NC0039586_Permit Rating Worksheet_19940510 (3)

FACTOR 2: Flow/Stream Flow Volume
Disc U....... Addltfoh
ovary
MDES No.: l 1 G I C31,1-1 I S1,3) 61
t3'Soore' !9 'WE`. .
_
Section B—Wastewater and Stream Flow Considered
• 4 Facility Name:
1
LL pl I L-lr I I 1 I A I F* I� I N1 t� h� I RIi P- L
Code
City: IN 1 L I j I_I 1-+ I f 1 I L1_I_I_1_1_1
Wastewater Type Percent of instream
Receiving Water. I_I_I_I_I_I_I 1_1 I_I_I_I
Code
Reach Number: LJ_I_I 1_I_I
(See instructions)
Is this fadllty a steam electric power plant (SIC=4911)
Is this permit for a municipal separate storm sewer
with one or more of the following characteristics?
serving a population greater than 700,000?.
1. Power ou ut 500 MW or greater (not using a cooling pond/lake)
A nuclear power lan v
❑ YES; score Is 700 (stop here)
oo Ing vra er isc arge greater than 25% of the receiving stream's 7Q10 flow rate ❑
��,,.,,
D'Y*'ES; score is 600 (stop here) ❑ NO (continue)
NO (continue)
FACTOR 1; Toxic Pollutant Poten icil
PCS SIC Code: 1_1_1_1 1Primary SIC Code: I I_I 1_I
Other SIC Codes: I_I_I I_I
O -
Industrial Subcategory Code: I_I_I F (Code 000 if no subcategory)
10
Determine the Toxicity potential from Appendix A. Be sure to use the TOTAL .toxicity potendal column and check one)
Toxicity Group Code Points Toxidty Group Code
Points Toxicity Group Code Points
❑ No process ❑ 3. 3
is ❑ 7. '7 3S
waste streams 0 0 ❑ 4. 4
Q
20 ❑ 8. , 8 40
1. 1 : 5 ❑ S. S
❑
2S ❑ 9. 9 4S
2. 2 1.0 13' 6. 6
30 L3 10. 10 SO
FACTOR 2: Flow/Stream Flow Volume
(tor Wel..11 wS*ctlon.A "Section s; cheek' ane)
Section A Wastewater Flow Only Considered
_
Section B—Wastewater and Stream Flow Considered
Wastewater Type
Code
Points
Wastewater Type Percent of instream
-
Code
Points
(See instructions)
(See Instructions) Wastewater Concen-
Type 1: Flow < S MGD
O
11
0
tration at Receiving
Flow. 5 to 10 MGD
O -
.12
10
Stream law Flow
Flaw>10 to SO MGD
❑ ..
13
20 • '
Flow > SO MGD
O ' .
14
30
TYPE VIII: <10%
O
41
0
Type 14 Flow <1 MGD
O
21
10
210% to <50%
O
42
10
Flow 1 to S MGD
O
22
20
Flow >S to 10 MGD '
O
23
30
2 SO%
D
43
20
Flow >10 MGD
O
24 _
SO
Type lo <10%
O
$1
D
Type III: Flow <1 MGO
O
31
0
Flow 1 to 5 MGD
D
32
10
-410% to <S0%
O
52
.20
Flow >S to 10- MGD
D
33
20
flour >] O MGD
D
34
30
2 50%
fl
S3
30
Pffobd an Recycled paper

NPDES P�rmit Rating Work Sheet
FACTOR 3: ConVentiond Pollutants j. NPDES No.: 1_1_1_1_I_I_I_i_I_I
(only when•ifmlod by /he parmll)
A Oxygen Demanding Pollutant- (ch ck one) ❑ BOD ❑ COD ❑ Other:
Code . Points
Permit Umiti: (check one) ❑ - <100 lb's/day -1 0 -
❑ 100 to 1000 lbs/day 2 5
❑ >11000 to 3000 lbs/day 3 -15, _ -
❑ >13000lbs/day . 4- - - 20
2:

1 NPDES Permit Rating WorK Sneer
FACTOR 5: Water Quality Factors NPDFS No.: I_I_I_I_I_I_I_I_6_t .
A. Is (or wllo one or more of the effluent discharge 'llmits based on water quality factors of the reaelving stream (rather than
technology-based federal effluent guidelines, or technology-based state effluen[guldellnesJ, of has'a wasteload allocation
been assigned to the discharger - - -
Code Points -
❑ Yes 1 10
❑ No 2 0 - . -
B. Is the receiving water In compliance with applicable water quality standardsYor pollutants that are water quality limited in
the permit?. -
Code Points
❑ Yes 1 0
❑ No 2 5
C. Does the effluent discharged from this facility exhibit the reasonabk potential to violate water quality standards due to whole
effluent toxicity? -
Code Points
❑ Yes 1 10
❑ No 2 . .0 .
FACTOR 6: Proximity to Near Coastal Waters
A. Base Score. Enter flow code here (from Factor 2): 1 1
Check appropriate facility HPRI Code (from PCS):
HPRI 0 Code HPRI Score
❑ 1 1 20
❑ 2 2 0
❑ :3 3 30
❑ 4 4 0
❑ 5 5 20
HPRI code checked: I_I -
Enter the multiplication factor that corresponds
to the flow code. I I 1
Flow Code
Multiplication Factor
11, 31, or 41
0.00
12, 32, or 42
0.05
13, 33, or 43
0.10
14 or 34
0.15
21 or 51
0.10
22 or 52
0.30
23 or 53
0.60
24
1.00
Base Score: (HPRI Score) x (Muitlplication factor) _ (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 facility 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 lnstruetioris) or Great Lakes' 37 areas of concern (see Instructions)
the Chesapeake Bay?
Code Points Code Points
❑ Yes 1 10 ❑ Yes T 10
❑ No 2 0 ❑ No 2 0
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