NC0000353_Permit Rating Worksheet_20120228

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NPDES Permit Rating Work Sheet o Regular Addition
• - O Discretionary Addition
�f d 0 v 3 S3 0.. e,butno`
NPDES No.:IA ILL 01 I 1 I I 1 I ;:r'status change... .;
• D Deletion
Facilityy Name:sp ff �/1� %% c pC16-1
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1 FIG IL-IU F� IP i`/ if-1 ISIPIRI�FC161 ,P,Z,IJ,c'1 l.rlA Gi /, Li /, , y 1 i l , , ,
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City: ISziLi U1 Cl6 i l ` ,�i1 e;
i i i I 1 ,f�II I I I I I I
Receiving Water.IA/l O Al/-iii, i I o I" I 1�I i 1 vl e ,` I I I I I I I I I I I I I I 1
Reach Number:I 1 1 1 1 1 1 1 1 1 1 1
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is this facility a steam electric power plant(S!C=4911) is this permit for a municipal separate storm sewer
with one or more of the following characteristics? serving a population greater than 100,0007
1.Power output S00 MW or greater(not using a cooling pond/lake)
2.A nudear power plant YES;score is 700(stop here) •
3.Cooling water discharge greater,t1hjaan 25%of the receiving stream's 7Q10 flow rate NO(continue)
0 YES;score Is 600(stop here) It7 NO(continue) •
FACTOR 1:Toxic Pollutant Potential
PCS SIC Code: 1_I_II 1 Primary SIC Code 1 /,/I 9 III
OtherSIC Codes: II_I_1_I I I_i_i I I_I_I_I_I I_I_I_I_I
Industrial Subcategory Code: 1_II_I (Code 000 If no subcategory)
Determine the Toxicity potential from Appendix A. Be sure to use the TOTAL toxicity potential column and check one)
Toxicity Group Code Points Toxicity Group Code Points Toxicity Group Code Points
❑ No process 0 3. 3 15 0 7. 7 • 35
waste streams 0 0 0 4. 4 20 Cl a. 8 40
01 1. 0 © 0 S. 5 2S ❑ 9. 9 45
❑ 2. 2 10
0 6. 6 30 010. 10 50 •
• Cade Number Checked: MLI
Jv\
.▪ ToW Points Factor 1
tK 1�1, :
FACTOR 2: Flow/Stream Flow Volume (Cornpat..mt.rs crion A ors.cf/on I;cheek only on.)
Section A—Wastewater Flow Only Considered Section B—Wastewater and Stream Flow Considered
Wastewater Type Code Points Wastewater Type Percent of kutream Code Points
(See instructions) (See Instructions) Wastewater Cancel-
Type is Flow<S MGD 0 11 0 tration at Receiving
Flow 5 to 10 MGD 0 12 10 Stream Low Flow
Flow>10 to SO MGD 0 13 20
Flow>SO MCD 0 14 30 TYPE!/111: • <10% 0 41 0
Type 11: Flow<1 MGD 0 21 10 210%to<50% 0 42 10
Flow 1 to S MGD 0 22 20
Flow>5 to 10 MGD 0 23 30 t 50% 0 43 20
Flow>10 MGD 0 24 50
. Type II: <10% 0 51 0
Type 111: Flow<1 MGD 0 31 0
Flow 1 to S MGD 0 32 10 210%to<50% ]i( C7
Flow>5 to 10 MGD 0 33 20
Flow>10 MGD 0 34 10 250% 0 53 30
Code Checked from Section A or B: i 6-1141
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Total Points Factor 2: 12-1711

NPDES Permit Rating Work Sheet
FACTOR 3:ConventionPollutants NPDES NO.: I/.1E I I 0 , 01 l l S3 I
(only when 4rrlflod by the al pontUU -`��
A.Oxygen Demanding Pollutant:(check one) ❑BOO ❑COD O other. ,V
' Code Pbk is
1 0
Permit Limits:(check one) O <100 lbs/day
❑ l00 to 1000 be/day 2 S
O >1000 to 3000 lbs/day 3 1s
O >3000Ibs/day 4 20
t 1
{ x ,
Code Checked.Points
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B.TotalSuspended Solids(TS •S)
Code Points
Permit Limits:(check one) O <100 lbs/day 1 0
100 to 1000 bs/day 2
00 bs/day
0 >50>1000lbs/dayto5000 I2 20
Code checked
13 1
Poktts Scored: ILi�i
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C.Nitrogen Pollutant:(check one) ❑Ammonia ❑Other: Aiii"
Equivalent
NPermit limits:(check one) 0 <300 C points
O 300 to 1000 bs/day 2 S
O >1000 to 3000 l
bs/day 3 15
❑ >3000 bs/day 4 20
code CheckedI�
� Poknts Scared 1 1 1.
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ToW Points Factor 3:1,�.7
FACTOR 4:Public Health Impact
!s there a public drinking water supply located within SO miles downstream of the effluent discharge(this includes any body of
writer to which the receiving
water is a trlbutory)7 A public drinking water supply may Include Infiltration galleries,or other
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methods of conveyance that ultimately get water from the above referenced supply-
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COYES(If yes,check toxicity potential number below)
NO of no,go to Factor S)
Determine the humors health toxicity potential from Appendix A. Use the same SIC code and subcategory reference as In Factor 1. (Be
sure to use the human health toxicity group column—check one below)
Toxicity Group Code Points Toxicity Group Code Points Toxicity Group Code Points
❑
0 3.
No process3 0 0 7. 7 1 S
waste streams 0 0 '•' 0 4. 4 0 0 S. d 20
❑ 1. 1 0 0 S.
5 S 0 9. 9 25
❑ 2. 2 0 0 6. 6 10 ❑10. 10 30
Cokle Number Checked _• I I_1
• Pint: actor 4e 1 I_I:
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NPDES Permit Rating Work Sheet
FACTOR 5:Water Quality Factors NPDES No.: I Ail t: I t7 I t7 101 0 1 315.13 t
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 wasteland ollocadon
been assigned to the discharge?
Pd
x Yes
O No 2 0
B. Is the receiving water In compliance with appllcabk water quality standards for pollutants that are water quality limited In
the permit?
Code Points
❑ Yes 1 0
No
C. Does the effluent discharged from this fadllty exhibit the reasonabk potential to violate water quality standards due to whole
effluent toxicity?
Code Points
�,0 Yes 1 10 .
NC No Q •
• Code Number Checked• A I.LJ 81 r C r l
Points Factor 5 .. A i jQ.j +` B 1 + C i r : i s I TOTAL
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FACTOR 6:Proximity to Near Coastd Waters •
A. Base Score:Enter flow code here(from Factor 2):I J II I Enter the multiplicadggn factor that corresponds
to the flow code: I.31 I
Check appropriate facility HPRI Code(from PCS):
HPRI I Code HPRI Score
0 1 1 20 Flow Code Multiplication Factor
11,31,or 41 0.00
❑ 2 2 0 12,32,or 42 0.0S
❑ 3 • 3 30 13,33,or43 0.10
14or34 0.15
O 4 4 • 0 21or51 0.10
O S 5 20 22 or 52 0.30
23 or 53 0.60
HPRI code checked:I_I 24 1.00
Base Score: (HPRI Score) a x(Multiplication Factor) 0030 : O (TOTAL POINTS)
B. Additional Points—NEP Program C. Additional Points—Great Lakes Area of Concern
For a facility that has an HPRI code of 3,does the facility For a fadlity that has an HPR1 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
O Yes 1 10 O Yes 1 10
Q No 2 0 ❑ No 2 0 .
Code Number Checked A l J B I_I r E
Points Factor 6: A I I. d t,.+ Bi t_i + . C t I_'i 1:... I TOTAL
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NPDES Permit Rating Work Sheet
SCORE SUMMARY NPDES No.: Irl CI °I CI 0 j3 1-5-13.j_. ,'t
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Factor Description Total Points
• 1 Toxic Pollutant Potential Jr
2 Fiow/Streamflow Volume
3 Conventional Pollutants
4 Public Health Impacts
5 Water Quality Factor •s
6 Proximity to Near Coastal Waters —-
TOTAL(Factors 1 through 6)
Sl.Is the total score equal to or greater than 80? ❑Yes(Faculty is a major) No
S2. If the answer to the above question Is no,would you like this facility to be discretionary major?
VI No
❑ Yes (Add 500 points to the above score and provide reason below:
Reason:
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NEW SCORE: 5"
OLD SCORE:
)704
it s Name
( rn ) :(7_ 6384
Phone Number
2/28/Zc/Z
Date
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