The URL can be used to link to this page

Home My WebLink AboutNC0022934_Worksheet_19900929I I I I I I Receiving Water: 1✓Q IT-1 14 GI LA I Reach Number. 1 I I 1 I I I I 1 I 1 I Is this facility a steam electric power plant (SIC=4911) with one or more of the following characteristics? 1. Power output 500 MW or greater (not using a coding pond/lake) 2. A nuclear power plant 3. Cooling water discharge greater than 25% of the receiving stream's 7Q10 flow rate ❑ YES; score Is 600 (stop here) ❑ NO (continue) FACTOR 1: Toxic Pollutant Potential Z G SS' PCS SIC Code: lz&ir26i NPDES Permit Rating Work Sheet NPDES No.: I /Vk1 0 Ij Z I 241 3 I y Facility Name: p /f * /' D 1 1I 5 l� I %r, 61 C l e) i ,/ i I° I d __1114 1 e 1 f i5 I I V�1 M I( la IN 17 1 1 1 1 1 1 1 City:ILl/ 1/11IC-101(.-1AI TIC IN1 1 I f 1 1, 1 1 1 1 I I I Primary SIC Code: 1 4 1 S 1 C-1 Other SIC Codes: I_i_I__I_I I_I_I_Ii I_I_I_I_I 1IIII Industrial Subcategory Code: I_I_I_I (Code 000 if no subcategory) Determine the Toxicity potential from Appendix A. Be sure to use the TOTAL toxicity potential column and check one) O Regular Addition ❑ Discretionary Addition (D'SUore change, but no status change ❑ Deletion 1 1 1 I I 1 Is this permit for a municipal separate storm sewer serving a population greater than 100,0007 ❑ YES; score is 700 (stop herr) 0 NO (continue) Toxicity Group No process tfb waste streams ❑ 1. ❑ 2. Code Points 0 0 1 5 2 10 Toxicity Group ❑ 3. ❑ 4. ❑ 5. ❑ 6. Code Points Toxidty Group Code Points 3 15 4 20 5 25 6 30 ❑ 7. ❑ 8. ❑ 9. ❑ 10. 7 35 8 40 9 45 10 S0 Code Number Checked: i ltottsbt FFactor 7.1 " ill FACTOR 2: Flow/Strearn Row Vokarie (Con pi.h WBh.rS.clfon A or Secion I; check only ono) Section A —Wastewater Flow Only Considered Wastewater Type (See Instructions) Type I_: Flow < 5 MGD Row 5to10MGD Row >10 to 50 MGD Flow > 50 MGD Type 11: Row <1 MGD Row 1 to 5 MGD Row >5to10MGD Row >10 MGD Type III: Row <1 MGD Flow 1 to 5 MGD Flow >5to10MGD Flow>10 MGD Code Points ❑ 11 0 ❑ 12 10 ❑ 13 20 ❑ 14 30 ❑ 21 10 ❑ 22 20 ❑ 23 30 ❑ 24 50 31 0 ❑ 32 10 ❑ 33 20 ❑ 34 30 Section B —Wastewater and Stream Flow Considered Wastewater Type (See instructions) TYPE VIII: Type I: Percent of Instream Wastewater Concen- tration at Receiving Stream tow Flow <10% 2.10% to <50% 2 50% <10% 2 10% to d0% 2 50% Code Points ❑ 41 0 ❑ 42 10 ❑ 43 20 ❑ 51 0 ❑ 52 20 ❑ 53 30 1 Code Che±ed from SectSon A or 8: 1 7 f l t Total Mints Factor NPDES Permit Rating Work Sheet FACTOR 3: Conventional Pollutants NPDES No.: 1 Ail C I () 10 I 2-12 ILI 3 It( I (onty when Ilmitad by the permit) A. Oxygen Demanding Pollutant: (ch ck one) �BOD ❑ COD ❑ Other: Permit Limits: (check one) B. Total Suspended Solids (TSS) Permit Limits: (check one) ef ❑ C. Nitrogen Pollutant: (check one) ❑ Ammonia Permit Limits: (check one) <100 Ibs/day 100 to 1000 Ibs/day >1000 to 3000 Ibs/day >3000 Ibs/day <100 Ibs/day 100 to 1000 Ibs/day >1000 to 5000 Ibs/day >5000 tbs/day Code Pouts 1 0 2 5 3 15 4 20 Cody Points 1 0 2 5 3 15 4 20 Code Checked: t ! 1 Pants Scored: 1 1 DI ❑ Other. Nitrogen Equivoknt ❑ <300lbs/day . ❑ 300 to 1000 Ibs/day O >1000 to 3000 Ibs/day ❑ >3000Ibs/day Code Points 1 0 2 5 3 15 4 20 Code Checked:. t <I Points Scored: 1— 1I. Total Points Factor 3: 1IQl FACTOR 4: Public Health Impact Is there o public drinking water supply located within S0 miles downstream of the effluent discharge (this Includes any body of water to which the receiving water is a tributary)? A public drinking water supply may Include Infiltration galleries, or other methods of conveyance that ultimately get water from the abort r ferenced supply. OYES (If yes, check toxicity potential number below) ❑ NO (If no, go to Factor 5) Determine the human health toxicity potential from Appendix A. Use the same SIC code and subcategory reference as In Factor 1. (Be sure to use the human hegth toxicity group column — check one below) Toxicity Group Code Points allo process waste streams ❑ 1. ❑ 2. 0 2 0 0 0 Toxicity Group Code Points ❑ 3. ❑ 4. ❑ 5. ❑ 6. 3 0 4 0 5 5 6 10 Toxicity Group ❑ 7. ❑ 8. ❑ 9. ❑ 10. Code Points 7 15 8 20 9 25 10 30 Code Number Checked: I I C9 I 1lotat Points Factor 4: f, I °I 2 FACTOR 5: Water Quality Factors NPDES Permit Rating Work Sheet //ll NPDES No.: I N I C I V 1 O IZ 12 if 1 3 I I A. Is (or will) one or more of the effluent discharge limits based on water quality factors of the receiving stream (rather than technology -based federal effluent guidelines, or technology -based state effluent guidelines), or has a wastdoad allocation been assigned to the discharge? Code Points ❑ Yes 1 10 12/ No 2 0 8. Is the receiving water In compliance with applicabk water quality standards for pollutants that are water quality Limited In the permit? Code Er Yes 1 O No 2 5 Points 0 C. Does the effluent discharged from this fadiity exhibit the reasonable potential to violate water quality standards due to whole effluent toxicity? Code Points ❑ Yes 1 10 Er No 2 0 Code Number Checked:: A t I B Ljt C 12-1 Points Factor 5; A Li j g+ B I 4)1 + C P I FACTOR 6: Proximity to Near Coastal Waters A. Base Score: Enter flow code here (from Factor 2): III Check appropriate facility HPRI Code (from PCS): HPRI 1 Code HPRI Score ❑ 1 1 20 ❑ 2 2 0 ❑ 3 3 30 ❑ 4 4 0 ❑ 5 5 20 HPRI code checked: I I Base Score: (HPRI Score) x (Multiplication Factor) Enter the multiplication factor that corresponds to the flow code I I I B. Additional Points— NEP Program For a fadllty that has an HPRI code of 3, does the fadllty discharge to one of the estuaries enrolled in the National Estuary Protection (NEP) program (see Instructions) or the Chesapeake Bay? Code ❑ Yes 1 O No 2 Points 10 0 Flow Code 11,31,or41 12, 32, or 42 13, 33, or 43 14or34 21 or51 22 or 52 23or53 24 Muttlplkation Factor 0.00 0.05 0.10 0.15 0.10 0.30 0.60 1.00 (TOTAL POINTS) C. Additional Points — Great Lakes Area of Concern For a facility that has on HPRI code of S, does the fadllty discharge any of the pollutants of concern Into one of the Great Lakes' 31 areas of concern (see Instructions) Code umber Checked- A I_I B II C I_I Points Factor 6: AI 11+_ B 1_I 1 + C lI_I Code ❑ Yes 1 ❑ No 2 Points 10 0 = 1 I TOTAL 3 rvrurs Koling VvorK Sneer SCORE SUMMARY NPDES No.: IN I C. I I OIL Iz lc 13 IV! Factor Description Total Points 1 Toil( Pollutant Potential 2 Flow/Streamflow Volume 3 Conventional PoIutants 4 Public Health Impacts 5 Water Quality Factors 6 Proximity to Near Coastal Waters TOTAL (Factors 1 through 6) 0 S1. Is the total score equal to or greater than 807 ❑ Yes (Facility is a major) l.7 No S2. H the answer to the above question is no, would you like this facility to be discretionary major/ Er No ❑ Yes (Add 500 points to the above score and provide reason below: Reason: NEW SCORE OW SCORE 30 Permit Reviewer's Name ( IDS) ?33 _3 Phone Number