NCS000376_OTHER_20060109

STORMWATER DIVISION CODING SHEET
M54 PERMITS
PERMIT NO.
i Vc--s 3
DOC TYPE
❑FINAL PERMIT
❑ ANNUAL REPORT
❑ APPLICATION
E CgIiIIPLIANCE
�THER
DOC DATE
❑
YYYYMMDD

State of North Carol
Department of Envlrot merit
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, P.E., Director
December 29, 2005
NORTH CAROLINA STATE UNIVERSITY -WAKE
ATTN: ROBERT PECARINA, OR SUCCESSOR
CAMPUS BOX 8007
RALEIGH, NC 27695
Dear Permittee:
1 � •
NC,,DE"NR
�/at r\��
ttORTH_CAROLINA DEPARTMENT OF
,ENVIRONMENT ANIDN TURAI ESOURCES
Subject: NPDES Stormwater Permit Renewal
North Carolina State University -Wake
Permit Number NCS000286
Wake County
Your facility is currently covered for stormwater discharge under NPDES Permit NCS000286. This permit expires
on August 31, 2006. North Carolina Administrative Code (15A NCAC 2H.0105(e)) requires that an application
for permit renewal be filed at least 180 days prior to expiration of the current permit. In order to assure your
continued coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of
your permit. To make this renewal process easier, we are informing you in advance that your permit will be
expiring. Enclosed you will find an individual permit renewal application form, supplemental information request,
and Stormwater Pollution Prevention Plan certification.
Filing the application form along with the requested supplimental information will constitute your application for
renewal of your permit. As stated above, the application form must be completed and returned along with all
requested information by in order for the permit to be renewed by August 31, 2006.
Failure to request renewal by may result in a civil assessment of at least $500.00. Larger penalties may be
assessed depending on the delinquency of the request, Discharge of stormwater from your facility without
coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215.1 and could
result in assessments of civil penalties of up to $25,000 per day.
If you have any questions regarding the permit renewal procedures please contact Bill Mills of the Stormwater and
General Permits Unit at [phone], ext. 548.
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Permits Unit Files
Raleigh-Rcg not not al•OfFa
O
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
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November 29, 2000
MEMORANDUM
TO: Dave Goodrich
FROM: Robin Simpson
THROUGH: Randy Jones
SUBJECT: Draft permits for ONYX Environmental NCS000175, Georgia Pacific
NCS000124-N.C. State University NCS000286, and Champion
International NCS000106
Each of the above listed draft permits have been reviewed by this Office. At this time, I
have no comments regarding any of the permits. I see no reason why these permits
should not be issued.
If you should need to get in contact with me, please contact me at [phone]
ext.322.
cc: Ken Schuster

Cc L,4TyjFMMIISL NU1V1E � lJt4lCP
FACII.TTY: e. 5, u . fS.4/44 Ohe
CITY: CAS 80d7 PLR1rTi NUlYIBER niCs
Couiyry: r lei yti Nc 274 9�r
Permit Information that Needs to be Incorporatud into Future Permit Revision;

State of North Caroling -
Department of Envii ,
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
GEORGE WORSLEY
NORTH CAROLINA STATE UNIVERSITY
PO BOX 7222
RALEIGH, NC 27695
Dear Permittee:
NCDENR
NORTH CAROLINA DEPARTMENT
ENVIRONMENT ANo NATURAL RESOURCES
June 15, 1999
u /A/ , r /999
N
Subject: NPDES Stormwater Permit Renewal
North Carolina State University
Permit Number NCS000286
Wake County
Your facility is currently covered for Stormwater discharge under NPDES Permit NCS000286. This permit expires
on December 31, 1999. In order to assure your continued coverage under your permit, you must apply to the
Division of Water Quality (DWQ) for renewal of your permit. To make this renewal process easier, we are
informing you in advance that your permit will be expiring. Enclosed you will find an individual permit renewal
application form, supplemental information request, and Stormwater Pollution Prevention Plan certification. Filing
the application form along with the requested supplimental information will constitute your application for renewal
of your permit. The application form must be completed and returned along with all requested information by July
19, 1999 in order to constitute a timely renewal filing.
Recent legislation modified the fee structure for DWQ permits. Renewal fees have been eliminated and annual fees
have been changed. The new annual fee for your permit is now $715.00 (you will be invoiced later this year for
your annual fee.) A copy of the new fee schedule is enclosed in this package.
Failure to request renewal by July 19, 1999 may result in a civil assessment of at least $250.00. Larger penalties
may be assessed depending on the delinquency of the request. Discharge of stormwater from your facility without
coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215.1 and could
result in assessments of civil penalties of up to $10,000 per day.
If you have any questions regarding the permit renewal procedures please contact Bill Mills of the Stormwater and
General Permits Unit at [phone], ext. 548.
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Permits Unit Files "
Raleigh Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

APOPPIN-ft APWNM%%
NCDENR
NORTH CARO4_INA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
PERMIT COVERAGE " dEWAL APPLICATION
National Pollutantge Elimination System
Stormwater NIMES Permit NCS000286
North Carolina State University
Permit Number NCS000286
Wake County
THIS APPLICATION MUST BE SIGNED AND RETURNED ALONG WITH THE REQUESTED
SUPPLEMENTAL INFORMATION TO THE DIVISION OF WATER QUALITY IN ORDER FOR YOUR
FACILITY TO QUALIFY FOR RENEWAL OF YOUR STORMWATER PERMIT NCS000286
PERMIT RENEWAL INFORMATION
The following is the information currently in our database for your facility. Please review this information carefully
and make all corrections as necessary in the space provided to the right of the current information.
Facility Name: North Carolina State University
Mailing Address*: PO BOX 7222
RALEIGH, NC 27695
Location Address: DUNN AVENUE
RAL.EIGH, NC 27695
Facility Contact:
GEORGE WORSLEY
Phone Number:
[phone]
Fax Number:
No number on file
E-mail address:
No address on file
* This is the address to which all permit correspondence will be mailed
CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the best of my knowledge
and belief such information is true, complete and accurate.
Signature
Print or type name of person signing above
Date
Title
Please return this completed renewal form, the information as requested on the next page, and any relevant
documentation to:
Individual Permit Renewal
Division of Water Quality/ WQ Section
Stormwater and General Permits Unit
Post Office Box 29535
Raleigh, North Carolina 27626-0535
Attn: Bill Mills

Permit No. NSCO00245 Draft 11114194
PART i
SECTION A: FINAL LIMITATIONS AND CONTROLS FOR MUNICIPAL STORMWATER DISCHARGES
During the period beginning on the effective date of the permit and lasting until
expiration, the City of Raleigh is authorized to discharge stormwater from the
municipal separate storm sewer system to waters of the Neuse River Basin. Such
discharge will be controlled, limited and monitored in accordance with the City of
Raleigh's Comprehensive Stormwater Management Program, herein referred to as the
'Stormwater Program'. The Stormwater Program includes applicable components of
the City of Raleigh's municipal separate storm sewer system NPDES permit
application, and their ,Stormwater Quality Management Plan, herein referred to as the
'SWQMP', and any approved modifications to the SWQMP.
(1) The permit covers activities associated with the discharge of stormwater from
the municipal storm sewer system within the jurisdictional area of the City of
Raleigh and surrounding areas as appropriate to control potential pollution from the
storm sewer system. The permit applies to current and future jurisdictional areas
of the city as well as areas that seek coverage under this permit through interlocal
or other similar agreements with the City of Raleigh. Agreements for coverage under
this permit must be approved by the Division of Environmental Management, herin
referred to as the Division.
(2) The Division may deny or revoke coverage under this permit for separate
entities and require independent permit coverage as deemed necessary. In addition,
the City of Raleigh may petition the Division to revoke or deny coverage under this
permit for specific entities.
(3) The permit authorizes the point source discharge of stormwater runoff from the
municipal storm sewer system. In addition, discharges of non-stormwater are also
authorized through the municipal storm sewer of the City of Raleigh if such
discharges are:
(a) Permitted by, and in compliance with, an independent NPDES discharge permit:
including discharges of process and non -process wastewater, and stormwater
associated with industrial activity; or
(b) Determined to be incidental non-stormwater flows that do not significantly
impact water quality and may include:
• water line flushing;
• landscape irrigation;
• diverted stream flows;
• rising groundwaters;
• uncontaminated groundwater infiltration;
• uncontaminated pumped groundwater;
• discharges from potable water sources;
• foundation drains;
• air conditioning condensate (commercial/residential);
• irrigation waters;
• springs;
• water from crawl space pumps;
• footing drains;
• lawn watering;
• residential car washing;
• flows from riparian habitats and wetlands;
• dechlorinated swimming pool discharges;
• street wash water;
• flows from emergency fire fighting.
The Division may require that non-stormwater flows of this type be
controlled by the city's Stormwater Program.
Page 1

Permit No. NSC000245 •
Draft 11114194
(4) The City of Raleigh will implement,
Stormwater Program to reduce pollutants
sewer system. This includes, but is not
manage and oversee all provisions of its
discharged from the municipal separate storm
limited to, the following areas:
(a) The City of Raleigh will develop and maintain adequate legal authorities to
implement all provisions of the Stormwater Program. The City of Raleigh
will keep the Division advised of the status of development of appropriate
ordinances and legal authorities and will pursue these authorities in
accordance with the schedule outlined in the Stormwater Program If major
modifications are proposed in the time line for development of these
authorities, the Division will be notified of the reasons and
justifications for these changes. The Division may comment on these
modifications as deemed necessary to assure appropriate implementation of
the Stormwater Program.
(b) The City of Raleigh's Stormwater Program will be implemented and managed
such that the discharge of pollutants from the municipal storm sewer system
is controlled to the maximum extent practicable. It is anticipated that in
order to meet this provision, implementation of the Stormwater Program will
occur with emphasis given to priority areas and to management measures and
programs that are most effective and efficient at varying stages of the
plan's implementation.
(c) The City of Raleigh will implement the appropriate components of'the
Stormwater Program to assure that, to the maximum extent practicable, non-
stormwater discharges, illicit connections, spills and illegal dumping into
the municipal storm sewer system are prohibited.
(d) The City of Raleigh will implement provisions of the Stormwater Program as
appropriate to monitor and assess the performance of the various management
measures that are a part of the Stormwater Program. This will include, but
is not limited to, the provisions of Part 1 Section C of this permit and
the applicable provisions of the City of Raleigh's'Stormwater Program.
(e) The City of Raleigh will maintain adequate funding and staffing to
implement and manage the provisions of the Stormwater Program.
(f) The City of Raleigh will implement appropriate education, training and
outreach programs to support the objectives of this stormwater discharge
permit and the City's Stormwater Program.
(5) The Division will review reports submitted by the City of Raleigh to assure
that the Stormwater Program is being developed and.implemented appropriately to
address the components outlined. Such reports will be submitted in accordance with
the schedule outlined in Section C of this Part. The Division may require
modifications to any part of the City's Stormwater Program where deficiencies are
found.
Page 2

C7
Permit No. NSCO00245
. 0
Draft 11114194
Under the authority of section 402(p) of the Clean Water Act and implementing
regulations 40 CFR Part 12'2.26, North Carolina General Statutes 143-215.1 and
implementing regulations 15A NCAC 2H .0100 and in accordance with the approved
Stormwater Program, all provisions contained and referenced in the Stormwater
Program are an enforceable part of this permit.
The City of Raleigh will develop and implement its approved Stormwater Program in
accordance'with section 402(p)(3)(B) of the Clean Water Act, provisions outlined by
the Director, and the'provisions of this Permit. The specific requirements of
section 402(p)(3)(B) of the Clean Water Act require that the City effectively
prohibit non-stormwater discharges to the City's storm sewer system and that
controls and management measures are implemented by the City to reduce the discharge
of pollutants from the storm sewer system to the maximum extent practical. In
addition to the components outlined in Section A of this part, the City of Raleigh's
Stormwater Program will include, but is not limited to, the following components:
1) The City of Raleigh will complete all wet weather sampling of representative
outfalls that was originally a component of the Part 2 municipal application.
The collection and analysis will be performed and reported to the Division as
expeditiously as possible, but in any case no later than the first annual
report.
2) The City of Raleigh will pursue appropriate legal authorities and develop
necessary local ordinances to administer all components of the Stormwater
Program. Status of legal authority development will be provided to the
Division upon request, but at a minimum on an annual basis.
3) The City of Raleigh will continue to locate and identify additional sources of
stormwater discharge not previously identified in the permit application
process. This will include the location and characterization of major outfalls
from the municipal stormwater system and of any activities or facilities
discharging to the municipal system that were not previously located but are
expected to contribute pollutants to the municipal storm sewer system.
4) The City of Raleigh will implement management programs as specified in the
SWQMP to control the discharge of pollutants from its storm sewer system
associated with stormwater runoff from commercial, residential, industrial and
construction areas and pollutants from non-stormwater discharges. These
programs will be implemented on a priority basis as determined and outlined by
the City of Raleigh in the SWQMP. The overall program implementation, however,
will be subject to, at a minimum, annual review by the Division to determine
implementation status and progression toward meeting the pollutant control
intent of the Stormwater Program. Components of the specific SWQMP programs
will include, but are not limited to:
(a) The implementation of education, training and outreach programs designed
to,reach all areas of the City of Raleigh's community and which explain
the various impacts of stormwater runoff and how it can affect surface
water quality. These programs will address ways of removing potential
pollutants by emphasizing local involvement in recycling programs;
proper disposal of hazardous materials and used motor oi; the proper use
of herbicides, pesticides and fertilizers; and noticing and reporting
areas of potential pollution problems.
(b) The implementation of programs to address the contribution of pollutants
to the storm sewer system from commercial and residential areas
Page 3

Permit No. N • SC000245
•
Draft 11114194
including planning, monitoring, education and operation and maintenance
activities.
(c) The implementation of programs to detect and remove sources of illicit
connections to the municipal storm sewer system and to remove sources of
non-stormwater discharge. These programs will include development of
legal authority and ordinances needed for inspection and enforcement
procedures.
j",,-(d) The implementation of inspection and monitoring programs for stormwater
` structures, industrial activities and other areas of the stormwater
system . These programs will include provisions to assure compliance
through enforcement capabilities.
(e) The implementation of programs to reduce pollutants from construction
sites through site planning, education, training and inspection and
enforcement mechanisms.
The approved SWQMP along with all provisions and approved modifications of the
SWQMP are incorporated by reference and are enforceable parts of this permit.
(5) The City of Raleigh will implement monitoring efforts as outlined in the
Stormwater Program to prioritize areas of the program and to assess the
effectiveness of program components. These monitoring results will be used by
the City of Raleigh to modify the program components as necessary to accomplish
the intent of the Stormwater Program. Results of the monitoring programs will
be submitted to the Division according to the provisions of Section C of this
Part.
(6) Monitoring programs in the context of this permit are not limited only to
conventional monitoring in the form of sampling and analysis activities.
Assessment of program implementation, use of programs established by the
Stormwater Program, etc. are also a part of this process. Sampling activities
are required as part of the monitoring process in accordance with the
provisions outlined in the Stormwater Program. The Division will work with the
City of Raleigh to establish specific criteria for these sampling activities in
the form of parameters to sample for and frequency of sampling. When finalized
and approved by the Division, these criteria will become part of this permit
and will be enforceable.
(7) 180•Days prior to the expiration date of this permit the City of Raleigh will
submit a review of, the Stormwater Program development and implementation over
the life of this permit. In addition, the review will include the status of
programs and a description of further program development to be implemented
over the future permitting time period.
Page 4

Permit No. NSCO00245 Draft 11114194
SECTInN CO STORMWATER_RROGRAM_REPORTING AND MONITORING REOUIREMENTS
The City of Raleigh's-reporting and monitoring activities in support of'this permit
will be sufficient to indicate.progress in implementation, effectiveness and results
of the Stormwater Program and'individual components of the program. The Division
may request additional reporting and monitoring information as necessary to assess
the progress and results of the City of Raleigh's Stormwater Program.
(1) The City of Raleigh's Stormwater Program will be reviewed and updated as
necessary, but at least on an annual basis. Implementation of the Stormwater
Program will include documentation of all program components that are being
undertaken including, but not limited to, monitoring and sampling, inspections,
maintenance activities, educational programs, implementation of BMPs and
enforcement procedures. Documentation will be kept on -file by the City of
Raleigh for a period of five years and made available to the Director or his
authorized representative immediately upon request.
(2) The Director may notify the City of Raleigh when the Stormwater Program does
not meet one or more of the requirements of the permit. Within 30 days of such
notice, the City of Raleigh will submit a time schedule to the Director for
modifying the Stormwater Program to meet minimum requirements.. The City of
Raleigh will provide certification in writing (in accordance with Part II,
Standard Conditions, Section B, #10) to the Director that the changes have been
made.
(3) The City of Raleigh will submit reporting and monitoring information on an
annual'basis. This information will be submitted by August 31st of each year
and cover the previous year's activities from July 1st to June 30th. The City
of Raleigh's reporting and monitoring program will include appropriate
information to accurately describe the progress, status and results of the
City's Stormwater Program and will include, but is not limited to, the
following components:
(a) The City of Raleigh will give a detailed description of the status of
implementation of the Stormwater Program. This will include information
on development and implementation of all components of the Stormwater
Program for the past year and schedules and plans for the year following
each report.
(b) The City of Raleigh will adequately describe and justify any proposed
changes to the Stormwater Program. This will include descriptions and
supporting information for the proposed changes and how these changes
will impact the Stormwater Program (results, effectiveness,
implementation schedule, etc.).
(c) The City of Raleigh will document any necessary changes to programs or
practices for assessment of management measures implemented through the
Stormwater Program. In addition, any changes in the cost of, or funding
for, the Stormwater Program will be documented.
(d) The City of Raleigh will include a summary of data accumulated as part -
of the Stormwater Program throughout the year along with an assessment
of what the data indicates in,light of the Stormwater Program. Where
established in the City of Raleigh's Stormwater Program that monitoring
programs will be developed in the initial stages of the permit,' the City
of Raleigh will provide information on the status of program development
and, as appropriate, - include detailed information on the monitoring
programs established. - - - - . w . -
Page 5

•
•
Permit No. NSCOW245 Draft 11114/94
(e) The City of Raleigh will provide information on the annual expenditures
and budget anticipated for the year following each report along with an
assessment of the continued financial support for the overall Stormwater
Program.
(f) The City of Raleigh will provide a summary of activities undertaken as
part of the Stormwater Program throughout the year. This summary will
include, but is not limited to, information on the establishment of
appropriate legal authorities, inspection, maintenance and enforcement
actions, continued inventory and review of the storm sewer system, and
results of education, training and illicit connections programs
(g) The City of Raleigh will provide information concerning areas of water
quality improvement or degradation. Depending on the level of
implementation of the Stormwater Program, this information may be
submitted based on pilot studies, individual projects or on a watershed
or subwatershed basis.
(4) The Director may request reporting information on a more frequent basis as
deemed necessary either for specific portions of the City of Raleigh's
Stormwater Program, or for the entire Program.
Page 6

PART Ii
STA21DARD CONDITICAS FOR .IPDE:S STCRI'lWATER PER.3ITS
SECTICTI A . PEZIN111CITS
1. Act or 'the Act" or CWA
The Federal Water Pollution Ccntrcl Act, also known as the Clean Water
Act, as amended, 33 USC 1251, et. seq.
2. Pest Y?a nacTement Practices (EM?s )
Schedules of activities, prohibitions of practices, maintenance
procedures, and other management practices to prevent or reduce the
pollution of waters of the United States. EMPs also 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.
3. Bulk story e of Licmid Products
Liquid raw materials, manufactured products, waste materials or by-
products with a single above ground storage container having a capacity
of greater than 660 gallons or with multiple above ground storage
containers having a total storage capacity of greater than 1,320
gallons.
4. calculation of means
a. Arithmetic Mean: The .arithmetic mean of any set of values is the
sum -oration of the individual values divided by the number of individual
values.
b. Geometric Mean: The geometric mean of any set of values is the Nth root
of the product of the individual values where N is equal to the number
of individual values. The geometric mean is equivalent to the antilcg
of the.arithmetic mean of the logarithms of the individual values. For
purposes of calculating the geometric mean, values of zero (0) shall be
considered to be one (1).
C. Weighted by Flow Value: Weighted by flow value means the summation of
each concentration times its respective flow divided by the summation of
the respective flows.
C=ten r Day
The period from midnight of one day until midnight of the next day.
However, for purposes of this permit, any consecutive 24-hour period
that reasonably represents the calendar day may be used for sampling.
6. Cal Pile_ Runoff-
E
The rainfall runoff from or through any coal storage pile.
Page 7

7. DE'x or Division
The Division of Environmental Management, Department of Environment,
kealth and Natural Resour_as.
8. Director
The Director of the Division of Environmental Management, the permit
issuing authority.
9. F-*C
The North Carolina environmental Management Commission.
10 Hazardous Substance
Any substance designated under 40 C=R Part 116 pursuant to Section 311
of the Clean Water Act.
11. illicit Discharae
Anv discharge to a separate storm sewer system (including municipal
separate storm sewers) that is not composed entirely of stormwater
except discharges pursuant to a NPDES permit and discharges from
firefighting activities.
12. Landfill
A disposal facility or part of a disposal facility where waste is placed
in or on land and which is not a land treatment facility, a surface
impoundment, an injection well, a hazardous waste long-term storage
facility or a surface storage facility.
13. Large_ or —Medium Municipal Separate _Storm Sewer_ Svstem
All municipal separate storm sewers that are either:
a. Located in an incorporated place with a population of 100,000 or more
as determined by the Decennial Census by the Hureau of Census; or
b. Located in the counties with unincorporated urbanized populations of
100,000 or more, except municipal separate storm sewers that are
located in the incorporated places, townships or towns within such
counties; or
c. owned or operated by a municipality other than those described in
paragraph (a) or (b) and that are designated by the Director as part
of the large or medium separate storm sewer system.
14. outfall
A point source discharge as defined in this section as the point where
the source discharges to waters of the state.
Page 8

is. OV=r -.0aSn
Any material of any nature, consolidated or unconsolidated, that
overlies a mineral deposit, excluding topsoil or similar natuzally-
occurring surface materials that are not disturbed by mining operations.
The owner or operator issued this permit.
17. n; n SQ1.1rce ; C "a a
Any discernible, confined and -discrete conveyance, including but
specifically not limited to, any pipe, ditch, channel, tunnel, conduit,
well, discrete fissure, container, rolling stock, or concentrated animal
feeding operation from which pollutants are or may be discharged to
waters of the state.
is. -.Tom sto= 7yont
A storm event that is between 0.2 and 0.3 inches of rainfall and which
has a duration of greater than 3 hours and that is preceded by at least
72 hours in which no storm event measuring greater than 0.1 inches has
occurred.
19. R"_..r.Qr f Co2f f; C' ant
The fraction of total rainfall that is not infiltrated into or otherwise
retained by the soil, concrete, asphalt or other surface upon which it
falls that will appear at the conveyance as runoff.
20. Seccnda --/ Cnnr�_,inmont
Containment for the contents of the single largest tank within the
containment structure plus sufficient freeboard to allow for the 25-
year,.•.24-hour storm event.
21. Section 313 dater Priarity Chemi,g�
A chemical or chemical category which:
a. Is listed in 40 CFR 372.65 pursuant to Section 313 of Title III of
the Superfund Amendments and Reauthorization Act (SARA) of 1986, also
titled the Emergency Planning and Community Right -to -.Cnow Act of
1986;
b. Is present at or above threshold levels at a facility subject to SARA
title III, Section 313 reporting requirements; and
c. That meet at least one of the following criteria:
(1) Is listed in appendix D of 40 CFR part 122 on either Table II
(organic priority pollutants), Table III (certain metals,
Page 9

0
cyanides, and p'renals) or Table IV (certain toxic pollutants and
hazardous substances);
(2) Is listed as a hazardous substance pursuant to section
311 (b) (2) (A) of the C:dA at 40 CFR 116.4; or
(3) Is a pollutant for which EPA has published acute or chronic
water quality criteria.
22. Sic:-:ificant materials_
Includes, but is not limited to: raw materials; fuels; materials such as
solvents, detergents, and plastic pellets; finished materials such as
metallic products; raw materials used in food processing or production;
hazardous substances designated under section 101(14) of C_RCLA; any
chemical the facility is required to report pursuant to section 313 of
Title II_! of SARA; fertilizers; pesticides; and waste products such as
ashes, slag and sludge that have the potential to be released with
stormwater discharges.
23. Significant Sai? is
Includes, but is not limited to: releases of ail or hazardous substances
in excess of reportable quantities under section 311 of the Clean Water
Act (Ref: 40 CFR 110.10 and C?R 117.21) or section 102 of C_RCLtA (Ref:
40 CFR 302.4) .
24. Sto-m Sewer Svstem
is a conveyance or system of conveyances which are designed or used to
collect or convey stormwater runoff that is not part of a combined sewer
system or treatment works. This can include, but is not limited to,
streets, catch basins, curbs, gutters, ditches, man-made channels or
storm drains that convey stcrmwater runoff.
25. Stormwater 'Runoff
The flow of water which results from precipitation and which occurs
immediately following rainfall or as a result of snowmelt.
26. Stor-nwater .associated with Industrial Agtivitv
The discharge from any point source which is used for collecting and
conveying stormwater and which is directly related to manufacturing,
processing or raw material storage areas at an industrial site. The
tern does not include discharges from facilities or activities excluded
from the NP€7ES program. For the categories of industries identified in
(a) through (j) of this definition the term includes, but is not limited
to, stormwater discharges from industrial plant yards; immediate access
roads and rail lines used or traveled by carriers of raw materials,
manufactured products, waste material, or by-products used or created by
the facility; material handling sites; refuse sites; sites used for the
application or disposal of -process wastewaters; sites used for the
storage and maintenance of material handling equipment; sites used for
residual treatment, storage, or disposal; shipping and receiving areas;
manufacturing buildings; storage areas (including tank farms) for raw
Page 10

materials, and inter=ediate and finished products; and areas where
industrial activity has taken place in the past and significant
materials remain anti are exposed to stor-iwater. For the categories of
industries identified in (k), the tern includes only st=rmwater
discharges from all areas listed in the previous sentence (extent access
roads) where material handling equipment or activities, raw material,
intermediate products, final products, waste material, by-products, or
industrial machinery are exposed to storm:Nater. Material handling
activities include the: storage, loading and unloading, transportation,
or conveyance of any raw material, inter-lediate product, finished
product, by-product or waste product_ The term excludes areas located
on plant lands separated from the plant's industrial activities, such as
office buildings and accompanying parking lots as long as the drainage
from the excluded areas is not. mixed with stermwater drained from the
above described areas. Industrial facilities (including industrial
facilities that are Federally or municipally owned or c_erated that meet
the description of the facilities listed in (a)-(k)) include those
facilities designated under 40 C_R 122.26(a) (1) (v) .
The following categories of facilities are considered to be engaging in
"industrial activity":
a. Facilities subject to stor-lwater effluent limitations guidelines, new
source performance standards, or toxic pollutant effluent standards
under 40 CFR Subchapter N Farts 400 - 471 (except facilities which
are exempted under (k) of this definition);
b. Facilities classified as Standard Industrial Classifications 24
(except 2434), 26 (except 265 and 267), 28, 29, 30, 311, 324 33,
3441, 373;
c. Facilities classified as Standard Industrial Classifications 10
through 14 (mineral industry) including active or inactive mining
operations (except for areas of coal mining operations meeting the
definition of a reclamation area under 40 CFR 434.11(1)) and oil and
gas exploration, production, processing, or treatment operations, or
transmission facilities that discharge stormwater contaminated by
contact with or that has come in contact with, any overburden, raw
material, intermediate products, finished products, byproducts or
waste products located on the site of such operations; inactive
mining operations are mining sites that are not being actively mined,
but which have an identifiable owner/operator;
d. Hazardous waste treatment, storage, or disposal facilities, including
those that are operating under interim status or a pee -nit under
Subtitle C of RCRA;
e. Landfills, land application sites, and open dumps that receive or
have received any industrial wastes (waste that is received from any
of the facilities described under this definition) including those
that'are subject to regulation under Subtitle D of RCRA;
f. Facilities involved in the recycling of materials, including metal
scwapyards, battery reclaimers, salvage yards and automobile
Page 11

junkyards, including but limited to those classified as Standard
Industrial Classification 5015 and 5093;
g. Steam electric power generating facilities, including coal handling
sites;
h. 'Transportation facilities classified as Standard Industrial
classifications 40, 41, 42, 44, and 45 which have vehicle maintenance
snaps, equipment cleaning operations, or airport deicing operations.
Only those portions of the facility that are either involved in
vehicle maintenance (including vesicle rehabilitation, mechanical
repairs, painting, fueling and lubrication), equipment cleaning
operations, airport deicing operations, or whit: are otherwise
identified under (a)-(r) or (Q -(k) of this definition are associated
with industrial activity;
i. Treatment works treating domestic sewage or any other sewage sludge
or wastewater treatment device or system, used in the storage
treatment, recycling, and reclamation of municipal or domestic
sewage, including Lands dedicated to the disposal of sewage sludge
that are located within the confines of the facility, with a design
flow of 1.0 mgd or more, or required to have an approved pretreatment
program under 40 CFR part 403. Not included are farm lands, domestic
gardens or lands used for sludge management where sludge is
beneficially reused and which are not physically located in the
confines of the facility, or areas that are in compliance with
section 405 of the C A;
j. Construction activity including clearing, grading and excavation
activities except: operations that result in the disturbance of less
that five acres of total land area which are not part of a larger
common plan of deve lcpment or sale;
k. Facilities under Standard Industrial Classifications 20, 21, 22, 23,
2434, 25, 265, 267, 27, 283, 235, 30, 31 (except 311), 323, 34
(except 3441), 35, 36, 37 (except 373), 38, 39, 4221-25, (and which
are -not otherwise included within (a)-(j) of this definition).
27. Ten Vear Design Store
The precipitation event of a duration which will produce the maximum
peak rate of runoff for the watershed of interest resulting from a
rainfall event of an intensity expected to be equalled or exceeded, on
the average, once in ten years.
28. 'total Flo
The flow corresponding to the time period.over which the sample
collection occurs. The total flow calculated based on the size of the
area draining to the outfall, the amount of the built -upon surfaces
within the drainage area, and the total amount of rainfall occurring
during the sampling period.
Page 12

29. 'rn� oot ii,ranr
;ry pollutant listed as toxic under Section 307(a) (1) a= the Clean :dater
Act.
3 0. 'T`�^ a s OF t o
a. Grain samples are individual samples collected instantaneously.
b. C=-,posite Sample: a composite sample small mean:
(1) A flow -weighted composite sample, which is a mi::ture of aliquots
collected at a constant time interval, where the volume of each
aliquot is proportional to the flow rate of the discharge at the
time the sample is collected; or
(2) A time -weighted composite sample, which is a mixture or equal
volume aliquots collected at a constant interval of time.
A composite sample can he obtained from the collection or a
series of grab samples, taken at intervals of no greater than 20
minutes for the entire storm event or the first three hours of
the storm event. The grab sample to be composited muse be of no
less than 100 milliliters.
31. V--_cI - Md .4 ntenancs 2- ct : it:L
Vehicle rehabilitation, mechanical repairs, painting, fueling,
lubrication, vehicle cleaning operations, or air -part deicing operations.
32. ; , A
Solid particulate -matter, both mineral and organic, that has been or is
being transported by water, air, gravity, or ice from its site of origin
which can be seen with the unaided eye.
33. Wastes -p; zo
Any noncontainerized accumulation of solid, nonflowing waste that is
used for treatment or storage.
34. 75--r -, 24 hour storm -vent
The maxi -mum 24-hour precipitation event expected to be equalled or
exceeded, on the average, once in 25 years.
Page 13

•
n
1. r r t"r rT Cal 'r
The permittee must comply with all
permit noncompliance constitutes a
is grounds for enforcement action;
and reissuance, or modification; or
application.
conditions of this permit. Any
violation of the Clean Water Act and
for permit termination, revocation
denial of a permit renewal
a. The permittee shall comply with effluent standards or prohibitions
established under section�307(a) of the Clean Water Act for toxic
pollutants within the time provided in the regulations that establish
these standards or prohibitions, even if the permit has rct yet been
modified to incorporate the requirement.
b_ The Clean water Act provides that any person who violates a pe=it
condition is subject to a civil penalty not to exceed $25,000 per day
for each violation. Any person who negligently violates any permit
condition is subject to criminal penalties of $2,500 to $25,000 per day
of violation, or imprisonment for not more than 1 year, or both. Any
person who knowingly violates permit conditions is subject to criminal
penalties of $5,000 to $50,000 per day of violation, or imprisonment for
not more than 3 _years, or both. Any person who violates a permit
condition may be assessed an administrative penalty not to exceed
$10,000 per violation with the maximum amount not to exceed $125,000.
[Ref: Section 309 of the Federal Act 33 USC 1319 and 40 C_R 122.41(a).]
C. Under state law, a daily civil penalty of. not more than ten thousand
dollars ($10,000) per violation may be assessed against any person who
violates or fails to act in accordance with the terms, conditions, or
requirements of a permit. [Ref; North Carolina General Statutes 143-
215.bA]
d. Any person may be assessed an administrative penalty by the
Alninistrator for violating section 301, 302, 306, 307, 308, 318, or 405
of the Act, or any permit condition or limitation implementing any of
such sections in a permit issued under section 402 of the Act.
Administrative penalties for Class I violations are not to exceed
$10,000 per violation, with the maximum amount of any Class I penalty
assessed not to exceed $25,000. Penalties for Class II violations are
not to exceed $10,000 per day for each day during which the violation
continues, with the maximum amount of any Class II penalty not to exceed
$125,000.
2. I?Uty to Mitigate
The permittee shall take all reasonable steps to minimize or prevent any
discharge in violation of this permit which has a reasonable likelihood
of adversely affecting human health or the environment.
Page 14

Except as provided in permit conditions on 'Bypassing' (Part !I, C.3.),
nothing in this permit shall be construed to relieve the permittee from
any responsibilities, liabilities, or penalties for noncompliance
pursuant to NCGS 143-215.3, 143-215.6A, 143-215.6n, 143-215.a'C or'
Section 309 of the Federal Act, 33 USC 131S. Further.-nore, the permittee
is responsible for consequential damages, such as fish kills, even
though the resgonsibility_ for effective ccmpl=ante may be temporarily
suspended.
4. ❑i i_ �_-^C, .:azn-icus SollyA CS T AN i -^y
Nothing in this permit shall be construed to preclude the institution of
any legal action or relieve the permittee from any responsibilities,
liabilities, or penalties to which the permittee is or may be subject to
under NCGS 143-215.75 et seq. or Section 311 of the Federal Act, 33 USC
1321. Furthe;-:,;ore, the permittee is responsible for consequential
damages, such as fish kills, even though the responsibility for
effective compliance may be ternorarily suspended.
S. a_L1fht.Z
The issuance of this permit does not convey any property rights in
either real or personal property, or any exclusive privileges, nor does
it authorize any injury to private property or any invasion of personal
rights, nor any infringement of Federal, State or local laws or
regulations.
6. ;" J, t-v
The provisions of this permit are severable, and if any provision of
this permit, or the application of any provision of this permit to any
circumstances, is .held invalid, the application of such provision to
other circumstances, and the remainder of this permit, shall not be
affected thereby.
7. Dut_-r t-a o•.oy; de rnra,-R+zt i or.
The permittee shall furnish to the Director, within a reasonable time,
any information which the Director may request to determine whether
cause exists for modifying, revoking and reissuing, or terminating this
permit or to determine compliance with this permit. The pe=-nittee shall
also furnish to the Director upon request, copies of records required
to be kept by this permit.
8. Duty ropapply
If the permittee wishes to continue an activity regulated by this permit
after the expiration date of this permit, the permittee must apply for
renewal of the permit.
page 15

W
The permittee is not authorized to discharge after the expiration date.
In order to receive automatic authorization to discharge beyond the
expiration date, the permintee shall submit such information, forms and
fees as are required by the agency authorized to issue permits no later
than 130 days prior to the expiration date. Any permitte that has riot
requested renewal at least 180 days prior to expiration, or any
discharge that Ices not have a permit after the expiration and has net
requested renewal at least 180 days prior to expiration, will be subject
to enforcement procedures as provided in NCGS 143-215.5 and 33 USC 1251
et seq.
10. S1g1''.aL_t'=:'r RecLuli _emonrS
All applications, reports, or information submitted to the Director
shall be signed and certified.
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose
of this Saction, a responsible corporate officer means: (a) 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 (b) 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 million (in second quarter
1980 dollars), if authority to sign documents has beef assigned or
delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the
proprietor, respectively; or
(3) Far a municipality, State, Federal, or other public agency: by either a
principal executive officer or ranking elected official.
b. All reports required by the permit and other information requested by
the Director shall be signed by a person described above or by a duly
authorized representative of that person_ A person is a duly authorized
representative only if:
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having
responsibility for the overall operation of the regulated facility or
activity, such as the position of plant manager, operator of a well or
well field, superintendent, a position of equivalent responsibility, or
an individual or position having overall responsibility for
environmental matters for the company. (A duly authorized representative
may thus be either a named individual or any individual occupying a
named position.); and
Page 19

(3) The written authorization is submitted to the Director.
c. Certification. Any person signing a docu--r.ent under paragraphs a. or b.
of this section shall make the following certification:
'r certify, under penalty of law, that this document and all
attachments *sere prepared under my direction or supervision in
accordance with a system designed to assure that qualified
personnel properly gacher and evaluate the infcr=,atiorn 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 fines and imprisonment
foz knowing violations." _
V. oormir 7c"ions
This permit may be modified, revoked and reissued, or terminated for
cause. The filing of a request by the permittee for a permit
modification, revocation and reissuance, or termination, or a
notification of planned charges or anticipated noncompliance does not
stay any permit condition.
12 Permit Mcdi fic?ticn. Revocation and Reigsuancel or_T9r'minaticm
The issuance of this permit does not prohibit the Director from
reopening and modifying the permit, revcking.and reissuing the permit,
or terminating the per -nit as allowed by the laws, rules, and regulations
contained in Title 40, Code of Federal Regulations, Parts 122 and 123;
Title ISA of the North Carolina administrative Code, Subchapter 2H
.0100; and North Carolina General Statute 143-215.1 et. al.
13. Rerruirina an Individuate Permit
The Director may require, through written notification, any entity
covered under this permit to apply for their own independent NPDES
permit. The Director's notification will establish requirements for
permit application and coverage.
Page 17

•
E
GZ^• r;LT C C'n-atimYrNT !N r_ onT_? TT-rnnT rr�TTT3 t.
1 ?= en Qne-ahiron and
The permittee shall at all times properly operate and maintain all
facilities and systems of treatment and control (and related
appurtenances) which are installed or used by the permittee to achieve
compliance with the conditions of this permit. Proper operation and
maintenance also includes adequate lahoratory controls and appropriate
quality assurance procedures. This provision requires the operation of
back-up or auxiliary facilities or similar systems which are installed
by a permittee only when the operation is necessary to achieve
compliance with the conditions of the permit.
It shall not be a defense for a permittee in an enforcement action that
it would have been necessary to halt or reduce the permitted activity
in order to maintain compliance with the condition of this permit.
3. Tyc?Ssi na as Stormwat— (_`cn4=1 Facilities
a. Definitions
(1) "Bypass" :leans the known diversion of stormwater from any portion of a
stormwater control facility including the collection system, which is
noc a designed or established or operating made for the facility.
(2) *Severe property damage" means substantial physical damage to property,
damage to the control facilities which causes them to become inoperable,
or substantial and permanent lass of natural resources which can
reasonably be expected to occur in the absence of a bypass. Severe
property damage does not mean economic loss caused by delays in
production.
b. Bypass not exceeding limitations.
The permittee may allow any bypass to occur which does not cause.
effluent limitations to be exceeded, but only if it also is for
essential, maintenance to assure efficient operation. These bypasses are
not subject to the provisions of Paragraphs c. and d..of this section.
C. Notice
(1) Anticipated bypass. If the permittee knows in advance of the need for a
bypass, it shall submit prior notice, if possible at least ten days
before the date of the bypass; including an evaluation of the
anticipated quality and affect of the bypass.
(2) Unanticipated bypass. The permittee shall submit notice of an
unanticipated bypass as required in Part II, E. S. of this permit. (24-
hour notice).
Page 18

d. Prohibition of Bypass
(1) Bypass is prohibited and.the Director may take enforcement action
against a permittee for bypass, unless:
(a) Bypass was unavoidable to prevent loss of life, personal injury or
severe property damage,
(b) There were no feasible alternatives to the bypass, such as the use
of auniliary control facilities, retention of szormwater or
maintenance during normal periods of equipment downtime ar err
.weather. This condition is not satisfied if adequate bac!tup
controls should have been installed in the exercise of reasonable
engineering judgment to -prevent a bypass which occurred during
normal periods, of equipment downtime or preventive maintenance;
and
(c) The permittee submitted notices as required under Paragraph c. of
this section.
(2) The Director may approve an anticipated bypass, after considering its
adverse effects, if the Director determines that it will meet the three
conditions listed above in Paragraph d. (1) of this section.
4. Cinsats
a. Definition.
"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
peraittee. An upset does not include noncompliance to the extent caused
by operational error, improperly designed treatment or control
facilities, inadequate treatment ar control facilities, lack of
preventive maintenance, or careless or improper operation.
b. Effect of an upset.
An upset constitutes an affirmative defense to an action brought for
noncompliance with technology based permit effluent limitations if the
requirements of paragraph c. of this condition are met. No
determination made during administrative review of claims that
noncompliance was caused by upset, and before an action for
noncompliance, is final administrative action subject to judicial
review.
C. Conditions necessary for a demonstration of upset.
A pe=ittee who wishes to establish the affirmative defense of upset
shall demonstrate, through properly signed, contemporaneous operating
logs, or other relevant evidence that:
(1) An upset occurred and that the permittee can identify the cause(s) of
the upset;
Page 19

(2) The permitted facility was at the time being properly operated; and
(3) The permittee suhmitted notice of the upset as required in Fart II, E.
5. (b) (B) of this permit.
(4) The permittee complied with any remedial measures required under Part
II, A. 2. of this permit.
d. Burden of proof.
In any enforcement proceeding the permittee seeking to establish the
occurrence of an upset has the burden of proof.
Page 20

1. RAnr�pn� f'i.ra �^�??i''i tnr7
Samples collected and measurements taken, as required herein, shall be
characteristic of the volume and nature of the permitted discharge.
Samples shall be taken on a day and time that is characteristic of the
discharge_ All samples shall be taken at the monitoring points
specified in the SNQMP or suitable representative sites and, unless
other-dise specified, before the discharge joins or is diluted by any
waste stream, body of water, or substance. The Director may request
information justifing changes to sampling locations and sampling methods
at any time. At a mini=mn on such charges shall be
reported in the permittee's annual report. The Director may require
that certain changes in the sampling program be submitted for approval
prior to implementation of the changes.
Duplicate signed copies of all reports required herein, shall be
submitted to the following address:
Division of Environmental Management
water Quality Section
ATTINTTON: Central Files
Post Office Box 29535
Raleigh, North Carolina 27626-0535
3.
Where required, appropriate flow measurement devices and methods
consistent with accepted scientific practices shall be selected and used
to ensure the accuracy and reliability of measurements of the volume of
monitored discharges.
4. T-st RrOCAdllr�S
Test procedures for the analysis of pollutants shall conform to the SIC
regulations published pursuant to NCGS 143-215.63 et. seq, the Water and
Air Quality Reporting Acts, and to regulations published pursuant to
Section 304(h), 33 USC 1314, of the Federal Water Pollution Control
Act, as Amended, and Regulation 40 CFR 136. Reporting of analytical
results as 'too numerous to count' (TNTQ will'not be acceptable and may
constutute a violation.
S. Pena?ttie"_for,'T'amnerincr
The Clean Water Act provides than any person who falsifies, tampers
with, or knowingly renders inaccurate, any monitoring device or method
required to be maintained under this permzt shall, upon conviction, be
punished by a fine of not more than $10,000 per violation, or by
imprisonment for not more than two years per violation, or by both. If
Page 21

a c:nviction of a person is for a violation committed after a first
conviction of such person under this paragraph, punishment is a fine of
not more that $20,000 per day of violation, or by imprisonment of not
more than 4 years, or both.
6. Feccr'is Retention
The per:nittee shall retain records of all :monitoring information,
including all calibration and maintenance records and all original strip
charz recordings for continuous monitoring instrumentation, copies of
all reports required by this permit, for a period of at least S years
f,cm the date of the sample, measurement, report or application. This
period may be extended by request of the Director at any time.
7. Record na Results
For each measurement, sample, inspection or maintenance activity
performed or taken pursuant to the requirements of this permit, the
permittee shall record the following information:
a-. The date, exact place, and time of sampling, measurements, inspection or
maintenance activity;
b. The individual(s) who performed the sampling, measurements, inspection
or maintenance activity;
C. The date(s) analyses were performed;
d. 'The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
8. Ins=ecticn and Entry
The permittee shall allow the Director, or an authorized representative
(including an authorized contractor acting as a representative of the
Director), upon the presentation of credentials and other documents as
may be required by law, to;
a. Enter upon the permittee's premises where a regulated facility or
activity is located or conducted, or where records must be kept under
the conditions of this permit;
b. Have access to and copy, at reasonable times, any records that must be
kept under the conditions of this permit;
C. Inspect at reasonable times any facilities, equipment (including
monitoring and control equipment), practices, or operations regulated or
required under this permit; and
Page 22

•
LI I
d. S=71e or mcniter at reasonable times, for the purposes of assuring
permit compliance or as otherwise authori_ed by the Clean ;eater Act, any
substances or parameters at any location.
SZC:2jCK ; 7�rpCRTTn1G FErIUIPM!" E'1,S
1. m anned c anzes
The permittee shall give notice to the Director of any planned
modifications to the Stortwater Program or S7Qi4P. Notice of any charges
is required at least through the annual report as specified in Part I
Section C of this permit. Notice shall be given as soon as possible
when:
a. The modification represents a change in the form of deleting a provision
of the approved Stormwater Program; or
b. The modification could significantly change the timeframe for
implementation of parts of the program or negatively influence the
effectiveness of the approved program.
2. t_cinat-d Nonccmoliance
The permittee shall give advance notice .to the Director of any planned
changes in the permitted facility or activity which may result in
noncompliance with the permit requirements.
3. Transfers
This permit is not transferable to any person except after notice to and
• approval by the Director. The Director may require modification or
revocation and reissuance of the permit to change the name and ,
incorporate such other requirements as may be necessary under the Clean
Water Act.
4. IK�cnitorir_a P.emogts
Monitoring results shall be reported at the intervals specified
elsewhere in this permit.
5. we tv- our Hcur Rgtaortina
a. The permittee shall report to the central office or the appropriate
regional office any noncompliance which may endanger health or the
environment. Any information shall be provided orally within 24 hours
from the time the permittee became aware of the circumstances. A
written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
The written submission shall contain a description of the noncompliance,
and its causes; the period of noncompliance, including exact dates and
times, and if the noncompliance has not been corrected, the anticipated
Page 23

time it is expected to continue; and steps taken or punned to reduce,
e-,..mate, and prevent reoccurrence of the ncncompliance.
b. The following shall be included as information which must be reported
within 24 hours under this paragraph.
{A) Any unanticipated bypass which exceeds any effluent limitation in the
permit .
(S) Anv upset which exceeds any effluent limitation in the permit.
(C) Violation cf a maximum daily discharge limitation for any of the
pollutants lister, by the Director in the pe=it to be reported within 24
hours.
C. The Director may waive the written report on a case -by -case basis for
reports under paragraph b. above of this condition if the oral report
has been received within 24 hours.
5. other Noncompliance
The pez-nittee shall report all instances of noncompliance not reported
under Part 1=. E. 4 and 5. of this permit at the time monitoring reports
are submitted. The reports shall contain the information listed in 'Part
Y-. c. 5. Cr this per:nzt.
7. Other InfoMation
Where the permittee becomes aware that it failed to submit any relevant
-facts or submitted incorrect information in a permit application or in
any report to the Director, it small promptly submit such facts or
information.
8. Availability of_Reports
Except for data determined to be confidential under NCGS 143-215.3 (a) (2)
or Section 308 of the Federal Act, 33 USC 1318, all reports prepared in
accordance with the terms shall be available for public inspection at
the offices of the Division of Environmental. Management. As required by
the Act, effluent data shall not be considered confidential. Knowingly
making any false statement on any such report may result in the
imposition of criminal penalties as provided for in NCGS 143-215.6E or
in Section 309 of the Federal Act.
9. e a ties for Fal2ification of Remorts
The Clean Water Act provides that any person who knowingly makes any
false statement, representation, or certification in any record or
other document submitted or required to be maintained under this permit,
including :monitoring reports or reports of compliance or noncompliance
shall, upon conviction, be punished by a fine of not more than $10,000
per violation, or by imprisonment for not more than two years per
violation, or by both.
Page 24
0

Part III
OTHER INFORMATION
A. Limitations Reopener
This permit shall be modified or alternatively, revoked and reissued, to
comply with any applicable effluent guideline or water quality standard
issued or -approved under Sections 302(b) (2) (c), and (d), 304(b) (2)
and 307(a) of the Clean Water Act, if the effluent guideline or water
quality standard so issued or approved:
1. contains different conditions or is otherwise more stringent than any
effluent limitation in the permit; or
2. controls any pollutant not limited in the permit.
The permit as modified or reissued under this paragraph shall also
contain any other requirements in the Act then applicable.
Page 25

Staff Review and Evaluation
NPDES Stormwater Permit
Contact Name:Bill Mills
F ciliU Name: R EMV ED
North Carolina State University
NPDES No.: SEP i f7;y
NCS000286
Facility Location: DEHNR-RAL. RO
North Carolina State University
Environmental Health and Safety Center
Raleigh, Wake County
Tim f 'f applicable):
Facility for storage, packaging and treatment of hazardous and low-level radioactive
wastes generated by laboratories and shops owned and operated by NCSU.. This is
a proposed facility now in construction.
Recehing Stream Name and Classification:
Rocky Branch
Class C NSW
Proposed Permit Reauirgmgnts:
(See attached draft permit)
mlin h 1:
See Part I, Section B. of the attached_draft permit
i f r Monitoljng RgqUirements:
Application information provides estimates of pollutants. 40 CFR 122.26 requires
That new facilities must provide estimates and within the first two years of actual
operation must provide actual data required by 2F form unless permit monitoring
has required this information earlier.
Recommend that permit require the 2F sampling and analyses data within the first
two years of operation and provide a clause to allow revision of monitoring
requirements based upon DEM review of the data.
13Mia for Qther Requirements:
Prepared By: &IV 'go SZ
(signature) • (date)
Permits and Engineering Superyi�Qr: 67'
2 - ///� �
(signatur (date)
RgspQn5ee . (with attachments)

000
Water Quality Su en rvisor:
C�
�Y(daS
�-
�(date)

•®•
�i North Carolina State University
Environmental Health and Safety Center
Life Safety Services
Box 7222
Raleigh, NC 27695-7222 June 28, 1994
Telephone: [phone]
FAX: [phone]
Ms. Colson H. Sullins, P.E.
Division of Environmental Management
Water Quality Planning
N.C. Dept. of Environment, Health
and Natural Resources
512.N. Salisbury Street - Room 925
Raleigh, NC 27604
RE: Federal NPDES Stormwater Permit Application
North Carolina State University
Dear Ms. Sullins:
Radiation Protection
Box 7108
Raleigh, NC; 27895-7108
Telephone: [phone]
FAX: [phone]
Enclosed is the stormwater permit application for the University's hazardous
waste management facility. Included with this application is the required fee
of $400.
The hazardous waste management facility is currently under construction, and
should be ready for occupancy by the end of the year. It is our intention to
have emergency plans, operating procedures, pollution prevention plans, and other
necessary documents in place, and programs at a significant stage of development,
prior to bringing waste materials to the facility. Occupancy of this facility
will result in the closure of two smaller waste management sites.
If you have any questions, or require additional information, please contact me
at 515-7915.
RP/ch
Enclosures
cc: David Rainer
Duane Knudson
Sincerely,
Robert Pecarina
Hazardous Materials Manager
REC51VED
SEP 1 2 1994
DEHNR-RAL RO
\°ortlt Carolina Stale Unicersitif is a land-grant urticersity and a constituent institution of The Uniaersity of !Forth Carolina.

_ 1 ' 'N `O' t _ .ter, � c�
1 „C�� 1=iAL INFORMATION , 1 I�Nu�+'F�
C �,�=or;�. Po,rr,ra Pr r.Tt
"Grnrrvi
F �N C o o n 8 3 0-7 3
GENERAL Read the In•nf tr +zJ' arloT rear nr .
� � � � •.\ G ENE R A 4 ,r•,STR VCTVO rvS
r. EPA I. D. NUMBER \\ '�\ \,\ �� `\ It a preprinted lade{ has been prowQed, afli.
it ,n the das,gnate0 specs. Fiev,ew the informs
FACILITY NAME `
\ cation ,t any of it pose
,Cl
Ill. \ \
h it andlly:
through rt and enter the [OrrtlCt date ,n the
r data
\ ` `
\ \
\ appropriate fill- n area below. Also, ,f any of
the preprinted data is absent (brie sinue to Me
FACILITY
V' MAILING ADDRESS PLEASE PLACE LABEL
left of the isrbel space bets else lnformsrion
IN THIS SPACE trier should appeerl, please Provide It in the
proper fill--�n erba(sl below. It the Label. Is
complete and correct, you need not to
)tams I, III, V, and Vi (astypt Vh8 11r.ATI0,i l'i1
I
must be completed regardless). Complete sit
FACILITY
VI.
items if no Iabef has been provided. Refer to
LOCATFON
the instructions for deviled item descrip-
tions and for the Legal authorizations under
which this data is codecTed.
11. POLLUTANT CHARACTERISTIC$
INSTRUCTIONS: Complete A through J to determine whether you need
-to submit any permit application forms to the EPA. If you answer "yes" to any
questions, you must submit this form and the supplemental form listed in
the parenthesis fallowing the question. Mark "X" in the box in the third column
if the supplemental form is anached. If you answer "no" to each question,
you need not submit any of these forms. You may answer "no" if your activity
is excluded from permit requirements; see Section C of the instructions. See
also, Section D of the instructions for defir,:;ions of bald —fated tarns.
SPECIFIC pUC5TiON5
re■ wd wTwC�•
SPECIFIC GU E5710N5
M
��• �O ra", ■a
A, Is th,s facd,t. a publicly owned treatment works
which results �n a discharge to waters of the U.S.?
I Y E
S. Does or will this facility (eimer existing or propoased)
include a concofftrRad animal feeding operrtion or
� I�
(FORM 2A}
n
alquatic animist production ftacflity which results in a
i
•
discharge to wataii of the US.7 (FORM 2 8)
o
Is in-s a facility wn,cn cur-ently results n aryls
f
, Is this a profacility o er titan thole deSCrrbed
to vraters of the U.S, olhe• titan those Described in
in A or B abonl which will result in a deeharya to
A o- R aoove7 (FOP-1.1 :Cl
wata of the U.S.? (FORM 2D1
,+ i• „
E Does or will this facility treat, store, or dispose of
hasaraous wash? (FORM 3)
�/
J�
F. Do you or will you iniact at this facility industrial Or
municipal affluent below the lowermost rtratum con•
'
Wining, within one quarter mile of the well bore,
�
1• f f.
underground sources of drinking water? (FORM 41
G. o You Or will you inject at this lacility any produced
water or ether fitti c which are brought t the surface
connection with conventional Oil or natural gas pro-
�/ V
H. Do you or will you inject at this facility fluids for spa -
cial processes such as mining of sulfur by the Frsach
d inje
duct,on, inlet[ fluids used for enhanced recovery of
f�
procQn, solution mining of minerals, in situ combus•
oil or nasurat gas, or inject itu,ds for storage of liquid
tion of fossil fuel, or recovery of geothermal energy?
i
h drocarbons? {FORM 4)
(FORM 41
$this facility a proposed stattonary source which Is
J. Is this facility a pr •Qrishich Is
one of the 28 industrial categories listed in the in-
NOT one of the 2B industrial categories listed in the
structions and which will potentially emit 100 tons
instructions and which will potentially emit 250 tons
per year of any air pollutant regulated under the
per Vast of any air pollutarrt regulated under the Clean
Clean Air Act and may affect ore be located in an
Air Act and may affect or be located in an aminnsern
attainment area? (FORM 51 ,� ,f
aree7 (FORM 5)
III. NAME OF FACILITY
G I i I I I I
t sKlr AJC Q T-�} C/J p j, 1 Al4 .S T A T
%(N f E RS f •T Y
IV; FACILITY CONTACT
A. NAME & TITLE (fort, firer, is ritfrJ
a. PHONE (aria code no.)
21Pl5a'A 1 Ai A' 2T l .4Al.96iQ Yil SIS 7 /S
a•j .r
V. FACILITY MAILING AbpRE55
A. STREET OR P.O. aOX
`
3D�' 7L2'L
a. CITY OR TOWN
C.STATE: O ZIP CODE I
4.R194.�
VI. FACILITY LOCATION
A STREET. ROUTE NO. OR OTHER SPECIFIC IDENTIFIER
5,Du�N� E
e C O V M T Y N 1 M f
--.--
C ;;Ty OR TORN
—-..�—_nown,
10,STATE: E. ZIP CODE I F.COUNTY CODE1
2_-:f_J L�_, 7
- __­_.._­___­ - ___ _
�. I, ,-! -
EPA Form 3510.1 (Rev. 1"c)l
1-12
CONTINUE ON REVERSE

•
•
•
400 47' 3[

rONTINUED FROM THE FPCIN'
• VIE. SIC'C`ODES 14-C,q,r, ,n arde- or anarrr"
A FIRST .CpNp
J
IlrPcrr).;: 7
l v s I I rsFcclf}
g I r
I',�Itl FK5 Ty L(,"QsrEErrrcx/;
C. THIRO O FOURTH
rfpec,fy) Saecrf.,
7 J
Vill, OPERATOR INFORMATION
A. P. A A. E B. Is the name Ilstoo In
Item VIil-A oleo tfte
T8NTO
f2 T H C ! rJ f{ S 7-4 T F (d Ai I Ere S r T Y 0 Y E 5 it _1 NO
`. �'
C. STATUS OF OPERATOR ;Enter the ap propna lc le (Ter into the answer box. if "OrAer", specify.)
O. PHONE (area code S no.l
+ F D RAL M-PUBLIC (other than fcdcral or irate)
S STATE O - OTHER (specify)
(Specify)
S
c
A
P • PRIVATE
E. STREET OR P.O, SOX
I I
F, CITY OR TOWN
G.STAT H. ZIP CODE
IX. INDIAN LAND
C
B
S AL E � G.H
MC
p
2-7 6 f
{t She toLlllly IO�ted On inbidn Vands]
CI YES NO
3_
X. EXISTING ENVIRONMENTAL PERMITS
A. NPOES (DisChargei to Surface Wafer)
D. ►S❑ (AirEML=iont from Proposed Sourresi
9 fV
9 P
•
..
1.
a'UIC (Underground in(ecrion of Fluids)
E. OTMcR Jrpecrfy)
�
tJ
9c T
� l � �
fsPeCirS'1
Nu cc6A,P >PEC,�cA��Y CnAiM.3SicA Let
�.
�
I�
I.
C. RCRA fHa:ardou7 Wasres)
K. OTM.R rlpeclfy)
9 R N C-D o 0 3 c 7 9� 9 o 0". (specify)
LJ c4 a.��- r0R �,gp1GRCr ut .401,4 7FC,,4
xI, MAP
Attach to this application a topographic map of the area extending to at least one mile beyond property bounderies. 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 other surface
water bodies in the map area. See instructions for precise requirements.
XII. NATURE OF BUSINESS (provide a brief deseriprion
,I / r / h
r�1e and Jrrs r h�rS En✓r,-on f NGw!{'!1 ctind S etj pr-e II rct�4�S a c s �It/ii�S tar
OmGnta oCenTE--
sto,�weT�l DdGkc:.4iyJ [�n.,t �rEcilq'7�it� v� Il42ae'+0.v�t,$ cLe'l� I�'.t%'14�✓�� rac�r:;c>_Cfr�`v
JJ l
JJ // ///) A ,
w�sfie�. .it--a-t�Lt b7 /GL0-0.to1 /� eLrij Sl1[ pS 0%-6:jt4E4 4ri[/ O Qs &Lt LI/ "'Csq
XiII. CERTIFICATION Is" in$rnlCOpns!
f certify under penalty of law that l have personally examined and am familiar with the information submitted in this application and all
arralChments and that, based on my inquiry of those persons immediately responsible for obtaining the information contained in the
application, 1 believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting
false information, including the possibility of fine and imprisonment.
A NAME 4 OFFICIAL TITLE ,rvpe ,?, p,rir:
George W, Vice Chancellor
8. SIGNATURE
C. DATE SIGNED
Finance anti Business
and Business
-/�
I C �
June 2, 1994
COMMENTS FOR OFFICIAL USE ONLY
C1
EPA Form 3510-1 (Rev. 10-80) Reverse
1-13

United States Office of EPA Form 3510-1
Environmental Protection Enforcement Revised October 1980
Agency Washington. DC 20460 Previous edition may be used
until supply is exhausted.
Permits Division
.=. EPA Application Form 1 - General
Information
Consolidated Permits Program
This form must be' completed by all persons applying for
a permit under EPA's Consolidated Permits Program. See
the general instructions to Form 1 to determine which
other application forms you will need.

0
DESCRIPTION OF CONSOLIDATED I FORM 1 PACKAGE
PERMIT APPLICATION FORMS TABLE OF CONTENTS
The Consolidated Permit Application Forms are:
Form 1 — General information (included in this partl;
Form 2 — Discharges to Surface Water (NPDES Arrmirs):
2A. Publicly Owned Treatment Works (Reserved — not included in
this package),
28, Concentrated Animal Feeding Operations and Aquatic Animal
Production Facilities (not included in this packagel,
2C. Existing Manufacturing, Commercial, Mining, and Silvicultural
Operations (not included in this package), and
2D. New Manufacturing, Commercial, Mining, and Silvicurtural
Operations (Reserved — not included in this packsgel;
Form 3 — Hazardous Waste Application Form (RCRA Permits —
not Included In this package);
Form 4 — Underground Injection of Fluids (U(C Permits — Re-
served — not included in this package); and
Form 5 — Air Emissions in Attainment Areas (PSD Plsrmits — Re-
served — 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. Glittery
Form 1 fr►w copies)
SECTION A — GENERAL INSTRUCTIONS
With the exceptions described in Section C of these instructions, Fed-
eral laws prohibit you from conducting any of the following activities
without a permit.
NPDES (Notional Pollutant Discharge Elimination System Under Me
peen Water Act, 33 USC 1251). Discharge of pollutants into the
waters of the United States.
RCRA (Resource Conservation and Recovery Act, 42 U.SC 690f),
Treatment, storage, or disposal of hazardous wastes.
UIC (Underground injection Control Under the Sale Drinking Water
Act, 42 U.S.0 300f). Injection of fluids underground by gravity flow
or pumping.
PSD (Prevention of Significant Deterioration Under the Clean Air
Act, 72 U.S.0 7401). Emission of an air pollutant by a new or modi-
fied facility in or near an area which has attained the Notional Ambient
Air Ouality 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 environ-
mental agency for the proper forms.
If you have any questions about whether you need a permit under any
of the above programs, or it you need information as to whether a
particular program is administered by EPA or a State agency, or it 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 oblain a permit for
a particular facility. Be sure to contact EPA it 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 applicat;on forms collects General
information applying to all programs. You musl,fill out Form t regard-
less of which permit you are applying lot. In addition, you must lrll
out one of the supplementary forms (Forms 2 — 5) fox each permit
needed under each of the at]ove programs. Item II of Form t will
guide you tas the appropriale supplementary forms.
You should note ;hat there are certain exclusions 10 the permit require-
ments Lased above The exclusions are described in detail ;n Seclron C
of these instrucS.ons. If your ac1rv.l.es are e.cluded from permit re.
fir+�r rrnrn lS 1h, you do not need to complete and return any lofms.
NOTE: Certain activities not listed above also are subject to EPA
administered environmental permit requirements. These Include per-
mits 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 Regiaval Contacts and States Within the
Regionel Office Jurisdictions
REGION 1
Permit Contact, Environmental and Economic Impact Office, U.S.
Environrental Protection Agency, John F, Kennedy Building, Bos-
ton, Massachusetts 02203, [phone], FTS 223-4635.
Connecticut, Maine, Massachusetts, New Hampshire, Rhode island,
and Vermont.
REGION II
Permit Contact, Permits Administration Branch, Room 432. U.S.
Environmental Protection Agency, 26 Federal Plate, New York,
New York 10007, 12111 264-9880, FTS 264-9880.
New Jersey, New York, Virgin Islands, and Puerto Rico.
REGION III
Permit Contact 13 EN 23), U.S. Environmental Protection Agency,
61h dr Walnut Streets, Philadelphia, Pennsylvania 19106. (215)
597-8816i FTS 597-8816.
Delaware, District of Columdia, 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. 1404)
981-2017, FTS 257-2017.
Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina,
South Carolina. and Tennessee.
REGION V
Permit Contact (5EPl, U.S. Environmental Protection Agency, 230
South Dearborn Street, Chicage. Illinois 60604, 1312) 353-2105.
FTS 353-2105,
Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin,
In

— GENERAL INSTRUCTIONS MAJ10
Table 1 (corrdnuod)
REGION VI
Permit Contact (6AEP1. U.S. Environmental Protection Agency,
First International Building, 1201 Elm Street, Dallas, Texas 75270,
(2141 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 IIth Street, Kansas City, Missouri 64106, (816)
758-5955, FTS 758-5955.
Iowa, Kansas, Missouri, and Nebraska.
REGION Vlll
Permit ConthlA NE- W), Sulte 103, U.S. Environmental Protection
Agency. 18180 Unooln Street, Darner, Colorado 80296, (303) 837-
4901, FTS 327-4WI .
Colorado, Montana, North Dakota, South Dakota, Utah, and
Wyoming.
REGION IX
Pat nIt Comtect, Permits Branch (E-4), U.S. Environmental Protection
Agency, 216 Fralmont Street, San Francisco, California 94105,
(4151 656-3450, FTS 556-3450.
Arlsorse. California, Hawaii, Nevada, Guam, American Samoa, and
TnM Tarr(toriea.
REGION x
Permit Contact it iT 62f), U.S. Environmental Protection Agency,
1200 Bth Avenue, Seattle, Washington 98101, [phone],
FTS 3I -7176.
Als" Idaho, Oregon, and Washington.
/1lhero to Fide
The owlkaation forms should be mailed to the EPA Regional office
whom Regbn Includes the State In which the facility Is located Las
Tab/ill 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 appro-
priate State agency for the correct forms. Your EPA Regional office
(Table 1) can toil you to whom to apply and can provide the appro-
priate 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 per.
mit you need. These deadline$ are as follows:'
Table 2. Filing Dates for Permits
FORM(Pannir)
WHEN TO FILE
2A(NPDES) ........180
days before your present NPDES per.
mit expires-
26(NPDES) . .. . .. ..180
days before your present NPDES per-
mit expires', or 180 days prior to start-
up it you are a new facility.
2C(NPDES) . ... . . . .180
days before your present NPDES per,
mit expires'.
2D(NPDES) . . . ..180
days prior to startup.
3(Hazardous Wasm)....
Existing facility: Six months following
publication of regulations listing hazard-
ous wastes.
New facility: 180 days before commencing
physical construction.
1-2
Table 2 Icontinued)
4WIC) . . ... . . . . . .A reasonable time prior to construction
for new wells; as directed by the Director
for existing wells.
5(PSD) . . .. . . . . . .Prior to commencement of construction.
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 appli-
cation requirements and forms.
' If 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, 1980- May 31, 1981, the fil-
ing 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 wane 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
note that if you are required to obtain a permit before beginning con-
struction, as described above, you may need to submit your permit
application well in advance of an applicable deadline listed in Table 2.
Fens
The U.S. EPA does not require a fee for applying for any permit under
the consolidated permit programs. (Horwemr, some Stater vAkh ad•
m)nlrrar one or more of d►ase programs require /oar for the permitt
nAian d,ay )cure.)
Availability of Information to Public
Informationcontainedin 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 t and 2A through 20 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 con-
sidered, 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 in-
formation in the space provided or attach a copy of the previous sub-
mission. 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 Devel-
opment Administration, the Farmers Home Administration, and the
Department of Housing and Urban Development, Each EPA Regional
office Treble 11 has an economic assistance coordinator who can pro-
vide you with additional information.
EPA's construction grants program under Title I1. of the Clean Watep
Act is an additional source of as.--tance to publicly owned treatment
works. Contact your EPA Regiona, -.lice for details.

SECTION B — FORM 1 LINE —BY—LINE INSTRUCTIONS
This form mutt 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 num.
bar of characters that may be entered into our data system. The marks
ere spaced at 1/6" intervals which accommodate elite type (12charsc-
tort per inch). If you use another type you may ignore the marks. It
you print, place each character between the marks, Abbreviate if neces-
tary 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 truer-
tion of your EPA Identification Number. If you hays an existing facil-
ity, 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 now
(`rot yet eonstreucred), leave this item blank.
Item Il
Answer each question to determine which supplementary fortes 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.
I 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 end file
the supplementary form by the deadline listed in Table 2 along with
this form. (The applicable form number fellows each question and h
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 (I I and (J) of Item I I refer to major new or modified sources
subject to Prevention of Significant Deterioration (PSO) 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 po-
tential 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 re-
fuse per day;
Hydrofluoric acid plants:
Nitric acid plants;
Sulfuric acid plants;
Petroleum refineries;
Lime plants:
Phosphate rock proCes$mg plants,
Coke oven batteries:
Sulfur recovery plants:
Carbon black plants (furnace process),
Primary lead smelters:
Fuel conversion planes;
Sintering plants:
Secondary metal product,on plants
Chemical process plants.
Foss -I fuel bo,lers (or rOrnJ) "'JI.O1i rt".1"n1l t0rahny mo,e than 75C
million BTU Dtl hour hear mnut
Table 3 (condnued)
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 nertTe, title, and work telephone number of a person who is
thoroughly familiar with the operation of the facility end with the facts
reported in this application and who can be contecied by reviewing
offices if nooetaary.
Item V
Give the compieta mailing eddrass of the office what@ correspondence
should be sent. This ohen Is not the address used to designate the lo-
cation of the facility or activity.
Item VI
Glue the address or loclatiort of tine fwUhy idernttfiied in Items III of.Ithls
form. If the facility lacks a at. me name or routs number, give the wort
accurate alt4mative geographic fnfelrmts Ion 1&g. section iwmbw or
quarter smWon number !ram county racorsh or at Inrelowedon of Res.
426 and 221.
!tare[ Vll
Ust, in descending order of slgnHicence, the four 4--digit sundard
industrial classification (S)CI f70tfee which best deracribe your facility
in terms of the principal products or tnrykat you produce or provide.
Also, specify each classification In wordL These Claiatfications may dif-
fer from the SIC codes de icaribing the operation generating the dis-
charge, air emissions, or he;tardous wales.
SIC [rode numbers are descriptions which may be found In the "Sun-
dard Industrial Classification Manud" prepared by the Executive Of-
fice of the President. Office of Marsegerneint and Budget, which is
available from the Government Printing Office, Washington, D.C.
Use the current edition of the manual, 1f you have any questions con.
earning the appropriate SIC code for your facility, contact your EPA
Regional office (see Table 1).
Item VIII—A
Give the name, at it is legally referred to, of the person, firm, public
organization, or any other entity which operates the foci lily, descrbad
in this application. This may or may not be the some name as the fa-
cility. The operator of the facility is the legal entity which controls
the facility's operation rather than the plant or site manager, po not
use a colloquial name.
Item VI11-0
Indicate whether the entity which 017errales the facility also owns it
by marking the appropriate box.
Item Vlll—C
Enter the appropriate letter to indicate the legal status of the operator
of the facility. Indicate "pubf-c" for a facility solely owned by local
governments) such as a city, town, county, parish, tic.
Items VIII—D — H
Enter the telephone number and address of The operator identified in
Item Vlli—A.
1-3

SAOORM 1 LINE —BY—LINE INSTRUC010ntr`nued)
facto IX
Indicate whether the facility is located on Indian Lands.
Give the number of each presently affective permit issued to the fa.
cility 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 cur-
rently effective permit for your facility under a particular permit pro-
gram, you may list additional permit numbers on a separate sheet Of
paper. List any relevant environmental Federal le.g., permits under the
Oscan Dumping Act, Section 404 of the Clean Water Act or the Surface
Alining Cw&ol and Reclamedon Act), State (e.g., Stare permits for
new air emission sources in nonattainment areas under Part 0 of the
f7alsn Air Act or Stare permin under Section 404 of the Clean Water
Acti, or local parmita or applications under "other:
Item XI
Provide a topographic map or maps of the area extending at ieas; to
tine 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 husrdous waste management facilities;
Each well whare you inject fluids underground; and
All springs and surface water bodies in the area, plus all drinking
water wells within 1/4 mite 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 facifity is located more than one mile
from the plant, include it on the map, if possible. If not, attach addi-
tional sheets describing the location of the structure, disposal site, or
well, and identify the U.S. Geological burvey for other) map corres-
ponding to the location.
On each reap, include the map scale, a moridisn 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
directions 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 Surrey,
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 if&g., residenrial, 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 t—r is provided for
purposes of illustration only, and does not represent any actual fa-
cility.)
U.S.G.S. OFFICES AREA SERVED
Eastern Mapping Center Ala., Conn., Del„ D.C.. Fla.,
National Cartographic Information Ga., Ind., Ky.. Maine, Md..
Center Mass., N.H., N.J., N.Y., N.C..
U.S.G.S. S.C., Ohio, Pa., Puerto Rico,
536 National Center R.I., Tenn-, Vt., Va„ W. Va..
Reston, Va. 22092 and Virgin Islands.
Phone No. 0031 660-6336
1-4
Item XI (continued!
Mid Continent Mapping Center Ark., Ili., Iowa, Kans., La.,
National Cartographic Information Mich„ Minn., Miss., Mo.,
Center N. Dak., Nebr., Okla„ S. Dak.,
U.S.G.S. and Wis.
1400 Independance Road
Rolla, Mo, 65401
Phone No. [phone]
Rocky Mountain Mapping Center Alaska, Colo., Mont„ N. Mex.,
National Cartographic Infomation Tex„ Utah, and Wyo.
Center
U.S.G.S.
Stop 504, Box 25046 Federal Center
Denver, Co. 80225
Phone No. [phone]
Weslern Mapping Center Ariz„ Calif„ Hawaii, ideho,
National Cartographic Information Nev., Ore-g., Wash., American
Center Samoa, Guam, and Trust
U.S.G.S. Territories
345 Middlefield Road
Menlo Park, Ca, 94025
Phone No. [phone]
Itain XII
Briefly describe the future of your business (e.g., producti produced
or servriiam providedl.
!taut X111
Federal statues provide for severe penalties for submitting false inform-
ation 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 fraudu-
lent statement or entry, shall be fined not more than $10,000 or im-
prisoned not mote than five years, Or both."
Section 303(c)(2) of the Clean Water Act and Section 113(c)(21 of the
Clean Air Act'each provide that "Any person who knowingly makes
any false statement, representation, or certification in any applica-
tion, .. , 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(di(3) of the Resource Conservation and Re-
covery 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 state-
ment 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.

SECTION C -- ACTIVITIES WHICH DO NOT REQUIRE PERMI
I. hLtional Pollutant Discharge Elimination System Permits Under
the Clean Water Act, You are not required to obtain an 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—f25J. However, under Section 510 of CWA a discharge ex-
empted from the federal NPDES requirements may still be regulated
by a State authority: contact your State environmental agency to de.
termine whether you need a State permit.
A. DISCHARGES FROM VESSELS. Discharges of sewage from ves.
sels, effluent from properly functioning marine engines, laundry,
shower, end galley sink wastes, and any other discharge incidental to
the normal operation of a vesset do not require NPDES permits.
However, discharges of rubbish, trash, garbage, or other such mater-
ials 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 facillty, 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 de-
velopment.
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
(POTW). The introduction of sewage, industrial wastes, or other pol-
lutants 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 rreatrnent works do not
have to apply for or obter'n NPDES permits except as otherwise re-
quired by the EPA Regional Administrator. The owner or operator
of the treatment works itself, however, must apply for a permit and
identify ail users in its applicarioq. Users so identified will receive
public notice of actions taken on the permir for the treatment works.)
D. DISCHARGES FROM AGRICULTURAL AND SILVICULTUR-
AL ACTIVITIES. Most discharges from agricultural and silvicultural
activities to waters of the United States do not require NPDES per-
mits. 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 forrize curolfr.J
3. Discharges associated with approved Aquacutiure Projects.
4• Discharges from Silvicultural Point Sources. (See Glossary for
the definition of "rilvicultvral point source." it Nonpoint source
silvicultural activities are excluded from NPDES permit requiie-
menus. 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 CO
ORDINATOR'S INSTRUCTIONS.
1 5
11, Hip.rdous Waste Permits Under the Resource Conservation end
Recovery Act You may be excluded from the requirement to obtain
a permit under this program if you tell into one of the following
categories:
Generators who accumulate their own hazardous waste on —site for
less than 90 days as provided in 40 CF R 262.341
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 de-
fined in 40 CFR 260.10.
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.
Ill. Underground Injection Control Post to Under the Soft 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 hydrorrarbons (note, however, dear these underground ln/ecc
does era neyula0rd bsl" Fodwasf rules): or
Inject into or ab4mm a stratum which contains, within 1l4 mile of the
well bore, an underground source of drinking water (unlaw your In-
'ecdoes 1s dw type ldarrdRad In item Ii•H, for which you do need a
permit). However, you must notify EPA of your injection and submit
certain no4uired Information on forms supplied by the Agency, end
your operation may he phased out if you are a generator of hazardous
wastes or a hazardou: waste rnanagernent facility which uses wells
or septic tanks to dispose of hazardous wasta.
IV. Prrrvarttion of Significant Deterioration Permits Under the Clean
Air Act- The PSD program applies to newly constructed or modified
facilities fboelr of which are referred to as "now sources"I which in-
crease air emissions. The Clean Air Act Amendments of 1977 exclude
email new sources of air emissions from the PSD review program. Any
now source in an industrial category, listed In Table 3 of these instruc-
tions whose potential to emit is less than 100 tons per Veer is not te-
quired 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 PSO requirements.
Modified sources which increase their net emissions (the difference
between the total emission increases and rate/ emission decrVases at
Me source) lest than the significant amount set forth in EPA regulations
are also exempt from PSD requirements. Contact your EPA Regional
office (Table I) for further information.

SECTION D — GLOSSARY
NOTE: This Glossary includes terms used in the instructions and in Forms 1; 26, 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 oorlceming 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 or facility (other than
an aquatic animal production faciliryl where the following conditions
are mat:
A. Animals (ocher than *quo tic -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, vegetatlon, forage growth, or post —harvest residues are not
sttstalned in the normal growing reason over any portion of the lot
or fwJllty.
Two or more animal feeding operations under common ownership
are a dingle animal feuding operation if they adjoin each other or if
they use a Commion arse or system for the disposal of wastes.
ANIMAL UNIT meane a unit of measurement for any animal feeding
opersitbn Cslcu4nW by adding the following numbers: The number of
siattgfirm and feeder cattle multiplied by 1-0; Plus the number of me -
Wrist dicey cattle multiplied by I A: Plus the number of swine weighing
over 25 kllogsw (a Vmxk m1y 66pouniiftl multiplied by 0.4; Plus
tM number of sheep mutiplied by 0.1; Plus the number of horses
multiplied by 2.0.
APPLICATION means the EPA standard national forms for applying
for a parmk, 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 meant that part of the Consolidated Permit
Application forms which a RCRA permit spplicant must complete to
qualify for interim status under Section 3006(e) of RCRA and for con-
sideration for a permit. Part A consists of Form 1 (General lnforrrla
don) and Form 3 (Hazardous Waste Applicathion 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 specific form for Part B of site permit alppli-
cation, but are instruction booklet explaining what information must be
mppliad Is available from the EPA Regional oHiced
APPROVED PROGRAM or APPROVED STATE means a State pro-
gram which has been approved or authorized by EPA under 40 CFR
Pert 123.
AQUACULTURE PROJECT means a defined managed water area
which uses discharges of pollutants into that designated area for the
maintenance. or production of harvettable freshwater, estuarine, or
marine plants or animals. "Designated area" means the portions of the
waters of the United States within which the applicant plans to con-
fine the cultivated species, using a method of plan or operation linclud.
ing, but not limited to, physical confinemenrl 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.
1-6
AREA PERMIT means a UIC permit applicable to all or certain wells
within a geographic area, rather then 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 monox-
ide, ozone, lead, and hydrocarbons. For purposes of the Glossary,
"artainrrsent area" also refers to "undassifiable area," which means,
for any pollutants, an area designated under Section 107 as unclassi-
fiable with respect to that pollutant due to insufficient information.
BEST MANAGEMENT PRACTICES (BMP) means schedules of activi-
ties, prohibitions of practices, maintenance procedures, and other man-
agement practices to prevent or reduce the pollution of waters of the
United States. BMP's include treatment requirements, operation proce-
dures, 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 manure
acute or chronic toxicity, and any biological or chemical measure of
bioatxumulation.
BYPASS meant the intentional diversion of wastes from any any por-
tion of a treatment facility.
CONCENTRATED ANIMAL FEEDING OPERATION means an animal
feeding operation which meets the criteria set forth in either 1A) or (Bl
Wow 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 follow-
ing categories are confined:
1. 1,000 slaughter or feeder cattle,
2. 700 mature dairy cattle (whether milked or dry cows),
3. 2.500 swine each weighing over 25 kilograms (approximately
SS pounds),
4.500 horses,
5, 70,000 sheep or Iambs,
6. 55,000 turkeys.
7. 100,000 laying hens or broilers (if the facility has a continuous
overflow watering),
B. 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 con-
fined-
1. 300 slaughter or feedef cattle.
2. 200 mature dairy cattle (whether milked or dry cowO,
3. 750 swine each weighing over 25 kilograms faPproaimarely 55
pounds),
4 150 horses.

* • &TION D -GLOSSARY
CONCENTRATED ANIMAL FEEDING OPERATION (continued)
5. 3,DD0 sheep or Iambs,
6. 16,500 turkeys,
7. 30,000 laying hens or broilers (if the facility has contine sus
overflow watering),
& 9 D00 laying hens or broilers (if the facility has a liquid manure
handling systeml,
9. 1,500 ducks, or
10. 300 animal units; AND
Either one of the following conditions are met: Pollutants are dis-
charged into waters of the United States through a manmade ditch,
flushing system or other similar manmade device ("mrtmade"
means constructed by man and used for the purpose of transporting
wastes]; or Pollutants are discharged directly into waters of the
Unitas 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 concen-
trated animal feeding operation as defined above if such animal
feeding operation discharges only in the event of a 26 year, 24 hour
storm event.
CONCENTRATED AQUATIC ANIMAL PRODUCTION FACILITY
means a hatchery, fish farm, or other facility wNch contains, grows or
holds aquatic animals In either of the following categories, or which the
Director designates as such an a case —by —case bells:
A. Cold water fish species or other cold water aquatic animals includ-
ing, but not limited to, the Salmonidee family of fish (e 9., trout and
salmon) in ponds, raceways or other simllw structures which dis•
charge at least 30 days per year but does not include:
1. Facilities 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
6,000 pounds) of food during tale calendar month of maximum
feeding"
B. Warm water fish species or other warm water aquatic animals
including, but not limited to, the Ameiuridae, Cetrarc3hidee, and
CYprinidae families of fish (e.g., respectively, catfish, sunfish, and
minnows) in ponds, raceways, or other similar structures which dis-
charge at least 30 days per year, but does not include:
1. Closed ponds which discharge only during periods of excels run-
off; or
2. Facilities which produce less than 45,454 harvest weight kito-
grams (approximately 100,000 pounds] of aquatic animals per year.
CONTACT COOLING WATER means water used to reduce tempera-
ture which comes into contact with a raw material, intermediate pro-
duct, waste product other than heat, or finished product.
CONTAINER 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 er seQ,
DIKE means any embankment or ridge of either natural or manmade
materials used to prevent she rnpvement of liquids, sludges, solids, or
other materials.
DIRECT DISCHARGF_ rne,Ins ir,e (j,sCh;trgf of a pollutant as defined
belp-
1-7
DIRECTOR means the EPA Regional Administrator or the State Di.
rector as the context requires.
DISCHARGE (OF A POLLUTANT) 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 sx combination of pollutants to the
waters of the contiguous tone of the ocean from any point source
other then a vessel or other floating Craft which is being used as ■
means of transportation,
This definition includes discharges into waters of the United States
from: Surface runoff which is collected or channelled by men; Dis-
charges through pipes, sewers, or other conveyances owned by a State,
municipality, or other person which do not lead to POTW's; and Dis-
charges through pipes, sewers, or other conveyances, leading Into
privately owned treatment works. This term does not include an ad-
dition of pollutants by any indirect discharger.
DISPOSAL (in the RCRA program) means the discharge, f!eposit, in-
jection, dumping, spilling, Waking, or placing of any hazardous waste
into or on any lend or water so that the hazardous tussle or any COnitit-
uent of it may enter the environment or be amltted 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 vrill remain after closure.
EFFLUENT LIMITATION means any restriction Imposed by the
Director on quantities, discharge rates, grid concentrations of pollu-
tants which are discharged from point a0urses Into waters of the
United States, the waters of the continguous zone, or the ocean.
EFFLUENT LIMITATION GUIDELINE means Is regulation published
by the Administrator under Section 304ib) of the Clean Water Act to
adopt or revise effluent limitations.
•
ENVIRONMENTAL PROTECTION AGENCY (EPA) means the
United Staten 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 that meets the
criteria in the definition of USDW, but which has been exempted ac-
cording 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 com-
menced, on or before October 21, 1976. Construction had commenced
if IA) the owner or operator had obtained all necessary Federal. State,
and local preconstruction approvals or permits, and either IBi) a con-
tinuous on —site, physical construction program had begun, or 1821
the owner or operator had entered into contractual obligations, which
could not be cancelled or modified without substantial loss, for con-
struction of the facility to be completed within a reasonable time.
(NOTE: This definition reflects the Wirral language of the statufe.
However, EPA believes that amendments to RCRA now in conference
will shortly be enacted and will change the dare for determining when
a facility, is an "existing facility" to one no earlier then 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 promulgallon data Of
the RCRA program regulations to file Parr A Ot its permit application
so that it can be quickly processed for interim s ratul when the change
in the law takes ettecr. When those amendmenrs are enacted. EPA will
amend this debnirion.)
EXISTING SOURCE or EXISTING DISCHARGER (in the NPOES
program) means any source which is not a new source or a new dis-
Charger_

0 • STIOfN D — GLOSSARY (sonfinu.00 0
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 lend 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 pro— ss 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 .2v-4 of the matadors to Form
1C)
HAZARDOUS WASTE means a hazardous waste as defined in 40 CFR
Section 261.3 published May 19, 1980.
HAZARDOUS WASTE MANAGEMENT FACILITY IHWYA faeilityl
means all contiguous land, structures, appurtenances, and improve-
ments on the land, used for treating, storing, or disposing of hazardom
wastes. A facility may consist of several treatment, trtorege, or dittpe®1
operational units (for example, one or more landfills, surface impound-
ments, 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 9
using controlled flame combustion, the primary purpose of which is to
thermally break down hazardous wane. Examples of Incinerators are
rotary kiln, fluidized bed, and liquid injection incinerators.
INDIRECT DISCHARGER means a nondomestic discharger introduc-
ing 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(ci of RCRA and applicable requirements of 40 CFR Pert 123.
Subparts A. B. and F.
LANDFILL means a disposal facility or part of a facility where hazard-
ous 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 programl 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 SOWA as needing a State UIC program.
MGD means millions of gallons per day.
MUNICIPALITY means a city, viflage, town, borough, county, parish,
district. association, or other pubtic body created by or under State
law and having jurisdiction over disposal of sewage" industrial wastes,
or other wastes- or an Indian vibe or a,i authorized Indian tribal organ-
isation, 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 instal.
Cation: (AI 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 dis-
charged pollutants; (B) Which has never received a finaliy effective
NPDES permit for discharges at that site; and (C) Which is not a "new
source This definition includes an indirect discharger which com-
mences 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
Onober 21. 1976.
NEW INJECTION WELL means a well which begins injection after a
UIC program for the State in which the watt is located is approved.
NEW SOURCE fin the NPDESprogram) 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,mndards 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 some or geographically contiguous property
which may be divided by public or private right(rl—of—way, provided
the entrance and exit between the properties is at a cross—roads inter-
section, and access is by crossing as opposed to going along, the
right(sl—of—way. Non—contiguous properties owned by the same per-
son, 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 time and mixing for complete com-
bustion; and
C. Control of emission of the gaseous combustion products
(See also 'incinerafor "and 'thermal rreatmenr").
OPERATOR means the person responsible to, the overau operation
of a facility.
OUTFALL means a point source.
OWNER means the person who owns d fauhly Or u•rrt Of d iaClhl�

E
ON D - GLOSSARY f'conrinued)�
PERMIT means an authorization, license, or equivalent control docu-
mant issued by EPA or an approved State to implement the require-
ments; of 40 CFR Para 127, 123, and 124.
PHYSICAL CONSTRUCTION fin the RCRA program) means excava-
tion, movement of earth, erection of forms or structures, or similar
activity to prepare a HWM facility to accept hazardous waste.
PILE means any noncontainerized accumulation of solid, nonflowing
hazardous waste that is used for treatment or storage,
POINT SOURCE microns any discernible, confined, and discrete convey-
ance, including but not, limited to any pipe, ditch, channel, tunnel,
conduit, well, discrete fissure, container, rolling stock, foncantrrted
animal feeding operation, vessel or other floating craft from which pol-
lutants are or may be discharged. This term does not include return
flows from irrigated agriculture.
POLLUTANT means dredged spoil, solid waste, incinerator residue,
filter bockwash, sewage, garbage, sewage studge,•munitions. chemical
trtraste, biological matat-Wif, radioactive materiels (except those FeWisttsd
under the Atomic Energy Act of 1954, as amended 142 U.SG Section
2011 ar afhgJJ, hest, wracked or discerded equipment, rocks, sand,
Cellar dirt and industrial, municipal, and agriculture watste discharged
Into water, It does not mean:
A. Sewage from vassals; or
B. Water, gas, or other material which is injected into a well to facili-
late production of oil or gas, or water derived in association with oil
and gas -production and disposed of In a well, if the well used ashler
10 facilitate production or for disposal purposes is opprovted by
authority of the State In which the well is located, and if the State
determines that the injection or disposal will not result In the degrade -
lion of ground or surface water resources.
(NOTE: Radioactive materials covered by the Atomic Energy Act arc
chase encompassed in its definition of source, byproduct or special
nuclear materislL Examples of materials not covered include radium
and accelerator prockrced Jsotopex See Train v. Colorado Public
Interest Research Group, Inc, 426 U.S 1 [19761.)
PREVENTION OF SIGNIFICANT DETERIORATION (PSDJ rnaans
the notional permitting program under 40 CFR 52.21 to prevent emis-
sions of certain pollutants regulated under the Clean Air Act from signi•
ficantly deteriorating air quality in attainment areas.
PRIMARY INDUSTRY CATEGORY means any industry category list-
ed in the NRDC Settlement Agreement (Nerural Resources Defense
Council v. Train, 8 ERC 2120 (D. D. C 19761, modified 12 ERC 1833
/D. D.C. 19791).
PRIVATELY OWNED TREATMENT WORKS means any device or
system which is'. (A) Used to treat wastes from any facility whose
operator 4 not the operator of the treatment works; and (B) Not a
POTW.
PROCESS WASTEWATER means any water which, during manufactur-
ing or processing, comes into direct contact with or results from the
production or use of any raw material, intermediate product, finished
product, byproduct, or waste product -
PUBLICLY OWNED TREATMENT WORKS or POTW means any de-
vice or system used in the treatment !including recycling end reclamr
Lion) of municipal sewage or industrial wastes of a liquid nature'which
is owned by a State or municipality, This definition includes any sew•
efs, pipes, or other conveyances only rt they convey wastewater to a
POTW providing treatment.
RENT means use of anwher's property in return for regular payment,
RCRA means the Solid Waste Disposal Act as amended by the Resource
Conse•vat.on ages Heco�ery Act of 197E )Pub L. 94--580. as amended
by Pu,7 L. 95-609. 47 U S C Sf coorr 690, et sea )
1-9
ROCK CRUSHING AND GRAVEL WASHING FACILITIES ore facil.
ities which process crushed and broken stone, gravel, and riprop (see
40 CFR Part 436, Subpart 6, and the eN/uen( limitations guidelines
for these facilities).
SDWA means the Safe Drinking Water Act (Pub. L 95-523, as Amend.
ed by Pub, t- 95--1900, 42 U.SC Section 300(f] at seq.).
SECONDARY INDUSTRY CATEGORY means any industry category
which is not a primary industry category.
SEWAGE FROM VESSELS means human body wastes and the wastes
from tiolets and other receptacles intended to receive or retain body
wastes that are discharged from vessels and regulated under Section 312
of CWA, except that with respect to commercial vessels on the Great
Lakes this term includes graywater. For the purposes of this definition,
"graywater- means galley, both, and shower water,
SEWAGE SLUDGE means the solids, residues, and precipitate separat-
ed from or created in sewage by the unit processes of a POTW. "Saw,
age" as used in this definition means any wastes, including wastes from
humans, households, commercial establishments, industries, and storm
water runoff, that are discharged to or otherwise enter a publicly
owned treatment works,
SILVICULTURAL POINT SOURCE means any discernable, confined,
and discrete gottvayartoa related to rock crushing, gravel washing, log
sorting, of lop in egg facilities which are operated in connection with
silvlcultural attivttlet, and from which pollutants are discharged into
waters of the United States. This term does not include nonpoint
source silvlcylturef activitles such as nursery operations, site prepere-
lion, mforeststlon and subsequent cultural trornment, thinning, pro-
scribed burning, past and fire control, harvatting operations, surfaCe
drainage, or road construction and maintenance from which there is
natural runoff. Nowever, some of theca activities (such as stream crow-
ing for roads) may involve point source discharQet of dredged or fill
material which may require a CWA Section 404 permit. "Log sorting
and log storage facllltles" are facilities whore dischargat result from the
holding of unprocerued wood, a g., logs or roundwood with bark or
after removal of b, rk In self --contained bodies of water (mill pondt or
log porsdsJ or stored on land where water is applied intentionally on
the logs (wet decking). (See 40 CFR Pan 429, Subpart A and the efflu-
ent limitations guidelines for those facilities.)
STATE meant any of the 50 States, the District of Columbia, Guam,
the Commonwealth of Puerto Rico, the Virgin Islands, American
Sarihoa, the Trust Territory of the Pacific Islands (except in the caw of
RCRAJ, and the Commonwealth of the Northern Mariana islands
(except In the care of CWA),
STATIONARY SOURCE (in the PSD program) means any building,
structure, facility, or installation which emits or may emit any air pol-
lutant regulated under the Clean Air Act. "Building, structure, facility,
or installation' meant ony grouping of pollutant -emitting activities
which are located on one or more contiguous or adjacent properties
and which are owned or operated by the same person (or by persons
under common control).
STORAGE (in tee RCRA programJ means the holding of hazardous
waste for a temporary period at the end of which the hazardous waste
is treated, disposed, or stored elsewhere.
STORM WATER RUNOFF means water discharged as a result of rain,
snow, or other precipitation.
SURFACE IMPOUNDMENT or IMPOUNDMENT means a facility or
part of a facility which is a natural topographic depression, manmade
excavation, or diked area formed primarily of earthen materials (al-
though it may be lined wirh manmade materials), which is designed to
hold an accumulation of liquid wastes or wastes containing free liquids,
and which is not an injection well. Examples of surface impoundments
are holding, storage, settling, and aeration pits, ponds, and lagoons,
TANK tin the RCRA program) means a stationary device, designed to
contain an accumulation of hazardous waste which is constructed pre-
rnarily of non --earthen materials le_p. wood concrere, sreel, plastic)
which provide structural support

0 O.TION D - GLOSSARY (conrinuA 0 0
a
THERMAL_ TREATMENT (in Me RCRA prpgrarn) means the treat-
ment of hazardous waste in a device which uses elevated temperature as
the primary meant to change the chemical, physical, or biological char-
acter 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 burning").
TOTALLY ENCLOSED TREATMENT FACILITY (in the RCRA pro•
groml means a facility for the treatment of hazardous waste which is di-
rectly connected to an industrial production process and which is con-
structed and operated in a manner which prevents the release of any
hazardous waste or any constituent thereof into the environment dur-
ing treatment. An example is a pipe in which waste acid is neutralized.
TOXIC POLLUTANT means any pollutant listed as toxic under Section
3071s)(1) of CWA.
TRANSPORTER (in the RCRA program; means a person engaged in
the off —site transportation of hazardous waste by air, rail, highway, or
water.
TREATMENT fin rho 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 ma-
terial resources from the waste, or so as to render such waste non —haz-
ardous, or less hazardous; safer to transport, store, or dispose of; or
amenable for recovery, amenable for aorage, or reduced in volume,
UNDERGROUND INJECTION mums well injection.
UNDERGROUND SOURCE OF DRINKING WATER or USDW means
at. aquifer or its portion which is not an exempted aquifer and:
A. Which supplies drinkirm-water for human consumption; or
B. In which the ground water contains fewer then 10,000 mg/1 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 operationsE error, improperly designed treatment facilities,
inadequate treatment facilities, lack of preventive maintenance, or care-
less or improper operation.
WATERS OF THE UNITED STATES means:
A. Ali waters which ere 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 o1 the tide;
B. All interstate waters, including interstate wetlands:
C. All other waters such as intrastate lakes, rivers, streams (including
interminent streamsl, mudfiats, sandflats, wetlands, sloughs, prairie
potholes, wet meadows, playa takes, 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 in.
dustries 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;
F. The territorial see; and
G. Wetlands adjacent to waters (other than waters chat are themselves
"dandy) identified in paragraphs (A) — (F) of this definition.
Waste treatment systems, including treatment ponds or lagoons design-
ed to meat requirement of CWA (ocher than cooling ponds as defined
In 40 CFR Section 423.11(m) whieh also meet the t:rittldfa 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 o adends) nor
resulted from the impoundments of waters of the United States.
WELL INJECTION or UNDERGROUND INJECTION means the sub-
surface emplacement of fluids through a bored, drilled, or driven well;
or through a dug welt, where the depth of the dug well is greeter 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 sup -
Port, and that under normal circumstances do support, a prevalence of
vegetation typically adopted for life in saturated soil conditions. Wet-
lands generally include swamps, marches, bogs, and similar areas.

OS Number (copy from Item I of Form 1) Approval �PProved. OMB al p5086
Please print or type in,the unshaded areas only Cj� o00 $30 73 7 expines ires .31-92
Form
2F
NPDES
United States Environmental Protection Agency
Washington, DC 20460
�E Application for Permit To Discharge Stormwater
:PA�� Discharges Associated with Industrial Activit
Paperwork Reduction Act Notice
Public reporting burden for this application is estimated to average 28.6 hours per application, including time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send
comments regarding the burden estimate, any other aspect of this collection of information, or suggestions for improving this form, including
suggestions which may increase or reduce this burden to: Chief, Information Policy Branch, PM-223, U.S. Environmental Protection Agency,
401 M St., SW, Washington, DC 20460. or Director, Office of Information and Regulatory Affairs, Office o1 Management and Budget,
Washington, DC 20503.
I. Outfall Location
nor each outfall list the latitude and ton ilude of its location to the nearest 15 seconds and the name of the receivincl water.
A. Outfall Number
list
S. Latitude
C. Lon itude
D. Receiving Water
(name)
r5S �
3s
+�(�
o.,
7Ff
�i'
o •
o�KY B�Aurr�r
I1.Improvements
A. Are you now required by any Federal. State, or local authority to meet any implementation schedule for the construction, upgrading or
operation of wastewater treatment equipment or practices or any other environmental programs which may affect the discharges
described in this application? This includes, but is not limited to, permit conditions, administrative or enforcement orders, enforcement
compliance schedule letters, stipulations, court orders, and grant or loan conditions.
1. Identification of Conditions,
Agreements, Etc.
2. Affected Outfalls
3. Brief Description of Project
a. Final
Compliance Date
number
source of discharge
a. req.
b, pro'.
V
- -.)
B. You may attach additional sheets describing any additional water pollution (or other environmental projects which may affect your
discharges) you now have under way or which you plan. indicate whether each program is now under way or planned, and indicate your
actual or planned schedules for construction.
Ill. Site Drainage Map
Attach a site map showing topography (or indicating the outline of drainage areas served by the outlall(s) covered in the application if a
iopograph4c map is unavailable) depicting the facility including. each of its intake and discharge structures; the drainage area of each storm
water outfall; paved areas and buildings within the drainage area of each storm water outlall, each known past or present areas used ter
outdoor storage or disposal of significant materials, each existing structural control measure to reduce pollutants in storm water runoff,
materials loading and access areas, areas where pesticides, herbicides. soil conditioners and fertilizers are applied; each of its hazardous
waste treatment, storage or disposal units (including each area not required to have a RCRA permit which is used for accumulating hazardous
waste under 40 CFR 262.34); each well where fluids from the facility are injected underground; springs, and other surface water bodies �,hich
receive storm water discharges from the facility.
EPA Form 3510-2F (11.90) Page 1 of 3 Continue on Page 2
2F-1

Continued from the Front A
IV, Narrative Description Mt laffcm
A. For each outfall, provide an estimate of the area (include units) of impervious surfaces (including paved areas and building roots) drained
to the outfall, and an estimate of the total surface area drained by the outfall.
Outiall
Area of Impervious Surface
Total Area Drained
Outfali
Area of Impervious Surface
Total Area Drained
Number
(Do2vide-Q12its)
v
r
(grpviUe zjtji
yidenits)
1I 6%
3 1, 6 C C 551Lt.
y 1, 6 CC 5 T. 42t
�
�eStirrr4ted,
B. Provide a narrative description of significant materials that are currently or in the past three years have been treated, stored or disposed in
a manner to allow exposure to storm water; method of treatment, storage, or disposal; past and present materials management practices
employed, in the last three years, to minimize contact by these materials with storm water runoff; materials loading and access areas, and
the location, manner, and frequency in which pesticides, herbicides, soil conditioners, and fertilizers are applied.
r5 n�� ��t,lrt` with m�a�' n�r+ 4r e—ctrdrtres ee/.e% t�o ke� r1I- Dex
�Qe/IVirP
,1uh,S /wastv-
t_t�r]t41r1(�rs o� Wc.StG mKterlwrfs WfII to cl- cc%/Q e k) arLI7i0. E�
(H aNPrr�Pr-r�.ief St°rsL`c�e are4Ls r"s:lc the bKrrf�,•tJr. 5ecuj4:Lrj Cent4l,r�rit�T �S P: o�rx�eci
•�„� a!� rrfe�tr%rey ar�.x� .Q+p�y `r[a' Z.:/.nf�u0s S�a�StanCnk Ca.n b¢- !►'t��eut� ct'r "ire
g�wnel'+�e.��
�aerlrtcj �h:VJed r� IS �roPaf-�7 (cCe/.ti*'rrred and Cortf4l.1�{. A Str'�r�.�trQ CoJacrCr� ilc�K�l
�
fl
I /� r
't. �'� �XPlGS( V/Z 1Y1Kre/!4[S. Theu5r
Wtt� SECrrnetic�r` y/ C,6,Jf4Ii, /,teAt• Wet/ / k%.- KS4d ca.'- SteJ-Ce,!rs
c� Pestrr:-rllcCFS_ l�er41crdil, Seri ct►Tr�rtc•,e<.-S,atrl,zer.s hot a��rcrE�,�ter[
in ThQ 4r�w d4 c�f,a 6y rt615
C. For each outfall, provide the location and a description of existing structural and nonstructural control measures to reduce poilutants in
storm water runoff; and a description of the treatment the storm water receives, including the schedule and type of maintenance for control
ard treatment measures and the ultimateisolid or fluid wastes other than by discharge,
Qut"all
List Codes from
Number
T F•1
lss - 1r. i.uv ask wl �rexicl� rynS� Gagers*rc
ra.IAS PfPV �v Srrrrn S1r <: (j it
IV��n.s�r.�cf,Cr.:.i C�,q�,-UIS: rl�atu.MyF-.-�L�E� oP¢�'a�+-�r•L4 prc.crilCytBS� 4n7rr�I�nCr1J1J0.ndSP�'�
rKvrHTrmr l�:ns [nflvla .cry 4iaf9r Tr�4 wc.1t MSP r`•1 c4 h»2aictas-.Aec;f *I
V. Nonstormwater Discharges
A. I certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the presence of
nonstormwater discharges, and that all nonstormwater discharges from these outfall(s) are identified in either an accompanying Form 2C
r F rm 2Eap2IigajiQn for h If.
N me and Official Title {type or print}
Date Signed
r;ignre
c$cRT 1 Ec Rfel,v.9 �j
-�
NAB--9RPc. s in,-irzez,.'9cs /»,Aw-9d ER
c
B. Provide a description of the method used, the date of any testing, and the onsite�ldrainage points thatwere directly observed during a test
Cc;tS7`i^ci�frali �r`�c.r::ncy� li! r�i C4fC. Crtly I`Gcf dralKSst,ct•( S' �.r-irt c�rz/rts
/�l,s
.try c��yrri_C.7``+/E�''tc �'(/s�En'7 cif c.-�tftill• c�,�r,f;�:��' �s-6�;/r
//Q.r-e
Cl�zs��'..c_7c..e>n �rQw°..c�s re�ct,��•.f u.rc#'f�r �C`�i4��t,-.��r �;rara,.u�.5
r�srt ericd E-i-yy
VI, Significant Leaks or Spills
Provide existing information regarding the history of significant leaks or spills of toxic or hazardous pollutants at the facility in the last three
years,.including theapproximate date and location of the spill or leak, and the type and amount of released.
Cmaterial
lr
NQ�' rf{,CffrtH ti:lt�� � 1CnC..i;�1 Sr9q�T[t4.ti l�A.�s b•� JPfffsr
EPA Form 3510-21F (11.90) Page 2 of 3 Continue on Page 3
2F-2

Number (copy from Item I of Form 1)
Continued from Paqe 2 NcAncv goo 7.37
VII. Dischalg.e 1nLolm 014
A,B,C, & D: See instructions before proceeding. Complete one set of tables for each out -fall. Annotate the outfail number in the space provided.
Tables VII-A, VII-B, and Vtl-C are included on separate sheets numbered VII-1 and VII-2.
E: Potential discharges not covered by analysis - Is any pollutant listed in Table 21 a substance or a component of a substance which you
currently use or manufacture as an intermediate or final product or byproduct?
Yes (fist all such pollutants below No o to Section IX
YlII. Biolonical To�i1�i.�sti�tg..L-a��
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 discharge within the last 3 years?
nYes (list all such pollutants below) No o to Section 1X)
IX. Contract Analysis Infoli
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 No (go to Section )Q
A. Name
B. Address
C. Area Code & Phone No.
D. Pollutants Analyzed
YLCertification
f 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)
B. Area Code and Phone No.
George Worsley, Vice Chancellor, Financeand Business
[phone]
C. Signature
D. Date Signed
June 2, 1994
EPA Form 3510-2F 41.90) / Page 3 of 3
2F-3

Jumper (copy lrnm J;r m r of roan i ®m Approved. OMB No. 2040 OG86
Approval expires 5-31-92
VII. Dischar a Information (Continued from Da e 3 of Form 2F
Part A - You must provide the results of at least one analysis for every pollutant sn tnis table. Complete one table for each outian. See
instructions for additional details.
Maximum Values Average Values
Pollutant I (include units) (include units)
and I Grab Sample Grab Sample
Taken During Taken During
CAS Number Flow -weighted Flow -weighted
Flust 30 First �(1 '
(if avai)able) Minutes Composite Minutes Composite
Number
of
Storm
Events
Sampled
Sources of Pollutants
Oil and Greaseand/L
I
Biological Oxygen
Demand IBOD5)
< 1S L
Chemical Oxygen
Demand (COD)
C
Total Suspended
Solids i;$S1 I
<
Total Kjeldahl
Nitrogen
` to
Nitrate plus
Nitrite Nitro en
/
`rJ dk
Total
Phosphorus
C `
pH '.tin,mum llax,mum Minimum Maximum
Part B - List each pollutant that is limited in an effluent guideline wnicn the tacthty is sublect to or any pollutant listed in the tac+l,ty s NPDES
permit Sot its process wastewater (it the lac,hty is operating under an existing NPDES permit) Complete one table lot each oulfall.
See the tnstructions for ad6tional
Pollutant
and
CAS Number
(if avarlaole)
Maximum Values Average Values
(include units) (include units)
Number
of
Storm
Events
Sampled
Sources of Pollutants
Grab Sample
Taken During
First 30
Minutes
Grab Sample
Flow -weighted Taken During
First 30
Composite Minutes
Flow weighted
Composite
vrt,1' E
I
I
E
I h
�
! i
I
f
!
I
I
I
I
I
I
I
I
I
I
I
I
i
I
I
I
�
I
1
I
I
!
i
I
I
I
l
'
I I
EPA Form 3510-2F (11.90) Page V11-t Continue on Reverse
ZF-4

Contlnue9 from the Front Ank All
Part C - list each pollutant shown i
additional details and recluiremen
-3, and 2F-4 that you know or haver
. Complete one table for each outfall.
s present. See the instructions for
Pollutant
and
CAS Number
(it available)
Maximum Values
(include units)
Average Values
(include units)
Number
of
Storm
Events
Sampled
Sources of Pollutants
Grab SamQla
Taken Dunn'
First 30
Minutes
Flaw -weighted
Composite
Grab Sample
Taken During
First 30
Minutes
Flow -weighted
Composite
�Nc
Part D - Provide data for the storm events which resulted in the maximum values for the flow weighted composite sample.
7.
Date of
Storm
Event
2.
Duration
of Storm
in minutes
3.
Total rainfall
during storm event
in inches)
4.
Number of hours between
beginning of storm meas-
ured and end of previous
measurable rain event
5.
Maximum floe rate
during rain event
(gallons/minute or
specify units
6.
Total flow from
rain event
(gallons or
s1pecify units
7.
Season
sample was
taken
8.
Form of
Precip;tation
(rainfall,
snowmelt)
9. Provide a description of the method of flow
measurement or estimate.
}
crN corm aaru-[r t71-yU) Page Vil-2
2F-J

0*i nstructions. - Form 2F* **
Application for Permit to Discharge Storm Water
Associated with Industrial Activity
Who Must File Form 2F
Form 2F must be completed by operators of facilities which discharge storm water associated Jth industrial
activity or by operators of storm water discharges that EPA is evaluating for designation as a significant
contributor of pollutants to waters of the United States, or as contributing to a violation of a eater quality
standard.
Operators of discharges which are composed entirely of storm water must complete Form 2F (EPA Form
3510-2F) in conjunction with Form 1 (EPA Form 3510-1).
Operators of discharges of storm water which are combined with process wastewater (process wastewater
is water that comes into direct contact with or results from the production or use of any raw material, interme-
diate product, finished product, byproduct, waste product, or wastewater) must complete and submit Form
2F, Form 1, and Form 2C (EPA Form 3510.2C).
Operators of discharges of storm water which are combined with nonprocess wastewater (nonprocess
wastewater includes noncontact cooling water and sanitary wastes which are not regulated by effluent guide-
lines or a new source performance standard, except discharges by educational, medical, or commercial
chemical laboratories) must complete Form 1, Form 2F, and Form 2E (EPA Form 3510-2E).
Operators of new sources or new discharges of storm water associated with industrial activity which will be
combined with other nonstormwater new sources or new discharges must submit Form 1, Form 2F, and
Form 2D (EPA Form 3510-2D).
Where to File Applications
The application forms should be sent to the EPA Regional Office which covers the State in which the facility
is located. Form 2F must be used only when applying for permits in States where the NPDES permits
program is administered by EPA. For facilities located in States which are approved to administer the NPDES
permits program, the State environmental agency should be contacted for proper permit application forms
and instructions.
Information on whether a particular program is administered by EPA or by a State agency can be obtained
from your EPA Regional Office. Form 1, Table 1 of the "General Instructions" lists the addresses of EPA
Regional Offices and -the States within the jurisdiction of each Office.
Completeness
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.
Public Availability of Submitted Information
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. Section 4020) of the Clean Water Act requires that all permit
applications will be available to the public. 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, Form 1, or Form 2C you
may claim as confidential, but claims for information which are 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 odd -numbered page of Form 2F. You may copy this
number directly from item I of Form 1 .
EPA Form 3510-2F (11-901 1 - 1
2F-6

Item I � � � � tatitu'doeand
You mayuse the map you provided for item XI of Form 1 to determine t e longitude of each of
your outfalls and the name of the. receiving water.
Item I1-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 the same information.
Item II-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 III
Attach a site map showing topography (or indicating the outline of drainage areas served by the outfalt(s)
covered in the application if a topographic map is unavailable) depicting the facility including:
each of its drainage and discharge structures-,
the drainage area of each storm water outfall;
paved areas and building within the drainage area of each storm water outfall, each known past or
present areas used for outdoor storage or disposal of significant materials, each existing structural con-
trol measure to reduce pollutants in storm water runoff, materials loading and access areas, areas where
pesticides, herbicides, soil conditioners and fertilizers are applied;
each of its hazardous waste treatment, storage or disposal facilities (including each area not required to
have a RCRA permit which is used for accumulating hazardous waste for less than 90 days under 40 CFR
262.34);
each well where fluids from the facility are injected underground; and
springs, and other surface water bodies which receive storm water discharges from the facility;
Item IV -A
For each outfall, provide an estimate of the area drained by the outfall which is covered by impervious
surfaces. For the purpose of this application, impervious surfaces are surfaces where storm water runs off at
rates that are significantly higher than background rates (e.g., predevelopment levels) and include paved
areas, building roofs, parking lots, and roadways, include an estimate of the total area (including all impervi-
ous and pervious areas) drained by each outfall. The site map required under item III can be used to estimate
the total area drained by each outfall.
Item IV-B
Provide a narrative description of significant materials that are currently or in the past three years have been
treated, stored, or disposed in a manner to allow exposure to storm water; method of treatment, storage or
disposal of these materials; past and present materials management practices employed, in the last three
years, to minimize contact by these materials with storm water runoff; materials loading and access areas;
and the location, manner, and frequency in which pesticides, herbicides, soil conditioners, and fertilizers are
applied. Significant materials should be identified by chemical name, form (e.g., powder, liquid, etc.), and
type of container or treatment unit. Indicate any materials treated, stored, or disposed of together, "Signifi-
cant materials" includes, but is not limited to; raw materials; fuels; materials such as solvents, detergents, and
plastic pellets; finished materials such as metallic products; raw materials used in food processing or produc-
tion~; hazardous substances designated under Section 101(14) of CERCLk any chemical the facility is re-
quired to report pursuant to Section 313 of Title Ill of SARA-, fertilizers-, pesticides; and waste products such
as ashes, slag and sludge that have the potential to be released with storm water discharges.
Item IV-C
For each outfall, structural controls include structures which enclose material handling or storage areas.
covering materials, berms, dikes, or diversion ditches around manufacturing, production, storage or treat-
ment units, retention ponds, etc. Nonstructural controls include practices such as spill prevention plans,
employee training, visual inspections, preventive maintenance, and housekeeping measures that are used to
prevent or minimize the potential for releases of pollutants.
EPA Form 3510-2F (11-90) 1 - 2
2F-7

Item V • O 000
Provide a certification that all outfalls that should contain storm water discharges associated with industrial
activity have been tested or evaluated for the presenu of non -storm water discharges which are not covered
by an NPDES permit. Tests for such non -storm water discharges may include smoke tests, fluorometric dye
tests, analysis of accurate schematics, as well as other appropriate tests. Part 8 must include a description
of the method used, the date of any testing, and the onsite drainage points that were directly observed during
a test. All non -storm water discharges must be identified in a Form 2C or Form 2E which must accompany
this application (see beginning of instructions under section titled "Who Must File Form 2F" for a description
of when Form 2C and Form 2E must be submitted).
Item VI
Provide a description of existing information regarding the history of significant leaks or spills of toxic or
hazardous pollutants at the facility in the last three years.
Item VII-A, B, and C
These 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 addressed in Parts 8 and C, if you know or have reason to
know that the pollutant is present in your discharge, you may be required to list the pollutant and test (sample
and analyze) and report the levels of the pollutants in your discharge. For all other pollutants addressed in
Parts B and C, you must list the pollutant if you know or have reason to know that the pollutant is present in
the discharge, and either report quantitative data for the pollutant or briefly describe the reasons the pollutant
is expected to be discharged. (See specific instructions on the form and below for Parts A through C.) Base
your determination that a pollutant is present in or absent from your discharge on your knowledge of your
raw materials, material management practices, maintenance chemicals, history of spills and releases, inter-
mediate and final products and byproducts, and any previous analyses known to you of your effluent or
similar effluent.
A. Sampling; The collection of the samples for the reported analyses should be supervised by a person
experienced in performing sampling of industrial wastewater or storm water discharges. You may con;
tact EPA or your 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 sam-
ples, etc. The time when you sample should be representative, to the extent feasible, of 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 taken during the first 30 minutes (or as soon thereafter as practicable) of the discharge must be
used (you are not required to analyze a flow -weighted composite for these parameters). For all other
pollutants both a grab sample collected during the first 30 minutes (or as soon thereafter as practicable)
of the discharge and a flow -weighted composite sample must be analyzed. 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.
All samples shall be collected from the discharge resulting from a storm event that is greater than 0. t
inches and at least 72 hours from the previously measurable (greater than 0.1 inch rainfall) storm event.
Where feasible, the variance in the duration of the event and the total rainfall of the event should not
exceed 50 percent from the average or median rainfall event in that area.
A grab sample shall be taken during the first thirty minutes of the discharge (or as soon thereafter as
practicable), and a flow -weighted composite shall he taken for the entire event or for the first three hours
of the event.
Grab and composite samples are defined as follows:
EPA Form 3510-2F (11-90) 1 - 3
2F-8

Grab sample: An i ple of at least 100 milliliters coilthe first thirty minutes
(or as soon thereafter as ac able) of the discharge. This same t e alyzed separately from
the composite sample.
Flow -Weighted Composite sample: A flow -weighted composite sample may be taken with a con-
tinuous sampler that proportions the amount of sample collected with the flow rate or as a combina-
tion of a minimum of three sample aliquots taken in each hour of discharge for the entire event or for
the first three hours of the event, with each aliquot being at least 100 milliliters and collected with a
minimum period of fifteen minutes between aliquot collections. The composite must be flow propor-
tional; either the time interval between each aliquot or the volume of each aliquot must be propor-
tional to either the stream flow at the time of sampling or the total stream flow since the collection of
the previous aliquot. Aliquots may be collected manually or automatically. Where GC/MS Volatile
Organic Analysis (VOA) is required, aliquots must be combined in the laboratory immediately before
analysis. Only one analysis for the composite sample is required.
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 produc-
tion level, changes in raw materials, processes, or final products, and changes in storm water 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 they determine it to be
necessary to assess your discharges. The Director may allow or establish appropriate site -specific sam-
pling procedures or requirements, including sampling locations, the season in which the sampling takes
place, the minimum duration between the previous measurable storm event and the storm event sam-
pled, the minimum or maximum level of precipitation required for an appropriate storm event, the form
of precipitation sampled (snow melt or rainfall), protocols for collecting samples under 40 CFR Part 136,
and additional time for submitting data on a case -by -case basis.
B. 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 V11-1 and V11-2 if the
separate sheets contain all the required information in a format which is consistent with pages Vil-1 and
VII-2 in spacing and in identification of pollutants and columns. Use the following abbreviations in the
columns headed "Units."
Concentration
Mass
ppm
parts per million
Ibs
pounds
mg/1
milligrams per liter
ton
tons (English tons)
ppb
parts per billion
mg
milligrams
ug/1
micrograms per liter
g
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, vafent, 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 pprmitting authority has determined that in establishing case -by -case limitations it is neces-
sary to express the limitations on the metal in dissolved, valent, or total form to carry out the provi.
sions of the CWA. If you measure only one grab sample and one flow -weighted composite sample
for a given outfall, complete only the "Maximum Values' columns and insert .1" into the "Number of
Storm Events Sampled- column. The permitting authority may require you to conduct additional
analyses to further characterize your discharges.
EPA Form 3510.2F (11-90) 1 - 4
2F-9

If you measure more0n*e*e for a grab sample or a flow-woeoAsite sample fora given -
outfall and those values are representative of your discharge, 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 mass under the "Average Values" columns, and the total number
of storm events sampled under the "Number of Storm Events Sampled" columns.
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 analyze only one outfall and
submit the results of the analysis for other substantially identical outfalls. If your request is granted by the
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 outfall which
you did test.
Part VII-A
Part VII-A must be completed by all applicants for all outfalls who must complete Form 2F.
Analyze a grab sample collected during the first thirty minutes (or as soon thereafter as practicable) of the
discharge and flow -weighted composite samples for all pollutants in this Part, and report the results except
use only grab samples for pH and oil and grease. See discussion in General Instructions to item VII for
definitions of grab sample collected during the first thirty minutes of discharge and flow -weighted composite
sample. The "Average Values" column is not compulsory but should be filled out if data are available.
Part VII-B
List all pollutants that are limited in an effluent guideline which the facility is subject to (see 40 CFR Subchap-
ter N to determine which pollutants are limited in effluent guidelines) or any pollutant listed in the facility's
NPDES permit for its process wastewater (if the facility is operating under an existing NPDES permit). Com-
plete one table for each outfall, See discussion in General instructions to item VII for definitions of grab
sample collected during the first thirty minutes (or as soon thereafter as practicable) of discharge and flow -
weighted composite sample. The "Average Values' column is not compulsory but should be filled out if data
are available.
Analyze a grab sample collected during the first thirty minutes of the discharge and flow -weighted composite
samples for all pollutants in this Part, and report the results, except as provided in the General Instructions.
Part VII-C
Part VII-C must be completed by all applicants for all outfalls which discharge storm water associated with
industrial activity, or that EPA is evaluating for designation as a significant contributor of pollutants to waters
of the United States, or as contributing to a violation of a water quality standard. Use both a grab sample and
a composite sample for all pollutants you analyze for in this part except use grab samples for residual chlorine
and fecal coliform. The "Average Values" column is not compulsory but should be filled out if data are
available. Part C requires you to address the pollutants in Table 2F-2, 2F-3, and 2F-4 for each outfall. Pollu-
tants in each of these Tables are addressed differently.
Table 2F-2: For each outfall, list all pollutants in Table 2F-2 that you know or have reason to believe are
discharged (except pollutants previously listed in Part VII-B). If a pollutant is limited in an effluent guideline
limitation which the facility is subject to (e.g., use of TSS as an indicator to control the discharge of iron and
aluminum), the pollutant should be listed in Para VII-B. If a pollutant in table 2F-2 is indirectly limited by an
effluent guideline limitation through an indicator, you must analyze for it and report data in Part VII-C. For
other pollutants listed in Table 2F-2 (those not limited directly or indirectly by an effluent limitation guideline),
that you know or have reason to believe are discharges, you must either report quantitative data or briefly
describe the reasons the pollutant is expected to be discharged.
Table 2F-3: For each outfall, list all pollutants in Table 2F-3 that you know or have reason to believe are
discharged. For every pollutant in Table 2F•3 expected to be discharged in concentrations of 10 ppb or
greater, you must submit quantitative data. For acrolein, acrylonitrile, 2A dinitrophenol, and 2-methyl-4,6
dinitrophenol, you must submit quantitative data if any of these four pollutants is expected to be discharged
EPA Form 3510-2F (11-90) 1 - 5
2F-10

in concentrations of 100 pOo* For every pollutant expected to&** in concentrations less
than 10 ppb (or 100 ppb for the four pollutants listed above), then you must either submit quantitative data
or briefly describe the reasons the pollutant is expected to be discharged.
Small Business Exemption - if you are a "small business," you are exempt from the reporting requirements
for the organic toxic pollutants listed in Table 2F-3. There are two ways in which you can qualify as a "small
business". If your facility is a coal mine, and H 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 esti-
mated total production under 30 CFR 795.14(c)) instead of conducting analyses for the organic toxic pollu-
tants. 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 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 Ac-
counts of the United States (Department of Commerce, Bureau of Economic Analysis).
Table 2>~-4: For each outfall, list any pollutant in Table 2174 that you know or believe to be present in the
discharge and explain why you believe it to be present. No analysis is required, but if you have analytical
data, you must report them. Note: Under 40 CFR 1 t 7.12(a)(2), certain discharges of hazardous substances
(listed at 40 CFR 177.21 or 40 CFR 302.4) 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 NPDES 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 addi-
tional 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 dis-
charge;
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 (fable 1 on Form 1, Instructions), for further information on exclusions from section 311.
Part Vti-D
If sampling is conducted during more than one storm event, you only need to report the information re-
quested in Part VII-D for the storm event(s) which resulted in any maximum pollutant concentration reported
in Part VII-A, VII-B, or VII-C.
Provide flow measurements or estimates of the flow rate, and the total amount of discharge for the storm
event(s) sampled, the method of flow measurement, or estimation. Provide the data and duration of the storm
event(s) sampled, rainfall measurements, or estimates of the storm event which generated the sampled runoff
and the duration between the storm event sampled and the end of the previous measurable (greater than 0.1
inch rainfall) storm event.
Part VII-E
List any toxic pollutant listed in Tables 2F-2, 217-3, or 2F-4 which you currently use or manufacture as an
intermediate or final product or byproduct. In addition, if you know or have reason to believe that 2,3,7,8-te-
trachlorodibenzo-p-dioxin (TCDD) is discharged or if you use or manufacture 2.4,5-trichlorophenoxy acetic
EPA Form 3510-2F (11-90) 1-6
2F-11

acid (2,4,5,-T); 2-(2,4,5-tJ***y) propanoic acid (Silvex, 2,4,5,* to—Otrichlorophenoxy) ethyl
2,2-dichloropropionate (Erbon); O,O-dimethyl 0-(2,4,5-trichlorphenyl) phosphorothioate (Ronnel); 2,4,5-
trichlorophenol (TCP); or hexachlorophene (HCP); then list TCDD. The Director may waive or modify the
requirement if you demonstrate that 4 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 V111
Self explanatory. The permitting authority may ask you to provide additional details after your application is
received.
Item X
The Clean Water Act provides for severe penalties for submitting false information on this application form.
Section 309(c)(4) of the Clean Water Act provides that "Any person who knowingly makes any false material
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 2 years, or by both. If a conviction of such
person is for a violation committed after a first conviction of such person under this paragraph, punishment
shall be by a fine of not more than $20,000 per day of violation, or by imprisonment of not more than 4 years,
or by both." 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 (ii) 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 as-
signed 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)(ii) 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).
EPA Form 3510-2F (11-90) 1 - 7
2F-12

Table 2F-1
e • 0
Codes for Treatment Units
Physical Treatment Processes
1-A
Arnmo6ia Stripping
1-M
Grit removal
1.B
Dialysis
1-N
Microstraining
1-C
Diatomaceous Earth Filtration
1-0
Mixing
1-D
Distillation
1-P
Moving Bed Filters
1-E
Electiodialysis
t-O
Multimedia Filtration
t-F
Evaporation
i-R
Rapid Sand Filtration
1-G
Flocculation
1-S
Reverse Osmosis (Hype riiltra6on)
1-H
Flotation
IJ
Screening
1-1
Foam Fractionation
1-U
Sedimentation (Setting
1-J
Freezing
1-V
Slow Sand Filtration
1-K
Gas -Phase Separation
1-W
Solvent Extraction
1-L
Grinding (Comminutors)
1-X
Sorption
Chemical Treatment Processes
2-A
Carbon Adsorotion
2-G
Disinfection (Ozone)
2-13
Chemical Oxidation
2-H
Disinfection (Other)
2-C
Chemical Precipitation
2-I
Electrochemical Treatment
2-D
Coagulation
2-J
Ion Exchange
2-E
Dechlorination
2-K
Neutralization
2-F
Disinfection (Chlorine)
2-L
Reduction
Biological Treatment Processes
3-A
Activated Sludge
3-E
Poe -Aeration
3-5
Aerated Lagoons
IF
Spray Irrigation/Land Application
3-C
Anaerobic Treatment
3-G
Stabilization Ponds
3-D
Nitrification-Denitrification
3-H
Trickling Filtration
Other Processes
4-A
Discharge to Surface Water
4-C
Reuse/Recycle of Treated Effluent
4-B
Ocean Discharge Through Outfall 4-D
Underground Injection
Sludge Treatment and Disposal Processes
5-A
Aerobic Digestion
5-M
Heat Drying
5-8
Anaerobic Digestion
5-N
Heat Treatment
5-C
Belt Filtration
SO
Incineration
5-D
Centrifugation
5-P
Land Application
5-E
Chemical Conditioning
5-0
Landfill
5-F
Chlorine Treatment
5-R
Pressure Filtration
5-G
Composting
5•S
Pyrolysis
5-H
Drying Beds
5-T
Sludge Lagoons
5-1
Elutriation
5-U
Vacuum Filtration
5-J
Flotation Thickening
5-V
Vibration
5-K
Freezing
5-W
Wet Oxidation
5-L
Gravity Thickening
EPA Form 3510-21' (11.90) 1 - 8
2F-13

000 Table2F-2 logo
Conventional and Nonconventional Pollutants Required To Be rested by Existing Discharger it
Expected To Be Present
Bromide
Chlorine, Total Residual
Color
Fecal Coliform
Fluoride
Nitrate -Nitrite
Nitrogen, Total Kjedahl
Oil and Grease
Phosphorus, Total Radioactivity
Sulfate
Sulfide
Sulfite
Surfactants
Aluminum, Total
Barium, Total
Boron, Total
Cobalt, Total
Iron, Total
Magnesium, Total
Molybdenum, Total
Magnesium, Total
Tin, Total
Titanium, Total
EPA Form 3510.2E (11-90) 1-9
2F-14

Table 2F-3
Toxic pollutants required to be
identified by applicant if expected to be
present
Toxic Pollutants and Total Phenol
Antimony, Total
Copper, Total
Silver, Total
Arsenic, Total
Lead, Total
Thallium, Total
Beryllium, Total
Mercury, Total
Znc, Total
Cadmium, Total
Nickel, Total
Cyanide, Total
Chromium, Total
Selenium, Total
Phenols, Total
GC/MS Fraction Volatiles Compounds
Acrolein
Dichlorobromomethane
1,1,2,2.-Tetrachloroethane
Acrylonitrile
1,1-Dichloroethane
Tetrachloroethylene
Benzene
1,2-Dichloroethane
Toluene
Bromotorm
1,1-Dichioroethylene
1,2•Trans-Dichloroethylene
Carbon Tetrachloride
1,2-Dichloropropane
1,1,1-Trichloroethane
Chlorobenzene
1,3-Dichloropropylene
1,1,2-Trichloroethane
Chlorodibromomethane
Ethyibenzene
Trichloroethylene
Chloroethane
Methyl Bromide
Vinyl Chloride
2-Chloroethylvinyl Ether
Methyl Chloride
Chloroforn.
Methylene Chloride
Acid Compounds
2-Chlorophenol
2,4-Dinitrophenol
Penlachlorophenol
2,4-Dichlorophenol
2-Nilrophenoi
Phenol
2,4.Dimoth ylphenol
4-Nitrophenoi
2,4,6-Trichlorophenol
4,6-Dinitro-O-Cresol
p-Chloro-M-Cresol
Base/Neutral
Acenaphthene
2-Chloronaphthalene
Fluroranthene
Acenaphthylene
4-Chlorophenyl Phenyl Ether
Fluorene
Anthracene
Chrysene
Hexachlorobenzene
Benzidine
Dibenzo(a,h)anthrace ne
Hexachlorobutadiene
Benzo(a)anthracene
1,2-Dichlorobenzene
Hexachloroethane
Benzo(a)pyrene
1,3-Dichlorobenzene
lndeno(1,2,3-ed)pyre ne
3,4.Benzofluoranth ene
1,4-Dichlorobenzene
Isophorone
Benzo(ghi)perylene
3,3'-Dichlorobenzidine
Napthalene
Benzo(k)fluoranthens
Diethyl Phthalate
Nitrobenzene
Bis(2-chloroethoxy)melhane
D+methyl Phthalate
N-Nitrosodimethylamine
Bis(2-chloroethyl)ether
Di-N-Butyl Phthalate
N-Nitrosodi-N-Propylamine
Bis(2-chloroisopropyl)ether
2,4-Dinitrotoluene
N-Nitrosodiphenylamine
Bis(2-ethylyhexyl)ph1halate
2,6-Dinitrotoluene
Phenanthrene
4-Bromophenyl Phenyl Ether
Di-N-Octytphthalate
Pyrene
Butylbenzyl Phthalate
1,2-Diphenylhydrazine (as Azoben-
1,2,4-Trichlorobenzene
zene)
Pesticides
Aldrin
Dieldrin
PCB-1254
Alpha-BHC
Alpha-Endosullan
PCB-1221
Beta-BHC
Beta-Endosullan
PCB-1232
Gamma-BHC
Endosullan Sulfate
PCB-1248
Delta-BHC
Endrin
PCB-1260
Chlordane
Endrin Aldehyde
PC9-1016
4,4'-DDT
Heptachlor
Toxaphene
4,4'-DOE
Heptachlor Epoxide
4,4'.DDD
PCB-1242
EPA Form 3510.2F (11-90) 1 - 10
2F-15

*00 Table 2F-4 �• '
Hazardous substances required to be
identified by appfic4nt if expected to be present
Toxic Pollutant
Asbestos
Hazardous Substances
Acetaldehyde
Dinitrobenzene
Napthenic acid
Allyl alcohol
Diquat
Nitrotoluene
Allyl chloride
Disulfoton
Parathion
Amyl acetate
Diuron
Phenolsulfonate
Aniline
Epichlorohydrin
Phosgene
Benzonitriie
Ethion
Propargile
Benzyl chloride
Ethylene diamine
Propyiene oxide
Butyi acetate
Ethylene dibromide
Pyrethrins
Butylamine
Formaldehyde
Ouinoline
Carbaryl
Furfural
Resorcinol
Carboturan
Guthion
Stronthium
Carbon disulfide
Isoprene
Strychnine
Chlorpyrifos
lsopropanofamine
Styrene
Coumaphos
Kehhane
2,4,5-T (2,4,5-Trichlorophenoxyacetic
acid)
Cresol
Kepone
ME (Tetrachlorodiphenyi ethane}
Crotonaldehyde
Malathion
2.4,5-TP [2.(2,4,5-Trichiorophenoxy)
propanoic acid]
Cyclohexane
Mercaptodimethur
Trichlorofan
2,4-D (2,4-Dichlorophencxyacelic
Methoxychlor
Triethyiamine
acid)
Diazinon
Methyl mercaptan
Trimethylamine
Dicamba
Methyl methacrylate
Uranium
Dichlobenil
Methyl parathion
Vanadium
Dichlone
Mevinphos
Vinyl acetate
2,2•Dichloroprcpionic acid
Mexacarbate
Xylene
Dichlorvos
Monoethyl amine
Xylenol
Diethyl amine
Monomethyl amine
Zirconium
Dimelhyl amine
Naled
EPA Form 3510-2F (11.90) 1 - 11
2F-16