NC0001376_Permit Rating Worksheet_20001221

NPDES Permit Rating Work Sheet o Regular Additions
❑ Discretionary Addition
''II 7 O Score change,but no
11N
NPDES No.: IG 10 '01 1 01 , k� 1X61 status change
• O Deletion
Facility Name: (p� nn
11 I vl E1 s�Y1- I LI1 GI E1 II 1=1 1 1 IL I-I C I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I
City: I'\1.1. 1 LI EI 1 IG 14"ILI 1ppt1 c:_1 / 1 1� 1 I 1 I I 1 I 1 I 1 I 1
Receiving Water:I N ICI a1 S 1c1 Ir`-1 S I v IEI o(}wl 1111111111111111111
Reach Number. I 1 I I I I I I I I 1 l
Is this facility a steam electric power plant(SIC=4911) Is this permit for a municipal separate storm'sewer
with one or more of the following characteristics? serving a population greater than 100,000?
1.Power output 500 MW or greater(not using a cooling pond/lake)
2.A nuclear power plant ❑YES;score is 700(stop here)
3.Cooling water discharge greater than 25%of the receiving streams 7Q10 flow rate 3Z1NO(continue)
❑YES;score is 600 (stop here) *NO (continue) _
FACTOR 1:Toxic Pollutant Potential Ci
� c pIoe - b -
PCS SIC Code: I_I_I_I_I Primary SIC Code: I`i�)I 11� (` C t C�v✓.N,e'rG10,1
^ -e--11-1S1
7 � 9 r 3 f �.�.,,;\ sees',
Other SIC Codes: ITI�-t�Sl I `,I I I`I I_I_I_I_i 1_1_1_1_,_1 ;, f-��pus vis
Industrial Subcategory Code: 1_1_1_1 (Code 000 if no subcategory) tom[" , / t e- t."
A{p{e- .
Determine the Toxicity potential from Appendix A. Be sure to use the TOTAL toxklty potential column and check one)
Toxicity Group Code Points Toxicity Group Code Points Toxicity Group Code Points
A No process ❑ 3. 3 15 ❑ 7. 7 35
waste streams 0 0 ❑ 4. 4 20 ❑ B. 8 40
❑ 1. 5 ❑ S. 5 25 U 9. - 9 45
U 2. 2 10 ❑ 6. 6 30 ❑10. 10 50
,..:,- ?.:±: .<.,;. .. :.
{ t _
{ Total PciHts Fel or 1 t f 1
FACTOR 2: Flow/Stream Flow Volume (Complete a►h.r Secllon A or Section B;chock only ono)
Section A—Wastewater Flow Only Considered Section B Wastewater and Stream Flow Considered
Wastewater Type Code Points Wastewater Type Percent of Instream Code Points
(See Instructions) (See Instructions) Wastewater Concen-
Type I: Flow<5 MGD A 11— 0 T) tration at Receiving
Flow S to 10 MGD ❑ 12 10 Stream Low Flow
Flow>10 to 50 MGD 0 13 20
Flow>50 MGD 0 14 30 TYPE VIII: <10% O 41 0
Type II: Flow<1 MGD 0 21 10 210%to<50% 0 42 10
Flow 1 to 5 MGD 0 22 20
Flow>5 to 10 MGD 0 23 30 2 50% 0 43 20
Flow>10 MGD ❑ 24 50
- Type II: <10% U • 51 0
Type III: Flow<1 MGD 0 31 0
Flow 1 to S MGD 0 32 10 210%to<5096 0 52 20
Flow>5 to 10 MGD ❑ 33 20
Flow>10 MGD 0 34 30 250% O 53 30
Code Checked from Section A or B: 11 I I
: Total Points Factor 2.
1 0 IL

NPDES Permit Rating Work Sheet . .
FACTOR 3:Conventional Pollutants NPDES No.: IN I C I0 1° 101 t 1 3 1 1 01
(only when limited by the permit) ,
�
j I
`,
A. Oxygen Demanding Pollutant: (check one) 800 ❑ COD ❑Other:
�t Code _,_rots
Permit Limits:(check one) 1ci. <100 Ibs/day C-1 Q -
❑ 100 to 1000 lbs/day 2 5
❑ >1000 to 3000 lbs/day 3 15
❑ >3000 lbs/day 4 20
Code Checked: I I
Points Scored: IA11.1
il.Total Suspended Solids(TSS)
Code is
Permit limits:(check one) Ift <100 lbs/day 1 -0----)
❑ 100 to 1000 lbs/day 2 5
❑ >1000 to 5000 lbs/day 3 15
• ❑ >5000 lbs/day 4 20
--. Code Checked: I I I
Points Scored: Iliki
C. Nitrogen Pollutant: (check one) 51.Arnmonia ❑ Other:
Nitrogen Equivalent Code Points
Permit limits:(check one) gi, <300 lbs/day 1 0
O 300 to 1000 lbs/day 5
❑ >1000 to 3000 lbs/day 3 15
O >3000 lbs/day 4 20
: . Code Checked: I
Points Stored:I�Ii
Total Points Factor 3:1_4141
FACTOR 4: Public Health Impact
Is there a public drinking water supply located within SO 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 above referenced supply.
)-1-6--
1-4 YES(If yes,check toxicity potential number below)
a 01 O(If no,go to Factor 5)
Determine the human heakh toxicity potential from Appendix A. Use the same SIC code and subcategory reference as in Factor 1. (Be
sure to use the human health toxicity group column—check one below)
Toxicity Group Code Points Toxicity Group Code Points Toxicity Group Code Points
itl, No process ❑ 3. 3 0 ❑ 7. 7 15
waste streams 0 0 ❑ 4. 4 0 ❑ 8. 8 20
❑ 1. 0 ❑ s. 5 5 ❑ 9. 9 25
❑ 2. 2 0 ❑ 6. 6 10 010. 10 30
Code Number Checked: III
Total Points Factor 4: 1441

NPDES Permit Rating Work Sheet
FACTOR 5:Water Quality Factors NPDES No.: I K I CIO 10 101 I-11- I G 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 wasteload allocation
been assigned to the discharge?
Code Points
❑ Yes 1 10
No 2 0
B. Is the receiving water in compliance with applicable water quality standards for pollutants that are water quality limited in
the permit?
Code Points
rik Yes Q., 0___)
❑ No 2 5
C. Does the effluent discharged from this facility exhibit the reasonable potential to violate water quality standards due to whole
effluent toxicity? .. —
Cock Points
❑ Yes 1 10
No C-----2---------TC
. code Number Checked: .. A f�-t : f11 f� C 1Y '
* i I ZSFTOTAf;,
Points Factor 5 A 1 1 + B I
FACTOR 6: Proximity to Near Coastal Waters
A. Base Score:Enter flow code here(from Factor 2):I L I P I Enter the multipllcatin lactor that corresponds
to the flow code: 12upi I
Check appropriate facility HPRI Code(from PCS):
HPRI N Code HPRI Score Row Code Multiplication Factor
❑ 1 1 20 11,31,or 41 0.00
❑ 2 2 0 12,32,or 42 0.05
13,33,or43 0.10
`�❑ 3 3 30 14 or 34 0.15
�- cs 4 21 or 51 0.10
22 or 52 0.30
❑ 5 5 20 23 or 53 0.60
HPRI code checked:l .l 24 1.00
Base Score: (HPRI Score) 0 x(Multiplication Factor) 75 = . 5 (TOTAL POINTS)
8. Additional Points—NEP Program C. Additional Points—Great Lakes Area of Concern
For a fadllty that has an HPRI code of 3, does the fodllty Fora facility that has on HPRI code of S,does the facility
discharge to one of the estuaries enrolled In the National discharge any of the pollutants of concern into one of the
Estuary Protection(NEP)program(see Instructions)or Great Lakes'31 areas of concern(see Instructions)
the Chesapeake Bay?
Code Points Code Points
Cl Yes 1 10 ❑ Yes 1 10
- A No 2 0 A No 2
Coda Number Checked: A l l B l J C 17 i .
Points Fedor& A.I. + B I, I J + C E4_4,t = .t TOTAL
- 3

NPDES Permit Rating Work Sheet •
SCORE SUMMARY NPDES No.: III_I_IIIIII
Factor Description Total Points
1 Toxic Pollutant Potential -
2 Flow/Streamflow Volume
3 Conventional Pollutants (�
4 Public Health Impacts
5 Water Quality Factors
6 Proximity to Near Coastal Waters
TOTAL(Factors 1 through 6) _
Si. Is the total score equal to or greater than 80? ❑Yes(Facility is a major) 10 No
52. If the answer to the above question is no,would you like this facility to be discretionary major?
4 No
CI Yes (Add 500 points to the above score and provide reason below:
Reason:
NEW SCORE:
OLD SCORE:
••
Permit 'ewer's NameiTVt�-j- -
(9t9 ) 1 3. D( )c5-4-
Phone Number
iqz.4
Date