NCS000583_Missing Application Item_20150721

A. For each outfall, provide an estimate of the area (include units) of impervious surfaces (including paved areas and building roofs) drained
to the oulfall. and an estimate of the total surface area drained by the outfall.
Cuffall
Area of Impervious Surface
Total Area Drained
Outiall
Area of Impervious Surface
Total Area Drained
N,,moer
Number
1
4,42 acres
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; past and present materials management practices
employed. in the last three years. to minimize contact by these materials with storm water runoff; materials loading and access areas; and
the location. mannerand frequency in which pesticides. herbicides. soil conditioners, and fertilizers are applied.
See Process and Site Description which is attached.
C For each cutia:: provide the location and a description of existing structural and nonstructural control measures to reduce pollutants in
storm water rune!!: and a description of the treatment the storm water receives, including the schedule and type of maintenance for control
and treaimenimeasures h fluid
oudall Ust Codes from
• m r Treatment Table -t
1 None
V. Nonstormwater Discharges
A. I certify under penaLy of law Inat the cuffall(s) covered by this application have been tested or evaluated for the
presence of
nonstormwatef discharges. and that all nonstornlwater discharges from these ouffall(s) are identified in either an accompanying
Form 2C
r F rm 2E applicaion for the
Name and Cfftclal Title !type orprint)
Signature
Date Signed
John Santos, Operations Manager
E. Provide a oescrpdon of the method used. the date of any testing, and the onsile drainage points that were directly observed during a test.
See Attached Process and Site Description for discussion of
non -storm discharge evaluation
V1. Significant Leaks or S Ills
Provide existing information regarding the history of significant leaks or spills of toxic or hazardous pollutants at the facility in the last three
years, including the approximate date and location of the spill or leak. and the "and amount of material released.
There have been no known significant leaks or spills at the facility in the past three years.
PP• Fn.rn 151113-eP r.x_em Pan. 9M n Continue on Paoe 3

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vii. DisCltaf a in?OQRaciort l.urrtn,uctl uvr,r a o ., . , , -.
each
instructions for additional details.
Part A- You must provide the resuhs of at least one analysis for every pollutant in this table. Complete one table fAP0llUt*AtS
Pollutant
and
CAS Number
(it availabrer
Maximum Values
!include units)
Average Values
(include units)
Number
of
Storm
Events
Sampled
Source
Grab Sample
Taken DuringTaken
Fret 30
Minutes
Flaw weighted
Composite
Grab Sample
During
First 30
Minutes
Flow•weightetl
Composite
Oil and Grease
biological Oxygen
Demand (BOM
Chemical Oxygen
Demand (COD)
Total Suspended
Solids ITSS)
Total Kjeldaht
Nitrogen
Nitrate plus
Nante Nitrogen
'ota
=.csc«or..-
ch 4•r ^jm Max-num Minimum Maximum
Part B - os: eacn pc:.utari :rat re :+mgec in an effluent gmdel,ne wh¢h the facility is subject :o or any btnutam. ns;eo it, the facility s N DES
perm.: for * protass wastewater (if the facility is operating under an existing NPOES permit/. Complete one table for each curtail.
h in r n i r ii n i ;Is
' Maximum Values I Average Values I Number
(irclude units; (include units) of
a^C Grab Samole Grab Sample Storm
C-S Taker. During i Flow -weighted I Ta F Cr:ng Flow- weighted Events ;
First 3C
henutes. Cemoeslte Minutes Composite SampledSources of P:L'utants
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EPA Form 3510-21F (11-90) ^sy° v""

Not Available at this time
. —.. «......, ,.. , �..va cr•c, 11-0. env cr- MAX YOU Know or nave reason to believe is
addleonal debate and r;uiraments. Complete one table for each outfslf.
present. See the instructions for
Pollutant
and
CAS Number
(favailable)
Maximum Values
(Include units)
Average Values
(include units)
Number
of
Storm
Events
Sampled!
Sources of Pollutants
Grab Sample
Taken During
Fret a
Minutes
Flowwwighted
Composite
Grab Sample
Taken During
first 30
Minutes
Flow-wei htad
9
Composite
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PartD - Provide data for the storm oven!
s which resulted in the maximum values for the flow wei hted com osite sam le.
1.
Date of
Storm
Event
2.
Duration
of Storm
(in mimes
3.
Total rainfall
during storm event
in inches
e.
Number of hours between
beginning of storm mass-
ured and end of previous
P
measurable rain event
5.
Maximum boo rate
during rain event
allons minute or
(g if
s units
6.
Total flow from
rain event
Ig allons or
s units)
7.
Season
sample was
taken
6.
Form of
Precipitation
no(law nfifi
snowmee)
9. Provide a description of the method of flow measurement or estimate.
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