NC0039586_Permit Rating Work Sheet_19900921

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• • NPDES Permit Rating Work Sheet o Regular Addition
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NPDES No.: —I C I 13 I I I S I G I I status .
Facility Name: D Deletion
City: I R I IL I� ILInnG I'� I—I—I—I—I—I [—l—I—1—r I—I—I_I—I—I—I-1—I—I
Receiving Water: II�
Reach Number
Is this fadgty a steam electric power plant (SIC -4911) Is this permit for a munldpal separate storm sewer
with one or more of the following characteristics? serving a population greater than 100,0007
1. Power output 500 MW or greater (not using a coding pond/lake)
V2"'A nuclear power plant C3 YES; score is 700 (stop here)
3. Coding water discharge greater than 25% of the receiving stream's 7Q10 flow rate
�,/ ❑ NO (continue)
RYES; YES; score Is 600 (stop here) ❑ NO (continue)
FACTOR 1: Toxic Pollutant Potential
PCS SIC Code: I—I_I—I—I
Primary SIC Code: L -1
—1—i
(See Instructions)
Flow >S to 10 MGD
Q
Typel: Flaw < 5 MG D
Other SIC Codes I—I—I—I—I
I—I—I—I I I—I_J—I—I
Flow. S to 10 MGD
I—I—I_I—i
12
Row >10 to 50 MGD
❑
Industrial Subcategory Code: I_,I—I-1
(Code 000 !f no subcategory)
❑
14
32
10
210% to <SO%
Determine the Toxldty 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
waste streams 0 0
❑ 1. 1 5
El 2. 2 ' 10
❑ 3.
❑ 4.
❑ 5.
❑ " 6.
3
4
S
6
15
20
25
30
❑ 7.
❑ g,
Cl 9.
❑ 10.
7
9
10
3S
40
50
FACTOR 2: Row/Stream Flow Volume (coupe e. *hVssocuon.A orsecdon S; check only ori)
Section A —Wastewater Flow Only Considered
Wastewater Type
❑
Code
(See Instructions)
Flow >S to 10 MGD
Q
Typel: Flaw < 5 MG D
❑
11
Flow. S to 10 MGD
❑
12
Row >10 to 50 MGD
❑
13
Flow > SO MGD
❑
14
Type 11: Flow <1 MGD
❑
Flow 1 to S MGD
❑
Flow >S to 10 MGD
Q
Flow >1 O MGO
❑
Type III: Flow <1 MGD
❑
Flow 1 to S MGD
❑
Flow >S to 10 MGD
❑
Plow >10 MCO
❑
Points
0
10
20
30
Section B --Wastewater and Stream Flow Considered
Wastewater Type Percent of kutream Code Points
(Seekutructions) WastewaterConcen.
tratian at Receiving
Stream taw Flow
TYPE VM: <10%
21
10
210% to <SO%
22
20
10
23
30
2 SO%
24
SO
0
❑
Type ff:
<10%
31
0
30 .
32
10
210% to <SO%
33
20
34
30
2 50%
❑
41
0
❑
42
10
❑
43
20
O
51
0
❑
S2
20
❑
53
30 .

-1
�- . �'� i � \�.

NPDES Permit Rating Work Sheet
FACTOR 3: Conventional Pollutants NPDES No.: I_I_I
(only when Ilmhod by the permit) — — — — —
A. Oxygen Demanding Pollutant: (ch ck one) ❑ BOD ❑ COD ❑ Other:
B. Total Suspended Solids (fSS)
Code Points
Permit Limits: (check one) ❑ <100 Ibs/day, 1 0
❑ 100 to 1000 lbs/day 2 5
❑ >1000 to 5000 lbs/day 3 15
❑ >5000lbs/day 4 20
FACTOR 4: Public Health Impoet
Is there a public.drinking water supply located within 50 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 galleries, or other
methods of conveyance that ultimately get water from the above referenced supply.
❑ YES (if yes, check toxicity potential number below)
❑ NO (If no, go to Factor 5)
Determine the human health toxicity potential from Appendix A. Use the sane SIC code and subcategory reference as in Factor 1. (Be
sure to use the human h>afth toxicity group column — check one below)
Toxicity Group Code Points Toxicity Group Code Points Toxicity Group Code Points
❑ No process .❑ 3. 3 0 ❑ 7. 7 15
waste streams 0 0
❑ 4. 4 0 ❑ 8. 8 20
El 1. 1 0
C12. 2 0 ❑ 5. 5 5 ❑ 9. 9 25
❑ 6. 6 10 ❑ 10. 10 30
Code Number. Checked:, �I_I
f Potrits Factor 4: L I_f
2

NPDES Perrr,:�-,Rating Work Sheet
FACTOR 5: Water Quality Factors NPDES No.: I_I_I_I_I_I_I_I_I_I
A. Is (or will) one or more of the effluent discharge Amps based on water quality factors of the receiving stream (rather than
technology-based lidera/ effluent guidelines, or technology-based state effluent guidelines), or has a wastefoad allocation
been assigned to the discharge?
Code Points
❑ Yes 1 10
❑ No 2 0
B. Is the rcceiving water In compliance with applicable water quality standards for 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 reasonable potential to violate water quality standards due to whole
effluent toddty?
Code Points
❑ Yes 1 10
❑ No 2 0
FACTOR 6: Proximity to Near Coastal Waters
A. Base Score: Enter How code here (from Factor 2):l 11
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: 11
Base Score: (HPRI Score) x (Multiplication Factor) _
B. Additional Points— NEP Program
For a facility that has an HPRI code of 3, does the facility
discharge to one of the estuaries enrolled In the National
Estuary Protection (NEP) program (see Instnrctioris) or
the Chesapeake Bay?
Enter the multiplication factor that corresponds
to the Now code: I 1 1
Row Code
Multlplkadon 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
_
(TOTAL POINTS)
C. Additional Points — Great Lakes Area of Concern
For a facility that has an HPRI code of 5, does the fadllty
discharge any of the pollutants of concern into one of the
Great Lakes' 31 areas of concern (see Instructions)
Code Points Code Points
❑ Yes 1 10 ❑ Yes 1 10
❑ No 2 0 ❑ No 2 0
Ca1e'kir� Checked: A I_I 8 I_I Cl_ 1E_I
Points Factor Al _I_I + B I_t___J + Ci 1_t' 1' I T07AL
3

'4�

`SCORE SUMMARY
Factor
1
2
3
4
5
6
rvrurS Permit Rating worK Sheet
NPDES No.: I �I L I !i 113 I�I Sri I� I
Description Total Points
Took Pollutant Potential
Flow/Streamflow Volume
Conventional Pollutants
Public Health Impacts
Water Quality Factors
Proximity to Near Coastal Waters
TOTAL (Factors 1 through 6)
51. Is the total score equal to or greater than 801 CR Yes (Facility is a major) ❑ No
S2. If the answer to the above question is no, would you like this facility to be discretionary major?
❑ No
❑ Yes (Add 500 points to the above score and provide reason below:
Reason:
NEW SCORE:
OLD SCORE
4
kLLJ
Permit Reviewers Name
79Phone Ntm.dm
�Izt4o
Date -