PROCESSES
2—G	Disinfection lOzant)
2-H	Disinfection lOtherl
2—I	Electrochemical Treatment
2-J	Ion Exchange
2-K	Neutralization
2—L	Reduction
                                            BIOLOGICAL TREATMENT PROCESSES
3—A	Activated Sludge
3—B	Aerated Lagoons
3—C	Anaerobic Treatment
3-D	Nitrification-Denitrification
3—E	Pre—Aeration
3—F	Spray Irrigation/Land Application
3—G	Stabilization Ponds
3-H	Trickling Filtration
                                                      OTHER PROCESSES
4—A	Discharge to Surface Water
4-B	Ocean Discharge Through Outfall
4—C	Reuse/Recycle of Treated Effluent
4—D	Underground Injection
                                       SLUDGE TREATMENT AND DISPOSAL PROCESSES
5—A	Aerobic Digestion
S—B	Anaerobic Digestion
5—C	Belt Filtration
5—0	Centrifugation
5— E	Chemical Conditioning
5—F	Chlorine Treatment
5—G	Composting
5— H	Drying Beds
 5—1	Elutriation
 5—J. i	Flotation Thickening
 6—K	Freezing
 5—L	Gravity Thickening
5— M	Heat Drying
5—N	Kto«t Treatment
5— O	Incineration
5— P	Land Application
5-Q	Landfill
5—R	Pressure Filtration
5—S	Pyrolyw*
5— T	Sludge Lagoons
5— U	Vacuum Filtration
5-V	Vibration
5~W	Wet Oxidation
                                                       TABLE 2C-1

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                       INDUSTRY CATEGORY
                                                                           Volatile
                                                                                            GC/MS FRACTION1
                                                                                           Acid
                                                                                                       Bast/Neutral     Pesticide
Adhesive! and sealants	       X
Aluminum forming	       X
Auto and other laundries	' . .  .       X
Battery manufacturing	       X
Coal mining	       X
Coil coating	       X
Copper forming	       X
Electric and electronic compounds	       X
Electroplating	       X
Explosives manufacturing	       —
Foundries	       X
Gum and wood chemicals	       X
Inorganic chemicals manufacturing	       X
Iron and steel manufacturing	       X
Leather tanning and finishing	       X
Mechanical products manufacturing	       X
Nonferrous metals manufacturing	       X
Ore mining	       X
Organic chemicals manufacturing	       X
Paint and ink formulation	       X
Pesticides	       X
Petroleum refining	       X
Pharmaceutical preparations	       X
Photographic equipment and supplies	,	       X
Plastic and synthetic materials manufacturing	       X
Plastic processing	       X
Porcelain enameling	       X
Printing and publishing	       X
Pulp and paperboard mills	       X
Rubber processing	       X
Soap and detergent manufacturing	       X
Steam electric power plants	       X
Textile mills	       X
Timber products processing	       X
X
X
X

X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X

X
X
X
X
X
X
X
X
X

X
X
X
X
X
X
X

X
X

X
X
X
 X
 X
•See note at conclusion of 40 CFR Part 122, Appendix 0 (1983) for explanation of effect of suspensions on testing requirements for primary
 industry categories.
'The pollutants in each fraction are listed in Kern V—C.
X = Testing required.
— = Testing not required.
                                                           TABLE  2C-2

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                             TOXIC 'CLLUTANTS AND HAZARDOUS SUBSTANCES SHOUTED "C
TOXIC POLLUTANT

Asbestos

HAZARDOUS SUBSTANCES

Acetafdehyde
Ally! alcohol
Ally! chloride
Amy I acetate
Aniline
Benzonitrile
Benzyl chloride
Butyl acetate
Butylamine
Captan
Carbaryl
Carbofuran
Carbon disuffide
Chlorpyrifos
Coumapho*
Cretol
Crotonaldehyde
Cyclonexane
2,4-D  (2.4-Dichlorophenoxyecetic acid)
Diazinon
Dicamba
Oichlobenil
Dichlone
2.2-Dichloropropionic acid
HAZARDOUS SUBSTANCES

Dichlorvos
Diethyl am me
Dimethyl amine
Dintrobenzene
Diquat
Disulfoton
Diuron
Epichlorohydrin
Ethion
Ethylene diamine
Ethylene dibromide
Formaldehyde
Furfural
Guthion
Isoprene
I topropanolam ine
Kelthane
Kepone
Malathion
Mercaptodimethur
Methoxychlor
Methyl mercaptan
Methyl methacrylate
Methyl parathion
Mevinphos
Mexacarbate
Monoethyl amine
Monomethyl amine
HAZARDOUS SUBSTANCES

Naled
Napthenic acid
Nitrotoli/ene
Parathion
Phenolsulfonate
Phosgene
Propargite
Propylene oxide
Pyrethrins
Quinoline
Resorcinol
Strontium
Strychnine
Styrene
2,4,5-T (2,4,5-Trichlorophenoxyacetic acid)
TDE  (Tetrachlorodiphenyl ethane)
2.4,5-TP  [2-12.4.5-Trichlorophenoxy)
  propanoic acid]
Trichlorofon
Triethanolamine
Triethylamine
Trimethylamine
Uranium
Vanadium
Vinyl acetate
Xylene
Xylenol
Zirconium
                                                           TABLE 2C-3

-------
1. Acetaldehyde
2. Acetic acid
3. Acetic anhydride
4. Acetone cyanohydrin
5. Acetyl bromide
6. Acetyl chloride
7. Acrolein
8. Acrylonitrile
9. Adipic acid
10.  Aldrm
11.  Allyl alcohol
12.  Allyl chloride
13.  Aluminum sulfate
14.  Ammonia
15.  Ammonium acetate
16.  Ammonium benzoate
17.  Ammonium bicarbonate
18.  Ammonium bichromate
19.  Ammonium bifluoride
20.  Ammonium bisulfite
21.  Ammonium carbamate
22.  Ammonium carbonate
23.  Ammonium chloride
24.  Ammonium chromate
25.  Ammonium citrate
26.  Ammonium fluoroborate
27.  Ammonium fluoride
28.  Ammonium hydroxide
29.  Ammonium oxalate
30.  Ammonium silicofluoride
31.  Ammonium sulfamate
32.  Ammonium sulfide
33.  Ammonium sulfite
34.  Ammonium tartrate
35.  Ammonium thiocyanate
36.  Ammonium thiosulfate
37.  Amy I acetate
38.  Aniline
39.  Antimony pentachlorid«
40.  Antimony potassium tartrate
41.  Antimony tribromide
42.  Antimony trichloride
43.  Antimony trifluoride
44.  Antimony trioxide
45.  Arsenic disulfide
46.  Arsenic pentoxide
47.  Arienic trichloride
48.  Arsenic trioxide
49.  Arsenic triiulf ide
50.  Barium cyanide
51.  Benzene
52.  Benzoic acid
53.  Benzonitrile
54.  Banzoyl chloride
55.  Benzyl chloride
56.  Beryllium chloride
57.  Beryllium fluoride
58.  Beryllium nitrate
59.  Butylacetate
60.  n-Butylphthalate
61.  Butylamine
62.  Butyric acid
63.  Cadmium acetate
64.  Cadmium bromide
66.  Cadmium chloride
66.  Calcium arsenate
67.  Calcium arsenite
68.  Calcium carbide
69.  Calcium chromate
70. Calcium cyanide
71. Calcium dodecylbenzenesulfonate
72. Calcium hypochlorite
73. Captan
74. Carbaryl
75. Carbofuran
76. Carbon disulfide
77. Carbon tetrachloride
78. Chlordane
79. Chlorine
80. Chlorobenzene
81. Chloroform
82. Chloropyrifos
83. Chlorosulfonic acid
84. Chromic acetate
85. Chromic acid
86. Chromic sulfate
87. Chromous chloride
88. Cobaltous bromide
89. Cobaltous formate
90. Cobaltous sulfamate
91. Coumaphos
92. Cresol
93. Crotonaldehyde
94. Cupric acetate
95. Cupric acatoarsenite
96. Cupric chloride
97. Cupric nitrate
98. Cupric oxalate
99. Cupric sulfate
100. Cupric sulfate ammoniated
101. Cupric tartrate
102. Cyanogen chloride
103. Cyclohexene
104. 2,4-0 acid 12,4-Dichlorophenoxyacetic
  acid)
105. 2,4-0 esters (2,4-Dichlorophenoxyacetic
  acid esters)
106. DOT
107. Diazinon
108. Dicamba
109. Dichlobenil
110. Dichlone
111. Dichlorobenzene
112. Dichloropropan*
113. Dichloropropene
114. Dichloropropene-dichloproropane mix
115. 2.2-Dichloropropionic acid
116. Dichlorvos
117. Dieldrin
118. Diethylamina
119. Dimethylamine
120. Dinitrobenzene
121. Dinitrophenol
122. Dinitrotoluene
123. Diquat
124. Oisulfoton
125. Diuron
126. DodecylbenzMulfonic acid
127. Endosulfan
128. Endrin
129. Epichlorohydrin
130. Ethion
131. Ethylbenzene
132. Ethylenediamine
133. Ethylene dibromide
134. Ethylenedichloride
135. Ethylene diaminetetrecetic acid
  IE OTA)
1 36. Ferric ammonium citrate
137. Ferric ammonium oxalate
138. Ferric chloride
139. Ferric fluoride
140. Ferric nitrate
141. Ferric sulfate
142. Ferrous ammonium sulfate
143. Ferrous chloride
144. Ferrous sulfate
145. Formaldehyde
146. Formic acid
147. Fumaric acid
148. Furfural
149. Guthion
150. Heptachlor
151. Hexachlorocyclopentadiene
152. Hydrochloric acid
153. Hydrofluoric acid
1 54. Hydrogen cyanide
1 55. Hydrogen suffid*
156. Isoprene
157. Isopropanolamine
  dodecylbenzenesulfonate
158. Kelthane
159. Kepone
160. Lead acetate
161. Lead arsenate
162. Lead chloride
163. Lead fluoborate
164. Lead flourite
165. Lead iodide
166. Lead nitrate
167. Leadstearate
168. Lead sulfate
169. Lead sulfida
1 70. Lead thiocyanate
171. Lindane
1 72. Lithium chromate
173. Malathion
174. Maleic acid
175. Maleic anhydride
176. Mercaptodimethur
1 77. Mercuric cyanide
1 78. Mercuric nitrate
1 79. Mercuric lulfata
180. Mercuric thiocyanate
181. Mercurous nitrate
182. Methoxychlor
183. Methyl mercaptan
184. Methyl methacrylate
185. Methyl parethion
186. Mevinphos
187. Mexecarbate
188. Monoethylamine
189. Monomethylamine
190. Naled
1 92. Naphtrwnic acid
193. Nickel ammonium sulfate
194. Nickel chloride
196. Nickel hydroxide
196. Nickel nitrate
197. Nickel sulfate
196. Nitric acid
199. Nitrobenzene
200. Nitrogen dioxide
201 . Nitrophenol
202. Nitrotoluene
203. Pareformakfchyde
                                                     TABLE 2C-4

-------
                                       HAZARDOUS SUBSTANCES -'c-n:
204. Parathion
205. Peniachlorophenol
206. Phenol
207. Phosgene
208. Phosphoric acid
209. Phosphorus
210. Phosphorus oxvchlonde
211. Phosphorus pentasulfide
212. Phosphorus trichloride
213. Polychlorinated biphenyls IPCB)
214. Potassium arsenate
215. Potassium arsenite
216. Potassium bichromate
21V. Potassium chromate
218. Potassium cyanide
219. Potassium hydroxide
220. Potassium permanganate
221. Propargite
222. Propionic acid
223. Propionic anhydride
224. Propylene oxide
225. Pyrethrins
226. Quinoline
227. Resorcinol
228. Selenium oxide
229. Silver nitrate
230. Sodium
231. Sodium arsenate
232. Sodium arsenite
233. Sodium bichromate
234. Sodium bifluoride
235. Sodium bisulfite
236. Sodium chromate
237. Sodium cyanide
238. Sodium dodecylbenzenesulfonate
239. Sodium fluoride
240. Sodium hydrosulfide
241. Sodium hydroxide
242. Sodium hypochlorite
243. Sodium methylate
244. Sodium nitrite
245. Sodum phosphate (dibasic)
246. Sodium phosphate (tribasic)
247. Sodium selenite
248. Strontium chromate
249. Strychnine
250. Styrene
251. Sulfuric acid
252. Sulfur monochloride
253. 2.4,5-T acid (2,4,5-
  Trichlorophenoxyacetic acid)
254. 2,4,5-T amine*  (2,4,5-Trichlorophenoxy
  acetic acid amines)
255. 2.4,5-T esters (2,4,5-Trichlorophenoxy
  acetic acid esters)
256. 2,4,5-T salts (2,4,5-Trichlorophenoxy
  acetic acid salts)
257. 2,4,5-TP acid (2,4,5-Trichlorophenoxy
  propanoic acid)
258. 2,4,5-TP acid esters (2.4,5-
  Trichlorophenoxy  propanoic acid esters)
259. TDE  (Tetrachlorodiphenyl ethane)
260. Tetraethyl lead
261. Tetraethyl pyrophosphate
262. Thallium sulfate
263. Toluene
264. Toxaphene
265. Trichlorofon
266. Trichloroethylene
267. Tnchlorophenol
268. Triethanolamine
  dodecylbenzenesulfonate
269. Triethylamme
270. T'imethylamine
271. Uranyl acetate
272. Uranyl nitrate
273. Vanadium pentoxide
274. Vanadyl sulfate
275. Vinyl acetate
276. Vinylidene chloride
277. Xylene
278. Xylenol
279. Zinc acetate
280. Zinc ammonium chlonde
281. Zinc borate
282. Zinc bromide
283. Zinc carbonate
284. Zinc chloride
285. Zinc cyanide
286. Zinc fluoride
287. Zinc formate
288. Zinc hydrosulfite
289. Zinc nitrate
290. Zinc phenolsulfonate
291. Zinc phosphide
292. Zinc silicofluoride
293. Zinc sulfate
294. Zirconium  nitrate
295. Zirconium potassium flouride
296. Zirconium  sulfate
297. Zirconium  tetrachloride
                                              TABLE 2C-4 (continued)

-------
                                            LINE DP vy
  RAW
     BLUE RIVER

         1 90,000 GPD

45,000 GPD
                                        45,000 GPD
                                                       MUNICIPAL
                                                     WATER SUPPLY
1 30,000 GPD
BLUE RIVER
      10,000 GPD
      COOLING WATER
ATERIALS
,000 GPD
ID WASTE
XWGPD
5TORMWAT
FIBER
PREPARATION
i
15.000
GPD

40.000 GPD
GRIT
SEPARATOR
ER

36.000 GPD

DYEING
i
G'PD WASI

40,000 GPD t
NEUTRAL-
IZATION
TANK
i
LOSS
6,000 GPD
34,000 GPD
WASTE
TREATMENT
PLANT * 1
•. 7000
OUTFALL 001
	 10,000 • - "
•IING GPD^ pfjvikm

10.000 GPD
10,000 GPO 7
WASTE ,
TREATMENT J
PLANT «¥• 2
J OUTFALL 002
50,000 GPD
0 GPD + STORMWATER
MAX: 20,000 GPD
                                                                 SCHEMATIC OF WATER FLOW
                                                                 BROWN MILLS. INC.
                                                                 CITY, COUNTY. STATE
                                                                                               TO ATMOSPHERE
                                                                                               ""  5,000 GPD
                                                                                        TO PRODUCT
                                                                                          5.000 GPD
                                            IGURE 2C-1

-------




CPA I.D. NUMBER (copy from /tern 1 of Form 11
FORM
2C
NPOES
Form Approved
OMB No 2040-0086
Approval expires 5-31-92
f\ P"f^ JV APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER I
CS»*tinr\ EXISTING MANUFACTURING, COMMERCIAL, MINING AND SILVICULTURAL OPERATIONS
^^*">1 * * Comolidated Permits Program |
1. OUTFALL LOCATION '^•^•^•^•^•^•^•^•H
^^^^^^^^^^^^^^^^^^^^^
For aech outfall, litt the latitude and longitude of Its location to the nearest 1 5 teconds end the name of the receiving weter.
X. OUT
NUMI
(list
F^L.1- •. LATITUDE C. LONGITUDE
r> 1. D*«. S. MIM. >. »C. 1. DKa, t. MIM.






1. ttVC.






D. RECEIVING WATER (name)






II. ."LOWS, SOUACES OF POLLUTION, AND TREATMENT TECHNOLOGIES .^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^H
A. Attach a line draining •hewing the water flow through the facility.
and treatment units lafailad to aorraspond to the- more detailed deecrl
flows betwaen Intakes^ opanrtiajnL traatmant units, and outfalls. If
£Tfor a
eoolir
. on ad
«, OUT-
FALXNO

-------
CONTINUED FROM PAGE2
 V. INTAKE AND EFFLUENT CHARACTERISTICS
                                      EPA I.D. NUMBERfcopy from Item 1 of form 1)
 A. B.4C:
See inttructtone before proceeding — Complete on* wt of tablet for each outfill - Annotate the outfall number in the ipaoa provided.
NOTE: Table* V-A, V-B, and V-Cart included on atparata eheett numbered V-1 through V-9.
   D.  UM the ipaca balow to lift any of the pollutant* llrtad In Table 2c-3 of the initructioni, which you know or have reason to believe it dltchargad or may be
      diachargad from any outfall. For awry pollutant you Hit, briefly deacribe the reaiont you believe it to be prewnt and report any analytical data in your
      poeMaiion.
        I. POLLUTANT
                                             I. »OURC«
                                                                             I. POLLUTANT
                                                                                                                  2. SOURCE
 VI. POTENTIAL DISCHARGES NOT COVERED BY ANALYSIS"
  byproduct?
                                    ma *a *uch pouutmt* t>*iowi
                                                                                  (to to Hem Vl-B)
  ' i  - ' -rr

-------
ONTINUEP FROM THE FRONT

/ll.  BIOLOGICAL TOXICITY TESTING DATA^	

  Do you have any knowledge or rat*on to believe that any biological tett for aorta or chronic toxiclty hae bean made on any of your diechargn or on a
  receiving water in relation to your discharge within the left 3 yaart?
                     LH V«» (Identify the tftldl and describe their purpottt below)
                                  Q NO -(to to Oeetfon Vm>
              ANALYSIS INFORMATION^
      •ny of the analyea* repotttd in Item V performed by • contract laboratory or conauttfng flrm?


                    ri vc* (Utt Hit rum*, aaUnna, and telephone number of. and poUutontt
                           anmlyied by, tfch weft Iaoan«ory or firm below)
                                     "0 (to to Section OC)
                                                                                                             D. WLLUTANTI AMALVI1U
                                                                                                                         fttgt)	
•. ADDRH»
                                e.

                          &forguth»rirvthtiti(ormutionthtirrformutroniubmitt»diitofo
    •Mtur* tntt thtr» art sfentflfeavtt pavMft/** Ax tubmitting MM information, including tht potfibility offmoond imprifonmti* for knowing vioittiont.
 A. NAME & OFFICIAL TITLE (type or print)
 C SIGNATURE
                                                                                               B. PHONE NO. (area code A no.)
                                                                                               D. DATE SIGNED

-------

-------
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I744O38 7)







































3M. Beryllium,
Total. 744041-7)







































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rot»l (744O 43-a)







































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rotel (7440 47-9}







































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1743997 6)







































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I744OO? O)







































IOM Selmiium,
rorel (77R7 48-2)







































1 1M Silvr.. Ton!
I744O-77 4)







































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-------


OUTFALL NUMBER 1
EPA I.D. NUMBER (copy from Item 1 of Form 1)
t
III
c
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0
Ik
Q
II
5
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4. UNITS
3. EFFLUENT

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1





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ll. POLLUTANT
1 AND CAS
1 NUMBER
1 (if available)









LATILE COMPOUNDS (continued)
**















122V. Mathylcfw
Chtorhto (76-O9-2)














|23V. 1.1.2.2-T«tr*>
IchloroMhMM
(79-34-6)


















|24V. Tetr«chloro-
|«thyl«M (127-18-4)









Jn
I














4
•H















H
••
I
1














|MV. 1.1^-Trt-
lehtoroMhwM
|(79-OO-6)














129V. Trlchloro-
MhyMM (79-014)















I
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II














?










,
f
i
M.














11 A. 2ro-
OhwiOl (12043-2)














13A. 2.4-ObnMhyt-
ph««>l( 10647-9)














I4A. 4.6-Dlnltro-O-
CrMol (83442-1)














16A. 2,4-Dlnltro-
phwiol (61-26-6)















ISA. 2 Nltroprwnol
I (68-76-6)



















17 A. 4 NUroph.nol
(100-02-7)










ISA. P Chloro M
Craiol (69-50-7)













ISA Pantschloro
phenol (87 86 5)








0 ^
— in
a. m
1!














IUA. 2,4,6 Tri-
chlorophftnol
1(88-06-2)
MTINIIF ON M.
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1
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-------
CONTINUED FROM THE FRONT
1. POLLUTANT
AND CAS
NUMBER
(it avmilablft
OC/MS FRACTION
IB. AewwphtlMiw
(83-32-9)
2B. AewMplitvlwM
(20B-964)
38. Anthracmw
(120-12-7)
48. BwuMifM
(92-87-6)
»8.B«oioW
AoifirvMfM)
ffMB-3)
•8. 5MOQ M

78. 3,4-Bwo-
flvonntlwn*
(20M8-2)
8«.B««of«MJ
l**rylm*
(19124-2)
•8. Bwza /«
FKiorwithMW
(207-08-9)
108. Bb (J-CWoro-
•Aoxy/ McthwM
(111-91-1)
118. Bit (t-Ckloro-
tOtyl) Ether
(JJJ-»4-4)
IJB B»ff-Omnw»-
«HMEi)Mr 1102-40-1)
13B. BtofJ-KHiy'-
h«x>0 PhtlwM*
(117-81-7)
14B. 4-Brocno-
phcnyl Ph«nyl
Eth«r(101-BB-3)
IBB. Butyl Bmtyl
PhttMlm (8B-88-7
188. 2-Chtoro-
naphthalmw
(91-98-7)
17B. 4-Chtoro-
phcnyl Phwiyl
Etlwr (7008-72-3)
18B. ChrywM
(218-01-9)
19B. Dibcnzo (a,h)
Anthr»c*n«
(5370-3)
SOB. 1.2 Dichloro-
b*n»n« (96-50 1 )
21B. 1.3 Oichloro-
b*n»n« (541-73-11
1. MARK 'X'
&TK>T
|M«
n«-
' '" '
-BAI





















u.«-
1,IKW«B
PIBK-
BE/NCI





















c ••-
»•-
JTRAI





















3. EFFLUENT
•. MAXIMUM OAIL.V VALUE
COMPOUNDS











































*MAX1WX-2

















.




SaRe/ VALue






















«•""•• WA






















ft,W" VA1-ut






















d. NO. OF
ANAL
VSCS























4. UNITS
>. CONCEN-
TRATION






















b. MASS























5. INTAKE luplH"
• LONC
A VCR AG
(l ) CONON-
TNATIOM





















p TERM
^ VA1-I/E






















EPA Form  3S10-2C (t-90)
                                                                               PAGE V-«
                                                                                                                                               CONTINUE ON I

-------
CONTINUED FROM PAGE V-6
1. POLLUTANT
AND CAS
NUMBER
(it ovailablr)
2. MARK 'X'
ft T« «T
HK-
• UIH-
LI&VKC
C ••-
AB-
• •*T

«. MAXIMUM DAILY
(•I
EPA I.D. NUMBER fcopy from Jttm I of Form 11
3. EFFLUENT
VALUE
|»M...
OC/MB FRACTION - BASE/NEUTRAL COMPOUNDS (continued-
22B. 1.4-Okhloro-
IWnZMM (106-46-7
23B. 3.3--Dichloro-
(•1-04-1?
246. Dtothyl
PhttMlat*
(84-66-2)
26B. OliMthyl
rhttMtat*
(131-11-3)
PtathBtBM
04-74-2)
278. 2.4-Dlnltro-
tokMM (121-14-2)
2BB. 2.6-Dtnltro-
tokMM (808-20-2)
2BB. OI-N-Octyl
Li 17-64-0)
•jiB.1,2-Olph«nyl-
HftMMj (122-68-7
HllB. FluoranthMw
1 328. PkioraiM
1 (86-73-7)
am" "' "
Jw^Mi1'1'

Sti'i^r
'8S.3P1*!
(7»Wl)
(•1-20-3)
4OB. NNrotMiuwM
(•8-06-3)
418. N-Nltro-
«Mjlm«tl| M...






















OUTFALL NUMBER


C.LONC TERM *VRG. VALUE
I.I






















M MAk»






















d NO OF
AN AL-
vses






















4. UNITS
• CONCEN
TRATION














































5 INTAKE (.././i
• LONG TERM
AVEHA^ Y*LUt
TM A TION






















1,1 -...






I
1














EPA Form  M10-2C (8-80)
                                                                               PAGE V-7
                                                                                                                                               CONTINUE ON hi  i HSt

-------
 CONTINUED FROM THE FRONT
1. POLLUTANT
AND CAS
NUMBER
t. MARK 'X'
OUIN*
Likvan
fmm-
• •MT
c •••
*•-
• •NT
3. EFFLUENT
•. MAXIMUM DAILY VALUE


OC/MS FRACTION - BASE/NEUTRAL COMPOUNDS (continued)
43B. N-Nttro-
•Ddlphwiylwnln*
(86-30*)
44B. PhwMiithrwM
(86-01-8)
468. PyrafM
(129-OO-0)
488. 1.2,4 - Trl-
chlorobMUMM
(120*2-1)












OC/MS FRACTION - PESTICIDE* •
IP. Aldrln
(309-00-2)
2P. 0-BHC
(319-84-8)
3P. fl-BHC
(319-86-7)
4P. 7-BHC
(68*9-9)
6P. 6-BHC
(319-86-8)
•P. Chlordam
(87-74-9)
7P. 4.4'-DDT
(60-29-3)
8P. 4.4--OOE
(72-66-9)
9P. 4.4--DDD
(72-64*)
1OP. Dlcldrin
(80-67-1)
1 1P. tt EndOiulfan
(116-29-7)
12P. 0 Endotulf.n
(116-29-7)
13P. ErKfcMulfin
Sulfito
(1O31-07*)
14P. Endnn
(72 20-8)
15P. Endnn
Aldahyda
(7421 934)
16P. Hiptcchlor
(7644-8)




















































'





































b. MAXIMUM 10 PAY VALUE














































C.LONG TERM »VPC. VALUE














































d NO OF
ANAL
YSES






















4. UNITS
a. CONCEN-
TRATION






















L> MASS






















S. INTAKE l:,,'l,
a LONC
AVtKAO
(l| CONCI- H






















i TERM
E VALUt
|,| -„..






















EPA Form  3510-2C (S-M)
                                                                         PAGE V-8
                                                                                                                                   CONTINUE ON i

-------
CONTINUED FROM PAGE V-8
1. POLLUTANT
AND CAS
NUMBER
Hi ovailoblr)
2. MARK 'X'
• H •
auiiv-
LIIVBC
• •NT
C •«-
• •-
• •NT

•. MAXIMUM DAILY
l>)
OC/MS FRACTION - PESTICIDES (continued)
17P. H«puchk>r
EpoxkM
(1024-67-3)
18P. PCB- 1242
(63400-21-0)
10P. PCB- 1264
(11O07-O0-1)
20P. PCB 1221
(111O4-28-2)
21P. PCB-1232
(11141-104)
22P. PCB-1248
(12072-20-O)
23P. PCB-1260
(1100042-6)
24P. PCB 1016
(12674-11-2)
26P. Toxiphcn*
(8O01-36-2)




































EPA I.D. NUMBER (copy from Item 1 of Form 1)
3 EFFLUENT
VALUE
MM...










b MAXIMUM 10 QAY VALUE
co»c. !.','-., ,o~










(l| MAVft










OUTFALL NUMBER


C.LOHG TffHgjyjff. VALUE
|i)










(,| -„,..










tl NO OF
ANAL
vses










4 UNITS
• CONCEN
THATION










It MASS










5 INTAKE {,
-------
                                                                                     Pom Approved
                                                                                     OMB No. 2040-0086
                                                                                     Approval expires W1 -92
or typ* in th« uiutwoM KM* only.
                                                                              AMD WLVICOLTUfUL OPERATIONS
                                                                                                     ». IOVT COOK* PROM
                                                                                                         TAM.C 1C-1
ICIAL USE ONL>
                    t fuid«lin«
-------
  tMTiMUEO FROM THE FRONT
 C. Except for ttorm runoff, teaks, or tpllh]. *• any of Vt»
          Q vcs reomptot* the foOowtat laMaJ
                                  •as OB
Mbad In Items II-A or B tntarmlnent or saasonal?
                     ONO (go to Section III)
I. OUTFALL
 NUMBER
    (lilt I
   a.
CONTHIMf TWO FLOW
                                                               I. FMQUCNCY
        b. MONTH*
        »*R VCAH
                                                                                                             4. FLOW
                                                                                        •. ri.ow MAT*
h. TOTAL VOUUMC
 <*>»clfy with unit*I
                                                                                       t.OM« T«HM  a. MAXIMUM
                        C DUR-
                         ATION
 A. DOM in «fftuMtt |u
                 reamjrict* JMwn
          DYM (eomfttt»ntmO*Ct?.y ":y^^gg|^;^:-^gj>'fi^^^''-'':''-" " P1*0 ft» «»*^»o" ^^
 c. r   11111  i  ir-|ii"ill
                                                              mt of your tav«< of production, expressed in the terms and units
                          b. uwnv or
                                                                                I»BBU«T. HAT
                                                                                                      1. AFFECTED
                                                                                                       OUTFALL*
                                                                                                   flul outfall number*;
IV. IMPROVEMENTS^
A. Are you now required by any Federal, State or local authority to meet anv implementation schedule for the conttruction, upgrading or operation of waste-
   water treatment equipment or practices or any other environmental programs which may affect the discharges described in this application? This includes,
   but is not limited to, permit conditions, administrative or enforcement orders, enforcement compliance schedule letters, stipulations, court orders, and grant
   or loan conditions.
                                        Qvn Ifom+tttf MM SoUowInf taetej
                                                              ONO (to to tt*m IV-Bl
  IDENTIFICATION OF CONDITION,
        A6REBMENT. ETC.
                                      1. AFFECTED OUTFALL*
                                                        1. BRIEF DECCRIPTION OF PROJECT
                                                                                                                               • . us-  I tx PMO-
                                                                                                                               OWIMKD IjBCTEC
                                        MARK "X- IF DESCRIPTION OF ADDITIONAL CONTROL PROGRAMS IE ATTACHED
                                                                 PAGE I  OF  4

-------
                                            ««• Ml of tabNN forMCh outMl - Annottlt tn* outMl number in th» «MC* provided.
       NOTE:  T*te V-A. V4,»* V-C M IndudKl on npOTtt ihwl* numbMWl V-1 through V*
       KWC* Mow to 1IM any of tfw putHiumi llM»d In Table 2o-3 of th* Imtraetiom, whkh you know or h«v» rtMcn to belitv* ii dltchargad or may b«
               »»» ft to b* pm«nt »nd report any «n>lytic»l data in your
  I. POLLUTANT
                                    •.•DUNCE
                                                                   l.roy,UTAKT
                                                                                                     Z. SOURCE
PC,

-------
CONTINUED FROM THE FRONT
VII. BIOLOGICAL TOXICITY TESTING DATA"
  Do you haw any knowladga or raaaon to-batiava that any biologic*) taat for acuta or chronic toxicity hat baan mada on any of your diichargai or on a
  receiving wetar in relation to your dtacharga wHWn tha laat 3 yaan?

      	D YKB iUUntlfy tht t**tY inquiry of thtptrwon orftnon* whomtnogothetyttomor
                                                                      bn&edi*.toth«bmttotnrfkn
-------
PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY. You may report some or all of
this information on separate sheets lute the same format) instead of completing these pages.
SEE INSTRUCTIONS.              	
                                                                                                EPA l.o. NUMBER (copy from Item 1 of Form 1)
 V. INTAKE AND EFFLUENT CHARACTERISTICS (continued from page 3 of Form 2-CI
 PART A • You must provide the results of at least one analysis for every pollutant in this table. Complete one table for each outfall. See instructions for additional details.
 I. POLLUTANT
 •. Biochemical
 Oxygen Demand
 (BOD)
                                                           2. EFFLUENT
                   •. MAXIMUM DAILY VALUE
                                                                   VALUE
                                                                           C.LONG
                                                                                                         d. NO. OF
                                                                                                        ANALVSES
       3. UNITS
    (tpecify if blank)
a. CONCEN-
 TRATION
                                                                                                                                    b. MASS
                                                                                                                                                       4. INTAKE (optional)
                                3. LONG TERM
                              AVERAGE VALUE
                                                          b N><
                                                          AN A I
 b. Chemical
 Oxygen Demand
 (COD)
 c. Total Organic
 Carbon (TOO ,
d. Total Suipended
Solid. (TSSI
a. Ammonia lot N)
1. Flow
g. Temperature
(winter)
 h. Temperature
 (tummtr)
                  MINIMUM
 i. pH
                                MAXIMUM
                                              MINIMUM
                                                             MAXIMUM
 PART B -   Mark "X" in column 2-a for Men pollutant you know or have reason to believe is prevent. Mark "X" in column 2-b for each pollutant you believe to be absent. If you mark column 2a for any pun
           which is limited either directly, or indirectly but expressly, in an effluent limfttttom guidalm*, you mu«provio^ttMrMultt of at least one analysis for that pollutant For other rx>llutantsfo^
           column 2s. you must provide quantitative data or an explanation of their presence in your discharge. Complete one table for each outfall. See the instructions for additional details and requirm.
t. POLLUT-
 ANT AND
 CAS NO.
 (if available)
              Z. MARK 'X
                                                       b. MAX
                                                                  S. EFFLUENT
                                                                                                                                4. UNITS
                                                                                                                                                        5  INTAKE (optionalI
                                	1  LONG TERM
                                 AVERAGE VALUE
                     b.
                           a. MAXIMUM DAILY VALUE
                                III
                                            I')'
                                                                         V VALUE
                                                                         111 '
                                                                                          III
dNO  or
 ANAL
  VSES
                                                                                                                         a. CONCCN
                                                                                                                          TRATION
                  b. MASS
                                                                                                                                                                  111 <
a. Bromide
(2495967-9)
b. Chlorine.
Total Retiduel
c. Color
 d. Fecal
 Conform
 e. Fluoride
 (1698448 8)
f. Nitrete-
Nitrltercu N)
   EPA Form  3510-2C  (8-90)
                                                                                   PAGE V-
                                                                                                                                                           CONTINUEON REVfct,

-------

I. POLLUT-
 ANT AND
 CAS NO.
 UfauallaUll
9. NltroflMi.
Total Orgmnx
   Nl
h. Oil and
Qr
lot ri, Total
 772314-0)
               2 MARK -X
                                                                     3. EFFLUENT
                            a. MAXIMUM DAILY VALUE
d NO OF
 ANAU
  YSES
                                                                                                                                      4 UNITS
                                                                                                                                                               V INTAKE
                                                                                                                               a. CONCEN-
                                                                                                                                TRATION
I. Radioactivity
01 Alpha.
TOOl
Tot*
IMHwHum.
         •taiMJt
 Total
 (7439966)
<•. Tin, Total
(/44O-31-6)
 «. Titanium.
    »»A Fort*
                                                                                        PAOK V*2
                                                                                                                                                                    CONTINUE ON PAd

-------
EPA i.o. NUMBER (copy from Item 1 of Form 1) OUTFALL NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C

PART C - If you are a primary industry and this outfall contains process wastawater. refer to Table 2c-2 in the instructions to determine which of the GC/MS fractions you must test for. Mark "X" in colon H
2-a for all such GC/MS fractions that apply to your industry and for ALL toxic metals, cyanides, and total phenols. If you are not required to mark column 2 a (secondary industries, nonproc.
wastewater outfalls. and nonrequired GC/MS frictions), mark "X" in column 2-b for each pollutant you know or have reason to believe is present Mark "X" in column 2 -c for each pollutant v< >
believe is absent. If you mark column 2a for any pollutant, you must provide the results of at least one analysis for that pollutant. If you mark column 2b (or any pollutant, you must provide the rest ii i
of at least one analysis for that pollutant if you know or have reason to believe it will be discharged in concentrations of 1 0 ppb or greater. If you mark column 2b for acrolein. acrylonitrile, 2 •
dinitrophenol, or 2-methyl-4, 6 dinitrophenol. you must provide the results of at least one analysis for each of these pollutants which you know or have reason to believe that you discharge .1
concentrations of 1 00 ppb or greater. Otherwise, for pollutants for which you mark column 2b. you must either submit at least one analysis or briefly describe the reasons the pol lutant is expected i .
be discharged. Note that there are 7 pages to this part; please review each carefully. Complete one table (all 7 pages) for each outfall. See instructions for additional details and requirement
1. POLLUTANT
AND CAS
NUMBER
(if auoilablc)
2. MARK 'X'
arisr
IMA
«•-
«um-
txai-
"«.'.'
•KMT
C •«-
LI*V«C
AB-
•«NT
METALS. CYANIDE, AND TOTAL PH|
1M. Antimony,
Total (7440-36-0)
2M. Arwnlc, Total
(7440-3B-2)
3M. Beryllium,
Total. 7440-41 -7)
4M. Cadmkim.
TOM (7440-43-4)
•M. Chromium.
tattl (7440-47-3)
f&SG8~
miaatiM
(MaMM)
•M. MarMry, Tot*
(743B-07-4)
ft**. Manet Te«at
(744002-0)
10M. Menfcifn.
Total (77I2-40-2)
11M. Silver. Total
(7440-22-4)
12M. Thelllum,
Total (744O-28-0)
13M. Zinc. Total
(7440-86-6)
14M. Cyanide,
Total (67-12 6)
ISM. Phanoli,
Total













































3. EFFLUENT
a. MA|pJU
wfS^H
'"""""flTfilOBil
miPV VALUE
m&~"
ENPLS 1
,., ...






























D. MAXIMUM *
COXCINTHITION
















I PAY VALUE

















C.LONG T^Mj^Jje. VALUE


































d. NO. OP
ANAL-
YSES
















4. UNITS
«. CONCEN-
TRATION
















b. MASS
















5. INTAKE (optiini.il
a. LONC
AVf *A£1
(l ) COHCBM-
TMATIOM
















> TERM
^ VALU^
(l) MAS*
















DIOXIN
2,3,7,8 Tatra
chlorodlbanio-P-
Dioxln (1764-01-6)



DESCRIBE RESULTS
A u A 1
V S t b













EPA Form  3510-2C (t-90)
                                                                            PAGE V-3
                                                                                                                                       CONTINUE ON REVERSi

-------
CONTINUED FROM THE FRONT
t. POLLUTANT
AND CAS
NUMBER
(tf available)
2 MARK 'X'
A Tk»T
|N(*
• •-
QUIIt-
b. ..
,1k. W CO
C mt-
*•-
• •NT
3 EFFLUENT
e. MAXIMUM DAILY VALUE
I.)
QCMS FRACTION - VOLATILE COMPOUNDS
IV. Acroleln
(107-02-8)
2V. Acrylonltrlle
(107-13-1)
3V. Benzene
(71 43-21
4V. BMCMoro-
mtthyll Ether
(642-88 1)
8V. Bromoform
(76-26-2)
6V. Carbon
Teuechtortde
(66-23-6)
7V. Chtorobeniene
(10890-7)
6V. Chktrodl-
(124-481)
9V. Chtoroethene
(76-00-3)
10V. 2-Chtoro-
ethylvlnyl Ether
(110-764)
11V. Chloroform
(67-66-3)
12V. Otehloro-
(76-37-4)
13V. DWiloro-
dMIuorometherM
(78-714)
t4V. 1,1-OWiloro-
ethene (76-34-3)
16V. 1,2-Dtehtoro-
16V. 1.1-DMrtoro-
ethylene (76-38-4)
17V. 1,2-DWilpro-
prooene (78474)
Itv 1.3-Otehtoro-
19V. Ethylbenzene
(100-41 4)
20V. Methyl
Bromide (74-83-9)
21V. Methyl
Chloride (74-87-3)










































Fond J610-JC (B-M)

































































b. MAXIMUM ig DAY VALUE














































C.LONC TERM AVRG VALUE















































ll NO OF
ANAL
VSES






















4 UNITS 1
• CONCEN
TRATION






















PAGE V-4
— L
S INT
n 1 ONd
1,"| < .,.., «~

1




































AK t l.-i'ii
^ t HM
V ALUL


-


















1


CONTINUE ON ft\t,t V 5

-------
CONTINUED FROM PAGE V-4
1. POLLUTANT
AND CAS
NUMBER
(it available)
OC/MS FRACTION
22V. Methytene
Chloride (78-OS-2)
23V. 1.1,2,2-Tetre-
chtoroethene
(79-34-6)
24V. Tetreohtoro-
ethylene (127-18-4)
26V. Toluen*
(108-88-3)
28V. 1,2-Trene-
Otchloroethylene
(168-60-6)
27V. 1,1,1-Trt-
chloroethene
(71-66-6)
28V. 1.1.2-Trl-
chloroethene
(78-00-6)
J29V. Trlchloro-
JMhylww (79-O1-6)
•DV. Trlchloro-
IChlo'rM«'(75-O1-4)
2. MARK >Xi
1MB
1 »B 1
-vo










b...-
LIBVKB
PMC-
LATIL










c ••-
ECOM











e, MAXIMUM i
JAILY
POUNDS (conttnutd)










OC/MS FRACTION - ACID COMPOUNDS
1A. 2-Chk>rophenol
(B8-67-8)
2A. 2,4 Dichloro
phenol (120-83-2)
3A. 2.4 Dimethyl-
phenol (10667-8)
4A. 4,6-Olnrtro-O-
Cre»ol (634-62-1)
6A. 2,4-Dlnltro-
phenol (61-28-6)
6A. 2 Nltrophenol
88-76-6)
7 A. 4 Nltrophenol
(100-02-7)
8A. P-Chloro-M-
Crewl (59-50-7)
9A. Pentechloro-
phenol (87-86 5)
10A Phenol
(1O8 35 21
11 A. 2,4,6-Tri-
chlorophenol
(88062)












































EPA I.D. NUMBER (copy from Item 1 of Form 1)
3. EFFLUENT
VALUE























lit ova























1 PAY VALUE
'able)


















































&5F VALU"























d. NO. OF
ANAL-
YSES























4. UNITS
a. CONCEN-
TRATION























b. MASS























5. INTAKE (Optional
e. LONC
AVERAC
|f) COMCBN-























TCRM
VALUE























,n • i>t















PAOF V-»

-------

1. POLLUTANT
AND CAS
NUMBER
OCAM FRACTION
IB AMIMpfctlMfM
(83-32-9)
28. Ac*iuphtyl*rM
(208-964)
3B. AnltiracwM
(120-12-7)
4B. Bwuldlm
(92-87-6)
SB. BMUO (a)
AnthrwWM
(66-66-3)
68. BMao (a)
Pyran* (60-33-8)
7B. 3,4-B«nzo-
fkiorwithMM
(206-99-2)
SB. Bma (iHl)
Pwylww
(191-24-2)
BB. B«nto M»> 1
f«Ml4M08>n4I
IM-CtvYM.
(218-01*)
1%. Obmso /a.fc7
Anthr«WM
(53-70-3)
20B. 1,2-Dlchlaro-
bM»WM(96-6O-1)
218. 1,3-Dldtloro-
bwuwM (841-73-1!
1. MARK •*•
KT««T
IN*
• •-
-BA





















(&•••
LI«V«fl
rmtt-
K/NC





















c •«•
UTRAI























•. MAXIMUM 1
.COMPOUNDS





















3AII.V VALUE























t>. MAXIMUM 1






















m/ VAI-U'






















C.UON6 Tf^






















ffiXCf VAUU'























U. NO OF
ANAL-
YSES
























• CONCEN
TRATION






















b MASS
























• LONG
|.| co»c.»
TM ATION





















TCRM






















EPA FOTM  M10-2C (t-90)
                                                                                PAGE V-6
                                                                                                                                                 CONTINUE ON H<» I V /

-------
CONTINUED FROM PAGE V-6
1. POLLUTANT
AND CAS
NUMBER
z MARK •*•
&TK »T
IMU
UK-
aum-
b...-
***•>•>•
• •NT
c •«-


«. MAXIMUM OAILV
I'l TQM
It
EPA I.D. NUMBER (copy from Hem 1 of Form 1)
3. EFFLUENT
VALUE
MAftft
GC/MS FRACTION - BASE/NEUTRAL COMPOUNDS (continued'
22B. 1,4-Okhloro
bwuwM (1O6-46-7
23B. 3.3- Dlchloro
bmxkJIn*
(91-94-1)
248. Dtothyl
Phthalatt
(8*00-2)
2SB. Dimethyl
PhttwIM*.
(131-11-3)
26B. bl-N-Butvl
PhtlMlM*
(84-74-2)
27B. 2,4-Oinltro-
toluww (121-14-2)
28B. 2.0-Olnttro-
tohJWM (606-2O-2)
I MB. DMK-Octyl
BEwMMM 122-OO-7;
HH9. Fluoranthm*
ratB. PkiorwM
r(M-73-7)
niv-74-t)
34B.H***-
(•7-OM9
CV^tapMICMWM
(77^7-4)
•Him (07-72-1)
37B. Indcno
(l,a.i-«d) Pynn*
(193-30-6)
3BB. Inphoroiw
(78-09-1)
39B. NBphtlMtafw
(91-20-3)
408. Nltrob«ni*n«
(98-95-3)
41B. N-Nitro-
•odimathylwnlne
(62 76 9)
428. N-Nltrotodl-
N-Propylwnlna
(621-64-7)









































































































b. MAXIMUM »0 P£v VALUE
(•1






















l»l-.,.






















OUTFALL NUMBER


C.LON0 T^/&f • VALUE
CO~c.iV'.»T,0»













































NO OF
ANAL.
VSES






















4. UNITS
. CONCEN-
TRATION






















l> MASS






















5. INTAKE f,.;i»i.»
a LONO TERM
AVER At, VALUE























|,| «...






















EPA Form  3510-2C (S-90)
                                                                               PAGE V-7
                                                                                                                                               CONTINUE ON

-------

1. POLLUTANT
AND CAB
NUMBER
OCJMB NUCnOM
43B. N-Nttro-
BdlplMnytamlfM

(BB-014)
48 B% BVwB^^MM
•MM. rjrfWM
(12V40-0)
SSr^
t. MARK •«'
*yt'
-•A




b •«•
IE/NC




c •«-
mui




3. EFFLUENT
•. MAXIMUM 1
.COMPOUND*




QCAB MIACTIOM - IliTHJUii . $3 '-£'
IP. AMrln
(MB-00-a>
2P.O-BHC
'Sltt^B^LAI
M* A~BI4C
ITiiSJtc
IP.JJJHC
BP. Chlord«M
(C7.744)
&^?°T
tP.4,4--ODI
BP. 4.4--ODD
(72-B44)
10P. DMdrln
(B047-1)
IIP.O-Bwiewltwi
(11B-29-7)
(11B-2B-7) *"
ISP. Endotutftn
Su««»
14P. Endrln
(72-204)
IBP. Endrin
Aktohyd*
( 742 1-93-4)
IBP. Hcpuchlor
(76-444)
































































>AILV VALUE
leontintud)




S.^






























































O.LONO T*J*M






















ftAC? v*«-"«























d. NO OF
ANAL-
YSES
























*. CONCEN-
TRATION






















b MASS
























• LONC
AVCRAG
(l) COMON-






















. TERM
E VALUE






















EPA FOTM U10-1C (t-90)
                                                                              PAGE V-t
                                                                                                                                            CONTINUE ON PA. .t  V9

-------
CONTINUED FROM PAGE V-8
1. POLLUTANT
AND CAS
NUMBER
(if miafJa6l*>
QC/MS FRACTION
17P. Htpttchlor
Epoxkte
(1024-67-3)
IBP. PCB-1242
(6346B-21-9)
19P. PCS 1264
(11M7-W-1)
20P. PCB-1221
(11104-28-2)
21P. PCB-1232
(11141-16-8)
22P. PCB-1248
( 12672-2*4)
23P. PCB-12BO
(11096-62-6)
24P. PCB-101*
(12074-11-2)
26P. ToxiphWM
(S001-36-2)
1. MARK 'X'
IMO
mm-
-PH









"Sfft"
mao









c. ••-
Afr
CSreo










•. MAXIMUM 1
III
CONC K MTMATIOM
nttiuMd)









EPA i.D. NUMBER (copy from Item 1 of Form 1)
3. EFFLUENT
1AII-V VAI.UK

































p.lLU_
OUTFALL. NUMBER

.
•T0ai










ygjy. VALUE










a NO or
ANAL
VSES










4. UNITS
• CONCCN
TRATION










b MASS










5 INTAKE <.>pn,.>
• LONG
A VER AG
(l ) CONO N-










TERM
VALUE











                                                                            PAGE V-9
EPA Farm 3S10-2C  (t-M)

-------
ITEM V-B CONTINUED FROM FRONT
I. POLLUT-
ANT AND
CAS NO.
(If available >
g. Nltroean,
Total Organic
«uN>
h. OH end
Graaaa
1. Phoaphorui
(at Ft. Total
(7723-14-O)
2. MARK 'X'
a. mm-
LIMVCD
rmm-



b.cc-
LtKVCO
*•-



|. Radioactivity
(1) Alpha,
Tot»l
(2) Bata.
Total
(3) Radium,
Total
(4) Radium
226. Total
k. Sulfat*
(a* S04)
(14806-794)
1. Sulf W»
(»• at
m. Sulflta
(a, S03)
(14265-45-3)
n. Surfactant*
o. Aluminum,
Total
(7429-90-5)
p. Barium,
Total
(7440-39-3)
q. Boron,
Total
(744O-42-8)
r. Cobalt,
Total
(744O-48-4)
*. Iron, Total
(7439-89-6)
t. Maonaalum,
Total
(7439-05-4)
u. Molybdenum,
Total
(7439-98-7)
V. MAnQAAAAA,
Total
(7439-96-6)
w. Tin, Total
(744031-6)
x. Titanium,
Total
(7440-32-6)




































3. EFFLUENT
a. MAXIMUM I






















DAILY VALUE






















b. MAX.M.U.M ,






















S.?AY VALUI






















C.I.ONG TERM






















K/Umf VA1-U"






















d. NO. OF
ANAL-
YSES






















4. UNITS
a. CONCEN-
TRATION






















b. MASS






















5. INTAKE (optional)
Av-cMW
I1 )






















kViWuE























b. NO. OF
ANAL-
YSES






















EPA Form 3S1O-2C (R«v. 2-86)
                                                                        PAOPV-2
                                                                                                                                       CONTINUE ON PAGE V

-------
CONTINUED FROM PAGE 3 OF FORM 2-C
•PA l.D. NUMBER (copy from Htm 1 of Form 1)
OUTFALL NUMBER
Form Approved.
OMB No. 2O4O-OO86
Approval expires 7-31-98
PART C - If you are a primary industry and this outfall contains process wastewater. refer to Table 2c-2 in the instructions to determine which of the GC/MS fractions you must test for. Mark "X" in column
2-8 for all such GC/MS fractions that apply to your industry and for ALL toxic metals, cyanides, and total phenols. If you are not required to mark column 2 -a (secondary industries, nonproses*
wastewater outfalls, and nonrequired GC/MS fractions), mark "X" in column 2-b for each pollutant you know or have reason to believe is present. Mark "X" in column 2-c for each pollutant you
believe is absent. If you mark column 2a for any pollutant, you must provide the results of at least one analysis for that pollutant. If you mark column 2b for any pollutant, you must provide the results
of at least one analysis for that pollutant if you know or have reason to believe it will be discharged in concentrations of 10 ppb or greater. If you mark column 2b for acrolein. acrytonitrile. 2,4
concentrations of 1 00 ppb or greater. Otherwise, for pollutants for which you mark column 2b, you must either submit at least one analysis or briefly describe the reasons the pollutant is expected to
be discharged. Note that there are 7 pages to this part: please review each carefully. Complete one table (all 7 pages) for each outfall. See instructions for additional details and requirements.
1. POLLUTANT
AND CAS
NUMBER
(If available)
2. MARK 'X'
•.TCVT
IMG
MC-
QUII*-
b. .«-
LICVKO
PMB-
• •NT
C •«•

3. EFFLUENT
a. MAXIMUM DAILY

METALS, CYANIDE, AND TOTAL PHENOLS
1M. Antimony,
Total (7440-36-0)
2M. Arwnlc, Total
(7440-38-2)
3M. Batvlllum.
Total, 744O-41-7)
4M. Cadmium.
Total (744O-43-9)
6M. Chromium,
Total (7440-47-3)
6M.Copiar.ToMI
(7440-50-8)
7M.LMd.TeMl
(7439-92-1)
8M. Marcury. Total
(7439-97-6)
9M. Nickel, Total
(7440-020)
10M. Salanium,
Total (7782-49-2)
11M. Sllvar, Total
(7440-22-4)
12M. Thallium,
Total (7440-28-0)
13M. Zinc, Total
(744066-6)
14M. Cvanida,
Total (57-12-5)
15M. Phanolt,
Total




























































VALUE

















b. MAXIMUM 1
™|70IHI

















m? VAUUB

















C.LONOTE/.M^y. VALUE


































d. NO. OF
ANAL-
YSES
















4. UNITS
a. CONCEN-
TRATION
















b. MASS
















5. INTAKE (optional)
a. LONG TERM
AVERAGE VALUE
(l) CONCtN-
















(l) MAfl«
















b. NO. or
ANAL-
YSES
















DIOXIN
2.3,7,8 Tetra
chlorodibenzo-P
Oioxin (1764 01 6)



DESCRIBE RESULTS
EPA Form 3510-2C (Rev. 2-8S)
                                                                        PAGE v-3
                                                                                                                              CONTINUE ON REVERSE

-------
CONTINUED FROM THE FRONT
1. POLLUTANT
AND CAS
NUMBER
(if available)
2. MARK 'X'
B.TCCT
«£•
OUIft-
Cx .«
Llt-VBO
P*L-
• •NT
C. •(•
«••
• •NT
3. EFFLUENT
e. MAXIMUM DAILY VALUE
It)
1 ,C/MS FRACTION - VOLATILE COMPOUNDS
IV. Acroleln
(107-02-8)
VV. Acrylonltrll*
i 107-13-1)
IV. Benzene
171-43-2)
4V. Bit (CMoro-
methyi) Ether
(542-88-1 )
BV. Bromoform
(75-25-2)
6V. Carbon
Tetrechlorlde
(56-23-5)
7V. Chtorobeniene
(10B-QO-7)
8V. Chlorodi-
bromomethene
(124-48-1)
9V. Chloroethane
(75-00-3)
10V. 2-Chtoro-
ethyrvinyl Ether
(11O-76-B)
11V. Chloroform
(67-66-3)
12V. Dtehtoro-
(75-27-4)
13V. Dkhloro-
drlluororMthene
(75-71-8)
14V. 1,1-Dlchloro-
ethene (75-34-3)
16V. 1,2-Dichloro-
•trwn* (1O7-06-2)
16V. 1,1-Dichloro-
•thytorw (75-35-4)
17V. 1,2-Oichloro-
propane (78-87-5)
18V. 1 ,3 Otchtoro-
promtom(S42-7S-6)
19V. Ethylb«n»cM
(1OO-41-4)
20V. Methyl
Bromide (74-83-9)
21V. Methyl
Chloride (74-87-3)




















































































(l) ••*••






















b-MAX1'WMuiW,VVA'-0«
l<>
COHCVNTWATIDM






















(a) MAS*






















e.LONOTEAMAV>,.?. VALUE
l<)






















(j) »*••























d NO. OF
ANAL-
YSES






















4. UNITS
e. CONCEN-
TRATION






















0. MAS*






















S. INTAKE (optional)
e. LONG
AVERAG
(l) CONCBM-
TIIATtOM






















TERM
E VALUE
III M«.t






















b NO. OF
ANAL-
vmEB






















EPA Form 3510-2C (R«v. 2-85)
PAGE V-4
                                                                                                                                          CONTINUE ON PAGE V-6

-------
form Approvmd.
CONTINUED FROM PAGE V-4
1. POLLUTANT
AND CAS
NUMBER
(if available)
2. MARK 'X'
&TE«T
IN&
we -
b. .«-
LIKVKO
rum-
c. mm-
ftm-

e. MAXIMUM I
(')
IAILY
111
GC/MS FRACTION - VOLATILE COMPOUNDS (continutd)
22V. Methylene
Chloride (75-09-2)
23V. 1.1,2,2-TeUB-
chloroethane
(79-34-5)
24V. Tetrechloro-
ethylene (127-18-4)
25V. Toluene
(108-88-3)
26V. 1,2-Trera-
Dichloroethylene
(15660-5)
27V. 1.1.1-Trl-
chloroethene
(71-55-6)
28V. 1.1,2-Trl-
chloroethane
(79-00-5)
29V. Trfehloro-
etbylene (79-01-6)
30V. Trlchloro-
fluorometrwne
(75-69-4)
31V. Vinyl
Chloride (75-01-4)








































GC/MS FRACTION - ACID COMPOUNDS
1A. 2-Chloropheno
(9S578)
2A. 2,4-Dlehloro-
phenol (120-83-2)
3A. 2.4-Dlm«thyl-
phenol (105-67-9)
4A. 4,6-Dlnitro O
Crnol (534-52-1)
5A. 2,4-Olnitro-
ph.nol (51-28-5)
6A. 2-Nitroph*nol
(88-75-5)
7A. 4-N!troph»nol
(100-02-7)
8A. P-Chloro-M-
Creiol (59-50-7)
9A. Pcntachloro-
phenol (87 86 5)
10 A. Phenol
(108952)
11 A. 2,4.6-Trl-
chlorophenol
IR806-2)












































EPA I.D. NUMBER (copy from Item 1 of Form 1)
3. EFFLUENT
VALUE























b. MAXIMUM 3
(it ova
10























?<,?/5>v VA1-UE























OU TFAI.I. NUMBKR
OMB No. 2O4O-OO96
Approvml t*pim 7-31-88

C.LONG T0J£























wtref-vAl-uc























a NO. OF
ANAL-
YSES























4. UNITS
e. CONCEN-
TRATION























b. MASS























3. INTAKE (optional)
•. CONG
AVKR AG
(l) CONCBH-























TERM
E VAI.UC























b. NO.OF
ANAL-
YSES
























-------
MJM 1 INUbU I-HUM THE FRONT
I. POLLUTANT
AND CAS
NUMBER
(it awllabltt
2. MARK •*•
KT««T
IMO
MB*
• Ul«-
H mm-
Liftvav
rn«-
• •MT
c ••-
A»-
• •HT
3. EFFLUENT
•. MAXIMUM DAILY VAUUB
l>)

OC/M8 FRACTION - BASE/NEUTRAL COMPOUNDS

(83-32-9)
2B< AcAnflpntywfM
(208-9*4)
38. AnthrMWW
(120-12-7)
48. BwnMHM
(•2-87-6)
SB. B«nzo to
AnttiracwM
(Se-SS-3)
88. Bwuo (a)
Pyran* (SO-32-8)
78. 3.4-Bwwo-
(208-99-2)
88. Bwuo f«MJ
PvrylMW
(191-24-2)
98. Bwuo Ik)
Fluor inthWM
(207-08-9)
108. Bit O-CMoro-
•thoxy) MvthwM
(11141-1)
118. Bt* (2-Chlon>-
tttiyl) Eth«f
(111^4-4)
12B.Kt«2-CMbniH>-
(rwflElhvllOl-aO-l)
13B. BU (S-BHtyl-
htiyl) PhtlMlct*
(117-81-7)
148- 4-Bromo-
phcnyl Plnnyl
Ethw (101-65-3)
IBB. Butyl Benzyl
Phttatot* (BB-fiB-7'

16B. 2-Chloro-
(Mp M tnB I9n0
(91-887)
178. 4-Chloro-
phcnyl Ph*oyl
Ethv (7OOS-72-3)
18B. Chryxn*
(218-01-9)
19B. Olbcnzo (a,h)
Anthraccn*
(63-7O-3)
JOB. 1,2-Dfchloro-
bw»«M(96-BO-1)
2 IB. 1,3-DlchVoro-
bwmn* (641. 73-1









































































































O.MAX,^M|aigAjYVALO«














































C.LONO V^M^Br VALU*














































d NO. of
ANAL-
VICS























4. UNITS
*. CONCBN-
TWATIOH






















IX MAM























S. INTAKE (optional)
AteP/fS
|t) CONC«N-
TMATIOH






















» TERM
E VALUBt
(it **•••






















b. NO. OF
ANAL-
Y«C»






















EPA Form 3B10-2C (R«v. 2-86)
                                                                         PAGE V-«
                                                                                                                                    CONTINUE ON PAGE V-7

-------
CONTINUED FROM PAGE V-6
1. POLLUTANT
AND CAS
NUMBER
(If available I
2. MARK -X-
auiiv-
Liftwca



a. MAXIMUM DAILY

•PA I.D. NUMBER (copy from /torn 1 of Form 1)
3. EFFLUENT
VALUE

OC/MS FRACTION - BASE/NEUTRAL COMPOUNDS (continued'
228. 1,4-Dtehloro-
bfntmn* (106-46-7
23B, a.S'-Dtohlore
baiuMIlM
(91-94-1)
248. Dlathyl
Phthalat*
(84-66-2)
25 B. Dimethyl
Phthatott
(131-11-3)
268. Dt-N-Butyl
Phthatett
(84-74-2)
278. 2.4-Dlnltro-
toluan* (121-14-2)
288. 2.6-Dlnttro-
toluan* (606-20-2)
298. Dl-N-Oetyl
Phthclata
(117-84-0)
308. 1,2-OlptMnrl-
hydwlrw (at Aio-
benxtnt) (122 -66-7
318. Fluoranthan*
(206-44-0)
328. FluoiWM
(86-73-7)
Wg~***«~*
348. Hcxc-
ehlorobutadMirw
(87-68-3)
358. HWMchloro-
cvclop«nudl*n*
(77-47-4)
368. Hmachloro-
•than* (67-72-1)
378. Indcno
(1.2,3-ed) Pyran*
(193-39-S)
388. l«ophoron»
(78-69-1)
398. NaphthitoiM
(91-20-3)
4OB. Nltrobanzvn*
(98-953)
418. N-Nltro-
•odlnwthylamlm
(62-759)
42B. N-Nitroaodl-
N-PrepylamiiM










































































































b. MAXIM^M^D^Y VALUE














































OUTPALL NUMBER
OMB No. 2O4O-OOO6
Approval fxphn 7-31 -U

C.LONO Tfff,,^
























<&!•?' VAUO*























ctNO.or
ANAL-
YSES






















4. UNITS
1. CONCEN-
TRATION






















b. MAM






















9. INTAKE foplionoll
a. LONG TERM
AVERAOE VALUE
(l| COMCBM-






















(t) MAI*






















b. NO. OP
ANAL-
YSES
























-------
CONTINUED PROM THE FRONT
1. POLLUTANT
AND CAS
NUMBER
(If timtlmblfl
I. MARK 'X'
HTCBT
iMa
• •*
• UIA-
OC/MS FRACTION - BA
438. N-NHro-
•odtphcnytamliM
I88-30-8)
44 B* PfMvwflwirflOA
(85-014)
46B. PyraM
(129-004)
46B. 1.2.4 -Trl-
112042-1)




bi ««-
"AV
••MT
c- •••
At,
3. EFFLUENT
«. MAXIMUM DAILY VALUC


SCSNEUTRAL COMPOUNDS (continued)












OC/MS FRACTION - FESTICIDES
IP. AMrln
(309-00-2)
2P. 0-BHC
019444)
3P.fl.BHC
(31B-BB-7)
4P. 7-BHC
(SB-M-tt)
BP. 5-BHC
(31B4B4)
BP. CMordWM
(B7-74-9)
7P. 4,*-DDT
(BO-20-3)
BP. 4.4--ODE
(72-B6-9)
9P. 4.4-.ODD
(72-64B)
10P. DtoMrln
(60-571)
IIP. O-EndOKjIfm
(115-29-7)
12P. fl-Endo«uH»n
(115-29-7)
13P. Endotulftn
SuH«M
(1031-074)
14P. EndHn
(72-208)
16P. Endrin
Aldvhyd*
(7421-93-4)
16P. Hcptaehlor
(76-44-8)





















































































b. MAXUf^M^^V VALUE














































C.LONG T^JMjJOyjj.. VALU.














































d. NO. OF
ANAL-
YSE*






















4. UNITS
«. CONCEN-
TRATION






















tx MASS






















B. INTAKE foptlo*,!)
>. LONC
AWCVXCI
|l) CONCVN*
TMATION





,
















TEHM
I VALUE
|i| tt»tm






















b NO. OP
ANAL-
YSE*






















EPA Form 3S10-2C (Rev. 2-85)
                                                                       PAGE V-8
                                                                                                                                CONTINUE ON PAGE V-9

-------
CONTINUED FROM PAGE V-8
1. POLLUTANT
AND CAS
NUMBER
(if available)
Z. MARK 'X'
1T««T
INO
UK-
OIMH-
tx.«-
Ltavco
PIVL-
c •«•
«•-

«. MAXIMUM DAILY

OC/MS FRACTION - PESTICIDES (continued)
17P. HcptKhlor
Epould*
(1024-57-3)
IBP. PCB-1242
(83469-21-9)
19P. PCB 1264
(11097-891)
20P. PCB-1221
(11104-28-2)
21P. PCB-1232
(11141-16-S)
22P. PCB-1248
(12672-20-B)
23P. PCB-1200
(110M-B2-B)
24P. PCB-101B
(12674-11-2)
2BP. ToxcphMM
(8001-38-2)





































•PA I.D. NUMBER (copy from /(cm J of Form 1)
3. EFFLUENT
VALUE











b. MAXIM^MS^g^Y VALUB























OUTFALL NUMBCM


C.LON6 T^lMJ^gJ.. VAUUB






















it NO. OF
ANAU-
VSCS










FarmAppnmd.
OMB No. 2040-OOae

4. UNITS
a. CONCCN-
TMATION










b. MA«<










«
S. INTAKE (optional
• LOMC
AVERAC
(l| COMCflff-










TEHM
E VA1.UK
111 MAM










b. NO. OP
ANAL-
V»B«










                                                                             PAGE V-»
FPA Foon 3S10-2C (R«v. 2-88)

-------
PIMM print or type '" the unshaded arm only.
           I
                                               PA l.D. NUMBERfcopy from /l«m 1 of Form 1)
                                                                                                   OMB Ntt. 2040-0086
                                                                                                   Approvll txpirt* 7-31-98
  FORM

  2C
 WPOES
                    APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER
EXISTING MANUFACTURING. COMMERCIAL, MINING AND SILVICULTURAL OPERATIONS
                                 Consolidated Permits Program
  1. OUTFALL LOCATION _
  For each out fill, lit: tht latitude and longitude of itt location to the neareit 15 secondt and the name of the receiving water.
  x-wmror
                       • . LATITUDE
                                                  C. LONGITUDE
                                                                                         D. RECEIVING WATER (name)
 II. FLOWS, SOURCES OF POLLUTION. AND TREATMENT TECHNOLOGIES,
 A. Attach • lint drawing showing the weter flow through the facility. Indicate source* of intake water, operations contributing wastewater to the effluent,
    and uaaunent units labeled to correspond to the more detailed descriptions in  Item B. Construct a water balance on the line drawing by showing average
    flows between Intakes, operations, treatment units, and outfalls. If a water balance cannot be determined (*.g., for certain mining tctivltitt), provide a
    pictorial description of the nature and amount of any sources of water and any collection or treatment measures.
 B. For each outfall, provide a description of: (1) All operations contributing wastewater to the effluent, including process wastewater, sanitary wastewater,
    cooling water, and storm water runoff; (2) The average flow contributed by each operation; and (3) The treatment received by the wastewater. Continue
    on additional sheets if necessary.
 I.OUT-
                      ^. OEERATIONlSl CONTRIBUTING FLOW
                                                                                                 1. TREATMENT
                     •. OPERATION flat)
                     , AVERAGE FLOW
                       (include uniti)
                                                                                       a. DESCRIPTION
B. LIST CODES FROM
    TABLE 2C-I
                    ' (tfflutnt fuldtlmtl tub-catttoHtil
 EPA Form 3610-2C (Rav. 2-86)
                                                            PAGE 1 OF 4
                                                                                                                CONTINUE ON REVERSE,

-------
    ITINUED FROM THE FRONT
  :. Except for norm runoff. leaks, or spills, are any of the discharges described in Items II-A or B intermittent or watonal?
              M (compute th* foHoamg table)                                        Quo »;
111. PRODUCTION
 A. DOM an affluent guideline limitation promulgated by EPA under Section 304 of the Clean Water Act apply to your facility?
          DYES (complete Item IIl-B)                                                d*0 
-------
                                     CPA I.D. NUMBBNfcapy from Iltm 1 of Form 1)
CONTINUED FROM PAGE 2
                                  Form Apprond.
                                  OMB NO. 3040-oaae
                                  Aftftrmtl tffurtt 7-31-88
 V. INTAKE AND EFFLUENT CHARACTERISTICS	

 A. B, & C:   SM inttruction* before proceeding - Complete on* wt of table* for Mch outfall - Annotate the outfall number in the >pac» provided.
             NOTE:  Tablet V-A, V-B. and V-C are Included on eaparate sheets numbered V-1 through V-9.
   D UM the tptct btlow to Hit «ny of tht pollutant* Ihtad in TaMt 2c-3 of tht inttnictiom, which you know or haw raawn to baliava i« diicharged or may be
     discharged from any outfall. For every  pollutant you lift, briefly dfacrtoa the reator* you believe It to be prewnt and report any analytical data in your
     poamiion.
        I. POLLUTANT
                                            i. souncc
                                                                            I. POLLUTANT
                                                                                                                I. SOURCE
 VI. POTENTIAL DISCHARGES NOT COVERED BY ANALYSIS
  Is any pollutant listed in Item V-C a substance or a component of a substance which you currently use or manufacture as an intermediate or final product or
  byproduct?
                            Qvcs (lift ail 
-------
CONTINUED FROM THE FRONT
VII. BIOLOGICAL TOXICITY TESTING DATA.
  Do you hav« any knowledge or naton to believe that any biological tMt for mitt or chronic toxicity hat been made on my of your discharges or on a
  motiving watar in relation to your discharge within tha (act 3 years?
                     DY«« (identify the tnt(i) and detcribt *•*• purpottt bflow)
    do to Section Vjn>
/III.CONTRACT ANALYSIS INFORMATION"
  Were any of the analyse! reported in Item V performed by a contract laboratory or consulting firm?


                     r~l YES (U*t tht name, addrtu, and ttltphont number of, and poUutantt
                            analyzed by. each meh laboratory or firm below)
NO [to to Section IX)
                                                           m. ADDRESS
                                                                                           (ana code A no.)
                                                                                                                           ttitt)
 /certify under penalty of lew that this document endetttttechmentt were prepared under my direction or supervision in accordance with e system designed to


 those per sons directly responsible for githering the information, the intormetion submitted is. to the best of my knowledge end belief, true, accurate, and complete.
 I em ewere that there ere significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
  A. NAME at OFFICIAL TITLE (type or print)
                                                                                                 B. PHONE NO. (arta code & no.)
  C. SIGNATURE
                                                                                                 D. DATE SIGNED
 EPA Form 3610-2C (Rev. 2-86)
                                                               PAGE 4 OF 4

-------
PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY. You may report some or all of
this information on separate sheets (use the tame format} instead o( completing these pages.
SEE INSTRUCTIONS.                            	
                                                                                                    [EPA ID NUMBER (copy frum Hem 1 of form I)
                                                                                                                                                       F tirm Approved.
                                                                                                                                                       OMB No 20OOOOS9
                                                                                                                                                       Approval expires 12-31-85
 V. INTAKE AND EFFLUENT CHARACTERISTICS fcontinuecl from page 3 ol Form 2-CI
	,	_	^•B*Ml^V^V^V^BB*BHHaVHHB*lBBfll^VMB*flBfl*BVaflBB*B*^BK*BHBB^BBB^HBBlBMBB*B*^B^B^BBlBM^BBMB^M^B*BB*B*I
 PART A • You must provide the results of at least one analysis for every pollutant in this table.  Complete one table for each outfall. See instructions for additional details.
1. POLLUTANT
                                                              2 EFFLUENT
                    a. MAXIMUM DAILY VALUE
                   CONCL^TUATIOr.
                                                 b. MAXIMUM 30 DAY VALUE |C;LONO TERM AV~RG. VALUE
                                                 	Iff qugilgble)	(if available)
                                                                                                             ANALYSES
                                                                                                                                  3. UNITS
                                                                                                                               (sprrifv it blank)
                                                                                                                           a.CONCEN-
                                                                                                                            TRATION
                                                                                                                                                              4. INTAKE /,,t>liMialJ
                                                                                                                                                                                  b. NO. OF
                                                                                                                                                                                  ANALYSES
a Biochemical
Oxygen Demand
h Chemical
Oxygen Demand
ICtlD)
c.. Total Organic
Carbon (TOO
 I Total Suspended
SoliOs Cl'ant
e Ammonia {as \'t
I  Flow
y. Temperature
(I, llll.T)
h. Temperature
(mtiiinie rl
                                 (MAXIMUM
                                                               MAXIMUM
 PART B -  Mark "X" in column 2-a for each pollutant you know or have reason to believe is present. Mark "X" in column 2-b for each pollutant you believe to be absent. If you mark column 2a for any pollutant
           which is limited either directly, or indirectly but expressly, in an effluent limitationsguidelme, you must provide the results of at least one analysis for that pollutant. For other pollutants for which you mark
           column 2a. you must provide quantitative data or an explanation of their presence in your discharge. Complete one table for each outfall. See the instructions for additional details and requirements
 1. POLLUT-
 ANT AND
  CAS NO.
 (if available)
               2. MARK 'X
                                                                     3. EFFLUENT
                             a. MAXIMUM DAILY VALUE
                                              (a) MA»«
b. MAXIMUM 30 p,AY VALUE  |C.LONG '
	(if auailubk)
                                                                                                             .VALUE
                                    I.)
d.NO. OF
 ANAL-
  YSES
                                                                                                                                     4. UNITS
                                                                     a CONCEN
                                                                      - RATION
                                                                                                                                                               5. INTAKE
                                         a. LONG TERM
                                       AVERAGE VALUE
                                                                                                                                                                                      X NO. OF
                                                                                                                                                                                       ANAL-
                                                                                                                                                                                       YSES
a. Bromide
(24959 67-9)
b. Chlorine.
Total Residual
c. Color
d. Fecal
Colitorin
e. F luoride
(16984-48 8)
f. Nitrate-
Nitrite (at N)
 EPA Form 3510-2C (Rev. 2-86)
                                                                                       PAGE V-1
                                                                                                                                                                  CONTINUE ON REVERSE

-------
ITEM V-B CONTINUED FROM FRONT
1. POLLUT-
ANT AND
CAS NO.
(If available)
g. Nitrogen,
Total Organic
h. oil and
Qraaat
1. Phoaphortn
(at P), Total
(7723-14-0)
2. MARK 'X'
a. •«-
LIKVEO
FWK-



.IKVKD
AK-



j. Radioactivity
(1) Alpha,
Total
(2) Bata.
Total
(3) Radium,
Total
(4) Radium
226. Total
k. Sulfata
fat 80j>
(14808-794)
1. Sulf kta
«**>
m. Sulf Ha
{a, S03)
(14266-46-3)
n. Surfactants
o. Aluminum,
Total
(7429-90-5)
p. Barium,
Total
(7440-39-3)
q. Boron,
Total
(7440-42-8)
r. Cobalt,
Total
(7440-48-4)
•. Iron, Total
(743949-6)
t. Magnailum.
Total
(7439-95-4)
u. Molybdenum,
Total
(7439-98-7)
v. Manganaw.
Total
(7439965)
w. Tin, Total
(744031 6)
x. Titanium,
Total
(7440-32-6)




































3. EFFLUENT
a. MAXIMUM c






















>AILV VALUE






















b.MAX,^M3






















1X67 VALUE






















(ffava














































d. NO. OF
ANAL-
YSES






















4. UNITS
a. CONCEN-
TRATION






















D. MASS






















5. INTAKE (optional)























kTOLlit























xNo.or
ANAL-
YSES






















EPA Form 3510-2C (Rev. 2-85)
                                                                      PAGETV-2
                                                                                                                                  CONTINUE ON PAGE V • 3

-------
EPA I.O. NUMBER (copy from /(cm I of Form 1) OUTFALl. NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C
Form ApproYtd.
OMB Ho. 2O4O-OOM
Approval opirit 731-88
PART C - If you are a primary Industry and this outfall contains process wastewater, refer to Table 2c-2 in the instructions to determine which of the GC/MS fractions you mud test for. Mark "X" in column
2-a for all such GC/MS fractions that apply to your industry and for ALL toxic metals, cyanides, and total phenols. If you are not required to mark column 2-a (secondary induttrits. nonproc»s$
wastgwattr outfall*, and nonrequired GC/MS fractions), mark "X" in column 2-b for each pollutant you know or have reason to believe is present. Mark "X" in column 2-c for each pollutant you
believe is absent. If you mark column 2a for any pollutant, you must provide the results of at least one analysis for that pollutant. If you mark column 2b for any pollutant, you must provide the results
of at least one analysis for that pollutant if you know or have reason to believe it will be discharged in concentrations of 10 ppb or greater. If you mark column 2b for acrolein, acrylonitrile. 2.4
dinitrophenol. or 2-methyl-4. 6 dlnitrophenol. you must provide the results of et least one analysis for each of these pollutants which you know or have reason to believe that you discharge in
concentrations of 1 00 ppb or greater. Otherwise, for pollutants for which you mark column 2b, you must either submit at least one analysis or briefly describe the reasons the pollutant is expected to
be discharged. Note that there are 7 pages to this part please review each carefully. Complete one table fall 7 pages/ for each outfall. See instructions for additional details and requirements.
1. POLLUTANT
AND CAS
NUMBER
• MAXIMUM, fl^Y VALUE


































C.LONO T^MA^^. VALUE


































d. NO. OF
ANAL-
YSES
















4. UNITS
•. CONCEN-
TRATION
















b. MASS
















5. INTAKE (optional)
>. LONC
AVEHAO
(t) COMCBM-
THATION
















1 TERM
E VALUE
(t) MAM
















b. NO.OF
ANAL-
YSES

















DESCRIBE RESULTS
EPA Form 3510-2C (Rev. 2-86)
                                                                       PAGE v-3
                                                                                                                             CONTINUE ON REVERSE

-------
CONTINUED FROM THE FRONT
1. POLLUTANT
AND CAS
NUMBER
(if availablfl
t. MAWK -X-
ftTKVT
INCi
!*•-
auiiv-
b.x-
LIKVBB
PHK-
• •NT
C •«•
.V.T
S. EFFLUENT
•. MAXIMUM DAILY VALUE
(•I
QC/MS FRACTION - VOLATILE COMPOUNDS
IV. ActoMn
(107-03-8)
2V. AcrylonNrM
(107-13-1)
3V. Bwuww
(71-43-2)
4V. Bll ICMoro-
mttliylt Ether
(943-88-1)
5V. Bromoform
(75-28-2)
6V. Carbon
Tetrechlorlde
(B6-23-S)
TV. Chtorobenxene
(108-90-7)
8V. Chlorodl-
(124-48-1)
9V. Chtoroethene
(7B-OO-3)
10V. 2-Chtoro-
•thylvlnyl Ether
(110-75-8)
11V. Chloroform
(87-86-3)
12V. Olchtoro-
(78-27-4)
13V. Dtehtoro-
O IT luOTOfTMulATM
(75-71-8)
14V. 1.1-DtehtofO-
etheoe (78-34-3)
18V. 1.2-Dlchloro-
•thww (107-O8-2)
18V. 1.1-Dlchloro-
Mhyton* (75-35-4)
17V. 1.2-Dlchloro-
propin* (78-87-5)
18V. IJ-DicrUoro-
»repy(w»(842-7»O
18V. Ethylb*nnrM
(100-41-4)
20V. M«thyl
Bromid* (74-83-9)
21V. Methyl
Chloride (74-87 3)











































































































b. "AXHWM^kfcf / VALUB














































C.UONCT(WMaAoVJjy.VALU«














































d. NO. OP
ANAL-
VSM






















4. UNITS
*. CONCEN-
TRATION






















b. MAM






















S. INTAKE (opriontll
A««yiNcc
(l) COMCIM-
THATION






















> TERM
E VALUE
(a) MA*t






















b. NO. OF
ANAL-
YSES






















EPA Form 3510-2C (R«v. 2-86)
                                                                       PAGE V-4
                                                                                                                                  CONTINUE ON PAGE V-5

-------
CONTINUED FROM PAGF V-4
1. POLLUTANT
AND CAS
NUMBER
III available t
2. MARK X
ATk IT
IMI,
««-
OUIH-
b. ••-
LIKVCO
F»K-
• «NT
C ••-
AP-
• «NT

•. MAXIMUM DAILY

EPA l.o. NUMBER (copy from lltm I of Form 11
3. EFFLUENT
VALUE

OC/MS FRACTION - VOLATILE COMPOUNDS (continued)
22V. M«thylww
CMorld* (75-09-2)
23V. 1.1.2,2-T«tr«-
chloro*ttun«
(79-34-6)
24V. T»tr*chloro-
•thylww (127-18 4)
26V. Toluene
(108-88-3)
26V. 1,2 Tr»nt-
DichloroettiylWM
(1S6-6O-5)
27V. 1,1.1-Trl-
chloroettwn*
(71-SS-6)
28V. 1.1.2-Trl-
chloroethwM
(79-00-5)
29V. Trtehloro-
•thy ton* (79-01-8)
30V. Trlchloro-
fluorom*th*rM
(75-69-4)
31V. Vinyl
Chloride (75 01-4)








































OC/MS FRACTION - ACID COMPOUNDS
1 A. 2-Chloropheno
(9557*1
2A. 2.4-Oichloro-
phwiol (120-83-2)
3A. 2.4-Dim«thvl-
phwiol (1OS-67-9)
4A. 4.6-Dlnitro-O-
Cr*nl (534-52-1)
5A. 2,4-Dlnltro-
p»wnal (51-28-5)
6A. 2-Nltroph«nol
(88-75-5)
7A. 4-Nltrophvnol
(100-02-7)
8A. P-Chlaro-M-
Cmal (59 50-7)
9A. P»nt*chloro-
phwiol (87-86-5)
10A. Phenol
(10895-2)
11 A. 2.4.6-Tri-
ehlorophanol
(8806-2)


































































b. MAXIMUM 30 PAV VALUE
(If available)
















































OL. rFACL NUMBER
OMB No. 2O4O-OO«e
Approvml fxptrti 7-3 /-M

C.LONC TE^A^y. VALUE
















































d. NO. OF
ANAL-
YSES























4. UNITS
1. CONCEN-
TRATION
















































B. INTAKE (optional)
*. LONG TERM
AVEJiAfil* VALUK
(l) CONGKH-
TMATION























(l| MAH























b. NO. OF
ANAL-
YSE*























PAGE V-S
                                                          CONTINUE ON REV

-------
CONTINUED FROM THE FRONT
1. POLLUTANT
AND CAS
NUMBER
I. MARK '«•
IMO
oum-
Alli
VKMT
C ft-
• •MT
3. EFFLUENT
*. MAXIMUM DAILY VALUE
10

GC/MS FRACTION - BASE/NEUTRAL COMPOUNDS
1 B. AcwuphtrwiM
(83-32-9)
28. Acwuphtylww
(208464)
38. AnthracMM
(120-12-7)
4B. BwuMIn*
(92-87-6)
BB. Bmzo (a)
(66-663)
6B. BMIZO (a)
Pyran* (BO-32-8)
78. 3.4-Bwno-
(206-99-2)
88. Bwtzo <*>H)
PcrylwM
(191-24-2)
98. BOTZO (It)
Ftaioranttwn*
(207-OB-B)
108. Bto (J-CMoro-
tOioxy) McttuiM
(11141-1)
11B. BnfX-CMoro-
•thyll Etfwr
(111-44-4)
;^£3££i.
138. Btofl-Bthyt-
IMxyU Phtlwtan
(11741-7)
148. 4-Bromo-
phcnyl Plwnyl
Ethw (101-66-3)
IBB. Butyl Bwuyl
Phthaln* (86-68-7]
luphttuton*
(91-58-7)
17B. 4-ChlOfO-
ph*nyl Phcnyl
Ethw (7006-72-3)
188. ChrytMM
(218-01-9)
19B. Dibmzo (a,h)
Anthr»c»n«
(63-70-3)
208. 1.2-Dichloro-
b«nzen« (96-6O-1)
2 IB. 1.3-Dlchloro-
bwi»n* (541 73-1









































































































































































































d. NO.OF
ANAL-
YSES






















4. UNITS
». CONCEN-
TRATION






















b. MASS






















S. INTAKE (optional)
AVCRAC
(l) COMCVN-






















> TERM
E VALUE
111 »«•«






















b. NO. OP
ANAL-
YSES






















 EPA Form 3610-2C (Rev. 2-86)
                                                                            PAGE V-6
                                                                                                                                          CONTINUE ON PAGE V-7

-------
CONTINUED FROM PAGE V-6
1. POLLUTANT
AND CAS
NUMBER
(if available)
2. MARK 'X-
KTC «T
INC
**•.-
• UIH-
tk««-
Lift V BO
fm*.-
• •NT
C »C-
*•-

•. MAXIMUM DAILY

erA I.D. NUMBCH (copy ^rom Item 1 of Form I)
3. EFFLUENT
VAL.UC

OC/MS FRACTION - BASE/NEUTRAL COMPOUNDS (continued'
22B. 1,4-Dichloro-
bw»*rM (106-46-7
23B. 3,3--Dlchloro-
tMnzldin*
(91-94-1)
248. Dlethyl
Phthllm
(84-66-2)
258. Dimethyl
Phthcltt*
(131-11-3)
268. OI-N-Butyl
Phthiltt*
(84-74-2)
278. 2,4-Dlnltro-
toluwra (121-14-2)
28B. 2,6-Dlnltro-
toluwra (606-20-2)
298. DI-N-Octyl
Phthdlt*
(117-84-0)
3OB. 1 ,2-Olphwiyl-
hydruliM (at A*o-
b*m*n*)( 122-66-7
318. FluonnttwiM
(206-44-0)
32B. Fluorm*
(86-73-7)

i(11ft.7*-l>
348. H«x».
ehlorobutodtorM
(87-68-3)
3SB. Hmachloro-
cyelopvntadiww
(77-47-4)
36B. Hmachloro-
Mh»M (67-72-1)
378. Indcno
. LONG TCBM
AVERAGE VALUE
(l| COMCBM-






















|l| MAO






















b. NO. OF
ANAL
V»ES






















CONTINUE ON REVERr

-------
.•ONTINUED FROM THE FRONT
1. POLLUTANT
AND CAS
NUMBER
(it auailahlrl
2. MARK 'X'
B.TF «T
»C-
aum-
b ...
Litveo
r**.-
• CNT
C •«-
»•• I
• •NT
3. EFFLUENT
1. MAXIMUM DAILY VALUE
I'l
|,)-«.t
GC/MS FRACTION - BASE/NEUTRAL COMPOUNDS (continued)
43B. N-Nltro-
•odiphAny lamina
(86.30-6)
44B. Phananthran*
(85-01-8)
46 B. Pyrana
(129-00-0)
46B. 1,2.4 -Trl-
chtorobantana
(120-82-1)
















GC/MS FRACTION - PESTICIDES
IP. Aldrin
(3O9-OO-2I
2P. a-BHC
(319-84-6)
3P. fl-BHC
(319-86-7)
4P. 7-BMC
(58-89-9)
SP. 6-BHC
(319-86-8)
6P. Chlordana
(67-74-9)
7P. 4,4'-DDT
(5O-29-3)
8P. 4,4' -006
(72-65-9)
9P. 4,4'-ODO
(72-54-8)
10P. Dlaldrln
(BO-57-1)
IIP. d-Endoiultan
(115-29-7)
12P. 0-Endomilfan
(115-29-7)
13P. Endotulfan
Sulfata
(1031-O7-8)
14P. Endrln
(72-208)
15P. Endrin
Aldahyda
(7421-93-4)
16P. Hcptachlor
(76-44-8)





















































































t. MAX.M^M^^Y VAI.UE














































C.LONG T^IJJJJJJgy. VALUE
(
-------
CONTINUED FROM PAGE V-8
1. POLLUTANT
AND CAS
NUMBER
(if ovaitoblr)
Z. MARK 'X'
fcTKVT
IMe
Nfc-
•lllll.
b. •«-
LIKVKB
***•
• •NT
c ••-
• •NT

•. MAXIMUM DAILY
(•)
OC/MS FRACTION - PESTICIDES (continued)
17P. H«pt»chk>r
EpOKkta
(1024-67-3)
IBP. PCB-1243
(53499-21-0)
19P. PCB-12B4
(11097-681)
20P. PCB-1221
(111O4-28-2)
21P. PCB-1232
(11141-16-6)
22P. PCB-124B
(12072-29-«)
23P. PCB-1260
(1109*42-5)
24P. PCB-1010
(12674-11-2)
2SP. Toxaphww
(8001-3B-2)




































EPA I.D. NUMBER (copy from It*m 1 of Form 1)
3. EFFLUENT
VALUE
|i| »»••










b. MAXIMUM 3
(it ova
dl










Utf VAUUB
(it *••••










OUTFALL NUMBER
OMB HO. 204oooee
Approitl mnpim 7-31-88

CLON. CONCEN-
TRATION










IX MAM










5. INTAKE (optional/
». LONC
AVERAC
|l| COMCBN-
TNATIOM










TERM
E VALUE
It) «»«•










b. NO. OP
ANAL-
YSE*










                                                                           PAGE V-t
Form 3S10-2C (R«v. 2-85)

-------
APPENDIX E.4:       FORM 2D
                                  80

-------
          United Stales       Office of Water      EPA Form 3510-2D
          Environmental Protection    Enforcement and Permits   August 1990
          Agency         Washington, DC 20460
          Permit* Divition
<&EPA    Application Form 2D —

          New Sources and
          New Dischargers:

          Application for Permit to
          Discharge Process
          Wastewater

-------
                                     Form 2D
Form 2D must be completed in conjunction with EPA
Form 3510-1 (Form 1).
This form must  be  completed by all applicants who
checked "yes" to Item II-D in Application Form 1. How-
ever, facilities which discharge only nonprocess was-
tewater that is not regulated by an effluent limitations
guideline or new source performance standard may use
EPA Form 3510-2E (Form 2E). Educational, medical, and
commercial chemical laboratories should use this form
or EPA Form 3510-2C (Form 2C). To further determine if
you are a new source or a new discharger, see §122.2
and  §122.29. This form should not be used for dis-
charges of stormwater runoff.
Public Availability of Submitted Information
You  may not  claim as confidential any information
required by this form or Form 1, whether the information
is reported on the forms or in an attachment. Section
402(j) of the CWA requires that all permit applications
shall be available to the public. This information will
therefore be made available to the public upon request.
You may claim as confidential any information you sub-
mit to EPA which goes beyond that required by this form
and Form 1. Confidentiality claims for effluent data must
be denied. If you do not assert a claim of confidentiality
at the time of submitting the information, EPA may make
the information public without further notice. Claims of
confidentiality will be handled in accordance with EPA's
business confidentiality regulations in 40 CFR Part 2.
Completeness
Your application will not be considered complete unless
you answer every question on  this form and on Form 1
(except as instructed below). If an item does not apply to
you,  enter "NA" (for "not applicable") to show that you
considered the question.
Followup Requirements
Although you  are now required  to submit estimated
data on this form (Form 2D), please note that no later
than two years after you begin discharging  from the
proposed facility, you must complete and submit Items
V and VI of NPDES application Form  2C (EPA Form
3510-2C)  How-ever, you  need  not complete  those
portions  of Item  V  requiring tests which you have
already performed  under  the discharge  monitoring
requirements of  your NPDES  permit  In addition, the
permitting authority may waive requirements of Items
V-A and VI if the permittee makes the demonstrations
required  under  40  CFR §122.22(g)(7)(i)(B) and
122.21(gX9).
Definitions
All significant terms used in these instructions and in
the form are defined in the glossary found in the General
Instructions which accompany Form 1.

EPA Form 3510-2D (Rev 8-90)
Instructions
     Item I
     You may use the map you provided for Item XI of Form 1
     to determine the latitude and longitude (to the nearest
     15 seconds) of each of your outfalls and the name of the
     receiving water. You should name all waters to which
     discharge is made  and which  flow  into significant
     receiving waters. For example, if the discharge is made
     to a ditch which flows into an unnamed tributary which
     in turn flows into a named river, you should provide the
     name or description (if no name is available) of the ditch,
     the tributary, and the river.
     Item II
     This item requires  your best estimate of the date on
     which your facility or new outfall will begin to discharge
     Item III-A
     List all outfalls, their source (operations contributing to
     the flow), and estimate an average flow from each
     source. Briefly describe the planned treatment for these
     wastewaters prior to discharge. Also describe the ulti-
     mate disposal  of any solid  or liquid wastes  not dis-
     charged. You should describe the treatment in either a
     narrative form or list the proper code for the treatment
     unit from a list provided in Table 2D-1
     Item III-B
     An example of an acceptable line drawing appears in
     Figure  2D-1  to these  instructions The line  drawing
     should show the route taken by water in your proposed
     facility from intake to discharge   Show all sources of
     wastewater,  including process and production areas,
     sanitary flows, cooling water, and storm water runoff.
     You may group similar operations into a single  unit,
     labeled to correspond to the more detailed listing in Item
     III-A. The water balance should show estimates of antic-
     ipated average flows. Show all  significant  losses of
     water to  production, atmosphere, and discharge. You
     should use your best estimates
     Item III-C
     Fill in every applicable column  in this item for  each
     source of intermittent or seasonal discharge  Base your
     answers on your best estimate A discharge is intermit-
     tent if it occurs with interruptions during the operating
     hours of the facility. Discharges caused by routine main-
     tenance shutdowns, process changes, or other similar
     activities are not considered to be intermittent. A dis-
     charge is seasonal  if it occurs only during certain  parts
     of the year. The reported flow rate is the highest  daily
     value and should be measured in  gallons per day Maxi-
     mum total volume  means the total volume of any one
     discharge within 24 hours  and  is measured in  units
     such as gallons.

1-1

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Item IV
"Production" in this  question  refers to those goods
which the proposed facility will produce, not to "waste-
water" production  This information is only necessary
where production-based new  source  performance
standards (NSPS) or effluent guidelines apply to your
facility. Your estimated production figures should be
based on a realistic projection of actual daily production
level  (not design capacity) for each of  the first three
operating years of the facility. This estimate must be a
long-term-average estimate (e.g.,  average production
on an annual basis)  If  production will vary depending on
long-term shifts in operating schedule or capacity,  the
applicant may report alternate production estimates and
the basis foi the alternate estimates.
If known, report quantities in the units of measurement
used  m the  applicable NSPS or effluent guideline.  For
example, if the applicable NSPS is expressed as "grams
of pollutant discharged per kilogram of unit production,"
then report maximum  "Quantity Per Day" in kilograms
If you do not know whether any NSPS or effluent guide-
line applies to your facility, report quantities in any unit
of measurement known to you. If an effluent guideline
or NSPS specifies a method for estimating production,
that method must be followed.
There is  no need to conduct new studies to obtain these
figures, only data already on hand are required. You are
not required to  indicate how the reported information
was calculated
Items V-A.  B. and C
These items require you to estimate and report data on
the pollutants expected to be discharged from each of
your  outfalls Where there is more than one outfall, you
should submit a separate Item V for each outfall. For Part
C only a list is required. Sampling  and analysis are not
required at  this time. If, however, data from such ana-
lyses are available, then those data should be reported.
Each part of this item addresses a different set of pollu-
tant^ or parameters and must  be  completed in accor-
dance with the specific instructions for that part  The
following are the general and specific instructions for
 Items V-A through V-C.
 Item V — General Instructions
 Each part of this item requires you to provide an esti-
 mated maximum daily and average daily value for each
 pollutant or parameter listed (see Table 2D-2), according
 to the specific instructions below. The source of the data
 is  also required.
 For  Parts A through C, base your  determination of
 whether a pollutant will be present in your discharge on
 your knowledge of the proposed facility's raw materials.
 EPA Form 3510-2D (Rev 8-90)
maintenance chemicals,  intermediate and final prod-
ucts, byproducts, and any analyses of your effluent or of
any similar effluent. You may also provide the determi-
nation and the estimates based on available in-house or
contractor's engineering reports or any other  studies
performed on the proposed facility (see  Item VI of the
form). If you expect a pollutant to be present solely as a
result of its presence in your intake water, please state
this information on the form
Please note that no later than 2 years after you begin
discharging from the proposed facility, you must com-
plete and  submit Items V and VI of NPDES application
Form 2C (followup data).
Reporting Intake Data. You are not required to report
pollutants or parameters present in  intake water unless
you wish to demonstrate your eligibilty fora "net" efflu-
ent limitation for these pollutants or parameters, that is,
an effluent limitation adjusted to provide allowance for
the pollutants or parameters present  in your intake
water. If you wish  to obtain credits for pollutants or
parameters present in your intake water, please  insert a
separate sheet,  with a short statement of  why  you
believe you are eligible (see §122 45 (g)), under  Item VII
(Other Information). You  will then be contacted by the
permitting authority for further instructions
All  estimated  pollutant or  parameter levels must be
reported as concentration and as total mass, except for
discharge flow, temperature, and pH  Total mass is the
total weight of pollutants or parameters discharged over
a day.
Use the following abbreviations  for  units
       Concentration                Mass
ppm ... .parts per million     Ibs	pounds
mg/1  .. .milligrams per liter  ton	tons (English tons)
ppb	parts per billion     mg	milligrams
Ug/1  .. .micrograms per liter  g	grams
kg	kilograms          T	Tonnes (metric tons)
Source
In providing the estimates, use the codes in the following table
to indicate the source of such information in column 4 of Parts
V — A and — B
                       Code
Engineering study 	1
Actual data from pilot plants	1
Estimates from other engineering studies	2
Data from other similar plants 	3
Best professional estimates	4
Others	specify on  the form
Item V-A
Estimates of data on pollutants or parameters inGroupAmust
be reported by all applicants for all outfalls, including outfalls
                                                      1-2

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containing only noncontact cooling water or nonprocess
wastewater
To request a waiver from reporting any of these pollu-
tants or parameters, the applicant must submit to the
permitting authority a written request specifying which
pollutants or parameters should be waived and the rea-
sons for requesting such a waiver. This request should
be submitted to the permitting authority before or with
the permit application. The permitting authority  may
waive the requirements for information about these pol-
lutants or parameters if he or she determines that less
stringent reporting requirements are adequate to sup-
port issuance of the permit. No extensive documenta-
tion will normally be needed, but the applicant should
contact the permitting authority if she or he wishes to
receive instructions on  what his  or her particular
request should contain.
Item V-B
Estimates of data on pollutants in  Group B  must be
reported by all  applicants for all outfalls, including out-
falls containing only noncontact cooling water or non-
process wastewater.You are merely required  to report
estimates for those pollutants which you know or have
reason to believe will be discharged or which are limited
directly by an effluent limitations guideline (or  NSPS) or
indirectly through promulgated limitations on an indica-
tor  pollutant. The priority pollutants in Group B are
divided into the following three sections:
1)  Metal toxic pollutants, total cyanide, and total
    phenols
2)  2,3,7,8-Tetrachlorodibenzo-P-Dioxin (TCDD) (CAS
    # 1764-016)
3)  Organic Toxic Pollutants (Gas Chromatography/-
    Mass Spectrometry Fractions)
    a)  Volatile compounds
    b)  Acid compounds
    c)  Base/neutral compounds
    d)  Pesticides
For pollutants listed in Sections 1 and 3, you must report
estimates as instructed above.
For Section 2, you are required to report that TCDD may
be discharged if you will use or manufacture one of the
following compounds, or if you know or have reason to
believe that TCDD is or may  be present in an effluent:
A   2,4,5-trichlorophenoxy acetic acid (2,4,5-T) (CAS #
    93-765);
B   2-(2,4,5-trichlorophenoxy) propanoic acid (Silvex,
    2,4. 5TP) (CAS # 93-72-I);
C   2-(2,4,5-tnchlorophenoxy) ethyl 2,2-
    dichloropropionate (Erbon)(CAS # 136-25-4);
D   0,0-dimethyl 0-(2,4,5-trichlorophenyl) phosphoro-
    thioate (Ronnel) (CAS # 299-84-3);

EPA Form 3510-2D (Rev. 8-90)
     E  2,4,5-tnchlorophenol (TCPMCAS # 95-95-4); or
     F.  Hexachlorophene (HCP) (CAS # 70-30-4)
     Small Business Exemption
     If you are a "small business," you are exempt from the
     reporting requirement for Item V-B (section 3) You may
     qualify as a "small business" if you fit one of the fol-
     low-ing definitions:
     1)  Your expected gross sales will total less than
        $100,000 per year for the next three years,  or
     2)  in the case of coal mines, your average production
        will be less than 100,000 tons of coal per year
     If you are a "small business,"you may submit projected
     sales or production figures to qualify for this exemption.
     The sales or production figures you submit must be for
     the facility which is the source of the discharge. The data
     should not be limited only to production or sales for the
     process or processes which contribute to the discharge,
     unless  those are the only processes at your facility  For
     sales data, where intracorporate transfers of goods and
     services are involved, the transfer price per unit should
     approximate market prices for those goods and services
     as closely as possible. If necessary, you may index your
     sales figures to the second quarter of 1980 to demon-
     strate your eligibility for a small business exemption.
     This  may be done by using the  gross national product
     price deflator  (second quarter of 1980 - 100), an index
     available in "National Income and Product Accounts of
     the United States" (Department of Commerce, Bureau
     of Economic Analysis).
     The small business  exemption  applies to the GC/MS
     fractions (Section 3) of Item V-B only. Even if you are
     eligible for  a  small business exemption,' you are  still
     required to provide information on metals, cyanide, total
     phenols, and dioxin in Item V-B, as well as all of Items
     V-A and C.
     Item V-C
     List any pollutants in Table 2D-3 that you believe will be
     present in  any outfalls and  briefly explain why  you
     believe they will be present. No estimate of the pollu-
     tant's quantity is  required,  unless  you already have
     quantitative data.
     Note: The discharge of pollutants listed in Table 2D-4
     may subject you to the additional requirements of sec-
     tion 311  of the CWA (Oil and  Hazardous Substance
     Liability). These  requirements  are  not administered
     through the NPDES program. However, if you wish an
     exemption under 40 CFR 117.12(aX2) from these require-
     ments, attach additional sheets of paper to this form
     providing the following information:
     A.  The substance and the amount of each substance
        which may be discharged;
1-3

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B   The origin and source of the discharge of the
    substance,
C   The treatment which is to be provided for the dis-
    charge by
    1   An onsite treatment system separate from any
       treatment system which will treat your normal
       discharge,
    2  A treatment system designed to treat your nor-
       mal discharge and which is additionally capable
       of treating the amount of the substance identi-
       fied under paragraph 1  above, or
    3  Any combination of the above.
An exemption from the  section 311 reporting require-
ments pursuant to 40 CFR Part 117 for pollutants  on
Table 2D does not exempt you from the section 402
reporting requirements  pursuant to 40 CFR Part 122
(Item V-C) for pollutants  listed on Table 2D-3.
For further information on exclusions from Section 311,
see 40 CFR Section 117.12(aX2) and (c), or contact your
EPA Regional off ice (Table 1 in the Form 1 instructions).
Item VI-A
If  an engineering study  was conducted, check the box
labeled "report available." If no study was done, check
the box labeled "no report."
Item VI  B
Report the name and location of any existing plant(s)
which (to the  best of your knowledge) resembles your
planned  operation with  respect to items produced, pro-
duction  process, wastewater  constituents, or waste-
water treatment.  No studies need be conducted to
respond  to this item. Only data which are already availa-
ble need be submitted.
This information will be  used to inform the permit writer
of appropriate treatment methods and their associated
permit conditions and limits.
Item VII
A space is provided for additional information which you
believe would be useful  in setting permit limits, such as
additional sampling. Any response is optional.
 Item VIII
The Clean Water Act provides for severe penalties  for
submitting false information on this application form.
Section  309(cX2) of the Clean Water Act provides that
 "Any person who knowingly makes any false statement,
 representation,  or certification in any application, . . .
 shall upon conviction, be punished by a fine of no more
than $ 10,000 or by imprisonment for not more than six
 months, or both."
40 CFR Part 1 22.22 Requires the Certification To Be
Signed as Follows:
A   For a corporation: by a responsible corporate officer
    A responsible corporate officer means (i)  a presi-
    dent, secretary, treasurer, or vice-president of the
    corporation  in charge of a principal business func-
    tion, or any other person who performs similar pol-
    icy or decision-making functions for the corporation,
    or (ii) the  manager of one or  more manufacturing,
    production or operating facilities employing more
    than 250  persons or having gross annual  sales or
    expenditures exceeding $25,000.000 (in  second-
    quarter 1980 dollars), if authority to sign documents
    has been  assigned or delegated to the manager  in
    accordance  with corporate procedures
B.  For a partnership or sole proprietorship: by a general
    partner or the proprietor, respectively; or
C.  For a municipality.  State, Federal, or other public
    agency: by  either a principal executive officer or
    ranking elected official. For purposes of this section,
    a principal  executive officer of a Federal agency
    includes (i) the chief executive officer of the agency,
    or (ii) a senior executive officer having responsibility
    for the overall operations of a principal geographic
    unit of the agency (e.g., Regional Administrators of
    EPA).
 EPA Forni 3510-20 (Rev.
                                                    1-4

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                   PHYSICAL TREATMENT PROCESSES
1
   A ....... Ammonia Stripping
   B ....... Dialysis
1_C ....... Diatomaceous Earth Filtration
1 _ D ....... Distillation
1 _ £ ....... Electrodialysis
1 _ F ....... Evaporation
1— G ....... Flocculation
1_H ....... Flotation
1 — I ........ Foam Fractionation
1— J ....... Freezing
1 — K ....... Gas-Phase Separation
1 — L ....... Grinding (Comminutorsl
 —M  	Grit Removal
 —N	Microstraining
 —0	Mixing
 —P	Moving Bed Filters
 —Q	Multimedia Filtration
                                                 —R ...
                                                1—S ...
                                                1 —T ...
                                                1 —U ...
                                                1—V ...
                                                1—W	Solvent Extraction
                                                1—X	Sorption
          .Rapid Sand Filtration
          . Reverse Osmosis (Hyperfiltration)
          .Screening
          . Sedimentation (Settling)
          .Slow Sand Filtration
                   CHEMICAL TREATMENT PROCESSES
2—A	Carbon Adsorption
2—B	Chemical Oxidation
2—C	Chemical Precipitation
2—D	Coagulation
2—E	Dechlorination
2—F	Disinfection (Chlorine)
                                                2—G	Disinfection (Ozone)
                                                2—H	Disinfection (Other)
                                                2—I	Electrochemical Treatment
                                                2—J	Ion Exchange
                                                2—K	Neutralization
                                                2—L	Reduction
                  BIOLOGICAL TREATMENT PROCESSES
3—A	Activated Sludge
3—B	Aerated Lagoons
3—C	Anaerobic Treatment
3—D	Nitrification-Denitrification
                                                3—E	Preaeration
                                                3—F	Spray Irrigation/Land Application
                                                3—G	Stabilization Ponds
                                                3—H	Trickling Filtration
                              OTHER PROCESSES
4—A	Discharge to Surface Water
4—B	Ocean Discharge Through Outfall
                                               4—C	Reuse/Recycle of Treated Effluent
                                               4—D	Underground Injection
         SLUDGE TREATMENT AND DISPOSAL PROCESSES
5—A	Aerobic Digestion
5—B	Anaerobic Digestion
5—C	Belt Filtration
5—D	Centrifugation
5-E
5—F
5—G
5-H
5—I.
5-J
5—K	Freezing
5—L	Gravity Thickening
         .Chemical Conditioning
         .Chlorine Treatment
         .Composting
         .Drying Beds
         .Elutriation
         .Flotation Thickening
5—M 	Heat Drying
5—N	Heat Treatment
5—0	Incineration
5—P	Land Application
5—Q	Landfill
5—R	Pressure Filtration
5—S	Pyrolysis
5—T	Sludge Lagoons
5—U	Vacuum Filtration
5—V	Vibration
5—W	Wet Oxidation
                                       Table 2D-1
EPA Form 3510-20 (Rev. 8-90)

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                                         GROUP A
Biochemical Oxygen Demand (BOD)
Chemical Oxygen Demand (COD)
Total Organic Carbon (TOC)
Total Suspended Solids (TSS)
Flow
Bromide
Total Residual Chlorine
Color
Fecal Coliform
Fluoride
Nitrate-Nitrite (as N)
Oil and Grease
Phosphorus (as P) Total
Radioactivity
  (1) Alpha, Total
  (2) Beta, Total
  (3) Radium, Total
  (4) Radium 226, Total
Section  1

Antimony, Total
Beryllium, Total
Chromium, Total
Lead, Total
Nickel, Total
Silver, Total
Zinc, Total
Phenols, Total

Section  2
Ammonia (as N)
Temperature (winter)
Temperature (summer)
pH
                                         GROUPB
Sulfate(as SO4)
Sulfide(asS)
Sulfitefas S03)
Surfactants
Aluminum, Total
Barium, Total
Boron, Total
Cobalt, Total
Iron, Total
Magnesium, Total
Molybdenum, Total
Manganese, Total
Tin, Total
Titanium, Total
Arsenic, Total
Cadmium, Total
Copper, Total
Mercury, Total
Selenium, Total
Thallium, Total
Cyanide, Total
2,3,7,8,Tetrachlorodibenzo-P-Dioxin

Section  3

GC/MS FRACTION* — VOLATILE COMPOUNDS
Acrolein
Benzene
Carbon Tetrachloride
Chlorodibramomethane
2-Chloroethylvinyl Ether
Dichlorobomomethane
1,2-Dichloroethane
1,2-Dichloropropane
Ethylbenzene
Methyl Chloride
1,1,2,2-Tetrachloroethane
Toluene
1,1,1 -Trichloroethane
Trichloroethylene
Vinyl Chloride
Acrylonitirle
Bromoform
Chlorobenzene
Chloroethane
Chloroform
1,1 -Dichloroethane
1,1 -Dichloroethane
1,3-Dichloropropylene
Methyl Bromide
Methylene chloroethane
Tetrachloroethylene
1,2-Trans-Dichloroethylene
1,1,2-Trichloroethane
                                           Table 2D-2
EPA Form 3510-2D (Rev 8-90)

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GS/MS FRACTION  - ACID COMPOUNDS

2-Chlorophenol                                 2,4-Dichlorophenol
2,4-Dimethylphenol                             4,6-Dinitro-O-Cresol
2,4-Dinitro-phenol                              2-Nitrophenol
4-Nitrophenol                                  P-Chloro-M-Cresol
Pentachloropnenol                              Phenol
2,4,6-Tnchlorophenol

GC/MS FRACTION  - BASE/NEUTRAL COMPOUNDS

Acenaphthene                                  Acenaphtylene
Anthracene                                    Benzidine
Benzo (a) Anthracene                            Benzo (a) Pyrene
3,5-Benzofluoranthene                           Benzo (ghi) Perylene
Benzo (k) Fluoranthene                           Bis (2 Chloroethoxy) Methane
Bis (2-Chloroethyl) Ether Bis                      (2-Chloroisopropyl) Ether
Bis (2-Ethylhexyl) Phthalate                       4-Bromophenyl Phenyl Ether
Butyl Benzyl Phthalate                           2-Chloronaphthalene
4-Chlorophenyl Phenyl Ether                      Chrysene
Dibenzo(a, h) Anthracene                        1,2-Dichlorobenzene
1,3-Dichlorobenzene                             1,4-Dichlorobenzene
3,3-Dichlorobenzidine                            Diethyl Phthalate
Dimethyl Phthalate                              Di-N-Butyl Phthalate
2,4-Dinitrotoluene                               2,6-Dinitrotoluene
Di-N-Octyl Phthalate                             1,2, Diphenylhydrazine (as Azobenzen)
Fluoranthene                                   Fluorene
Hexachlorobenzene                              Hexachlorobutadiene
Hexachlorocyclopentadiene                       Hexachloroethane
Indeno (1,2,3-cd) Pyrem                         Isophorone
Naphthalene                                   Nitrobenzene
N-Nitro-sodimethylamine                         N-Nitrosodi-N-Propylamine
N-Nitro-sodiphenylamine                         Phenanthrene
Pyrene                                        1,2,4-Trichlorobenzene

GC/MS FRACTION  - PESTICIDES

Aldrin                                         Gamma-BHC
Alpha-BHC                                     Delta-BHC
Beta-BHC                                      Chlordane
4,4' DDT                                      4,4' DDE
4,4'-DDD                                      Dieldrin
Alpha-Endosulfan                               Beta-Endosulfan
Endosulfan Sulfate                              Endrin
Endrin Aldehyde                                Heptachlor
Heptachlor Epoxide                              PCS-1242
PCB-1254                                      PCB-1221
PCB-1232                                      PCB-1248
PCB-1260                                      PCB-1016
Toxaphene

"fractions defined in 40 CFR Part 136

                                         Table 2D-2

EPA Form 3510-20 (8-90)

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        TOXIC POLLUTANTS AND HAZARDOUS SUBSTANCES
    REQUIRED TO BE IDENTIFIED  BY APPLICANTS IF EXPECTED
                                 TO BE PRESENT
TOXIC POLLUTANT

Asbestos

HAZARDOUS SUBSTANCES

Aceltaldehyde
Ally! alcohol
Allyl chloride
Amyl acetate
Aniline
Benzonitrile
Benzyl chloride
Butyl acetate
Butylarnine
Captan
Carbaryl
Carbofuran
Carbon disulfide
Chlorpyrifos
Coumpahos
Cresol
Crotonaldehyde
Cyclohexane
2,4-D (2,4-Dichlorophmoxyacetic acid)
Diazinon
Dicamba
Dichlobenil
Oichlone
2.2 Dichloropropionic acid
Dichlorvos
Diethyl amine
Dimethyl amine
Dintrobenzene
Diquat
Disulfoton
Diuron
Epichlorohydrin
Ethion
Ethylene diamine
Formaldehyde
Furfural
Guthion
Isoprene
Isopropanolamine dodecylbenzenesulfonate
Kelthane
Kepone
Malathion
Mercaptodimethur
Methoxychlor
HAZARDOUS SUBSTANCES

Methyl mercaptan
Methyl methacrylate
Methyl parathion
Mevinphos
Mexacarbate
Monoethyl amine
Monomethyl amine
Naled
Naphthenic acid
Nitrotoluene
Parathion
Phenolsulfonate
Phosgene
Propargite
Propylene oxide
Pyrethrins
Quinoline
Resorcinol
Strontium
Strychnine
2,4,5-T (2,4,5-Trichlorophenoxyacetic acid)
IDE (Tetrochlorodiphenyl ethane)
2.4,5-TP [2-(2,4,5-Trichlorophenoxy) propanic acid]
Trichlorofon
Triethanolamine dodecylbenzenesulfonate
Triethylamine
Uranium
Vanadium
Vinyl acetate
Xylene
Xylenol
Zirconium
 EPA Form 3510-20 (Rev 8-90)
                                           TABLE 2D-3

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                                HAZARDOUS SUBSTANCES
Acetaldehyde
Acetic acid
Acetic anhydride
Acetone cyanohydrm
Acetyl bromide
Acetyl chloride
Acrolein
Acrylonitrile
Adipic acid
Aldrin
Allyl alcohol
Alyll chloride
Aluminum sulfate
Ammmonia
Ammonium acetate
Ammonium benzoate
Ammonium bicarbonate
Ammonium bichromate
Ammonium bifluoride
Ammonium bisulfite
Ammonium carbamate
Ammonium carbonate
Ammonium chloride
Ammonium chromate
Ammonium citrate
Ammonium flouroborate
Ammonium fluoride
Ammonium hydroxide
Ammonium oxalate
Ammonium silicofluoride
Ammonium sulfamate
Ammonium sulfide
Ammonium sulfite
Ammonium tartrate
Ammonium thiocyanate
Ammonium thiosulfate
Amyl acetate
Aniline
Antimony pentachloride
Antimony potassium tartrate
Antimony tribromide
Antimony trichloride
Antimony trifluoride
Antimony trioxide
Arsenic disulfide
Arsenic trichloride
Arsenic trioxide
Arsenic trisulfide
Barium cyanide
Benzene
Benzoic acid
Benzonitnte
Benzoyl chloride
Benzyl chloride
Beryllium chloride
Beryllium fluoride
Beryllium nitrate
Butylacetate
n-Butylphthalate
EPA Form  3510-2D (8-90)
Butylamine
Butyric acid
Cadmium acetate
Cadmium bromide
Cadmium chloride
Calcium arsenate
Calcium arsenite
Calcium carbide
Calcium chromate
Calcium cyanide
Calcium dodecylbenzenesulfonate
Calcium hypochlorite
Captan
Carbaryl
Carbofuran
Carbon disulfide
Carbon tetrachloride
Chlordane
Chlorine
Chlorobenzene
Chloroform
Chloropyrifos
Chlorosulfonic acid
Chromic acetate
Chromic acid
Chromic sulfate
Chromous chloride
Cobaltous bromide
Cobaltous formate
Cobaltous sulfamate
Coumaphos
Cresol
Crotonaldehyde
Cupric acetate
Cupric acetoarsenite
Cupric chloride
Cupric nitrate
Cupric oxalate
Cupric sulfate
Cupric sulfate ammoniated
Cupric tartrate
Cyanogen chloride
Cyclohexane
2,4-D acid
 (2,4-Dichlorophenoxyacetic acid)
2,4-D esters
 (2,4-Dichlorophenoxyacetic acid
 esters)
DDT
Diazinon
Dicamba
Dichlobenil
Dichlone
Dichlorobenzene
Dichloropropane
Dichloropropene
Dichloropropene-Dichloropropane
 mix
2.2-Dichloropropionic acid

            TABLE 2D-4
Dichlorvos
Dieldrin
Diethylamine
Dimethylamine
Dinitrobenzene
Dinitrophenol
Dinitrotoluene
Diquat
Disulfoton
Diuron
Dodecylbenzesulfonic acid
Endosulfan
Endrin
Epichlorohydrin
Ethion
Ethylbenzene
Ethylenediamme
Ethylene dibromide
Ethylene dichloride
Ethylene diaminetetracetic
 acid (EDTA)
Ferric ammonium citrate
Ferric ammonium exalate
Ferric chloride
Ferric fluoride
Ferric nitrate
Ferric sulfate
Ferrous chloride
Ferrous sulfate
Formaldehyde
Formic acid
Fumaric acid
Furfural
Guthion
Heptachlor
Hexachlorocyclopentadiene
Hydrochloric acid
Hydrofluoric acid
Hydrogen cyanide
Hydrogen sulfide
Isoprene
Isopropanolamme
 dodecylbenzenesulfonate
Kelthane
Kepone
Lead acetate
Lead arsenate
Lead chloride
Lead fluoborate
Lead fluorite
Lead iodide
Lead nitrate
Lead stearate
Lead sulfate
Lead sulfide
Lead thiocyanate
Lindane
Lithium chromate
Malathion

-------
                       HAZARDOUS SUBSTANCES (Continued)
Maleic acid
Maleic anhydride
Mercaptodimethur
Mercuric cyanide
Mercuric nitrate
Mercuric sulfate
Mercuric thiocyanate
Mercurous nitrate
Methoxychlor
Methyl mercaptan
Methyl methacrylate
Methyl parathion
Mevmphos
Mexacarbate
Monoethylamme
Monomethylamme
Naled
Naphthalene
Naphthenic acid
Nickel ammonium sulfate
Nickel chloride
Nickel hydroxide
Nickel nitrate
Nickel sulfate
Nitric acid
Nitrobenezene
Nitrogen dioxide
Nitrophenil
Nitrotoluene
Paraformaldehyde
Parathion
Pentachlorophenol
Phenol
Phosoene
Phosphoric acid
Phosphorus
Phosphorus  oxychlonde
Phosphorus  pentasulfide
Phosphorus  trichloride
Polychlormated biphenyls (PCB)
Potassium arsenate
Potassium arsenite
Potassium bichromate
Potassium cyanide
Potassium hydroxide
Potassium permanganate
Propargite
Propiomc acid
Propionic anhydride
Propylene oxide
Pyrethnns
Qumohne
Resorcinol
Selenium oxide
Silver nitrate
Sodium
Sodium arsenate
Sodium arsenite
Sodium bichromate
EPA Form 3510-2D (Rev 8-90)
Sodium bifluonde
Sodium bisulfite
Sodium chromate
Sodium cyanide
Sodium dodecylbenzenesulfonate
Sodium fluoride
Sodium hydrosulfide
Sodium hydroxide
Sodium hypochlorite
Sodium methylate
Sodium nitrate
Sodium phospate (dibasic)
Sodium phosphate (tribasic)
Sodium selenite
Strontium chromate
Strychnine
Styrene
Sulfuric acid
Sulfur monochlonde
2,4,5-T acid
 {2,4,5-Trichlorophenoxy
 acetic acid)
2,4,5-Tamines
 (2,4,5-Trichlorophenoxy
 acetic acid amines)
2,4,5-T esters
 (2,4,5-Trichlorophenoxy
 acetic acid esters)
2,4,5-T salts
 (2,4,5-Trichlorophenoxy acetic
 acid salts)
2,4,5-TP acid
 (2,4,5-Trichlorophenoxy
 propanoic acid)
2,4,5-TP acid esters
 (2,4,5-Trichlorophenoxy
 propanoic acid esters)
TDE (Tetrachlorodiphenyl ethane)
Tetraethyl lead
Tetraethyl pyrophosphate
Thallium sulfate
Toluene
Toxaphene
Trichlorofon
Trichloroethylene
Trichlorophenol
Triethanolamine
 dodecylbenzenesulfonate
Triethylamine
Trimethylamine
Uranyl acetate
Uranyl nitrate
Vanadium pentoxide
Vanadyl sulfate
Vinyl acetate
Vinylidene chloride
Xylene
Xylenol
Zinc acetate

             Table 2D-4
Zinc ammonium chloride
Zinc borate
Zinc bromide
Zinc carbonate
Zinc chloride
Zinc cyanide
Zinc fluoride
Zinc formate
Zinc hydrosulfite
Zinc nitrate
Zinc phenolsulfonate
Zinc phosphide
Zinc silicofluoride
Zinc sulfate
Zirconium nitrate
Zirconium potassium fluoride
Zirconium sulfate
Zirconium tetrachloride

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                                                LINE DRAWING
      RAW
     BLUE RIVER

         1 90.000 GPD

45.000 GPD
                                            45,000 GPD
                                                           MUNICIPAL
                                                         WATER SUPPLY
i 30,000 GPD
BLUE RIVER
      10.000 GPO
      COOLING WATER
ATERIALS
,000 GPO
ID WASTE
XX) GPD
TORMWAT
FIBER
PREPARATION

15.000
GPD

DYEING
40.000 GPO
I
GRIT
SEPARATOR
ER

36.000 GPD

20.000
GPO WASI1

40,000 GPD
NEUTRAL-
IZATION
TANK
l
LOSS
6.000 GPD
34.000 GPD
WASTE
TREATMENT
PLANT * 1

OUTFALL 001
	 10.000
HING GPO

DRYING
10,000 GPD
W.OOO GPO
WASTE
TREATMENT
PLANT •*• 2
•^
1
1 OUTFALL 002
50.000 GPD
0 GPD + STORMWATER
    MAX: 20.000 GPD
                                                                     SCHEMATIC OF WATER FLOW
                                                                     BROWN MILLS. INC.
                                                                     CITY. COUNTY. STATE
                                                                                                    TO ATMOSPHERE
                                                                                                       5.000 GPD
                                                                                             TO PRODUCT
                                                                                               5.000 GPD
EPA Form 3510-20 (Rev. 8-90)
                                                Figure 2D-1

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                                                                          Form Approved OMB No 20400086 Approval Expires 5,31/92
Mease type or print m ihe unshaded areas only
EPA ID Numbri ,-, :,>!>* Inmi Item t i>l Fur in 1 1

2Q f\ r- DA NCW Sources and New Dischargers
NPOES Ot PA Application for Permit to Discharge Process Wastewater
. Outfall Location
^^^^^^^^^^^^^^^^^^•^^••M
For each outfall, list the latitude and longitude and the name of. the receiving water
Outfall Number
Ilistl
Latitude Longitude Receiving Water /itamt'i
Deg Mm Sec Oeg Mm Sec j
^

i



. 	 ...... .._



	 _. 	 	


1. Discharge Date IWhen do you expect ro begin discharging?!
Ill Flows. Sources of Pollution, and Treatment Technologies ^^^^^g^gj^ggjg^gj^jj^^^^gg^^^g^j^^^
A For each outfall, provide a description of (1 ) All operations contributing wastewater to the effluent, including
process wastewater, sanitary wastewater, cooling water, and stormwater runoff; (2) The average flow contrib-
uted by each operation, and (3) The treatment received by the wastewater. Continue on additional sheets
if necessary
Outfall
Number
















1 Operations Contributing Flow 2 Average Flow
(list) j (include units)





























3 Treatment
(Description or List Codes from Table 2D ! 1
















EPA Form 3510-20 (Rev. 8-90)
Page 1 ol 5

-------
B Attach a line drawing showing the water flow through the facility Indicate sources of intake water,
operations contributing v.jstewater to the effluent, and treatment units labeled to correspond to the more
detailed descriptions in Item III-A. Construct a water balance on the line drawing by showing average flows
between intakes, operations, treatment units, and outfalls. If a water balance cannot bedetermined(e.g., for
certain mining activities), provide a pictorial description of the nature and a mount of any sources of water and
any collection or treatment measures.
C Except for storm runoff, leaks, or spills, will any of the discharges
seasonal?
1 	 1 Yes /complete the following table) 1 	 1 No (go to item IVI
Outfall
Number

IV. Production
-••i
•••
1 Frequency
a Days
Per Week
(specify
average)
__
b Months
Per Year
(specify
average!

described in item III-A be intermittent or
2 Flow
a Maximum
Daily Flow
Rate
(in mgdl
t^H
b Maximum
Total Volume
(specify
with units/
•^
c Duration
tin days)
_
If there is an applicable production-based effluent guideline or NSPS, for each outfall list the estimated level of production (projection of
actual production level, not design), expressed in the terms and units used in the applicable effluent guideline or NSPS, for each of the
first 3 years of operation If production is likely to vary, you may also submit alternative estimates (attach a separate sheet)
Year


a Quantity
Per Day


b Units ol
Measure



c Operation, Product Material etc (specityl





	 	 	


EPA
3510 2D (Rex 890)
                                                   Page 2 o* 5
CONTINUE ON NEXT PAGE

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CONTINUED FROM THE FRONT
V. Effluent Characteristics ^^^^^^J
EPA ID Number (copy from Hem 1 of Form 1 / Oulfail Number
^•••••1 ••••••••
A, and B: These items require you to report estimated amounts (both concentration and mass) of the pollutants to
be discharged from each of your outfalls. Each part of this item addresses a different set of pollutants and should
be completed in accordance with the specific instructions for that part. Data for each outfall should be on a
separate page. Attach additional sheets of paper if necessary
General Instructions (See table 2D-2 for Pollutants)
Each part of this item requests you to provide an estimated daily maximum and average for certain pollutants and
the source of information. Data for all pollutants in Group A, for a II outfalls, must be submitted unless waived by
the permitting authority. For all outfalls, data for pollutants in Group B should be reported only for pollutants
which you believe will be present or are limited directly by an effluent limitations guideline or NSPS or indirectly
through limitations on an indicator pollutant.
1 Pollutant






















2 Maximum
Daily
Value
(include units/






















3 Average
Daily
Value
/include unitsi






















4 Source (see instructions)






















EPA Form 3510-2D (Rev. 8-90)
Page 3 of 5
CONTINUE ON REVERSE

-------
CONTINUED FROM THE
    ID N iM'bcr i(.ii/;v
                                                            itt'in !  >>l E-itnt !
C.   Use the space below to list any of the pollutants listed in Table 2D-3 of the instructions which you know or have
     reason to believe will be discharged from any outfall. For every pollutant you list, briefly describe the reasons you
     believe it will be present
1 Pollutant
2 Reason for Discharge
\tl. Engineering Report on W««t«w«tef Treatment

A.   If (here is any technical evaluation concerning your wastewater treatment, including engineering reports or pilot plant studies, check the
     appropriate box below

               I—I Report Available         I—I No Report
     Provide the name and location of any existing plant(s) which, to the best of your knowledge, resembles this
     production facility with respect to production processes, wastewater constituents, or wastewater treatments
  Name
                                       Location
EPA Form 3510-20 (Rev. 8-90)
             Page 4 of 5
CONTINUE ON NEXT PAGE

-------
  Other Information (Optional)

   Use the space below to expand upon any of the above questions or to bring to the attention of the reviewer any
   other  information you feel should be considered in establishing permit limitations for the proposed facility.
   Attach additional sheets if necessary.
   / 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 ard
   evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
   those persons directly responsible for gathering the 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.
  Name and Official Title (type or print)
6 Phone No
  Signature
0 Date Signed
EPA Form 3510-20 (Rev. 8-90)
             Page 5 of 5

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                                                                          Form Approved OMB No 20400086 Approval Expires 5/31/92
EPA ID Number 'copy front Hem / of form tf
eas^ ivpe Of print r. ihe unshaded areas oni\
Form
2D 3
NPDES ^*
1. Outfall Location

_ D_ New Sources and New Dischargers
rbr A Application for Permit to Discharge Process Wastewater
For each outfall, list the latitude and longitude, and the name of the receiving water
Outfall Number
Hist)





Latitude Longitude Receiving Water (name)
Deg Mm Sec Deg. Mm Sec



i |
I j
; I i
. Discharge Date (When do you expect to begin discharging?/
1. Flows. Sources of Pollution, and Treatment Technologies |
•^•^•§••••^^^•1
A. For each outfall, provide a description of (1 ) All operations contributing wastewater to the effluent, including
process wastewater, sanitary wastewater, cooling water, and stormwater runoff; (2) The average flow contrib-
uted by each operation; and (3) The treatment received by the wastewater. Continue on additional sheets
if necessary
Outfall
Number
















1 Operations Contributing Flow
(list)
















2. Average Flow
(include units)
















3 Treatment
(Description or List Codes from Table 2D-1)
















EPA Form 3510-20 (Rev. 8-90)
Page 1 of 5

-------
B Attach a line drawing showing the water flow through the facility Indicate sources of intake water,
operations contributing wastewater to the effluent, and treatment units labeled to correspond to the more
detailed descriptions in Item III-A. Construct a water balance on the line drawing by showing average flows
between intakes, operations, treatment units, and outfalls If a water balance cannot bedetermmed(e g , for
certain mining activities), provide a pictorial description of the nature and amount of any sources of water and
any collection or treatment measures
C. Except for storm runoff, leaks, or spills, will any of the discharges described in item III-A be intermittent or
seasonal?
1 	 1 Yes (complete the following tablet I — I No (go to item IV)

Outfall
Number

IV. Production ^^^^^^^^^^^^Jj|
1 Frequency
a Days
Per Week
(specify
average!
^•M
b Months
Per Year
(specify
average)
•^^
2 Flow
a Maximum
Daily Flow
Rate
(in mgd)
^•H
b Maximum
Total Volume
(specify
with units/
•••M
c Duration
(in days/
^^^
If there is an applicable production-based effluent guideline or NSPS, for each outfall list the estimated level of production (projection of
actual production level, not design), expressed in the terms and units used in the applicable effluent guideline or NSPS. for each of the
first 3 years of operation. If production is likely to vary, you may also submit alternative estimates (attach a separate sheet)
a Quantity b Units of
Year Per Day Measure

1

c Operation. Product Material, etc Ispecilyl



EPA Form 3510-20 (Rev 8-90)
Page 2 of 5
CONTINUE ON NEXT PAGE

-------
CONTINUED FROM THE FRONT
V. Effluent Characteristics ^^^^^^^|
I EPA ID Number icopy tram Item 1 of Form !/ 1 Outfall Number 1
^.—-—-H—l^^——-——^
A, and B: These items require you to report estimated amounts (both concentration and mass) of the pollutants to
be discharged from each of your outfalls. Each part of this item addresses a different set of pollutants and should
be completed in accordance with the specific instructions for that part. Data for each outfall should be on a
separate page. Attach additional sheets of paper if necessary.
General Instructions (See tattle 2D-2 for Pollutants)
Each part of this item requests you to provide an estimated daily maximum and average for certain pollutants and
the source of information. Data for all pollutants in Group A, for all outfalls, must be submitted unless waived by
the permitting authority. For all outfalls, data for pollutants in Group B should be reported only for pollutants
which you believe will be present or are limited directly by an effluent limitations guideline or NSPS or indirectly
through limitations on an indicator pollutant.
1. Pollutant






















2 Maximum
Daily
Value
(include units)






















3. Average
Daily
Value
(include units/






















4. Source (see instructions/






















EPA Forni 351 0-2D (Rev. 8-90) Page 3 of 5 CONTINUE ON REVERSE

-------
CONTINUED FROM THE FRONT
                                      EPA ID Number /copy from Item 1 ol Form 11
C.   Use the space below to list any of the pollutants listed in Table 2D-3 of the instructions which you know or have
     reason to believe will be discharged from any outfall For every pollutant you list, briefly describe the reasons you
     believe it will be present.
1 Pollutant
                                      2 Reason for Discharge
 VI. Engineering Report on Waitewatar Treatment

 A    If there is any technical evaluation concerning your wastewater treatment, including engineering reports or pilot plant studies, check the
      appropriate box below

                I—I Report Available         I—I No Report
 B.    Provide the name and location of any existing plant(s) which, to the best of your knowledge, resembles this
      production facility with respect to production processes, wastewater constituents, or wastewater treatments
   Name
                                        Location
 EPA Form 3510-2D (Rev 8-90)
Page 4 of 5
                                                                                            CONTINUE ON NEXT PAGE

-------
II. Other Information {Optional)
   Use the space below to expand upon any of the above questions or to bring to the attention of the reviewer any
   other information  you feel should be considered in establishing permit limitations for the proposed facility
   Attach additional sheets if necessary
   / 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 the 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.
A. Name and Official Title (type or print)
                                                                                      B Phone No
Z. Signature
D Date Signed
 EPA Form 3510-20 (Rev. 8-90)
                                 U.S. Government Printing utti
                                                         I'JJl - 281-724/28466
             Page 5 of b

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APPENDIX ELS      FORM 2E
                                 81

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            United States        Off ice of Water        EPA Form 3510-2E
            Environmental Protection    Enforcement and Permits     Revised August 1990
            Agency          Washington, DC 20460

            Permits Division	
<8rEPA    Application Form 2E —

           Facilities Which Do Not
           Discharge Process
           Wastewater

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                                      Form 2E Instructions
Who Must File Form 2E
EPA Form 3510-2E must be completed in conjunction
with EPA Form 3510-1 (Form 1). This short form may be
used only by operators of facilities which discharge only
nonprocess wastewater (process wastewater is water
that comes into direct contact with or results from the
production or  use  of any raw material,  intermediate
product, finished product, byproduct, waste product, or
wastewater) which is not regulated by effluent limita-
tions guidelines or new source performance standards.
The form is intended primarily for use by dischargers
(new or existing) of sanitary  wastes and noncontact
cooling water. It may not be used for discharges of
stormwater runoff or by educational, medical, or com-
mercial chemical laboratories or  by publicly owned
treatment works (POTW's).
Where to File Applications
The  application  forms should  be  sent  to  the EPA
Regional Office which  covers the State  in which the
facility is located. Form 2E (the short form) must be used
only when applying for permits in States where the
NPDES permits program  is administered by EPA. For
facilities located in States which are approved to admin-
ister the  NPDES permits program, the State environ-
mental agency should be contacted for proper permit
application forms and instructions. Information on whe-
ther a particular program is administered by EPA or by a
State agency can be obtained from your EPA Regional
Office. Form 1, Table 1 of the "General  Instructions"
lists the  addresses of  EPA Regional Offices and the
States within the jurisdiction of each Office.
Public Availability of Submitted Information
You may not  claim  as confidential  any information
required by this form or Form 1, whether the information
is reported on the forms or  in an attachment. Section
402(j) of the CWA requires that  all permit applications
shall be available to  the  public. This information will
therefore be made available to the public upon request.
You may claim as confidential any information you sub-
mit to EPA which goes beyond that required by this form
or Form 1. However, confidentiality claims for effluent
data must be denied. If you do not assert a claim of
confidentiality at the time of submitting the information,
EPA may make the information  public without further
notice. Claims of  confidentiality will be handled in
accordance with EPA's business confidentiality regula-
tions in 40 CFR Part 2.
Completeness
Your application will not be considered complete unless
you answer every  question on  this form and Form 1
 EPA Form 3510-2E  (8-90)
(except as instructed below). If an item does not apply to
you, enter "NA" (for "not applicable") to show that you
considered the question.
Followup Requirements for New Dischargers  and
New Sources
Please note that no later than 2 years after commence-
ment of discharge from the proposed facility, you must
complete and submit Item IV of this form (NPDES Form
2E). At that time you must test and report actual rather
than estimated data for the pollutants or parameters in
Item IV, unless waived by the permitting authority.
Definitions
Significant terms used in these instructions and in the
form are  defined in the Glossary found in the General
Instructions accompanying Form 1.
Item I
Under Part A, list an outfall number. Under Part B, list
the latitude and longitude to the nearest 15 seconds for
this outfall. Under Part C, list the name of the outfall's
receiving water. When there is more than one outfall,
you must submit a separate Form 2E (Items I, III, and IV
only) for each outfall.
Item II (New Dischargers Only)
This item requires your best estimate of the date on
which your facility will begin to discharge.
Item III
In Part A, indicate the general type(s) of wastes to be
discharged by placing an "x" in the appropriate box(es).
If "other nonprocess wastewater" is marked, it should
be identified. If cooling water additives are to be used,
they must be listed by name under Part B.
In addition, the composition of the cooling water addi-
tives should be listed if this information is available. The
composition of cooling water additives may be found on
product labels  or from manufacturer's data sheets.
Item IV — Reporting
All pollutant levels must be reported as concentration
and as total mass (except for discharge flow, pH, and
temperature). Total mass is the total weight of pollutants
discharged over a day. Use the following abbreviations
for units:
      Concentration       Mas*
ppm   parts per million     Ibs
mg/1   milligrams per liter   ton
ppb    parts per billion     mg
pounds
tons (English tons)
milligrams
grams
Tonnes (metric tons)
Ug/1   micrograms per liter g
kg     kilograms          T
A. Existing Sources
You are required to provide at least one analysis for each
pollutant or parameter listed by filling in the requested infor-
                                                    1-1

-------
mation  under the applicable column.  Data reported
must be representative of the facility's current operation
(average daily value over the previous 365 days should
be reported). Most facilities routinely monitor these pol-
lutants or parameters as part of existing permit require-
ments.
The pollutants or parameters listed are: average flow,
biochemical oxygen demand (BOD), total suspended sol-
ids (TSS), fecal coliform (if believed present or if sanitary
waste is discharged), pH, total residual chlorine (if chlo-
rine is used), temperature (winter and summer), oil and
grease, chemical oxygen demand (COD), total organic
carbon (TOC) (COD and TOC are only required if noncon-
tact cooling water is discharged), and ammonia (as N).
The analysis of these pollutants or parameters must be
done in accordance with procedures promulgated in 40
CFR  Part  136.  Grab samples must  be used for pH,
temperature, residual chlorine, oil and grease, and fecal
coliform. For all other pollutants, 24-hour composite
samples must be used. Any further questions on sam-
pling or analysis should be directed to your EPA or State
permitting authority. The authority may request that you
do additional testing, if appropriate, on a case-by-case
basis under Section 308 of the Clean Water Act (CWA).
If you expect a pollutant to be present solely as a result of
its presence in your intake water, state this information
on Item VII of the form.
B. New Dischargers
You are required to provide an estimated maximum daily
and average daily value for each pollutant or parameter
(exceptions noted on the form). Please note that fol-
lowup testing and reporting are required no later than 2
years after the facility starts to discharge. Sampling and
analysis are not required at this time.  If,  how-
ever, data from such analyses are available, then such
data should be reported. The source of the estimates is
also  required. Base your determination of whether a
pollutant will be present in  your  discharge on  your
knowledge of the proposed facility's use of maintenance
chemicals, and any analyses of your effluent or of any
similar  effluent. You may also  provide the estimates
based on available inhouse or contractor's engineering
reports or any other studies performed on the proposed
facility. If you expect a pollutant or parameter to be
present solely as a result of its presence in your intake
water, state this information on Item VII of the form.
In providing the estimates, use the codes in the follow-
ing table to indicate the source of such information.
             Engineering study             Code
Actual data from pilot plants	1
Estimates from other engineering studies	2
Data from other similar plants	3
Best professional estimates	4
Others	specify on the form
C. Testing Waivers
To request a waiver from reporting any of these pollu-
tants or parameters, the applicant (whether a new or
existing discharger) must submit to the permitting
authority a written request specifying which pollutants
or parameters should be waived and the reasons for
requesting a waiver. This request should be submitted
to the permitting authority before or with the permit
application. The permitting authority  may waive the
requirements for information about any pollutant or
parameter if he determines that less stringent reporting
requirements are adequate to support issuance of the
permit. No extensive documentation of the request will
normally be needed, but the applicant should contact
the permitting authority if he or she wishes to receive
instructions on what his or her particular request should
contain.
ItemV
Describe the average frequency of flow and duration of
any intermittent or seasonal discharge (except for storm-
water runoff, leaks, or spills). The frequency of flow
means the number of days or months per year there is
intermittent discharge. Duration means the number of
days or hours per discharge. For new dischargers, base
your answers on your best estimate.
Item VI
Describe briefly any treatment system(s) used (or to be
used for  new  dischargers), indicating  whether the
treatment system is physical, chemical, biological, sludge
and disposal, or other. Also give the particular type(s) of
processes) used (or to be used). For example, if a physi-
cal treatment system is used (or will be used), specify the
processes applied, such as grit removal, ammonia strip-
ping, dialysis, etc.
hem VII
This item  is intended for you to provide any additional
information (such as sampling results) that  you feel
should be considered by the reviewer in establishing
permit limitations. Any response here is optional. If you
wish to demonstrate your eligibility for a "net" effluent
limitation, i.e., an effluent limitation adjusted to provide
credit for the pollutants) present in your  intake water,
please add a short statement of why you believe you are
eligible (see §122.45(g)). You will then be contacted by
the permitting authority for further instructions.
Item VIII
The Clean Water Act provides severe penalties for sub-
mitting false information on this application form. Sec-
tion 309(cM2) of the Clean Water Act provides that "Any
person who  knowingly makes any false statement.
 EPA Form  3S10-2E (8-90)
                                                    I-2

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representation, or certification in any application. . . .
shall upon conviction, be punished by a fine of no more
than $ 10,000 or by imprisonment for not more than six
months or both."
40 CFR  Part 122.22 requires the certification to be
signed as follows:
a.  For a corporation: by a responsible corporate officer.
    A responsible corporate officer means (i) a presi-
    dent, secretary, treasurer, or vice-president of the
    corporation in charge of of a principal business func-
    tion, or any other person who performs similar pol-
    icy or decision making functions for the corporation,
    or (ii) the manager of one or more manufacturing,
    production, or operating facilities employing more
    than 250 persons or having gross annual sales or
    expenditures  exceeding $25,000,000 (in  second
    quarter 1980 dollars), if authority to sign documents
    has been assigned or delegated to the manager in
    accordance with corporate procedures.
b.  For a partnership or sole proprietorship: by a general
    partner or the proprietor, respectively;  or
c.  For a municipality, State, Federal, or  other public
    agency: by either a principal executive officer or
    ranking elected official. For purposes of this section,
    a principal  executive officer of a Federal  agency
    includes (i) the chief executive officer of the agency,
    or (ii) a senior executive officer having responsibility
    for the overall operations of a principal geographic
    unit of the agency (e.g., Regional Administrators of
    EPA).
                                                     1-3
EPA  Form 3510-2E  (8-90)

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 Please type or print in the unshaded areas only
                                           EPA ID Number (copy from Item 1 of Form 1)
                                                                    Form Approved  OMB No. 2040-0086
                                                                    Approval expires 5-31-92.
    Form
   2E
   NPDES
          Facilities Which Do Not  Discharge  Process  Wastewater
 I. Receiving Waters

      For this outfall, list the latitude and longitude, and name of the receiving water(s).
      Ouriall
    Number {list)
Latitude
                   Deg  Win   See
Longitude
             Peg  Min  Sec
Receiving Water {name)
  I. Discharge Date (If a new discharger, the date you expect to begin discharging!
 III. Type of Waste
 A. Check the box(es) indicating the general type(s) of wattes discharged.
    I—I Sanitary Wastes    I—I Restaurant or Cafeteria Wastes    I	I Noncontact Cooling Water    LJ
                                                                Other NonprocMS
                                                                Weetewetef/'Mevidry;
 B. If any cooling water additives are used, list them here. Briefly describe their composition if this information is available.
 IV. Effluent Characteristics
   A. Existing Sources — Provide measurements for the parameters listed in the left-hand column below, unless waived by the permitting
      authority (see instructions).
   B. New Dischargers —  Provide estimates for the parameters listed in the left-hand column below, unless waived by the permitting
      authority. Instead of the number of measurements taken, provide the source of estimated values (see instructions).
         Pollutant or
         Parameter
                   in
                Maximum
                Daily Value
               (include units)
                                              Concentration
                                 Avarsge Daily
                                Value (Vfcsr yeer)
                                 (include uniul
                                                                  Mast
                                                                               Concentration
                                                                                                             lor/
                                             Number of
                                            Measurement*
                                               Taken
                                             (Ittt year;
 Sourcaof
 Estimate
  (H new
discharger)
 Biochemical Oxygen
 Demand (BOD)
 Total Suspended Solid* (TSS)
 Fecal Colifprm (if believed
 present or it senitery weste is
 discharged)
 Total Residual Chlorine (if
 chlorine is used!
 Oil and Create
 •Chemical oxygen demand
 (COD)
 'Total organic carbon (TOO
 Ammonia Its N)
 3ischarge Flow
                           Value
 HH (give range)
                           Value
 temperature (Winter)
                                                         °C
                                                                                           °C
 temperature (Summer)
                                                         °C
                                                                                           °C
 "If noncontact cooling water is discharged
EPA  Form  3510-2E (8-90)
                                                                                              Page 1 of 2

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V. Except for leaks or spills, will the discharge described in this form be intermittent or seasonal?
  If yes, briefly describe the frequency of flow and duration.	
                     DV..   D
                                   No
VI. Treatment System (Describe briefly any treatment systemfsj used or to be used)
VII. Other Information /
      Use the space below to expand upon any at the above questions or to bring to the attention of the reviewer any other Information you feel
      should be considered in establishing permit limitations. Attach additional sheets, if necessary.
VIII. CeHlficatlon
1	 -  "•^•••^^^^••M
     I certify under peneJty of lew thet this document end eHettechments
roprept
                                                                       d undo* my direction or supervision in eccerdenco with
e system ^signed to essurethetojieUtiodpersonnel propertygothor end evohieto the informetionsub^
person orpertont who mtnege the tyttem. or thotepenont directtyrefpontib^forffetheringthein^metiontheinfermetionfttemitted
is to the best of my knowledge end belief, true, eccurete. end complete. I em ewerethet there ere tigntficentponeltiet for submitting felte
information, including the potsibility of fine end imprisonment for knowing violetions.	
A. Name ft Official Title
                                    B. Phone No. {area code
                                     & no.)
C. Signature
                                    0. Date Signed
 EPA Form  3510-2E (8-90)
                                                   Page 2 of 2

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                                                                             Form Approved OMB No. 2040-0086
EPA ID Number (copy from Item 1 of Form
                                                                             Approval expires 5-31-92
            6EPA   Facilities Which Do Not Discharge Process Wastewater
       For thfe outfall, tiat the latitude and longitude, and name of the receiving water(s)
                              Pea  Mtn  Sec
    Discharge Date (If a new discharger, the date you expect to begin discharging/
D                                                                          Other Nonprocm*
                                                                          Wastewcter (Identify)

   H any cooling water additives are uaed, list them here. Briefly describe their composition if this information is available

W M49)0ffty faMat «rlMrii6tNffMyl
ft •*• ivMV DHMavaWyaWB ~~ WUW(W 9KI9IMWM V0T «n*l pMTWIMMNV nCtaw if) tn0 wft~fM
I auttwrity. kisttadofttMniMntarof meceuremema Mk«n. provide the source of ei
PoHuMntor
SSSUJSoS***"
TaM Suapendsd SoUda (T8«
• MH CoNwcin fff ateitivMtf
ff999Gt 1f.M JaMilCaVy MAMMat «P
•Mkary^
Teal BiiKual CMorine ffr
cMDr*iel>iwMO
ONandOraees
•CtwmkuJ r»nn«n 
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V. Except for leaks or spills, will the discharge described in this form be interrnittent or seasonal?
  If yes, briefly describe the frequency of flow and duration.	
Ye*
      D
          No
VI. Treatment System (Describe briefly any treatment systemfs) used or to to (
VII. Other Information (Optional)
      Use the space below to expand upon any of the above questions or to bring to the attention of the reviewer any other information you feel
      should be considered in establishing permit limitations. Attach additional sheets, if necessary.
      I cenifY under penalty of lew that this document end all attachrnents were prepared under rny direction or supa
      a system designed to assure that qualified personnel property gather and evaluate the information submitted. Biota on my inquiry of the
      person or persons who manage the system, or those persons dtrectlyresponsibh for gathering the information, the information submitted
      is to the best of my knowledge and belief, true, accurate, end complete. I am aware that there ere significant penalties for submitting false
      information, including the possibility of fine and imprisonment for knowing violations.
A. Name & Official Title
           B. Phone No. (area code
            & no.)
C  Signature
           D. Date Signed
 EPA Form  3510-2E (8-90)
                                              WS. GOVERNMENT PRNTINQOFFCe: 1801517-003/47028
                          Page 2 of 2

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