NC0000361_Permit Rating Worksheet_20001219

rite' COPY
T NPDES Permit Rating Work Sheet 0 Regular Addition
0.Discretionary Addition
NPDES No.:IS1 C. IQILLI I L'13 1k_111 0 Score change,but no
diange
0 Deletion
Facility Name:
I, LIN ILIiiILI�I_ILI ILILIL�tAl 1 1 1 1 b 1.. I i i I i 1 1 I I i 1 1 1 1 I 1 1
City. LI f I_L1 I_C_IC-1_1 6 1 1Illl l 1 1 I 1 I I I I I I I I 1 1
Receiving Water:IN IL_I(S„I,LIELI_II1_CII_LI 7_1 1 l‘‘ 11�I I I I 1 I I I I 1 I I I I I I
Reach Number:1 I I I 1 I I 1 I 1 I I
is this facility a steam electric power plant(S1C=4911) Is this permit for a municipal separate storm sewer
with one or more of the following characteristics? serving a population greater than 100,000?
1.Power output S00 MW or greater(not using a cooling pond/lake)
2.A nuclear power plant 0 YES;score is 700(stop here)
3.Cooling water discharge greater than 25%of the receiving stream's 7Q10 flow rate RINO(continue)
❑YES;score is 600(stop here) Car NO(continue) . —
FACTOR 1:Toxic Poflutant•Pofenfial
PCS SIC Code: I 1 1_1 1 Primary SIC Code: 1_11241_6J
Other SIC Codes: 1I-1—I_I 1 I-1-1 1 1-1 I_,,__i_I 11—I-11
Industrial Subcategory Code: IC 1113_1 (Code 000 if no subcategory)
Determine the Toxicity potential from Appendix A. Be sure to use the TOTAL toxicity potlential column and check one)
Toxicity Group Code Points Toxicity Group Code Points Toxicity Group Code Points
❑ No process 0 3. 3 15 0 7. 7 3S
waste streams 0 0 ❑ 4. 4 20 0 B. B 40
Je Je 1.2 ;2 5. 5 25 ❑ 9. . 9 43
0 6. 6 30 0 10. 10 50
{
rAmber Chedad l a I
Cade 1
'YotalroitntaFactor...Li"o lel.
FACTOR 2:Flow/Stream Flow Volume (Comp) to&boor SacNbn A or section D.cm.ck only ono)2:1,,,,C 1014
Section A Wastewater Flow Only Considered Section 1—Wastewater and Stream Flow Considered
Wastewater Type Code Points Wastewater Type Percent of Instream Code Points
(See Instructions) (See Instructions) Wastewater Concen-
Type I: Flow<S MGD 0 11 0 tration at Receiving
Flow 5 to 10 MGD 0 12 10 Stream Low Row
Flow>10 to 50 MGD 0 13 20
Flow>SO MGD 0 14 30 TYPE UNI: <10% ❑ 41 0
Type II: Flow<1 MGD 0 21 10 2 10%to<S0% 4lt 42 10
Now 1 to S MGD 0 22 20
Flow>5 to 10 MGD 0 23 30 2 5096 0 43 20
Flow>10 MGD 0 24 50
Type II: <10% 0 51 0
Type III: Flow<1 MGD O 31 0
Flow 1 to S MGD O 32 10 210%to<50% NI 52 20
Flow>5 to 10 MGD 0 33 20
Flow>10 MGD O 34 30 2 30% 0 53 30
Code Checked from Section A or B: 1 I�
Total Points Factor 2: 101

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NPDES Permit Rating Work Sheet
FACTOR 3:Conventional Pollutants NPDES No.: ILIA- 1 G 10 1 1013 I I 1 I
(only when Rmll d by Ma pannll)
A. Oxygen Demanding Pollutant:(check one) 0.800 0 coo Cl Other:
Code Points
Permit Limits:(check one) <100 lbs/day 1 0
O 100 to 1000 lbs/day 2 5
O >1000 to 3000 lbs/day 3 15
O >3000 lbs/day 4 20
Code Checked: Iii
Points Scored: al
B.Total Suspended Solids(TSS)
Code Points
Permit Limits:(check one) O <100 lbs/day 1 0
100 to 10001bs/day 2 S
-O >1000 to 5000 lbs/day 3 15
O >5000lbs/day 4 20
__.Code Checked: i 1
Points Scored: I O l_l
C. Nitrogen Pollutant:(check one) ❑Ammonia ❑Other: •
Nitrogen Equivalent Code Points
Permit Limits:(check one) ® <300 lbs/day 1 0
O 300 to 1000 lbs/day 2 S
O >1000 to 3000 lbs/day 3 15
O >3000 lbs/day 4 20
Code
Ghedced: ISI
Points Scored:i Q .(�I
Total Points Factor 3:IQ_5
FACTOR 4:Public Health Impact
Is there a public dr/nldng water supply located within S0 miles downstream of the effluent discharge(this includes any body of
water to which the receiving water Is a tributary)? A public drinking water supply may include infiltration gaieties,or other
methods of conveyance that ultimately get water from the above rekrenced supply.
EdYES(If yes,check toxicity potential number below)
❑ NO(If no,go to Factor S)
Determine the human health toxklty potential from Appendix A. Use the same SIC code and subcategory reference as in Factor 1. (Be
sure to use the human heal>h toxicity group column—check one below)
Toxicity Group Code Points Toxicity Group Code Points Toxicity Group Code Points
❑ No process 0 3. 3 0 0 7. 7 15
waste streams 0 0 0 4. 4 0 o 8. 8 20
D1. 1 0 05. S S 09. 9 25
0 2. 2 0 ❑ 6. 6 10 010. 10 30
Code Number Checked: 1 111
Total Points Factor 4: 1 QLc)
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NPDES Permit Rating Work Sheet .
FACTOR 5:Water Quality Factors NPDES No.: I NI I C 1 Iv () I 01 I I I I
A. Is(or will)one or more of the effluent discharge limits based on water quality factors of the receiving stream(rather than
technology-based federal effluent guidelines,or technology-based state effluent guidelines),or has a wastdoad allocation
been assigned to the discharge?
Code Points
', Yes 1 10
0 No 2 0
B. is the receiving water In compliance with applicable water quality standards for pollutants that ore water quality limited in
the permit?
Code Points
Yes 1 0
O No 2 5
C. Does the effluent discharged from this facility exhibit the reasonable potential to violate water quality standards due to whole
effluent toxicity? —
Code Points
lir Yes 1 10
O No 2 0
• Cade Number Checked: A f HI t C ri,,t
Points Factor S: : Alk ESI; + B L) + C 1 I :F
FACTOR 6:Proximity to Noor Coastal Waters
A. Base Score:Enter flow code here(from Factor 2):1512.1 Enter the multiplication factor that corresponds
to the flow code 1,31 UI
Check appropriate facility HPRI Code(from PCS):
HPRI aS Code HPRI Score Flow Code Multiplication Factor
O 1 1 20 11,31,or 41 0.00
O 2 2 0 12,32,or42 0.05
13,33,or43 0.10
O 3 3 30 14 or 34 0.15
5i 4 4 0 21 or 51 0.10
22or52 0.30
O S 5 20 23 orS3 0.60
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HPRI code checked:141 24 1.00
Base Score: (HPRI Score) C x(Multiplication Factor) O.3U = (TOTAL POINTS)
B. Additional Points—NEP Program C. Additional Points—Great Lakes Area of Concern
Fora facility that has an HPRI code of 3,does the facility For a fadlity that has an HPRI code of S,does the facility
discharge to one of the estuaries enrolled In the National discharge any of the pollutants of concern into one of the
Estuary Protection(NEP)program(see Instructions)or Great Lakes'31 areas of concern(see instructions)
the Chesapeake Bay?
Code Points Code Points
0 Yes 1 10 0 Yes 1 10
No 2 0 8 No 2 0
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Code Number Checked: A I I • 812--I C EZl
Points Factor 6: At Q F U i + B I C l_Qf. + :C E '} _ I TOTAL

NPDES Permit Rating Work Sheet .
r..
SCORE SUMMARY NPDES No.: I kILI 0 1 0 1a1 G al I 1 1
Factor Description Total Points
1 Toxic Pollutant Potential 5
2 Flow/Streamflow Volume 2
3 Conventional Pollutants 5
4 Public Health Impacts 0
S Water Quality Factors z 0
6 Proximity to Near Coastal Waters
TOTAL(Factors 1 through 6) 5 C
Si.Is the total score equal to or greater than 80? 0 Yes(Facility is a major) Ear No
52. If the answer to the above question is no,would yew like this facility to be discretionary major?
No —
0 Yes (Add S00 points to the above score and provide reason blow: .
Reason:
`
NEW SCORE:
5L
OLD SCORE:
LTDAL-I - e-fl
Permit Reviewer's Name '
( C)15 )5/11rA2- Sc ER Ped_SS 1
Phone Number
Date
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