NC0089699_Rating Wroksheet_20170101

NPOES Permit Rating Work Sheet
AII C 0 F19'
FACTOR 3: Conventional Pollutants
NPDES
No.: 1 I JI 1 16,9191
(only when 14rrtftd by ft pormll)
A Cfxyger Go,—anding Poilutan iker.,
ane)
BGd ❑ COD ❑ Other:
Code
Points
i emlit Umiu (c'e-t
❑
<100 lbs/day
1
0
100 to 1000 lbs/day
2
5
❑
-1000 to 1000 lbs/day
3
15
❑
>300O1bs/day
4
20
Code Checked: 1•_I
Points Scored: I_I•_I
..'n►af iuspendrd Wid: IIS'
Code
Points
Permit U-nl s:.Wwr I ,rR)
X
400 Ibs/day
1
0
O
100 to 1000 Ibs/day
2
5
❑
.0 OnO to SOOO lbs/day
3
1s
C?
>5000lbs/day
4
20
Code Checked: i 1 I
Points Scored:
C. }hL.�-gen Poly w , 11 ❑ Ammonia U Other:
Nitrogen Equiwlent
Code
Points
Permit Um , tciteck one; ❑
e300 Ibs/day
1
0
t1
100 to 1000lbslday
2
5
❑
0000 to 3000lbs/day
3
15
❑
>3000 ibs/day
4
20
Code Checked: 1_I
Points Scored: 1 _I_I
Total Polnts Factor 3:
aC,'i -P 4, Publi: ileialth Impact
lie: e a public etho ing water supply located WOW, SO miles downstream of the effluent discharge (this Includes anybody of
,fret to whl. •t the receivfng water is a tributary)? A public drinking water supply may Include Infiltration galleries, or other
.rthods rt -flavieTance that ultimately get water from the above referenced supply.
Y-i . ' yes, cl*cr, toxi.... itential number below)
!..) ";'no, qu Io Factor
1 setermHe he human health tsrxtclty potential from Appendix A. Use the same SIC code and subcategory reference as In Factor 1. (Be
• afr- W USV Lhe human health toxicity group column -- • check one below)
t o Iclt,( :rnup Code Points
Toxicity Group
Code
Points
Toxicity Group Code Points
J Nc. Fnxc
113 3.
3
0
❑ 7. 7 15
�c. stream: 0 0
[] 4.
4
0
❑ 8. 8 20
❑ 0
❑ S
5
5
❑ 9. 9 25
❑ i 2 0
ti
6
10
❑ 10. 10 30
Code Number Checked: I I I
Total Points Factor 4: 1 l I 0 1
2

NPDES Permit Rating Work Sheet W Regular Addition
0 Discretionary Addition
/
!� O Score change but no
NPDES No.: I N IL I vl vi X i � I `mil9 ! 1 9I status change
0 Deletion
Facility Name: c p r
I l e i I v f=1V I l I L I L! C.7_! �l o I e I r 1 f�l ,�l�I `�I �I h I tl el �l_I_I_I_I_I_I_I_I_I
City:
Receiving Water: ILLI n I_I 6 1 1 V
Reach Number. l_I_I I_I_I_I_i_I_1_I_!
/s this facility a steam eiectdc power plant (51C=4911) Is this permit for a municipal separate storm sewer
with one or more of the following characteristics? serving a population greater than 100,0007
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 2S% of the receiving stream's 7Q10 flow rate ❑ NO (continue)
❑ YES; score is 600 (stop here) M NO (continue)
FACTOR 1: Toxic I l I? Pollutant Potential Y1.11
/ C%
PCS SIC Code. I I Primary SIC Code: I! 1! 1 / 1 ± 1
Other SIC Codes: I_I_l—j I
Industrial Subcategory Code: 1 1 I Z131 (Code 000 if no subcategory)
Determine the Toxicity potential from Appendix A. Be sure to use the TOTAL toxicity potential column and check one)
Toxicity Group Code Points Toxicity Group
Code
Points
Toxicity Group Code Points
❑ No process ❑ 3.
3
15
❑ 7. 7 35
waste streams 0 0 ❑ 4.
4
20
❑ 8. 8 40
❑ 1. 1 5 ❑ 5.
5
25
❑ 9. 9 45
❑ 2. 2 10 ® 6.
6
30
Cl 10. 10 SO
Code Number Checked: I 0 I � 1
Total Points Factor 1: 13 Io 1
FACTOR 2: Flow/Stream Flow Volume (con plate allhe►Section A orSeciion fs; check only ono)
Section A Wastewater Flow Only Considered
Section B Wastewater and Stream Flow Considered
Wastewater Type
Code
Points
Wastewater Type
Percent of In-tream
Code
Points
(See Instructions)
(See instructions)
Wastewater Concen-
Type I: Flow < 5 MGD
❑
11
0
tration at Receiving
Flow 5 to 10 MGD
❑
12
10
Stream Low Flow
Flow >10 to 50 MGD
D
13
20
❑
Flow > 50 MGD
❑
14
30
TYPE 1/III:
< 10%
41
0
Type 11: Flow <1 MGD
❑
21
10
2 109b to <50%
❑
42
10
Flow 1 to 5 MGD
Flow >5 to 10 MGD
❑
❑
22
23
20
30
2 50%
❑
43
20
Flow >10 MGD
D
24
50
Type II:
< 1096
❑
51
0
Type III: Flow <1 MGD
31
0
21096 to c5096
D
52
20
Flaw 1 to 5 MGD
O
32
10
Flow>5 to 10 MGD
D
33
20
5096
❑
53
30
Flow >10 MGD
❑
34
30
Code Checked from
Section A or B:
22
I I
Total Points Factor 2:
I I D I