NC0034860_Regional Office Historical File Pre 2018 (3)

To: Complex Permitting Unit
Attention: Teresa Rodriquez
FILE
Priority• No
Date: March 16, 2015
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Alexander
NPDES Permit No.: NC0034860
PART I - GENERAL INFORMATION
1. Facility and Address: Schneider Mills, Inc. WWTP Physical Location
PO Box 519 1170 Hwy. 16 N
Taylorsville, N.C. 28681 Taylorsville, NC 28681
2. Date of Investigation:, March 3, 2015
3. Report Prepared By:. Wes Bell, Environmental Specialist
4. Person Contacted and Telephone Number: Darren Webb/ORC [phone]
5. Directions to Site: From the junction of Interstate I-40 W and Exit 148 (US 64/NC 90), turn right onto
US 64 and travel approximately 18 miles before taking a right onto Hwy. 16 (Hwy. 16 N/Taylorsville
Exit). Travel approximately 2.6 miles north on Hwy. 16 and the entrance to the WWTP will be on the
right. The WWTP will be on the left after traveling approximately 500 ft. down this driveway.
6. Discharge Point(s), List for all discharge Point:
Outfall 001 and Outfall 002
Latitude: 350 56' 12"
Longitude: 81' 11' 28"
See USGS Map included with the renewal application for specific location of the outfalls.
USGS Quad No.: D 14 NW
7. Receiving Stream or Affected Surface Waters: Muddy Fork Creek (both Outfalls)
a. Classification: -C
b. River Basin and Subbasin No.: Catawba/03-08-32
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater and description of wastewater source(s) of each outfall:
Outfall 001— 0.780 MGD — domestic and process wastewater. The existing WWT facilities consist of a
manual bar screen, instrumented flow measurement, aeration basin with mechanical aeration, secondary
clarifier, cascade aeration, aerobic digester, sludge drying beds.
Outfall 002 — filter backwash. The existing WWT facilities consist of two sedimentation basins
operated in series (flow not limited).
b. Pretreatment Program: NA

Page Two
PART III - OTHER PERTINENT INFORMATION
1. Special monitoring or limitations (including toxicity) requests: None requested.
PART IV - EVALUATION AND RECOMMENDATIONS
The wastewater treatment facilities appeared to be properly operated and well maintained at the .time of
the inspection. The Outfall 002 effluent discharge flows approximately 700 ft. prior to entering the receiving
stream (directly above Outfall 001.). It is recommends;thatthe subject Permit be renewed following review by
the Division's Complex Permitting Staff. -
r Signature o Report Preparer Date
3,
Water Quality Regional Supervisor

=�—E IVEDD[VISIdN RETER QUALITY
740A
FEB - 3 2015
NCDENR - -
North Carolina Department of Environment and Natural Resource ESvtLILE REGIONAL OFFICE
�- Pat McCrory Donald R. van der Vaart
Governor Secretary
January 28, 2015
Darren Web, ORC
Schnelder Mills, fhz.
PO Box 519
Taylorsville, NC 28681
Subject: Acknowledgement of Permit Renewal
Permit NCO034860
Alexander County
Dear Mr. Webb:
The NPDES Unit received your permit renewal application on January 28, 2015. A member of the
NPDES Unit will review your application. They will contact you if additional information is required to
complete your permit renewal. You should expect to receive a draft permit approximately 30-45 days
before your existing permit expires.
If you have.any additional questions concerning renewal of the subject permit, please contact Teresa
Rodriguez (919) 807-63 87.
Sincerely,
W rre w Tln-e of a�
Wren Thedford
Wastewater Branch
cc: Central Files
CAT65 esville-Regional-0ffice
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 612 N. Salisbury St Raleigh, North Carolina 27604
Phone: [phone] Fax: [phone]Customer Service:1-877-623-6748
Internet:: www.ncwater.orq
An Equal'Opportunity\Affirmative Action Employer

SCHNEIDER DILLS, INC.
P.O. BOX 519 - TAYLORSVILLE, N.C. 28681.
TELEPHONE [phone]
r. men Thedford
NC DENR/DWR/NPDES / UNIT
1617 Mail Service Center
Raleeigh,NC 27699-1617
Subject:Permit Renewal
NPDES NCO034860
Schneider Mills Inc. WWTP
Alexander County
Dear Mr. Wren Thedford,
RECEIVED
DIVISION OF 1(VATER QUALITY
FEB - 3 2015
8't° tsP v � to i I ON
iVIOORESVILLE kEGIONAL OFFICE
RECEIVED/DENROWR
JAN 9, 8 2015
J
Water Quality
Permitting Section
Schneider Mills is requesting permit renewal for WWTP permit # NCO034860 IN Alexander
County . There have been no changes since last permit renewal. If you have any questions or need
additional information please contact me Darren Webb at [phone] .
Sincerely ,
g-'q
Darren Webb ORC
N
.44
EXECUTIVE OFFICES: 1430 Broadway, Suite 1202, New York, IVY 10018

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DESCRIPTION OF CONSOLIDATED FORM 1 PACKAGE
PERMIT APPLICATION FORMS TABLE OF CONTENTS
The Consolidated Permit Application Forms are:
Form 1 - General Information (included in this part);
Form 2 - Discharges to Surface Water (NPDES Permits):
2A. Publicly Owned Treatment Works (Reserved - not included in
this package),
2B. Concentrated Animal Feeding, Operations and Aquatic Animal
.Production Facilities (not included in this package),
2C. Existing Manufacturing, Commercial, Mining, and Silvicultural
Operations (not included in this package), and
2D. New Manufacturing, Commercial, Mining, and Silvicultural
Operations (Reserved - not included in this package);
Form 3 - Hazardous Waste Application Form (RCRA Permits - not
included in this package);
Form 4, - Underground Injection of Fluids (UIC Permits - Reserved -
not included in -this package); and
Form 5 - Air Emissions in Attainment Areas (PSD Permits - Reserved -
not included in this package).
Who Must Apply
Section A. General Instructions
Section B. Instructions for Form 1
Section C. Activities Which do Not Require Permits
Section D. Glossary
Form 1 (two copies)
SECTION A - GENERAL INSTRUCTIONS
With the exceptions described in Section C of these instructions,
Federal laws prohibit you from conducting any of the following activities
without a permit.
NPDES (National Pollutant Discharge Elimination System Under. the
Clean Water Act, 33 U.S.C. 1251). Discharge of pollutants into the
waters of the United States.
RCRA (Resource Conservation and Recovery Act, 42 U.S. C. 6901).
Treatment, storage, or disposal of hazardous wastes.
UIC (Underground Injection Control Under the Safe Drinking Water
Act, 42 U.S. C. 3000. Injection of fluids underground by gravity flow or
pumping.
PSD (Prevention of Significant Deterioration Under the Clean Air Act,
72 U.S. C. 7401). Emission of an air pollutant by a new or modified
facility in or near an area which has attained the National Ambient Air
Quality Standards for that pollutant.
Each of the above permit programs is operated in any particular State
by either the United States Environmental Protection Agency (EPA) or
by an approved State agency. You must use this application form to
apply for a permit for those programs administered by EPA. For those
programs administered by approved States, contact the State
environmental -agency for the proper forms.
If you have any questions about whether you need a permit under any
of the above programs, or if you need information as to whether a
particular program is administered by EPA or a State agency, or if you
need to obtain application forms, contact your EPA Regional office
(listed in Table 1).
Upon your request, and based upon information supplied by you, EPA
will determine whether you are required to obtain a permit for a
particular facility. Be sure to contact EPA if you have a question,
because Federal laws provide that you may be heavily penalized if
you do not apply for a permit when a permit is required.
Form 1 of the EPA consolidated application forms collects general
information applying to all programs. You must fill out Form 1
regardless of which permit you are applying for. In addition, you must
fill out one of the supplementary forms (Forms 2 - 5) for each permit
needed under each of the above programs.. Item II of Form 1 will guide
you to the appropriate supplementary forms.
You should note that there are certain exclusions to the permit
requirements listed above. The exclusions are described in detail in
Section C of these instructions. If your activities are excluded from
permit requirements then you do not need to complete and return any
forms.
NOTE: Certain activities no listed above also are subject to EPA
administered environmental permit requirements. These include
permits for ocean dumping, dredged or fill material discharging, and
certain types of air emissions. Contact your EPA Regional office for
further information.
Table 1. Addresses of EPA Regional Contacts and States Within
the Regional Office Jurisdiction.
REGION 1
Permit Contact, Environmental and Economic Impact Office, U.S.
Environmental Protection Agency, John F. Kennedy Building,
Boston, Massachusetts 02203, [phone], FTS 223-4635.
Connecticut, Maine, Massachusetts, New Hampshire, Rhode
Island, and Vermont.
REGION II
Permit Contact, Permits Administration Brach, Room 432, U.S.
Environmental Protection Agency, 26 Federal Plaza, New York,
New York 10007, [phone], FTS 264-9880.
New Jersey, New York, Virgin Islands, and Puerto Rico.
REGION III
Permit Contact (3 EN 23), U.S. Environmental Protection Agency,
6`h & Walnut Streets, Philadelphia, Pennsylvania 19106, (215)
597-8816, FTS 597-8816.
Delaware, District of Columbia, Maryland, Pennsylvania,
Virginia, and West Virginia.
REGION IV
Permit Contact, Permits Section, U.S. Environmental Protection
Agency, 345 Courtland Street, N.E., Atlanta, Georgia 30365, (404)
881-2017, FTS 257-2017.
Alabama, Florida, Georgia, Kentucky, Mississippi, North
Carolina, South Carolina, and Tennessee.
REGION V
Permit Contact (5EP), U.S. Environmental Protection Agency, 230
South Dearborn Street, Chicago, Illinois 60604, [phone],
FTS 353-2105.
Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin.
1-1

SECTION A - GENERAL INSTRUCTIONS
Table 1 (continued)
REGION VI
Permit Contact (6AEP), U.S. Environmental Protection Agency, First
International Building, 1201 Elm Street, Dallas, Texas 75270, (214)
767-2765, FTS 729-2765.
Arkansas, Louisiana, New Mexico, Oklahoma, and Texas.
REGION VII
Permit ' Contact, Permits .Branch, U.S. Environmental Protection
Agency, 324 East'11h Street, Kansas City, Missouri 64106, (816)
758-5955, FTS 758-5955.
Iowa, Kansas, Missouri, and Nebraska
REGION VIII
Permit Contact (8E-WE), Suite 103, U.S. Environmental Protection
Agency, 1860 Lincoln Street, Denver, Colorado 80295, (303)
837-4901,FTS3274901.
Colorado, Montana, North Dakota, South Dakota, Utah, and
Wyoming.
REGION IX
Permit Contact, Permit Branch (E-4), U.S. Environmental Protection
Agency, 215 Fremont Street, San Francisco, California 80295, (415)
556-3450, FTS 556-3450.
Arizona, California, Hawaii, Nevada, Guam, American Samoa,
and Trust Territories.
REGION X
Permit Contact (MIS 521), U.S. Environmental Protection Agency,
1200 61h Avenue, Seattle, Washington 98101, [phone], FTS
399-7176.
Alaska, Idaho, Oregon, and Washington.
Where to File
The application forms should be mailed to the EPA Regional office
whose Region includes the State in which the facility is located (see
Table 1).
If the State in which the facility is located administers a Federal permit
program under which you need a permit, you should contact the
appropriate State agency for the correct forms. Your EPA Regional
office (Table 1) can tell you to whom to apply and can provide the
appropriate address and phone number.
When to File
Because of statutory requirements, the deadlines for filing applications
vary according to the type of facility you operate and the type of permit
you need. These deadlines are as follows:'
Table 2. Filing Dates for Permits
FORM (permit) WHEN TO FILE
2A(NPDES)................................180 days before your present NPDES
permit expires.
2B(NPDES)................................180
days before your present NPDES
permit expiresZ, or 180 days prior to start-
up if you are a new facility.
2C(NPDES)................................180
days before your present NPDES
permit expiresZ.
2D(NPDES)................................180
days prior to startup.
3(Hazardous Waste)...................Existing
facility: Six months following
publication of regulations listing
hazardous wastes.
New facility: 180 days before
commencing physical construction.
Table 2 (continued)
4(U1C)............................................A reasonable time prior to con-
struction for new wells; as directed
by the Director for existing wells.
5(PSD)........................................... Prior to commencement of con-
struction.
'Please note that some of these forms are not yet available for use and
are listed as "Reserved"at the beginning of these instructions.
Contact your EPA Regional office for information on current application
requirements and forms.
Zlf your present permit expires on or before November 30, 1980, the
filing date is the date on which your permit expires. If your permit
expires during the period December 1, 1'980 - May 31, 1981, the filing
date is 90 days before your permit expires.
Federal regulations provide that you may not begin to construct a new
source in the NPDES program, a new hazardous waste management
facility, a new injection well, or a facility covered by the PSD program
before the issuance of a permit under the applicable program. Please
not that if you are required to obtain a permit before beginning
construction, as described above, you may need to submit your permit
application well in advance of an applicable deadline listed in Table 2.
Fees
The U.S. EPA does not require a fee for applying for any permit under
the consolidated permit programs. (However, some States which
administer one or more of these programs require fees for the permits
-which they issue.)
Availability of Information to Public
Information contained in these application forms will, upon request, be
made available to the public for inspection and copying. However, you
may request confidential treatment for certain information which you
submit on certain supplementary forms. The specific instructions for
each supplementary form state what information on the form, if any,
may be claimed as confidential and what procedures govern the claim.
No information on Forms 1 and 2A through 2D may be claimed as
confidential. \
Completion of Forms
Unless otherwise specified in instructions to the forms, each item in
each form must be answered. To indicate that each item has been
considered, enter "NA," for not applicable, if a particular item does not fit
the circumstances or characteristics of your facility or activity.
If you have previously submitted information to EPA or to an approved
State agency which answers a question, you may either repeat the
information in the space provided or attach a copy of the previous
submission: Some items in the form require narrative explanation. If
more space is necessary to answer a question, attach a separate sheet
entitled "Additional Information."
Financial Assistance for Pollution Control
There are a number of direct loans, loan guarantees, and grants
available to firms and communities for pollution control expenditures.
These are provided by the Small Business Administration, the Economic
Development Administration, the Farmers Home Administration, and the
Department of Housing and Urban Development. Each EPA Regional
office (Table 1) has an economic assistance coordinator who can
provide you with additional information.
EPA's construction grants program under Title II of the Clean Water Act
is an additional source of assistance to publicly owned treatment works.
Contact your EPA Regional office for details.
1-2

SECTION B - FORM 1 LINE -BY-LINE INSTRUCTIONS
This form must be completed by all applicants.
Completing This Form
Please type or print in the unshaded areas only. Some items have
small graduation marks in the fill-in spaces. These marks indicate the
number of characters that may be entered into our data system. The
marks are spaced at 1/6" intervals which accommodate elite type (12
characters per inch). If you use another type you may ignore the marks.
If you print, place each character -between the .marks. Abbreviate if
necessary to stay within the number of characters allowed for each item.
Use one space for breaks between words, but not for punctuation marks
unless they are needed to clarify your response.
Item I
Space is provided at the upper right hand corner of Form 1 for insertion
of your EPA Identification Number. If you have an existing facility, enter
your Identification Number. If you don't know your EPA Identification
Number, please contact your EPA Regional office (Table 1), which will
provide you with your number. If your facility is new (not yet
constructed), leave this item blank.
Item II
Answer each question to determine which supplementary forms you
need to fill out. Be sure to check the glossary in Section D of these
instructions for the legal definitions of the bold faced words. Check
Section C of these instructions to determine whether your activity is
excluded from permit requirements.
If you answer "no" to every question, then you'do not need a permit, and
you do not need to complete and return any of these forms.
If you answer "yes" to any question, then you must complete and file the
supplementary form by the deadline listed in Table 2 along with this
form. (The applicable form number follows each question and is
enclosed in parentheses.) You need not submit a supplementary form if
you already have a permit under the appropriate Federal program,
unless your permit is due to expire and you wish to renew your permit.
Questions (1) and (J) of Item II refer to,major new or modified sources
subject to Prevention of Significant Deterioration (PSD) requirements
under the Clean Air Act. For the purpose of the PSD program, major
sources are defined as: (A) Sources listed in Table 3 which have the
potential to emit 100 tons or more per year emissions; and (B) All other
sources with the potential to emit 250 tons or more per year. See
Section C of these instructions for discussion of exclusions of certain
modified sources.
Table 3. 28 Industrial Categories Listed in Section 169(1) of the
Clean Air Act of 1977
Fossil fuel -fired steam generators of more than 250 million BTU per
hour heat input;
Coal cleaning plants (with thermal dryers);
Kraft pulp mills;
Portland cement plants;
Primary zinc smelters;
Iron and steel mill plants;
Primary aluminum ore reduction plants;
Primary copper smelters;
Municipal incinerators capable of charging more than 250 tons of refuse
per day;
Hydrofluoric acid plants;
Nitric acid plants;
Sulfuric acid plants;
Petroleum refineries;
Lime plants;
Phosphate rock processing plants;
Coke oven batteries;
Sulfur recovery plants;
Carbon black plants (furnace process);
Primary lead smelters;
Fuel conversion plants;
Sintering plants;
Secondary metal production plants;
Chemical process plants;
Fossil fuel boilers (or combination thereof) totaling more than 250 million
BTU per hour heat input.
Table 3 (continued)
Petroleum storage and transfer units with a total storage capacity
exceeding 300,000 barrels;
Taconite ore processing plants;
Glass fiber processing plants; and
Charcoal production plants.
Item III
Enter the facility's official or legal name. Do not use a colloquial name.
Item IV
Give the name, title, and work telephone number of a person who is
thoroughly familiar with the operation of the facility and with the facts
reported in this application and who can be contacted by reviewing
offices if necessary.
Item Vll
List, in descending order of significance, the four 4-digit standard
industrial classification (SIC) codes which best describe your facility in
terms of the principal products or services you produce or provide.
Also, specify each classification in words. These classifications may
differ from the SIC codes describing the operation generating the
discharge, air emissions, or hazardous wastes.
SIC code .numbers are descriptions which may be. found in the
"Standard Industrial Classification Manual" prepared by the Executive
Office of the President, Office of Management and Budget, which is
available from the Government Printing Office, Washington, D.C. Use
the current edition of the manual. If you have any questions
concerning the appropriate SIC code for your facility, Contact your
EPA Regional office (see Table 1).
Item VII-A
Give the name, as it is legally referred to, of the person, firm, public
organization, or any other entity which operates the facility described in
this application. This may or may not be the same name as the facility.
The operator of the facility is the -legal entity which controls the facility's
operation rather than the plant or site manager. Do not use a
colloquial name.
Item VIII-B
Indicate whether the entity which operates the facility also owns it by
marking the appropriate box.
Item VIII-C
Enter the appropriate letter to indicate the legal status of the operator
of the facility. Indicate "public" for a facility solely owned by local
government(s) such as a city, town, county, parish, etc.
Items VII-D-H
Enter the telephone number and address of the operator identified in
Item VIII-A.
1-3

SECTION B - FORM 1 LINE -BY-LINE INSTRUCTIONS (continued)
Item IX
Indicate whether the facility is located on Indian Lands.
Item X
Give the number of each presently effective permit issued to the facility
for each program or, if you have previously filed an application but
have not yet received a permit, give the number of the application, if
any. . Fill in the .unshaded, area only.: If you have;:more -than one
currently effective permit for your facility under a particular permit
program, you may list additional permit numbers on a separate sheet
of paper. List any relevant environmental Federal (e.g., permits under
the Ocean Dumping Act Section 404 of the Clean Water Act or the
Surface Mining control and Reclamation Act), State (e.g., State permits
for new air emission sources in nonattainment areas under Part D of
the Clean Air Act o'r State permits under Section 404 of the Clean
Water Act), or local permits or applications under "other."
Item XI
Provide a topographic map or maps of the area extending at least to
one mile beyond the property boundaries of the facility which clearly
show the following:
The legal boundaries of the facility;
The location and serial number of each of your existing and
proposed intake and discharge structures;
All hazardous waste management facilities;
Each well where you inject fluids underground; and
All springs and surface water bodies in the area; plus all drinking
water wells within 1/4 mile of the facility which are identified in the
public record or otherwise known to you.
If an intake or discharge structure, hazardous waste disposal site, or
injection well associated with the facility is located more than one mile
from the plant, include it on the map, if possible. If not, attach
additional sheets describing the location of the structure, disposal site,
or well, and identify the U.S. Geological Survey (or other) map
corresponding to the location.
On each map, include the map scale, a meridian arrow showing north,
and latitude and longitude at the nearest whole second. On all maps
of rivers, show the direction of the current, and in tidal waters, show
the direction of the ebb and flow tides. Use a 7-1/2 minute series map
published by the U.S. Geological Survey, which may be obtained
through the U.S. Geological Survey Offices listed below. If a 7-1/2
minute series map has not been published for your facility site, then
you may use a 15 minute series map from the U.S. Geological Survey.
If neither a 7-1/2 nor 15 minute series map has been published for your
facility site, use a plat map or other appropriate map, including all the
requested information; in this case, briefly describe land uses in the
map area (e.g., residential, commercial).
You may trace your map from a geological survey chart, or other map
meeting the above specifications. If you do, your map should bear a
note showing the number or title of the map or chart it was traced from.
Include the names of nearby towns, water bodies, and other prominent
points. An example of an acceptable location map is shown in Figure
1-1 of these instructions. (NOTE: Figure 1-1 is provided for
purposes of illustration only, and does not represent any actual
facility.) I
U.S.G.S. OFFICES AREA
Eastern Mapping Center
National Cartographic Information
Center
U.S.G.S.
536 National Center
Reston, Va. 22092
Phone No. [phone]
Ala., Conn., Del., D.C., Fla.,
Ga., Ind., Ky., Maine, Md.,
Mass:, N.H., N.J., N.Y., N.C.,
S.C., Ohio, Pa., Puerto Rico,
R.I., Tenn., Vt., Va., W. Va.,
and Virgin Islands.
Item X1 (continued)
Mid Continent Mapping Center
Ark., III., Iowa, Kans., La.,
National Cartographic Information
Mich., Minn., Miss., Mo.,
Center
N. Dak., Nebr., Okla., S. Dak.,
U.S.G.S.
and Wis.
14001ndependence Road
Rolla, Mo. 65401
Phone, No.. (3.14) 341-0851
Rocky Mountain Mapping Center
Alaska, Colo., Mont., N. Mex.,
National Cartographic Information
Tex., Utah, and Wyo.
Center
U.S.G.S.
Stop 504, Box 25046 Federal Center
Denver, Co. 80225
Phone No. [phone]
Western Mapping Center Ariz., Calif., Hawaii, Idaho,
National Cartographic Information Nev., Oreg., Wash., American
Center Samoa, Guam, and Trust
U.S.G.S. Territories
345 Middlefield Road
Menlo Park, Ca. 94025
Phone No. [phone]
Item XII
Briefly describe the nature of your business (e.g., products produced or
services provided).
Item XIII
Federal statues provide for severe penalties for submitting false
information on this application form.
18 U.S.C. Section 1001 provides that "Whoever, in any matter within the
jurisdiction of any department or agency of the United States knowingly
and willfully falsifies, conceals or covers up by any trick, scheme, or
device a material fact, or makes or uses any false writing or document
knowing same to contain any false, fictitious or fraudulent statement or
entry, shall be fined not more than $10,000 or imprisoned not more than
five years, or both."
Section 309(c)(2) 'of the Clean Water Act and Section 113(c)(2) of the
Clean Air Act each provide that "Any person knowingly makes any false
statement, representation, or certification in any application, ... shall
upon conviction, be punished by a fine of no more than $10,000 or by
imprisonment for not more than six months, or both."
In addition, Section 3008(d)(3) of the Resource Conservation and
Recovery Act provides for a fine up to $25,000 per day or imprisonment
up to one year, or both, for a first conviction for making a false
statement in any application under the Act, and for double these
penalties upon subsequent convictions.
FEDERAL REGULATIONS REQUIRE THIS APPLICATION TO BE
SIGNED AS FOLLOWS:
A. For a corporation, by a principal executive officer of at least the
level of vice president. However, if the only activity in Item II which
is marked "yes" is Question G, the officer may authorize a person
having responsibility for the overall operations of the well or well field
to sign the certification. In that case, the authorization must be
written and submitted to the permitting authority;
B. For partnership or sole proprietorship, by a general partner or
the proprietor, respectively; or
C. For a municipality, State, Federal, or other public facility; by
either a principal executive officer or ranking elected official.
1-4

SECTION C - ACTIVITIES WHICH DO NOT RQUIRE PERMITS
1. National Pollutant Discharge Elimination System Permits Under
the Clean Water Act. You are not required to obtain a NPDES permit
if your discharge is in one of the following categories, as provided by
the Clean Water Act (CWA) and by the NPDES regulations (40 CFR
Parts 122-125). However, under Section 510 of CWA a discharge
exempt from the federal NPDES requirements may still be regulated by
a State authority;; contact your State environmental agency to
determine whether you need a State permit.
A. DISCHARGES FROM VESSELS. Discharges of sewage from
vessels, effluent from properly functioning marine engines, laundry,
shower, and galley -sink wastes, and any other discharge incidental
to the normal operation of a vessel do riot require NPDES permits.
However, discharges of rubbish, trash, garbage, or other such
materials discharged overboard require permits, and so do other
discharges when the vessel is operating in a capacity other than as
a means of transportation, such as when the vessel is being used as
an energy or mining facility, a storage facility, or a seafood
processing facility, or is secured to the bed of the ocean, contiguous
zone, or waters of the United States for the purpose of mineral or oil
exploration or development.
B. DREDGED OR FILL MATERIAL. Discharges of dredged or fill
material into waters of the United States do not need NPDES
permits if the dredging or filling is authorized by a permit issued by
the U.S. Army Corps of Engineers or an EPA approved State under
Section 404 of CWA.
C. DISCHARGES INTO PUBLICLY OWNED TREATMENT WORKS
(P07W). The introduction of sewage, industrial wastes, or other
pollutants into a POTW does not need an NPDES permit. You must
comply with all applicable pretreatment standards promulgated
under Section 307(b) of CWA, which may be included in the permit
issued to the POTW. If you have a plan or an agreement to switch
to a POTW in the future, this does not relieve you of the obligation to
apply for and receive an NPDES permit until you have stopped
discharging pollutants into waters of the United States.
(NOTE. Dischargers into privately owned treatment works do
not have to apply for or obtain NPDES permits except as
otherwise required by the EPA Regional Administrator. The
owner or operator of the treatment works itself, however, must
apply for a permit and identify all users in its application.
Users so identified will receive public notice of actions taken
on the permit for the treatment works.)
D. DISCHARGES FROM AGRICULTURAL AND SILVICULTURAL
ACTIVITIES. Most discharges from agricultural and silvicultural
activities to waters of the United States do not require NPDES
permits. These include runoff from orchards, cultivated crops,
pastures, range lands, and forest lands. However, the discharges
listed below do require NPDES permits. Definitions of the terms
listed below are contained in the Glossary section of these
instructions.
1. Discharges from Concentrated Animal Feeding Operations.
(See Glossary for definitions of 'animal feeding operations" and
"concentrated animal feeding operations." Only the latter
require permits.)
2. Discharges from Concentrated Aquatic Animal Production
Facilities. (See Glossary for size cutoffs.)
3. Discharges associated with approved Aquaculture Projects.
4. Discharges from Silvicultural Point Sources. (See Glossary
for the definition of "silvicultural point source.') Nonpoint
source silvicultural activities are excluded from NPDES permit
requirements. However, some of these activities, such as
stream crossings for roads, may involve point source
discharges of dredged or fill material which may require a
Section 404 permit. See 33 CFR 209.120.
E. DISCHARGES IN COMPLIANCE WITH AN ON -SCENE
COORDINATOR'S INSTRUCTIONS.
11. Hazardous Waste Permits Under the Resource Conservation
and Recovery Act. You may be excluded from the requirement to
obtain a permit under this program if you fall into one of the following
categories:
Generators who accumulate their own hazardous waste on -site
for less than 90 days as provided in 40 CFR 262.34;
Farmers who dispose of hazardous waste pesticide from their
own use as provided in 40 CFR 262.51;
Certain persons treating, storing, or disposing of small quantities
of hazardous waste as provided in 40 CFR 261.4 or 261.5: and
Owners and operators of totally enclosed treatment facilities as
defined in 40 CFR 20.10.
Check with your Regional office for details. Please note that even if
you are excluded from permit requirements, you may be required by
Federal regulations to handle your waste in a particular manner.
III. Underground Injection Control Permits Under the Safe
Drinking Water Act. You are not required to obtain a permit under
this program if you:
Inject into existing wells used to enhance recovery of oil and gas
or to store hydrocarbons (note, however, that these underground
injections are regulated by Federal rules); or
Inject into or above a stratum which contains, within 1/4 mile of
the well bore, an underground source of drinking water (unless
your injection is the type identified in Item II-H, for which you do
need a permit). However,. you must notify EPA of your injection
and submit certain required information on forms supplied by the
Agency, and your operation may be phased out if you are a
generator of hazardous wastes or a hazardous waste
management facility which uses wells or septic tanks to dispose
of hazardous waste.
IV. Prevention of significant Deterioration Permits Under the
Clean Air Act. The PSD program applies to newly constructed or
modified facilities (both of which are referred to as "new sources')
which increase air emissions. The Clean Air Act Amendments of 1977
exclude small new sources of air emissions .from the PSD review
program. Any new source in an industrial category listed in Table 3 of
these instructions whose potential to emit is less than 100 tons per
year is not required to get a PSD permit. In addition, any new source
in an industrial category not listed in. Table 3 whose potential to emit is
less than 250 tons per year is exempted from the PSD requirements.
Modified sources which increase their net emissions (the difference
between the total emission increases and total emission decreases at
the source) less than the significant amount set forth in EPA
regulations are also exempt from PSD requirements. Contact your
EPA Regional office (Table 1) for further information.
1-5

SECTION D - GLOSSARY
NOTE: This Glossary includes terms used in the instructions and in Forms 1, 28, 2C, and 3. Additional terms will be included in the
future when other forms are developed to reflect the requirements of other parts of the Consolidated Permits Program. If you have any
questions concerning the meaning of any of these terms, please contact your EPA Regional office (Table 1).
ALIQUOT means a sample of specified volume used to make up a
total composite sample.
ANIMAL FEEDING OPERATION means a lot of facility (other than an
aquatic animal production facility) where the following conditions are
met:
A. Animals (other than aquatic animals) have been, are, or will be
stabled or confined and fed or maintained for a total of 45 days or
more in any 12 month period; and
B. Crops, vegetation, forage growth, or post -harvest residues are
not sustained in the normal growing season over any portion of
the lot or facility.
Two or more animal feeding operations under common ownership are
a single animal feeding operation if the adjoin each other or if they use
a common area or system for the disposal of wastes.
ANIMAL UNIT means a unit of measurement for any animal feeding
operation calculated by adding the following numbers: The number of
slaughter and feeder cattle multiplied by 1.0; Plus the number of
mature dairy cattle multiplied by 1.4 Plus the number of swine
weighing over 25 kilograms (approximately 55 pounds) multiplied by
0.4; Plus the number of sheep multiplied by 0.1; Plus the number of
horses multiplied by 2.0.
APPLICATION means the EPA standard national forms for applying
for a permit, including any additions, revisions, or modifications to the
forms; or forms approved by EPA for use in approved States, including
any approved modifications or revisions. For RCRA, "application" also
means "Application, Part B."
APPLICATION, PART A means that part of the Consolidated Permit
Applications forms which a RCRA permit applicant must complete to
qualify for interim status under Section 3005(e) of RCRA and for
consideration for a permit. Part A consists of Form 1 (General
Information) and Form 3 (Hazardous Waste Application Form).
APPLICATION, PART B means that part of the application which a
RCRA permit applicant must complete to be issued a permit. (NOTE.*
EPA is not developing a speck form for Part B of the permit
application, but an instruction booklet explaining what information must
be supplied is available from the EPA Regional office.)
APPROVED PROGRAM or APPROVED STATE means a State
program which has been approved or authorized by EPA under 40
CFR Part 123.
AQUACULTURE PROJECT means a defined managed water area
which uses discharges of pollutants into that designated area for the
maintenance or production of harvestable freshwater, estuarine, or
marine plants or animals. "Designated area" means the portions of
waters of the United States within which the applicant plans to confine
the cultivated species, using a method of plan or operation (including,
but not limited to, physical confinement) which, on the basis of reliable
scientific evidence, is expected to ensure the specific individual
organisms comprising an aquaculture crop will enjoy increased growth
attributable to the discharge of pollutants and be harvested within a
defined geographic area.
AQUIFER means a geological formation, group of formations, or part
of a formation that is capable of yielding a significant amount of water
to a well or spring.
AREA OF REVIEW means the area surrounding an injection well
which is described according to the criteria set forth in 40 CFR Section
146.06.
AREA PERMIT means a UIC permit applicable to all or certain wells
within a geographic area, rather than to a specified well, under 40 CFR
Section 122.37.
ATTAINMENT AREA' means,.for any air pollutant, an area which has
been designated under Section 107 of the Clean Air Act as having
ambient air quality levels better than any national primary or secondary
ambient air quality standard for that pollutant. Standards have been
set for sulfur oxides, particulate matter, nitrogen dioxide, carbon
monoxide, ozone, lead, and hydrocarbons. For purposes of the
Glossary, "attainment area" also refers to "unclassifiable area," which
means for any pollutants, an area designated under Section 107 as
unclassifiable with respect to that pollutant due to insufficient
information.
BEST MANAGEMENT PRACTICES (BMP) means schedules of
activities, prohibitions of practices, maintenance procedures, and other
management practices to prevent or reduce the pollution of waters of
the United States. BMP's include treatment requirements, operation
procedures, and practices to control plant site runoff, spillage or leaks,
sludge or waste disposal, or drainage from raw material storage.
BIOLOGICAL MONITORING TEST means any test which includes the
use of aquatic algal, invertebrate, or vertebrate species to measure
acute or chronic toxicity, and any biological or chemical measure of
bioaccumulation.
BYPASS means the intentional diversion of wastes from any portion of
a treatment facility.
CONCENTRATED ANIMAL FEEDING OPERATION means an animal
feeding operation which meets the criteria set forth in either (A) or (B)
below or which the Director designates as such on a case -by -case
basis:
A. More than the numbers of animals specified in any of the
following categories are confined:
1. 1,000 slaughter or feeder cattle,
2. 700 mature dairy cattle (whether milked or dry cows),
3. 2500 swine each weighing over 25 kilograms
(approximately 55 pounds),
4. 500 horses,
5. 10,000 sheep or Iambs,
6. 55,000 turkeys,
7. 100,000 laying hens or broilers (if the facility has a
continuous overflow watering),
8. 30,000 laying hens or broilers (if the facility has a liquid
manure handling system),
9. 5,000 ducks, or
10. 1,000 animal units; or
B. More than the following numbers and types of animals are
confined:
1. 300 slaughter or feeder cattle
2. 200 mature dairy cattle (whether milked or dry cows),
3. 750 swine each weighing over 25 kilograms
(approximately 55 pounds),
4. 150 horses,
1-6

SECTION D - GLOSSARY
CONCENTRATED ANIMAL FEEDING OPERATION (continued)
5. 3,000 sheep or Iambs,
6. 16,500 turkeys,
7. 30,000 laying hens or broilers (if the facility has
continuous overflow watering),
8. 9,000 laying hens or broilers (if the facility has a liquid
manure handling system),
9. 1,500 ducks, or
10. 300 animal units; AND
Either one of the following conditions are met: Pollutants are
discharged into waters of the United States through a manmade,
ditch flushing system or other similar manmade devise
("manmade" means constructed by man and used for the purpose
of transporting wastes); or Pollutants are discharged directly into
waters of the United States which originate outside of and pass
over, across, or through the facility or otherwise come into direct
contact with the animals confined in the operation.
Provided, however, that no animal feeding operation is a
concentrated animal feeding operation as defined above if such
animal feeding operation discharges only in the event of a 25
year, 24 hour storm event.
CONCENTRATED AQUATIC ANIMAL PRODUCTION FACILITY
means a hatchery, fish farm, or other facility which contains, grows or
holds aquatic animals in either of the following categories, or which the
Director designates as such on a case -by -case basis:
A. Cold water fish species or other cold water aquatic animals
including, but not limited to, the Salmonidae family of fish (e.g.,
trout and salmon) in ponds, raceways or other similar structures
which discharge at least 30 days per year but does not include:
1. Facility which produce less than 9,090 harvest weight
kilograms (approximately 20,000 pounds) of aquatic animals
per year; and
2. Facilities which feed less than 2,272 kilograms
(approximately 5,000 pounds) of food during the calendar
month of maximum feeding.
B. Warm water fish species or other warm water aquatic animals
including, but not limited to, the Ameiuridae, Cetrachidae, and
Cyprinidae families of fish (e.g., respectively, catfish, sunfish, and
minnows) in ponds, raceways, or other similar structures which
discharge at least 30 days per year, but does not include:
1. Closed ponds which discharge only during periods of
excess runoff; or
2. Facilities which produce less than 45,454 harvest weight
kilograms (approximately 100,000 pounds) of aquatic
animals per year.
CONTACT COOLING WATER means water used to reduce
temperature which comes into contact with a raw material,
intermediate product, waste product other than heat, or finished
product.
CONTIANER means any portable device in which a material is stored,
transported, treated, disposed of, or otherwise handled.
CONTIGUOUS ZONE means the entire zone established by the
United States under article 24 of the convention of the Territorial Sea
and the Contiguous Zone.
CWA means the Clean Water Act (formerly referred to the Federal
Water Pollution Control Act) pub. L. 92-500, as amended by Pub. L.
95-217 and Pub. L. 95-576, 33 U.S.C. 1251 et seq.
DIKE means any embankment or ridge of either natural or manmade
materials used to prevent the movement of liquids,• sludges, solids, or
other materials.
DIRECT DISCHARGE means the discharge of a pollutant as defined
below.
DIRECTOR means the EPA Regional Administrator or the State
Director as the context requires.
DISCHARGE (OFA POLLUTAN7) means:
A. Any addition of any pollutant or combination of pollutants to
waters of the United States from any point source; or
B. Any addition of any pollutant or combination of pollutants_ to the
waters of the contiguous zone or the ocean from any point source
other than a vessel or other floating craft which is being used as a
means of transportation.
This, definition includes discharges into waters of the United States
from: Surface runoff which is collected or channeled by man;
Discharges through pipes, sewers, or other conveyances owned by a
State, municipality, or other person which do not lead to POTW's; and
Discharges through pipes, sewers, or other conveyances, leading into
privately owned treatment works. This term does not include an
addition of pollutants by any indirect discharger.
DISPOSAL (in the RCRA program) means the discharge, deposit,
injection, jumping, spilling, leaking; or placing of any hazardous waste
into or on any land or water so that the hazardous waste or any
constituent of it may enter the environment or be emitted into the air or
discharged into any waters, including ground water.
DISPOSAL FACILITY means a facility or part of a facility at which
hazardous waste is intentionally placed into or on land or water, and at
which hazardous waste will remain after closure.
EFFLUENT LIMITATION means any restriction imposed by the
Director on quantities, discharge rates, and concentrations of
pollutants which are discharged from point sources into waters of the
United States, the waters of the contiguous zone, or the ocean.
EFFLUENT LIMITATION GUIDELINE means a regulation published by
the Administrator under Section 304(b) of the Clean Water Act to adopt
or revise effluent limitations.
ENVIRONMENTAL PROTECTION AGENCY (EPA) means the United
States Environmental Protection Agency.
EPA IDENTIFICATION NUMBER means the number assigned by EPA
to each generator, transporter, and facility.
EXEMPTED AQUIFER means an aquifer or its portion the meets the
criteria in the definition of USDW, but which has been exempted
according to the procedures in 40 CFR Section 122.35(b).
EXISTING HWM FACILITY means a Hazardous Waste Management
facility which was in operation, or for which construction had
commenced, on or before October 21, 1976. Construction had
commenced if (A) the owner or operator had obtained all necessary
Federal, State, and local pre -construction approvals or permits, and
either (131) a continuous on -site, physical construction program had
begun, or (132) the owner or operator had entered into contractual
obligations, which could not be cancelled or modified without
substantial loss, for construction of the facility to be completed within a
reasonable time.
(NOTE. This definition reflects the literal language of the statute.
However, EPA believes that amendments to RCRA now in
conference will shortly be enacted and will change the date for
determining when a facility is an 'existing facility" to one no earlier
than May of 1980; indications are the conferees are considering
October 30, 1980. Accordingly, EPA encourages every owner or
operator of a facility which was built or under construction as of
the promulgated date of the RCRA program regulations to file
Part A of its permit application so that it can be quickly processed
for interim status when the change in the law takes effect. When
those amendments are enacted, EPA will amend this definition.)
EXISTING SOURCE or EXISTING DISCHARGER (in the NPDES
program) means any source which is not a new source or a new
discharger.
1-7

SECTION D - GLOSSARY
EXISTING INJECTION WELL means an injection well other than a
new injection well.
FACILITY means any HWM facility, UIC underground injection well,
NPDES point source, PSD stationary source, or any other facility or
activity (including land or appurtenances thereto) that is subject to
regulation under the RCRA, UIC, NPDES, or PSD programs.
FLUID means material or substance which flows or moves whether in
a semisolid, liquid, sludge, gas, or any other form or state.
GENERATOR means any person by site, whose act or process
produces hazardous waste identified or listed in 40 CFR Part 261.
GROUNDWATER means water below the land surface in a zone of
saturation.
HAZARDOUS SUBSTANCE means any of the substances designated
under 40 CFR Part 116 pursuant to Section 311 of CWA. (NOTE.,
These substances are listed in Table 2c-4 of the instructions to Form
2C).,-
HAZARDOUS WASTE means a hazardous waste as defined in 40
CFR Section 261.3 published May 19, 1980.
HAZARDOUS WASTE MANAGEMENT FACILITY (HWM facility)
means all contiguous land, structures, appurtenances, and
improvements on the land, used for treating, storing, or disposing of
hazardous wastes. A facility may consist of several treatment, storage,
or disposal operational units (for example, one or more landfills,
surface impoundments, or combinations of them).
IN OPERATION means a facility which is treating, storing, or disposing
of hazardous waste.
INCINERATOR (in the RCRA program) means an enclosed device
using controlled flame combustion, the primary purpose of which is to
thermally break down hazardous waste. Examples of incinerators are
rotary kiln, fluidized bed, and liquid injection incinerators.
INDIRECT DISCHARGER means a non -domestic discharger
introducing pollutants to a publicly owned treatment works.
INJECTION WELL means a well into which fluids are being injected.
INTERIM AUTHORIZATION means approval by EPA of a State
hazardous waste program which has met the requirements of Section
3006(c) of RCRA and applicable requirements of 40 CFR Part 124,
Subparts A, B, and F.
LANDFILL means a disposal facility or part of a facility where
hazardous waste is placed in or on land and which is not a land
treatment facility, a surface impoundment, or an injection well.
LAND TREATMENT FACILITY (in the RCRA program) means a facility
or part of a facility at which hazardous waste is applied onto or
incorporated into the soil surface; such facilities are disposal facilities if
the waste will remain after closure.
LISTED STATE means a State listed by the Administrator under
Section 1422 of SDWA as needing a State UIC program.
MGD means millions of gallons per day.
MUNICIPALITY means a city, village, town, borough, county, parish,
district, association, or other public body created by or under State law
and having jurisdiction over disposal of sewage, industrial wastes, or
other wastes, or an Indian tribe or an authorized Indian tribal
organization, or a designated and approved management agency
under Section 208 of CWA.
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES) means the national program for issuing, modifying, revoking
and reissuing, terminating, monitoring, and enforcing permits and
imposing and enforcing pretreatment requirements, under Sections
307, 318, 402, and 405 of CWA. The term includes an approved
program.
NEW DISCHARGER means any building, structure, facility, or
installation: (A) From which there is or may be a new or additional
discharge of pollutants at a site at which on October 18, 1972, it had
never discharged pollutants; (B) Which has never received a finally
effective NPDES permit for discharges at the site; and (C) Which is not
a "new source." This definition includes an indirect discharger which
commences discharging into waters of the United States. It also
includes any existing mobile point source, such as an offshore oil
drilling rig, seafood processing vessel, or aggregate plant that begins
discharging at a location for which it does not have an existing permit.
NEW HWM FACILITY means a Hazardous Waste Management facility
which began operation or for which construction commenced after
October 21, 1976.
NEW INJECTION WELL means a well which begins injection after a
UIC program for the State in which the well is located is approved.
NEW SOURCE (in the NPDES program) means any building,
structure, facility, or installation from which there is or may be a
discharge of pollutants, the construction of which commenced:
A/ After promulgation of standards of performance under Section
306 of CWA which are applicable to such source; or
B/ After proposal of standards of performance in accordance with
Section 306 of CWA which are applicable to such source, but only
if the standards are promulgated in accordance with Section 306
within 120 days of their proposal,
NON -CONTACT COOLING WATER means water used to reduce
temperature which does not come into direct contact with any raw
material, intermediate product, waste product (other than heat), or
finished product.
OFF -SITE means any site which is not "on -site."
ON -SITE means on the same or geographically contiguous property
which may be divided by public or private right(s)-of-way, provided the
entrance and exit between the properties is at a cross-roads
intersection, and access is by crossing as opposed to going along, the
right(s)-of-way. Non-contiguous properties .owned by the same
person, but connected by a right-of-way which the person controls and
to which the public does not have access, is also considered on -site
property.
OPEN BURNING means the combustion of any material without the
following characteristics:
A. Control of combustion air to maintain adequate temperature for
efficient combustion;
B/ Containment of the combustion -reaction in an enclosed device
to provide sufficient residence the time and mixing for complete
combustion; and
C/ Control of emission of the gaseous combustion products.
(See also "incinerator" and 'Thermal treatment')
OPERATOR means the person responsible for the overall operation of
a facility.
OUTFALL means a point source.
OWNER means the person who owns a facility or part of a facility.
1-8

SECTION D - GLOSSARY
THERMAL TREATMENT (in the RCRA program) means the treatment
of hazardous waste in a device which uses elevated temperature as
the primary means to change the chemical, physical, or biological
character or composition of the hazardous waste. Examples of
thermal treatment processes are incineration, molten salt, pyrolysis,
calcination, wet air oxidation, and microwave discharge. (See also
"incinerator" and 'open buming'q.
TOTALLY ENCLOSED TREATMENT FACILITY (in the RCRA
Program) means a facility for.the. treatment,of hazardous waste which
is directly. connected to an industrial -production process and which is
constructed and operated in a manner which prevents the release of
any hazardous waste or any constituent thereof into the environment
during, treatment. An example is a pipe in which waste acid is
neutralized.
TOXIC POLLUTANT means any pollutant listed as toxic under Section
307(a)(1) ofCWA.
TRANSPORTER (in the RCRA program) means a person engaged in
theoff-site transportation of hazardous waste by air, rail, highway, or
water.
TREATMENT (in the RCRA program) means any method, technique,
or process, including neutralization, designed to change the physical,
chemical, or biological character or composition of any hazardous
waste so as to neutralize such waste, or so as to recover energy or
material resources from the waste, or so as to render such waste non-
hazardous, or less hazardous; safer to transport, store, or dispose of-,
or amenable for recovery, amenable for storage, or reduced in volume.
UNDERGROUND INJECTION means well injection.
UNDERGROUND SOURCE OF DRINKING WATER or USDW means
an aquifer or its portion which is not an exempted aquifer and:
A. Which supplies drinking water for human consumption; or
B. In which the ground water contains fewer than 10,000 mg/I
total dissolved solids.
UPSET .means an exceptional incident in which there is unintentional
and temporary noncompliance with technology -based permit effluent
limitations because of factors beyond the reasonable control of the
permittee. An upset does not include noncompliance to the extent
caused by operational error, improperly designed treatment facilities,
inadequate treatment facilities, lack of preventive maintenance, or
careless or improper operation.
WATERS OF THE UNITED STATES means:
A. All waters which are currently used, were used in the past," or
may be susceptible to use in interstate or foreign commerce,
including all waters which are subject to the ebb and flow of the
tide;
B. All interstate -waters, including interstate wetlands;
C. All other waters such as intrastate lakes, .rivers, ,streams
(including intermittent streams), mudflats, sandflats, wetlands,
sloughs, prairie potholes, wet meadows, playa lakes, and natural
ponds; the use degradation, or destruction of which would or
could affect interstate or foreign commerce including any such
waters:
1. Which are or could be used by interstate or foreign
travelers for recreational or other purposes,
2. From which fish or shellfish are or could be taken and sold
in interstate or foreign commerce,
3. Which are used or could be used for industrial purposes
by industries in interstate commerce;
D. All impoundments of waters otherwise defined as waters of the
United States under this definition;
E. Tributaries of waters identified in paragraphs (A) - (D) above;
The territorial sea; and
F. Wetlands adjacent to waters (other than waters that are
themselves wetlands) identified in paragraphs (A) - (F) of this
definition.
Waste treatment systems, including treatment ponds or lagoons
designated to meet requirement of CWA (other than cooling ponds as
defined in 40 CFR Section 423.11(m) which also meet the criteria of
this definition) are not waters of the United States. This exclusion
applies only to manmade bodies of water which neither were originally
created in waters of the United States (such as a disposal area in
wetlands) nor resulted from the impoundments of waters of the United
States.
WELL INJECTION or UNDERGROUND INJECTION means the
subsurface emplacement of fluids through a bored, drilled, or driven
well; or through a dug well, where the depth of the dug well is greater
than the largest surface dimension.
WETLANDS means those areas that are inundated or saturated by
surface or groundwater at a frequency and duration sufficient to
support, and that under normal circumstances do support, a
prevalence of vegetation typically adapted for life in saturated soil
conditions. Wetlands generally include swamps, marshes, bogs, and
similar areas.
1-10

Please print or type in the unshaded areas only
(fill-in areas are spaced for elite type. i.e.. 12 characters/inch)
For Approved. OMB No. 2040-0086. ADDroval exDires 5-31-92
FORM
U.S_, ENVIRONMENTAL PROTECTION AGENCY _:
1. EPA 10 NUMBER .
7END
INFORMATION:
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Con ;6ffdated ;P6hn1 Program -
GENERAL
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(Read the:"General Instructions" before sfarting
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2 `14 15
LABELITEMSI' , .
GENERAL! INSTRUCTIONS
1 EPSA I D NUMBER
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affix It In the design�lted space Re the..
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;and for the leggal<authorizatlon unifier which:
this data is collected
11 POLLUTANT CHARACTERISTICS
INSTRUCTIONS , Complete A through; J;to,determine,whetheryou need to submit•anypermit applicatlon_forms-to.
EPA:.,,If you.answer;"yes,' to,any
question%:you;must submitthis form,and the supplemental from listed in the parenthesis followingahe'question
-Marti :X in the boz.in third column if:
the'supplemental form is attached If you answer no -to`each,questlon you need,not submit ariy,of thesejorms
,the
•You may,answer "no" if your activity is•
excluded frofrt' e' mitre wrements;'seeSection'C ofthe instructlons�'Seealso; Section•D of:the: instnictionsfordefinitions'of
.
bold=faced terms:
SPECIFIC'QUESTIONS
X
SPECIFIC QUESTIONS
-' MARK"X ,
FORM
FORM
YES"
,NO
ATTACHED-
YES
NO
_..
ATTACHED:
A . Is this facility a publicly owned treatment works.
,whicb.resulis m a•discharge'to waters of the-,
❑
❑
B =Does or Nell this`,facility (either existing or'
proposed) "include: -a concentrated ;animal-.
❑
❑
U;S.? (FORAA 2A) , , . , :
`feeding . .;operation. or; a `aquatic ;.; .animal;
productlorefacility which results in a'::discharge°
: `to' Waters of,the;U.S.? (FORM_26) " .. _ ; .
16 :
';�- 17 .
18
'. 19
" 20 21
C Is ,; this "facility-, which curcenfly ;results : m -
discharges o waters of the`- U.S' otherthan.
1�
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❑
0. Is this proposal facility (other than those described
in'p,orB above),which,wilhresult m a:discharge;:
❑
I vt ❑
to
those described in A oe. B above? " FORM2C ,
to waters of the U:S:? FORM2D
22 :
> 23
24
27
E Does or will this facility treat store or dispose of
haardous wastes?' FORM 3
( )
❑
j�J1
❑
F ' Do you or will you.inject at thisfacility industrial or ,
municipal, effluent" below'the aowennost stratum
❑
❑
co t n aming, within one quarte` mile of the 'well
bore, underground: sources. of 'drinking watery:
;:.
(FORM 4)' ," =:.
28, "
_ .29 .:
, 30
31
32
33
G. Do ' you or::will you, : inject at this facility any,
H Do you or_will you mlect at this facility fluids for —
..
produced, ater other .tlwds which are brought to -
the surfaee 1h connection with conventional oil oe
❑
❑
special processes such as mmmg of sutfer by the
Frasch process solution mining of minerals in
❑
❑
natural ., gas production, inject fluids . used for.
situ combustion of fossil fuel, orrecovery of
enhanced,.recovery`of oil,o,r natural gas,' -or inject.
fluids for-, storage: of liquid hydrocarbons?'
-.
geothermabenerg}/f (FORM 4)'
FORM 4
as
37
38,: - , ' 39
I. Is this facility a proposed ; stationary, source
J.- ' Is this facility a proposed' stationary source
.
which 1s �one.of the 28 industrial categories'lisled pp{{
in the instructions; and which will potentially emit ❑ tL`F
which is NOT one of the 28'industriaf categories
❑ listed m the instructions which will :potentially " ❑
❑
.
100 tons per year of any,,air pollutant regulated,
and
emit 250 tons -per"year -f -any air. pollutant.;
under,'the Cleam Air Act: and may affect or -be -
regulated underthe Clean Air Act and may affect
44 45
. iocated in an attainment area? FORM:5 ' 40 . 4? .
42 ,' ' or be located in an attainment are? FORM 5 " ' 43
III. NAME OF'FACIiLITY :_
SKIP SChne.a
15 16-29 30
69
.IV. FACILITY CONTACT
A. NAME &-TITLE'(last, firsst, & title)'
B. PHONE (area code &'no.) .
15
__T3
46 48 A9, 51 52. 55
15'' 16 45 ,'
V. FACILITY MAILING ADDRESS
A. STREET OR P.O. BOX
D. ZIP CODE
15416
45
B. CITY OR TOWN
C. STATE
4 I �0feo
15 16 40 41, 42
47 51
VI. FACILITY LOCATION
A. STREET, ROUTE NO. OR OTHER SPECIFIC IDENTIFIER
c
5
15
16
45
B. COUNTY NAME
46 70
C. CITY OR TOWN
D. S(T�A9TE
E. ZIP CODE
F. COUNTY CODE
15
16 40
41 42
47 51.
52 54
EPA FORM 3510-1(8-90) CONTINUED ON REVERSE

CONTINUED FROM THE FRONT
V11. SIC CODES (4=digit, in order of priori J
A. FIRST _
B.-SECOND, -
7
(specify) fi t'l;')
7
(specify).
l6'
i e n . cibr a Pie
15
1 1_:. 17
C. THIRD
D. FOURTH -
� ,
(specify) (specify) T (specify)
C
�._::::
15_ 7:16r': ;:.17,- a: 15;:14,;16.:..r'•: 19.c>..
VIII; ,O,PERATOR" INFORMATION
B.-Is thename listed in Item,
c '
8 0 r re, ik W e VIII A'also the owner'?. .'
C:-STATUS OF OPERATOR Enterthe-a ro`"riate letter -into the answer box, if: "Other, specify.)
D.,PHONE area:code & no
F FEDERAL M = PUBLIC (other than federal or state)
P
(specify)
JA
S STATE- ... O= OTHER (specify)
P PRIVATEs
1
r CL f r
p �y-
D a 0
E. STREET OR PO BOX
26 755 .
F.CITY ORTOWN "
G.STATE H.ZIP COD E IX:INDIAN.LAND
It,
�Q 0+��
Is the facility located on Indian lands?
42 42 47 51 OYENO.
.•16 :. - 40
EXISTING ENVIRONMENTAL PERMITS
•A NPDES (Discharges to'/SSurface Water)
D. PSD (Air Emissions from:P-roposed Sources)
C T e.,
g P :.
15 1. 16 1 17 . 18 -, 30
C
9
T
N
1
V
15 "1
16
' 17'
1 .30
: B... IC' Unden7roundinectfon6fF•luids
:E.OTHER' spe.c' " ;:'
(Specify)
'C
T..
:-1.,
q.
T
e
.g
U..
9
15. 1.:16
1
17'
1 18 :.30
15
16
iZ..
18:..t 30:.
C. RCRA Hazardous Wastes)
.::, E. OTHER (sp .
(Specify)
C
T I
1
C
T e.
9
1
R-
9
15
XI -'MAP..
16. 17.
.1B' 30..;
. 15 16 7'A8 1- ; .: .. 30 ..
Attach to this application a tboographic'map of the area extending to at least one mile beyond property boundaries. The.map must
show the outline of the facility, the location of each, of its 'existing and proposed intake and discharge structures, each of its
hazardous waste treatment, storage, or disposal facilities, and each well where it injects fluids underground. Include all'springs,
rivers, and othersurface water bodies in the map area. - See, instructions for precise re uirenients.
XII. NATURE OF BUSINESS (provide a brief descri Lion)
X111. CERTIFICATION (see instructions)
I cerW under penalty of law that I have personally examined and am familiar with the information submitted in this application and
all attachments and that, based on my inquiry of those persons immediately responsible for obtaining the information contained in
the application, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for
submitting false information, including the pqssibilit of fine and imprisonment.
A. NAME & OFFICIAL TITLE (type or print) B. SI TURE
C. DATE SIGNED
Da r �� RC lav-e—V
r a
COMMENTS FOR OFFICIAL USE ONLY
c
C
P1
5
16 55
EPA FORM 3510-1(8-90)

Disclaimer
This is an updated PDF document that allows you to type your information
directly into the form. This form is the most updated form currently available.
Note: You cannot save what you have typed unless you have the full Adobe
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Instructions:
1. Type in your information
2. Print the completed form
3. Sign and date the printed copy
4. Mail the form to the address stated in the instructions

United States Office of EPA Form 3510-2C
Environmental Protection Enforcement Revised August 1990
Agency Washington, DC 20460 Previous editions
are obsolete
Permits Division
EPA Application Form 2C
Wastewater Discharge
Information
Consolidated Permits Program
This form must be completed by all persons applying
for an EPA permit to discharge wastewater (existing
manufacturing, commercial, mining, and silvicultural
operations).
��� Printed on recycled paper

Paperwork Reduction Act Notice
The public reporting burden for this collection'of information is
estimated to average 33 hours per response. This estimate
includes time for reviewing instructions, searching existing
data sources, gathering and maintaining the needed data, and
completing and reviewing the collecttion of information. Send
comments regarding the burden estimate or any other aspect
of this collection of information to the Chief, Information Policy
Branch (PM-223), US Environmental Protection Agency,
1200 Pennsylvania Avenue, .NW, Washington, DC 20460, and
to the Office of Information and Regulatory Affairs, Office of
Management and Budget, Washington, DC 20503, marked
Attention: Desk Officer for EPA.
��� Printed on recycled paper

INSTRUCTIONS — FORM 2c
Application for Permit to Discharge Wastewater
EXISTING MANUFACTURING, COMMERCIAL, MINING. AND SILVICULTURAL OPERATIONS
This form must be completed by all applicants who check "yes" to
item II-C in Form 1.
Public Availability of Submitted Information.
Your application will not be considered complete unless you answer
every question on this form and on Form 1. If an item does not apply
to you, enter "NA" (for not applicable) to show that you considered
the question.
You may not claim as confidential any information required by this
form or Form 1, whether the information is reported on the forms or
in an attachment. This information will be made available to the
public upon request.
Any information you submit to EPA which goes beyond that required
by this form or Form 1 you may claim as confidential, but claims for
information which is effluent data will be denied. If you do not assert
a claim of confidentiality at the time of submitting the information,
EPA may make the information public without further notice to you.
Claims of confidentiality will be handled in accordance with EPA's
business confidentiality regulations at 40 CFR Part 2.
Definitions
All significant terms used in these instructions and in the form are
defined in the glossary found in the General Instructions which
accompany Form 1.
EPA ID Number
Fill in your EPA Identification Number at the top of each page of
Form 2c. You may copy this number directly from item I of Form 1.
Item I
You may use the map you provided for item XI of Form 1 to
determine the latitude and longitude of each of your outfalls and the
name of the receiving water.
Item II -A
The line drawing should show generally the route taken by water in
your facility from intake to discharge. Show all operations
contributing wastewater, including process and production areas,
sanitary flows, cooling water, and stormwater runoff. You may group
similar operations into a single unit, labeled to correspond to the
more detailed listing in item II-B. The water balance should show
average flows. Show all significant losses of water to products,
atmosphere, and discharge. You should use actual measurements
whenever available; otherwise use your best estimate. An example
of an acceptable line drawing appears in Figure 2c-1 to these
instructions.
Item II-B
List all sources of wastewater to each outfall. Operations may be
described in general terms (for example, "dye -making reactor" or
"distillation tower"). You may estimate the flow contributed by each
source if no date are available. For stormwater discharges you may
estimate the average flow, but you must indicate the rainfall event
upon which the estimate is based and the method of estimation. For
each treatment unit, indicate its size, flow rate, and retention time,
and describe the ultimate disposal of any solid or liquid wastes not
discharged. Treatment units should be listed in order and you should
select the proper code from Table 2c-1 to fill in column 3-b for each
treatment unit. Insert "XX" into column 3-b if no code corresponds to
a treatment unit you list. If you are applying for a permit for a
privately owned treatment works, you must also identify all of your
contributors in an attached listing.
Item II-C
A discharge is intermittent unless it occurs without interruption during
the operating hours of the facility, except for infrequent shutdowns
for maintenance, process changes, or other similar activities. A
discharge is seasonal if it occurs only during certain parts of the
year. Fill in every applicable column in this item for each source of
intermittent or seasonal discharges. Base your answers on actual
data whenever available; .otherwise, provide your best estimate.
Report the highest daily value for flow rate and total volume in the
2C-1
"Maximum Daily" columns (columns 4-a-2 and 4-b-2). Report the
average of all daily values measured during days when discharge
occurred within the last year in the "Long Term Average" columns
(columns 4-a-1 and 4-b-1).
Item III -A
All effluent guidelines promulgated by EPA appear in the Federal
Register and are published annually in 40 CFR Subchapter N. A
guideline applies to you if you have any operations contributing -
process wastewater in any subcategory covered by a BPT, BCT, or
BAT guideline. If you are unsure whether you are covered by a
promulgated effluent guideline, check with your EPA Regional office
(Table 1 in the Form 1 instructions). You must check "yes" if an
applicable effluent guideline has been promulgated, even if the
guideline limitations are being contested in court. If you believe that a
promulgated effluent guideline has been remanded for
reconsideration by a court and does not apply to your operations,
you may check "no."
Item III-B
An effluent guideline is expressed in terms of production (or other
measure of operation) if the limitation is expressed as mass of
pollutant per operational parameter; for example, "pounds of BOD
per cubic foot of logs from which bark is removed," or "pounds of
TSS per megawatt hour of electrical energy consumed by smelting
fumace." An example of a guideline not expressed in terms of a
measure of operation is one which limits the concentration of
pollutants.
Item III-C
This item must be completed only if you checked "yes" to item 111-B.
The production information requested here is necessary to apply
effluent guidelines to your facility and you cannot claim it as
confidential. However, you do not have to indicate how the reported
information was calculated. Report quantities in the units of
measurement used in the applicable effluent guideline. The
production figures provided must be based on actual daily production
and not on design capacity or on predictions of future operations. To
obtain alternate limits under 4or CFR 122.45(b)(2)(ii), you must define
your maximum production capability and demonstrate to the Director
that your actual production is substantially below maximum
production capability and that there is a reasonable potential for an
increase above actual production during the duration of the permit.
Item IV -A
If you check "yes" to this question, complete all parts of the chart, or
attach a copy of any previous submission you have made to EPA
containing same information.
Item IV-B
You are not required to submit a description of future pollution
control projects if you do not wish to or if none is planned.
Item V-A, B, C, and D
The items require you to collect and report data on the pollutants
discharged for each of your outfalls. Each part of this item addresses
a different set of pollutants and must be completed in accordance
with the specific instructions for that part. The following general
instructions apply to the entire item.
General Instructions
Part A requires you to report at least one analysis for each pollutant
listed. Parts B and C require you to report analytical data in two
ways. For some pollutants, you may be required to mark "X" in the
"Testing Required" column (column 2-a, Part C), and test (sample
and analyze) and report the levels of the pollutants in your discharge
whether or not you expect them to be present in your discharge. For
all others, you must mark "X" in either the "Believe Present" column
or the "Believe Absent" column (columns 2-a or 2-b, Part B, and
columns 2-b or2-c, Part C) based on your best estimate, and test for
those which you believe to be present.;(See specific instructions on
the form and below for Parts A through. D.) Base your determination
that a pollutant is present in or absent "from your discharge on your

FORM 2c — INSTRUCTIONS (continued)
Item V-A, B, C, and D (continued)
knowledge of your raw materials, maintenance chemicals,
intermediate and final products and byproducts, and any previous
analyses known to you of your effluent or similar effluent. (For
example, if you manufacture pesticides, you should expect those
pesticides to be present in contaminated stormwater runoff.) If you
would expect a pollutant to be present solely as a result of its
presence in your intake water, you must mark "Believe Present" but
you are not required to analyze for that pollutant. Instead, mark an
W In the "Intake" column.
A. Reporting. All levels must be reported as concentration
and as total mass. You may report some or all of the
required data by attaching separate sheets of paper
instead of filling out pages V-1 to V-9 if the separate sheets
contain all the required information in a format which is
consistent with pages V-1 to V-9 in spacing and in
identification of pollutants and columns. (For example, the
data system used in your GC/MS analysis may be able to
pant data in the proper format.) Use the following
abbreviations in the columns headed "Units" (column 3,
Part A, and column 4, Parts B and C).
Concentration Mass
ppm....... parts per million
Ibs .........................pounds
mgd ...milligrams per liter
ton ............
tons (English tons)
ppb.......... parts per billion
mg.......................milligrams
ugA ...micrograms per liter
9...............................grams
kg ......................
kilograms
T...........
tonnes (metric tons)
All reporting of values for metals must be in terms of "total
recoverable metal," unless:
(1) An applicable, promulgated effluent limitation or standard
specifies the limitation for the metal in dissolved, valent, or total
form; or
(2) All approved analytical methods for the metal inherently
measure only its dissolved form (e.g., hexavalent chromium); or
(3) The permitting authority has determined that in establishing
case -by -case limitations it is necessary to express the
limitations on the metal in dissolved, valent, or total form to
carry out the provisions of the CWA.
If you measure only one daily value, complete only the "Maximum
Daily Values" columns and insert '1' into the "Number of Analyses"
column (columns 2-a and 2-d, Part A, and column 3-a, 3-d, Parts B
and C). The permitting authority may require you to conduct
additional analyses to further characterize your discharges. For
composite samples, the daily value is the total mass or average
concentration found in a composite sample taken over the operating
hours of the facility during a 24-hour period; for grab samples, the
daily value is the arithmetic or flow -weighted total mass or average
concentration found in a series of at least four grab samples taken
over the operating hours of the facility during a 24-hour period.
If you measure more than one daily value for a pollutant and those
values are representative of your wastestream, you must report
them. You must describe your method of testing and data analysis.
You also must determine the average of all values within the last
year and report the concentration and mass under the "Long Term
Average Values" columns (column 2-c, Part A, and column 3-c, Parts
B and C), and the total number of daily values under the "Number of
Analyses" columns (column 2-d, Part A, and columns 3-d, Parts B
and C). Also, determine the average of all daily values taken during
each calendar month, and report the highest average under the
"Maximum 30-day Values" columns (column 2-c, Part A, and column
3-b, Parts B and C).
B. Sampling: The collection of the samples for the reported
analyses should be supervised by a person experienced in
performing sampling of industrial wastewater. You may contact your
EPA or State permitting authority for detailed guidance on sampling
techniques and for answers to specific questions. Any specific
requirements contained in the applicable analytical methods'should
be followed for sample containers, sample preservation, holding
times, the collection of duplicate samples, etc. The time when you
sample should be representative of your normal operation, to the
extent feasible, with all processes which contribute wastewater in
normal operation, and with your treatment system operating properly
with no system upsets. Samples should be collected from the center
of the flow channel, where turbulence is at a maximum, at a site
specified in your present permit, or at any site adequate for the
collection of a representative sample.
For pH, temperature, cyanide, total phenols, residual chlorine, oil and
grease, and fecal coliform, grab samples must be used. For all other
pollutants 24-hour composite samples must be used. However, a
minimum of one grab sample may be taken for effluents from holding
ponds or other impoundments with a retention period of greater than
24 hours. For stormwater discharges a minimum of one to four grab
samples may be taken, depending on the duration of the discharge.
One grab must be taken in the first hour (or less) of discharge, with
one additional grab (up to a minimum of four) taken in each
succeeding hour of discharge for discharges lasting four or more
hours. The Director may waive composite sampling for any outfall for
which you demonstrate that use of an automatic sampler is infeasible
and that a minimum of four grab samples will be representative of
your discharge.
Grab and composite samples are defined as follows:
Grab sample: An individual sample of at least 100 milliliters
collected at a randomly -selected time over a period not exceeding
15 minutes.
Composite sample: A combination of at least 8 sample aliquots
of at least 100 milliliters, collected at periodic intervals during the
operating hours of a facility over a 24 hour period. The composite
must be flow proportional; either the time interval between each
aliquot or the volume of each aliquot must be proportional to either
the stream flow at the time of sampling or the total stream flow
since the pollection of the previous aliquot. Aliquots may be
collected manually or automatically. For GC/MS Volatile Organic
Analysis (VOA), aliquots must be combined in the laboratory
immediately before analysis. Four (4) (rather than eight) aliquots
or grab samples should be collected for VOA. These four samples
should be collected during actual hours of discharge over a 24-
hour period and need not be flow proportioned. Only one analysis
is required.
The Agency is currently reviewing sampling requirements in light of
recent research on testing methods. Upon completion of its review,
the Agency plans to propose changes to the sampling requirements.
Data from samples taken in the past may be used, provided that:
All data requirements are met;
Sampling was done no more than three years before submission;
and
All data are representative of the present discharge.
Among the factors which would cause the data to be
unrepresentative are significant changes in production level,
changes in raw materials, processes, or final products, and changes
in wastewater treatment. When the Agency promulgates new
analytical methods in 40 CFR Part 136, EPA will provide information
as to when you should use the new methods to generate data on
your discharges. Of course, the Director may request additional
information, including current quantitative data, if she or he
determines it to be necessary to assess your discharges.
C. Analysis: You must use test methods promulgated in 40 CFR
Part 136; however, if none has been promulgated for a particular
pollutant, you may use any suitable method for measuring the level
of the pollutant in your discharge provided that you submit a
description of the method or a reference to a published method. Your
description should include the sample holding time, preservation
techniques, and the quality control measures which you used. If you
have two or more substantially identical outfalls, you may request
permission from your permitting authority to sample and analyse only
one outfall and submit the results of the analysis for other
substantially identical outfalls. If your request is granted by the
2C-1

FORM 2c — INSTRUCTIONS (continued)
Item V-A, B, C, and D (continued)
permitting authority, on a separate sheet attached to the application
form, identify which outfall you did test, and describe why the outfalls
which you did not test are substantially identical to the ouffall which
you did test.
D. Reporting of Intake Data: You are not required to report data
under the "Intake" columns unless you wish to demonstrate your
eligibility for a "net" effluent limitation for one or more pollutants, that
is, an effluent limitation adjusted by subtracting the average level of
the pollutant(s) present in your intake water, NPDES regulations
allow net limitations only in certain circumstances. To demonstrate
your eligibility, under the "Intake" columns report the average of the
results of analyses on your intake water (if your water is treated
before use, test the water after it is treated), and discuss the
requirements for a net limitation with your permitting authority.
Part V-A
Part V-A must be completed by all applicants for all outfalls, including
outfalls containing only noncontact cooling water or storm runoff.
However, at your request, the Director may waive the requirement to
test for one or more of these pollutants, upon a determination that
available information is adequate to support issuance of the permit
with less stringent reporting requirements for these pollutants. You
also may request a waiver for one or more of these pollutants for
your category or subcategory from the Director, Office of Water
Enforcement and Permits. See discussion in General Instructions to
item V for definitions of the columns in Part A. The "Long Term
Average Values" column (column 2-c) and "Maximum 30-day
Values" column (column 2-b) are not compulsory but should be filled
out if data are available.
Use composite samples for all pollutants in this Part, except use grab
samples for pH and temperature. See discussion in General
Instructions to Item V for definitions of the columns in Part A. The
"Long Term Average Values" column (column 2-c) and "Maximum
30-Day Values" column (column 2-b) are not compulsory but should
be filled out if data are available.
Part V-B
Part V-B must be completed by all applicants for all outfalls, including
outfalls containing only noncontact cooling water or storm runoff. You
must report quantitative data if the pollutant(s) in question is limited
in an effluent limitations guideline either directly, or indirectly but
expressly through limitation on an indicator (e.g., use of TSS as an
indicator to control the discharge of iron and aluminum). For other
discharged pollutants you must provide quantitative data or explain
their presence in your discharge. EPA will consider requests to the
Director of the Office of Water Enforcement and Permits to eliminate
the requirement to test for pollutants for an industrial category or
subcategory. Your request must be supported by data representative
of the industrial category or subcategory in question. The data must
demonstrate that individual testing for each applicant is unnecessary,
because the facilities in the category or subcategory discharge
substantially identical levels of the pollutant_ or discharge the
pollutant uniformly at sufficiently low levels. Use composite samples
for all pollutants you analyze for in this part, except use grab
samples for residual chlorine, oil and grease, and fecal coliform. The
"Long Term Average Values" column (column 3-c) and "Maximum
30-day Values" column (column 3-b) are not compulsory but should
be filled out if data are available.
Part V-C
Table 2c-2 lists the 34 "primary" industry categories in the lefthand
column. For each outfall, if any of your processes which contribute
wastewater falls into one of those categories, you must mark "X" in
"Testing Required" column (column 2-a) and test for (1) all of the toxic
metals, cyanide, and total phenols, and (2) the organic toxic
pollutants contained in Table 2c-2 as applicable to your category,
unless you qualify as a small business (see below). The organic toxic
pollutants are listed by GC/MS fractions on pages V-4 to V-9 in Part
V-C. For example, the Organic Chemicals Industry has an asterisk in
alllfour fractions; therefore, applicants in this category must test for
all organic toxic pollutants in Part V-C. The inclusion of total phenols
in Part V-C is not intended to classify total phenols as a toxic
pollutant. If you are applying for a permit for a privately owned
2C-1
treatment works, determine your testing requirements on the basis of
the industry categories of your contributors. When you determine
which industry category you are in to find your testing requirements,
you are not determining your category for any other purpose and you
are not giving up your right to challenge your inclusion in that
category (for example, for deciding whether an effluent guideline is
applicable) before your permit is issued. For all other cases
(secondary.. industries, , nonprocess wastewater , outfalls, and
nonrequired GC/MS fractions), you must mark "X" in either the
"Believed Present" column (column 2-b) or the "Believed Absent"
column (column 2-c) for each pollutant. For every pollutant you know
or have reason to believe is present in your discharge in
concentrations of 10 ppb or greater, you must report quantitative
data. For acrolein, acrylonitrile, 2, 4 dinitrophenol, and 2-methyl-4, 6
dinitrophenol, where you expect these four pollutants to be
discharged in concentrations of 100 ppb or greater, you must report
quantitative data. For every pollutant expected to be discharged in
concentrations less than the thresholds specified above, you must
either submit quantitative data or briefly describe the reasons the
pollutant is expected to be discharged. At your request the Director,
Office of Water Enforcement and Permits, may waive the
requirement to test for pollutants for an industrial category or
subcategory. Your request must be supported by data
representatives of the industrial category or subcategory in question.
The data must demonstrate that individual testing for each applicant
is unnecessary, because the facilities in , question discharge
substantially identical levels of the pollutant, or discharge the
pollutant uniformly at sufficiently low levels. If you qualify as a small
business (see below) you are exempt from testing for the organic
toxic pollutants, listed on pages V-4 to V-9 in Part C. For pollutants in
intake water, see discussion in General Instructions to this item. The
"Long Tenn Average Values" column (column 3-c) and "Maximum
30-day Values" column (column 3-b) are not compulsory but should
be filled out if data are available. You are required to mark 'Testing
Required" for dioxin if you use or manufacture one of the following
compounds:
(a) 2,4,5-tdchlorophenoxy acetic acid, (2,4,5-T);
(b) 2-(2,4,5-trichlorophenoxy) propanoic acid, (Silvex, 2,4,5-TP)
(c) 2-(2,4,5-trichlorophenoxy) ethyl 2,2-dichloropropionate, (Erbon);
(d) 0,0-dimethyl 0-(2,4,5-tdchlorophenyl) phosphomthioate, (Ronnel);
(e) 2,4,5,-tdchlorophenol, (TCP); or
(f) hexachlorophene, (HCP).
If you mark 'Testing Required" or "Believed Present," you must
perform a screening analysis for dioxins, using gas chromotography
with an electron capture detector. A TCDD standard for quantitation
is not required. Describe the results of this analysis in the space
provided; for example, "no measurable baseline deflection at the
retention time of TCDD" or "a measurable peak within the tolerances
of the retention time of TCDD." The permitting authority may require
you to perform a quantitative analysis if you report a positive result.
The Effluent Guidelines Division of EPA has collected and analyzed
samples from some plants for the pollutants listed in Part C in the
course of its BAT guidelines development program. If your effluents
are sampled and analyzed as part of this program in the last three
years, you may use these data to answer Part C provided that the
permitting authority approves, and provided that no process change
or change in raw materials or operating practices has occurred since
the samples were taken that would make the analyses
unrepresentative of your current discharge.
Small Business Exemption: If you qualify as a "small business",
you are exempt from the reporting requirements for the organic toxic
pollutants, listed on pages V-4 to V-9 in Part C. There are two ways
in which you can qualify as a "small business." If your facility is a coal
mine, and if your probable total annual production is less than
100,000 tons ,per year, you may submit past production data or
estimated future production (such as a schedule of estimated total
production under 30 CFR § 795.14(c)) instead of conducting
analyses for the organic toxic pollutants. If your facility is not a coal
mine, and if your gross total annual sales for the most recent three
years average less than $100,000 per year (in second quarter 1980

FORM 2c — INSTRUCTIONS (continued)
Item V-A, B, C, and D (continued)
dollars), you may submit sales data for those years instead of
conducting analyses for the organic toxic pollutants. The production
or sales data must be for the facility which is the source of the
discharge. The data should not be limited to production or sales for
the process or processes which contribute to the discharge, unless
those are the only processes at your facility. For sales data, in
situations involving intracorporate transfer of goods and services, the
transfer price per unit should approximate market prices for those
goods and services as closely as possible. Sales figures for years
after 1980 should be indexed to the second quarter of 1980 by using
the gross national product price deflator (second quarter of
1980=100). This index is available in National Income and Product
Accounts of the United States (Department of Commerce, Bureau of
Economic Analysis).
Part V-D
List any pollutants in Table 2c-3 that you believe to be present and
explain why you believe them to be present. No analysis is required,
but if you have analytical data, you must report it.
Note: Under 40 CFR 117.12(a)(2), certain discharges of hazardous
substances (listed in Table 2c-4 of these instructions) may be
exempted from the requirements of section 311 of CWA, which
establishes reporting requirements, civil penalties and liability for
cleanup costs for spills of oil and hazardous substances. A discharge
of a particular substance may be exempted if the origin, source, and
amount of the discharged substances are identified in the NDPES
permit application or in the permit, if the permit contains a
requirement for treatment of the discharge, and if the treatment is in
place. To apply for an exclusion of the discharge of any hazardous
substance from -the requirements of section 311, attach additional
sheets of paper to your form, setting forth the following information:
1. The substance and the amount of each substance which may
be discharged.
2. The origin and source of the discharge of the substance.
3. The treatment which is to be provided for the discharge by:
a. An onsite treatment system separate from any treatment
system treating your normal discharge;
b. A treatment system designed to treat your normal
discharge and which is additionally capable of treating the
amount of the substance identified under paragraph 1
above; or
c. Any combination of the above.
See 40 CFR §117.12(a)(2) and (c) published on August 29, 1979, in
44 FR 50766, or contact your Regional Office (Table 1 on Form 1,
Instructions), for further information on exclusions from section 311.
Item VI
This requirement applies to current use or manufacture of a toxic
pollutant as an intermediate or final product or byproduct. The
Director may waive or modify the requirement if you demonstrate
that it would be unduly burdensome to identify each toxic pollutant
and the Director has adequate information to issue your permit. You
may not claim this information as confidential; however, you do not
have to distinguish between use or production of the pollutants or list
the amounts.
Item "I
Self explanatory. The permitting authority may ask you to provide
additional details after your application is received.
Item IX
The Clean Water Act provides for severe penalties for submitting
false information on this application form. '
Section 309(c)(2) of the Clean Water Act provides that "Any person
who knowingly makes any false statement, representation, or
certification in any application,.., shall upon conviction, be punished
by a fine of not more than $10,000 or by imprisonment for not more
than six months, or by both."
2C-2
40 CFR Part 122.22 requires the certification to be signed as follows:
(A) For a corporation: by a responsible corporate official. For
purposes of this section, a responsible corporate official means (i) a
president, secretary, treasurer, or vice-president of the corporation in
charge of a principal business function, or any other person who
performs similar policy- or decision -making functions for the
corporation, or (H) the manager of one or more manufacturing,
production, or operating facilities employing'more than 250 persons
or having gross annual sales or expenditures exceeding $25,000,000
(in second-quarter 1980 dollars), if authority to sign documents has
been assigned or delegated to the manager in accordance with
corporate procedures.
Note: EPA does not require specific assignments or delegation of
authority to responsible corporate officers identified in
§122.22(a)(1)(i). The Agency will presume that these responsible
corporate officers have the requisite authority to sign permit
applications unless the corporation has notified the director to the
contrary. Corporate procedures governing authority to sign permit
applications may provide for assignment or delegation to applicable
corporate position under §122.22(a)(1)(H) rather than to specific
individuals.
(B) For a partnership or sole proprietorship: by a general partner or
the proprietor, respectively; or
(C) For a municipality, State, Federal, or other public agency. by
either a principal executive officer or ranking elected official. For
purposes of this section, a principal executive officer of a Federal
Agency includes (i) the chief executive officer of the Agency, or (ii) a
senior executive officer having responsibility for the overall
operations of a principal geographic unit of the Agency (e.g.,
Regional Administrators of EPA). Applications for Group 11
stormwater dischargers may be signed by a duly authorized
representative (as defined in 40 CFR 122.22(b)) of the individuals
identified above.

CODES FOR TREATMENT UNITS
F
PHYSICAL TREATMENT PROCESSES
1—A..........
Ammonia Stripping
1—B ..........
Dialysis
1—C ..........
Diatomaceous Earth Filtration
1—D ..........
Distillation
1—E ..........
Electrodialysis
1—F ........
Evaporation
1-0 ..........
Flocculation
1—H ..........
Flotation
1-1 ..........
Foam Fractionation
1—J ..........
Freezing
1—K ..........
Gas —Phase Separation
1—L ..........
Grinding (Comminutors)
2—A ..........
Carbon Adsorption
2—B ..........
Chemical Oxidation
2—C ..........
Chemical Precipitation
2—D ..........
Coagulation
2—E ..........
Dechlorination
2—F ..........
Disinfection (Chlorine)
3—A .......... Activated Sludge
3-13 .......... Aerated Lagoons
3—C .......... Anaerobic Treatment
3—D .......... Nitrification—Denitrification
1—M .......... Grit Removal
1—N .......... Microstraining
1-0.......... Mixing
1—P ........... Moving Bed Filters
1—O........... Multimedia Filtration
1—R .......... Rapid Sand Filtration
1—S ........... Reverse Osmosis (Hypenrltration)
1-T ........... Screening
1—U .......... Sedimentation (Settling)
1—V ........... Slow Sand Filtration
1—W .......... Solvent Extraction
1—X ........... Sorption.
CHEMICAL TREATMENT PROCESSES
2—G ..........
Disinfection (Ozone)
2—H ..........
Disinfection (Other)
2-1 ...........
Electrochemical Treatment
2—J...........
Ion Exchange
2—K ...........
Neutralization
2—L...........
Reduction
BIOLOGICAL TREATMENT PROCESSES
4—A .......... Discharge to Surface Water
4-13 .......... Ocean Discharge Through Outfall
3—E ........... Pre -Aeration
3—F ........... Spray Irrigation/Land Application
3—G .......... Stabilization Ponds
3—H .......... Trickling Filtration
OTHER PROCESSES
4—C .......... Reuse/Recycle of Treated Effluent
4-D ........... Underground Injection
SLUDGE TREATMENT AND DISPOSAL PROCESSES
5--A ..........
Aerobic Digestion
5—M ..........
Heat Drying
5—B ..........
Anaerobic Digestion
5—N ..........
Heat Treatment
5—C..........
Belt Filtration
5-0 ..........
Incineration
5—D..........
Centrifugation
5—P ...........
Land Application
5—E ..........
Chemical Conditioning
5—Q ..........
Landfill
5—F ..........
Chlorine Treatment
5—R ..........
Pressure Filtration
5—G ..........
Composting
5—S ..........
Pyrolysis
5—H ..........
Drying Beds
5—T ..........
Sludge Lagoons
5—I...........
Elutriation
5-1-1 ..........
Vacuum Filtration
5-,J ..........
Flotation Thickening
5—V ..........
Vibration
5—K ..........
Freezing
5—W ..........
Wet Oxidation
5—L ..........
Gravity Thickening
Table 2C-1

TESTING REQUIREMENTS FOR ORGANIC TOXIC POLLUTANTS INDUSTRY CATEGORY*.
INDUSTRY CATEGORY
Volatile
GC/MS FRACTION'
Acid Base/Neutral
Pesticide
Adhesives and sealants............................................................
X
X
X
—
Aluminum forming.....................................................................
X
X
X
Auto and other laundries...........................................................
X
X
X
X
Battery manufacturing...............................................................
X
—
X
—
Coalmining...............................................................................
X
X
X
X
Coilcoating...............................................................................
X
X
X
—
Copperforming.........................................................................
X
X
X
—
Electric and electronic compounds ...........................................
X
X
X
X
Electroplating............................................................. ........ .*--
X
X
X
—
Explosives manufacturing.........................................................
—
X
X
—
Foundries..................................................................................
X
X
X
—
Gum and wood chemicals.........................................................
X
X
X
X
Inorganic chemicals manufacturing ..........................................
X
X
X
—
Iron and steel manufacturing....................................................
X
X
X
—
Leather tanning and finishing ....................................................
X
X
X
X
Mechanical products manufacturing .........................................
X
X
X
—
Nonferrous metals manufacturing .............................................
X
X
X
X
Oremining................................................................................
X
X
X
X
Organic chemicals manufacturing .............................................
X
X
X
X
Paint and ink formulation..........................................................
X
X
X
X
Pesticides..................................................................................
X
X
X
X
Petroleum refining.....................................................................
X
X
X
X
Pharmaceutical preparations....................................................
X
X
X
—
Photographic equipment and supplies ......................................
X
X
X
X
Plastic and synthetic materials manufacturing ..........................
X
X
X
X
Plastic processing.....................................................................
X
—
—
—
Porcelain enameling.................................................................
X
—
X
X
Printing and publishing..............................................................
X
X
X
X
Pulp and paperboard mills ........................................................
X
X
X
X
Rubber processing....................................................................
X
X
X
—
Soap and detergent manufacturing ...........................................
X
X
X
—
Steam electric power plants ......................................................
X
X
X
_
Textilemills...............................................................................
X
X
X
X
Timber products processing......................................................
X
X
X
X
*See note at conclusion of 40 CFR Part 122, Appendix D (1983) for explanation of effect of suspensions on testing requirements for primary
industry categories.
`The pollutants in each fraction are listed in Item V-C.
X = Testing required.
— = Testing not required.
Tabe 2C-2

TOXIC POLLUTANTS AND HAZARDOUS SUBSTANCES
REQUIRED TO BE IDENTIFIED BY APPLICANTS IF EXPECTED TO BE PRESENT
TOXIC POLLUTANT
HAZARDOUS SUBSTANCES
HAZARDOUS SUBSTANCES
Asbestos
Dichlorvos
Naled
Diethyl amine
Napthenic acid
HAZARDOUS SUBSTANCES
Dimethyl amine
Nitrotoluene
Dintrobenzene
Parathion
Acetaldehyde
Diquat
Phenolsulfonate
Ally[ alcohol
Disulfoton
Phosgene
Allyl chloride
Diuron
Propargite
Amyl acetate
Epichlorohydrin
Propylene oxide
Aniline
Eth[on
Pyrethrins
Benzonitrile
Ethylene diamine
Quinoline
Benzyl chloride
Ethylene dibromide
Resorcinol
Butyl acetate
Formaldehyde
Strontium
Butylamine
Furfural
Strychnine
Captan
Guthion
Styrene
Carbaryl
Isoprene
2,4,5-T (2,4,5-Trichlorophenoxyacetic acid)
Carbofuran
Isopropanolamine
TDE (Tetra ch[orodiphenyi ethane)
Carbon disulfide
Kelthane
2,4,5-TP [2-(2,4,5-Trichlorophenoxy) propanoic acid]
Chlorpyrifos
Kepone
Trichlorofon
Coumaphos
Malathion
Triethanolamine
Cresol
Mercaptodimethur
Triethylamine
Crotonaldehyde
Methoxychlor
Trimethylamine
Cyclohexane
Methyl mercaptan
Uranium
2,4-D (2,4-Dich[orophenoxyacetic acid)
Methyl methacrylate
Vanadium
Diazinon
Methyl parathion
Vinyl acetate
Dicamba
Mevinphos
Xylene
Dichlobenil
Mexacarbate
Xylenol
Dichlone
Monoethyl amine
Zirconium
2,2-Dich[oropropionic acid
Monomethyl amine
Table 2C-3

HAZARDOUS SUBSTANCES
1. Acetaldehyde
74. Carbaryl
145. Formaldehyde
2. Acetic acid
75. Carbofuran
146. Formic acid
3. Acetic anhydride
76. Carbon disulfide
147. Fumaric acid
4. Acetone cyanohydrin
77. Carbon tetrachloride
148. Furfural
5. Acetyl bromide
78. Chlordane
149. Guthion
6. Acetyl chloride
79. Chlorine
150. Heptachlor
7. Acrolein
80: Chlorobenzene
151. Hexachlorocyclopentadiene
8. Acrylonitrile
81. Chloroform
152. Hydrochloric acid
9. Adipic acid
82. Chloropyrifos
153. Hydrofluoric acid
10. Aldrin
83. Chlorosulfonic acid
154. Hydrogen cyanide
11. Allyl alcohol
84. Chromic acetate
155. Hydrogen sulfide
12. Allyl chloride
85. Chromic acid
156. Isoprene
13. Aluminum sulfate
86. Chromic sulfate
157. Isopropanolamine
14. Ammonia
87. Chromous chloride
dodecylbenzenesulfonate
15. Ammonium acetate
88. Cobaltous bromide
158. Kelthane
16. Ammonium benzoate
89. Cobaltous formate
159. Kepone
17. Ammonium bicarbonate
06. Cobaltous sulfamate
160. Lead acetate
18. Ammonium bichromate
91. Coumaphos
161. Lead arsenate
19. Ammonium bifluoride
92. Cresol
162. Lead chloride
20. Ammonium bisulfite
93. Crotonaldehyde
163. Lead fluoborate
21. Ammonium carbamate
94. Cupric acetate
164. Lead flourite
22. Ammonium carbonate
95. Cupric acetoarsenite
165. Lead iodide
23. Ammonium chloride
96. Cupric chloride
166. Lead nitrate
24. Ammonium chromate
97. Cupric nitrate
167. Lead stearate
25. Ammonium citrate
98. Cupric oxalate
168. Lead sulfate
26. Ammonium fluoroborate
99. Cupric sulfate
169. Lead sulfide
27. Ammonium fluoride
100. Cupric sulfate ammoniated
170. Lead thiocyanate
28. Ammonium hydroxide
101. Cupric tartrate
171. Lindane
29. Ammonium oxalate
102. Cyanogen chloride
172. Lithium chromate
30. Ammonium silicofluoride
103. Cyclohexane
173. Marathion
31. Ammonium sulfamate
104. 2,4-D acid (2,4- Dichlorophenoxyacetic
174. Maleic acid
32. Ammonium sulfide
acid)
175. Maleic anhydride
33. Ammonium sulfite
105. 2,4-D esters (2,4- Dichlorophenoxyacetic
176. Mercaptodimethur
34. Ammonium tartrate
acid esters)
177. Mercuric cyanide
35. Ammonium thiocyanate
106. DDT
178. Mercuric nitrate
36. Ammonium thiosulfate
107. Diazinon
179. Mercuric sulfate
37. Amyl acetate
108. Dicamba
180. Mercuric thiocyanate
38. Aniline
109. Dichlobenil
181. Mercurous nitrate
39. Antimony pentachloricle
110. Dichlone
182. Methoxychlor
40. Antimony potassium tartrate
111. Dichlorobenzene
183. Methyl mercaptan
41. Antimony tribromide
112. Dichloropropane
184. Methyl methacrylate
42. Antimony trichloride
113. Dichloropropene
185. Methyl parathion
43. Antimony trifluoride
114. Dichloropropene-dichloproropane mix
186. Mevinphos
44. Antimony trioxide
115.2,2-Dichioropropionic acid
187. Mexacarbate
45. Arsenic disulfide
116. Dichlorvos
188. Monoethylamine
46. Arsenic pentoxide
117. Dieldrin
189. Monomethylamine
47. Arsenic trichloride
118. Diethylamine
190. Naled
48. Arsenic trioxide
119. Dimethylamine
191. Naphthalene
49. Arsenic trisulfide
120. Dinitrobenzene
192. Naphthenic acid
50. Barium cyanide
121. Dinitrophenol
193. Nickel ammonium sulfate
51. Benzene
122. Dinitrotoluene
194. Nickel chloride
52. Benzoic acid
123. Diquat
195. Nickel hydroxide
53. Benzonitrile
124. Disulfoton
196. Nickel nitrate
54. Benzoyl chloride
125. Diuron
197. Nickel sulfate
55. Benzyl chloride
126. Dodecylbenzesulfonic acid
198. Nitric acid
56. Beryllium chloride
127. Endosulfan
199. Nitrobenzene
57. Beryllium fluoride
128. Endrin
200. Nitrogen dioxide
58. Beryllium nitrate
129. Epichlorohydrin
201. Nitrophenol
59. Butylacetate
130. Ethion
202. Nitrotoluene
60. n-Butylphthalate
131. Ethylbenzene
203. Paraforrnaldehyde
61. Butylamine
132. Ethylenediamine
204. Parathion
62. Butyric acid
133. Ethylene dibromide
205. Pentachlorophenol
63. Cadmium acetate
134. Ethylene dichloride
206. Phenol
64. Cadmium bromide
135. Ethylene diaminetetracetic acid (EDTA)
207. Phosgene
65. Cadmium chloride
136. Ferric ammonium citrate
208. Phosphoric acid
66. Calcium arsenate
137. Ferric ammonium oxalate
209. Phosphorus
67. Calcium arsenite
138. Ferric chloride
210. Phosphorus oxychloride
69. Calcium carbide
139. Ferric fluoride
211. Phosphorus pentasulfide
69. Calcium chromate
140. Ferric nitrate
212. Phosphorus trichloride
70. Calcium cyanide
141. Ferric sulfate .
213. Polychlorinated biphenyls (PCB)
71. Calcium dodecylbenzenesulfon ate
142. Ferrous ammonium sulfate
214. Potassium arsenate
72. Calcium hypochlorite
143. Ferrous chloride
215. Potassium arsenite
73. Captan
144. Ferrous sulfate
216. Potassium bichromate
Table 2C-4

HAZARDOUS SUBSTANCES
217. Potassium chromate
247. Sodium selenite
270. Trimethylamine
218. Potassium cyanide
248. Strontium chromate
271. Uranyl acetate
219. Potassium hydroxide
249. Strychnine
272. Uranyl nitrate
220. Potassium permanganate
250. Styrene
273. Vanadium penoxide
221. Propargite
251. Sulfuric acid
274. Vanadyl sulfate
222. Propionic acid
252. Sulfur monochloride
275. Vinyl acetate
223. Propionic anhydride
253.2,4,5-T acid (2,4,5-
276. Vinylidene chloride
224. Propylene oxide
Trichlorophenoxyacetic acid)
277. Xylene
225. Pyrethrins
254.2,4,5-T amines (2,4,5-Trichlorophenoxy
278. Xylenol
226. Quinoline
acetic acid amines)
279. Zinc acetate
227. Resorcinol
255.2,4,5-T esters (2,4,5 Trichlorophenoxy
280. Zinc ammonium chloride
228. Selenium oxide
acetic acid esters)
281. Zinc borate
229. Silver nitrate
256.2,4,5-T salts (2,4,5-Trichlorophenoxy
282. Zinc bromide
230. Sodium
acetic acid salts)
283. Zinc carbonate
231. Sodium arsenate
257.2,4,5-TP acid (2,4,5-Trichlorophenoxy
284. Zinc chloride
232. Sodium arsenite
propanoic acid)
285. Zinc cyanide
233. Sodium bichromate
258.2,4,5-TP acid esters (2,4,5-
286. Zinc fluoride
234. Sodium bifluoride
Trichlorophenoxy propanoic acid esters)
287. Zinc formate
235. Sodium bisulfate
259. TIDE (Tetrachlorodiphenyl ethane)
288. Zinc hydrosulfite
236. Sodium chromate
260. Tetraethyl lead
289. Zinc nitrate
237. Sodium cyanide
261. Tetraethyl, pyrophosphate
290. Zinc phenolsulfonate
238. Sodium dodecylbenzenesulfonate
262. Thallium sulfate
291. Zinc phosphide
239. Sodium fluoride
263. Toluene
292. Zinc silicofluoride
240. Sodium hydrosulfide
264. Toxaphene
293. Zinc sulfate
241. Sodium hydroxide
265. Trichlorofon
294. Zirconium nitrate
242. Sodium hypochlorite
266. Trichloroethylene
295. Zirconium potassium flouride
243. Sodium methylate
267. Trichlorophenol-
296. Zirconium sulfate
244. Sodium nitrite
268. Triethanolamine
297. Zirconium tetrachloride
245. Sodium phosphate (dibasic)
dodecylbenzenesulfonate
246. Sodium phosphate (tribasic)
269. Triethylamine
Table 2C-4 (continued)

LINE DRAWING
Blue River
90,000 GPD
5,000 GPD 45,000 GPD
tit
r 15 000 20,OO1
ation GPD Dyeing GPD
40,000 GPD 40,000 GPD
it Neutralization Loss
ator Tank 6,000
6,000 GPD 34,000 GPD
Stormwater
Treatment
Plant #1
Municipal
Water Supply
Blue River
10,000 GPD
Cooling Water
000
#Washing
Drying 5,000 GPD
D
To Atmospt
10,000 To Product
GPD 5,000 GPD
Waste
i Treatment
51PD Plant #2
Outfal1002
50,000 GPD
O"all 001
3PD +3PD Stormer
Schematic of Water Flow
Brown Mills, Inc.
City, County, State
Figure 2C-1

EPA I.D. NUMBER (copyfromItem 1 of Form 1) Form Approved.
OMB No. 2040-0086.
Please print or type in the unshaded areas only. Ann-1 —imam A-zi-ou
FORM
2C
NPDES
I. OUTFALL LOCATION
U.S. ENVIRONMENTAL PROTECTION AGENCY
APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER
Vy, EXISTING MANUFACTURING, COMMERCIAL, MINING AND SILVICULTURE OPERATIONS
Consolidated Permits Program
For each outfall, list the latitude and longitude of its location to the nearest 15 seconds and the name of the receiving water.
A. OUTFALL NUMBER
(hat)
B. LATITUDE
C. LONGITUDE
D. RECEIVING WATER (name)
1. DEG.
2. MIN.
3. SEC.
1. DEG.
2. MIN.
I 3. SEC.
001
35
56
13
91
11
9
E-Or k Crczk
001
M add Far
Creek.
11. FLOWS, SOURCES OF POLLUTION, AND TREATMENT TECHNOLOGIES
A. Attach a line drawing showing the water flow through the facility. Indicate sources of intake water, operations contributing wastewater to the effluent, and treatment units
labeled to correspond to the more detailed descriptions in Item B. Construct a water balance on the line drawing by showing average flows between intakes, operations,
treatment units, and outfalls. If a water balance cannot be determined (e.g., for certain mining activities), provide a pictorial description of the nature and amount of any
sources of water and any collection or treatment measures.
B. For each outfalt, provide a description of: (1) All operations contributing wastewater to the effluent, including process wastewater, sanitary wastewater, cooling water,
and storm water runoff; (2) The average flow contributed by each operation; and (3) The treatment received by the wastewater. Continue on additional sheets if
necessary.
1. OUT-
2. OPERATION(S) CONTRIBUTING FLOW
3. TREATMENT
FALL
NO. (lisi)
a. OPERATION (list)
b. AVERAGE FLOW
(include units)
a. DESCRIPTION
b. LIST CODES FROM
TABLE 2C-1
cot
r i>1c cs e
C y +jre6 4 Lod
S c otsa tJtc i�
00
i. In e L
e
Se t `c- d
—
OFFICIAL USE ONLY (effluem guidelines sub -categories)
EPA Form 3510-2C (8-90) PAGE 1 of 4 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
C. Except for storm runoff, leaks, or spills, are any of the discharges described in Items II -A or B intermittent or seasonal?
❑ YES (complete the following table) ❑ NO (go to Section III)
3. FREQUENCY
4. FLOW
a. DAYS PER
B. TOTAL VOLUME
2. OPERATION(s)
WEEK
b. MONTHS
a. FLOW RATE (in mgd)
(speck, with -its)
1. OUTFALL
CONTRIBUTING FLOW
(speck,,
PER YEAR
C. DURATION
1. LONG TERM
2. MAXIMUM
1. LONG TERM
2. MAXIMUM
NUMBER (fist)
(list)
average)
(specifJ•average)
AVERAGE
DAILY
AVERAGE
DAILY
(in days)
III. PRODUCTION
t
A. Does an effl nt guideline limitation promulgated by EPA under Section 304 of the Clean Water Act apply to your facility?
LV YES (complete Item III-B) ❑ NO (go to Section 1i7
B. Are the limit ons in the applicable effluent guideline expressed in terms of production (or other measure of operation)?
YES (complete Item III-C) ❑ NO (go to Section
C. If you answered "yes" to Item III-B, list the quantity which represents an actual measurement of your level of production, expressed in the terms and units used in the
applicable effluent guideline, and indicate the affected outfalls. _
1. AVERAGE DAILY PRODUCTION
2. AFFECTED OUTFALLS
(list on fall numbers)
a. QUANTITY PER DAY
b. UNITS OF MEASURE
e. OPERATION, PRODUCT, MATERIAL, ETC.
(spec)
Ir 16()600 l
Mow, t�
IV. IMPROVEMENTS
A. Are you now required by any Federal, State or local authority to meet any implementation schedule for the construction, upgrading or operations of wastewater
treatment equipment or practices or any other environmental programs which may afect the discharges described in this application? This includes, but is not limited to,
permit conditions, administrative or enforcement orders, enforcement compliance edula letters, stipulations, court orders, and grant or loan conditions.
❑ YES (complete the following table) NO (go to Item IRB)
1. IDENTIFICATION OF CONDITION,
2. AFFECTED OUTFALLS
3. BRIEF DESCRIPTION OF PROJECT
4. FINAL COMPLIANCE DATE
AGREEMENT, ETC.
a. NO.
b. SOURCE OF DISCHARGE
a. REQUIRED
b. PROJECTED
B. OPTIONAL: You may attach additional sheets describing any additional water pollution control programs (or other environmental projects which may affect your
discharges) you now have underway or which you plan. Indicate whether each program is now underway or planned,; and indicate your actual or planned schedules for
construction.
❑'MARK -X° IF DESCRIPTION OF ADDITIONAL CONTROL PROGRAMS IS ATTACHED
EPA Form 3510-2C (8-90) PAGE 2 of 4 CONTINUE ON PAGE 3

CONTINUED FROM EPA I.D. NUMBER (capyjromltem 1 ojForm 1)
PAGE 2
V. INTAKE AND EFFLUENT CHARACTERISTICS
A, B, & C: See instructions before proceeding —Complete one set of tables for each outfall —Annotate the outfall number in the space provided.
NOTE: Tables VA V-B, and V-C are included on separate sheets numbered Vi through V-9.
D. Use the space below to list any of the pollutants listed in Table 2c-3 of the instructions, which you know or have reason to believe is discharged or may be discharged
from any,outfall. For every pollutant you list, briefly describe the reasons.you believe it to be present and report any analytical data in your possession.
1. POLLUTANT
2. SOURCE
I.POLLUTANT
2. SOURCE
VI. POTENTIAL DISCHARGES NOT COVERED
BY ANALYSIS
Is any pollutant listed in Item V-C a substance
❑ YES (list all such pollwams
or a component of a substance which y
below)
currently use or manufacture as an intermediate
NO (go 1oRem W-B)
or final product or byproduct?
EPA Form 3510-2C (8-90) PAGE 3 of 4 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
VII. BIOLOGICAL TOXICITY TESTING DATA
Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on any of your discharges or on a receiving water in
relation to your 0charge within the last 3 years?
YES (identify 1he tesl(s) and describe their purposes beloiv) NO (go to Section V111)
Ike care w rej 1-0 ri.i,n C'_l�ror,�� ToXiC y -feS�' vc, 00( +00,�-
2 �r� � �e e►1f . � J� rc� � �-�,f=�z�
VIII. CONTRACT ANALYSIS INFORMATION
Were any of the analyses reported in Item V performed by a contract laboratory or consulting firm?
YES (list the name, address, and telephone number of, and pollutants analyzed by, ❑ NO (go to Section LY)
each such laboratory or firer below)
A. NAME
B. ADDRESS
C. TELEPHONE
(area code & no.)
D. POLLUTANTS ANALYZED
(list)
Wo-, of Tech. �Q b5
Pa &x IOS�
� a�)3��V4�F
o , TSS; nitf3, c e
2
eve;(�Ott��.C'�'id7'
miss s iA
r of
��st°G: �f;bl $ f7ft@EE�tJ� l4 l
D�Qr Bod'
in; Inah, TakI .Treat,
0 'al
�lr
C fA t/t'G'iC l dXiE%'��
c O t. 5 oo,-A-
IX. CERTIFICATION
1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there
are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
A. NAME
& OFFICIAL TITLE (type or print)
��Ce-i/t`- deb 011lt
B. PHONE NO. (area code & no.)
��� �
9'9/
C. ZTURE
D. DATE SIGNED
EPA Form 3510-2C (8-90) PAGE 4 of 4

C)a -
PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY. You may report some or all ofthis Information I EPA I.D. NUMBER (copyf o item 1 of Form 1)
on separate sheets (use the same formal) instead of completing these pages.
SEE INSTRUCTIONS.
OUfFALL NO.
V. INTAKE AND EFFLUENT CHARACTERISTICS (cordinued from page 3 of Porn 2-C)
PART A —You must provide the results of at least one analysis for every pollutant In this table. Complete one table for each outfall. See instructions for additional details.
3. UNITS
4. INTAKE
2. EFFLUENT
(specify ifb1mk)
(optional)
b. MAXIMUM 30 DAY VALUE
c. LONG TERM AVRG. VALUE
a. LONG TERM
a. MAXIMUM DAILY VALUE
(i—Ioble)
(if—v ilable)
AVERAGE VALUE
1. POLLUTANT
d. NO.
ANALYSES
a. CONCEN-
TRATION
b. MASS
b. NO. OF
ANALYSES
(1)
CONCENTRATION
(2) MASS
(1)
CONCENTRATION
(2) MASS
(1) CONCENTRATION
1 (2) MASS
CONCENTRATION I
(2)MASS
a. Biochemical Oxygen
Demand (BOD)
c
b. Chemical Oxygen
Demand (COD)
C. Total Organic Carbon
(T�rl
/�
d.Suspended
lids
rry'I�
•I
n n
Solids (7S5)
J r
✓�S fXJ
M s
e. Ammonia (-N)
f. Flow
VALUE
M
g�
VALUE j'
VALUE
VALUE
r I"
✓ b
o '
g. Temperature
VALUE '
VALUE .rt
/J
VALUE
°C
VALUE
(winter)
J
It. Temperature
VALUE
VALUE
VALUE p
g j
°C
VALUE
(summer)
l
YL
�' pH
M MUM
MAXIMUM
MIN MUI1�
MTMU
14 15-
/@-
,
STANDARD UNITS
PART B— Mark Win column 2-a for each pollutant you knave or have reason to believe is present Mark')C in column 2-b for each pollutant you believe to be absent. If you mark column 2a for any pollutant which is limited either
directly, or indirectly but expressly, in an effluent limitations guideline, you must provide the results of at least one analysis for that pollutant. For other pollutants for which you mark column 23, you must provide
quantdalive data or an explanation of their presence In your discharge. Complete one table for each outfall. See the instructions for additional details and requirements.
1. POLLUTANT
2. MARK W
3. EFFLUENT
1 4. UNITS
S. INTA.KE (optional)
AND
b. MAXIMUM 30 DAY VALUE
I c. LONG TERM AVRG. VALUE
a. LONG TERM AVERAGE
CAS NO.
V--RLE':7-ENT-
h.
a. MAXIMUM DAILY VALUE
(if—fabk)
(ijmvilable)
VALUE
(jmnilable)
EUEVEO
BSENT
d. NO
ANALY5ES
a. CONCEN-
TRATION
b. MASS
b. NO. OF
ANALYSES
(/)
CONCENTRATION
(2) MASS
(1)
CONCENTRATION
(2) MASS
(1)
CONCENTRATION
Q)MASS
1
( )
CONCENTRATION
(2)MASS
a. Bromide
(24959-67-9)
b. Chlorine, Total
5
Residual
OP
LA71
c. Colar
d. Fecal Coliform
e. Fluon, a
(lege4-0&B)
1. Nhmte-Nitrate
(as M
ern term --, (o-so)
PAGE V-1
CONTINUE ON REVERSE

ITEM V-B CONTINUED FROM FRONT
1. POLLUTANT
2. MARK'X'
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
AND
rpUEVED
b. MAXIMUM 30 DAY VALUE
c. LONGTERM AVRG. VALUE
a. LONG TERM
CAS NO.
b.
a. MAXIMUM DAILY VALUE
i m+ailable
(I %
(Immlable)
AVERAGE VALUE
(fmoilable)
ESENT
BELIEVED
d. NO. OF
a. CONCEN-
b. NO. OF
(t)
(t)
(1)
(1)
ABSENT
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS -
CONCENTRATION
(2) MASS
ANALYSES
TRATION
b. MASS
CONCENTRATION
Rl NASS
ANALYSES
g. Nitrogen,
Total Organic(ar
611
I
h. Oil and
�•.
4
Grease
L Phosphorus
(aa P), Total
('23-14-0)
F l V
i
L•
%1� r
j. Radioactivity
(1) Alpha, Total
(2) Beta, Total
r
(3) Radium,
Total
(4) Radium 226,
Total
k Sulfate
(a. SOA
(14808-79-8)
L Sulfide
(a+S)
m. Sulfite
(1 SOr)
(4265-453)
n. Surfactants
o. Aluminu
Total
(7429.90.5)
p. Barium, Total
(7440-39-3)
q. Boron, Total
(7440-42-8)
r. Cobalt, Total
(74464&4)
s. Iron, Total
i
(7439419-6)
L Magnesium,
Total
(7439-95-4)
u. Molybdenum,
Total
(743.8-7)
v. Manganese,
Total
(7439-96.5)
w. Tin, Total
(7440-31-5)
x. Tftanium,
Total
(7440-32-6)
tPA Form 351 D•2C (B-90)- PAGE V-2 CONTINUE ON PAGE V-3

CONTINUED FROM PAGE 3 OF FORM 9-C I
EPA I.D. NUMBER (copyfmm Item I ojForm 1) OUTFALL NUMBER
PART C - If you are a primary Industry and this outfall contains process wastewater, refer to Table 2c-2 in the instructions to determine which of the GC/MS fractions you must test for. Mark in column 2-a for all such GC/MS
fractions that apply to your Industry and for ALL toxic metals, cyanides, and total phenols. If you are not required to mark column 2-a (secondary industries, nunpmcess wastewater out/aft and nonmquimd GC/MS
fractions), mark'X' in column 2-b for each pollutant you know or have reason to believe Is present. Mark'X' In column 2-e for each pollutant you believe is absent If you mark column 2a for any pollutant, you must
provide the results of at least one analysis for that pollutant If you mark column 2b for any pollutant, you must provide the results of at least one analysis for that pollutant if you know or have reason to believe it win be
discharged In concentrations of 10 ppb or greater. If you mark column 2b for acrolein, acrytondnle, 2,4 dinhmphenol, or 2-methyl-4, 6 dinnmphenol, you must provide the results Of at least one analysis for each of these
pollutants which you know or have reason to believe that you discharge in concentrations of 100 ppb or greater. Otherwise, for pollutants for which you mark column 2b, you must either submit at least one analysis or
briefly describe the reasons the pollutant is expected to be discharged. Note that there are 7 pages to this pan; please review each carefully. Complete one table (alf 7 pages) for each outfall. See Instructions for
additional details and requirements.
2. MARK'X'
3. EFFLUENT
4. UNITS
5. INTAKE (aptionon
1. POLLUTANT
b. MAXIMUM 30 DAY VALUE
c. LONG TERM AVRG.
a. LONG TERM
AND
a.
b.
a
a. MAXIMUM DAILY VALUE
(i,f—lable)
VALUE (ifmvilable)
AVERAGE VALUE
CAS NUMBER
TESTING
BELIEVED
BELIEVED
d. NO. OF
a. CONCEN-
b. NO. OF
(1)
(1)
(1)
11)
(javailoble)
REQUIRED
PRESENT
ABSENT
CONCENTRATION (2) MASS
CONLEMRATION R) MASS
CONCENTRATION 12) MASS
ANALYSES
TRATION
b. MASS
CONCENTRATION (21 MASS
ANALYSE
METALS, CYANIDE, AND TOTAL PHENOLS
1M. Aofimany, Total
(744D-36.0)
2M. Arsenic, Total
(7440.3e-2)
3M. Beryllium, Total
(7440-41-7)
4M. Cadmium, Total
(7440-43-9)
5M. Chromium,
Total (7440-47-3)
SM. Copper, Total
(7440-SM)
7M. Lead, Total
(7439-92-1)
SM. Mercury, Total
(7439-97.6)
SM. Nickel, Total
(7440-02-0)
10M. Selenium,
Total (778249-2)
11 M. Silver, Total
p440-22-4)
12M. Thallium,
Total (7440-28-0)
13M. Zinc, Total
(7440-66.6)
14K Cyanide,
Total (57-12-5)
15M. Phenols,
Total
DIOXIN
2,3,7,8-Tetra-
DESCRIBE RESULTS
cNorodibenzo-P-
Diorm (1764-01-6)
EPA Form 3510.2C (8.90) PAGE V-3 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2. MARK W
3. EFFLUENT
4. UNITS
5. INTAKE (opliond)
1. POLLUTANT
F
b. MAXIMUM 30 DAY VALUE
a LONG TERM AVRG.
a. LCHG TERM
AND
a.
b.
c
a. MAXIMUM DAILY VALUE
(if—l-ble)
VALUE (iMlabfe)
AVERAGE VALUE
CAS NUMBER
TESTING
BELIEVED
BEUEVEO
d. NO.OF
a.CONCEN-
b. NO. OF
CONCENTRATION (2) MASS
(1)
CONCENTRATION (2) MASS
(1)
CONCENTRATION (2) MASS
(1)
CONCENTR .P,ON 121 MASS
(jmnifab(e)
REQUIRED
PRESENT
ABSENT
ANALYSES
TRATION
b. MASS
ANALYSE
GC/MS FRACTION —VOLATILE COMPOUNDS
1V. Accrolein
(107-02-8)
'
2V. Acrylonilrile
(107-13-1)
3V. Benzene
(71-43.2)
4V. Ris (Chl—
nrefhyl)Ether
(542-88-1)
SV. Bromoform
(75.25-2)
b'V. Carbon
--
Tetrachloride
7V. Chlorobenzene
(108-90.7)
SV. Chlorodi-
bromomethane
(12448-1)
'
9V. Chloroethane
—.
(75-00-3)
10V.2-Chloro-
ethylvinyl Ether
(110-75-8)
11V. Chloroform
(67-66-3)
72V. Dichloro-
bromomethane
(7&274)
13V. Dichloro-
diflucromethane
(75-71-8)
14V. 1,1.01chloro-
ethane (75-34-3)
1 SV. 1,2-Dlchlaro-
ethane (107-0&2)
16V. 1,1-01chlaro-
ethylene (75-35-4)
17V. 1,2-Dichloro-
propane(78-87-5)
18V. 1,3-Dichloro-
propylene
(542.75-6)
19V. Ethylbenzene
(10441-4)
20V. Methyl
Bromide (74-83-9)
21V. Methyl
Chloride (7487-3)
EPA Farm 3510-2C (&90) PAGE V4 CONTINUE ON PAGE V-5

CONTINUED FROM PAr:F V.4
2. MARK'X'
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT
7
b. MAXIMUM 30 DAY VALUE
c. LONG TERM AVRG.
1
a. LONG TERM
AND
a
h.
e.
a. MAXIMUM DAILY VALUE
(ifa IaNd).'
VALUE (ifmoilabfe)
AVERAGE VALUE
ANAI-YSES
CAS NUMBER
TESTING
BELIEVED
BELIEVED
d. NO. OF
a. CONCEN-
. NO.
(1)
(1)
(j)
(if—ilable)
REQUIRED
PRESENT
ABSENT
CONCENTRATION (2) MASS
CONCENTRATION • 121 MASS
CONCENTRATION (2)MASS
�Aj-YSES
TRATION
h. MASS
CONCENTRATION (Sj MA
GCIMS FRACTION —VOLATILE COMPOUNDS (confimtern
22V. Methylene
Chloride (75-09-2)
23V. 1,1,2,2-
Tetrachloroethane
79-34-5
24V. Tetmchloro-
ethylene (127-184)
25V. Toluene
(108-88-3)
26V. 1,2-Trans
Dichlomethylene
156-60 5
27V. 1,1,1-TrI hlaro-
ethane (7155-61
26V. 1,1,2-Trichloro-
ethane (79-00-5)
29V Trichloro-
ethylene (79-01-6)
30V. Trichloro-
flucromethane
75fi9-0
31V. Vinyl Chlande
(75-01.4)
GC/MS FRACTION —ACID COMPOUNDS
1A 2-Chlorapheno1
(95-57-8)
2A 2,4-Dichloro-
phenol (120-83-21
3A. 2,4.Dimethyl-
phenol (105.67-9)
4A 4,&Dlnitro-0-
Cresol (534-52-1)
SA 2,4-Dinitro-
phenol (51-285)
6A. 2-Nitrophenol
(88-755)
7A 4-Nitraphenol
(100-02-7)
8A P-Chloro-M-
Cresol(59.50-7)
9A Pentachloro-
phenol (87-86-5)
10A. Phenol
(108-95-2)
11A 2,4,6-Trichloro-
-
phenol (88-05-2)
EPA Form 351 &2C (8-90) PAGE V-5
CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2. MARK W
3. EFFLUENT
4. UNITS
5. INTAKE (oplimwl)
I.POLLUTANT
b. MAXIMUM 30 DAY VALUE
c LONG TERM AVRG.
a- LONG TERM
'�D
CAS NUMBER
a
b.
a
'a. MAXIMUM DAILY VALUE
(Iwailable)
VALUE (ifmni(nble)
AVERAGE VALUE
TESTING
BELIEVED
BELIEVED
(1)
(1)
(t)
d. NO.
a. CONCEN-
(1)
b. NO. OF
(fmnilahle)
REQUIRED
PRESENT
ABBENT
CONCENTRATION (2) MASS
CONCENTRATION (2)MASS
CONCENTRATION (2)MA85
ANALYSES
TRATION
b. MASS
CONCENTRATION (2)MASS
ANALYSE
GClMS FRACTION — BASE/NEUTRAL COMPOUNDS
1B. Acenaphthene
(83-32-9)
2B. Acenaphtylene
(208-96-8)
,
30. Anthracene
(120-12-7)
4B. Benzidine
(92-87-5)
SB. Benno (a)
Anthracene
(SMS-3)
6B. Benzo (a)
Pyrene (50-32-8)
'
7B. 3,4-Benno-
,
8uoranthene
(205-99-2)
813. Senzo (ghi)
Perylene (191-24-2)
913. Benzo (k)
Fluoranthene
(207-08-9)
10B. Bis (1-0,1 -
elhaVy) Methane
(111-91-1)
118. Bis (1-Chl—
-
,dD,I) Ether
(111-44-4)
12B. Bis (2-
Cid—i-pr pyn
Ether (102-80-1)
138. Bis (1-Er/ryl-
,,Z Phthalate
(117-81-7)
14B. 4-Bramophenyl
Phenyl Ether
(101-55-3)
158. Butyl Benzyl
Phthalate (85-68-7)
16B. 2-Chlon,
naphthalene
(91-55-7)
17B. 4-Chlo—
`
phenyl Phenyl Ether
(7005-72-3)
188. Chrysene
(z1B-D1-s)
19B. Dibenzo (a,h)
Anthracene
(53-70.3)
208. 1,2-Dlchlaro-
benzene (95-50-1)
216. 1,3-Dl-chloro-
benzene(541-73-1)
EPA Form 351 D-2C (5-90) PAGE V-6 CONTINUE ON PAGE V-7

CCNTINUFI FROM PArF V.R
2. MARK'X'
3. EFFLUENT
4. UNITS
5. INTAKE (option
I.POLLUTANT
-
b. MAXIMUM 30 DAY VALUE
a LONG TERM AVR0.
a. LONG TERM
AND
a
b.
c.
a. MAXIMUM DAILY VALUE
(ifmniW11)
VALUE (ifmailab14
AVERAGE VALUE
CAS NUMBER
TESTING
BEUEVED
BELIEVED
d. NO.OF
a. CONCEN-
b. NO. OF
(1)
(1)
(1)
(t)
(ijmnilable)
REOWRED
PRESENT
ABSENT
CONCENTRATION (2) MASS
CONCEMRATION (2) MASS
CONCEMRATION 121 MASS
ANALYSES
TRATION
b. MASS
CONCENTRATION ('2) MASS
YS;E
GC/MS FRACTION—BASE/NEUTRAL
COMPOUNDS
(cnnNmteno
22B. 1,44]Ichtaro-
benzene (106-46-7)
238. 3,3 Dichloro-
benzidine (91-94-1)
24B. Diethyl
Phthalate (94-66-2)
258. Dimethyl
Phthalate
(131 -11-3)
268. OI-N-Butyl
Phthalate(84-74-2)
27B. 2,4-DITt—
toluene (121-14-2)
288. 2,6-D1ntlro-
toluene (606.20.2)
'
290. D4N-Ocly1
Phthalate (117-84-0)
308. 1,2.Diphen*
hydrazine (as Azo-
benzene) 122-66.7)
318. Fluomnthene
(206.44.0)
328. Fluorene
(86.73.7)
338. Hexachlaro-
benzene(116.74-1)
348. HexacNoro•
butadiene (87-68-3)
358. Hexachlaro-
oyclopentadlene
(77-47-4
369 Hexachloro-
ethane (67-72-1)
37B. Indeno
(1,Z3-cd) Pyrene
(193-3M)
38B. Isophorone
(78.S9.1)
398. Naphthalene
(91-20-3)
408. Nitrobenzene
(98-9553)
418. N-Nitro-
sodimethylamine
(62-75-9
428. N-NiltosodI.
N-Pmpylamine
(621-64-7)
EPA Form 3510.2C (8.90) PAGE V-7 CONTINUE ON REVERSE

CONTINI IFr) FRAM THE FRnNT
2. MARK'X'
3. EFFLUENT
4. UNITS
5. INTAKE (opiiana!)
1. POLLUTANT
b. MAXIMUM 30 DAY VALUE
C. LONG TERM AVRG.
a. LONGTERM
AND
CAS NUMBER
a
b.
e
a MAXIMUM DAILY VALUE
i available
U )
VALUE i avmiw
(I )
AVERAGE VALUE
(1)
(if-WIable)
i6snIJ0
BELIEVED
e6uEv6D
d. N0. OF
a. CONCEN-
b. NO. OF
RE0(ARED
PRESENT
ABSEt4T
CONCENTRATION RI MA66
CONCENTRATION (21 MAss
CONCENTRATION (21 MASS
ANALYSES
TT:ATION
b. MASS
CONCENTRATION (2) MAS6
ANAL-YSE
GC/MS FRACTION-BASEINEUTRAL COMPOUNDS (-ii w,4
43B. N-Nitro-
sodlphenylamins
i
(86-30.6
44B. Phenardhrene
IX
(a5-01-81
458. Pyrene
(129.OM)
46B. 1,2,4-Td-
rhloroben2ene
(120-82-1)
GC1MS FRACTION- PESTICIDES
1P. Alddn
(309-OD•2)
2P. a-BHC
(319-84-6)
3P. (LBHC
(319-85-7)
4P, y-BHC
(5mm)
5P. &-BHC
(319-86.8)
'
6P. Chlordane
(57-74-9)
7P. 4,4'-00T
(50.29-3)
8P. 4,4'-DDE
(72,55-91
9P. 4,4'-DDD
(72-54-8)
10P. Dlelddn
(6057-1)
11P. a-Enosulfan
(115-29.7)''
12P. P-Endasulfan
(11529-7)
13P. Endasultan
Sulfate
(1031-07.8)
14P. Enddn
(72-20-8)
15P. Enddn
Aldehyde
7421-93.4)
16P. Hepla Wil
(76-44-8)
EPA t=arm 3510.2G (8-90) PAGE V-B CONTINUE ON PAGE V-9

EPA I.D. NUMBER (copyfmm Item l ofFoem l) OUTFALL NUMBER
CONTINUED FROM PAGE V-e
1. POLLUTANT
2. MARK W 3. EFFLUENT
4. UNITS
5. INTAKE (opiiaaal)
AND
b. MAXIMUM 30 DAY VALUE
c.LONG TERM AVRG.
a. LONG TERM
CAS NUMBER
a. MAXIMUM DAILY VALUE
(ijavailableJ
VALUE (if -fable)
AVERAGE VALUE
7,C)(iJrnailable)
TESTING
REQUIRED
BEUEVED
PRESENT
BELIEVED (1)
(1)
(1)
d. NO. OF
a. CONCEN•
I7NTRA710N
ABSENT CONCENTRATION (Z)MASS
CONCENTRATION (2)MASS
CONCENTRATION T2)MA55
ANAI-YSES
TRATION h.MASS
CONCE
GC/MS FRACTION —PESTICIDES (conli—d)
17P. Heptachlor
Epoxide
(1024-57J)
16P. PCB-1242
(53469-21-9)
19P. PCB-1254
(11097-69-1)
,
20P. PCB-1221
(1770426-2)
21P. PCB-1232
(11141-16.5)
22P. PC6-1246
(12672-29-6)
23P. PCB-1260
(1109S-625)
24P. PCB-1016
(12674-11.2)
25P. Toxaphene
(8001-35.2)
EPA ForM 351 U-2C (5-90) PAGE V-9