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.
iv
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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.
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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
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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;
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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).
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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,
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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
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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
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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."
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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
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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
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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.
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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
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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.
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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).
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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.
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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.
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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.
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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;
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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)
-------
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.
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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.
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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
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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
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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
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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
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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
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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
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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.
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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.
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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
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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
-------
FIGURE 1-1
-------
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
-------
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)
-------
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
-------
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)
-------
-------
APPENDIX EJ; FORM 2F
78
-------
-------
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
-------
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* )
-------
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
-------
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
-------
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
-------
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)
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1743997 6)
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I744OO? O)
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I744O-77 4)
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-------
OUTFALL NUMBER 1
EPA I.D. NUMBER (copy from Item 1 of Form 1)
t
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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
i
L
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.
C
in
III
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c
c
b
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1
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0
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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
-------
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
-------
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
-------
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)
-------
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)
-------
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)
-------
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
-------
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
-------
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
-------
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
-------
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
-------
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
-------
APPENDIX ELS FORM 2E
81
-------
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
-------
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
-------
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)
-------
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
-------
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
-------
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
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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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