Application Review Checklist for Existing
Manufacturing, Commercial, Mining, and M
Silvicultural Facilities Currently
Discharging Process Wastewater	NPDES
Submitting Forms 1 and 2C
Is the facility an existing manufacturing, commercial, mining, or silvicultural facility
that is currently discharging process wastewater? If yes, complete Form 1 (General
Information) and Form 2C (Existing Manufacturing, Commercial, Mining, and
Silvicultural Operations).
This checklist is a tool designed for NPDES permit applicants to aid in the submission of a complete NPDES
permit application. The items in the checklist reflect elements that applicants often fail to complete or complete
incorrectly. Applicants are encouraged to review the contents of the checklist prior to completing the form(s) and
submittal of the application package. Note that "[a]n application for a permit is complete when the Director
receives an application form and any supplemental information which are completed to his or her
satisfaction." (40 CFR 122.21(e))
INSTRUCTIONS
~	Did you review the Forms 1 and 2C General Instructions?
~	Did you review the Forms 1 and 2C Line-by-Line Instructions?
~	Did you review the Form 2C General Instructions for Reporting, Sampling and Analysis?
ATTACHMENTS
~	Did you attach a topographic map? (Form 1, Item 7.1)
Note: This is required for all applicants submitting Form 2C. Refer to the line-by-line instructions for Form
1, Item 7.1 for the map requirements.
Resource: http://nationalmap.gov/
~	Did you attach a line drawing showing water flow through your facility? (Form 2C, Item 2.1)
Note: This is required for all applicants submitting Form 2C. Refer to the line-by-line instructions for Form
2C, Item 2.1 for the line drawing requirements.
~	Do your additional attachments (if any) provide the required information? Did you provide the information in
a format consistent with the form?
EFFLUENT TESTING DATA (FORM 2C, TABLES A THROUGH E)
Form 2C requires applicants to collect
and report data for the parameters and
pollutants listed in Tables A through E,
located at the end of Form 2C. See the
line-by-line instructions for Section 7
and the General Instructions for
Reporting, Sampling, and Analysis to
determine which tables you must
complete.
Table Pollutants/Parameters	Who Completes?
A
Conventional and non-
conventional pollutants
All applicants from all outfalls unless a
waiver is obtained from the NPDES
permitting authority.
B
Toxic metals, cyanide,
total phenols, and organic
toxic pollutants
Applicants in the primary industry
categories listed in Exhibit 2C-3 at the
end of these instructions.
C
Certain conventional and
non-conventional
pollutants
ADDlicants subiect to effluent limitations
auidelines CELGsl that limit Dollutants
directly or indirectly and applicants who
believe pollutants may be present in
their facility's discharge.
D
Certain hazardous
substances and asbestos
Applicants who believe pollutants may
be present in their facility's discharge.
E
2,3,7,8-
tetrachlorodibenzo-p-
dioxin (2,3,7,8-TCDD)
Applicants that use or manufacture the
pollutant or believe the pollutant may be
present in the facility's discharge.
Application Review Checklist—Forms 1 and 2C
EPA 833-F-20-001C
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Application Review Checklist for Existing Manufacturing, Commercial, Mining, and
Silvicultural Facilities Currently Discharging Process Wastewater Submitting Forms 1 and 2C
~	Did you enter the outfall number at the top of the first page of each applicable table?
Note: You must complete the applicable tables for each outfall at your facility.
~	Did you use sufficiently sensitive methods approved under 40 CFR 136 for all quantitative data reported in
Form 2C, Tables A through E (as applicable)?
Note: The application will not be deemed complete unless all required quantitative data are collected in
accordance with sufficiently sensitive, EPA-approved analytical methods. Refer to the General Instructions
for Reporting, Sampling, and Analysis for more information.
Resource: 40 CFR 136, www.nemi.gov, applicable water quality standards
~	Did you provide the results of at least one analysis for all pollutants for which you marked "Testing
Required" or "Believed Present" in Form 2C, Table B and Table C?
~	Did you report effluent testing data in Form 2C, Tables A through E based on at least one analysis taken
within 4.5 years prior to the date of the permit application?
Resource: Your facility's laboratory reports and Discharge Monitoring Reports from the previous 4.5 years
~	Do the values you reported in Form 2C, Tables A through E seem consistent with your facility type and
your past performance (i.e., do the values appear to be the correct magnitude)?
~	Did you review your data tables for the following common mistakes?
•	Incorrect long-term average and daily maximum values
•	Quantified values below known detection limits (see definition at 40 CFR 136.2(f))
•	Misplaced decimal points
•	Incorrect or inconsistent concentration units
REVIEWING YOUR RESPONSES
~	Did you account for all outfalls and wastewaters that you are requesting to be permitted as a result of this
application?
~	Did you report production rates and flow data in Form 2C, Item 5.4 consistent with the terms and units of
the applicable effluent limitations guidelines (ELGs)?
Resource: www.epa.gov/ea
~	Did you enter the EPA identification number, NPDES permit number, and facility name at the top of the first
page of the form and on all attachments?
Resource: https ://www. e pa. a ov/frs
~	Did you review the form to ensure that you have provided a response to every item (except those for which
the form allows you to skip)?
~	Did you complete the application checklists in Form 1, Item 11.1 and Form 2C, Item 12.1 and indicate any
attachments you are enclosing?
CERTIFICATION STATEMENT
~	Did the appropriate person, as specified at 40 CFR 122.22(a), sign the certification statements? (Form 1,
Item 11.2 and Form 2C, Item 12.2)
Note: Refer to the line-by-line instructions for Form 1, Item 11.2 and Form 2C, Item 12.2 for the signatory
requirements.
Resource: 40 CFR 122.22
Application Review Checklist—Forms 1 and 2C
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