United States Offio Of EPA-5C5 8-91 -002
Environmental Protection Water Apni i591
Agency (EN-336)
v>EPA Guidance Manuai
For The Preparation Of
NPDES Permit Applications
For Storm Water Discharges
Associated With
Industrial Activity
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PB92-199058
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
i@ Printed an 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
3.33 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
43 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
53 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
5.4J 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
5.53 Estimation of Flow Rates Based on Flow Velocity
Measurements 33
5.5.4 Estimation of Volumes Based on Flow 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
APPENDIX A: SELECTED TEXT FROM 40 CFR SECTION 122.26 . 49
APPENDIX B: DEFINITIONS OF KEY TERMS 55
APPENDIX Q INFORMATION FOR EPA REGIONAL
OFFICES AND STATES WITH APPROVED
NPDES PROGRAMS 62
APPENDIX C.l: 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.1: 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 EJ: 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 FIELD DATA 35
5-2 EXAMPLE PREPARATION OF A MANUALLY COMPOSITED
FLOW-WEIGHTED SAMPLE 41
i
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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
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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 Gean 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 ER 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 ER 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.
12 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).
1
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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
2
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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 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 Una) 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 12226(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)
(U) 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;
(iii) Facilities *'f/r*rififd as Standard Industrial Classifications 10 thmugh 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,
3
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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 Fertilirer 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 Rastics 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 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;
(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 part 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 regulatoiy definition are highlighted below:
o The term 'storm water discbarge 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 regulatoiy 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 fisted 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
13 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
7
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Tabic 2-2.
STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE GROUPS WHICH ARE
REFERENCED IN THE NPDES STORM WATER REGULATIONS
SIC Code
No.(1)
Title
10
Metal Mining
12
Coal Mining
13
Oil and Gas Extraction
14
Nonmetallic Minerals, Except Fuels
20
Food and Kindred Products
21
Tobacco Products
22
Textile Mill Products
23
Apparel and Other Textile Products
24
Lumber and Wood Products
25
Furniture and Fixtures
26
Paper and Allied Products
27
Printing and Publishing
28
Chemicals and Allied Products
29
Petroleum and Coal Products
30
Rubber and Miscellaneous Plastic Products
31
Leather and Leather Products (except 311)
32
Stone, Gay, and Glass Products
33
Primary Metal Industries
34
Fabricated Metal Products
35
Industrial Machinery and Equipment
36
Electronic and Other Electric Equipment
37
Transportation Equipment
38
Instruments and Related Products
39
Miscellaneous Manufacturing Industries
40
Railroad Transportation
41
Local and Interurban Passenger Transit
42
Trucking and Warehousing
43
United States Postal Service
44
Water Transportation
45
Transportation by Air
5015
Motor Vehicle Parts, Used
5093
Scrap and Waste Materials
5171
Petroleum Bulk Stations and Terminals
Notes:
^ For the exact 4-digit SIC codes within each industry group number, refer to the Standard Industrial Classification
Manual. 1987 Edition, U.S. Executive Office of the President, OfBce 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 sanitaiy 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.
9
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Figure 2-1. Flowchart for NPDES
Permitting of Industrial
Storm Water Discharges
NO
YE9
/ Dom \
/ Your Fadlty \
OlKharg* to
W4Mreoftf»US. or
to aMunldpal >
S. Systam /
Na
(Continued on next page)
Combined
Sewer System
Yes
No
Permit
Required
Combined Sewer Track
Notify
Municipality
ProvWon*
o( Submitting
(1) Permitting Authority: States which have NPDES permit authority, otherwise EPA regional offices
!2) States with NPDES permit authority can disallow participation in a group application
3) Time line begins at the date of publication of the final rule
4) Other forms may be required in addition to Forms 1 and 2F
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(Continued Iron prsvkxj* paga)
Group Application Track
Individual Application Track
MMdual
~roup
~roup
FORM 1
PARTI
S£PT. 30, 1991
EPA
NO
th*
YES
PART 2
FOHM2F
MAY 18. 1902
NO
YES
Your9uiaHav*
Qanaral Pam#
. AUhorty
PuMIc
Subflrtfi Qananl
Infcxfflallon
lot tt» Qioup
State Davalopi
General Parmll
EPA Hudquatara
Damiopa
UkM* Parm*
and Submta lo
PannMig Authority
Colacl and Submit
Quirlltallv* Data
lo ParniWBfl Awhortly
Parmttlng Authority
Davaicpa
Indvldu* Panrtt
CoNaci and SutxiM
QuanltMv* Data lor
10% of FadHaa
to EPA Haadqutflaim
)0*
No general pennil lewed
Permitting Authority
Issues Final
INDIVIDUAL PERMIT
to Each Facility
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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 J 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 3J 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 atorm watar associated with an industrial activity, or
2) discharge storm watar that tha permitting authority designates as a significant contributor of
pollutants to watars of tha U.S.. or
3) dlecharge storm water that contributes to a vtolatfon of a water quality standard
ara raqulrad to submit an application for a NPDES storm watar discharge permit. unlass a general
permit has been issued. In this case, the facility operator must comply with the Notice of Intent
provisions in liau of submitting an application. Facility operators submitting an individual permit
application must complete FORM 1 (EPA Form 3510-1) and FORM aFfEPA Form 3510-2F).
Additional forms may be required as shown below.
I* your
diadiarps
compoaad
•ntfrtiyot
*torm watar
Yes
Comp4«ls Ponw 1 and Pom 3f
Compialo ontf ttw pt9vw*)y
transited tonnt
, Yea
Rampla* farm 20
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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 33.2 discusses alternative
individual permit application requirements for storm water discharges associated
with industrial activity from construction activities and Section 3.S 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.l 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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3JJ 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 J 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 bv
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.
9.4 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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3i 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 sanitaiy 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 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."
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
(Q 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 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."
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f
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.
4.2 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 (coadnued)
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.
3. Determine what the deadlines are for the
permit application.
o Ch^ck 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 #1 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 do«s not apply, "NAn(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 Gean 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.
4.5 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)(i) 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
122.41(j)(2).
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 122.41(j)(5) and
(k)(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.
Hie 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.
S3 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 122.21(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
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PLANT
jp
PARKING
RsceMno Str>«m
83S& Receiving Stream
I
±
PLANT
t
PARKING
OFFICE
Receiving Stfim ^
Publicly
owned
conveyance
PLANT
M
• Outfall discharges storm walsr associated with Industrial activity (sampling typically required In Form 2F).
O Outfall discharges storm water thai Is ngt assoicatsd with industrial activity (sample typically not required
In Form 2F).
Storm runoff direction
wiSlvinQ Stream
PLANT
333% Receiving'Stream" sag
Figure 5-1. EXAMPLE INDUSTRIAL STORM RUNOFF OUTFALL* 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 necessaiy 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 field 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£ 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.
5i.l Estimating Flows and Volumes
Runoff flow rates and volumes can be estimated by using the total rainfall
amount for the storm event and estimated runoff coefficients for the facility.
Runoff coefficients represent the fraction of total rainfall that will be transmitted
as runoff from the facility. As such, the coefficients reflect the ground surface or
cover material. To estimate runoff volume and rates, it can be assumed that
31
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paved areas and other impervious structures such as roofs have a runoff
coefficient of 0.90 and, therefore, 90% of the rainfall is conveyed from the facility
as runoff. For unpaved surfaces, it can be assumed that the runoff coefficient is
about 0.50. The total volume of discharge for the event is then estimated by:
total runoff volume (cubic ft) = total rainfall (ft) x [facility paved area x
0.90 + facility unpaved area x 0.50]
The facility areas used in this calculation should be in units of square feet
and should include only those areas drained by the outfall sampled. To estimate
an average flow rate, divide the volume by the duration of the rainfall event. If
desired, a more accurate estimate can be made by using more specific runoff
coefficients for different parts of the facility based on the type of ground cover
(Chow 1964 contains various runoff coefficients and discusses their use).
5.5.2 Flow Rate Measurements
There are a variety of techniques for measuring or estimating flow rates.
Flow measuring devices based on pipe invert sections (e.g., flumes, weirs, and
others) are commercially available. For locations that may be used for routine
monitoring in the future, the applicant may consider installing these types of
devices for ease in future measurements. The installed cost of a weir, for
example, typically ranges from about $1,000 to $5,000. Once installed, the weir
must be calibrated so that future measurements of stage (i.e., depth of flow) can
be converted directly to flow volumes. The installation and calibration of such
devices should be performed by experienced personnel.
To estimate flow rates in units of volume per time such as cubic feet per
second, information on flow velocities and depth of flow are required. The
remainder of this section discusses methods for collecting these data.
Flow rate estimates may also be obtained by measuring depth of flow and
velocity in a pipe of known diameter or other conveyance structure at frequent
intervals during a storm runoff event. For a pipe or other structure of known
size, the cross-sectional area of flow can be calculated for any depth of flow using
geometric relationships. Flow velocities can be measured by using suitable units
(e.g., propeller operated devices) attached to a portable current meter. Flow
velocity measurements should be obtained from representative locations
throughout the flow cross-section. Such units are commercially available at costs
ranging from about $1,000 to $3,000. While these devices may be fairly
expensive, they are easy to use and they provide accurate data if used properly.
Flow velocities can be estimated using simpler methods, such as measuring
the time of passage of an object (e.g., an orange) between two points a known
distance apart (e.g., manholes).
32
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Facility operators who are more familiar with measuring flows in pipes or
open channels may use the Chezy-Manning equation, for example, to calculate
flow velocities:
2/3 4
v- 142 (rM) (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).
5J3 Estimation of Flow Rates Based on Flow Velocity Measurements
If the measurements of flow depth are recorded and converted to cross-
sectional areas (in square feet), and the corresponding velocities for each depth
are recorded (in feet per minute), then the flow rate (Q) in cubic feet per minute
(cfm) is:
Q » (area)(velocity)
The maximum flow rate is the highest value recorded during the storm
event The time-weighted average flow rate for the storm event can be estimated
by the average of the individual values recorded.
5.5.4 Estimation of Volumes Based on Flow Rate Estimates
The total volume of discharge can be estimated by first multiplying each of
the flow rates determined above by a time interval that represents the portion of
the total storm duration associated with the measurement, and then adding all
such partial volumes. If the time intervals used are seconds, then the total flow
of runoff will be in units of cubic feet.
A procedure for calculating the total runoff volume from a set of discrete
measurements of flow depth and velocity during a storm runoff event Is discussed
below and presented in Table 5-1. The basic steps for calculating this
information are as follows:
Step 1: Measure and tabulate flow depths and velocities every 20
minutes during at least the first 3 hours of the runoff event
33
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Step 2: Calculate and tabulate the cross-sectional area of flow for
each of the flow depths measured. Calculate the flow rate
(Q) for each discrete set of flow rate and flow velocity
measurements. Q = (area)(velocity).
Step 3: Plot flow rate, Q versus time as shown in Table 5-1.
Step 4: Assign each flow rate measurement a duration equal to the
sum of 1/2 the time interval between the preceding and
succeeding measurements. In the ideal case of uniform 20
minute intervals, the durations are [(20)^ + (20)^ = 20
minutes].
Step S: Compute the flow volume associated with each observation
(V1f Vj,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
(Qb) to zero at the time when Qjq 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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Tabic 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
FLOW VELOCITY
FLOW DEPTH
(m i nuie s)
(feel per minute)
(feet)
0
.
•
20
4
o.:
40
s
0.4
60
10
0.5
B0
8
0 4
100
4
0 2
120
6
0.3
I -10
4
0 2
160
0.1
180
4
o:
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 - cfm). Q s (area)(velocity)
Step 3: Plot flow rate Q versus time
30 ————————
25 -
20 «
Flew Bit#. Q.j.
(dm)
i o * • • • •
5 -
0 i i I i i i | I i
0 20 40 60 BO 100 120 140 160 i 80 200
T'miw (minuiM)
Step 4: Assign a lime duration to each flow rate
20 •
10 *
20 40 60 10 100 120 140 160 110
Tim* (mlnutM)
-------
Table 5-1. Example Calculation of the Total Runoff Flow Volume from Field Data
(concluded)
Seep 5: Calculate individual flow volumes
Volume (V)
Flow Rate (Q) x
Time
Vl
10 cfm x
20 min
200
cubic
fee
v2
20 cfm x
20 min
400
cubic
fee
v3
25 cfm x
20 min
500
cubic
fee
v4
20 cfm x
20 min
400
cubic
fee
V5
10 cfm x
20 min
200
cubic
fee
v6
15 cfm x
20 min
300
cubic
fee
V?
10 cfm x
20 min
200
cubic
fee
v8
5 cfm x
20 min
100
cubic
fee
V9
10 cfm x
20 min
200
cubic
fee
Step 6: Calculate the initial and final volumes
Flew Mate, Q
(cfmi
Flow Mat*, Q
(efm)
a
Om
Ov.
20 «0
Tlnw (minutM)
Qi
initial volume ¦ — x 10 minutes
110 200
Tlnw (minutts)
final volume
Q9
~j~ x 10 minutes
4
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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k
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
indude 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.
5A2 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 IS minutes between sample collection times. Storm
runoff flow rates and flow cross-sectional areas in the conveyance should be
estimated (see Section S.S) 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 S
a) Constant time interval between samples, sample volume
proportional to flow rate at time of sampling;
39
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b) Constant time interval between samples, sample volume
proportional to total flow (volume) since last sample. For the first
sample, the flow rate at the time the sample was collected may be
used;
c) Constant sample volume, time interval between samples
proportional to flow (i.e., sample taken every "X"gallons of flow);
and
d) Continuous collection of sample, with sample collection rate
proportional to flow rate.
A different amount of each of the nine individual aliquots is used so that
they are combined in proportion to the volume of runoff they represent. In the
case of uniform time intervals between samples, the sample portions can be based
on the measured flow rate associated with each sample rather than on the flow
volumes calculated from each flow rate. For uniform time intervals, both flow
rates (Q) and flow volumes (V) will result in the same aliquot proportions used
to prepare the composite. TTie 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)
Qmu W
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 (cfm)
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 (25 cfm)
Sample 1 - Sample 3 z 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 10/23 ¦ 0.40
Sample 6 - Sample 3 x 15/25 ¦ 0.30
Sample 7 ¦ Sample 3 x 10/25 - 0.40
Sample 8 ¦ Sample 3 x 5/25 - 020
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 convenient volume 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: 800 ml
Sample S: 400 ml
Sample 6: 300 ml
Sample 7: 400 ml
Sample 8: 200 ml
Sample 9: 400 ml
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
Q1 = 10 cfm, is:
Sample 1 (ml) ¦ [Sample 3 (in ml) ] x Q1 (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
tpply 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.
5.6J 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
•ample must be used.
Part A of Section VII requires that both grab samples and flow-weighted
composite samples be analyzed for:
Biological oxygen demand (BOD3)
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. Hie 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 of the CWA.
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
lbs = 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, vaient, 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 12226
Section 12126(a) Storm water dischams (applicable to State NPDES ortxramx. tw € 123.2SL
(a) Permit requirement. (1) Prior to October 1, 1992, discharges composed entirety of storm
water shall not be required to obtain a NPDES permit accept:
(1) 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 any 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.Z
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) Lent end Mtf'W? Mmfeipel Smmt $tm flww, (0 Permits must be
obtained for alt 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.
(iii) 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:
(2) 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 timely
submission of Part I and Part 2 of the municipal application;
(2) each of the operators of municipal separate storm sewer within the systems described in
paragraphs 122.26(b)(4)(\\ (ii), and (iii) or (b)(7)(i), (it), and (iii), 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 munictpal 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 only comply with permit conditions relating to discharges from the
municipal separate storm sewers for which they are operators.
(4) Discharges throueh 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 Iinsert date 180 dan after publication I 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 (I)(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 arty, that apply to each operator.
(7) Combined Sewer Systems. Conveyances that discharge storm water rwtoff 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 Title II, Title III or Title VI of the Clean Water AcL See 40 CFR Part 35, Subpart I,
Appendix A(b)H.2.j.
Section 122.26(c) Application requirements for storm water discharges associated with
industrial activity.
(I) Individual application. Dischargers of storm water associated with industrial activity are
required to apply for an individual permit, apply for 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 wider paragraph (2), shall submit an NPDES application in
accordance with the requirements of § 12121 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
S 122.2 of this part) composed of storm water and non-storm water shall submit Form 1, Form 2D, and
Form 2F.
(1) Except as provided in paragraphs 12226(c)( l)(ii)-(tv),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 outfaU (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
easting 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 rtith industrial activity for the following parameters:
(D 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);
(3) Oil and grease, pH, BOD5, COD, TSS, total phosphorus, total Kjeldahl nitrogen, and
nitrate plus nitrite nitrogen;
(4) Any information on the discharge required under paragraph 12221(g)(7)(iii)and (iv) of this
Part;
(2) 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 entirety of storm water are exempt from the
requirements of paragraphs 12121(g)(2), (g)(3), (g)(4), (g)(5), (g)(7)(i), (g)(7)(H), 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 entirety 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 entirety of storm water must
provide quantitative data fx 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 entirety of storm water are exempt from the requirements of paragraphs
12Z21(k)(3)(ii), (k)(3)(iii), and (k)(5).
(0) 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 firm the requirements of paragraphs
12221(g)and 12Z26(c)(l)(l)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 entirety 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 302.6at 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.
(tv) The operator of an existing or new discharge composed entirety 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 I2Z21(g)(13)of this Part to determine whether to issue a permit and may require any facility
subject to paragraph (c)(1)(H) 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)(1) 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
12126(b)(14)(l)-(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 °f 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.
(iu) Part 2 of the application shall be admitted to the Director, Office of Water Enforcement
and Permits no later than 12 months, or by May 18,1992whichever 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 only 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
shell 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;
(iii) Part 2 of the application shall be submitted to the Director by Noveniber 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)(tv)(E) within 90 days after receiving the Part 1 application.
(iii) 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 oris 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 122.21and 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 12226(e)(1).
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 entirely 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 Censi is estimates of the population saved 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 wtvks. In municipalities in which combined sewers are operated, the Census estimates
of population may t
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a map indicating arras 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^), the
storm water regulations (55 FR 47990), and terms commonly used in relation to storm water
discharges.
(1) "Best management practices ("BMPs")1meana 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 "discharge of a pollutant."
(5) "Discharge of a pollutant" means;
(i) Any addition of any "pollutant"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 poAutants by any "indirectdischarger."
(6) "Effluentlimitation"means any restriction imposed by the Director on quantities,
discharge rates, and concentrations of "pollutantsVhich are "discharged"from "pointsources"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) "Elicit 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);
(Q 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), (iii).
(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);
(Q 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),
("). (•")•
(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) "NationalPollutant 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
40S of CWA. The term includes an "approved program."
(16) "New discharger" 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:
(0 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 1222 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 "approvedState" 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) "Pollutanfmeans 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 1954, as amended (42 (U.S.G
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 U.S. 1 (1976).
(25) "Privatelyowned 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 ni 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) "Stormwater 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 (xi) 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 Qassifications 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 juntyards, including but limited to those classified as
Standard Industrial Gassification S015 and S093;
(vii) Steam electric power generating facilities, including coal handling sites;
(viii) Transportation facilities classified as Standard Industrial Qassifications 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;
(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;
(x) Construction activity including clearing, grading and excavation activities except:
operations that result in the disturbance of less thai] five acres of total land area which are not part
of a larger common plan of development or sale;
(xi) Facilities under Standard Industrial Qassifications 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)(1) 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 "effluent limitations 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, sandflats, "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) "Wertands"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 423.1 l(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 wedands) nor resulted from the impoundment of waters of the United States.
[See Note 1 of this section.]
(38) "Wetiands'Tneans those areas that are inundated or saturated by surface or groundwater at
a frequency and duration sufficient to support, and that undei normal circumstances, do support a
prevalence of vegetation typically adapted for life in saturated soil conditions. Wedands 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
G2 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
and
U.S. EPA
Region X
and
US. EPA
Region IX
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
Jermits and Enforcement Section
210 E. 11th 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
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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 HI
Environmental Control Division
SO 10 Overlook Avenue, S.W.
Washington, D.C 20032
(202) 767-7370
Florida Department of Environmental and U.S. 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 10S8
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, ffl 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
Des Moines, LA 50319
(SIS) 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 U5. EPA
Quality Region VI
Office of Water Resources
Permits Programs
P.O. Box 44091
Baton Rouge, LA 70804-4091
(504) 922-0530
Maine Department of Environmental and U.S. EPA
Protection Region I
Bureau of Water Qtuiity 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
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Massachusetts Department of Environmental
Quality Engineering
and US. EPA
Region I
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 Department of Environmental
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
and Water Division
P.O. Box 10385, Southport Mali
Jackson, MS 39209
(601) 961-5171
Quality
Surface Water Division
Bureau of Pollution Control
P.O. Box 10385
Jackson, MS 39289
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I
Nevada Department of Conservation and
Natural Resources
Water Resources Division
201 S. Fail 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 875044)968
(505) 827-2918
New York Department of Environmental
Conservation
Permit Administrator
50 Wolf Road
Albany. NY 12233
Department of Natural Resources
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
North
Carolina
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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 2063,11th Floor/Fulton Bldg.
200 N. 3rd Street
Harrisburg. PA 17120
(717) 787-2666
and U.S. EPA
Region n
Rhode Island Department of Environmental
Management
Division of Water Resources
75 Davis St, 209 Cannon Bldg.
Providence, RI 02908
(401) 277-2234
Puerto Rico Environmental Quality Board
Division of Water/Water
Resources
P.O. Box 11488
Santurce, PR 00910
(809) 725-5140
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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^D 57501
(605) 773-3351
Tennessee Department of Public Health
Division of Water Quality Control
TERRA Building, 2nd floor
150 9th Aven 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
ami Environmental Engineering
103 S. Main Street
Waterbuiy, 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 Dept. of Ecology and Environmental Permit
Office of Water Programs Information Center
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
Virgin US EPA, Region II
Islands
Guam US EPA, Region DC
American US EPA. Region DC
Samoa
District of US EPA, Region in
Columbia
Northern US EPA, Region IX
Marianas
Mail Stop PV/11
Oiympia.WA 98504
(206) 459-6000
Department of Ecology
Headquarters Office, PV-11
St. Martin's College
Camous-Lacev
Olympia, WA 98504
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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 n
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 m
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.& 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 VH
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 Vni
NPDES Permits, Water Management Division, EPA 9871,
999 18th Street, Suite 500, U.S. Environmental Protection Agency,
Denver, Colorado 80202, (303) 293-1603, FTS 330-1603.
Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming.
REGION DC
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,
U.S. 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 CD), unless the group Is less than 11 members In size, a minimum of 10 facilities must
conduct and submit quantitative sampling data.
12126(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 5122.28 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 2D460(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 1 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, baud 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 man 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 1,000facilities are identified in a group application, no more than 100 dischargers must
submit quantitative data in Part Z Groups of between four and ten dischargers may be formed.
However, in groups cf 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
atent 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)(1) of this section, so that when Part I 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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2am
25*N
Source: Methodology for Analysis of Detention Basins for Control of Urban Runoff Quality, prepared for
U.S. Environmental Protection Agency, Office ofWuer, Nonpoini Source Division, Washington. DC, 1986.
Note; Alaska and Hawaii are included in Zone 7. The Vbjin Island and Puerto Rico are included in Zone 3.
Appendix Figure D-l. Rainfall Zones of the United States
-------
APPENDIX D.l:
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 (Le., 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 ail 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 rdated timeframes are summarized below;
a) Part 1 of the application most be submitted to the Director, EPA Office of Water
Enforcement and Permits, by September 30,199L
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 15 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
E.5 Form 2E
76
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APPENDIX E. I: FORM 1
-------
Uwlt»d Iw
Aawicy
OHtotof
RntaraMMnt
MtMhinron. OC 30460
CPA Pom M10-1
RrviM* Auguat imo
Thh form mwt b* oompttad by all panom applying for
a parmlt undar EPA'i Conaoiklatad Parmiti Program. Saa
the ganaral inatnietioni to Form 1 to datarmio# which
othar application form* you will naad.
Nrwitti DMtion
Application Form 1 - General
Information
Consolidated Permits Program
-------
DESCRIPTION OF CONSOLIDATED
PERMIT APPLICATION FORMS
FORM 1 PACKAGE
TABLE OF CONTENTS
The Cornolidated Permit Application Form* art:
Form 1 — General Information (indudadin thit part) -.
Form 2 — Ditchargtt to 5urface Wafer (NPDBS Pmrmia)-.
2A. Publidy Owned Treatment Work* (Amtrvad — not Inckidad in
thit ptcktgtj,
2B. Cooeantratad Animal Faading Operation* and Aquatic Animal
Production Facilitia* (nor Indudad in tfrit packapa),
2C- Exiating Manufacturing, Commercial, Mining, and Silviculture)
Operations (not included in thit paekaga), and
2D. New Manufacturing. Commarcial, Mining, and Silviculture!
Operation* fftmrnrad — not inekidad in thit paekaga);
Form 3 - Hatardou* Wait* Application Form (ffCMA Pmrmto —
not incJudad In thit paekaga);
Form 4 - Undarground Iniaotion of Fluid* IUIC torntin — Ha-
mrrad — not incJudad /n thit paekaga) -, and
Form 5 — Air Emiw'oni in Attainmant Araai (PSD Parmitt — A+
mrrwd — not included in Ma paekaga).
•action A. General Inttructioru
taction B. Imtructioni for Form 1
Saction C. Activities Which Do Not Raquira Permit!
•action D. Glotury
Form 1 (twoeopiu)
SECTION A —
Who Muat Apply
Wttti the exception* detcribed in Saction C of thata initructkHii, Fed-
aral lew* prohibit you from conducting any of ttia following activities
without a permit.
NPOE5 (National PoUutant DncJiarga elimination Syttam Undar Hm
Oaan Watar Att, 33 U.S. C 1251). Discharge of pollutant* into tha
watan of tha Unitad Statai.
RCRA Whowh Conmrvwtion and Haeonary Act 42 US. C 8901).
Treatment. norage, or dJipotai of hazardous warm.
UIC (Undarground Injmetion Control Undar tha Safa Drinking Warnr
Act. 42 U.5.C 300f). Injection of fluid* undarground by gravity flow
or pumping.
PtD of Significant Deterioration Undar dta Oaan JUr
Act 72 U£C MOD. Eminion of an air poHutani by a naw or modi-
IM facility in or near an araa which hat attained tha National Ambient
Air Quality Standard* for that pollutant.
Each of tha above parmit progiam* I* operated in any part leu lar Staat
by althar tha Unitad Sum Environmental Pro tact ion Agency UFA!
or by an approved Stata agency. You mult iraa thii appltc»tion form to
apply for a parmit for thon program* adminittared by EPA. For thoaa
program* adminittarad by approved Statai, contact tha Stata anviron-
mantal agency for tha proper form*.
If you have any quaation* about whether you need a parmit undar any
of tha above program*, or if you need information a* to whether a
particular program i* adminittarad by EPA or a State agancy, or H you
naed to obtain application form, eon tact your EPA Regional offioa
(Urtadin Tabh f).
Upon your requett, end bated upon Information tupplied by you,
EPA will determine whether you are required to obtain a permit for
a particular facility. Be aura to contact EPA If you have a quaation,
becauaa Federal law* provide that you may be haa«»y penal tied M
you do not apply for a permit whan a permit la required.
Form 1 of the EPA contolidated application form* collect* general
information applying to all program*. You mutt fill out-Form 1 regard-
la** o( which parmit you are applying for. In addition, you mutt fill
out one of the tuppiemantary form* (Formt 2 — Si for eech permit
naadad under aach of the above program*. Item II of Form 1 will
guide you to tha appropriate wpplimentary form*.
You ahould not* that there are certain exciuiloni to the permit require-
ment* lilted above. The exclusion* are described in detail in Saction C
of thaw inttructioni. If your ectivitie* are excluded from permit re-
quirement! than you do not need to complete and return any form*.
INSTRUCTIONS
NOTE: Certain activitiai not lifted above alio art Hibjeci to EPA
adminiitered environmentel permit requirement!. Thti* include per-
mit* for ocean dumping, dredged or fill material diicharging, and
certain type* of air amidiont. Contact your EPA Regional office for
further information.
Table 1. Addraaa* of EPA Regional Contact* and Statai Within the
Rtglaaal Offiee Jurtadtedona
REGION I
Permit Contact, Environmentel and Economic Impact Office, U.S.
Environmental Protection Agency, John F. Kennedy Building. Bo*-
ton. Mawachutettt 02203, (6171 223-4635, FT5 223-4635.
Connecticut, Maine, Mattarhiitatti, Naw Hampthire, Rhodi Inland,
and Vermont.
REGION II
Permit Contact, Permit* Admin titration Branch, Room 432, U.S.
Environmental Protection Agency. 26 Federal Pieze. New York,
Naw York 10007, (212) 264-BB80. FT5 264-9880.
Naw Jartay, Naw York, Virgin Itlandt, end Puerto Rico.
REGION III
Parmit Contact (3 MN 23), U.S. Environmentel Protection Agency.
6th ft Wei nut Street!, Philadelphia, Penmylvanie 19106, (215)
687—6816, FTS 6B7-6816.
Delaware, Diltrict of Columbia, Maryland, PenntylMnie, Virginii,
and Watt Virginia.
REGION IV
Permit Contact, Permit* Section. U.S. Environmental Protection
Agancy, 345 Courtland Street, N.E., Atlanta. Georgia 30365, (404)
Ml—2017, FTS 267-2017.
Alabama. Florida, Georgia, Kentucky, Mittinippi. North Caroline,
South Carolina, and Tantieme.
REGION V
Parmit Contact (SEP). US. Environmental Protection Agency. 230
South Dearbom Street, Chicege, Illinois 60604, (3121 353—2105,
FTS 353-2105.
Illinoit, Indiana, Michigan, Minnetote, Ohio, end Wuconnn.
1-1
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SECTION A - GENERAL INSTRUCTIONS (contmuod!
TaMe 1 loontkivdl
REGION VI
Permit Contact (6AEPI, U.S. Environmentei Protection Agency,
Pirn Interactional Building. 1301 Elm StrMt, Dallas, Taxes 75270,
(2141 787-2765. FTS 729-2765.
Arkansas, Louisiana, Nm Mexico, Oklahoma, and Tsxsi,
REGION VII
Permit Contact, Permiu Branch, U.S. Environmental Protaction
Agency, 324 Eatt 11th Strati, Kan*a« City, Missouri 64106, <8161
768-5955. FTS 758-6965.
Iowa, Kanaas, Miaouri, and Nebreske.
REGION VIII
Permit Contact ftf—Wei. Suit* 103, U.S. Environmental Protaction
Agency, I860 Lincoln Street, Omwr, Colorado 80206, <303) 837—
4901. FTS 327-4901.
Colorado, Montana, North Dakota, South Dakota. Utah, and
Wyoming.
REGION IX
Permit Contact, Permits Branch (£-41. U~S. Environmental Protection
Agency, 215 Fremont Street, Sen Francisco, California 94105,
1418) 556-3450. FTS 556-3450.
Arizona, California, Hawaii, Nevada. Guam, American Samoa, and
Truat Territorial.
REGION X
Permit Contact tM/S 5711. U.S. Environmental Protection Agency.
1200 6th Avenue, Seattle, Washington 98101. 12061 442-7176,
FTS 399-7176.
Alaska. Idaho, Oregon, and Washington.
Where ta File
The application forms should be mailed to the EPA Regional office
whoee Region includes the State in which the facility is located free
Tab* 11.
If the State In arttich the facility is located administers a Federal permit
program under vrtiich you need a permit, you tftouM contact tha appro-
priate State agency for tha correct forms. Your EPA Regional office
(Tabft 1) can tell you to whom to appty and een provide the appro-
priate addraes end phone number.
to PBe
I of statutory requirements, the deadlines for filing applications
*ry according to t*e type of facility you operate and tha type of per-
mit you need. Theee deadlines are as follows:'
Table 2. Fling Dates far Permits
FORMIjpcrmW WHEN TO FILE
2A(NPDES) 180 days before your prsssnt NPOE5 per-
mit expires.
28(NPDES) 180 days before your prsasnt NPDES per-
mit expires1, or ISO days prior to dart-
up if you are e new facility.
2C(NPDES) 180 days before your present NPDES per-
mit expires*.
2D (NPDES! 180 days prior to startup.
3(Hatmnktut IMmm/. . . .Existing facility: Six months following
publication of regulations listing hassrd-
ous wastes.
New facility: 180 days before commencing
physical construction.
Table 2 (eonttofd)
4IUICI > reaeonaWe time .prior to construction
for new wells; es directed by the Director
for existing walls.
S(PSD) FriOf to commencement of construction.
• Please note that some of these forme are not yet available for use
end ere listed es "Reserved" et the beginning of these inetructions.
Contact your EPA Regional office for informetion on current appli-
cation requirements end lorms.
* If your present permit expires on or before Novernbei 30.1980, the
filing date is the date on which your permit expires. If your permit
expires during the period December 1, 1980 — May 31,1B81, the fil-
ing dete is 90 deyl before your permit expires.
Federal regulation! provide that you may not begin to construct a
new source in the NPDES program, a new hazardous weeta management
facility, e new infection well, or a facility covered by the PSO program
before the Issuance of e permit under the applicable program. Please
note that if you era required to obtain a permit before beginning con-
struction, as described above, you may need to submit your permit
application well in advance of an applicable deadline listed in Table 2.
Fees
The U.S. EPA does not require e fee for applying for any permit under
the consolidated permit programs. (Honsur, some Smut which ad-
minittar mm or mora of sheet program* nquhrn fam tor the parmta
mhicti thay issue J
AnHakVltv of liiliiimailiiii tm PhMte
Wf sSnln^^^PSMWs g^ vWliv
Information contained in these application forms will, upon request,
be mads available to the public for impaction and copying. However,
you may request confidential treatment tor certain information which
you submit on certain supplementary forms. The specific instructions
for each supplementary form state what information on the form. If
eny, mey be delmed es confidential and what procedures govern tha
daim. No information on Forms 1 and 2A through 2D may be claimed
as confidential.
Unless otherwise verified in instructions to tha forms, each Item In
each form mutt be anawared. To indteata that aadi ham has been con-
sidered, enter "NA." for not applicable. If a particular item doet not
fit the circumstances or characteristics of your facility or activity.
If you have previously submitted information to EPA or to an i
State agency which answers a question, you may either repeet tha in-
formation in the space provided or attach e copy of the previous sub-
mission. Some itemt in the form require nerrativa explanation. If more
space is necessary to anesser a quertion, ettach a eeporcta sheet entitled
"Additional Informetion."
There are e number of direct loans, loan guarantees, and (rents evolltbls
to firms end communities for pollution control expenditures. These ere
provided by tha Small Business Administration, the Economic Devel-
opment Administration, tha Fermer* Home Administration, end toe
Deportment of Housing end Urban Development. Each EPA Regional
office (Tobh II has an economic i
vide you with additional information.
EPA's construction grants program under Title II of tha Clean Water
Act is an additional source of assistenas to publicfy owned ticcuitom
works. Contact your EPA Regional office for details.
1-2
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SECTION B - FORM 1 LINE-BY-LINE INSTRUCTIONS
Tbta form man bo WHipliiid by all applicant*.
Tkh Form
i type or print in the unihaded irtu only. Soma itemi hat* *mall
graduation marki in tha (ill—in ami. Thete marks indicate the num-
bar of character* (hat may ba an tar ad into our dat* lyttam. Tha marki
ara ipoead ai 1/6" intarvali which accommodete alita typa (12 charac-
Mrs par inc/il. If you uta another typa you may ignore the marki. If
you print, place eech cheraeter batwaan tha mark*. Abbreviate H necet-
•ary to itay within tha numbar of character* allowed for aach item.
Ma one tpaca for braaki batwaan wordt, but not for punctuation
mark* unian thay ara needed to clarify your mpofua.
it provided at tha uppar right hand cornar of Form 1 for inaar-
tton of your EPA Identification Numbar. If you have an a sitting facil-
ity, an tar your Idamifieation Numbar. If you don't know your CPA
Identification Numbar, plaaw contact your EPA Regional office fTabia
II, which will provide you with your numbar. If your facility li naw
(net rtI construe*dI, iaava thii itam blank.
II
Anewar aach quart ion to datarmina which luppleincntaty forms you
naad to fill out. Ba aura to chack tha gioaary In Sactton O of thata
Iiwtructioni for tha iegai dafinitioni of tha hold . or haaerdoua wacta*.
BIC eoda number* are deeerlptiont which may be found in the "Stan-
dard Induatrial CMfiaetion Manual" prepared by the Executive Of-
fice of the Pre*Went, Office of Mmiiemeal and Budget, which I*
a«ail*toie from the Government Printing Office, Wethington, O.C.
U*a the currant edition of the manual. If you haw any quatlion* con-
earning tha appropriate SIC ooda for your facility, contact your CPA
Wagionai offica taaa Tabia It.
VIII—A
Give the name, a* H h legally referred to, of the paraon, firm, public
oigaiiiialtoii, or any othar entity which operatai the facility deacribed
In thi* application. Thi* may or may not ba tha ama nama at the fe-
aHfty. The operator of the facility l* the legal entity which control*
the facility'* operation rather than tha plant or aita manager. Do not
uae a colloquial name.
Naan Vlll-B
Indicate whether the entity which
by marking the appropriata box.
Ham VIM-C
Opeietci the facility alio own* It
¦nm ma ¦wuvf latter to Indieate the legal itatu* of the operator
of the fadfity. Indicate "public" for e facility KMy owned by local
gowmmantW *uch at a city, town, county, pariah, etc.
Heme Vlll-O - H
Enter tha telephone number and addra** of the operator identified in
Item VIII—A.
I-S
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SECTION B - FORM 1 LINE—#Y—LINE INSTRUCTIONS (continuod}
IX
Indicate whether th« facility ii loosiKS on Indian Larxfe,
Item X
Give the number of eech presently effective permit Issued to the fa-
cility for aach program or, if you heve previously filed an appllcation
but heve not yat received a permit, giva the number of the application,
if any. Fill in tha unsheded araa only. If you hawa mora than one cur-
rently effective permit for your facility under a particular permit pro-
gram, you may list additional permit numbers on a wparate sheet of
paper. Lilt any relevant environ mental Federal (a.g., parmitt undar tha
Qcaan Dumping Act, Saction 404 of tha Chan Watar Act •r tha Surf*ea
Mining Control and Haclamation Act), State (a.g., State parmitt tor
nm air amotion aoureat in nonattairmant atom undar Part D of Ma
Ohn Air Act or Stan patmfn undar Section 404 of tha ttam Hfeatr
Act], or local permits or applications undar "other."
Ham XI
Provide a topographic map or maps of tha araa extending at laatt to
one mile beyond the property boundaries of tha facility which clearly
•how the following:
The legal bounderiei of the facility;
Tha location and atrial number of each of your existing and proposed
intake and discharge structures;
All haxardoui wane management facilities;
Each wall where you inject fluids underground; and
All wringt and surface water bodies in the araa, (Mm all drinking
water wellt within 1/4 mile of tha facility which am identified in the
public record or otherwise known to you.
If an intake or discharge structure, haaardous watte dispose! site, or
injection wall associated with the facility is iocatad more than one mite
from the pient, include it on tha map, if possible. If not. attach addi-
tional sheets describing the location of the structure, dlapoeel aha, or
wall, and identify the U.S. Geological Survey (or map oorree-
ponding to the location.
On eech map, include the map scale, a meridian vrow allowing north,
and latitude and longitude at the nearest whole second. On all mape of
rivers, show the direction of the currant, and in Mai waters, (how the
directions of the ebb and flow tides. Uee a 7-1/3 mhwta series map
published by the U.S. Geological Survey, which may be obtained
through the U.S. Geological Survey Offices lifted below. If a 7-1/3
minute eeriei mep hes not been published for your facility site, then
you may use a 18 minute aeries map from tha UJ. Geological Survey.
If neither e 7-1/3 nor 18 minute series map hat bean puMMed for your
facility sita, uee * piet map or other appropriate map, including all tha
requested information; in this case, briefly describe land uee* in tha
map tree ta.g., midantia/, commarcial).
You may trace your map from a geological survey chart, or other map
meeting the above specifications. If you do, your map should beer a
note showing the number or title of the map or chart it was treced
from. Include the names of nearby towns, water bodies, and other
prominent points. An example of an acceptable location iwp It shown
in Figure 1-1 Of these instructions. WOTS: Flguiw 1-1 la providad for
putpoaat of illutttwtion only, and doat not rapraaant my mm1 fa-
cility.!
U.S.G.S. OFFICES
AREASERVf P
Eastern Mapping Center
National Cartographic Information
Center
U.S.G.S.
S36 Nationel Center
Reston, Ve. 22002
Phone No. (703) 8*0-8338
Ala., Coon., DeL, O.C., Fie.,
Ga., Ind.. Ky„ Meine, Md„
Mats., N.H.. N J., N.Y., N.C..
S.C., Ohio, Pa., Puerto Rico,
R.I,. Tenn.. VU Va., W. Va..
and Virgin Man*.
XI teontinuad!
Mid Continent Mapping Center
National Cartographic information
Center
UMMS.
1400 independence Road
Roila, Mo. 68401
Phone NO. 13141 341-0881
Rocky Mountain Mapping Canter
National Cartographic Infomation
Canter
U.S.G.S.
Stop 804, Box 28048 Federal Center
Denver, Co. 80228
Phone No. 1303) 234-2328
Western Mapping Center
National Cartographic Information
Canter
UJ.GJ.
348 MiddiafieM Road
Mania Park, Ce. 94026
Phone No. <4181 323-8111
' lo"»a, Kant., La.,
Mich., Mmn., Miss. Mo
N. Dak.. Nebr.. Okie., S. Dak!!
and Wis.
Alaska, Colo.. Mom., N. Max..
Tex.. Utah, and Wyo.
Aril., Calif., Hawaii, Idaho,
Nev., Oreg., Wash, American
Samoa, Guem, and Trust
Territories
Ham XII
Briefly describe the nature of your business taproduct! producae
pr een^fcae prtRrktadl.
XIII
Federal statues provide for
atlon on this application form.
penalties for submitting falsa inform-
18 UJ.C. Section 1001 provides that "Whoever, in any matter within
the jur Miction of any depertment or agency of tha United States
knowingly and willfully falsifies, conceals or covers up by any trick,
tchema, or device a materiel fact, or makes or uses any falsa writing
or document knowing seme to contain any false, fictitious or fraudu-
lent statement or entry, shall be fined not mora than <10,000 or Im-
prieoitad not more then five years, or both."
Section 300(c) (21 of the Clean Water Act and Section 113(c)(2) of the
Clean Air Act aach provide that "Any peraon who knowingly makaa
any Mia statement, representation, or certification in any applica-
tion, ... shall Npon conviction, be punished by a fine of no more than
810,000 or by imprisonment for not mora than six months, or both."
In addition. Section 300SWH3) of the Resource Conservation and Ra-
owvery Act provides for a fine up to S3S.000 par day or Imprisonment
up to one year, or both, for a first conviction for making a false anta-
ment In any application under the Act, end for double these penalties
iflMMt ttdbflaouflMit nrmnif tlnra
FEDERAL REGULATIONS REQUIRE THIS APPLICATION TO SE
SIGNED AS FOLLOWS:
A. For a corporation, by a principal executive officer of at leett tha
leva) of vice president. However, if tha only activity In Item II which
it marked "yet" Is Question G, the officer may authorite a peraon
having responsibility for the overall operations ot tha well or wail
field to sign the certification. In that ceee, the authorisation mutt be
written and submitted to the permitting authority.
S. For partnership or aoie proprietorship, by a general partner or the
proprietor, respectively; or
C. For a municipality. State, Federal, or other public fecility, 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 Dlacharga elimination Syitem Permits IMv
die Clean Water Ad. You art not required to obtain an NPDES permit
if your discharge is in on* of iha following categories. as provided by
the Cleen Watar Act (CWAi and by iha NPDES reguletions (40 CFR
Parti 127— 12SI. Hnttvii, undar Section 510 of CWA a discharge ex-
empted from the fadaril NPDES requirements may Mill ba ragulatad
by ¦ State authority; contact your Stata environmental agency to de-
termine whether you naad a Stata parmil.
A. DISCHARGES PROM VESSELS. Discherges Of sewege from wi-
tail, effluent from properly functioning marina angina*, laundry,
tftowar, and galley (ink waftct, and any othar discharge incidental to
tha normal oparaiion of a vessel do not raquira NPDES permits.
Ho«Mr, discherges of rubbish, trash, garbage, or othar euch meter-
iali discharged overboard raquira permits, and 10 do othar discharges
when the vensl ii operating in a capacity othar than at a meant of
transportation, tuch at whan tha vetMl it being ulad at an energy or
mining facility, a storage facility, or a seafood processing facility, or
Is secured to the bed ol tha ocean, contiguous tone, or waters of the
United States for the purpose of mineral or oil exploration or de-
velopment.
B. DREDGED OR PILL MATERIAL. Discharges of dredged or fill
metsriil into witen of the United Statet do not need NPDES permits
H the dredging or filling is authorized by e parmit issued by tfM U.S.
Army Cor pi of Engineers or en EPA approved State under Section
404 of CWA.
C. DISCHARGES INTO PUBLICLY OWNED TREATMENT WORKS
(POTW). The introduction of sewage, industrial wastes, or othar pol-
lutants into a POTW does not need en NPDES permit. You must
comply with sll applicable pretreatment standards promulgated
under Section 307(b) of CWA, which may be Included in the permit
issued to the POTW. H you have e plan or an agreement to twitch
to s POTW in the future, this does not relieve you of the obligetion
to apply for end receive an NPDES parmit until you have stopped
discharging pollutants into waters of the United States.
WOTS: Otacharfan km privataiy owned nsimtt workt do apt
hot«e to apply for or obtain NFDES permitt axempt ar otharwiaa nr-
puirad by Me Regions/ Adminirtrator. Tha owner or operator
of Me troaonant workt Itmlf, howavar, im/tr apply for a perm/1 and
fdantffy all uaart In hi application. Uaart to idantiftad will moaho
pubUe notice of acbom Mran on tha parmit for tha traaBnant work*.)
D. DISCHARGES FROM AGRICULTURAL AND SILVICULTUR-
AL ACTIVITIES. Most discharges from agricultural and sllvieuJtisrel
activities io waters erf tha United Stales do not raquira NPDES per-
mits. These include runoff from orchards, cultivated crops, pastures,
range lands, and forest lands. Howavar, the discharges listed below
do require NPDES permits. Definitions of the terms listed below are
contained in the Glotsery section of these instructioni.
1. Discharges from Concentrated Animal Feeding Operations.
(Sat Olouary for dafinitiom of "animal faadUtg oparadont" and
toncert Based animal faadlng oparationt." Only tha lantr raquira
parmiti.)
2. Discherges from Concentrated Aquatic Animal Production
Facilities. (Saa glossary for tita cutoff*.)
3. Discharges associated with approved Aquacuiturs Projects.
4. Discharges from Silvtcuitural Point Sources. {Saa Olomary for
tha dafinltion of "VMcultural point tourea.") Nonpoint source
silviculture! activities are excluded from NPDES permit require-
ments. However, soma of these activities, such as stream crOMingt
for roedt, mey 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. Hexardous Wans Permits Under the Weemims Conservation end
lltttwry Act. You may be excluded from the requiremsni to obtain
a parmit under this program il you fall into one of the following
categories.'
Generators who accumulate their own hazardous waste on—sits for
less than 90 days as provided in 40 CFR 262.34;
Farmers who dispose of hazardous waste pesticide from their own uss
as provided in 40 CFR 262.51 ;
Certain parsons trsating, storing, or disposing of small quantities of
hazardous waste as provided in 40 CFR 261.4 or 261.5; end
Owners and operators of totally enclosed treatment facilities as de-
fined in 40 CFR 260.10.
Check with your Regional office for details. Please noie that even If
you are excluded from permit requirements, you mey be required by
Federal regulations to handle your watte in a perticuler menner.
III. IMsfytund Injection Corittal Permits Under the Sefe Drinking
Wetar Act. You ere not required to obtain a permit under this program
If you:
Inject into existing wells used to enhance recovery of oil end ges or
to store hydrocarbons (nota. howavar, (tear thorn underground injac-
tlont ara ragulatad by Fadaral ruiat) -, or
Inject into or above e Stratum which contains, within 114 mile of the
wail bore, wi underground source of drinking water (unlatt your in-
faction !i Me typa identified in Itam ll-H, for which you do naad a
parmit). However, you must notify EPA of your injection and submit
certain required information on forms supplied by the Agency, end
your operation may be phased out if you ma a generator of hazardous
wastes or a hazardous wests management facility which uses wells
or septic tanks to dispose of hazardous waste.
IV. fraeciiUun af Significant OawlaiaUun Permits Under the Oaan
Air Aat. The PSD program applies to newly constructed or modified
tedlities (both of which are referred to at ties* touroat") which in-
crease air emissions. The Clean Air Act Amendments of 1977 exdude
(mall new sources of air emissions from the PSD review program. Any
new sown in an industrial category listed in Table 3 of these instruc-
tions mhoss potential to emit is less than 100 tons per year is not re-
quired to get a PSD permit. In addition, any new source in en industrial
category not listed In Table 3 whoet potential to emit is lea than 280
tons par year is exempted from the PSD requirements.
Modified sources which Increase their net emissions (tha dlffaranca
between tha ttnai amtuion Inerwaan and total amluion decreases at
theaourca) less then the significant amount sat forth in EPA regulations
are also exempt from PSD requirements. Contact your EPA Regiond
office (Tab* 1) for further Information.
I-S
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SECTION D - GLOSSARY
NOTE: Thii Glottery include tarmi uiad in the instructions and in Formi 1. 28.2C. and 3. Additional tarmi will ba indudad in ttia
future whan other formi are developed to rafiact the raquiramano of other parts of the Consolidated Permits Program. If you have
any questions ooncerning the meaning of any of thaaa terms, plaaaa contact your EPA Regional office (Tabta 1).
ALIQUOT meant e ample of pacified volume used to make up e total
composite sempla.
ANIMAL FEEDING OPERATION moons e lot or facility tothar Man
an aquatic animal production facility/ inhere the following conditions
A. Animeli tothar eftan m/uitie animahj have been, art, or wMI be
(tabled or confined end fed or maintained for a total of 45 day* or
more in any 12 month period; and
B. Crops, vegetation, forage growth, or pott-*harvest residues are not
sustained in the normal growing season over any portion of the lot
or facility.
Two or mora animal feeding operations under common ownership
ere e single animal feeding operation If they edfoin eoch other or if
they use e common area or system for the dilpoeal of westes.
ANIMAL UNIT meens e unit of measurement for any animal feeding
operation ca I cu fated by adding tha following numbers: The number of
slaughter and feeder settle multiplied by 1.0; Pkii the number of ma-
ture dairy cattle multiplied by 1 A; Plus the number of swine weighing
over 28 kilograms {approximatmty 55 poundil multiplied by 0.4; Plus
thf number of sheep multiplied by 0.1; Pius the number of hones
.multiplied by 2.0.
APPLICATION means the EPA standard national forms for applying
for a peimil. including eny edditions, revisions, or modifieeltone to the
forms; or forms epproved by EPA for use In approved States, including
any approved modifications or revisions. For RCRA, "epplicetion"
also maem "Application, Part B."
APPLICATION, PART A means that part of the Consolidated
Application form* which a RCRA permit applicant must complete
qualify for interim status under Section 30061a) of RCRA end for
tldwciiun for e permit. Part A consists of Form Iff
tion) end Form 3 MmMltw Nkm Application Form)
APPLICATION, PART B means that pan of the application «Mdi a
RCRA permit applicant must complete to be Issued e permit. (NOTE:
CPA it mot da*aloptn§ a qtacJfk: form for Part 0 of tha parmtt appU-
oatfon, but art instruction book/at awplalnlnt what In formation muat ha
mtpplMh aiwlto&h from tha CPA Maplonal offioa.)
APPROVED PROGRAM or APPROVED STATE means a Stan pro-
gram which has been approved or authoriiad by EPA under 40 CFR
Part 123.
AQUACULTURE PROJECT means a defined
which uses dlecheiges of pollutants into that deaignoted arm for the
maintenance or production of li satiable freshweter, estuarina, or
marine plana or animals. "Designated area" meant the portions of the
waters of the United States within which tha applicant plans to con-
fine the cultivated »ecies, using e method of pten or operation Oochrd
lit/. *ut not UmHad to. pity*tea! cmnflnamant) which. on tha basis of
reliable scientific evidence, is expected to ensure the pacific individual
orgenisms comprising an aquaculture crop will enjoy Incraeaed growth
attributable to the discharge of pollutants and be hervetted within e
defined geographic area.
AQUIFER meens s geological formation, roup of formations, or part
of a formation that is capebie of yielding a significant amount of water
to a wen or spring.
AREA
which is
148.08.
OF
REVIEW meens the area surrounding an injection **11
ted according to tha criteria tat forth in 40 CFR Section
AREA PERMIT moons a UIC permit applicable to.all or certain weds
within e geographic aree, rather then to e specified well, under 40 CFR
Section 122.37.
ATTAINMENT AREA meens, for any air pollutant, an arm which has
been designeted under Section 107 of the Claen Air Act as having
ambient eir quellty levels better then eny national primary or secondary
ambient eir quellty standard for that pollutent. Standards have been set
for sulfur oxides, porticulcte metter, nitrogen dioxide, cerbon monox-
ide, oione, lead, end hydrocarbons. For purpoaei of the Gioasery,
"ettainment aree" alto refers to "undattifiaMe area," which meent,
for any pollutants, an area designeted under Section 107 as undetti-
fietole with letpecl to that pollutant due to Ineuffidem information.
BEST MANAGEMENT PRACTICES (MM meens achedules of acthri-
ties, prohibitions of practices, meintenence procedures, and other man-
agement practices to prevent or reduce the pollution of waters of tha
United States. BMP'* include treatment requirements, operation proce-
dures, end practices to control pient site runoff, splllege or leeks,
sludge or waste disposal, or drainage from raw material storage.
BIOLOGICAL MONITORING TEST means any test which Includes
the use of equetic eigel. Invertebrate, or vertebrate species to micturo
ecute or chronic tonicity, and any biologicel or ehemkel measure of
bioaccumuletion.
BYPASS meens the Intentionel diversion of <
tion of e tieetmailt fedlity.
from any any per-
CONCSNTRATSD ANIMAL FEEDING OPERATION means an animal
feeding operation which meets the alterIe tat forth in either (A) or (B)
below or which the Director detlgnatse as tuch on a
A. Mora than the numbers of animals specified in eny of the fdflow
1.1.000 sieughter or feeder cettle,
2.700 mature deiry aattla Miether mllkad ar dry cotm).
3. 2,800 swine eech weighing ovar 28 kilograms (approKlmataly
Mpoundt),
4. >00 horses,
8,10,000 theep or Iambi,
8. 66,000 turkeys,
7. IMW laying hens or broilers W tha faculty hat a continuous
oaa^0oor a&tartng),
8. 30,000 laying ham or broilers (tf Ma faculty Aas a liquid manura
handling ayttam/,
B. 8,000 ducks, or
10.1,000 animal units; or
B. More then the following numbers end types of enlmeit ere con-
1.300 sieughter or feeder cattle.
2.200 mature dairy cattle (mhtthar mMkad or dry covmt.
3. 780 asrine eech weighing tier 28 kilograms lapproximsmly MS
pound1).
4. 180 horses.
14
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SECTION D - GLOSSARY (corttinuad)
CONCENTRATED ANIMAL FEEDING OPERATION (continuad)
5. 3,000 sheep or Iambi.
6. 16,500 turkey*.
7. 30,000 laying hens or broilen (if Mi facility Hat continuout
overflow wataring),
8. 9,000 laying ham or broileri Of tha facility hat a liquid manura
Handling tyttam),
0. 1,600 duclu, or
10. 300 animal uniU; AND
Eilhtr one of the following condition* ara met: Pollutant* ara dtt-
charged Into Mauri of tha Unitad Sum through a men made dhch,
fluthing system or othar similar manmade device ("tnanmada"
maa/rt comtructrd by man and mad for tha purpoaa of trwnaporting
mint J: or Pollutant* ara discharged directly into water* of tha
Unitn Statai which original* outside of and pan ovtr, acton, or
through tha facility or otherwise coma into diract contact with tha
animals eonfinad in tha operation.
Providad, however, that no animal faading operation It a concerv
tratad animal faading oparation at defined above if euch animal
faading operation discherges only in the event of a 25 year, 24 hour
norm event.
CONCENTRATED AOUATIC ANIMAL PRODUCTION FACILITY
meant a hatchery, fish farm, or othar facility which contaif*. grow* or
holdi aquatic animalt in either of the following categories or which the
Director designetes at tuch on a caw—by—cat* basil:
A Cold water fiih spades or other cold water aquatic animals includ-
ing, but not limited to, tha Salmonidae family of fiih (a.g., trout and
taimonj in ponds, raceways or other similar itructuras which dis-
charge at least 30 days per year but doet not include:
1. Facilities which produce lea than 9,000 harvest weight kilograms
(approximataly 30,000 poundt) of aquatic animals per yaar; end
2. Facilities which feed leu than 2,272 kilograms fappronimataiy
5,000 pounds/ of food during the calendar month of maximum
feeding.
B. Warm water fiih specie* or other warm water aquatic animals
including, but not limited to, tha Ameiuridae, Cetrarchldee, and
Cyprinidee femMies of fish fa.g., ratpactiraly. catfith. aunHah, and
minnowt) in ponds, raceway*, or other similar structures which dis-
charge at lean 30 days per year, but does not include:
1. Cloaed poods which discharge onty during periods of excess run-
off; or
2. Facilities which produce leu then 45.454 harvest weight kilo-
grams (approKimataiy 100,000 poundt) of aquatic animal* per yaar.
CONTACT COOLING WATER means water used to reduce tempera-
ture which comes into contact with a raw material, intermediate pro-
duct, waste product other then heat, or finished product.
CONTAINER means any portable device in which a materiel is stored,
transported, treated, disposed of, or otherwise handled.
CONTIGUOUS ZONE maam the entire zone established by the Unitad
States under ertieli 24 of the connection of the Territorial Sea and the
Contiguous Zone.
CWA meens the Clean Water Act (formariy rafarrad to tha fadaral
Watar Pollution Control Act) Pub. L. 92—500, as amended by Pub.
L. 05-217 and Pub. L. 95-576, 33 U.S.C. 1251 attaq.
DIKE means any embankment or ridge of aithtr 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 a* the context requires.
DISCHARGE (OF A POLLUTANTI mean*:
A. Any addition of any pollutant or combination of pollutant! to
witter* of the Unitad 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 easel or other floating craft which it being used at a
miMi of traraportation.
This definition includes diechergei into water* of the United States
from: Surface runoff which i* collected or channelled by man; Dis-
charges through pipes, anwri, or other conveyances owned by ¦ Stats,
municipality, or othar peraon which do not lead to POTW's; and Dis-
charges through pipes, aawart, or othar conveyances, leading into
privately owned treatment worki. This term doe* not Include an ad-
dition of pollutants by any indirect ditcher gar.
DISPOSAL (in A# RCPA program) mean* tha discharge, deposit, in-
fection, dumping, filling, leaking, or placing of any hazardous watte
Into or on any land or water eo that the hazardout watte or any constit-
uent of It may enter tha environment or be emitted into the air or
discharged into any watar*. Including pound water.
DISPOSAL FACILITY meant a facility or pan of a facility at which
hazardous Matte is Intentionally placed into or on lend or water, and
at which hazardous watte will remain aftar closure.
EFFLUENT LIMITATION meant any restriction imposed by the
Director on quantities, discharge met. and concentration* of pollu-
tants which are discharged from point sources into waters of the
United States, the water* of the continguous zone, or the oceen.
EFFLUENT LIMITATION GUIDELINE meens a regulation published
by the Adminittrator under Section 3041b) of the Cleen Water Act to
adopt or revita effluent limitations.
ENVIRONMENTAL PROTECTION AGENCY (CPA) meant the
United State* Environmental Protection Agency.
EPA IDENTIFICATION NUMBER mean* the number eaigned by EPA
to each generator, traneponer, and facility.
EXEMPTED AQUIFER mean* an aquifer or Its portion that meats the
criterie in the definition of USDW, but which has been eaempted ac-
cording to the procedure* in 40 CFR Section 122.35(b).
EXISTING HWM FACILITY meant e Hazardous Watte Management
facility which wes in operation, or for which construction had com-
menced. on or before October 21. 1976. Construction had commenced
H IA) the owner or operator had obtained all necessery|F*d*r*J.Stete,
and local praconttruction approvals or permits, and *n|»«r (011 e con-
tinuous on—site, physical construction program had begun, or (B2I
the owner or operator had antared into contractus! obligation!, which
could not be cancelled or modified without tubttential lots, for con-
struction of the facility to be completed within e reesoneble time.
(MOTS: Thit dafinition raflacn tha litaral fanpiaga of tftijtatuta.
Homarar, EPA betfrwe* that amendments id HCKA now in confaraoca
mill thorrty ba enacted and will change tha data for datarmtmng when
a facility it an "an it ling facility" to ona no
indication ara tha confaraat ara contidaring Octobar JO. 1980
Accordingly. £PA ancouragat avary owner or oparator of a facility
mMc/I ttmt built or undar construction at of tha promulgation dan of
the RCRA program ragulationt to Ma Part A of in P*"?"
to that it can ba quickly procaaaad for intarim ttatut tmanmacnanga
in tha taw takat effect Whan thoaa amandmantt ara anactad. tPA will
amand thit dafinition.)
EXISTING SOURCE or EXISTING DISCHARGER Vm tha NPDES
program) meens any source which is not a new source or » new on-
Charger.
1-7
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SECTION D - OLOCSARY (aondnutd)
EXISTING INJECTION WELL mean. an injection wall other than I
naw injection wall.
FACILITY mean* any HWM facility, UIC undfyound Inaction wall,
NPOES point aouree. PSD itationary source, or any other facility or
activity tinc/uding land or appurtmancat tharwto) that to subject to
regulation undir the RCRA, UIC, NPOES, or PSD program*.
FLUID maani mattrial or lubitanca which 'low* or moves whether In
¦ semisolid, liquid, (Judge, pa*, or any othar form or Rata.
GENERATOR maani any par ion by tite. whota act or prouesi produce*
haiardoui wan* identified or liitad in 40 CPR Part 261.
GROUNDWATER maim water below the land lurfec* in a zone of
«atu ration.
HAZARDOUS SUBSTANCE maani any of the aubctanoe* detignatad
under 40 CFR Part 116 purtuent to Section 311 of CWA, (NOTE:
Tha* tutnaneai am I it ltd in Tabtt 2c-4 of Ma Msiroc float to form
3C)
HAZARDOUS WASTE maani a hazardou* watta at deftriad in 40 CFR
Section 261.3 publiihad May IB, 1B80.
HAZARDOUS WASTE MANAGEMENT FACILITY (MWM facility)
mean* all contiguout land, itructuret, appurtenance*. and improve-
ment! on the land, uiad for treating, itoring, or di*po*ing of haurdou*
waitii. A facility may coniitt of several traatmant, ttorags.or di*>oseJ
operational uniti ttor namptt, ana or mora landfDIt, turfmca impound-
mantt, orcombinttiortt of tham).
IN OPERATION maani a facility which i* treating, itoring, or diiposing
of hazardoui wait*.
INCINERATOR tin tha RCRA program) mean* an anctoad device
using controlled flame combuttion, tha primary purpose of which I* to
thermally break down haiardoui warn. E sample* of incinerator* are
rotary kiln, fluidixed bad, and liquid injection Incinerator*.
INDIRECT DISCHARGER maan* a nondomeftic discharger introduc-
ing pollutant* to a publicly owned traatmant work*.
INJECTION WELL maani ¦ wall into which fluid* are being injected.
INTERIM AUTHORIZATION mean* approval by EPA of a State
henrdoui )««ia program which hai mat tha requirements of lection
3006(c) of RCRA and applicable requirement* of 40 CFR Part 123.
Subpart* A, B, and F.
LANDFILL maani a di*po«ai facility or part of a facility whare haiard-
oui mau* i* placed in or on land and which U not a land treatment
facility, a surface impoundment, or an iniaction wall.
LAND TREATMENT FACILITY Mi Ma RCRA program) mean* a
facility or part of a facility at which hazardou* waata la applied onto or
incorporated into the aoil (urfaca; *uch facilitie* are disposal faculties
U the waata will remain after closure.
LISTED STATE maan* a State lined by the Administrator under
Section 1422 of SDWA a* needing a State UIC program.
MGD maan* millioni of gallon* par day.
MUNICIPALITY maani a city, village, town, borough, county, pariah,
diitrict. association, or other public body created by or under State
law and having jurMiction over di*po*al of aawaga, industrial warn*,
or other mat tel. or en Indian tribe or an authorized Indian tribal organ-
itation. or a deiignited and approved management agency under
Section 208 of CWA.
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
fNPDtS! maani tha national program for ieeumg modifying, revoking
and reissuing, terminating, monitoring, and enforcing permit* and
imposing and enforcing pretreotment requirement*, under Sactioni
307, 318. 402, and 405 of CWA. Tha arm Indudaa an approved
program.
NEW DISCHARGER maani any building, atructura, facility, or metal-
iation: IAI From which thara is or may be a naw or additional diecheige
of pollutant* at a iita at which on October 16, 1972, it had never dis-
charged pollutant*; (¦> Which ha* never received a finally effective
NPOES permit for discharge* at that slta; and (C) Which i* not a "naw
source." Thit definition include* an indirect discharger which com-
mences discharging into water* of the United Stare*. It ate include*
any existing mobile point aouree. such a* an offshore oil drilling rig,
saafood processing vaeial, or aggregats plant thai begin* discharging
at a location for which it doe* not have an exirtlng permit.
NEW HWM FACILITY maan* a Hazardou* Watte Management facility
which began operation or for which construct km aommencad after
October 21,1B76.
NEW INJECTION WELL maan* a wall which begin* Infection after a
UIC piogiani for tha State in which tha wall I* located i* approved.
NEW SOURCE On tha NPOES program/ maan* any building, ttruetura,
facility, or installation from which thara i* or may be a discharga of
pollutants, tha construction of which commenced:
A. After promulgation of Wanderd* of performance under taction
306 of CWA which are applicable to such source; or
B. Aftar proposal of * tender ds of pcrfonnanea in accordance with
Section 306 of CWA which are applicable to such aouree, but only If
tha standards are promuigetad in accordance with Saction 306 within
120 day* of their proposal.
NON-CONTACT COOLING WATER meant water used to reduce
temperature which doe* not coma into direct contact with any raw
material, intermediate product, waste product (othar than Moot), at
finished product.
OFF-SITE mean* any site which is not "on-erts."
ON—SITE maan* on the same or feegnpMcaily contiguous property
which may be divided by public or prints rtghtfr/ of woy, provided
the entrance and axtt between tha properties Is at a trtm roads inter-
section, and access is by araaing as opposed to going along, tha
rights-«f-way. Won contiguous properties owned by the aama par-
son. but connected by a right—of way which tha parson control* and
«o which tfta public daas not have aocea, Is also aonaidarad on site
property.
OPEN BURNING maan* tha combustion of any material without tha
following characteristic*:
A. Control of combustion air to maintain adequate temperature for
efficient combustion;
B. Containment of the aambustiofwaaction in an encloeed device
10 provide sufficient rasidanaa time and mixing for complete com-
bustion; and
C. Control at amission of the gasaoua combustion product*.
(Sot ad to "incinerator" and "thamml traamant").
OPERATOR maan* the person laaponeible for tha overall operation
of a facility.
OUTFALL maan* a point touraa.
OWNER mean* tha parson who owns a facility or part of a facility.
1*1
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SECTION D - GLOSSARY (continued.)
PERMIT niMni in authorization, Ucenee, or equivalent control docu-
ment Imd by EPA or an approved Stan to implement the require-
manti of 40 CFR Pans 122. 123, and 124.
PHYSICAL CONSTRUCTION (in the KM program) maant exeevs-
tlon, movement of earth, araction of forms or structures, or similo-
aclrvity to prepare a HWM facility to aeeapt hazardous waats.
PILE means any noncontainarized accumulation of Mlid, nonffowing
hazardous want that <• uaad for treatment or storage.
POINT SOURCE means any discernible, confined, and discrate convey-
ance. Including but not limited to eny pipe, ditch, channel, tunnel,
conduit, wail, discrete fissure, container, rolling nock, concentrated
animal feeding operation, vessel or other floating waft from which pol-
lutants ere or may be discharged. Thii term doai not include return
flows from irrigated agriculture.
POLLUTANT means dredged voil, lolid witi, incinerator raiiduc,
filter backwash, sewage, garbage, sewage sludge, munitioni, chemical
waste, biological materials, radioactive materials (except thote regulated
under Ma Atomic Energy Act of 1954, at emended (42 U.S. C Sac nan
2011 et eeqj ), heat, wrecked or discarded equipment, rocks, tend,
cellar din and industrial, municipal, end agriculture waste discharged
into water. It does not mean:
A. fiewags from vessels; or
B. Water, gas, or other material which it injected into e well to facili-
tate production of oil or gai, or water derived in association with oil
and gas production and disposed of in e well, if ths 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 thet the Injection or disposal will not result in the degrada-
tion of ground or surface water resouroes.
MOTE: Radioactive mi wristt covered by the Atomic Energy Act era
dieee encompeaed in in definition of source, byproduct, or tpeciel
nudeer meterielt. Exempiet of materials not covered include radium
end eeeeieretor produced ketepm. See Train r. Colorado Public
Intarett Reeeeich Group. Inc., 436 US 111976].)
PREVENTION OF SIGNIFICANT DETERIORATION (PSD) meant
the national permitting program under 40 CFR 62J1 to prevent emis-
aions of certain pollutants regulated under the Ciean 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 (Natural Retourcet Defence
Council r. Trein. 8 ERC 3130 fD.D.C 1876], modified 13ERC 1833
ID.D.C 18791).
PRIVATELY OWNED TREATMENT WORKS means any device or
system which is: (At Used to treat wattes from any facility whole
operator is not the operator of the treatment works; and (Bl Not e
POTW.
PROCESS WASTEWATER means any writer which, during manufactur-
ing or processing, comes into direct contact with or results from the
protection or use of any raw material, intermediate product, finished
product, byproduct, or waste product.
PUBLICLY OWNED TREATMENT WORKS or POTW meens any de-
yjo* or system used in the treatment (including recycling and reclame-
don) of municipel smage or industrial wanes of a liquid nature which
Is owned by e State or muiicipality. This definition includes any sew-
•ri. Pipes, or other conveyances only if they convey wastewater to e
POTW providing treatment
RENT maant use of another's property in return for reguler payment.
RCRA means the Solid Wests Disposal Act as amended by the Resource
Conservetion end Recovery Act of 1B76 (Pub. L 94-680, at mended
*vb. L 95—£09,43 U.S. C Section 8901 eteeo.).
ROCK CRUSHING AND GRAVEL WASHING FACILITIES are facil-
ities which process crushed end broken none, gravel, end riprap (tea
40 CFR Part 436, Subpart 8. and die effluent limitationi guideline!
for thete facilitiatl.
SOWA meens the Safe Drinking Water Act (Pub. L. 95—S23. at amend-
ed by Pub. L 95—1900. 43 U.S.C Section 3O0H] at tag.).
SECONDARY INC .'"TRY CATEGORY means any industry cetegory
which it not ¦ primly industry category.
SEWAGE FROM VESSELS means human body wanes and the wastes
from tioiats end other receptee Irs intended to receive or retein body
wastes that ire discharged from vessels and regulated under Section 312
of CWA, except that with respect to commerdel vessels on the Greet
Lakes this term includes graywater. For the purposes of this definition,
"graywater" meens galley, bath, and shower weter.
SEWAGE SLUDGE means the solids, residues, end-precipitate separat-
ed from or creeted in sewage by the unit processes of e POTW. "Sew-
age' as used in this definition meant any wastes, including wanes from
humans, households, commercial eniblishmems, indunries. and norm
weter runoff, that arc discharged to or otherwise enter e publicly
owned treatment works.
SILVICULTURAL POINT SOURCE means any discarnetole, confined,
and discrete conveyence reieted to rock crushing, grsvel weshing, 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 Stales. This term does not include nonpoint
source silviculturel activities such as nursery operations, sit* prepere-
tion, reforestetion and subsequent cultural treatment, thinning, pre-
scribed burning, pest and fire control, harvesting operations, surface
drainage, or road construction and maintenance from which there it
natural runofl. However, some of these activities (tueh at ttraem crott-
ing for roedt) may involve point source discharges of dredged or fill
material which may require e CWA Section 404 parmit. "Log sorting
and log storage facilities" are facilities whose d'ischerges result from the
holding of unprocessed wood, e.g., logs or roundwood with bark or
after removel of bark in self—contained bodies of water (mill pondt or
fog pond*) or nored on lend where water is applied intentionelly on
the logs (em decking). (Sea 40 CFR Pert 439, Subpart J, and die afflu-
ent /imitationi guide/mat tor these facilitiet.)
STATE means any of the SO States, the District of Columbia, Guam,
the Commonwealth of Puerto Rico, the Virgin Islendi, American
Samoa, the Trust Territory of the Pacific Islands (except in the case of
RCRA), and the Commonwealth of the Northern Mariana Islands
(except k» the com of CWA).
STATIONARY SOURCE (hi die PSD program) means any building,
structure, facility, or installation which emits or may emit any air pol-
lutant raguleted under the Cleen Air Act. "Building, structure, fecility,
or installation' meem eny 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 pertons
under common control).
STORAGE (in the RCRA program) means the holding ol hazardous
wane for a temporary period at ths and of which the hazardous wane
is treated, disposed, or stored elsewhere.
STORM WATER RUNOFF means watar discharged as a result of rein,
snow, or other precipitation.
SURFACE IMPOUNDMENT or IMPOUNDMENT meant a fecility or
pan of a facility which ii a natural topographic depression, manmade
excavation, or diked area formed primarily of eenhen materials (al-
though it may be lined with manmade materials). which it designed to
hold an accumulation of liquid wanes or wastes containing tree liquids,
and which it not an injection wall. Examples ol surface impoundments
are holding, storage, settling, and aeretion pits, ponds, and lagoons.
TANK (in the RCRA program) means e stationary device, designed to
contein en eccumuletion of hazardous waste which is constructed pre-
marily of non—earthen materials (e.g.. wood, concrete, free', plattic)
which provide structural support.
1-9
-------
SECTION O - GLOSSARY (continued)
THERMAL TREATMENT (in tha RCRA program) mam the treet-
ment of hazardous wesic in a device which uses eleveted temperature ts
tt* primary maena to change thi chemical. physical. or biological char-
acter or composition of the hazardous wests. Examples of thermal
mtinMt processes art incineration, molten salt, pyrolyns, calcination,
mm air oxidation, and microweve diseherge. (Sm alto "incinarttor"and
"open burning").
TOTALLY ENCLOSED TREATMENT FACILITY (in tha MCHA pro-
gram) maant a facility for tha (raatmant of hazardous warn which it di-
ractJy eonnactad to an industrial production proeaM and which ii con-
atruetad and oparatad in a mannar which prevent! tha releew of any
hazerdous waata or any condiment thereof into tha environment dur-
ing treatment. An example it a pip* in which waata acid ii neutralized.
TOXIC POLLUTANT maant any pollutant liatad a* toxic undar Saction
307(a)(1) of CWA.
TRANSPORTER (In tha RCRA program) maant a paraon angagad In
ttia off—site transportation of hatardout waata by air, rail, highway, or
water.
TREATMENT (in tha ft Cft A programt maant any mathod, tachniqua,
or process, including neutralization, designed to change the physical,
chemical, or biological character or composition of any hezardous
Htna to at to neutralize tuch waata, or io aa to recover energy or ma-
terial resources from the wane, or to at to render tuch wute non—haz-
ardous or lata haxardout; tafer to tranaport, ttora, or ditpoaa of; or
amanabia for recovery, amenable for itoraQ*. or reduced in volume.
UNDERGROUND INJECTION maant well Infection.
UNDERGROUND SOURCE OF DRINKING WATER or USDW maant
an aquifer or iti portion which it not an exempted aquifer and:
A. Which auppNet drinking watar for human conaumption; or
B. In which the ground watar contain! fewer than 10,000 mg/l total
dissolved tolidi.
UPSET maant an exceptional incident in which thai* it unintentional
and temporary noncompliance with technology—baaed permit affluent
limitations bacauaa of factori beyond the raaaonable control of the
permittee. An upaet doet not include nonoomplianca to tha extent
eauaed by operational error, improperly designed traatmant facilitlet,
inadequate traatmant facHltiet, lack of preventive maintenance, or care-
laat or improper operation.
WATERS OF THE UNITED STATES meens:
A. All water* which are currently weed, mre uied in the pari, or may
be susceptible to uae in internets or foreign commerce, including
all waiers which are subject to the abb and flow of tha tide;
B. All interttate wateri, including interstate wwtlends;
C. All other waters tuch at intrastate lakei, rivers, ttreamt (including
intarmittant ttraams), mudflati, aandflati. wetlends, sloughs, preiria
potholei, wet meadows, playa lakes, and natural ponds, the use,
degradation, or deatruction of which would or could affect interttate
or foreign commerce including any auch waters:
1. Which ere or could be used by interstate or foreign trevelers for
recreational or other purpotes,
2. From which fish or shellfish are or could be taken and aoM in
interstate or foreign commerce,
3. Which are used or could be ueed far industriel purposes by in-
dustries in interstate commerce;
D. All impoundments of waters otherwise defined at waters of the
United States undar thit definition;
E. Tributaries of waters identified in paragraphs IAI — (D) above;
F. Tha territorial aaa; and
G. Wetlands adjacent to wateri (othar than mmtart that art thamtalvat
mratiantk) identified in paragraphs (A) — (F) of thit definition.
Waata traatmant systems, including treatment ponds or legoont detign-
ed to meet requirement of CWA (othar than cooling pondt as dafinad
In 40 CPU Saction *23.111ml which alto ntaat tha crixarit of thh
dtfinition) are not waters of tha United States. This exclusion applies
only to manmade bodies of water which neither were originally created
in wetert of the United States (auch at a ditpoaal araa in mat)and*) nor
resulted from the impoundments of waters of the United States.
WELL INJECTION or UNDERGROUND INJECTION means tha eub-
eurface emplacement of fluids through a bored, drilled, or driven wall;
or through a dug wall, Mrtiere tha depth of tha dug wall is greater than
tha largest surface dimension.
WETLANDS means thoae araaa 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. Wat-
lends generelly include awamps. mershes, bogs, and similar mm.
1-10
-------
UTM GftIO ANO 19*0 MAGNCTIC NORTH
OfCllNAtlON AT CCNIflt OF SHfCT
UtOS Map Cantral Ctty. OMo
Location Map
Cantral Procaaina Co.
Cantral City, OMo
-------
A. I> ttin facility ¦
which ratulu in a
(FORM 2AI
nhmb nwtlM or
ly which reaultt In a
(¦My
•ftheUA? (FORM 2B)
Piiate print Df Typp in tha unloaded araaft only
Witt—in trait tre tptctcf for tlilr type, i.e.. 12 charactan finch).
Form Approved OM8 No. 2040-0086. Approval aipirei 5-31-92.
FORM
GENERAL
«>EPA
\ \ " \ \ \
U.S. (MVIMNKCNIai. MOTiellM •
GENERAL INFORMATION
OMnMbfrf ftjvaMi Avywt
MM M< "Cmaitaf faalmrtteaa" tffef wtmrling. J
I. MA I.O. NUMBER
\ 'v *v,
III. FACILITY tlAME
\\\\\
„ rACILITV
II. POLLUTANT CHARACTERISTICS ^
INSTRUCTIONS: Campkta A thraufh J «
fUKtioiu, you mint aibmii tha form and
tf the wpptoiMMal form b ottachwL N van
A oaduded from permit laquiwufm; m
If ¦ piapiliiied label hea been provided, affix
h In the detigneteil ipaoa. Review the inform-
at km Mnhllv; If any of it ¦ incorrect, croas
through H and an tar tha canaet data in ttw
approprieia fill—
-------
xyfTiwyrc f BgM THj FRy^T
A FIRIT
m SECOND
wSL
7
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ii
ta it
11
C. THIKD
O- FOUtTH
7
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{specify j
7
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(specify i
VIII. OPERATOR INFORMATION
I. U thm Mma llrad m
l«am Vlll-A Mb IN
n YES LJ NO
«#
¦
C. status or opcbaton f£nr*r rfrf appruprarr J« rr*r in jo f#i< luwfr if "Other", specify, f
f.FEBEBAL
S - STATE
P - PRIVATE
M ¦ PUBLIC forHtr then federal or inn;
0 • OTHER Itptcify)
tspecifyi
IX. INDIAN
ll ttw facility loMMd on Indian landt
~ YES ~ NO
X. CXMTINO ENVIRONMENTAL PERMITS
N
«. »¦>«• (Discharges to Surf met Water)
iiiiii i i i ' I I
d. no (A ir Emimions from Proposed Sources/
i—r
t—i—i—i—i—i—r
i i
zS.
B. uic (Underground /nptction of Fluid*)
-r
¦. othsm (specify)
~l i i I l I I "
I I i i—i—i—r
-i—r
9
-t* ill n| n'
(tpedfyj
c. mem* (Hmimrdout Wants)
i i i i i i i i i
fFF
C. OTHER (specify)
i—i—r—i—i—i—i—i—i—r
9 R
•iwnniir
dZ>
71
(specify)
Attach to this application a topopapfcic map of tha araa axtanding to at laatt ona mil* bayond proparty boundariaa. Tha map muit them
tha outlina of tha fadlity, tha location of aach of to axiating and propoaad intafca id dtaaham
-------
PJftHf pnnt or lype in the unihadcd ar*n only
IM-in trtti trt tcaced tor rhrr typt, 12chtrtcttnArtch)
Form Approved OMB No . 20*0-0066 Approval aiprrai 5-31-02
FORM
&EPA
U-*. INVIDONHINTAL POOTCCTlOM *<(ttCV
GENERAL INFORMATION
Cbntolidtmd totmJu Frogrtm
tMamd Mr "Cnrnl JMlmctiotu" it for* mlmrtint.)
I. IM I.O. NUMBER
I—I 1
INSTRUCTIONS: Cwapitta A #iraafl) J to
qaafbait*, yau mart wfaarit Mi fans ¦
.'If Ik* wppfaMaatal fan* ktumlmi. H yaa MM 1
k arriudxl fram pmlt ia4ak«aaRts;M factim C af
i EPA. If you mmt "iu" to My
I In n«W fiiiwlM Hw hm tn tfia third column
An, yau aaad nm mM any af Am farm Yau iaay amwar "ao" H yaur activity
a.lattian D af Iwfrariiuii far iafWtiaa* of l«M fiain)«et at (Mi facility tnduttrial or
municipal affluent Mow Hm lowarnioai malum eon-
na quarwr mttt of ttia wall bora,
ga§ofdrlnkintwater7 (FORM 4)
hvdrocatfaoro? (FORM 4)
H. Oa you or wi* you h^act at «M« facility fluk* for we-
oW pnonw aidi aa mining of tuffur toy tht Fiaach
pau—. aaMian Mining a4 minaratt. In ritu aamtma-
Hon at taartt faei, ar taeeeary af *Mtl«naal anvgy'
'1FORM4)
I. H tttn taolity 7
ana of the 28 mduatrial
atructioai and nhidi will ptUMMIir
par yaar of any air aomaant cagutt
Oaan Air An and may affect ar fee
awaiwaawt area? IfOOM 8>
1 btMaWtttfa
MOT ana of tha 2t indue* lal
aavraa »*i»cn a
laa Nrad In tha
emit 3B0 tone
undartha CI tan
par yaar af any air
Air Act and aaay aHaot or ba
HI. NAME OF FACILITY
I—I—I—I
¦mr
IV. FACILITY CONTACT
A. MAMK * TITLB (MM. tint, t
¦. rNONt tmrrv coat t no.)
IU-U
V. FACILITY MAILING ADDRESS
VI. FACILITY LOCATION
i—i—i—i—i—i—i—i—i—i—i—n—i—i—i—i—i—i—r
i—r
T "i—r—i—r-
EPA
J=
up code i r. eojMW eoer
uLi
CONTINUE Ofy REVERSE
-------
1 A. FIRST 1
I S 1IC O N O I
7_
—1—1—1—
(specify,
2_
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{specify?
2™
*• la
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i* • ••
.
X
1 I 1
fspecify j
rv
1 ' I "" T
{specify)
]_
u
iL
i« «•
m
i* •»
IVIII. OPERATOR INFORMATION
c
8
-r r "i i r t—i—i—i—i—i—
i i I i t—i—i—i—rr r i i i i i i r
I 1 |—1 I I I IT
tt
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B. U tt*« nam* fitted In
Itwi VIll'A m*ao thm
7
•ZZ) YES ~ NO
•*
C. STATUS OP OMKATOR (EmUr ttie mpprophatt Iriirr htto tht Miwr box. if "Other", jppreify.)
J~' FEDERAL
8 - STATE
P - PRIVATE
M ¦ PUBLIC (ottttr Uttn ftdertl or ttmttj
0 ¦ OTHER Iwctfyl
T V
' ' 1
1
1» • t* i
Ijptclfy)
I—I—I—I—I—I—I—I
IX. INDIAN
l« Ttw facility located on Indian lands'
~ YES ~ NO
' 1 '
X. EXISTING ENVIRONMENTAL M
[ o. rmo M* Emiw&iwm from frujo—rf I—1 ru; ]
.i.
*
•
I i I I I 1 I I I t 1 1
i
11111111*1(4
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£
£
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JM.
i
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1. 1
Jic (L'nderjrvund Inaction of FhiMt)
ji
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(tptetfy)
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c. new* (Hoxenfow Wasigjj
| i.otm mm (specifyi |
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ijIIIIIIIIII
u
a
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AP
~
¦71
Attach to thit application a topographic m«> of the wee wwwdtntto St
the outline of the facility, the tocatiwi of aach of Mi
treatment, itorage, or dbpoaal facHHiet, and each wall «Im M
water bodies in the map area. Sae inatroctiont far paaaiaeraipii
t one mUe fceyatid property beunderie*. The map mutt ihow
i of its hazardous waale
i rtwan and other surface
XII. NATURE O* BUSINESS tprvrid, a tntf
XIII. CERTIFICATION ima iaumedamT
1 canity undar panatty of bw thatlhaaa paraonaHy atmminad and am fmntlar m*h dm Infomtatimt autanittmd in thh application and all
attachmann and that, baaad on my Inquiry of thorn pancm immadktaty rwapormibta for tha information contained in iha
application, 1 bafiava that tha information k trim, accurate and iwum*—. 1 am ammn that than an aignlflcampanaltias for auttmltt/ng
fmlaa information, Including tha poaaiblllty of fina and Imprtaonmant
A. NAME ft ornciAi. TiTct ftypr or print)
a. tlONATUNt
C. DATE SIGNED
COMMENTS FOR OFFICIAL USE ONLY
i—i—i—i—i—i—i—r
EPA Form 3510-1 (1-90)
-------
APPENDIXES FORM 2F
-------
gPA .0 Number ;ccpy from imm i of Form t) | rdfTn Approved CMB No 2O4O-0C86
3>ease pnrrt or type m the unshaded areas only t| Approval nwf] 5-31-92
Form
2F
NPOES
United State* Environmental Protection Agency
MBA Jfc Washington, DC 20460
OrHA Application for Permit To Discharge Stormwater
¦¦¦¦ m m Discharaes Associated with Industrial Activity
Paperwork Reduction Act Note*
Public '•porting burden for this application n estimated to average 28.6 nours par application, including tima for reviewing instructors,
searching existing data sources. gathering and maintaining tfia data needed. and compiating and raviawing tne collection ot information Send
commanTi ragarding tna burden astimata. any otfiar aspect of thi* coilaction of information, or suggestions (or improving thij form, nclue-rg
suggestions wnicn may increase or raduca this burden to: Chief. information Policy Branch. PM-223. U S Environmental Protection Agency.
•*01 M St . SW, Washington, DC 204G0. or Oiractor. Office of Information and Regulatory Affair*. Offica of Management and Buagat.
Washington. DC 20503.
1. Outfall Location 1
For each outfall list the latitude and lonoitude of its loea
ion to the nearest '5 saccnd* and the name of the receivino water
A. Outfall NufflMr
/listI
B. Latitudi
C. Lonaituc
•
0. Receiving Water
1
j
1
II. Imorovamanta H
A. A/a you now raquirad by any Fadarai. Stata. or local autnorrty 10 maat any implementation schedule for tna construction, upgrading or
operation of wastewater traatmant equipment or practices or arty other anvironmantal programs which may affact tna discharges
dascribad in this application? This inctudas. but is not limited 10. parmit conditions, administrative or anforcemant orders, anforctrrant
compliance schedule letters, stipulations, court orders, and grant or loan conditions.
i. identification of Conditions.
Agreements, Etc.
2. Affected Outfalls
3. Brief Description of Project
4 rinal
Corrpliarct Cate
number
source of discharge
a. req o oroi
1
;
1
1
1 !
1
I
1
i
J
B Vou may attach additional sheets describing any additional water pollution (or otfter anvironmantal projects which may i*ec» ,ouf
discharges) you now have under way or which you plan. Indicate whether each program is now under way Of planned, and maieate ,cu'
actual or planned schedules for construction.
III. Sit* Orainacn Mao
Attach a site map showing topography (or indicating the outline of drainage areas served Dy the outfali(s) covered in tne apo'-eivcr • <
topographic map ia unavailable) depicting the facility including: each of its intake and discharge structures: the drainage area of «i:" vz -
water outfall: paved areas and buildings within me drainage area of each storm watar outfall, each known past or present areas .n:
outdoor storage or disposal of significant materials, eaeh existing structural control meaaura to reduce pollutants in storm «atf
materials loading and access areas, areas where pesticides, herbicides, soil conditioner* and fertilizara are applied: each si its ~*:i
waste treatment, storage or disposal units (including each area not required to nave a RCRA permit which is used for accumulating ~j:j »
waste under 40 CFR 242.34); each well where fluids from the facility are infected underground; springs, and other surtaee water see «i »-
recetve storm water discharges from the facility
— EPA F#»m 3110-tf (11-M) Pagatot3
-------
Continued?rem the front
IV Nairativ Donation ol Pollutant SmjfCM
A.
For eacn outfall. provide in estimate of the area (include units) of impervious surfaces (including paved areas ana Duiiamg roofs) araineo
lo the Outfall, and an •inmaia of the total surface area drained by the outfall.
Outfall
Area of Impefvioui Surface
Total Area Drained
Outfall
Area of impervious Surface
Total Area Drained
1
1
1
3 Provide a narrative description of significant materials mat ar« curreniiy or in tn« past truss years navs been treated. stored or aisposeo .n
a minnif to allow exposure to storm water: method of treatment storage, or disposal: past end present matenals management practices
employed, in the last ihree years, to minimize contact by these materials with storm water runoff: materials loading and access areas, and
trta location, manner, anq frequency ;n whir.n pesticides, herpicioos. soil conditioners, and fertilizers are applied.
X
C. Fo' each outfall, provide tne location and a description of existing structural and nonstructural control measures to reduce po
-------
Comlnu»dJromJi|«£»^
,£PA ID NumMr (copy from mm t Of Form 1)
VII. Dlacharoa Intonation
A.B.C, k 0: Saa Inttruction* brfor* procaadlng. Compiata ona mi ol lablas for aach outfall. Vinotat* the outlall number in tfta tpmct provided.
T«b<— VIM. Wt and WC ar> indudad on MMfiii mats numbarad VIM ifid VH-2.
Potarmai diachorgaa not oovarad by analyiii - la any pollutant Kttad in TaWa 2F-2 a substanoa or a component of a aubstanca when you
currently usa or manufacture M an tntarmadiata or final product or byproduct?
j j V— (Hit Mil such poiMantt batowl
JZL No (go to section 00
VIII. Biological TmrlcKv T»*inn Oaf
Do you hava any knowtadga or raaaon to ballawa mat any biological tan tar i
on a raoaiving watar in raJation to your diaeharga within tha last 3 yaara?
I 1 Vaa (tin alt tueh oollutantt bolow)
i or chronic toxicity ha* baan mada on any ol your dischargaa or
I ! No (go to Section IX)
IX. Contract Anatvala Information
Ware any of tha anaiyaM reportad In Ham V parformad by a contract laboratory or consulting firm?
1 1 Vaa fHar^cfta oama^ adtfrw^andtaJsptafta numoar of, and poikAwxa 1 1 No {go to Sacoon X)
A. Nam*
B. Add rats
C. Area Coda & Pfcona No.
D. Pollutants Anaivzad
I certify under penalty at law thet this document and all attachments were prepared under my direction or
supervision in accordance with a system designed ro assure that qualified personnel property gather and evaluate
the information submitted. Based on my inquiry of the person or persons who manege 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, end complete. I am awere that there are significant penalties for submitting false information,
including the possibility of fine end imprisonment tor knowing violations.
A. Nam* & Official TitJa (typo or print)
B. Araa Coda and Phona No
C. Sgnatura
D. Data Signad
CM For* 3110-tF (11-M)
Pag* 3 oi 3
-------
t?A :C Nurrw .CSGy Tom z* ,\ -5m Acorevtd CM0 \q 2C4O-0C86
._ _ Approval ligm 5^31-a?
VII. Dnchtra* Information (Cantmuad from naae 3 of Form ?f)
Hrt A • You mutt provide me results at at least en* analysis for every pollutant in tnii table. Comciete ona taoia 'or tscn curtail Stt
instructions tor additional details.
Pollutant
and
CAS Number
iHMilttm)
Maximum Values
(inc/ud* unfit)
Avaraga vaiuas j Number
(incluO* units) 1 of
i Sources gf 'ciigtantt
Grab Sample
Taken Ounng
First 30
Minutas
Wow weighted
Composite
Grab Sampia
Takan Ourmg
First X
Minutas
Flow weighted
Compesita
Storm
Events
i Sam Died
Oil and Grease
1
i
Biological Oxygen
Oamand (BOOS)
i
1
1
Chemical Oxygen
Oamand (COO)
Total Suspended
Solids (TSS)
Total Kjaidani
Nitrooan
Nitrata plus
Nitrite Nitrogen
Total
Phosphorus
•
pH Minimum Maximum Minimum Uuimum
Pan 6 • bit ai
parmi
Seat*
icn pollutant tnat n limited m an effluent guideline whicn tna facility n tuOgacr to or any pollutant tistaa in tne faculty t NPCE5
for its proeass wastewater (if the facility is oparating under an anttmg NPOES parmiti Compiaia ona taoia 'or eacn autfaii
Pollutant
and
CAS Number
f/Yavai/aPia)
Maximum VaJuas
f/ne/uda unitt)
Avaraga vaiuas
(induGm units)
NumDer
of
Storm
Events
Sampled
Sources 8* '.larts
Grab Sampia
Takan During
f!r«30
Minutas
Row-waighted
Composito
Grab Sampia
Takan During
first 30
Minutas
Flow-weighted
Composite
1
1
1 |
i
1
I
<
;
1 1
|
1
|
t
1
:
EM Fora 3(10-tf (11*M) Page vim
-------
Cowttnwad from W Prarrt
Pan C • i.«t »acn poiiutam mown n r«o
urod and and of prvraua
me«wi*Bie ram event
1
Maaimum floe rate
during ram event
(gauens/mmm or
totuhvim
Total flow from
f«m e»ont
(gaUont or
UMOfy units)
7.
lamptawaa
taken
8.
Form of
Precipitation
(rtifttvi.
snowmem
9¦ »rovidt» deecnption of the method of flow m»nw»m«W or eitimato.
CPA Form 9H0-2P (11-W)
Page viua
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Instructions • Form 2F
Application for Permit to Discharge Storm Water
Associated with Industrial Activity
Who Must Pile Poem 2P
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 2C (EPA Form 3510-2C).
Operators of discharges of storm water which are combined with nonprocess wastewater (nonprocess
wastewater includes noncontact cooling water and sanitary wastes which are not regiiated 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 1, Form 2F, and
Form 2D (EPA Form 3510-20).
Where to Pile 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 wilt 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 402Q) of the Clean Water Act requires that all permit
applications wfl be available to the public. This information win be made avalable to the public upon request
Any information you submit to EPA which goes beyond that required by this form, Form 1, or Form 2C you
may daim as confidential, but claims for information which are effluent data wii be denied.
if you do not await a dakn of confidentiality at the time of submitting the information, EPA may make the
information public without further notice to you Claims of confidentiality wtt 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
FBI in your EPA Identification Number at the top of each odd-numbered page of Form 2F. You may copy t- s
number directly from item I of Form 1.
CPA Farm 1111-tf (11-eet
-------
Item I
You may use the map you provided for item XI of Form i to determine the latitude and longitude of each of
your outfalls and the name of the receiving water.
Item lt>A
if you check *yes* to litis question, complete att parts of the chart, or attach a copy of any previous submission
you have made to EPA containing the same information.
item ll-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 topoyaphic 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 faculties (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., predeveiopment 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 ihree
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 such
as ashes, slag and sludge that have the potential to be released with storm water discharges
Item IV-C
For each outfall, structural controls Indude structures which enclose material handling or storage areas
covering materials, berma, 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 usee
prevent or minimize the potential for releases of pollutants.
EPA Form 3S10-2P (11-tO)
1-2
-------
Item V
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 NPOES permit Tests for such non-storm water discharges may include smoke tests, fluorometric dye
tests, analysis of accurate schematics, as wefl as other appropriate tests. Part B must include a description
of the method used, the data 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.
Hem Vll-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 10
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 repon 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 detaled guidance on sampling techniques and for answers
to specific questions. Any specific requirements contained In the applicable analytical methods should
be loWowed 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 property with no system upsets. Samples shodd 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 coliform, grab
samples taken during the first 30 minutes (or as soon thereafter as practicable) of the discharge must be
used (you are not required to analyze a flow-weighted composite for these parameters). For all other
pollutants both a 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 ol one
grab sample may be 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 o 1
inches and at least 72 hours from the previously measurable (greater than 0. t inch rainfall) storm event
Where feasible, the variance in the duration of the event and the total rainfall of the event should not
exceed 50 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:
CPA Ferm 3I1B-IF (H-SS)
I - 3
-------
Grab sample: An individual sample of at least tOO milliliters collected during the first thirty minutes
(or as soon thereafter as practicable) of the discharge- This sample is to be analyzed separately irom
the composite sample.
Flow-Weighted Composite sample: A flow-weighted composite sample may be taken with a con-
tinuous sampler that proportions the amount of sample collected with the now rate or as a combina-
tion of a minimum of three sample aliquots taken in each hour of discharge lor the entire event or lor
the first three hours of the event, with each aliquot being at least 100 milliliters 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 Pan J 36
and additionahtimefor submitting data on a case-by-case basis.
B. Reporting; AH levels must be reported as concentration and as total mass. You may report some or all
of the required data by attaching separate sheets at paper instead of filling out pages Vll-1 and VH-2 if the
separate sheets contain all the required information in a format which is consistent with pages vil-i and
VII-2 in spacing and in identification of pollutants and columns. Use the following abbreviations in the
columns headed "Units.*
All reporting of values for metals must be in terms of total recoverable metal." unless:
(Y) An applicable, promulgated effluent limitation or standard specifies the limitation for the metal «n
dissolved, valent. or total form; or
(2) All approved analytical methods for the metal inherently measure onlyits 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 cr?>
sions of the CWA. If you measure only one grab sample and one flow-weighted composite sarr>«
for a given outfall, complete only the "Maximum Values* columns and insert "i * into the "Nurre*' r
Storm Events Sampled" column. The permitting authority may require you to conduct ado»c- *
analyses to further characterize your discharges.
CPA Potm 3S10*3F <11>#e) 1-4
ifonctncranon
Mass
ppm parts per million
mg/1 milligrams par liter
ppb parts per billion
ug/i micrograms per liter
kg Mograms
lbs pounds
ton tons (English tons)
mg milligrams
g grams
T tonnes (metric tons)
-------
H you measure mors than one value 'or a grab sample or a flow-weighted composite sample 'or a given
outfall and those vaJues are representative of your discharge, you must report them. Vou 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 mast 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 CFfl 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 indude 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 Vll-A
Part Vll-A must be completed by all applicants for aR 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 tar all pollutants in this Part and repot the results except
use only grab samples for pH and oil and grease. See discussion in General Instructions to Item vn 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 filed out if data are available.
Part Vll-B
List ail 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
NPDES permit for its process wastewater (if the faclity is operating under an existing NPDES permit). Com-
plete one table lor 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 filed out n data
are avaiable.
Analyze a grab sample collected during the first thirty minutes of the discharge and flow-weighted composite
samples for ali pollutants in this Part and report the results, except as provided in the General Instructions.
Pari VII-C
Part Vll-C must be completed by an 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 coiiform. The 'Average Values' column is not compulsory but should be Med 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 outfaN. Hst all poflutants in Table 2F-2 that you know or have reason to believe are
discharged (except pollutants previously listed in Part Vll-B). If a pollutant is limited in an effluent guideline
limitation which the fatflty Is subject to (a.g., use of TSS as an indicator to control the discharge of iron and
aluminum), the poUuunt should be listed in Part Vll-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 Vll-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 m 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, acrylonltrie. 2.4 dinitrophenol. and 2-methyl-4 6
dinitrophenoi, you must submit quantitative data if any of these four pollutants is expected to be discharged
EPA Form 3H0-2P (11-»0)
1-5
-------
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 'our 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 tode pollutants listed in Table 2F-3. There are two ways in which you can qualify as a 'small
business*. If yourtacWy 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 1960 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 faculty 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 1960 by using the gross national product
price deflator (second quarter of I960«i00). 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 analysts 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, clvi penalties, and I la bitty for cleanup costs for spifls 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 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 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 onslte 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.
Pail VIM)
If sampling la conducted during more than one storm event, you only need to report the information re-
quested In Pert VU-0 forthe storm event(s) which resulted in any maximum pollutant concentration reported
in Part Vll-A, VH4, or Vll-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 0 1
inch rainfall) storm event
Part VIM
Ust any toadc pollutant Hated 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 2,3,7 8 re
trachlorodbenzo-p-dioxin (TCOO) la discharged or if you use or manufacture 2.4.S-trtehlorophenoxy acetic
CPA Pera M10-2F (11-te)
I • 6
-------
I
acid (2.4.5,-T); 2-(2.4.5-irichlorophenoxy) propanoic acid (Sflvex. 2.4.5.-TP); 2-(2.4.5-inchloroDneno*y) tthyi
2.2-dichloropropionate (Erdon); O.O-dimethyl 0-(2.4.5-trichlorphenyt) phosphorothioate (flonnel); 2.4.5-
trichiorophenol (TCP); or hexachiorophene (HOP); than list TCOD. Tha Oiractor may waiva or modify the
requirement if you demonstrate that it would ba unduly bwdensome to identify cacti toxic pollutant and tha
Oiractor has adaquata information to issue your permit You may not claim this information as confidential;
howavar. you do not hava to distinguish between usa or production of tha pollutants or lis tha amounts.
Item Vlll
Self explanatory. Tha permitting authority may ask you to provida additional datails after your application is
received.
Item X
The Clean Water Act provides for severe penalties for submitting false information on this application form.
Section 309(c)(4) of the Dean Water Act provides that 'Any person who knowingly makes any false material
statement, representation, or certification in any application.... shall upon conviction, ba punished by a fine
of not more than Si0.000 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 ba by a fine of not more than S20.000 per day of violation, or by imprisonment of not more than * years,
or by both." 40 CFfl Part 122.22 requires the certification to ba 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 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 122.22(a)(l)(i)- The Agency will presume that these responsible corporate officers
have the requisite authoroy to sign permit applications unless the corporation has notified the Director to
the contrary. Corporate procedures governing authority to sign permit applications may provide 'or
assignment or delegation to applicable corporate position under i22.22(a)(t)(ii) rather than to specific
individuals.
(B) For a partnership or tela proprietorship: by a general partner or the proprietor, respectively: or
(Q 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 tha overall operations of a principal geographic unit of tha agency (e.g.. Regional Administrators of
EPA).
CPA Para 3S19-2P (11-ee)
1-7
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Tabic 2F-1
CodM for Trutmant Units
PhyaiaK TraMmnt ProcMsaa
l-A
Ammonta Stripping
1-M
Gnt Bamoval
l-B
OtKyw
1-N
Meroatrairung
t-C
OlatomaMOva Earm Filtration
1-0
Mi iirg
1-0
~1 inflation
t.p
Moving Bod Fiitar» ,
'•£
EJaetrodtaiywa
i-Q
Muinmodia titration
l-f
Evaporation
t.fl
Raoid Sand Fiiiraiion
T-G
Flocculaoon
t-s
flawrM Otmofi (Hyparfiltration)
l-H
Flotation
1-T
Scraoning
1-1
Foam Fractionation
1-U
Sodimanuuon (Satting)
I-J
Fraoxing
1-V
Slow Sand Filtration
l-K
Gaa-Riaaa Saearabon
1-W
Solvant Extraction
T-L
Grinding iCommmgrcrt)
1-X
CMmiaal Tra—wont Ptoct
Sorption
taaa
2-A
Carton Adaorption
2-G
Oitinfaetion (Oionai
2B
Chamicai Oaidation
2-M
Oi tin faction (Omar)
2-C
Chamical Pracipiiation
2-1
Etactrocnarmcal Treatment
2-0
Coagulation
2-J
ion Eiehanga
2-E
Oacnionnaiion
2K
Nan tralizat ion
2-F
Omntvction (CWorma)
2-L
Reduction
Bloiogltad Traatmant ^ociimi
3A
Aciivatad Siudga
>E
Pra-Aaratton
3-0
Aaratad Lagoona
W
Spray irrigation/Land Application
3-C
AnaaroD* Tioatmont
3-G
Stabilization Panda
3-0
Niiriiieabon-Oamirriieabon
3-H
Otftar Praaaaaaa
Trickling Filtration
J-A
Ditcflarga to Surtaca Watar
*C
Aeuia/nacycia of Traatad Effluent
4-6
Ocaan Diacnarga Through OuttaH 4-0
Underground injection
§¦ Traanant airi Olipoaal P
*F®aaaa#a
M
Awofec OigaMion
3-M
HMiOrymg
M
Ana•ratio Oigatoon
S-*
Ha at Treatment
5-C
Ban Filtration
S-0
nonarabon
5-0
Cantrifugation
VP
Land Application
S-f
ChwniGii ConQiiiofWfl
*o
UndfHl
w
Ch tort na Traatmant
Presaure Filtration
S-G
Com potting
S-S
Pyrotyaia
5-H
Drying Bad*
5-T
Sludge Lagoons
Butnmon
9-U
Vacuum Filtration
S>)
riOiwBn lllQWWIf
Vlbraoon
14
»w
Wat Oudaaon
M.
IM P«r« U10>tf
-------
Tabic 2F-2
Conventional and Nooconvantional Pollutant* Raquirad To B« Tattad by Existing Diachargar H
Expactad To Bo Praaant
Bwntdi
Chlorina. Total rk«i final
Color
Facal Co'iforrn
Fluorido
N)lr«W-Nitni*
Nitrogan, Total KjadaN
Oil and Graaaa
Phoapfwru*. Total Radioactivity
Sulfate
Suinda
SuMtfl
Surfactants
Aluminum, Total
Ba/ium, Total
Boron. Total
Cobalt, Total
Iron, Total
Magnotium, Total
MolyManum, Total
Magnaaium, Total
Tin, Total
Titanium, Total
"A ton Mia>tf (11-M)
1-9
-------
Antimony, Tott
Atmthc. Total
Baryllium, Total
Cadmium, Total
Chromium Total
Acrolarin
Acrylonitrila
Banzan*
Bromolorm
Cartoon Tetrachloride
Chlorofianzana
Chlorodibromomathana
Chloroathana
2-Chloroaihyfvinyl Ether
Chloroform
2-Chlorophenol
2.4-Oichlorophanol
2,4-Dimethylpnenol
4.6-Oinitro-O-Owol
Acanaphthene
Acanaphthyieno
Antfvacena
Benzidine
Banco |a)anmracan*
B*nio|a)pyrarta
3.4-Banzoftuoranitiene
B*fltO(ghi)pary«an«
Benzo|W)«uoran thane
Bit|21248
PCB-1260
PC 8-1016
Toxapftane
EPA Porm 3S10-2P (11-M)
I - 10
-------
Table 2F-4
Hazardous iub*tanc«s required to b«
idantlfiad by applicant H •xp«et«d to b« prtMnt
Toaic PeMutaM
AlbMtOI
Hazardoua Subttaneee
AcetaJdehyde
Dinitro benzene
Napthenic acid
A/ryl alconoi
Oiquat
Nitrotel uene
Allyl chloride
Diiuifotan
Paratnion
Amy! acetate
Diuron
Phenoliutfonate
Aniline
EpieWorohydrin
Phosgene
BenzonrtrMe
Ethion
Propargite
Benzyl chloride
Ethylene diamine
Propylene oxide
Butyl acetate
Ethylene dibromide
Pyrethrim
Butylamine
Formaldehyde
Ouinoiine
Cafbaryi
Furfural
neaoranol
Carbofuran
Guthion
Stranthium
Carbon duulfide
i«oprene
Strychnine
ChtorpyrilOl
Isop/opanelamine
Styrene
Coumaphoi
Ketthane
2.4 5-T (2,4,5-Trichloropheno*y»cetic
acid)
Cresol
Kepone
TOE (TetrachlorodiDhenyl ethane)
Crotonaldehyde
Maiathion
2.4.S-TP |2-(2,4.3-Trichloropheno*y)
propanoic acid]
Cydohexane
Mercaptodimethur
Triehlorofan
2.4-0 (2,4-Olchlorophenoxyacetic
Methoxychlor
Triethylamine
aeid)
Diaiinon
Methyl mercaptan
Trimethyi amine
Dicamba
Methyl methecryiate
Uranium
Dieniobanil
Methyl parathion
vanadium
Dichlone
Mevinphot
VAnyl acetate
2.2-Dichloropropionie acid
MudCifOftH
Xylene
Dicniorvot
Monoeihyt amine
Xytenol
Oiethy< amine
Monomediy) amine
Zirconium
Dimethyl amine
NaJed
EPA Farm 3S10-2F (11'*0)
1-11
-------
APPENDIX E-3: FORM 2C
-------
are ooso>ete
Etrmiti Drvtiion
Application Form 2C -
Wastewater Discharge
Information
Consolidated Permits Program
Thii form mutt be completed by al/ persons applying for
an EPA permit to discharge wastewater (axtaing manu-
facturing, commercial, mining, and aUncuftuni opera-
tion*).
-------
Application for Permit to Discharge Wastewater
EXISTING MANUFACTURING, COMMERCIAL. MINING, AND SILVICULTURAL OPERATIONS
This form must be completed by all applicant! who check "yt»"
to item ll-C in Form 1.
Public Availability of Submitted Information.
Your application will not ba considered complete unless you answer
every quamon on this form a nd on Form 1. If an item doas not apply
to you, antar "NA" (for not applicabla) to (how 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 ba made available to the
public upon request
Any information you submit to EPA wh tch goes beyond t hat required
by this form or Form 1 you may claim as confidential, but claims for
information which is affluent data will ba denied. If you do not assert
a claim of confidentiality at the time of aubmitting the information,
EPA may make the information public wiihout further notice 10 you.
Claims of confidentiality will be handled in accordance with EPA's
business eonfidentielity regulations at 40 CFR Part 2.
Definitions
All aignificant terms used in ihesa instructions and in the form are
defined in ihe glossary found in the General Instructions which
accompany Form J.
EPA ID Number
Fill in your EPA Identification Number at the lop of each page of Form
2c. You may copy ihis number directly from item I of Form 1.
Item I
You may use ihe map you provided for item XI of Form 1 to determine
the latitude a nd longitude of each of your outfalls end the name of the
receiving water.
hsmll-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 srees, sanitary
Wows, cooling water, and stormwster runoff. You may group aimllar
oparationa into a single unit labeled to correspond to the mora
detailed listing in item ll-B. The water balance should show average
flows. 8how sH significant losses of water to products, atmosphere,
and discharge. You should use actual1 measurements whenever
Qvei labia: othsrwiesussyourbostssiimats. An asawple of an accep-
table line drawing appears in Figure 2c-1 tolhaoe metructkma.
Item ll-B
List sll sources of wastewater to each outfall. Operations may ba
daacrlbsd in general lerms (for axampio, "ftym-mmking raantor" or
"distiHotion towmr"). You may estimate the flow contributed by each
source if no data are available. For stormwatar discharges you may
aetimate the ever age flow, but you muat indicate the rainfall event
upon which the estimsts Is baaed and the method of sstimstion. For
each treatment unit, indicate Its size, (tow rata, and retention time,
and describe the ultimate disposal of any aolid or liquid wastes not
discharged. Treatment units should ba lined In order and you should
select the proper code from Table 2c-1 to fill In column 3-b for each
treatment u nit Insert "XX" Into column 3>b If no code corresponds to
e treatment unit you HsL If you are appfylng for s permit for s privately
owned treatment works, you must slso identify sll of your contribu-
tors in an attached liaring.
Mam ll-C
A discharge is intermittent unless it occurs without interruption
during the operating hours of the facility, except for infrequent shut-
downs for msintsnsncs, process changeo, or other aimilar activities.
A discharge is seasonal if it ooours only during certain pens of ths
year. Fill in every applicable ooiumn in this item for each source of
intermittent or seesonsl diaehsrgea. Baee your answers on sctusl
data whenever available; otherwiae, provide your beet estimsts.
Hsport ths highest daily value for flow raia and total volume in the
"Maximum Daily" columns (columns 4-a-2 ant!4-b-2). Report the
average of all daily values measured during days whan discharge
occurred within the last year in ihe "Long Term Average" columns
(columnt 4-s-l and4-b-1).
Hem lll-A
All affluent guidelines promulgated by EPA appear in the Federal
Register and sra published annually in 40 CFR Subchapter N. A
guideline applies to you if you have any operations contributing
process wastewater in any subcategory covered by a BPT. BCT, or
BAT guideline. If you ere unaure whether you are covered by a
promulgated effluent guideline, check with your EPA Regional office
(Tab/a 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 conteated in court. If you believe lhat
a promulgated effluent guideline heabeen remanded for reconaider-
ation by a court and does not apply to your operations, you may check
"no."
Itsm lll-B
An effluent guideline is expressed in terms ol production (or other
moasura of operation) If the limitstion is expresaed as mass of pollu-
tsm per operational parameter; for example, "pounds of BOD par
cubic foot of logs from which bark is removed," or "pounds of TSS per
megswsn hour of slectrical energy conaumed by smelting furnace".
An exsmple of s guideline not expressed In lerms of s measure of
operation ia one which limits tha concentration of pollutsnts.
Item lll-C
This item must be completed only if you checked "yes" to hem lll-B.
The production information requested here ia necessary to sppty
effluent guidelines la your facility and you cannot claim It aa confi-
dential. However, you do not hove to indicete how the reported
information wes cs leu la ted. Report'quentitiee in the units of mss
suremem used in the applicable effluent guideline. The production
figures provided must be baaed on ectuel daily production and not on
design cspecfty or on predictions of future operations. To obtain
etternete limits under 40 CFR 122+6
-------
• -n VI «:C — iNS "/SUCTION'S
ITEM V — A. ¦. C. snd 0 fcontinuad)
msdiete and final product* and byproduct*, and any previous ana-
lyses known to you of yapr affluent or similar affluent. (For txampim.
if you manufacture pasticidas, you should expect thosa pasticidas to
ba present in contaminated sxormwatar runoff) If you would eqtect a
pollutant to ba present solely aa a result of its prssence in your intake
watar, you mud mark 'Believe Present" but you ara not raquired to
snslyze for ihei pollutant. Irtstaad. mark an 'X' in the "Intaka"
column.
A. Reporting .All (avals must ba reported aa concentration and aa
total mast You may raport some or all of tha required data by
attaching separata sheets of paper instead of filling out peges V-l
to V-9 if ihe separata sheets contain ell 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, fforasampla, tha
data system used in your GC/MS analysis may ba able to print
data in tha propar format) Usa the following abbreviations in the
columns headed "Untta" (eoiumn 3, Part A. and column 4. Parts B
andCj.
Concentration Maee
ppm paits per million lbs pounds
mg/l milligrams per liter ton tons (English tons)
ppb pens par billion mg milligrams
ug/l micrograms per liter g grams
kg kilograms
T tonnes (matric tons)
All reporting of values tot 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, valant, or tots I
form; or
(2) All approved analytical methods for the metal inherently mea-
aura only its dissolved form (e.g., hexavalent chromium); or
(3) The parmitting authority has determined that in establishing
caaa-by-case limitations It is necessary to express the limitations
on the metal in dissolved, valant, or total form to carry out the
provisions of the CWA.
H you measure only one daily value, complete only tha "Maxi-
mum Daily Velues'columns and insert '1' into the "Number of
Analyses" column (columns 2-a and2-d, Pan A, and column 3-a.
3-d, Parts B and C). Tha permitting authority may require you to
conduct additional analyses to further cherecteriie your dis-
charges. For composite samples, the dotty value it the total mees
or sveraga concentration found in a compoeite aampte taken over
tha operating hours of the facility during a 24-hour period; for
grab samples, the dsHy value is the arithmetic or flow-weighted
total mass or averege concentration found in a aeries of at leest
four grab samplas tsken over the operating hours of the facility
during e 24-hour period.
If you measure more tha n one daily velue for a pollutant and thoee
velues ere representative of your wssteatraem, you mutt report
them. You must deecrlbe your method of testing end data anefy-
ais. You also must determine the average of ell values within the
lest year snd report the concentration and mess under the "Long
Term Average Values" ooiumna (column 2-c. Part A. and column
3-c, Parti B andC). snd the totei number of daily values under tha
"Number' of Analyses" columns (column 2-d, Part A. and
cotumnt 3-d. Parts B and Cj. Also, determine the average of ell
deity values taken during each calender month, end report the
highest averege under the "Maximum 30-dey Values" columns
(column 2-e. Pan A, and column 3-6. Pans B and CI.
I. Sampling: The collection of the samples for the reported
snelyses should be supervised by e person experienced in per-
forming sampling of industrial wastewater. You may contact your
EPA or Stata parmitting authority for detailed guidance on sam-
pling techniques snd for snswers to specific questions. Any spe-
cific requirements contained in the applicable analytical mathods
should be followed for sample contsiners. sample preservation.
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, wiih 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 st s maximum, at e sits specified in your present permit or st
any site adequate for the collection of e repreeentative sample.
For pH, temperature, cyanide, total phenols, residual chlorine, oil
and greese. snd fecal ooliform. grab samples mutt be used. For all
other pollutants 24-hour composits samples must be used. How-
ewer, e minimum of me grab sampia may ba taken for effluents
from holding ponds or other impoundmsnts with s retention
period of greater then 24 hours. For storm water discharges s
minimum of cme to four grab samples msy be taken, depending on
the duration of the discharge One grab must be tsken in the first
hour for lass) of discherge, with one additional grab (up to a
minimum of four) taken in eech succeeding hour of discharge for
diacharget lasting four or mors hours. The Director may waive
composite sampling for any outfall for which you demonstrate
that usa of an automatic sampler is infeesibls snd that a min-
imum of four grab samples will be rapreeentetive of your
discharge.
Grab and compoeite semples ere defined ss follows:
Grsb sample: An individual sample of at least 100 milliliters
collected st s randomly-selected time over s period not
exceeding 16 minutes.
Composite sampia: A combination of at least 8 sample ali-
quots of at leatt 100 milliliters, collected st periodic intervals
during the operating hours of e facility over a 24 hour period.
The compoeite mutt be flow proportional-, either the lime
intervel between eech aliquot or the volume of eech eliquot
must be propoirtionol to either the stream flow at the time of
sampling or the total stream flow since the collection of the
previous sliquot. Aliquots may be collected menuelly or auto-
matically. For GC/MS Volatile Orgenic Analysis (V0A|. sli-
quot* mutt be combined in the laboratory immediately before
analysis. Four lA)(ratf*ar than tight) aliquots or grab samples
should be collected for VOA. These four temples should be
collected during actual hours of discherge over s 24 hour
period end need not be flew proportioned. On ly one enolysit is
required.
The Agency it currently reviewing templing requirements in light
of reoent research on totting methods Upon completion of its
review, the Agency plans to propose changes to the sampling
requirements.
Data from temples taken in the patt may be used, provided thtt:
All deta requirements ere met;
Sempling wet done no more than three yetrs before submis-
2C-2
All data ara repreeentative of ihe present discharge.
Among the fectors which would causa tha data to be unrepre-
sentative ere significant changes in production level, chsngss
in rew materiela, processes, or final products, end chs nges in
wastewater treatment. When the Agency promulgates new
snelyticel methods in 40 CFB Pan 136, EPA will provide
information as to whan you should use the new methods to
generate data on your discharges. Of courts, the Director may
request additional information, including currant quantitat ive
data, if she or he determines it to be necessary to sssess your
dtechsrges.
C. Analysis: You must use test methods promulgated in 40 CFR
Pan 130; however, if none haa been promulgated for e pamculsr
pollutent. you may uaa any suitable method for meesuring the
level of the pollutent in your discharge provided that you submit s
description of the method or s reference to e published method.
'Your description should include the sample holding time, preser-
vetion techniques, snd the quality control maesures which you
used.lf you hsve two or mors substsntielly identical outfells. you
msy request permission from your permitting authority la sample
end snsiyse only one outfsll snd submit the results of ihe aneiysit
-------
FORM 2C — INSTRUCTIONS .ccin.ni.sc,
ITEM V — A, B, C. and D (continued)
(or other substantially identical outfalls. If your request is granted
by the permitting authority, on a separate sheet attached lo 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
O. Reporting of Intake Date: You are not required to report data
under the "Intake" columns unless you wish to demonstate your
eligibility for e "net" affluent 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.
NPDES 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.
PartV-A
Part V-A must be completed by all applicants for all outfall*,
including outfall* containing only noncontect cooling water or
norm 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
mora 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-b) sre not compulsory but should be filled out if data ara
available.
Use composite samples for all pollutants in this Pan, 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 (cotumn 2-b) are not compulsory
but should be filled oul if data are available.
Pert V-B
Pan V-B must be completed by all applicants for aH outfalls,
including outfalls containing only ncwoontact cooling water or
storm runoff. You must report quantitative data if the pollutants)
in question is limited in an affluent limitations guideline either
directly, or indirectly but expressly through limitation on an indi-
cator (e.g.. use of TSS at 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
Weter 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 thet individual testing for aech applicant is unneeaaaary.
because the facilttlaa In the category or subcategory discharge
substantislly identical levels of the pollutant or discharge the
pollutant uniformly at sufficiently low levels. Use oompoeite
samples for sll pollutants you analyze for in this part except use
grab samples for residual chlorine, oil and greaae. and fecal
coliform. The "Long Term Average Values" oolumn (column 3-c)
and "Maximum 30-day Values" column (column 3-b) are not
compulsory but should be fillad out If data sre available.
Pert V-C
Table 2c-2 lists the 34 "primery" industry categories in the left-
hand column. For each outfall, if any of your processes which
contribute wastewater fells into ore of thoaa categories, you
must mark "X" in 'Testing Required" column (column 2-a) and
test lor (l| sll of the toxic metals, cyanide, end totsl phenols, snd
(2) the orgsnic toxic pollutants contained in Table 2c-2 as appli-
cabla to your category, unless you qualify as a small business (so*
below). The organic toxic pollutants sre listed by GC/MS frac-
tions on pages V-4 to V-9 in Part V-C. For example, the Organic
Chemicals Industry hss an asterisk in ell four frections. therefore,
applicants in this category must test for ell orgenic toxic pollu-
tents in Part V-C. The inclusion of totel phenols in Pert 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 sre not determining your category for sny other purpose snd
you sre not giving up your right to challenge your inclusion in that
category (for example, for deciding whether en effluent guideline
is applicable) before your permit is issued. For ail other caaes
(secondary industries, nonprocess wasteweter outfelli. andnon-
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 esch pollutant. For every pollu-
tant you know or have raeson to believe is present in your dis-
charge in concentretions of 10 ppb or greater, you must report
quantitative data. For acrolein, acrytonitrile, 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 lass than the thresh-
olds specified above, you must either submit quentitative data or
briefly describe the reasons the pollutent is expected to be dis-
charged. At your request the Director. Office of Weter Enforce-
ment end Permits, may waive the requirement to test tor 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
facilMea in question discharge substantislly identical levels of
the poMutant, or discharge the pollutant uniformly at sufficiently
low levels. If you qualify as a email business (see below) you ere
exempt from testing for the organic toxic pollutants, listed on
pages V-4 to V-9 in Part C. For pollutants in intake weter. see
discussion in Generel Instructiona to this item. The "Long Term
Average Valuaa" column (column 3-c) and "Maximum 30-day
Values" oolumn (column 3-b) ara not compulsory but should be
filled out if data ara availaWa.You are required to mark 'Tasting
Required" for dioaun if you use or manufacture one of the follow-
Ing compounds:
(a) 2,4.6-triehlorophenoxy acetic acid, <2.4.6-11;
(b) 2-(2.4.6-trichlorophenoxy) propanoic acid, (Silvex, 2,4,6-
TPfc
(C) 2-<2.4,6-trichlorophonoxy) ethyl 2.2-dichk>roprop
-------
= ORV 2C - NST.R!JC-;CNS r .*2.
ITEM V — A. ¦. C. and D (continued)
Small Bualnaoa Exemption: H you qualify—a "smell Lu>inw."
you ars exempt from the reporting requirements for the organic
toxic pollutants, liatad on pegss V-4 to V-8 in Part C. There ara two
ways in which you can qualify aa a "amall buainaaa." If your
facility ta a coal mlna. and rf your profaaMa total annual production
ialaaathan 100.000 tona par year, you may submit paat produc-
tion data or astimated futura production (tirch ma a icMula of
ottimotod toto! production undor 30 CM| 795. >4fe|) irwtead et
conducting analysee tor tha organic tonic pollutanta. If your facil-
ity ia not a coal mina. and if your gross total annual aaias for tha
ntoatracant thraa yaara average taaa than 1100,000par yaar fin
aocondgumnor 7980 doMmraJ, you may aubmit aalaa data for thoaa
.yaara inataad of conducting anaiyaas for tha organic toxic poilu-
unia Tha production or salas data must ba for tha facility which
ia tha sourca of tha discharge. Tha data should not bo limited to
production or aalaa for tha procoaa or proceaaa which oontributa
to tha diacharga, unlaaa thoaa ara tha only procaaaea at your
facility. For aalaa data, in aituations involving intracorporate
transfer of gooda and aervicea. tha transfer priea par unit ahould
approximate market pricaa for thoaa gooda and aarvicaa aa
cloaafy as poaaibla. Salas figurea for yaara aftar I860 ahould ba
indaxadtotha second quarter of 1980 by using tha groaa nations I
product prtca daf lator (fcond qumrtmr of 19901100). This index
ia available in Nmtionot Incomm mnd Product Accounts of tho
Unitod Ststos (Dopmrtmmnt of Commorto, Burmmu ot Economic
Anmtyva).
PertV-D
iiatany pollutants in TeMs 2c-3 that you baliava to bapraaant and
•¦plain why you baliava tham to ba praaant No analysis la
required, but H you hava analytical data, you must raport It
Nose: Undar 40 CFR 117.12(e)(2), cartain dischsrges of hazard-
ous aubau nces (Uttmd in TobJo 2c-4 of tfMM instructions) may ba
exempted from tha requirements of section 31T of CWA, vtfiich
aatabliihaa raporting requirements, civil panaltiaa and liability
for claanup coats for apJHa of oil and hezardoua aubaunoaa. A
diacharga of a particular aubatanca may ba exempted If tha origin,
aource, and amount of tha diachargad substsnoee ara idawiHad
in tha NDPES parmrt application or in tha permit. if tha permit
contains a requirement for treatment of tha diacharga, and if tha
treatment ia in plaoa. To apply fbran exclusion of tha diacharga of
any hazardous substance from tha raquiramants of section 311,
attach additional ahaata of papar to your form, batting forth tha
following information:
1. Tha aubatanca and tha amount of aach substance which
may ba diachargad.
2. Tha origin and aourca of tha diacharga of tha subetanoe.
a Tha traatmani which ia to ba providad for tha diacharga by:
a. An onaita traatmant ayatam aaparata from any treet-
mant systsm traating your normal diacharga;
b- A traatmant ayatam daaignad to traat your normal dia-
charga and which ia additionally capable of traating tha
amount of tha aubatanca idantifiad undar paragraph 1
abova: or
c. Any combination of tha abowa.
See40CFR|117.12(eJ(2)end(c).p«
-------
CODES ?CP TBe.i — ' =
PHYSICAL TREATMENT PROCESSES
1-A
1—B.
1-C.
1-D
1-E.
1-F.
1—G
1-H
1-1 .
1-J.
1-K
1-L.
.Ammonia Stripping
1-M
.Dialynt
1 —N
.Diatomaceoui Earth Filtration
I-O
.Diitillation
1-P
.Electrodialyiii
1 —Q
.Evaporation
1 —R
Flocculation
1-S
Flotation
1 —T
.Foam Fractionition
1-U
.Freezing
1-V
.Gat—Phase Separation
1-W
.Grinding (Comn>inutort)
1-X
.Rapid Sand Filtration
.Reveree Otmoiil iHypurfiltntion)
Screening
2—A
2-B.
2—C.
2—D
2—E.
2-F.
.Carbon Adsorption
.Chemical Oxidation
.Chemical Pracipitation
.Coagulation
.Dachlorination
.Disinfection tChlorint)
CHEMICAL TREATMENT PROCESSES
2—G Disinfection lOtont)
2—H Diiinfaction (Otti»rJ
2—1 Electrochemical Traatmant
2—J Ion Exchange
2—K .Neutralization
2—L. Reduction
BIOLOGICAL TREATMENT PROCESSES
®~'A Activated Sludge
¦*— 8 Aerated Lagoons
f C Anaerobic Treatment
3-D Nitrification—Damnification
3— E Pre—Aeration
J-F .Spray Irrigation/Land Application
3—G .Stabilization Ponds
3—H Trickling Filtration
OTHER PROCESSES
*—A Discharge to Surface Water
*— B Ocean Discharge Through Outfall
4—C R erne/Recycle of Treated Effluent
4—D Underground Injection
SLUDGE THBATMBNT AND DISPOSAL PROCESSES
5—A Aerobic Digaition
B—B Anaerobic Digaition
5— C Baft Filtration
B— D Centrifugation
6— E Chemical Conditioning
5— F Chlorine Traatmant
S-G .Comporting
S-H Drying Bad*
5—1 Eiutriation
B—J. i Flotation Thickening
B—K Freezing
B—L. Gravity Thickening
6— M Heat Drying
6— N Haat Traatmant
5—0 Incineration
5— P Land Application
B-Q Landfill
5—R Preeeur* Filtration
B—S .Pyroiyeie
B-T -Sludge Lagooni
5—U Vacuum Filtration
B-V Vibration
-Wat Oxidation
ZC-1
-------
INDUSTRY CATEGORY
GC/MS FRACTION1
Voiatila
Acid
¦aaa/Nauoil
Pesticide
Adhativai ind ttiiinti
X
X
Aluminum forming
X
X
Auto Ind otter launorial
X
X
X
Battery manufacturing
—
X
Coal mining
X
X
X
X
Coil coating
X
X
Copper forming
X
X
_
Elsctric and alactronic compound*
X
X
X
Electroplating
X
X
Exploiivat manufacturing
X
X
Foundriit
X
X
Gum and wood chamicali
X
X
X
Inorganic chamicali manufacturing
X
X
_
Iron and itaal manufacturing
X
X
X
—
Leather tanning and finishing
X
X
X
Mechanical producti manufacturing
X
X
—
Nonfarroui metal • manufacturing.
X
X
X
Ora mining
X
X
X
Organic Chamicali manufacturing
X
X
X
Paint and ink formulation
X
X
X
X
Pesticides.
X
X
X
Petroleum rafining
X
X
X
Pharmaceutical praparationi
X
X
-
Photographic equipment and supplies
X
X
X
X
Plastic and synthetic matariali manufacturing
X
X
X
Plastic prooasiing
X
—
—
-
Porcalain enameling
—
X
X
X
X
X
Pulp and papertooard milli
X
X
X
X
Rubbar prooasiing
X
X
-
Soap and detergent manufacturing
X
X
-
Staam alactric powiar planti
X
X
X
—
Taxtiia milla
X
X
X
Timber producti procawng
X
X
X
X
*Saa nota at conclusion of 40 CFR Part 1 Aff«wdl« D11IH) fcr t^lnmiBB o( tllici ot B^nwlnw w wttn iiqi)liiwiw lor yln^(
industry cingorlH.
'Tha pollutants in MCh fraction arc list ad In Ham V—C.
X x Tasting raquirad.
— " Tatting not raquirad.
TABLE ZC-Z
-------
TCXIC POLLUTANTS AND HAZARDOUS SUBSTANCES =>.E2tJi3EE "0
TOXIC POLLUTANT
HAZARDOUS SUBSTANCES
HAZAROOUS SUBSTANCES
Albattot
HAZAROOUS SUB5TANCE5
Acetaldehyda
Aliyl alcohol
Ally I Chloride
Amyl acetate
Aniline
Bamonitrile
B«nxvl chloride
Butyl aeataie
Butylamine
Captan
Carbaryl
Cartooluran
Carbon disulfida
CMorpyrifxM
Coumapho*
Craaol
Crotonaldehyde
Cyctohaxana
2,4-0 <2,4-Dichioraphanoxyaeetic acid I
Diaiinon
Dicamba
Dichlotoeml
Diditona
2,2-0 ich lor oproptonic acid
Dichlorvoi
Diethyl am in*
Dimethyl amint
Dintrobenxene
Diquat
Diiulfotan
Diuron
Epichlorohydrin
Ethion
Ethylene diamine
Ethylene dlbromtde
Formaldehyde
Furfural
Guthton
lioprene
liopropano lamina
Ketthane
Kapone
Malathion
Mareaptodimathur
Mathoxychtor
Methyl mercaptan
Methyl mathaerylata
Mailiyl parathton
Mavinphot
Mexacarbate
Monoathyl amine
Monomathyl amine
NWed
Napthenic acid
Nitrotoli/ene
Parathion
Phenoluilfooate
Photgene
Propargita
Propylene oxide
Pyrathrins
QuinoJine
Ratorcinol
Strontium
Strychnine
Styrene
2,4,5-T (2,4.&-Trichlorophenoxyacetic acid)
TOE (Tatrachlorodiphenyi ethane)
2,4,5-TP (2-(2,4,5-Trichlorophanoxy)
propanoic acid)
T richlorofon
T riethanolamine
Triathylamine
Trimathylamine
Uranium
Vanadium
Vinyl acetate
Xylene
Xylanol
Zirconium
TABLE 2C-9
-------
1. Acetsldehybe
2. Acrtic acid
3. Acetic anhydride
4. Acetone cyanohydrin
5. Acetyl bromifle
6. Acetyl chloride
7. Acrolein
8. Acrylonitrile
9. Adipic acid
10. Aldrin
11. Ally I alcohol
12. Ally I chloride
13. Aluminum sulfate
14. Ammonie
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 tilicofluoride
31. Ammonium tulfamate
32. Ammonium sulfide
33. Ammonium sulfite
34. Ammonium tartrate
35. Ammonium thiocyanate
36. Ammonium thioiulfate
37. Amyl acetate
38. Aniline
38. Antimony pentachloride
40. Antimony potassium tartrate
41. Antimony tribromide
42. Antimony trichloride
43. Antimony trifluoride
44. Antimony trioxide
45. Arsenic disulfide
46. Arsenic pentoxide
47. Amnic trichloride
48. Arwiic trioxide
40. Arsenic tritulfida
50. Barium cyanide
51. Baniene
52. Benzoic add
53. Banzonitrile
54. Benzoyl chloride
55. Benzyl chloride
56. Beryllium chloride
57. Beryllium fluoride
58. Beryllium nitrate
50. Butylacetate
80. n-Butylphthaiate
61. Butylamina
82. Butyric add
53. Cadmium acetate
B4. Cadmium bromide
55. Cadmium chloride
86. Calcium arsenate
87. Calcium arsenite
68. Calcium carbide
60. Caldum chromate
70. Calcium cyanide
71. Calcium dodecylbenzenasulfonete
72. Calcium hypochlorite
73. Capten
74. Carbaryl
75. Carbofuran
76. Carbon disulfide
77. Carbon tetrachloride
78. Chlordane
79. Chlorine
80. CMorobenzene
81. Chloroform
82. Chloropyrifos
83. Chlorosulf onic acid
84. Chromic acetate
85. Chromic acid
86. Chromic sulfate
87. Chromous chloride
88. Cobaltous bromide
89. Cobaltous formate
90. Cobaltous sulfamata
91. Coumaphos
92. Craiol
93. Crotonaldehyde
94. Cupric acetate
95. Cupric acatoarsanita
96. Cupric chloride
97. Cupric nitrate
98. Cupric oxalate
99. Cupric sulfate
100. Cupric sulfate emmoniated
101. Cupric tartrate
102. Cyanogen ch tor ids
103. Cydohexane
104. 2,4-D acid (2,4-Oichlorophenoxvecetlc
acidl
106. 2A-0 aeters (2.4-OteNoraphenoicyaeetic
add esters)
106. DOT
107. Diaz in on
108. Dicemba
109. DichlobenJI
110. Dichtane
111. Dichlorobensene
112. Dichloraprapene
113. Diehloropiepene
114. Dlchlorepropane-dichlopi oropena mix
115. 2.2-Oichlofopropwink: add
116. OiehlorM*
117. Dielririn
118. Dietfty lamina
119. Oimathylamina
120. Di nitrobenzene
121. Oinitrophenol
122. Dinitrotoluene
123. Dtquet
124. DfsuHoton
125. Oiuron
126. Dodecyfcenzeeulfonic add
127. EndoeuHen
128. Endrin
129. EpicMorohydrin
130. Ethlon
131. Ethylbanzana
132. Ethylened lamina
133. Ethylene dibromide
134. Ethylene dichlorMe
136. Ethylene dtaminetatracetic acid
(EOTA)
136. Ferric ammonium citrats
137. Ferric ammonium oxaiats
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. Heptaehlor
151. HexachlorocyclopentadicfM
152. Hydrochloric add
153. Hydrofluoric acid
154. Hydrogen cyanida
166. Hydrogen sulfide
166. Isoprene
157. Isopropenolamine
dodecylbenzenesulfonete
168. Kelt ha ne
160. Kepone
160. Lead acetate
161. Lead arsenate
162. Lead chloride
163. Laad fluoborata
164. Lead flourite
166. Lead Iodide
166. Laad nitrate
167. Lead steerate
168. Laad sulfate
169. Laad sulfide
170. Lead thiocyanete
171. Lindane
172. Lithium chrwnete
173. Maiathlon
174. Malaicadd
175. Malaic anhydride
176. Mai raptndimethur
177. Mercuric cyanide
178. Mercuric nitrata
179. Mercuric sulfate
180. Mercuric thiocyanate
181. Mercutous nttrate
182. Methoxychlor
183. Methyl marcaptan
184. Methyl methecrylete
186. Methyl perathion
186. Mevinphos
187. Menacertiata
188. Monoathylamina
189. Monomethylamina
190. Naled
191. Naphthalene
192. Naphthenic add
193. Nickel ammonium sulfate
104. Nickel chloride
196. Nickel hydroxide
198. Nickel nitrata
197. Nickel sulfate
198. Nitric acid
180. Nitrobenzene
200. Nitrogen dioxide
201. Nitrophanol
20?. Nitrotoluene
203. r -
2C-J
-------
HAZARDOUS SUBSTANCES ¦c-nvnuenl
204. Perathion
205. Pemachlorophenol
206. Phenol
207 PhoHjerie
208. Phosphoric acid
209.Phosphorus
210. Phosphorus oxychloride
211. Phosphorus pentasulfide
212. Phosphorus trichloride
213. Poiychlorirtatfd bi phenyls (PCB)
214. Potassium arsenate
215. Potassium arsanite
216. Potassium bichromate
21 /. Potassium chromate
21B. Potassium Cyanide
219. Potassium hydroxide
220. Potassium permanganate
221. Propargite
222. Propionic acid
223. Propionic anhydride
224. Propylene oxide
225. Pyrcthrins
226. QuinoJirte
227. Resorcinol
226. Selenium oxide
229. Silver nitrate
230. Sodium
231. Sodium araanata
232. Sodium arsenita
233. Sodium bichromate
234. Sodium bifluoride
235. Sodium bisulfite
236. Sodium chrornate
237. Sodium cyanide
236. Sodium dodecylbenzenesullonate
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 salenite
248. Strontium chromate
249. Strychnine
260. Styrene
251. Sulfuric acid
252. Sulfur monochloride
263. 2,45-T acid (2.45-
Trichlorophenoxyacetic acid)
264. 2,4,6-T amines (2,4,5-Trichlorophenoxy
aoatic acid amines)
255. 2,4,5-T eitars (2,4,5-Trichlorophenoxy
acatic acid attars)
266. 2.4,5-T salts (2,4,5-TrichlorophenOKy
acatic acid nits)
257. 2,4,5-TP acid (2,4,5-Trichlorophanoxy
propanoic acid)
258. 2,4.5-TP acid altars 12,4,5-
Trichkjrophenoxy propanoic acid attars)
269. TDE (Tetrachlorodiphenyl ethane)
260. Tatraethyl laori
261. T«traathyl pyrophoephste
262. Thallium sulfate
263. Toluana
264. Toxaphana
266. Trichlorofon
266. Trichloroethylene
267. Trichlorophenol
268. Tnethanolamine
dodecylbenzenesutfonate
269. Triethylsmine
270. Trimethylamme
271. Uranyl acetate
272. Uranyl nitrate
273. Vanadium pentoxide
274. Vanadyl sulfate
275. Vinyl acetate
276. Vinylidene chloride
277. Xylene
278. Xylanol
279. Zinc acalate
280. Zinc ammonium chloride
281. Zinc borate
282. Zinc bromide
283. Zinc carbonate
284. Zinc chloride
285. Zinc cyanide
286. Zinc fluoride
287. Zinc formate
288. Zinc hydroaulfile
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
ZC-4 (continued)
-------
U*JE OP AWING
RAW
MATERIALS
10.000 GPO
SOLID WASTE
4,000 GPD
BLUE RIVER
| >0.000 GPO
MUNICIPAL
WATER SUPPLY
BLUE RIVER
45,000 GPO
FIBER
PREPARATION
15.000
GPO
40.000 GPO
GRIT
SEPARATOR
stormwater
30.000 GPO
MAX: 20,000 GPO
, 45,000 GPD
DYEING
20,000
GPD
if
,000 GPD
WASHING
40,000 GPD
NEUTRAL-
IZATION
TANK
LOSS
6.000 GPD
10,000
GPO
104)00 GPD
COOLING WATER
10,
DRYIN6
)00 GPO I
40.000 GPO
WASTE
TREATMENT
PLANT *2
34,000 GPD
WASTE
TREATMENT
PLANT * 1
OUTFALL 002
50,000 GPO
- 70,000 GPD + STORMWATER
OUTFALL 001
schematic of water flow
¦ AOWN mills. INC.
city, county, state
to ATMOSPHERE
5,000 GPO
TO PRODUCT
5,000 GPD
"IGURE 2C-1
-------
PI—« prim or typt ir 1H» unih»Q»d |rm only.
NUMam{eop> from Item I of Form 1}
Form Approved
OMB No 2040-0086
Approval axpires 5-31-92
FORM
2C
NPPEB
v>EFA
U.K. BMWiWONMINTA 1. »WOT«CTION"AelHCV
APPLICATION FOR PERMIT TO OIBCHARQI WASTEWATER
EXISTING MANUFACTURING, COMMERCIAL. MINING AND SILVICULTURAL OPERATIONS
ComoH&fd Pmrmitt Program
I. OUTFALL LOCATION
A. BUTJJLLL
NUMIER
flirt)
m. LATITUOI
C. LONaiTUDK
a. mtn.
t. MIC.
I. ¦¦¦.
B* NIN.
». ISC.
D. ¦ /
IL ''LOWS, 8QURCKS OF POLU/TTOW. ANO TREATMENT TECHNOLOGIES 3
i i nfcimtoi
In llm B.
A. Attach a lin* drawing ih owing tha mm Rom tfaa facility. |i
¦Id MMMM unrti MmM «o awia»uiid to »mim damiad dmcrn
MnM miM>, and MtWh. Ha
frwyWi>WI>T|WgWyiWyWWBPPngf
outfall. pWfMMHw aft til Woanllwa wiirtiiflw «iw» to
ikmt'sanMbuting waitawatar to Ww aftluant,
• Mttr Mam on Km I In* lb awing by ¦howrlng amraga
ba dawnninad for vmmhi mMnf trttoWm), provkfc a
'iMnaff. BI Tha <
i flaw aomrlbuttd by aril oparaUaa; and (3) Tha i
t raoafead by tha i
i.OUT-
a. oyilATioMCt) coNrnftBirriN* rtow
». TIICATMKNT
TEj
1 OPKRATtON
6. AVBHAfl pi^w
fbMtu* umts>
4 DBtCIVIFTION
ft. UfT COOKS FROM
TABUS 9C-1
' - ' * - -Jtf c-*_- • juaf.#. cr» f • *
¦fl
-------
SOWTINUED FROM PAGE 2
V. INTAKE AND EPPIUINT CHARACTERISTICS
K^A I.O. NuMainfooc? tnm Htm J of Form 1)
A, B, a C: Saa inatruetiom baton praaaadkif — Cnniffcn ana wi of tabtm for aacti outfall - Annam tha outfall mambar in tha ¦
NOTE: TflMat V-A. V4. and V-Oa< Inducted on apama Mn numbatvd V-1 thfoufh V-fl.
provided.
D. Uw tha waci bolow to IkR any of tfw poUutara I laced In Table 2c-3 of cht bwtructloni, which you know or hn raaaon to believe It d*»Uiei»ed or may ba
dinJmtfaO from any ovttefl. For ovary poHirtant you I lit. briefly dceu Ibo tha laaanm you believe It to ba preaam and rapon any analytical (tela in your
I. MURCI
l. aouRCt
VL POTENTIAL DtKHAROES NOT COVERED BY ANAL VMS
tokmm
la any pollutant
b>pieduc»7
araooniiwitoniofaaMbatanoaiwfMefi^u^m^lYuaaorinanlrfaaurawanimatmadtitaixTinoipreduaor
~ V AMafl mtck paUutmnn ktlow) I Iwo Ho to lltm VI-M)
L - - » IT
r*v e?» ?ps-
-------
-------
PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY. You may report torn* or all of
ihi< Information on teparate riieeti turn th» umt format) inttaad of competing theM pagn.
SEE INSTRUCTIONS.
CPA I.D. NUMBER feopy from Item I of Form II
V. INTAKE AND EFFLUENT CHARACTERISTICS kontinotd from Pf 3 of Form 2-C)
OU f I
PART A • You mint provide the results of at least ooe analysis for awry pollutant in this table. Complete one table for each outfall. See instruction* for additional details
1. POLLUTANT
S. KFPLUKNT
). UNITS
4. INTAKE (optional
;
a. MAXIMUM DAILY VAUMc. fffBI
LBftjV VALUE
d. no. or
ANALYSIS
1. CONCEN-
TRATION
h MASS
• LON(
AUK NAG
» TERM
i UAI II*
h
AM
I'l
. («| MAM
10
¦•NCBNTRATIM
|«) Mill
1*1
CONClNTHAtlM
|a| maii
a. Bleehamkal
Oxrewi Demand
IBOD)
b. Chemical
Oxvaen Oemend
(COD)
e. Tatal Oraanle
Carton (TOC)
d. Tatel SMpended
SaMefTM/
e. Ammanle lm S)
1. Flow
t. Tempereture
(mtotir)
VALUt
°C
VALUE
K. T«npereture
tmmmir)
VALUB
°C
IpH
MINIMUM
MAXIMUM
MINIMUM
MAXIMUM
STANDARD UNITS
PARTI- Mart "X" In oahtmn 2-a far each pa**** V" taw* er haw raeacn >o beW—a la ariaant Mart "X" In column 2-b for each pollutant you believe lo ba abeeni K you mark column 2a for any
which la llmllodelhet e»Ma
b. CtiMlnt.
Tottl nmHull
«. Color
d. P«cal
Collform
•. Fkiortda
M«984 4a«)
I. Nltrato-
Nttrlta (m N)
EPA Form 3S10-2C (l-M)
page v-l
CONTINUE ON REV.
-------
1. POLLUT-
ANT AND
CAS NO.
(IfmmilmU*)
a. MARK •*'
9. KFFLUBNT
4. UNITS
S. INTAKE {optional,
a.
LIIVII
ItNT
b.M*
LI««IB
a«Mt
MAXIMUM DAILY VALUI
WFTTnrniTmfHn.ilin.i:»v;.i m/.n-n
d. no.or
ANAL*
VIM
a. CONCIN-
TKATION
b. MASS
{•1
|«| MAII
I.I
|i| MAM
M
|«| *»*•¦
(•i
|/| MAS*
«. WMipw,
Total O'pnk
ImNt
h. Oil Mid
Qraaaa
| ^ ^ M ^ M ¦ 1 - —
1. rVIMPMfUC
(m ri. Tout
<7793-14-0)
11. RtdtaaotMly
¦a
(1) A*M.
TMri
Qtt MMi •• £;¦
T*r ^
t: i =.., A-cs=?
MSjN?!' *'
*)»•» ¦ . ,
»A«Mii*v
rrn \ •
Total
(7439W-4)
j. MohrtxowKw,
Total
(7439M?)
v. Jvfcanoanaaa,
Total
(7439-96 6)
w. Tin. Total
EPA Form 3S10-2C (i-90)
PAGE V-Z
CONTINUE ON IV
-------
CONTINUE D FROM EAOt a Of FOIIMl-C
•pa l.o. NllMHR (copy frwn Htm I of Form II
OUTFALL NUMHII
PART I
llyouaraaprli
2-a for ill aucli
,h?owiWIwnUilnt pfoemwwiiwrtw.'rafaMslttta 2c2 In thaInstruction* todatarmlnawhichof thaGC/MSfractionsyou muat last (or. Mark Xin column
_ tiQC/MS fractions that ¦£* to jour industry and for AU tOKte^lCMittMaa. and total phanols. It you ara notraouirad to mark column 2-a Incondtry industry, nonproctss
wtrttwMtr an*nunrtqmrtd GC/MS fractions), mark X in column 2-b for wi> poHutant you know or haveraaaonto MNdva la praaant. Mark "X" in column 2-e for aach pollutant you
- * jmn 2b tor any pollutant, you mutt provida th* results
K you Mrk eotumn 2b tor aa
baliava Is sbasnl. It you mart column 2s for any pollutant, you muetprsvids tha raauhsof at laastpnaanalyHsfar that pollutant-H
of at I—st ona analysis tor thai pollutant It you know or hava mianlakaliavajl wWbadischaraadinodooernrationaaf 10.
dtnrtrophanol. or 2-mathyM.6 dinitrophanol, you muat provtts tha ntuka of M tea ona analysis for aach of thaaa poMI
concantrat lona of 100 ppb or graatar. Ot harwlaa. for pollutants for wMoh you mart column 2b, you tmiat aithar submit at laa*
ba dlscharfad. Hota that thara ara 7 pages to tNa part: pi—aa ra»iew aach carafuMy. Compllla »na tabtofa* 7fgH)ht
mark column
r acrolain, acryhmitrila. 2.4
which V*u know ot hava raaaon la baltava that you discharge in
y briefly daacriba the raaauii tha pollutant is anpactad to
Km Inetrgctlone lor additional dataila and requirements.
tCONCMh
I. r»OLI IJTANT
AND CAS
NOMHER
1 if m'fhthlep
t. MAIVM 'X'
imv'
JUi.
ar ^l5
•«mt Ami
ft. MAXIMUM DAILY VALMI
1*1
ttwcii»t»*ywi
(•) MN
CTDOm
«—afekt.—
trrcutNT
YV
4. UNITS
|i| Mat*
lteujoL
AS**
10 *•
k MASS
». INTAKE (option*!)
. AvfcWfli
10 «•
TMI
jSL
JO_
|t| MAM
b. WO.OF
ANAL*
VftCt
MC TAtS. CVANtQg. ANO TOTAL PWtNptI
IM Ant"**ony,
toi«l (7440 39-0)
?M Artftnte. Total
<7440 3ft 71
3M. •wytlium,
fotjrt, 7440 41-7)
4M. Cltffnkim,
Total <7440 4*9)
CHromkim,
rtlK (7440 47-91
Ml Cm, T«rt
iTWttil
mumtrm
(7439.9) II
Ml. Mercury, TtM
1)43197 *)
9M fflck*f. Total
<744*03 0)
tOM. S«hwihim(
rnt»r(77H7 4|'i)
I IM. Silver. TolBl
17440-9? 4)
I7M Thallium,
total <744Q 39-0)
I.TM ZW>r, rotol
17440 66 r.J
14M. Cyt'ii(Mt
fold (57 1? SI
ISU Pl*ool«,
r «a«M*
OIOXIN
¦ ;.S IM**
i ».•••<» 11 r.4 016)
nuCTr
EPA r«-m 3I19-2C (t-M)
PAGE V-J
CONTINUE ON REVERSE
nu
| be
Reproduced from
best available copy-
-------
• ANT
*S
• R
Mi-)
t. MANK *Jt*
iTCIt'
««•
• «•
•IIMV*
MM.
fe mm-
.itvn
*»«•
••mt
AV
I. MAXIMUM DAILY VALUI
MWC«lAl*Tmi
III
b. WAieii
iimMmr
— <'»
twmwimiw
|f| MAM
¦vxttnr
(•i
c»iKniin>yi«!nro-
, rtv'/ivfj ' 'tiUf-
104? RO >
nv
I 7**, ;r, •
•«rm
f>V Cm* • > M
I I • llftrM. . i.|«
|<«r. at-
l\i CM
MOA on \
j#ntene
inv } ' ' i»»ro-
#»iiVryiM ¦ i thm
It 10 /•» '*>
I IV CM- "|l
<61 «MI "
17V
bnitno"*- ,i2)
ir.v. i •
•tt> *!••••
. 39-4)
t/v I •'hlofO-
ih'mikii ' 87*6)
IAV I t ' i.w«.
rw.iv**- • * f%41
ft3 9)
' H7 3)
rid » 3510-JC (•"*)
PAGE V-4
CONTINUE ON PAGE V-5
-------
EPA I.P. NUMBER (Copy from Item I of Form I) OU fFALL NUMBER
CONTINUED FROMMQf V-4
I
11. POLLUTANT
1. MARK *' |
S. EFFLUENT |
4. UNITS 1
9. INTAKE (oplt,..
I AND CAS
NUMBER
I (II mmilmkUt
IMfr
•u««-
Ik
kltVtl
l«Nt
C •«•
d no.or
ANAL-
YSES
m. CONCEN-
TRATION
• LONG
AVCR AC
TERM
:VALUE
ATit
1*1 1 (a) maii
CtNCkNTHAIIMl '
M
CM<|Nri«TIW
|l| MAII
(•I
III MAII
|« | CUMCIM-
VftAVlO*
(•| NAM
|0CJMC FHACTKM — VOLATILE COMPOUND# Icoathuud) 1
22V. Mathytom
CMocltf* 176-09-2)
33V. 1.1.3,3-TMr*-
d«loroMh«M
(79 34*)
34V. TMraditara-
•diylm (137-19-41
36V. Taiwan*
(109-M-3)
3#V. 141-Tnw-
OMilarMthytena
I1IHHI
37 V. 1,1,1-M
(71-M4I
lay. i.M-Trt-
(TMNI
39V. TrtcMw*-
xh»l«n» (TM14I
aov. TlM»»
|7M»4|
31V. Vinyl
ChlerM* (7101-4)
IC/M FRACTION
-ACIO COMPOUND!
,
f A. 3-C*lor«*ttn*
(9»«7-0)
3A. 2,4-OtaMoca-
(13M3-3)
3A. 3,4-Dlnivtfiyt.
»kMl|ltH74l
4A. 4>0«nltr*-0-
CtmoI (93443-1)
¦A. 3.4-Dlntuo-
pImimI (I1-29-I)
•A. 3-Nltfptcnol
(99 76-9)
7A. 4-Nltfopkiwl
(100-02.7)
¦A. P-Chtoro-M-
C'Mol (69*80-7)
9A. Pamachtoro-
phanol (97-96-6)
• OA. Phenol
(109-95 2)
11 A. 2.4.9 Trl-
chlorophanol
(9909-21
J
CO A <*/» »• AM*
MQK V-t
PONTINHF M • »Uw
-------
CONTINUED FROM THE FRONT
|l. POLLUTANT
I AND CAS
1 NUMBER
1 UI—iUMtl
1 t. MAUN 'X'
3. EFFLUENT
4. UNITS
S. INTAKE (opli,.,t
kr«M
IN*
MM-
kiivai
••Mr
c.
a NO.OF
ANAL-
YSES
». CONCEN-
TRATION
b. MASS
ft. LONC
AVCRAG
•TERM .
E VALUE
•¦NT
M 1 ft) MAM
M
(a) w*t«
(•I
M MAM
fs| concih
TM AVION
|t| MASS
IOC/Mi FRACTION — BAg/MEUTRAL COMPOUNDS
IB. Acanaphthana
CS3-33-B)
2B. Acanaptitylana
(20S-BSS)
3B. AnttiraoMW
(130-137)
41. BkuMm
Itt-ST-S)
SB. Santo M
AihNvmm
(BSSS-31
SB. Mom (*)
hmndHMI
SSanmfemT"
(MS4S-3I
fS. Bania
pMylma
(1(1-34-3)
SB. lw»« W
PlMfWItlMM
B07-0S-SI
10*. Skft-CMom-
»tho*y) Malltaiia
(111-SMI
11B. ihfi-CWoro-
«M)rl1 Ettiar
(111-44-4)
l&lfcff-CMmka-
13S. Bla (t-Klkyl-
fcasylj PMtalata
(11741-7)
14B. 4-Branw-
phwyl Phanyl
Ethar (101-6S-3)
1BB. Butyl Bantyl
PhMwtoM (SB-4B-7!
1SS. 3-Chtofo-
mpMMxm
(•1-SS-7)
17B. 4-CMoro
phanyl Phanyl
Ethar (700S-73-3I
a
1SB. ChrywM
I31S-41-S)
IBB. Dibanio (*.h)
Anthracana
(63 70-3)
SOB. 1.3-Dichloro-
banzana (M-B01)
3 IB. 1.3-Oichloro-
bansana (841-73-1
PAGE V-« CONTINUE ON
EPA Font 311S-IC (t-M)
-------
CONTINUED FWOMEAQg V4
kpa i.d. numbkr {copy from hem I of Form 1/ our wall, numicr
1. POLLUTANT
AND CAS
NUMICR
flf mMlmblt)
1. MAUN K*
C.
.iavad
••NT
I, MAXIMUM DAILY VALUI
••I |
C«WCl>.TI>MiOW|
|t| MAM
b. MAXIMUM 1
3. CFFLUCNT
10
cnnwfnow
JY VALUI
|*| M««»
C Om« tlTW O TIOH I
M
a no. or
ANAL-
YSIS
4. UNITS
t. CONCCN
TAATION
5. INTAKE b'l'"
oam FRACTION - BAM/NCUTtML 00MP0UNM fconttoy.d'
23B. 1.4-0khto»o-
bwiini (10S-4S-7
23B. I.T DtchlafO
bwwhlWw
(•144-1)
341. Otathyl
PhlMm
-
an. OknMtiyl
(131-11-3)
nrroriuwr
*4-74.2)
37B. 2,4-Dlnftra-
(tai-14-a)
aaa. a^DMn-
iMt-at-ai
MM. OMHW
117444)
1,2-OttWnyl-
In* (at Amo-
iMia-w
¦. rkaaranthMM
m. PhMM
(M-73-7)
PUJMI
m
imitt
(7M9-1
wi-aM>
40*. Ni
IM-M-3)
41B. N-Nttr*-
luJIiixUiylliitiw
(•2-7f»
43«. NWIUBMdt-
JStStZL
EPA Cwm Ult-lC (t-M)
CONTINUE ON Hi i HSt
-------
CONTINUED MOM THC FRONT
1. POLLUTANT
AND CAS
NUMBER
/if Mailafrlr J
I. MAM **'
LlftVII
• •NT
c
4«¥«d
*¦- n
UNf
ft. MAXIMUM OAILV VALUC
hi r
cowcmT»«fiow|
|l| MAM
b. MAXII
J. EFFLUENT
lit
CCWONtlUMIQW
"WZSLW
|»| M All
C.LONO Tj
com ¦ wTWtiow
y?/SMK
2. VALUC
|l| M««l
(1 NO OF
ANAL
vscs
I. CONCCN
TfVATION
• LUNOTERM
AVER AGE. VALUt.
5 INTAKE O't'i'
OC/Mt FRACTION - IAKMEUTRAL COMPOUND# (conttiuudt
438 N NItro
¦odlphanylamlna
(¦<•300
44B. Pkmntlwm
(8B014)
4SB PyrMM
1139-00-0)
L 1.2.4 • Trl-
cMorob«ix«M
(12QB2-1)
OGAM FRACTION - KSTIOOCS
IP. AWrln
(309 002)
2P. a-BHC
(31B-844)
3P.0-BHC
oio-bb-7)
4P. T-BHC
(B849-9)
BP. 6-bhc
(319-98-B)
BP. ChtordwM
(•7-74-9)
7P. 4,4*-0DT
(BO-29-3)
' BP. 4,4'-ODE
172-BB-BI
BP. 4.4' 0D0
(72-B4-B)
10P. OtaMrln
(00*7-11
IIP. Ct-EndoauKan
(11B-2B7)
12P. fi-Endoiulfan
(11B-29-7)
13P. Endotulfan
Sultata
(1031-07-8)
14P. Endrin
(72 20-8)
16P. Endrin
Aldahyda
(7421-93 4)
16P. Haptachfor
176448)
EPA Forai JS19-2C (l-BO)
PAGE V-8
CONTINUE ON i
-------
CONTINUED FROM PAGE V-i
CPA l.D. number (copy from Item 1 of Form If
OUTFALL NUMBER
• .POLLUTANT
AND CAS
NUMBER
(if
1. MARK K-
3. EFFLUENT
4. UNITS
5 INTAKE (.'I'll-
Iftft
tN«
•Ul*
klkVtl
»»»•
c
a. maximum oailv value
b.
LRSi* WALue
C.LO^t^M^y.VALU.
(1 NO OF
ANAL
vsts
• CONCEN-
TRATION
b MASS
m LONC
|i| rOMl • N
IX* HON
¦ TERM
LXAWVfc -
|l| «A*«
•¦mv
10
CMCINtMAflON
|«| MAII
(.1
CONCIMNAtlON
I.I
CVMC•NTHAf l*N
(,| M«»l
QCfln FRACTION - PCSTKIDCS (co«hM»*l
17P. Htptachlor
fpoxld*
(1024473)
1«P. PCB-1242
(IMM-214)
1«P. PCB-12B4
<1K»7-M-t) .
MP. rCB-1221
(iiiM-ari)
2 IP. PCB-1232
(11141-1*4) .
22P. PCB-124B
M2B722B4)
23P. PCB-1260
I110M424)
24P. PCB-101*
(12B74-11-2)
2tP. Tonaptwra
(80013S-2)
PAGE V-»
i PA Form JS10-1C («-t0)
-------
mm print or type in Mm uMti
•dad m atWy.
kp* i.O. mniNRftwy ami #wm J •ffotm ]J
OMB No. 2040-0096
Appioval axpfaM 6-31-82
KT
.. AmJCAnoMfowmhmtttoo—
IAMIMMSTWATIK 1
a AMP wivhcultuimu. operations |
1
it. it* *w Ma
srt
SB
**
MUMKOWPMdHMIDi
-.V» -M .
TA1M «C-1
or|,r>CtAt- umtr Qa" y ttfflut-tt finritflnti titfc-nf>frn-w.*
-------
pnxTIWUtP WHM THE FHOWT
C. tadpt for norm runoff, taria, or
Ores rtom^Jete Ma
¦n any of tfp
In Hw ll-A or > HiniDlwnt or win ill?
~«o tea to SfcttaK 11/;
I. OUTFALL
NUMBER
(US i)
1. OWHTldHW
CONTHia^mitnAV
i. pmoukncy
in
B
b. MtfNTIH
FIR flAM
4. FLOW
•. Ptjom RATS
fa. TOTAL. VOLUMI
mmth with unita)
i. u«M rmmm «. mumum
avnmi Mat
C DUR-
ATION
IM. MOOUCTKMI
A. Don t «ff|uam jiimllinipi
~ rn fwyhw
¦ .J.' i t>JLv
p to yom feaiiify?
• Dwo too
B. An ttw limitations bi tl
~ *M ft
*B-C>
ftrntmann
itiHttoum
C. H you imwifid "pae " to twin IW
' In iIm wpJtaaMa«muan<«wiMki
t of your tov«4 of production, npronod in the forms and umw
ft, wwrnw »n BAT
•T. HNMHt tT«,
1. AFFICTKD
OUTPALU
(tut outran imntanj
IV. IMPROVEMENTS,
Ar* you now raquirad by any Fadaral, Stat* or local authority to meat
waler treatment equipment or practwee or any othar ewiiotmiemel
but it not limited to, permit condition!, administrative or enforcement
or loan conditioni. I~Ivk« I.
implementation schedule for the construction, upgrading or operation of waste-
which may aft act the discharges daicribad in this application? Tltii includes,
, enforcement compliance schedule letters. itipulaliom, court orders, and grant
) ~MOfn lo Item rv-Mi
IDKNTIPfCATIOM OP CONDITIO*,
AINIIMINTi ETC.
t. «mCTIO OVTFALLt
a. nil' oaacniPTioM op raojicr
£U
ES£fcStSs
at.
I
-------
CPA l.D. M UMBER'copy from /mn J of/om I)
IDFJOMMg^L
'.WTAKI AND KWLUCMreNAIlACTtR«TIC>
M.»C: «aa
won
v-a.
iM fMMdlMt - OlP^Mi«a» Mt •( OM« tor Mdl «UtMI
V"i, wtf V«C a*i MjiM •« MPMM tfwati nunbawl V-1
iV4.
Mm owtMI numbar In 1
• Wnrtltti
y'
Hurt In Ta
MdM batrwMiant. wMrti you know <
¦ imm you haNava Htafei
na«n to ballava It dtochargad or may ba
: and report any analytical data In your
3
I. POlaM/TAMT
tHiMti
1. POLWAWT
t. tOURCE
uu. PftrH^uMtnoTOQvtiieb
Nt3** TMi
rpt Porr- ?r*f- ?T '£•?•?
-------
OONTINUCO FROM THE FRONT
VIL tlOLOOICAL TOXICITY TSCTINO OATAJ
Do you hM any
«—ioiiif —m In
An my Uotofnt Mat far aeuta or chronic tonicity ta* ten mad* on any at your Main or on a
' tkttolvw?
~ ho Ho to taction villi
~ rw (idmmUfr 0u t—tji) tmd d—cri*r thtlr Fvrro—I Mew)
I WmiBfV Of HfHI?
i w mfvwHi Mv^p i p ^ ft
»>ar »tj ami mfclali
TT
~ wo Co to facHon B>
Rmxpn
1.1 turns* i
JBtSXfiJLSaJ.
Hfl AMALV1IB
tmi1a0*U*hmuMinmni>HF»rmt1iMt1niif4li9ttiMortupinMmifiiiMrt*nti »*ha»ra«Kwdmiigrmdre
tl0w^mf)galhm m^nml>mmihak0mma(mi »u6>w*tiarf B—danmrhtquirfttttmpmwmmftrwoMwftowmtmg*thtrywemof
—M* »ai»dHMfrra»—a%ktm9*imin$ ¥m irfwnwaian. tt»ia*aatafwy*nnii«i^paaiirf*ilnf.
"***"Ttlfiw 111 afri(B«nr.pMi«WM fim fofca liftniMfi'm J~r*i''^*ir**T< f^Tr rfffini am,*np2C |i-
•0)
-------
PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY. You may report tome or all of
this information on separate sheets lute th• mm formalI instead of completing these pages.
SEE INSTRUCTIONS.
' O. number (copy From Item 1 of Form I)
V. INTAKE ANO EFFLUENT CHARACTERISTICS (continued from page 3 of Form 2-C)
OUT 9-
PART A • You mutt provide the remits of at least one analysis for every pollutant in thi» table. Complete one table for each outfall. See instructions for additional details.
I. POLLUTANT
a. Biochemical
Oxygen Demand
(BOD)
e. MAXIMUM DAILY VALUI
(•I
I«l
t>. MAX!
2. EFFLUENT
'¦j
u*i
ittULto
yVALUC
loriOH
L.
(•I
j.LONB Tl
(•I
wsmw
VALUE I
|*| MAII
d. no. or
ANALYSES
3. UNITS
{specify if blank)
•.CONCEN-
TRATION
tx MASS
4. INTAKE (optional)
a. LONG TERM
AVERASE VALUE
(•I
C owe turn AT ION
|a) MAll
b n< ¦
AN Al
b. Chemical
Oxygen Demend
(COD)
c. Total Organic
Carbon (TOC).
d. Total 8uR>ended
•olid* (TBS)
e. Ammonia fat N)
1. Flow
g. Temperature
(winter)
VALUE
h. Temperature
(tummtr)
VALUE
MINIMUM
I. pH
MAXIMUM
MINIMUM
MAXIMUM
STANDARD UNITS
PART B • Mark "X" in column 2-a for each pollutant you know or have reeeon to believe is proeent. Mark "X" In column 2-b for each pollutant you believe to be absent. If you mark column 2a for any p»n
wrtiich is limits J al#t>ri*rarll|i. or indkecOy but s^reoefy. in an effluent HmhationaBuidsi ine, you muet provide the results of at ieest one ana lysis tor that pollutant For other pollutants for which yon
column 2e. you wwt provide quantitative data or on explanation of their presence In your discharge. Complete one table foe each outfall. See the instructions for additional deteils end requiien.
I. POLLUT-
ANT AND
CAS NO.
WaeaflaMeJ
a. MARK 'X
b. UAJcl
S. EFFLUENT
VALUI
cXBHT
¦VALUK
4. UNITS
S. INTAKE (optional)
L6NC TERM
AVERAGE VALUE
iitvii
mm-
ItNf
b.
ntvid
AS*
I, MAXIMUM DAILY VALUI
n
C—ICBWTBATIQW
It) MAM
TT
cowciNmnow
|t) MA««
m
CONC tNTH ATION
|>| MAII
dNQ. Of
ANAL-
YSES
a. CONCEN
TR ATION
b. MASS
TT
CONCHMTMAVION
|l| MAII
a. Bromide
(24959-67-9)
b. Chlorine.
Total neeldual
c. Color
d. Fecal
Collform
a. Fluo>lde
(16984 48 8)
f. Nitrate-
Nitrite (at N)
EPA Form 3S10-2C (>-90)
PAGE V-l
CONTINUE ON REVEi.
-------
ITEM V I CONTINUED FROM FRONT
I. POLLUT-
ANT AND
CAS NO.
(IfnaUtNti
1 MAKM K
3 EFFLUENT
b valu'-
4. UNITS
5. INTAKE foi'tfiiijh
f. NHrefW,
Total O'Unic
(m Nf
h- Oil i
ft. MAXIMUM DAILY VALUC
—m—
CONCINflAflOM
|t| MAII
TT
CONC1NTHATION
(a) m«h
FT
C«NCftttV*AT»OM
|»| M«ll
d. no or
anal
VSES
ft. CONCEN-
TRATION
*&.SPAV>«VMUc
"TT
liMl' I NIHA IlUN
|,| «»st
Im fl, Tatal
<7739-14-01
It) AM*
TMl
m
!£ttT
WM«) »
(74M-M7I
V
Total
(74MHI)
m. Tin, TIM
r«d. "..^i
PJWW
M Fwti
MOB V-*
CONTINUE ON PAG > J 3
-------
CONTINUED FROM PAGE 3 OF FORM 2-C
CPA i.o. NUMBCN (copy from litfin I of Form JJ
PART C - H you ore a primary industry and this outfall contain* prooesa wastewater, refer to Table 2c-2 in the instructions 10 determine which of the GC/MS fractions you must test for Mark'X'incolijnHi
J-a for all such GC/MS fractions that apply to your industry and for ALL toxic ma«l«, cyanidaa, and tout phenols. H you ara not required to mark column 2 s (saeendary industrial nonproc.¦.,
wastawwtar outfaMt. andnonraquirad GC/MS tractions), mark "X" in column J-b for each pollutant you know or have reason to believe is present Mark "X" in column 2 c lor each pollutant v....
believe Is abeam. W you mark column 2s lot any pollutant you must provide tha results of at least one analysis for that pollutant. II you mark column 2b lor any pollutant you must provide the result.
of at least one analysis for that pollutant H you know or have reason to believe it will be discharged in concentrations of 10 ppb or grester II you mark column 2b lor scrolein acrylonitrile 2 1
dinitrophenol. or 2-mathyt-4.6 dinitrophanoi, you must provide tha results of at least one analysis for each of these pollutants which you know or have reason to believe that you discharge ...
concentrations of 100ppb or greater. Otherwise, for pollutants for which you mark column 2b. you must either submit et lesst one enalysis or briefly describe the reasons the pollutant is expected .
be discharged. Not* thai there ara 7 pages to this part, pleaaa review each carefully. Complete one table fall 7pagas) for each outfall. See instructions for additional details and requirement
1. POLLUTANT
AND CAS
NUMBER
(IfmniUHt)
1. MARK 'X'
m
3. EFFLUENT
4. UNITS
*. INTAKE (opium.,/ 1
ITIH
•Cm-
L^vla
::Sr
C II*
LtCVII
A"~r
italuk
d NO.OF
ANAL-
vsct
a. CONCCN'
TftATION
b. MASS
1. LOMC
TKRM
ft. 11»i in
| AI4AI
1 VMS
It)
CMMI.TRATIM
|«|
III
|«| MASS
|« | CONCIM-
fa) MAS*
I METALS. CYAN IDC. ANO TOTAL PH|
woti
1M. Antimony.
Total I7440-M-0)
2M. Arsenic. Total
I7440-M-2)
-
SM. —y»mi.
TOM. 74*0-41-7)
Tetsl (7440-4M)
MM. Owenilewi.
•Ml (7440-47-3)
MLbsAIM
IMMMI
v
ML
](743MJ-m
?
iij
sasj
WIS*
Tetsl (7TU-4B-3)
11M. SHver, Tetsl
(7440-22-4)
;
12M. The* him.
Total (7440-2«-0l
13M. Zinc. Totei
(7440-66-€l
I4M. Cyanide,
Total (67-12-B)
16M. Phenoht
Total
1
1 DIOXIN
1 2.3,7,8 Tatra
I chlorodKMnzo-P.
f Otonln (1704-01 6)
~
~
DCSCRIII RnULTI
-------
CONTINUED FHOM THE FRONT
OCAU FRACTION - VOLATILE COWOUHPI
I. POLLUTANT
AND CAS
NUMKR
0( miMM
X. MA UK 'X'
.IkVKI
r«c*
• ¦NT
c
.itvai
A ¦ -
IIHV
¦. MAXIMUM OAILV VAt.UK
(•I
MWCtWlKJUum
IV. AcroMn
(107 02*1
3V. Aerylonltrll*
1107-13-11
3V. BwulM
(71-433)
4V. ah (CMotb-
mtlSyl) ttfm
(343 *3 1)
•V. Bromotafin
(73-36-3)
3V.C«fb«n
TimiMwMt
(33-23-3)
7V. CMarotoanMm
(10B-3O-7)
•V. Chlw*
>mimiinliw
<124-43 11
tv. cMnmiii
(73-0O-3)
(«!¦
b. MAXIMUM S
). EFFLUENT
MST""-0'
10
cawctwTimnow
|*| MAIt
C.LONO Tl
(•I
COWCIUfWOIlUN
vxnrr
|i| HA%«
«l NO OF
ANAL
VSCI
I CONCIN
THATION
b INTAKE. (.'I'" ¦
m LON(j 1 CMM I
|• | C ¥ N
tM A1ION
19V. 2-CtilM-
•MwMnyl Bthw
(110-7M)
11V.
M74
13V. I
173-37-4)
13V.
(73-71-3)
14V. 1.1-1
I7M44I
13V. 1.3Dt(M*r*-
(137-0*4)
13V. 1,1
MhylMW (73-33-4)
17 V. 1X
IMT«
w. i;
mntmiMi-iM
13V. EttiyfewuWM
(100-41-4)
30V. Mnhyl
Bromtd* (7443-3)
31V. Mtthyl
Chlartd* (74*73)
Pat* M«-«C (•*••)
PAOK V-4
CONTINUE ON PA>.t V5
-------
CONTINUED FROM
PAGE V-4
EPA i.O. NUMBER (copy from Hem t of Form 1) OO rPALL nuMier
1. POLLUTANT
AND CAS
NUMBER
OrmvllmkU)
1. MANN
J. EFFLUENT
4. UNITS
%. INTAKE (option,,1
ITIIT
|N»
•win-
bk
kiawai
C
«. MAXIMUM DAILY VALUK
b-MA^^M^^VVALOt
e.L6^f^
Mf-VALUe
a NO. OF
ANAL*
vscs
1. CONCCN*
TftATION
a LONG
TC9VM
. >i - o«
• > i»
AS*
•¦NT
('1 1 |t) MAII
c#mccmtmatiomI
(•I
• •MCIMTAATIOM
|a) maii
(•)
COMCCMT* AVION
|t) MAll
|l) CONCIN-
|a| MAll
QCim FRACTION - VOLATILE COMPOUNDS (tonMmitd)
23 V. MathylMM
Chloride (78-08-2)
23V. 1.1.2,2-Tatr*-
chloroattiaM
(78-344)
24V. TatrasMora-
•thylMM (127-18-41
28V. TahtwM
(108-88-3)
28V. 1,2-Tr«o»-
DtchtoroMhytan*
(188-80-8)
27V. 1,1.1-Trl-
ehtoroMhwM
(71-88-8)
28V. l,tiW
chkKoxttm*
(78-00-8)
28V. TrhMoro-
MhylMM (794)1-8)
PV. Tfkhloco-
PKIm5
31V. Vinyl
Chtorld* (78-01-4)
OC/Mi FRACTION
— ACID COMPOUNDS
1A. 2-Chlorophano
(88-87-8)
2A. 2,4-DkhlefO-
ptwnol (12083-2)
3 A. 2.4-OlcnMliyl-
phanol (108-87-8)
4A. 4,8-Dlnttm-O-
CfMOl (834-82-1)
8A. 2,4-Dlnltr*-
phwiel (81-28-8)
8A. 2-Nltroph«ool
(88-788)
7 A. 4-Nltreph«nol
(100-02-7)
8A. P Chloro-M-
Crnol (89-BO-7)
9A. P«nt*chtoro-
phwiol (87-88 8)
tOA. Phenol
(108 95 2)
11 A. 2.4.8-Trl-
chtorophanol
(88-082)
PAOF V-R ^INTINIIF nN Rt "l nci
-------
CONTINUED FROM THE FRONT
1. POI.LUTANT
AND CAS
NUMBER
fit MtlaM*;
a MANN •*•
3. EFFLUENT
4. UNITS
9. INTAKE foptt.-
lta«r
mm
mm-
•via*
kMVII
»»«•
c ••*
a. maximum daily valuc
LftJv WALU.
c lonc ws!A«r valu«
a no. or
ANAL-
vies
ft. CONCKN
TIVATION
• LONG
TKNM
«a-
!•) 1 |t| MAM
csmcnvmtmnI
iii
CMICaNIHAtlON
|t) M«M
M
ciiNciNrattioN
l«l
b MAtft
|i | c onc*m
Ta«llON
III MAS*
l
1
l
!
la. AMiilFhrtum
183-32-8)
2B. AMMpktylMi
M, AMtMMIM
(12»I2 7>
41. aanaldtm
Nun M
AntfMMMM
U. ImnM
ffiMlN'M)
71. 3.44MM-
ftllHWKW
noa-aa-s)
a a. (tki)
Pwyfcn*
nai-a«-3)
aa. Mm* (fej
flmmmiwi
1207-oaat
to*. ai»fi-ci>iin
iter) MMMm
nnai-ii
iia. ait (loioro
tmtu eomt
1111-44-4)
mahtr-OM*-
WMBNiWMHI
if
13a. BkfMArl'
— »»
(m-ai-7)
W 4 Biwiw
•Hi wpvyv mvyi
r*HWh«>MMa-7i
laiMMn-
5tz&r
•
17MWM.
SAmSSSSmi
SWJ3T
M. DtMN Ml
MOhmm
(S3-TO-9)
Ma. 1.2-Okhtoro-
bMtiWM (aa-flO-11
ait. 1>DNM*ra-
>muh (M1-73-1
PAOE V4 CONTINUE ON Pi
9A Pmm MW-X (•-••)
-------
CONTINUED FRO
*
>
Ul
!
S
1. POLLUTANT
AND CAS
NUMBER
lit •Mflafcl rj
I MANN -M-
J. EFFLUENT
4. UNITS
5 INTAKE ft"!'"
ft n if
iNg
•um<
tn •••
LllVtl
• INT
C M-
S. MAXIMUM DAILY VALUK
"•MAX,W
bNfjV VALU"
eL™8%
yyj?.VALut
j NO OF
ANAL
vscs
1 CONCCN
IMATION
It MASS
• CONG
m
a
£
i
*•-
MNt
1 • 1 I fa|
CONttMYnaTtOMl
CONCtMtNAVION
|»| M«tt
1*1
COMCINfa Af |UM
I'l •*•%%
M « *>—¦.*«
IMA (lUN
|<| MAR*
OC/Mi FRACTION - BASE/NEUTRAL COMPOUNDS (conUnu*d>
22 B 1,4-Dlchloro-
baniwM (106 4fl.7
23B. 3.?.Dtchk>ro
bwuMIn*
(¦1-94-1)
248. Diethyl
PhtfMiM*
(B4-BB-2)
261. Ofanathyl
Phthalm
Mt. BUIiutyl
PhthaM*
(84-74-3)
371.2,4-OlnHr»-
takMiM 1131*14-2)
Mi. 3,8-OlnHro-
Mhm (808-20-3)
MOM-iMri
11T44«)
M. 1,3-OlptMnyl-
¦tfncbw (m Amo-
IIMM) (133-M-7
bk. Muownlnni
NMM)
IBB. PkMran*
nti-M-n
WHw
m-mit
388. MwrtW*
3M.
itfMM (87-72-1)
1
371. Indww
(1,1M) Pftam
diiiMi
3II. Iwptioran*.
I7««a-i)
39B. NaphttMtMM
(•1-20-3)
40B. NKrob*nt«n»
(BB SS 3)
41B. N NItro-
•odlnMthylwnln*
(82 75 91
42B. N NItrotodl
N-Propylamine
(•2144 7)
EPA Form 351BJC (•-•0)
-------
comumrno mom thi wowt
I. POLLUTANT
AND CAS
NUMICII
«. MAUN
Itllf
.M«ll
Ml*
A. MAXIMUM DAILY VALUK
t—CtWTMHtWl
|«| MAM
b. HAXIR
». EFFLUENT
c—ciwTian»w
/ga-grnniniTii • if v* v< ^ mm i
|»| MAS*
1*1
III M«||
<1 NO.or
ANAL
VtKS
4. UNITS
«. CONCKN
T9VATION
». INTAKE (optu-
• LONG TtRM
AWAAOf WALtil
(• | (ONCIM
tonow
|*| MAII
OCMB PWACTtON - BAlMltUTWAL COMPOUNOB
hmi«
4H.rmM
IliMM)
w.u,4-m
ij
ip.
ST.MHC
I3IM44I
(St
•P.I-CHC
laiMMi
|m«mi
¦p. m,«m
•P. 4.0-OOO
(T2-S44)
•711
IIP.
niu
ijp. M
UP. IntfMwM
•uKata
omi-cw
14P. Cndrki
(72 2M)
1W. Endrtn
AMOiydi
(743
lap. Haptachlor
I7S-444)
EPA rtm Mtft-IC (»-••)
CONTINUE ON Pai .L Vfl
-------
CONTINUED FROM PAGE V4
km i.O. NUMKR (copy from turn 1 of Form I)
1 1. POLLUTANT
1 AND CAS
1 NUMBER
1 (if motUtakUt
1 S. MAUN *•
| S. EFFLUENT
4. UNITS
5. INTAKE '
¦1.
KUtT
r ••••
•VNC
Lmvii
|c
a no or
ANAL
vscs
1. CONCEN-
TRATION
b. MAM
• LONC
AVIRAC
TERM
IVALUl
I-
AX,
M
CMCtHTMAflM
|t| MASS
I'l
CSMClMTMIflSN
|«| MASS
CSNCMVIIATIM
(il MASS
|«| (ONCIN
VMAtlBN
|l| M All
IdC/Mi PRACTMN — PB
moots
nttwW)
17P. Haptachtor
E pax Ma
(t03447-3)
HP. fCB-124>
(¦MM-ai-U
tap. PCB-1M4
(11M7-W-1)
MP. pcb-iwi
(11104-aaai
zip. ru-iia
I1114MH)
MP. KI-1M
(ixn-iMi
2 IP. PCft-IMO
(110M424)
i4P.PC*-1«1«
(12*74-11-2)
HP. Twpln
tawi-aut
EPA rm llll-K (»-«0)
-------
ITEM V ICONTINUED FROM FRONT
1. POLLUT-
X. MARK 'X'
3. EFFLUENT
4. UNITS
S. INTAKE (optionst)
ANT AND
CAS NO.
WamllaMcJ
a. at*
LltWtC
b.
LIIVI O
1, MAXIMUM OAtUV VAtUK
b. MAX,MH*k2i!sftJ.v VALUI
UfmvwmMeT'
d. NO.OF
ANAL-
YSES
1. COMCCN-
i
*
<
kVXtt,*
s. No.or
ANAL
VSKS
• INT
•¦Nt
(•1
CONCI«lt»«flM
|») MASS
(•)
COMCCNTftATtOM
(t| MASS
(•1
eOHCtNTRATION
|») MASS
TKATION
(-1
CONCCNTftATIOM
|t) MASS
f. NUroian.
Total Orfanlc
(mN)
h. Oil and
Qrtan
1. Phe*»hef«e
(m W, Total
(7723 14-0)
|. Radioactivity
(1) Alpha.
Total
(J) Bra.
Total
13) Radium,
Total
(4) Radium
226. Total
k. Sulfate
(m SO4I
(148O0 7*-!)
LSuNMa
im8i
m. Sutf lt«
(rnSOj)
(142M46-3)
n. Surfactant!
0. Aluminum,
Tout
(742S-SOS)
p. Barium.
Total
(7440-3S-3I
% Soron.
Total
(7440-42-t)
r. Cobalt.
Total
(7440-4B-4)
a. Iron, Total
(743MS-S)
t. MasnoMum,
Total
(743SM-4)
a, Molyfedanvm,
Total
(743SM-7)
«. Manfanoaa,
Total
(743S-M-S)
w. Tin, Total
(7440-314)
x. Titanium.
Total
|7440-3a-S)
EPA Form OT10-2C (Rov. 2-SS) PAOC»V-l CONTINUE ON PAGE V
-------
CONTINUED FROM PAGE 3 Of FORM K
CI>A I.D. NUMHN (ropy from tltm I of Form iHou
FormApprmtmd.
OMB No 2O40-0OM
A&mnMl tip&ii 7-31-98
PART C - If rou are a primary industry and this outfall contain* process wastewater, rafar to Table 2c-2 in tha instructions to determine which of the GC/MS fractions you must tast for. Mark "X" In eoluitin
2 a for all such GC/MS fractions that apply to your industry and for ALL toxic metals, cyanides, and total phenols. If you ere not required to merk column 2-a (itcondtry irxiuttritt. nwwKHi
wastewater outfalls. »ndnonrequirtd GC/MS tractions}, mark "X" in column 2-b for eech pollutant you know or have reason to believe is present. Mark "X" In column J-c for each pollutant you
believe is absent. If you mark column 2a for any pollutant, you must provide the results of et least one analysis for that pollutant. If you mark column 2b for any pollutant, you must provide the results
of at least one enelysis for that pollutant if you know or have reason to believe H will be discharged in concentrations of 10 ppb or greater. If you mark column 2b for acrolein, acrylonHrilo, 2,4
dinitrophenol, or 2-methyt-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 dischorde in
concentrations of 100 ppb or greeter. Otherwise. for pollutsnts for which you mark column 2b. you must either submit at lea stone ana lysis or briefly describe the ree eons the pollutant is expected to
be discharged. Note that there are 7 peges to this pert please review each carefully. Complete one table (all 7 pfs) for each outfall. See instructions for additional details and requirements.
1. POLLUTANT
AND CAS
NUMBER
(IfmmlUblr)
I. MARK 'X'
3. EFFLUENT
4. UNITS
S. INTAKE (opHtm&l)
ftTIIT
IMA
AC
•Ulff*
—ftfl
fat
L1«V«C
r»v>
• ¦NT
c
•. MAXIMUM DAILY VALUE
b. MAXI&JJJMM
m?VALU'
lLONO WJSAM? V*LU'
d. NO.OF
ANAL-
YSES
1. CONCEN-
TRATION
b. MASS
•. LONC
AVERAO
1 TERM
EVALUE
b. NO. OP
ANAL*
YSES
•KNf
C« 1
CONCINTNAflON
|*| MAII
M
eOMINTRATION
||| MAM
(•I
C9MCRWTIV ATfOM
|a| mam
(l| CONCIN-
TAATION
|t) MAH
METALS, CYANID
Er ANI
3 TOTi
MPHENOLS
1M. Antimony,
Total (7440-36-0)
2M. Arsanlc, Total
(7440-38*21
3M. BeryMkim,
Total. 7440-41-7)
4M. Cadmium,
Total (7440-43-9)
SM. Chromium,
Total (7440-47-3)
IM. Caspar. TaM
(7440-1641
7M.taatf.TaMl
(74MH-1)
¦M. Mercury, Total
(7439-97-6)
9M. Nickel, Total
(7440-02 0)
tOM. Selenium,
Total (7782-49-2)
11M. Silver, Total
(7440-22-4)
12M. Thallium,
Total (7440-28-0)
13M. Zinc, Total
(7440 66-6)
14M. Cyanide,
Total (57-12-5)
IBM. Phenol
Total
DIOXIN
2,3,7.BTatr»-
cMorodlbanto-P-
Dtoxln (1764016)
EPA Form 3S10-2C (Rev. 2-86)
CONTINUE ON REVERSE
-------
CONTINUED FROM THE FRONT
1. POLLUTANT
J. MARK '*•
s. effluent
4. UNITS
B. INTAKE (option*!!
AND CAS,
NUMBER
(Ifmvilmblr)
ITI1V
w«
*1 •
•urn-
Kfi..
t&
ilivia
• INT
e.
1. MAXIMUM DAILY VALUE
bMfcx,r»wa.Rs»vwA,-ot
eLOHOT^
d no.or
ANAL*
VSCI
1. CONCKM*
TRATION
b. no.Of
ANAL-
VISI
••NT
M
CONCCMttATION
(t| MA 1ft
M
CMCINTNAfMN
It) *•••
(.)
eONCtNTRAflOO
|«| MA|I
bk MASS
ft| CONCtN*
VNAflM
It) maii
OC/MS FRACTION - VOLATILE COMPOUNDS
IV. ActoMn
(107 02*1
2V. Acrylonltrlte
(107-13-1)
3V. Iwkm
(71-43-31
4V. Bfe (Chloro-
methyl) Ettwr
(B42-B8-1)
BV. Bromoform
(7B-2B-2)
BV. Cwbon
TMncMotMi
(B8-23-B)
7V. CMonMnim
(108*0-7)
BV. Chlorodl-
(124-48-11
•V. CtltarMttMM
(78-00-3)
10V. 2-CtilOT-
Mhytirlnvl EtlMr
(110-7B-B)
11V. CMwotmii
(07-60-3)
12V. OMitor*
(71-27-4)
13V. OWitoro-
(7B-71-B)
14V. 1.1-OWilor*-
MtMna (78-34-3)
1BV. 1,2-DlcMor*-
Mtwm (107-0*41
fSV. 1.1-DtehlOfO-
MtiylWM (7B 36-4)
17V. 1.2-Dktilore-
propan* (78-87-B)
1(V. 1 J-OHNm-
1BV. EthyllMftMm
(100-41-4)
20V. Mathyl
Bromkt* (74-838)
21V. Mtthyl
Chlorkta (74-87 3)
EPA Form 3B10-2C (Raw. 2-W) PAGE V-4 CONTINUE ONPAQE V-«
Form Aooffitml
-------
CONTINUED FROM PAGE V-4
e*a l.o. Numacn (copy from item 1 of Form 1) ou rrACL number
OMB No. 2040-009$
Appro¥»t 9*ptT9S 7 3t *8
1. POLLUTANT
AND CAS
NUMBER
| I. MARK 'X'
1. EFFLUENT
4. UNITS
9. INTAKE (option*!)
KTCtvJ h tl-
1 IN6 llltvta
Ic
1. MAXIMUM DAILY VALUE
b"A,u")O.M.rvAtu<
eLO"OT».Ve?VALU«
d HO.OF
ANAL-
YSES
•. CONCEN-
TRATION
b. MASS
a. LONC
» TERM
bNO.OP
ANAL-
YSES
(if avmilmblrt 1 ."*¦< 1 SiSi
1 H 1
UNT
CONI«W..,IOnI IO-»«
10
CONCBNT* AVION
(a) ham
(•I
||| M«||
(l) CONCIN>
|a| MASS
GC/MS FRACTION
- vo
LATIL
E COMPOUNDS (continued)
23V. Mtthyten*
Chlertd* (76-09-2)
23V. 1,1,2,2-Tatra-
chk»o«th*n«
(79 34-5)
24V. Tatrachloro-
athylan* (127-18-4)
2BV. Tohiww
(108-88-3)
26V. 1,2-TrMW-
OtchHwoMhylMW
I1B8-60-B)
27V. 1.1.1-Trl-
chtoroMhan*
(71-55-8)
28V. 1,1.2-Trl-
chtoroathww
179-00-B)
29V. Trlehlero-
•thyton* (79-01-9)
9°V. Trkhlatv-
IhlOfQfllSlhlfN
(75-89-4)
31V. Vinyl
Chlorid* (78*01-4)
OC/MS FRACTION - ACID COMPOUNDS
1A. 2-ChloroptMno
(98-57*8)
2A. 2.4-0khlOfO
phtnol (120-83-2)
3A. 2,4-Otnwthyl-
phanol (10S-87-9)
4A. 4.8-OlnHro-O-
CrMol (834-82 1)
BA. 2,4-Dlnllro-
phtnol IB 1-28-51
6A. 2-Nltroph«nol
(88 78 8)
7A. 4-Nltroptwnol
(100-02-7)
8A. P-Chloro-M-
Crnol (59 50-7)
9A. Pantachloro-
phanol (87 86-5)
10A. Phenol
(108 98 2)
11 A. a.4.9-Trl-
ehtoroplwnol
188-06-2)
-------
MMIlNUfcU ft-HUM THE FRONT
1. POLLUTANT
1. MARK -M- ]
9. CFFLUENT |
4. UNITS |
AND CAS
NUMBER
»»•»»!
m+
•EH
hi •«-
kltvll
Mf
• *««V
c
^¦rm-ci-ni-TTa-nrrinit-Kin '
d no. or
ANAL"
VSII
* CONCIM*
THATION
AvcVia
TC*M
C VALUK
b. NO.or
ANAL*
VIM
At*
M
|t|
1*1
CtNCINfRAftM
|f| Mill
|f 9 CMClN-
TRAflM
|«| MAtl
|
I
S
1
l
mum)
as. Mwwimiiiw
(20B-M4)
MAMtaNM
(120-12-7)
4a. BliiiliWiH
(•2-S7-C) .
IHwn W
IIUMI
WLSmmM
r »i«w itmii
7a. x«-iw»»
IMM-aa-ai
*
¦B. mm (iMJ
Nnrlm
(lfl-24-2)
1
I
•B. Bin W
FlywiiiHiH
(20708-t)
IN. Bti (I-CMotv-
itatil
(111-01-1)
tit. ad a-chimrv
Mthyt) Etfwr
(t 11-44-4)
HB.«fcgCTteXM
isa. ah rt-CMyi-
ktxyl) PtntwIiM
M17-81-7)
1«a. «-Bram*-
pfcanyl Ptwnyl
Ettwr (101-60-9)
IBB. Butyl (mil
ptittiMM ias-aa-7
-J
isa. 2-CMwe-
•Nphttwlan*
(B1M-7)
17B. 4
-------
CONTINUED PRO
MPAQEV4
Firm Appfwfd.
0MB Nc 2040-008$
Approvt ixpkig 7-3149
1. POLLUTANT
AND CAS
NUMBER
(it DalUbtr)
1. MARK '*•
9. EFFLUENT
4. UNITS
S. INTAKE (optUmit) 1
IT«>V
HM
•UIM*
h,
LltVII
•INT
C. •*-
f'pu,
d no.or
ANAL*
VMS
1, CONCEN-
TRATION
b. MAM
a. LONC
avcnaa
I TKVtM
EVALUI
b. Ho.or
ANAL-
VIM
MM?
conciL'tkatiomI 1*1M>a*
to
|») MMI
M
(¦I MAM
Jl| C4NCIN-
TtATION
|»| MAM
|OC/MS FRACTION - BASE/NEUTRAL COMPOUNDS
*
•
i
1
228. 1,4-Okhloro-
banian* ( 108-48-7
23B. 3,T-Dlehtof»
banxldlna
(•1-94-1)
2«B. Otothyl
Phthaton
(•4-88-2)
28 B. Dimethyl
wniwim
(131-11-3)
28B. Dl-N-Butyl
WlUialala
(84-74-2)
J7B. 3,4-OMM-
totuana (131-14-3)
288. 2,8-DMtro-
toKMM (808-2O-2)
MB. Dl-N-Oclyl
nitMM
(117-B4-0)
SOB. 1,2-Olphaoyt-
hydmlna fm Aio-
tnuiM) (111 88 7
SIB. PKMfMthWW
(208-44-0)
328. Fhieran*
(••-73-7)
(11II.T4.1»
348. Haxa-
ctilerobutadtaM
(•7-68-3)
3BB. Hmachloro-
cyclopantadtana
(77-47-4)
388.IKnachtoro-
athana (87-72-1)
37B. Indano
(l,t,3
-------
cownmutp prom thk pwont
1. POLLUTANT
AND CAS
NUMKR
»f ¦».»¦> trl
f. MARK •*' |
9. CrFLUCNT |
4. UNITS |
k«1
•ssr-i
b ¦«-
LttVII
••NT
c
^•n:tn.rni:nTnfT1,nM:i.1M.l:.»vi.i n-y.ivi «
«t ho.or
ANAL'
VUI
•. CONCEN-
TRATION
> 'Aao
1Wl"u.
bi MO. OP
ANAL-
YSIS
At»]
t«MCtNTMTMIil ***••
l
THAVIM
|»| KM!
OCAM FRACTION
— MM/NEUTRAL COMPOUNDS
OB. N-wty-
HMM)
1
(IMI4I
'
<
HI. fww
uw-oo-oi
4li. U.4 • trt-
|iao«a-i)
loc/M fraction - Ktnaoca
,
IP. AMrin
(*8-0*2)
2P.O-BHC
II1H44I
3P.0-BHC
OIMB-7)
4P.TBMC
WMMI
i
BP.S-BHC
IIIHMI
V.CklMlN
(S7-74-BI
ir.4,rooT
ibmb-4)
if.4,rDH
(72-BB-B)
BP. 4.4-DOO
I73-B4«)
IBP. DtoMrln
(BM7-1I
IIP. O-lndMulfan
(11B-3B-7)
13P. A-BntMulfan
I11B-3B-7)
13P. EnrfMulfan
SuHm
<1<»1-07-S>
14P. EiNfrtn
(72-204)
1
IBP. Endrln
AhMiyd*
(7421-M4)
IBP. Htptachler
(7B-444)
EPA Perm 3B10-2C {*•». 2-*B) PAOK V-«
-------
CONTINUED PROW
IPAOSV-S
III
|5
lit
1. POLLUTANT
AND CAS
NUMBER
W«w
-------
p%mm print or typ« in tha utwhadad trmt only.
EPA I.O. MUMaKRlcory from item I mfform J)
r tW 1*1 M^ipi Mlfy.
OM9 NoTOKXXMB
Ajprmti mMptm 7-31-4S
6EPA
U.I. INVIMNMINTAL PWOTKCTIOK »«IKCY
APPLICATION FOR PERMIT TV DISCHARGE WASTCWATBR
EXISTING MANUFACTURINQ, COMMERCIAL, MINING AND SILVICULTURAL OPERATIONS
Caruolidmd fitrmftt Program
t. OUTFALL LOCATION
Per aach outfall. lir: tha latiiuda and longltudt of In location to thr naaratl 15 aacondi wd th« nam* of tha racaiying mui.
k. OUTf ALL"
NvMBKR
mm
m. I.ATITUDK
C. LONOITUDK
a.
ft. MM.
1. BBC.
i. aBB<
a> him.
ft. ue.
It PLOWS, SOURCE! OF POLLUTION, AND TREATMENT TECHNOLOGIES.
A. Attach a lina drawing ahowing tha will flow through ttM facility. Indian* aourcat of Intak* Mm, operations contributing wa«taw«lar to tha affluani,
and uaamiam unitt labalad to eorratpond to the mora datailad daacriptloru In ham B. Construct a —tar halanoa on ttx Una drawing by ihowing ayaragi
flowl ba twain intikn, operations, traatmant unitt, and outfalii. if a matar balanea cannot ba datarminad tkf.. for eum'n mining actfilitim), provide a
pictorial rtwcriptioo of the natura and amount of any aoureaa of mater and any col (action or treatment meaauras.
B. For eech outfall, provide ¦ daacription of: (11 All oparationt contributing weatewetar to ttM effluent, including proeaa waatawatar, aanitary maitewatar,
cooling matar, and norm matar runoff; (21 The iwrigi flow contributed by aach oparation; and (31 The traatmant raoalvad by tha maewmatar. Continu*
on additional tfteets if nauawiry.
I.OUT-
MLLH9
(UtU
t. OPCRATiON(l) CONTRIBUTINO FLOW
I. TRCATMINT
•. OPERATION (lUt)
b. AVKMAOI FLOW
(includ* unitt)
1, DiimmoN
t». LIST CODES FROM
~ABLI 1C-I
EPA form JB10-2C (Rev. 2-MI
PAGE 1 OF 4
CONTINUE ON REVERSE,
-------
riWUED FWOM THE FWONT
. Except for norm runoff, toaki, or ara any of t*M
{coinplalrtkaiMtewfciy Mbj~ '
in i
ll-A or B Intarmlttarrt or mmmI?
_—. . j~|io (to 10 IwBoii IU1
I. OUTFALL
, NUMBER
- fUtt)
t. operation/*,/
CONTRIBUTING FLOW
a. FREQUENCY
«. OAV«
m w«ik
(•Htlfy
iMKItl
D. MONTHS
ran viaii
4. FLOW
. FLOW RATI
fin mfd)
. rtNB I, MAIHty
««•««•! MliV
II TOTAL. VOkUMI
hyctfy with unim
. van* TIAM
AVIIMB
I. MAIIHU
•AflT
c Dun-
ATION
(it 4*y»)
Ml. PRODUCTION
A. Dote an effluent guideline limitation promulgated by EPA under Section 304 ol the Qe»n Weter Act apply to your facility?
Pivil fcomplete Stem TJI-B) i~lxo (to to Bmctioti IVI
B. Art the I Imitations In tha appiiiBtjIt aff lutnt fukteUne
rivii JUm lil-C)
IniMTwofprDduction (or oth#r mmmrrw of opera flonj?
~ no (to to Section IV)
C. ffyouanewared "yes"tottamlll-B,ltattheqtiarttitY whtchrepreeemaanactual maeeuramentofyourfaveJ of production, e*preeead in the termsand untu
uaad in tha applicable affluent guideline, and indicate tha affected outtella.
a. m*Amrrrr *mm mv
1. AVERAGE DAILY WI00UCT10N
fe. VMft •# MIAMRI
(vctfy)
t. AFFKCTKD
OUTFALLS
(U*t outfall mmWii
tV. IMPROVEMENTS^
A. Ara you now required by any Federel, State or local authority to matt eny implementation schedule for the construction, upgrading or opt ration of watta-
weter treetment equipment or practical or any othtr environmental program* which may affect tha diecherges described in this application? Thii include*,
but H not limited to, permit conditions, odministratH* or enforcement orders, enforcement complience schedule letteri, stipulations, coun ordtn, end grant
or loan eondrttom- (eomptot* tfc# foUowini t*M*> Qno fto to ifm IV-Mi
. latnTincATioN or condition,
aohiimknt* ktc.
l affbctko putpauj
mm. k mvmi mm \
a. aaiir ocMairnoN of poojoct
JUM.
OPTIONAL: You may attach additional lh«ttl dncribing any additional watar pollution control programs lor other tnwiroormnul pro/tcti which miy tUtet
your duchmrjai} you now hava undanway or which you plan. Indicata whathar aach program it now undarway or plannad, and indicate your actual or
plannad Kli+Julai for on mi union. nman -k" if pbscwiptioh of apbitiowal cowthol wotnami la attached
CM Form U10-2C (ftov. 2-M)
PACE 2 OF 4
CONTINUE ON PACE 3
-------
CONTINUED FROM PAGE 2
QMBHc. 3040-tlQie
Afmlm&nt 7-tl-M
EPA uo. NUMaKflCrapy from Itrm 1 ofFotm 7)
V. INTAKE ANO EFFLUENT CHARACTERISTICS
A. B, ii C: aaa Hwtruction* baton procaadina — Gompiata oo» at of tririat for aaoh outfall — Annotate lha outfall numtMr
NOTE: Tablai V-A, V-6, and V-C am taadixM on Mparata rfiaati numtoafad V-1 through V-9
raainn to faaliaw k ditch«rgad or may ba
and rapon mv analytical data In your
to lift any of ttia pottutanti I Mad in TaMa 2o-3 of tha inatructiom. Mhkfi you know or
any outfall. For awry pollutant you Un. brtafly dawrfca tha nawni you baliai* It to ba
Adianad from
VL POTENTIAL DISCHARGES NOT COVERED IV ANALYSIS
l» any pollutant Itatad m ham V-Ca autoaiancaor a oompooaraof aautoatanca whichyoucurramiy uaaor
byproduct?
actura aa an intarmadiata or 1 mal product or
~ **» (tut illnrtpaUilaiia below J
I I wo two to Item VI-MJ
EPA Form 3B10-2C(Rov.2-a» PACE 1 or 4 CONTINUE ON REVERSE
t
-------
CONTINUED FROM THE FRONT
VII. IIOLOOICAL TOXICITY TEgTING DATA
Da you h«M any knotwMgt or ia—111 to ballava that any biological «Mt lor mil or shrunk toxicity hat boon mad* on any of your ditchargtt or on a
¦tar In raiaUon to your diacfcarga aHMn Mm tm J ywif
pTM (Ulnar* the *—<(•) mmd daacWW the* purposes Wlo»;
~no cfo to iitWwi vm>
VIII CONTRACT ANALYSIS INFORMATION:
Waia any of tha analym rapoctad in I tarn v parformad by a contract laboratory or consulting firm?
~*1* (Ust the Hw, artmi and MwkoM mnWraf! id jolliit—h
m—lymed ky. «ach weft Monlonr or Ann Moi»j
n NO ffo to i«Ma> IX;
C. YCLKPMONK
(arra coda * noj
D. POLLUI
LVHb
¦. AODRKtft
JML.
IX. CERTIFICATION
/ certify under penehy of taw the! this document end aH attachments warm prepared under my fraction or supervision in accordance with a system designed to
assure that quel'riiedpmrs ortneiproperty gather and era!net e the information submitted. Bated on my inquiry of the person or persons who manage the system or
those persons directfyresponsMe for gmtiieting the information, the Wwiwwi submitted is. ro the best of my knowledge end belief, trua. accurate, andcompieto-
I am aware that there era significant pane/ties for submitting febe intarmatian, including the possibility of tine and imprisonment tor knowing violations.
m. PHONE no. faraa roar t no.)
O. DATS SIGNED
EPA Form 3S10-2C (Raw. 2-M)
-------
PLEASE PRINT OR TYPE IN THE UNSHAOED AREAS ONLY. You may report tome or all ol
thit information on separate thetti (ut* tht ttme format) initead ol completiny these pages.
SEE INSTRUCTIONS
CPA l.o. NUMBER (copy from Htm I uf Fortn I)
Form Apprmtd
OMB No 2000 0059
Approval exptrts t2-3t
V. INTAKE AND EFFLUENT CHARACTERISTICS Icontinued from ptyc 3 of Form 2 C)
PART A • You must provide the results of at least one analysis for every pollutant in Ihis laldt*. Complete one table lor each outfall. See instructions for additional details.
1. pollutant
2. EFFLUENT
3. UNITS
(specify if blank)
4. INTAKE /••iHiimal/
a. MAXIMUM DAILY VALUE
«,. "ak.mMX, value
C.LONC T^RM AVRG. VALUE
fif avouuot*)
d. NO. OF
ANALYSES
bk NO. OF
ANALYSES
a.CONCEN-
TRATION
Ix MASS
A V £ HAG
E VAI.Ufc'
<0
CONCfcNTIATIOM
(ff) MAII
1*1
CONCiNTHAIION
(l) MAII
M
CONCt '« 1 M A fluN
(*J MA*«.
(•1
C PMC 1 Mm AVION
|t| MAV*
•i Biochamictl
Oav9«n Da. Ch*mica>
OftVQsn Damand
iCOOt
c. Total Organic
Carbon (TOCf
ri Total SM
VALUE
VALUI.
VALUE
y. Tatnparatura
ft. i
VALUE
°c
h Tamparatura
(guiHhttrf
VALUf
°c
i, pH
MINIMUM
MAXIMUM
MINIMUM
MAXIMUM
STANDARD UNITS
PART B - Mwlt "X" In column 2-a for each pollutant you know or have reaion to boliava it present. Mark "X" in column 2-to for each pollutant you believe to bo abtant. If you mark column 2a for any pollutant
which la limited either diractly. or indiractly but axpratsly. in an atffuant limitation! guideline. you mutt provide the ratulta ol at loast ona analysis for that pollutant. For othar pollutants for which you mark
column 2a, you mutt provtda quantitative data or an explanation of their pre tenet) in your discharge. Complete ona labia for each outfall. Saa the instruction* for additional details and raquiramanta.
I. POLLUT-
ANT AND
CAS NO.
(ifmrnOMtt
1. MARK 'X
3. EFFLUENT
b. MAX.^Ml^ftAVVAlui
C.LONG
WlBlMf
.VALUE
4. UNITS
3. INTAKE (optional}
•. LONG TERM '
AVERAGE VALUE
uavii
#»»«•
• KMT
b. l _
a. Bromida
(2495967-9)
l>. Chloiint,
Total Ratidual
I, MAXIMUM DAILY VALUE
n—
cucawTwoTiow
|>| MAII
R
CbWCkWTHAtlOII
|t| MAIt
rr
COWCk WTWAtlON
(a) hah
<1 NO. OF
ANAL-
YSES
a. CONCKN
- NATION
b. MASS
TT
CONCENTRATION
MAII
ix no. or
ANAL'
VSBS
C. Colo*
J. Facal
Cotiform
•. Ffuorkfa
(16904-48 8)
t. Nitnit-
Nltrit* N)
EPA Form 3S10-2C (Row. 2-M|
PAGE V-l
CONTINUE ON REVERSE
-------
ITEM V-B CONTINUED FROM FRONT
1. POLLUT-
ANT AND
CAS NO.
(IfmnUablt)
a. ma
ftK 'X'
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
a.
lllVtf
FRI*
• INT
b. •••
LIIVID
*•-
• CRT
1. MAXIMUM DAILY VALUE
0MA*"MZ2
tafr"11"
tLONCW£AM?VALU«
d. NO.OF
ANAL*
vses
1. CONCKN*
TWATION
bi MAM
kV/Wot
X NO.OF
ANAL-
YSES
CONCINTNATION
(«| M*ll
10
CONCCNTRAttON
If) MAft
CtNCKRTRATIOR
|*| oaAtt
m
ft) MMI
¦. Nltrooan,
Total Oraanlc
h. oil and
Qraaaa
L rhMdienii
(m H. Total
(7723-14-01
RadtooetMty
(1) Alpha, .
Total
(2) Rata.
Total
(9) Radium.
Total
(4) Radium
226, Total
luSuiraM
(m B04)
(14000 79-0)
LOuHMa
m. tainta
(m SOj)
(14266-46-3)
n. •urfatMMi
a. Aluminum,
Total
(7429-004)
p. OarMm,
Total
(744O-30-J)
«. Boron,
Total
(7440-424)
r. Cobalt,
Total
(7440-40-4)
n Iron, Total
(7430-09-6)
tMaonwIum,
Total
(7439-06-4)
u. MolyManum,
Total
(7439-90-7)
v> Man|aMN^
Total
(7439 96-6)
•r. Tin. Total
(7440.316)
x. Titanium,
Total
(7440-32-0)
-------
r . »?
CONTINUED FROM PAQi3 Of FOHM 3-C
¦pa i.o. NUMBER (copy from lltm | of Form 1)
OUTFALL NUMIIR
0M9N9.2040-00$$
Afiprovl 9npin$ 7-31 -$$
PART C - If you ara ¦ primary (nduiiryi rxJtti l« outfall contains procass waitawalar, rafar toTabla2c*2 inthainstructiont to datarminewtikch of tha GC/MS fraction* you muat tact for. M«rk"X" ih column
2-a for all such GC/MS fractions thai apply lo your industry and for ALL toxic matali. cyanidM. and total phanols. H you ara not raquirad to mark column 2-a (secondary Industrie*, nenprocin
wastawatar outfaitt. andnonraqukad GC/MS fraction*), mark "X" in column 2-b for each pollutant you know or hava raaton to baliave I* prssant. Mark "X" In column 2-c for aach pollutant you
baliava is abaant If you mark column 2a for any poilutam. you must provida tha rasults of at laast ona analysis for that pollutant. If you mark column 2bforsny pollutant, you must providatharasults
of at laaat ona analysis for that pollutant if you know or hava rsason to baliava It will ba discharged In concantrations of 10 ppb or grtatar. If you mark column 2b for scrotal n. acrylonitrlla, 2,4
dlnHrophanol. or 2-mathyM,6 dinitrcphanol. you must provida tha rasults of at laast ona analysis for aach of thasa pollutants which you know or hava raason to baliava that you dischsrgs in
concantrations of 100 ppb or graatar. Otharwisa, for pollutants for which you mark column 2b, you must sithar submit at laast ona analysis or briafty dascriba tha raasons tha pollutant is axpactsd to
ba dischargad. Nota that thara ara 7 pagas to this part; pieaaa raviaw aach carahitty. Complata ona labia (all 7 pagaa) for aach outfall. Saa instructions for additional datails and raquiramants.
I. POLLUTANT
AND CAS
NUMBER
(If—UmUt)
f. MASK 'X'
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
Irur
IM
•uw
LIKVBl
*£¦-
MNf
c ¦«•
a. MAXIMUM DAILY VALUE
b. MAXIMUM 1
j^vvalu.
tLONBWl!k/WB?WA,-u«
d Ho.or
ANAL-
YSES
1. CONCEN-
TRATION
kl MASS
I, LONC
AVKRAQ
1 TIRM
KVALUK
bi NO.OP
ANAL-
YSIS
ISM?
(•I
CVMINTRATIW
(¦I "Ml
(•)
CMC«NT»«TIM
(•| MAM
10
CMeiNTRATION
|t| MAM
(«| CONCIN>
TNATIM
|t) MAM
METALS. CYANtOC. AND TOTAL PHENOLS
IM. Antimony.
Total (7440-30-0)
IM. A riant*. Total
(7440-30-3)
3M. Vary Mum,
Total. 7440-41-7)
4M. Cadmium.
Tata! (7440-43-0)
•M. Chromium,
Total 1744047-31
(M4M&4I
MMM
(N»tt-1)
•M. Marmry, Total
(7430-07-4)
OM. Nlaliai, Total
(7440-01-0)
10M. Satan lum.
Total (7703-403)
11M. Olfcar, Total
(7440-32*4)
13M. Thallium,
Total (7440-30*0)
13M. Zinc, Total
(7440-6M)
14M. CyanMa,
Total (67-13-8)
ISM. Phanol*.
Total
DIOXIN
3.3.7,8 Tatra-
chlorodlbanio-P*
OiOMln (1764-01-6)
EPA Form 3B10-2C (Raw. 2-S8) PAGE V-J CONTINUE ON REVERSE
-------
COWTWfUtO FHOW THg FRONT
I. POLLUTANT
AND CAS
NUMBER
(IfmmtUbtep
ft. MAUN 'X*
b Bl<
mit Lttvai
MI*
•BHT
e. ¦«•
i. effluent
ft. MAXIMUM DAILY VALUC
M
fHtrnomiil
OOM FRACTION - VOLATILE CONFOUND*
|«| MAM
01
CilW»ITi»»W>
|t| Mail
M
C»NC«WTAAf ON
(l| MAM
A No.or
ANAL*
VtKI
4; UNITS
ft. CONCEN-
TRATION
tfc MAM
%. INTAKE (optkm*)
•. LONQ
AVIBAQ
(f) comcs**-
TWAflU
. TCMM
I VALU1-
|t) MM!
bNO.OP
ANAL'
Vllt
IV. AOftliln
<107-«-t)
3V. Acrytwiftrl*
<107-13-1)
9V • ftlANAt
(71-43-2)
4V. BlefCNw.
Ruiyli Ithtr
{M3-w-n
Vv •
<7*-»-a>
•V. Carbon
WWW
7V. Chtorat
(1M-C0-7)
•V.CMorodt-
bmiwiwUmw
(124-40-1)
•v.
I7MHI
10V.3-CMOT-
KnVWIIIyl KVM
IIW7M)
11V,
(•7-«»«
iav.1
>mmiiii
-------
CONTINUED FROM FAOF V-4
K*a i.o. Numiin (copy from gum I of Form I) oo rrAcc numkh
OMB No. 2040-000%
Approvol 9Kpiro$ 7-31-9$
I.POLLUTANTl i.i
NAHM
***
S. EFFLUENT
4. UNITS
». intake (opHo—n
NUMBER K'hV*
Of MllikM 1 «**••
1
b
LICVII
»tc>
IIMT
c
a MAXIMUM DAILY VALUI
d wo.or
ANAL*
VtCI
a. CONCKN*
TMATION
fa. MAN
m. LONC
AVMAO
I TINM
b. no.or
ANAL-
VIII
«BWV
C.C.W. 1 !»»•••••
I.I
CMCIHfaATIW
|<| aail
10
CtNCtMTIIATlM
|a| mam
((IctNcaW'
TtATIM
f»| MAM
OC/Mi FRACTION - VOLATILE COMPOUNDS (contin—i)
23V. Mathylwia
ChlarMa (7B-M-2)
23V. 1,1,2.2Tetra-
cMkwiiwh
(7V-34-S)
24V. TMrtcMwr
atfcytana <127-1»-«|
2SV. TllMM
I1W-M3)
MV. U Ttn»
27V. 1,1,1-Trt.
(71-M-4I
My. I.M-Trt-
|7MM|
2*V. TrtaMar*-
3W. WAhw*
(7S49-4)
J1V. Vbwt
CMhMi (n4t-4|
OCAM FRACTION
-AOOCOMNNMM
1A. a-CTiHnplnm
(M-B7-*)
2A. 2,4-DtlMara-
•banal (12M3-2)
JA. 2,4-Dbnafhyt-
•MnI (10H7-tl
4A. 4.I-OMM4-
CiMl IS3442-1I
¦A. 1,4.DMM-
pftanal II1H4I
•A. 2-NH»oph«mt
(M-7B-SI
7A. 4-NI>0pl»»Wl
(100-02 7)
¦A. P-Chlara-M-
CrMol ISO BO-71
•A. Pantachlaro-
ptwnal (ST-M-SI
I0A. ntanal
I1M-M-2)
II A. 2.4>Tri.
chtorophanot
IBS 06-21
PAGE V-S CONTINUE ON REV'
-------
CONTINUED FROM THE FRONT
f. POLLUTANT
AND CAS
NUMBER
tit anaflaMr)
t. MARK *•
3. EFFLUENT
4. UNITS
S. INTAKE (optio—t)
ItCIT
IMS
*«~
•VIM-
*¦
Ik • •*
LIIVII
IINT
C
a. MAXIMUM DAILY VAft.UK
p. MAXnjyMli
f.RfjY VAUO«
c WAKOf- VALU«
d no. or
ANAL*
VSIt
1. COMCCN-
THATION
t* MAM
. •- LONC
AVtllAC
1 TK««M
EVALUI
b NO. or
ANAL*
VICI
MNT
1*1 1 (tl MAN
C»NCtNT«ATIO«l! ''
1*1
|t| MBit
(•)
epN€INT««TION
|«| MAM
|lfe CONCIN-
TRATtVN
(a| MM!
OC/MS FRACTION - BASE/NEUTRAL COMPOUNDS
IB. AMMphttWfM
(83-33-91
28. Acanaphtylana
(200-06-8)
38. Anttiracana
(120-13-7)
48. Banxtdlna
(92-87B)
98. Banto fa)
Anthracana
(98-58 3)
•8. Banto fa)
Fyrana (BO-32-8)
78. 3.4-Banxa-
fluoranthana
(30B-99-3)
•8. Banta (1*1)
Parylana
(191-344)
9B. Banna (k)
Fkaoranttiafia
(207-C8-9)
108. 8la fi-CWora-
attocy) Mattiana
(111-91-1)
11B. Blttf-CMor*
tlhyt) Ettwr
(111444)
WNgWWw
13B. Bkn-KMyl-
fcaxyl) Phthalata
(11741-7)
14B. 4-BromO-
phanyl Phanyl
Ethar (101-89-3)
IBB. Butyl Bantyl
Phthalata (99-88-7
188.3-CMbro-
naphttialana
(91-98-7)
17B. 4-ChtorO-
phanyl Phanyl
Ethar (7009-72-3)
IBB. Chryaana
(218 019)
19B. Dlbanto feftj
Anttiracana
(83-70-3)
20B. 1,2-OkhkwO-
bamana (99-90-1)
218. 1.3-Dfchloro-
MflF V.7
EPA Fofrn 3B10-2C (Raw. 2-8B)
PAGE V-t
-------
CONTtNUCD PRO
UPAOEV«
farm
OMBKo.2040
Apprmt axpirt
•00M
»7-3t-9$
1. POLLUTANT
s. mauk 'k»
). EFFLUENT
4. UNITS
3. INTAKE (optio—l)
NUMBER
(It mJfafcfrJ
ftfut
Mt
»«•
•WIN*
K«
h
uavti
raft*
• |MT
c
•. MAXIMUM DAILY VALUK,
b.MAX.^M^fcjrVALU.
C.LONO "ALU*
d no.or
ANAL-
VSKI
•. CONCCN-
TftATION
9. LONG
AVEftAG
TERM
E VALUK
b. mo.OP
ANAL
VIKI
• •NT
1*1 1 ||| mass
CWMtNTNATION]
1-1
CtMCaNf»«f|«N
|s| MM«
1.1
CONCINfKAVI«ll
|«| HMI
b. MASS
|l| CONC«R-
fRATION
|a| m*m
QCAMS FRACTION - BASE/NEUTRAL COMPOUND* remiHMmf'
231.1.4-Dkhtoro-
bMm (10B-4B-7
236. 3.TDkhtOf®
bwuldln*
m-Hii
24B. OtaMiyl
niMiN
(M-M-2)
2SB. Oknattiyl
PhttoalM*
(13M1-3)
aea. Dt-w-Butyt
Witlwtow
•4-74.2)
27B. 2,4-DMtr*-
MKmtm (121-14-2)
ait. udmm-
tadMM (B0B-2O-2)
2BB. pt-N-Octyt
(117444)
30*. 1,2-OMianvt-
hy#r««lw (m Am*
ImnmI (122-44-7
31B. FtmwHtimi
(20*444)
391. FhMM
. CBB-73-71
nia-M-u
L 34B. H»
cMwotaiuMm
3BB. H—«chto«o-
cyc tapamadton*
3SB. HMaehler*.
«htM (67-72-1)
I
37B. Indno
(l.l.Jcd) Pyrara
(1B3-39-B)
3BB. laophoroiM
(78-BB-1)
3BB. Naphthalan*
191-20-3)
40B. Nltrobaniana
(98-H-3)
41B. N-Nltro-
•odlmathylamlna
(62-78-8)
42B. N-Nltrawdl-
N-Propylamine
CONTINUE ON REVERr
-------
XMTINUEO FROM THE FRONT
I. POLLUTANT
AND CAS
NUMBER
(if aumifohtr)
X. MARK 'X'
J. effluent
4. UNITS
3. INTAKE (option*!}
Kfvat
|H6
B('
•IMS-
Lfl
b. •••
LIIVCI
rsi*
tCNt
c ••-
kltVK
1. MAXIMUM DAILY VALUC
bMA,"'}l/?«)YWAtUt
cLONCWMfc?VALOe
d ho of
ANAL*
vscs
•, CONCtN-
TftATtON
U MASS
m. LONC
AVERAG
i TtftM
EVALUC
b. no. or
ANAL
~set
•*N*
I'l
CONCtMfSAflON
|)| MHII
CONCCNTBATION
(#1 MMI
(•) CnNCHN-
fRATIOK
|>| N«n
GC/MS FRACTION - BASE/NEUTRAL COMPOUNDS (continued)
438. N-NItro-
iodlph^nylsmln*
(80*30-6)
44B. f K«n*nthr«n«
<8601-8)
488. Pyrww
(128-00-0)
46B. 1.2,4 . Trl-
chtorobwuwM
(12082-1)
OC/MS FRACTION - PESTICIDES
IP. Akkln
(309-OO-J)
2P. a-BHC
(31B-B44)
3P. fllHC
I31B-BB-7)
4P. TT-BMC
IBB-M-B)
BP. S-BHC
I31B4B4I
BP. Chlordww
(B7-74-B)
TP. 4,4"-DOT
(SO-2B-3)
•P. 4.4-DOC
w-ss-bi
BP. 4,4*-ODD
(72-64-8)
10P. OMdrln
(60-87-11
IIP. O-EndetuHan
(11B-2B-7)
I2P. 0-EndMulfwi
(11S-29*7|
13P. Endotulfan
Sulfite
<1031-07-81
14P. Endrln
(722&B)
IBP. Endrln
AMahyd*
(7421-B3-4)
16P. Hcptaehlor
(76-44-8)
-------
continued nm
PAoe v-a
OWN*.
ApprovmJ
2O40-00M
7*3tS$
1. POLLUTANT
t. MARK °X'
3. EFFLUENT
4. UNITS
5. INTAKE 0>PtionHI .
NUMBER
(If
tfffll
•III*'
iiavti
•••»»
c
1 MAXIMUM DAILY VALUC
,MW,TC
war valu*
a No.or
ANAL-
YSES
«. COMCCN-
TftATION
bi MASS
I. LONC
AVE*AO
TCNM
CVALUf
b NO.or
ANAL-
Vltl
f|Nf
M
CONCiMTOATIOM
ft)
M
CONCCNINAflOil
|a| M«ta
(1P. PC 0-1232
(11141-104)
22P. PC 0-1240
(12072-20-4)
23P. PC 0-1200
(1100*02.8)
24P. PC0-1010
(12074-11-2)
20P. TM^lNM
(0001-38-2)
PAGE V-0
** Form 3810-2C (ft**. 2-M)
-------
APPENDIX E.4: FORM 2D
-------
United Stales OH ice ol Water EPA Form 3510 2D
Environmental Protection Enforcement and Permits August 1990
Agency Washington, DC 20460
Piwniti Divwion
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 (Form2E). 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 thisform or Form 1, whetherthe 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 thisform
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
12221(g)(9)
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
I
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 lll-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 lll>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
lll-A. The water balance should show estimaies of antic-
ipated average flows. Show all significant losses of
water to production, atmosphere, and discharge. You
should use your best estimates.
Item lll-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 ceriain 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.
-------
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 lo 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 for the alternate estimates.
If known, report quantities in the units of measurement
used in 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-
tants 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.
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 for a "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 lbs 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 in Group A must
be reported by all applicants for all outfalls, including outfalls
1-2
EPA Form 3510-20 (Rev 8-90)
-------
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 wasteweter.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. 6TP) (CAS tf 93-72-1);
C. 2-(2,4.5-trichlorophenoxy) ethyl 2,2-
dichloropropionate (Erbon)(CAS ft 136-25-4);
D. 0.0-dimethyl 0-(2.4,5-trichlorophenyl) phosphoro-
thioate (Ronnel) (CAS tf 299-84-3);
E 2,4,5-trichlorophenol (TCPMCAS tt 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-
lowing 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
salas 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(a)(2) 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,
ISO
1-3
EPA Form 3510-20 (ftav. 6-SO)
-------
B The origin and source of the discharge of the
substance.
C The ireatmeni 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 lo 40 CFR Part 117 for pollutants on
Table 2D does not exempt you from the section 402
reporting requirements pursuam to 40 CFR Part 122
(Item V-C) for pollutants listed on Table 2D-3.
Forfurther information on exclusions from Section 311.
see 40 CFR Section 117.12(a)(2) and (c). or contact your
EPA Regional office (Table 1 in the Form 1 instructions).
Item Vl-A
If an engineering study was conducted, check the box
labeled "report available " If no study was done, check
the box labeled "no report."
ham Vl-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. Onlydata 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: bya 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 Form 3510-2D (R«v. MO)
1-4
-------
PHYSICAL TREATMENT PROCESSES
Ammonia Stripping
l—B Dialysis
1 q Diatomaceous Earth Filtration
t D Distillation
Electrodialysis
1—F Evaporation
1_G Flocculation
1—H Flotatipn
1—1 Foam Fractionation
1—J Freezing
1—K Gas-Phase Separation
1—L Grinding (Commmutors)
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 (Hyperfiltration)
1—T Screening
1 —U Sedimentation (Settling)
1—V Slow Sand Filtration
1—W Solvent Extraction
1—X Sorption
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—E Preaeration
3—B Aerated Lagoons 3—F Spray Irrigation/Land Application
3—C Anaerobic Treatment 3—G Stabilization Ponds
3-D Nitrification-Denitrification 3—H Trickling Filtration
OTHER PROCESSES
4—A Discharge to Surface Water 4—C Reuse/Recycle of Treated Effluent
4—6 Ocean Discharge Through Outfall 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 Chemical Conditioning
5—F Chlorine Treatment
5—G Composting
5—H Drying Beds
5—I Elutriation
5—J Flotation Thickening
5—K Freezing
5—L Gravity Thickening
5—M Heat Drying
S—N Heat Treatment
5—O Incineration
5—P Land Application
5—Q Landfill
5—R Pressure Filtration
5—S F»yrolysis
5—T Sludge Lagoons
5—U Vacuum Filtration
5—V Vibration
5—W ......Wet Oxidation
Table 2D-1
EPA Form 35tO-2D (Rev B-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
Fecaf 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)
Temperaiure (summer)
PH
GROUP B
Sulfate (as SO«)
Sulfide (as S)
Sulfite (as 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-NitrophenoI
4-Nitrophenol P-Chloro-M-Cresol
Pentachloropnenol Phenol
2,4,6-Trichlorophenol
GC/MS FRACTION - BASE/NEUTRAL COMPOUNDS
Acenaphthene
Anthracene
Benzo (a) Anthracene
3,5-Benzofluoranthene
Benzo (k) Fluoranthene
Bis (2-Chloroethyl) Ether Bis
Bis (2-Ethylhexyl) Phthalate
Butyl Benzyl Phthalate
4-Chlorophenyl Phenyl Ether
Dibenzo (a, h) Anthracene
1,3-DicMorobenzene
3.3-Dichlorobenzidine
Dimethyl Phthalate
2.4-Dinitrotofuene
Di-N-Octyl Phthalate
Fluoranthene
Hexac h lorobe nzene
Hexachlorocyclopentadiene
Indeno |1,2.3-cd) Pyrenn
Naphthalene
N-Nitro-sodimethylamine
N-Nitro-sodiphenylamme
Pyrene
Acenaphtylene
Benzidine
Benzo (a) Pyrene
Benzo (ghi) Perylene
Bis |2 Chloroethoxy) Methane
(2-Chloroisopropyl) Ether
4-Bromophenyl Phenyl Ether
2-Chloronaphthalene
Chrysene
1.2-Dichlorobe nzene
1,4-Dichlorobenzene
Diethyl Phthalate
Di-N-Butyl Phthalate
2,6-Dinitrotoluene
1,2. Diphenylhydrazine (as Azobenzen)
Fluorene
Hexachlorobutadiene
Hexachioroethane
Isophorone
Nitrobenzene
N-Nitrosodi-N-Propylamine
Phenanthrene
1,2,4-Trichlorobenzene
GC/MS FRACTION - PESTICIDES
Aldrin
Alpha-BHC
Beta-BHC
4.4' DDT
4.4'DDD
Alpha-Endosulfan
Endosulfan Sulfate
Endrin Aldehyde
Heptachlor Epoxide
PCB-1254
PCB-1232
PCB-1260
Toxaphene
•fractions defined in 40 CFR Part 136
Gamma-BHC
Delta-BHC
Chlordane
4,4' DDE
Dieldrin
Beta-Endosulfan
Endrin
Heptachlor
PCB-1242
PCB-1221
PCB-1248
PCB-1016
Table 2D-2
EPA Form 3S10-2D (••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
Butylamine
Captan
Carbaryl
Carbofuran
Carbon disulfide
Chlorpyrifos
Coumpahos
Cresol
Crotonaldehyde
Cyclohexane
2,4-D (2.4-Dichlorophinoxyacetic acid)
Diazinon
Dicamba
Dichlobenil
Dichlone
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
Naphtheni,c acid
Nitrotoluene
Parathion
Phenolsulfonate
Phosgene
Propargite
Propylene oxide
Pyrethrins
Quinoline
Resorcinol
Strontium
Strychnine
2,4,5-T (2,4,5-Trichlorophenoxyacetic acid)
TDE (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 (ftav. MO)
TABLE 2D-3
-------
Acetaldehyde
Acetic acid
Acetic anhydride
Acetone cyanohydrin
Acetyl bromide
Acetyl chloride
Acrolein
Acrylomtrile
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
Amy) 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
Benzonitrite
Benzoyl chloride
Benzyl chloride
Beryllium chloride
Beryllium fluoride
Beryllium nitrate
Butylacetate
n-Butylphthalate
EPA Form 9510-2D (8-90)
HAZARDOUS SUBSTANCES
Butylamine
Dichlorvos
Butyric acid
Dieldrin
Cadmium acetate
Diethylamine
Cadmium bromide
Dimethylamine
Cadmium chloride
Dmitrobenzene
Calcium arsenate
Dinitrophenol
Calcium arsenite
Dinitrotoluene
Calcium carbide
Diquat
Calcium chromate
Disulfoton
Calcium cyanide
Diuron
Calcium dodecylbenzenesulfonate
Dodecylbenzesulfonic acid
Calcium hypochlorite
Endosulfan
Captan
Endrin
Carbaryl
Epichlorohydrtn
Carbofuran
Ethion
Carbon disulfide
Ethylbenzene
Carbon tetrachloride
Ethylenediamine
Chlordane
Ethylene dibromide
Chlorine
Ethylene dichloride
Chlorobenzene
Ethylene diaminetetracetic
Chloroform
acid (EDTA)
Chloropyrifos
Ferric ammonium citrate
Chlorosulfonic acid
Ferric ammonium exalate
Chromic acetate
Ferric chloride
Chromic acid
Ferric fluoride
Chromic sulfate
Ferric nitrate
Chromous chloride
Ferric sulfate
Cobaltous bromide
Ferrous chloride
Cobaltous formate
Ferrous sulfate
Cobaltous sulfamate
Formaldehyde
Coumaphos
Formic acid
Cresol
Fumaric acid
Crotonaldehyde
Furfural
Cupric acetate
Guthion
Cupric acetoarsenite
Heptachlor
Cupric chloride
Hexachlorocyclopentadiene
Cupric nitrate
Hydrochloric acid
Cupric oxalate
Hydrofluoric acid
Cupric sulfate
Hydrogen cyanide
Cupric sulfate ammoniated
Hydrogen sulfide
Cupric tartrate
Isoprene
Cyanogen chloride
Isopropanolamine
Cyclohexane
dodecylbenzenesulfonate
2,4-D acid
Kelt ha ne
(2.4-Dichlorophenoxyacetic acid)
Kepone
2,4-D esters
Lead acetate
(2.4-Dichlorophenoxyacetic acid
Lead arsenate
esters)
Lead chloride
DDT
Lead fluoborate
Diazinon
Lead fluorite
Dicamba
Lead iodide
Dichlobenil
Lead nitrate
Dichlone
Lead stearate
Dichlorobenzene
Lead sulfate
Dichloropropane
Lead sulfide
Dichloropropene
Lead thiocyanate
Dichloropropene-Dichloropropane
Lindane
mix
Lithium chromate
2.2-Dichforopropionic acid
Malathion
TABLE 2D-4
-------
HAZARDOUS SUBSTANCES (Continued)
Maleic acid
Maleic anhydride
Mercapiadimethur
Mercuric cyanide
Mercuric nitrate
Mercuric sulfate
Mercuric thiocyanate
Mercurous nitrate
Meihoxychlor
Methyl mercaptan
Methyl methacrylate
Methyl parathion
Mevinphos
Mexacarbate
Monoethylamine
Monomethylamine
Naled
Naphthalene
Naphthenic acid
Nickel ammonium sulfate
Nickel chloride
Nickel hydroxide
Nickel nitrate
Nickel sulfate
Nitric acid
Nitrobene2ene
Nitrogen dioxide
Nitrophenil
Nitrotoluene
Paraformaldehyde
Parathion
Peniachlorophenol
Phenol
Phosoene
Phosphoric acid
Phosphorus
Phosphorus oxychloride
Phosphorus pentasulfide
Phosphorus trichloride
Polychlorinated biphenyls
Potassium arsenate
Potassium arsenite
Potassium bichromate
Potassium cyanide
Potassium hydroxide
Potassium permanganate
Propargite
Propionic acid
Propionic anhydride
Propylene oxide
Pyrethrins
Quinoline
Resorcinol
Selenium oxide
Silver nitrate
Sodium
Sodium arsenate
Sodium arsenite
Sodium bichromate
(PCB)
Sodium bifluoride
Sodium bisulfite
Sodium chromate
Sodium cyanide
Sooium dodecylbenzenesulfonate
Sodium fluoride
Sodium hydrosulfide
Sodium hydroxide
Sodium hypochlorite
Sodium methylate
Sodium nitrate
Sodium phospate (dibasic)
Sodium phosphate (tribasic)
Sodium seienite
Strontium chromate
Strychnine
Styrene
Sulfuric acid
Sulfur monochloride
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)
TOE (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
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
EPA Form 3510 2D (Rev 8 90)
Table 2D-4
|
-------
LINE DRAWING
MUNICIPAL
WATER SUPPLY
1 30.000 GPO
90.000 GPO
BLUE RIVER
10.000 GPO
COOLING WATER
46.000 GPO
45,000 GPO
RAW
MATERIALS
15.000
GPO
10.000
GPD
20.000
GPO
TO ATMOSPHEHf
" 5.000 GPO
WASHING
10.000 GPD
10.000 GPO
40.000 GPO
40,000 GPD
TO PRODUCT
5.000 GPD
40.000 GPD
SOLID WASTE
LOSS
6.000 GPO
4.000 GPD
34.000 GPO
36,000 GPD
OUTFALL 002
60.000 GPD
70,000 GPD * STORMWATER
STORMWATER
OUTFALL 001
MAX: 20.000 GPD
SCNHUTIC OPWATM »COW
CROWN MILLS. H»C.
crrv. COUNTY, STATI
FIBER
PREPARATION
WASTE
TREATMENT
PLANT « 1
DYEING
NEUTRAL-
IZATION
TANK
EPA Form 3510-20 (R«v. *-00)
Figure 20-1
-------
Form Approved OMB No 2OJ0 0086 Approval E*ptros 5*31.*92
Plfcasf wpe 0' print in the unshaded area* only
BP A ID Nuiiibt'i tui/n Item 1 ol fvttn Ii
Po'iti
2D
NPOES
A New Sources and New Dischargers
'O'EPA Application for Permit to Discharge Process Wastewater
I. Outfall Location
For each outfall, list the latitude and longitude and the name of the receiving water
Outfall Number
thstJ
Latitude
Longitude
Receiving Water (name)
Oeg Mm Sec Deg Mm Sec |
II. Discharge Date fWhen do you expect to begm discharging*}
Ml. Flows. Sources of Pollution, and Treatment Technologies
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 (3t The treatment received by the wastewater. Continue on additional sheets
if necessary.
Outlat)
Number
1 Operations Coniribuung Flow
(list)
2 Average Flow
One lade units)
3 Treatment
1Description or List Codes from Table 2D- II
-
¦ -
EPA Fonn 3510-20 (R*v. MO) Page 1 ol 5
-------
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 lll-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 be determined {[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 lll-A be intermittent or
seasonal?
~ Yes (complete the following table) D No (go to item IV)
Outfall
Number
a Days
Per Week
/specify
average)
1. Frequency
b. Months
Per Year
(Specify
average)
2. Flow
a. Maximum
Daily Flow
Rate
(in mgd)
b Maumum
Total Volume
(specify
with units)
c. Duration
tin days)
IV. Production
If there is an applicable production-based effluent guideline or NSPS. for each outfall list the estimated level of production (protection 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
Per Day
6 Unm of
Measure
c Operation. Product. Material, etc (specify)
EPA Porm 3510 2D (Rev 8-90) Page 2 o'& CONTINUE ON NEXT PAGE
-------
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 all outfalls, must be submitted unless waived by
the permitting authority. For all outfalls, data for pollutants in Group 8 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
1include units)
3 Average
Daily
Value
/include units)
4 Source (see instructions1
EPA Form 3510-20 (R«v. 8-90) P«S« 3 of S CONTINUE ON REVERSE
-------
CONTINUED FROM THE FROMr
£PA ID N;HMt>r»r tCopv / »>' fttttn *
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 Waatawatar Treatment
A. If there it any technical evaluation concerning your wastewater treatment, including engineering reports or pilot plant studies, check the
appropriate box be low
G Report Available G No Report
B Provide the name and location of any existing plantfs) 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 ol 5
CONTINUE ON NEXT PAGE
-------
VII Other Information (Optional)
PA ID Number (copy from item one of Form f
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.
VIII. Certification
/ certify under penalty of law that this document and aft attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel property gather and
evaluate the information submitted. Basad on my inquiry of the parson or parsons who menege the system, or
those persons directly responsible for gethering the information, the information submitted is. to the best of my
knowledge and belief, true, eccurate. and complete. / em aware that there are significant penalties for submitting
false information, including the possibility of fine and imprisonment for knowing violations.
Name and Official Till* (type or print)
C Signature
B. Prtooa No.
D. Date Stgned
EPA Form 3510-20 (Rav. MO)
Page 5 ol 5
-------
Form Approved OM8 No 2040-0066 Approval Empires 5/31/92
Pleas* ivo« o' onnt -.r. tt>* .msnaded afeas oniv
EPA ID Numbe* 'copy from Item I of Form 1)
Fonn
2D
NPOES
A rDA New Sources and New Dischargers
'PbrA Application for Permit to Discharge Process Wastewater
I. Outfall Location
For each outfall. Iisi the latitude and longitude, and the name of the receiving water
Outfall Number
(hst)
Latitude
T
Longitude
Peg Mm | Sec ! Oeg Mm Sec
Receiving Water (name/
II. Discharge Date (When do you eipeci to begin discharging?/
HI. Flows. Sources <
Bchnoloqiei
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-t)
--- - — —-
-
EPA Form 3510-20 {Rev. B-flO)
Page 1 ol5
-------
Attach a line drawing showing ihe 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 lll-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 be determined(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
Except for storm runoff, leaks, or spills, will any of the discharges described in item lll-A be intermittent or
seasonal?
~ Yes (complete the (olJowmg tablet ~ Wo (go to item IV/
Outfall
Number
a Days
Per Week
(specify
average)
1. Frequency
b. Months
Per Year
(specify
average)
2 Flow
a. Maximum
Daily Flow
Rate
(in mgd!
b Maximum
Total Volume
(specify
with units/
c. Duration
(in days)
IV. Production
If there is an applicable production-based affluent 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 affluent 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
I Quantity
Par Day
b Units of
Manure
c Operation. Product. Material, aic (specify)
EPA Form 3510-2D (Rev 8-90) Past- 2 ot 5 CONTINUE ON NEXT PAGE
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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 m addresses a different set of pollutants and should
be completed in accordance with the specific instructor for that part. Data for each outfall should be on a
separate page. Attach additional sheets of paper if necer y.
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 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 Form 3510-2D (Ftov 8-90)
Page 3 of 5
CONTINUE ON REVERSE
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CONTINUED FROM THE FHONT
EPA 10 Number (copy from Item 1 of form t)
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. Helton for Discharge
VI. Engineering Report en Wimwm Ti—until
A. If there is any technical evaluation concerning your wastewater treatment, including engineering reports or pilot plant studies, check the
appropriate bo» below.
O Report Available O 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
I
EPA Form 3510-20 (Rev a-90) Page * o« 5 CONTINUE ON NEXT PAGE
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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 for the proposed facility.
Attach additional sheets if necessary.
>/ltl Certification
/ certify under penalty of lew thet this document end ell ettechments 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 gethering the informetion. the information submitted is. to the best of my
knowledge end belief, true, accurate, and complete. / em eware that there are significant penalties for submitting
false information, including the possibility of fine end imprisonment for knowing violations.
A Nam* and Official Title (type or print)
C. Signature
B. Phone No.
0 Date Signed
EPA Form 3510-20 (Rw. MO)
• U.S. Luturuoil Cr.nt.Oi uili.i' : lu»l - i I L-H* /'J Hi (
Page 5 of b
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APPENDIXES FORM 2E
-------
&EPA
United States
Environment*! Protection
Agency
_£ern
-------
Form 2E Instructions
Who Must FHa 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 watar
thst comes into direct contact with or results from the
production or use of any raw material, intermediate
product, finished product, byproduct, watte product, or
wastewater) which is not regulated by effluant limita-
tions guidelines or new source performance standards.
The form is intended primarily for use by dischargers
(new or existing) of sanitary wastes and noncorrtact
cooling water. It may not be used for discharges of
storm water 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
NPOES permits program is administered by EPA. For
facilities located in States which are approved to admin-
ister the NPOES 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 juriediction 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 SS10-2E (S-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.
Foilowup Requirements for New Dischargers and
Now Souroes
Please note that no latar than 2 years after commence-
ment of discharge from tha proposed facility, you must
complete and submit Item IV of this form (NPOES Form
2E). At that time you must tast and report actual rathar
than estimated data for the pollutants or parameters in
Item IV, unlass 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.
I
Under Part A, list an outfall number. Under Part B, list
tha 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 eech outfall.
Item II (New Dischargers Only)
This item requiras your best estimate of the dete on
which your facility will begin to discharge.
Ill
In Part A, indicate the general type(s) of wastes to be
discharged by placing an "x" in tha appropriate box(es).
H "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:
ppm
mg/1
PP*>
Ug/1
kg
pans per million lbs
milligrams per liter ton
pins par billion mg
micrograms per liter g
kilograms T
pounds
tons (English tons)
milligrams
grams
Tonnes (metric tons)
A. Existing Souroes
You ara required to provide at least one analysis for eech
pollutant or parameter listed by filling in the requested infor-
1-1
-------
mstion under the applicable column. Data reported
muit be representative of the facility's current operation
(average daily value over the previous 365 days should
be reported). Moat 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 ami
grease, chemical oxygen demand (COO), 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 Cleen Water Act (CWA).
If you expect a pollutant to be present solely aa a result of
ita 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 valua for eech pollutant or parameter
(exceptions noted on the form). Please note that foi-
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 ere available, then such
data should be reported. The source of the estimates is
also required. Base your determination of whether e
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 eny
similar affluent. You mey also provide the estimates
based on available inhouse or contractor's engineering
reports or any other atudies performed on the proposed
facility. If you expect e 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 informstion.
Engineering study Code
Actusl data from pilot plants 1
Estimates from other engineering studies 2
Data from other similar plsnts 3
Best professional estimates 4
Others specify on the form
I-
EPA Form 3S10-2E (S-SO)
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 reaaons 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 ha determines that less stringent reporting
requirements are adequate to aupport 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.
Hem V
Describe the average frequency of flow and duration of
any intermittent or seasonal discharge (except for storm-
wster runoff, leaks, or apills). The frequency of flow
means the number of days or months per year there is
intermittent discharge. Duration means the number of
(toys or hours per discharge. For new dischargers, base
your answers on your best estimate.
Itam VI
Describe briefly any treatment sy*tem(«) used (or to be
used for new dischargers), indicating whether the
treatment system is physicel, chemical, biological, sludge
and disposal, or other. Also give the pellicular type(s) of
process(es) used (or to be used). For example. If e physi-
cal treatment system is used (or will be used), specify the
processes applied, such aa grit removal, ammonia strip-
ping, dialysis, etc.
Ham 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 e "net" effluent
limitation, i.e., an effluent limitation adjusted to provide
credit for the pollutant(a) present in your intake water,
please add a short atatement of why you believe you are
eligible (see |122.45(g)). You will then be contacted by
the permitting authority for further instructions.
Hem VIII
The Clean Water Act provides severe penalties for sub-
mitting felse information on this application form. Sec-
tion 309(cX2) of the Cleen Weter Act provides thst "Any
person who knowingly makes any false atatement.
-------
representation, or certification in any application, . . .
•hall upon conviction, ba puniahed by a fina of no mora
than $10,000 or by imprisonment for not mora than ate
months or both."
40 CFR Part 122.22 requires the certification to ba
signed as follows:
a. For a corporation: by a responsible corporate offioer.
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 decisionmaking functions for the corporation,
or (ii) the meneger of one or more manufacturing,
production, or operating facilities employing mora
than 260 persons or having gross annual sales or
expenditures exceeding •26,000,000 (in aecond
quarter 1880dollars), 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 offioer or
ranking elected official. For purposes of this section,
a principal executive officer of a Federel 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 egency (e.g.. Regional Administrators of
EPA).
EPA Form 3S10*2E (•••0)
-------
Pleaaa typa or Dfirn in the unthadad irm only
EPA ID Numbar tcopy from Ham 1 of Form t) Fom Approved. OMB No. 2040-0086
Approval expire 5-91-92.
Form
2E
NPOES
1. Receiving
For t
oE PA Facilities Which Do Not Discharge Process Wastewater
his outfall, list the latitude and longitude, and name of the receiving waters).
Outfall
Number Hist)
Latitude
Longitude
Recanting Watar (name)
D*S
Min
Sac
0*
Min
Sac
II. Diacharge Data IN a now discharger, the dote you expect to begin discharging)
III. Type of Wane
A. Check the boxfea) indtcaiino the general type(») of woeiai diecharged Homeoom
CD StiMfyWtmi D HanurwMcrCa«nnaWlMii Q Nonoomaa CoaUrw Water d »>¦¦¦ ear Mmtift)
B. If any cooling watar additive* ara us*d. list them here. Briefly describe their composition if this information ia available.
IV. Effluant Charactariatic*
A. Existing Sotiroaa — Provide measurement! for the parameter* listed in ttta left-hand oolumn bo low, unlets waived by tha parmitting
authority (see inttructionsj
Maw DiMtwigers — Provida estimate* for ttia parameters Mated in tha left-hand column below, unless waived by tha parmitting
authority. Irwteed of tha numbar of measurements taken. provida tha aouroa of estimated veluee imam instructions).
Mannt or
Para manr
m
Manimufn
Defty VWue
MWiinU
til
'Hi
(3) f*J (4}
Mefiifeor of
Measurement*
Taken
0m»yeer)
Seureaof
EatMnaia
lit now
discharger)
Maaa
QMMonmMon
Maaa
CatNNMWtftOVI
Btochemioai Oxygen
Demand (SOD)
Total Suapandad SoNda (TSS)
FeceJ Codftwm (Hbokmved
ywwl er H tonitery wmmtt it
dfr charged)
Total WMidual CNorina (H
thhtrmm 11 unif)
OH and Greece
¦Chemical oaygen demend
(COO)
Total organic carbon fTOCI
Ammonia fa* N)
Machange Flow
Value
-
M(gn» range)
Value
temperature (Winter)
•C
•C
Tamparatura (Summer)
•C
•c
*H noncomaci cooling ww it discharged
EPA Form 3510-2E (B-BO) Page i o< 2
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V. ixcapt for laaks or spills, will tha diKhargfl daacribad in this form b« intarmrttant or nmomI?
H X», bciafly daacrifea tha fraquancy of flow and duration.
~ Vaa O
VI. Twttnml »yfm (Doteriba briefly any traavnont ayuamfat uaadar la ba uaadl
VII. Othm Infwwirton lOpUonalj
Uaathaapaoabatow to a»paod upon any o or w bring lothaMMnbonoltfww^tawf anyc
¦hntlM * - -1-1 M I ...-hlf.l III I. mmbU — -» || a
¦noma n conMHfio in •KsoiisfiinQ ptmin iifiiiiBoons. wBCn wMiwim mm, ft v
r MhwRMMten youful
Icartlfyundarponaky of law that Xhit decuman! and alt mttachmanu were iM*tarwd under mr direttierteri
aaytTemdaaif^oduauurathatguol/fiadpanonnaliMa^aifilieitm mu/etmhmta the »^awimf wwi Bwemdenmyinquiryeflfm
poraonorpor*onMwf>omenm0ett>»eyetam.orttto»t0ananMdtro€ttyrmpena&o/m0eOmiiiiftfto1n/mHimilm\lhoi
it to the betr of my trowia&f andbelief. true, wtwm, endcompiete. lame mmre MtfamMi
information, including tfta possibility ot fine and impriaonmant for knowing tioiaHana.
A. Nam* ft Official Trtta
8. Prion* No. (area
% no.)
C. Signature
D. Oat* Stgnad
EPA Form 1I10-3E (S-M)
Papa 2 o4 2
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Form Approved OMB No 2040-0086
Approval expire* 5-31-92.
ocartnUniho
SStL
EPA IO Number /copy from ttom 1 of Form 1)
«EPA Facilities Which Do Not Discharge Process Wastewater
For thta outfall, tiMVwIatitudi and kxtytudv, and nam* of th« receiving waters).
-mmSrnmtf ¦
Receiving Water fnomoi
M. Dieoherge Dete (H o now ditchorgor. tho dmU you oxpoct to t>ogm dt»chorging)
N any oooiing water additives of used. list them here. Briefly deacribs their composition if this information « available.
— Nwummmi
In the left-hand column below, unleas waived by the permitting
I In the left-hend column below, unleai waived by the permitting
, pwMi the source of estimated values (too instruction!)
m
VM»I flitir—r)
*¦**«ntel
Canosntraooo
O)
tor)
Nwnberof
dootroor)
(4)
Source of
Ettimm
(It now
diochorgor)
(in)
iazas«7
T—l HwHusI CNsrtws pr
ONaM
*Ogmi00i0Knmt
ROD)
*T«M miiilc
noo
m
Value
Value
iMpeMM/IWMajf
flweeniurs (Summml
nonconun cooling wsnr 11 discharged
EPA Form 3510-2E (•*•0)
Page 1 o< 2
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V. Except 'or (ask! or spills, will ilia discharge described in this form ba intermittent or i
H yes. briefly describe the frequency of lion and duration.
¦aortal?
~ Ym O
Mo
VI. Treatment System(Describebrmfty any traatmant tyttam(t)mador to 6*uaadt
VII. Other In tun nation (Option*!)
Use the space below to axpand upon any of tha abooa queetiona or to bring ta the attention of the reviewer any othe« inlormetionyouleel
should ba considered in establishing permit limitations. Ansoh additional ahaaw. IT naoaaaary.
VIII. Certification
! canity urxUr pmrtaHy of >*w that tfut documarx and »ti attachmantt wrt^rapatadundarmrdiraetiofiarnj^tn-iaianinaetardartt*
a tystam datignadto aaaura thai quafjfiadpartonnatpropart) fathar wndtvaiuat* tha Matmmmn sufcm*rstf. Baaad on my inquiry at tha
partonorparsom vrho managa th* tywtam. or thoaa paraon* ditacOy raapotmibia far fattmnifth* infarmatian. th* infamtauar tubminad
iatotha butt ofmyknowtadga andbaiiaf. trim, mevrma. andt omptau. lam amma that thara arm aijfMdftcawr panmluat far tubmMmg faia*
information, including tha possibility of fim and impriaanmam for knowing natation*.
A. Name & Official Title
C. Signature
B. Phone No. (araa coda
A no.)
0. Dale Signed
EPA Perm 3S10-2E (•-•0)
«uaoo«BMeirmNiMaopnQE: imi ttr-oaamm
Page 2 of 2
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