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HomeMy WebLinkAboutNCS000369_Renewal Application_20221024WADE R. FOWLER, JR., COMMISSIONER EVELYN 0. SHAW, COMMISSIONER RONNA ROWE GARRETT, COMMISSIONER DONALD L. PORTER, COMMISSIONER MARION J NOLAND, INTERIM CEO/GENERAL MANAGER jll�n� FAYETTEVILLE PUBLIC WORKS COMMISSION �(�j�j 955 OLD WILMINGTON RD P.O. BOX 1089 UTILITY FAYETTEVILLE, NORTH CAROLINA 28302-1089 TELEPHONE (910) 483-1401 W W W.FAYPWC.COM Butler -Warner Generation Plant October 10, 2022 Brianna Young CC: Mike Lawyer Stormwater and General Permits Unit Division of Water Quality North Carolina Department of Environment and Natural Resources 1617 Mail Service Center Raleigh, NC 27699-1612 R"-`,'- F. (NVED off `_'7' 20-P DENR LAND QUALITY 6T0WA A'UP9ftn 16 Subject: Butler -Warner Generation Plant Stormwater Permit No. NCS000369 Renewal Application Dear Brianna, On behalf of the Public Works Commission of the City of Fayetteville, NC, I have attached the permit application renewal form for the subject stormwater permit. I have also attached the supplemental information and certification forms required. If you should have any questions, please contact me at (910) 223-4814. Sincerely, Public Works Commission William ce May Power Plant Manager BUILDING COMMUNITY CONNECTIONS SINCE 1905 AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL NPDES STORMWATER PERMIT Two copies of each of the following shall accompany this submittal in order for the application to be considered complete: (Do not submit the site Stormwater Pollution Prevention Plan) Initials WAM 1. A current Site Map from the Stormwater Pollution Prevention Plan. The location of industrial activities (including storage of materials, disposal areas, process areas and loading and unloading areas), drainage structures, drainage areas for each outfall, building locations and impervious surfaces should be clearly noted. WAM 2. A summary of Analytical Monitoring results during the term of the existing permit (if your permit required analytical sampling). Do not submit individual lab reports. The summary can consist of a table including such items as outfall number, parameters sampled, lab results, date sampled, and storm event data. WAM 3. A summary of the Visual Monitoring results. Do not submit individual monitoring reports. The summary can consist of a table including such items as outfall number, parameters surveyed, observations, and date monitoring conducted. WAM 4. A summary of the Best Management Practices utilized at the permitted facility. Summary should consist of a short narrative description of each BMP's in place at the facility. If the implementation of any BMP's is planned, please include information on these BMP's. WAM 5. A short narrative describing any significant changes in industrial activities at the permitted facility. Significant changes could include the addition or deletion of work processes, changes in material handling practices, changes in material storage practices, and/or changes in the raw materials used by the facility. WAM 6. Certification of the development and implementation of a Stormwater Pollution Prevention Plan for the permitted facility (Sign and return attached form). If the final year analytical monitoring of the existing permit term has not been completed prior to filing the renewal submittal, then the last years monitoring results should be submitted within 30 days of receipt of the laboratory reports. (i.e. do not withhold renewal submittal waiting on lab results) d�fr;1 Si/lu NC5000369 Public Works Commission of Fayetteville Butler -Warner Generation Plant 2274 Custer Ave Fayetteville, INC Cumberland County Analytical Date Event Rainfall TSS Oil/Grease Date Tvae "Inches" me/1 me/I PH Outfall Visual Solids Solids Frncin. Color Odor Clarltv Flnatinv Sucnandad rn nil ahan,. nnn,.dt1- 7/13/2018 No Flow N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 7/29/2018 Discharge 2.75 5.8 <5.8 6.35 1 Light Green None 2 1 1 No No No 1/13/2019 Manual/Disch 0.8 6 11 6.46 1 Light Brown None 1 1 1 No No No 1/14/2019 Manual/Disch 0 3.3 <5.0 6.14 1 Light Green None 3 1 3 No No No 9/6/2019 Discharge 5 9.7 <5.0 7.39 1 Clear None 1 1 1 No No No 1/13/20 Discharge 0.8 13.3 <5.0 6.85 1 Light Brown None 2 2 2 No No No 9/30/2020 Discharge 2 8 <5.0 7.49 1 Light Green None 1 1 1 No No No I/27/2021 Discharge 0.5 <2.5 <5.0 7.13 1 Light Green None 2 1 1 No No No 12/31/02 21 No Flow N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 7/1/2022 No Flow N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Fayetteville Public Works Commission Butler -Warner Generation Plant 2274 Custer Ave Fayetteville, NC 28312 NCS000369 Best Management Practices Bulk Fuel Tank Storage and Secondary Containment All secondary containments are inspected and logged before releasing rainwater; also the closure of the valves used for the release is logged. Debris are cleaned from secondary containment areas where applicable. Fuel Unloading Skid The fuel unloading skid is equipped with secondary containment. The storm water drains for this structure have been equipped with valves in the drain lines to prevent unauthorized discharges of rainwater. These valves are opened only to drain excess rain water. This containment area is treated as all other containment areas and is inspected before release and is logged as well, Including the closure of the valves. Fuel Oil Tank Inventory Fuel tank readings are taken and recorded on a daily basis. These levels are entered into a database for tracking and trending purposes in order to prevent a potential leak from going undetected. Miscellaneous Tanks, Drums, Barrels and Stored Supplies Miscellaneous tank, drums and barrels are stored in containment areas. Supplies are stored near this area and potential areas where leaks might occur and near the point where the catch basins empty into the storm water pond. A vinyl boom is installed across this narrow finger of entrance point. Another boom is stored within two hundred feet of this location for quick deployment if necessary. The boom that is permanently deployed is inspected and cleaned once a year. Log Rounds Operators perform 8 log rounds a day inspecting plant equipment and looking for potential problems with equipment, leak detection, and general housekeeping issues. Fayetteville Public Works Commission Butler -Warner Generation Plant 2274 Custer Ave Fayetteville, NC 28312 NCS000369 Significant Changes No Changes There have been no significant changes in the industrial activities at this permitted site. STORMWATER POLLUTION PREVENTION PLAN DEVELOPMENT AND IMPLEMENTATION CERTIFICATION North Carolina Division of Energy, Mineral, and Land Resources — Stormwater Program Facility Name: Butler -Warner Generation Plant Permit Number: NCS000369 Location Address: 2274 Custer Avenue Fayetteville, NC 28312 County: n—h.d—A "I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all attachments were developed and implemented under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information required by the SPPP. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information gathered is, to the best of my knowledge and belief, true, accurate and complete." "I certify that the SPPP has been developed, signed and retained at the named facility location, and the SPPP has been fully implemented at this facility location in accordance with the terms and conditions of the stormwater discharge permit." And "I am aware that there are significant penalties for falsifying information, including the possibility of fines and imprisonment for knowing violations." Sign (according to permit signatory requirements) and return this Certification. DO NOT SEND STORMWATER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION. Signature CQ noirrnaa .1st; r=�1� Print or type name of person signing above Date October 10, 2022 Power Plant Manager Title SPPP Certification 10/13 tl CP&L 2381-236 QFkAvm F.F2.T C�& L SLI€�STATI(AN 0 p --99 �'T al i,rj s-d OL�b IR as (gA40- S•R, 172,E 60, RIW ri OFFIC 5 � �Twfl TICE PAC.E Ili I g sm'm oalp, S ay J - ON 710 L_ #5 T - Ty}R9'NE 5 x 14x li ELECTRIC }P+ III SU 3STATIQN I F,Q,T, /F II hbr s �' LT wA�C'i10N ,BLDO. iL4 F Q T. /Z SE O (pa}ti1N.) l{ 1 Y I U "! O i M MEUI N. i I GdRAVn -. 41723 ___--T_-- �L"END C—... -low— FLOW DIRECTION INDICATOR STORM DRAIN LINE INDEX CONTCUR _ UASIN P€PE INLET/OUTLET POST INDICATOR VALVE FOR DIKE DRA.NS. s TOPOGRAPHIC & STORM DRAINAGE MAP BUTLER -WARNER ELECTRIC GENERATION PLANT EASTOVER TWP, CUMBERLAND CO., N.C. SCALE: 1"= 60' SEPTEMBER 2022 ORAFMIC SCALE IN FEET -eo -ao a ao tm tin fA)ETTENILLE FK 2274 Q;JWR AWENUE. 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World Geodetic System of 1984 (WGS84L Projection and aN 1 0.5 0 KILOMETERS 1 2 i 000-meter grid: Universal Transverse Mercator, Zone 17S '.. 1ODO _ — - - -- 500 0 METERS 1000 2000 This map is not a legal document. Boundaries may be 915' 161 MILS 1 0.5 0 generatized for this map scale. Private lands within government 1"15 7 reservations may not be shown. Obtain permission before 22 MILS MILES entering private lands. 1000 0 low 2000 3000 40DO 5" 6000 7000 80DO Imagery .....................................................NAIP, May 2016 - November 2016 { FEET Roads ......................................... U.S. Census Bureau, 2016 UTM GRID AND 2019 MAGNETIC NORTH Names ... ................... ...................................................... GNIS, 1980 - 2019 DECLINATION AT CENTER OF SHEET Hydrography...............................National Hydrography Dataset, 1899 - 2018 CONTOUR INTERVAL 10 FEET Contours ............................................National Elevation Dataset, 2008 U.S. NMlawl GrM NORTH AMERICAN VERTICAL DATUM OF 1998 Boundaries..............Multiple sources; see metadata file 2017 - 2018 lop ow-M Slvare to 00 Wetlands. ................ FW5 National Wetlands inventory 1983 This map was produced to conform with the PU Gu I National Geospatial Program US Topo Product Standard, 2011. A metadata file associated with this product is draftversion 0.6.18 Cmd tare D"nafWn 175 NORTH OW NA QUAMMGLE LOCATION 1 Manchester 1 2 3 2 Slocomb 3 Wade 4 5 4 Fayetteville 5 Stedman 6 Hope Mitts 6 7 8 7 Cedar Creek 8 Autryvitle ADJOINING QUADRANGLES ROAD CLASSIFICATION Expressway Local Connector Secondary Hwy Local Road Ramp 4WD Interstate Route US Route State Route . VANDER, NC 2019 87 .1� 85 ;L 82 81 I 78 77 387606 -78.7500` 35 WADER. FOWLER, COMMISSIONER FAYETTEVILLE PUBLIC WORKS COMMISSION EVELYN O. SHAW, COMMISSIONER O �W V llW ✓ TN 966 OLD WILMINGTON RD RONNA ROWE GARRETT, COMMISSIONER H ME UTILITY P.O. BOX 1089 DONALD L. PORTER, COMMISSIONER FAYETTEVILLE, NORTH CAROLINA 28302.1089 MARION J NOLAND, INTERIM CEOIGENERAL MANAGER TELEPHONE (910) 483-1401 WWW.FAYPWC.COM Butler -Warner Generation Plant October 18, 2022 Brianna Young CC: Mike Lawyer Stormwater and General Permits Unit Division of Water Quality North Carolina Department of Environment and Natural Resources 1617 Mail Service Center Raleigh, NC 27699-1612 Subject: Butler -Warner Generation Plant Stormwater Permit No. NCS000369 Renewal Application Dear Brianna, RECEIVED PU 2 � zo?z DEiNR•LAND QUALITY STORW/ATER PERMITTING On behalf of the Public Works Commission of the City of Fayetteville, NC, I have attached the missing permit application renewal forms for the subject stormwater permit. Our original submission was mailed to and received by your office without EPA form 1 and EPA form 2. If you should have any questions, please contact me at (910) 223-4814. Sincerely, Public Works Commission 44 wnunm :>i eon William Ace May Power Plant Manager BUILDING COMMUNITY CONNECTIONS SINCE 1905 AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER United States Office of Water EPA Form 3510-1 Environmental Protection Agency Washington, D.C. Revised March 2019 Water Permits Division ..EPA Application Form 1 General Information NPDES Permitting Program RECEIVED �T 2022 DENR-LAND QUALITY VORMiINATER PERMiTTINC Note: All applicants to the National Pollutant Discharge Elimination System (NPDES) permits program, with the exception of publicly owned treatment works and other treatment works treating domestic sewage, must complete Form I. Additionally, all applicants must complete one or more of the following forms: 213, 2C, 2D, 2E, or 2F. To determine the specific forms you must complete, consult the "General Instructions" for this form. Paperwork Reduction Act Notice The U.S. Environmental Protection Agency estimates the average burden to collect information and complete Form 1 to be 2.9 hours for new applicants and 0.9 hours for applicants renewing existing permits. This estimate includes time to review instructions, search existing data sources, gather and maintain the needed data, and complete and review the collection of information. New respondents must also prepare a topographic map. Send comments about the burden estimate or any other aspect of this collection of information to the Chief, Information Policy Branch (PM-223), U.S. Environmental Protection Agency, 1200 Pennsylvania Avenue, NW, Washington, DC 20460, and to the Office of Information and Regulatory Affairs, Office of Management and Budget, 725 171h Street, NW, Washington, DC 20503, marked "Attention: Desk Officer for EPA." DESCRIPTION OF NPDES PERMIT APPLICATION FORMS The application forms for individual National Pollutant Discharge Elimination System (NPDES) permits include the following: Form 1—General Information (included in this package). Form 2—Forms Based on Facility or Activity Type (not included in this package): 2A. New and Existing Publicly Owned Treatment Works 2B. Concentrated Animal Feeding Operations and Concentrated Aquatic Animal Production Facilities 2C. Existing Manufacturing, Commercial, Mining, and Silvicultural Operations 2D. New Manufacturing, Commercial, Mining, and Silvicultural Operations That Have Not Yet Commenced Discharge of Process Wastewater 2E. Manufacturing, Commercial, Mining, and Silvicultural Facilities Which Discharge Only Nonprocess Wastewater 2F. Stormwater Discharges Associated with Industrial Activity 2S. New and Existing Treatment Works Treating Domestic Who Must Apply for an NPDES Permit? CONTENTS OF FORM 1 PACKAGE Form 1—General Instructions Form 1—Line-by-Line Instructions Form 1—Activities That Do Not Require Permits Form 1—Glossary Form 1—Application FORM 1—GENERAL INSTRUCTIONS With the exceptions described in "Form 1—Activities That Do Not Require Permits," the federal Clean Water Act (33 U.S.C. 1251 et seq.) prohibits any person from discharging pollutants into waters of the United States without first having been issued a permit under the NPDES program. Who Must Complete Form 1? All applicants, other than publicly owned treatment works (POTWs) and treatment works treating domestic sewage (TWTDS), must submit Form 1. If you operate one of the following facilities, you must submit Forth 1: concentrated animal feeding operations and aquatic animal production facilities; manufacturing, commercial, mining, and silvicultural operations; or other industrial facilities. At the state level, either the U.S. Environmental Protection Agency (EPA) or an approved state agency administers the NPDES permit program. If you are located in a jurisdiction in which an EPA regional office administers the NPDES permit program, you should use Form 1 and all other applicable forms described in these instructions. If you are located in a jurisdiction where a state administers the NPDES permit program, contact the state to determine the forms you should complete. States often develop their own application forms rather than use the federal forms. See hfto://www.epa.gov/npdes/nodes-state- propram-information for a list of states that have approved NPDES permit programs and those that do not. Exhibit 1-1 (see end of this section) provides contact information for each of EPNs 10 regional offices. Since the exhibit's content is subject to change, consult EPA's website for the latest information: http://www.epa.gov/aboutepa#reQional. Upon your request, and based on information supplied by you, EPA or the authorized NPDES state will determine whether you are required to obtain a permit for a particular facility or activity. Be sure to contact EPA or your state if you have a question. Form 1 collects general information only. You must also complete a more detailed application based on your proposed discharge activity, as follows: • If your facility is a concentrated animal feeding operation or a concentrated aquatic animal production facility, you must also complete Form 2B. • If your facility is an existing manufacturing, commercial, mining, or silvicultural facility that currently discharges process wastewater, you must also complete Form 2C. • If your facility is a new manufacturing, commercial, mining, or silvicultural facility that has yet to commence discharge of process wastewater, you must also complete Form 2D. • If your facility, is a new or existing facility (including manufacturing, commercial, mining, and silvicultural facilities) that discharges only nonprocess wastewater, you must also complete Form 2E, • If your facility is a new or existing facility whose discharge is composed entirely of stormwater associated with industrial activity —excluding discharges from construction activity under 122.26(b)(14)(x) or (b)(15)—you must also complete Forth 2F. If the discharge is composed of stormwater and non-stormwater, you must complete Form 2F and you must also complete Forms 2C, 2D, and/or 2E, as appropriate. See Form 2F's instructions for further details. 1-1 FORM 1—GENERAL INSTRUCTIONS CONTINUED Where to File Your Completed Form • If you are in a jurisdiction with an approved state NPDES permit program, file according to the instructions on the state forms. • If you are in a jurisdiction where EPA is the NPDES permitting authority (i.e., the state is not an NPDES- authorized state), mail the completed application forms to the EPA regional office that covers the state in which your facility is located (see Exhibit 1-1). When to File Your Completed Form Because of statutory and regulatory requirements, the deadlines for filing applications vary according to your facility or activity type and the type of permit you need. The various permit application deadlines are listed in Exhibit 1-2 at the end of this section. Fees EPA does not require applicants to pay a fee for applying for NPDES permits. However, states that administer the NPDES permit program may charge fees. Consult with state officials for further information. Public Availability of Submitted Information EPA will make information from NPDES permit application forms available to the public for inspection and copying upon request. You may not claim any information on Form 1 (or related attachments) as confidential. You may make a claim of confidentiality for any information that you submit to EPA that goes beyond the information required by Form 1. If you do not assert a claim of confidentiality at the time you submit your information to the NPDES permitting authority, EPA may make the information available to the public without further notice to you. EPA will handle claims of confidentiality in accordance with the Agency's business confidentiality regulations at Part 2 of Title 4 of the Code of Federal Regulations (CFR). Completion of Forms Print or type in the specified areas only. If you do not have enough space on the form to answer a question, you may continue on additional sheets, as necessary, using a format consistent with the form. The NPDES permitting authority could consider your application incomplete if you do not provide an answer (or indicate "NA" for "not applicable") for all questions on Form 1 and the applicable Form 2. Provide your EPA Identification Number from the Facility Registry Service, NPDES permit number, and facility name at the top of each page of Form 1 and any attachments. If your facility is new (i.e., not yet constructed), write or type "New Facility" in the space provided for the EPA Identification Number and NPDES number. If you do not know your EPA Identification Number, contact your NPDES permitting authority. See Exhibit 1-1 for contact information. Do not leave any response areas blank unless the form directs you to skip them. If the form directs you to respond to an item that does not apply to your facility or activity, enter "NA" for "not applicable" to show that you considered the item and determined a response was not necessary for your facility. The NPDES permitting authority will consider your application complete when it and any supplementary material are received and completed according to the authority's satisfaction. The NPDES permitting authority will judge the completeness of any application independently of the status of any other permit application or permit for the same facility or activity. 1-2 FORM 1—GENERAL INSTRUCTIONS CONTINUED Exhibit 1-1. Addresses of EPA Regional Contacts and Covered States REGION 1 REGION 6 U.S. Environmental Protection Agency, Region 1 U.S. Environmental Protection Agency, Region 6 5 Post Office Square, Suite 100, Boston, MA 02109-3912 1445 Ross Avenue, Suite 1200. Dallas, TX 75202-2733 Phone: (617) 918-1111; toll free:(888) 372-7341 Phone: (214) 665-2200; toll free: (800) 887-6063 Fax: (617) 918-MOI Fax: (214) 665-7113 Website: hho:/Nw .eoa.aovlabouteoaleoa-region-l-newenaland Website: htN:/Mv .eoa.aov/abouteoaleoa-region-6-south-central Covered states: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Covered stales: Arkansas, Louisiana, New Mexico, Oklahoma, and Texas Island, and Vermont REGION 2 REGION 7 U.S. Environmental Protection Agency, Region 2 U.S. Environmental Protection Agency, Region 7 290 Broadway, New York, NY 10007-1866 11201 Renner Boulevard, Lenexa, KS 66219 Phone: (212) 6373000; toll free: (877) 251-4575 Phone: (913) 551-7003; toll free: (800) 223-0425 Fax: (212) 637-3626 Website: htlo:l/wvnv.eoa.aovlabouteoa/eoa-reaion-7-midwest Website: htip:/Avww.eoa.aov/abouteoateoa-region-2 Covered states: Iowa, Kansas, Missouri, and Nebraska Covered states: New Jersey, New York, Virgin Islands, and Puerto Rico REGION 3 REGION 8 U.S. Environmental Protection Agency, Region 3 U.S. Environmental Protection Agency, Region 8 1650 Arch Street, Philadelphia, PA 19103-2029 1595 Wynkoop Street, Denver, CO 80202.1129 Phone: (215) 814-5000; toll free: (800) 438-2474 Phone: (303) 312-6312; toll free: (800) 227-8917 Fax: (215) 814-5103 Fax: (303) 312-6339 Website: httoa// w .epa.nov/abouteWepa-region3-mid-atlantic Website: httpa/www.epa.gov/abouteaakepa-maion-8-mountains-and-plains Covered states: Colorado, Montana, North Dakota, South Dakota, Utah, and Covered states: Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia Wyoming REGION 4 REGION 9 U.S. Environmental Protection Agency, Region 4 U.S. Environmental Protection Agency, Region 9 Sam Nunn Atlanta Federal Center 75 Hawthorne Street, San Francisco, CA 94105 61 Forsyth Street, SW, Atlanta, GA 30303-8960 Phone: (415) 947-8000; loll free: (866) EPA -WEST Phone. (404)562-9900: toll free: (800) 241-1754 Fax: (415) 947-3553 Fax: (404) 562-8174 Website: hdp://www.epa.gov/aboutepa/epa4egion-9-pacific-southwest Covered states: Arizona, California, Hawaii, Nevada, Guam, American Samoa, and Trust Territories Website: http:/hvm.epa.gov/aboutepa/about-eoa-region4-southeast Covered states: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee REGION 5 REGION 10 U.S. Environmental Protection Agency, Region 5 U.S. Environmental Protection Agency, Region 10 77 West Jackson Boulevard, Chicago, IL 60604-3507 1200 Sixth Avenue, Suite 900, Seattle, WA 98101 Phone: (312) 353-2000; toll free: (800) 621-8431 Phone: (206) 553-1200; loll free: (800) 4244372 Fax: (312) 353A135 Fax: (206) 553-2955 Website: http:/Arww.epa.aov/aboutepaiepa4egion-5 Website: htto:IAw .eoa.gov/abouteoalepa4eoion-10-pacific-northwest Covered stales: Alaska, Idaho, Oregon, and Washington Covered slates: Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin Exhibit 1-2. Filing Dates for NPDES Permit Applications Permit Application When to File 180 days before your present NPDES permit expires or, if you are a 2A new discharger, 180 days before the date on which the discharge is to commence unless the NPDES permitting authority has granted permission for a later date. 2B 180 days before your present NPDES permit expires or 180 days prior to startup if you are a new facility. 2C 180 days before your present NPDES permit expires. 2D 180 days prior to startup. 2E 180 days before your present NPDES permit expires, or 180 days prior to startup if you are a new facility. Construction: 90 days prior to date consWcbm is to commence. 2F Nonconstruction: 180 days before your present NPDES permit expires or 180 days prior to startup if you are a new facility. 2S 180 days before your present NPDES permit expires or 180 days prior to startup if you are a new facility. 1-3 FORM 1—LINE-BY-LINE INSTRUCTIONS Section 1. Activities Requiring an NPDES Permit Item 1.1. Review the questions in Item 1.1 to determine if you are required to submit Form 1. Be sure to check the Form 1— Glossary for the legal definitions of any key terms. If you answer "Yes" to a question in Item 1.1, then you do not need to complete Form 1, but you must comply with the application requirements specified. Item 1.2. Respond to the questions in Items 1.2.1 to 1.2.5. If you answer "Yes" to any question, you must complete Form 1 and the Form 2 application specified. See Exhibit 1-2 for filing deadlines. If you answer "No" to every question in Items 1.1 and 1.2, then you do not need an NPDES permit, and you do not need to complete and return any of the NPDES application forms. Section 2. Name, Mailing Address, and Location Item 2.1. Enter the facility's official or legal name. Do not use a colloquial name. Item 2.2. Provide your EPA Identification Number from the Facility Registry Service if you have an existing facility. If you do not know your EPA Identification Number, contact your NPDES permitting authority. If your facility is new (i.e., not yet constructed), write or type "New Facility." Item 2.3. Give the name (first and last), title, work telephone number, and email address of the person who is thoroughly familiar with the operaton of the facility and with the facts reported in this application. The NPDES permitting authority will contact the person listed if they have questions on the material submitted. Item 2.4. Give the complete mailing address of the office to which the NPDES permitting authority should send correspondence. This often is not the address used to designate the location of the facility or activity. Item 2.5. Give the address or location of the facility identified under Item 2.1. If the facility lacks a street name or route number, give the most accurate, alternative geographic information (e.g,, section number or quarter section number from county records or .at intersection of Routes 425 and 22"). Also provide the county name, county code (if known), city or town, state, and zip code. For concentrated aquatic animal production facilities, provide the address or location of the production area (i.e., the location where the animals are contained, grown, or held). Section 3. SIC and NAICS Codes Items 3.1 and 3.2. List, in descending order of significance, up to four 4-digit standard industrial classification (SIC) codes and North American Industrial Classification System (NAICS) codes that best describe your facility in terms of the principal products or services it produces or provides. If the SIC or NAICS codes do not adequately describe your facility's products or services, you have the option to provide additional descriptive information. You can find SIC code numbers and descriptions in the 1987 Standard industrial Classification Manual, prepared by the Executive Office of the President, Office of Management and Budget. This document is available from the Government Printing Office, Washington, D.C. An online version of the manual is also available courtesy of the Occupational Safety and Health Administration athfto://www.osha.cov/ols(mis/sic manual.html. You can find NAICS code numbers and descriptions in the North American Industrial Classification System Manual prepared by the Executive Office of the President, Office of Management and Budget. This document is available from the National Technical Information Service (NTIS) in Alexandria, Virginia. It is also available online at htto://www.census.gov/eosiwww/naics/. Use the latest edition of the manuals. If you have any questions about the appropriate SIC or NAICS codes for your facility, contact your NPDES permitting authority. Section 4.Operator Information Item 4.1. Give the legal name of the person, firm, public organization, or other entity that operates the facility described in this application. This may or may not be the same as the facility's name. The operator of the facility is the legal entity that controls the facility's operation rather than the plant or site manager. Do not use a colloquial name. Item 4.2. Indicate whether the entity listed in response to Item 4.1 also owns the facility by marking the appropriate box. Item 4.3. Indicate the ownership status of the operator of the facility by marking the appropriate box. If the facility is a federal facility (i.e., owned by the U.S. government), check the box for "Public —federal." If the facility is owned by a state government, check the box for "Public —state." If the facility is owned by a county government, municipal (e.g., city or town) government, tribal government, school district, water district, or other local government entity, check the box for "Other public" and specify the type of government entity. If the facility is owned by a corporation or other private entity, check the box for "Private." If the facility has mixed ownership (e.g., public/private) or is not owned by an entity of the types previously listed, check the box for "Other" and specify the type of entity. Items 4.4 to 4.6. Enter the telephone number, address, and email address of the operator identified in Item 4.1. Section 5. Indian Land Item 5.1. Indicate whether the facility is located on Indian Land. Section 6. Existing Environmental Permits Item 6.1. Check the appropriate boxes and provide the permit numbers for all relevant federal, state, and local environmental permits or construction approvals received or applied for under any of the programs listed below. If you have more than one currently effective permit under a particular permit program for your facility, list the additional permit numbers on the application form or on a separate sheet of paper. 14 FORM 1—LINE-BY-LINE INSTRUCTIONS CONTINUED • Hazardous waste management program under the Resource Conservation and Recovery Act (RCRA). • Underground Injection Control (UIC) program under the Safe Drinking Water Act (SDWA). • NPDES program under the Clean Water Act (CWA). • Prevention of Significant Deterioration (PSD) program under the Clean Air Act (CAA). • Nonattainment program under the CAA. • National Emission Standards for Hazardous Pollutants (NESHAPs) preconstruction approval under the CAA. • Ocean dumping permits under the Marine Protection Research and Sanctuaries Act (MPRSA). • Dredge or fill permits under Section 404 of the CWA. • Other federal, state, or local environmental permits. Section 7. Map Unless the facility is a concentrated animal feeding operation, provide a topographic map(s) of the area extending at least one mile beyond the property boundaries of the facility that clearly shows 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 hazardous waste management, storage, and disposal facilities. • Each well where you inject Fluids underground. • All wells, springs, surface water bodies, and drinking water wells that are in the public record or otherwise known to you and that are located in the map area. If the facility has associated water intakes, discharge structures, hazardous waste disposal sites, or injection wells and these items are located more than one mile from the facility, include them on the map if possible. If you cannot, attach additional sheets describing the location of the structures, disposal site(s), or well(s) and identify the U.S. Geological Survey (USGS) or other map corresponding to the location(s). On each map, include the map scale, a meridian arrow showing north, and latitude and longitude to the nearest second. Latitude and longitude coordinates may be obtained in a variety of ways, including use of hand held devices (e.g., a GPS enabled smartphone), internet mapping tools (e.g., httos://mvn asadata.larc. nasa.aov/I ati to delongitude-fi nder/1, geographic information systems (e.g., ArcView), or paper maps from trusted sources (e.g., USGS). On all maps of rivers, show the direction of the current. In tidal waters, show the directions of ebb and flow tides. You may develop your map by going to USGS's National Map website at htto://nationalmao.govl. (For a map from this site, use the traditional 7.5-minute quadrangle format. If none is available, use a USGS 15-minute series map.) You may also use a plat or other appropriate map. Briefly describe land uses in the map area (e.g.. residential, commercial). An example of an acceptable location map is shown as Exhibit 1-3 at the end of these instructions. Note: Exhibit 1-3 is provided for illustration only; it does not show an actual facility. If the facility is a concentrated animal feeding operation, you are not required to provide the topographic map required by this section of Form 1. Instead, you are required to provide a topographic map as specified in Section 4 of Form 2B. Item 7.1. Note that you have completed your topographic map and attached it to the application. Section 8. Nature of Business Briefly describe the nature of your business (e.g., products produced or services provided). See Examples 1 and 2. Example 1 Facilities Subject to 40 CFR 426, Subparts F and G Industry A is an auto tempered and auto laminated glass manufacturing facility subject to effluent limitation guidelines (ELGs) for the "Automotive Glass Tempering" and "Automotive Glass Laminating" subcategories of the "Glass Manufacturing" point source category at 40 CFR 426, subparts F and G. At the facility, glass is cut and then passed through a series of processes that grind and polish the edges, bend the glass, and then temper the glass to produce side and back windows for automobiles. Tempering involves heating the glass near the melting point, then rapidly cooling it to increase its mechanical and thermal endurance. The facility also produces automobile windshields and undertakes processes that laminate a plastic sheet between two layers of glass and that prepare the glass for lamination (e.g., cutting, bending, and washing). Example 2 Facility Not Subject to ELGs Industry B undertakes batch -type resin manufacturing operations. It has aboveground storage tanks for raw materials and finished goods, resin loading operations, and warehouses for 55-gallon drums of finished product. Industry B manufactures alkyd, saturated and unsaturated polyester resins in batches using reactor vessels and mix tanks. Most of the feedstock liquids are pumped from storage tanks to the kettles and mixers via a closed piping system. Additional feedstocks are added manually as solids from bags and sacks via manways, which are located on top of the kettles. The resin is then chemically reacted in the kettles. After the reaction step finishes, the resin is transferred from the kettles to the mix tanks, where solvents are added to thin it. The primary byproduct of the reaction is water vapor containing condensed soluble organics. The byproduct Flows to an isolation tank where the vapors are directed to an onsite thermal oxidizer. The finished resin is then pumped through one of three types of filtration systems into finished goods storage tanks, 55-gallon drums, 350-gallon intermediate bulk container totes, or directly into tanker trucks. A typical batch takes about 30 hours to complete. 1-5 FORM 1—LINE-BY-LINE INSTRUCTIONS CONTINUED Section 9. Cooling Water Intake Structures Item 9.1. Indicate whether the facility uses cooling water. If yes, continue to Item 9.2. If no, skip to Item 10.1. Item 9.2. Identify the source of the cooling water. For example, indicate whether the cooling water is from a surface water, groundwater well, public water system, or treated effluent that would otherwise be discharged to a water of the U.S. If the facility uses a cooling water intake structure as described in 40 CFR 125, Subparts I and J, the facility may have additional application requirements under 40 CFR 122.21(r). Note that the information required by 40 CFR 122.21(r) is not requested as part of Form 1. Contact your NPDES permitting authority to determine the specifics of what you should provide and when. Section 10. Variance Requests An applicant (other than a POTW) may request a variance from otherwise applicable effluent limitations under certain conditions described at 40 CFR 122.21(m). Item 10.1. If known at the time of application, check all of the authorized variances that you plan to request or renew. Note that you are not being asked to submit any other information at this time. Contact your NPDES permitting authority to determine the specifics of what you should provide and when. The ability to request a variance is not limited to the time of application, and an applicant may request a variance consistent with statutory and regulatory requirements. Section 11. Checklist and Certification Item 11.1. Review the checklist provided. In Column 1, mark the sections of Form 1 that you have completed and are submitting with your application. In Column 2, indicate for each section whether you are submitting attachments. Item 11.2. The Clean Water Act provides for severe penalties for submitting false information on this application form. CWA Section 309(c)(2) provides that, "Any person who knowingly makes any false statement, representation, or certification in any application, ...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." FEDERAL REGULATIONS AT 40 CFR 122.22 REQUIRE THIS APPLICATION TO BE SIGNED AS FOLLOWS: A. For a corporation, by a responsible corporate officer. For the purpose of this section, a responsible corporate officer means: (1) 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 (2) the manager of one or more manufacturing, production, or operating facilities, provided the manager is authorized to make management decisions which govern the operation of the regulated facility including having the explicit or implicit duty of making major capital investment recommendations, and initiating and directing other comprehensive measures to assure long term environmental compliance with environmental laws and regulations; the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for permit application requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures. B. For a partnership or sole proprietorship, by a general partner or the proprietor, respectively. C. For a municipality, state, federal, or other public facility, by either a principal executive officer or ranking elected official. For purposes of this section, a principal executive officer of a federal agency includes: (1) The chief executive officer of the agency, or (2) a senior executive officer having responsibility for the overall operations of a principal geographic unit of the agency (e.g., Regional Administrators of EPA). 1-6 Exhibit 1-3. Example Topographic Map MUSGSui R! uY.rt CS Mvrtap �W >�., n..l. :: USTGpo ...a.. � a Im CE-NTRAL PROCESSING CO. - ! mk. 1 -, - WLLh MO. _: i-• - CENTRAECIN.mje<tion _ Caniraiprou..ny Co. GwtNG1y, OM1io 1-7 FORM 1—ACTIVITIES THAT DO NOT REQUIRE PERMITS You are not required to obtain an NPDES permit if your discharge is in one of the following categories, as provided by the CWA and NPDES regulations at 40 CFR 122 to 125. (However, under CWA Sections 510 and 312, some discharges exempted from the federal NPDES requirements may still be regulated by a state permitting authority.) Any discharge of sewage from vessels and any effluent from properly functioning marine engines, laundry, shower, and galley sink wastes, or any other discharge incidental to the normal operation of a vessel, including vessels of the Armed Forces within the meaning of section 312 of the CWA and recreational vessels within the meaning of section 502(25) of the CWA. None of these exclusions apply to rubbish, trash, garbage, or other such materials discharged overboard; nor to other discharges when the vessel is operating in a capacity other than as a means of transportation such as when used as an energy or mining facility, a storage facility or a seafood processing facility, or when secured to a storage facility or a seafood processing facility, or when secured to the bed of the ocean, contiguous zone or waters of the United States for the purpose of mineral or oil exploration or development. • Discharges of dredged or fill material into waters of the United States that are regulated under CWA Section 404. The introduction of sewage, industrial wastes, or other pollutants into publicly owned treatment works by indirect dischargers. Plans or agreements to switch to this method of disposal in the future do not relieve dischargers of the obligation to have and comply with permits until all discharges of pollutants to waters of the United States are eliminated. (See also 40 CFR 122.47(b).) This exclusion does not apply to the introduction of pollutants to privately owned treatment works or to other discharges through pipes, sewers, or other conveyances owned by a state, municipality, or other party not leading to treatment works. • Any discharge in compliance with the instructions of an On - Scene Coordinator pursuant to 40 CFR 300 (The National Oil and Hazardous Substances Pollution Contingency Plan) or 33 CFR 153.10(e) (Pollution by Oil and Hazardous Substances). • Any introduction of pollutants from non point -source agricultural and silvicultural activities, including stormwater runoff from orchards, cultivated crops, pastures, range lands, and forest lands, but not discharges from concentrated animal feeding operations as defined in 40 CFR 122.23, discharges from concentrated aquatic animal production facilities as defined in 40 CFR 122.23, discharges from concentrated aquatic animal production facilities as defined in 40 CFR 122.24, discharges to aquaculture projects as defined in 40 CFR 122.25, and discharges from silvicultural point sources as defined in 40 CFR 122.27. Note: Per 40 CFR 122.26(b)(14)(ii), facilities classified within SIC 24, Industry Group 241, that are rock crushing, gravel washing, log sorting, or log storage facilities operated in connection with silvicultural activities defined in 40 CFR 122.27(b)(2)—(3) and Industry Groups 242 through 249; 26 (except 265 and 267), 28 (except 283), 29, 311, 32 (except 323), 33, 3441, and 373 (not included are all other types of silviculture facilities) are considered stormwater discharges associated with industrial activity, and are required to obtain an NPDES permit. • Return flows from irrigated agriculture. • Discharges into a privately owned treatment works, except as the NPDES permitting authority may otherwise require under 40 CFR 122.44(m). • Discharges from a water transfer. "Water transfer" means an activity that conveys or connects waters of the United States without subjecting the transferred water to intervening industrial, municipal, or commercial use. This exclusion does not apply to pollutants introduced by the water transfer activity itself to the water being transferred. 1-8 FORM 1—GLOSSARY Note: This glossary includes terms used in the various NPDES application forms, including Form 1. The definitions are from the NPDES regulations at 40 CFR 122.2 unless otherwise specified. If you have any questions concerning the meaning of any of these terms, contact your NPDES permitting authority. ANIMAL FEEDING OPERATION (defined at § 122.23) means a lot or facility (other than an aquatic animal production facility) where the following conditions are met; • Animals (other than aquatic 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 • Crops, vegetation, forage growth, or post -harvest residues are not sustained in the normal growing season over any portion of the lot or facility. APPLICATION means the EPA standard national forms for applying for a permit, 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. APPROVED PROGRAM or APPROVED STATE means a State or interstate program which has been approved or authorized by EPA under part 123. AQUACULTURE PROJECT (defined at § 122.25) means a defined managed water area which uses discharges of pollutants into that designated area for the maintenance or production of harvestable freshwater, estuarine, or marine plants or animals. DESIGNATED PROJECT AREA means the portions of the waters of the United States within which the permittee or permit applicant plans to confine the cultivated species, using a method or plan or operation (including, but not limited to, physical confinement) which, on the basis of reliable scientific evidence, is expected to ensure that 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. AVERAGE MONTHLY DISCHARGE LIMITATION means the highest allowable average of daily discharges over a calendar month, calculated as the sum of all daily discharges measured during that month divided by the number of daily discharges measured during that month. AVERAGE WEEKLY DISCHARGE LIMITATION means the highest allowable average of daily discharges over a calendar week, calculated as the sum of all daily discharges measured during a calendar week divided by the number of daily discharges measured during that week. BEST MANAGEMENT PRACTICES (BMPs) means schedules of activities, prohibitions of practices, maintenance procedures, and other management practices to prevent or reduce the pollution of waters of the United States. BMPs 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. BIOSOLIDS (see sewage sludge). BYPASS (defined at § 122.41(m)) means the intentional diversion of waste streams from any portion of a treatment facility. COMBINED SEWER OVERFLOW (CSO) means a discharge from a combined sewer system (CSS) at a point prior to the Publicly Owned Treatment Works (POTW) Treatment Plant (defined at § 403.3(r)). COMBINED SEWER SYSTEM (CSS) means a wastewater collection system owned by a State or municipality (as defined by section 502(4) of the CWA) which conveys sanitary wastewaters (domestic, commercial and industrial wastewaters) and storm water through a single -pipe system to a Publicly Owned Treatment Works (POTW) Treatment Plant (as defined at § 403.3(r)). CONCENTRATED ANIMAL FEEDING OPERATION (defined at § 122.23) means an animal feeding operation that is defined as a Large CAFO or as a Medium CAFO by the terms of (A) or (B) below, or that is designated as a CAFO in accordance with 40 CFR 122.23(c). Two or more AFOs under common ownership are considered to be a single AFO for the purposes of determining the number of animals at an operation, if they adjoin each other or if they use a common area or system for the disposal of wastes. A. LARGE CONCENTRATED ANIMAL FEEDING OPERATION (LARGE CAFO) means an AFO that stables or confines as many as or more than the numbers of animals specified in any of the following categories: 1. 700 mature dairy cows, whether milked or dry; 2. 1,000 veal calves; 3. 1,000 cattle other than mature dairy cows or veal calves. Cattle includes but is not limited to heifers, steers, bulls and cow/calf pairs; 4. 2,500 swine each weighing 55 pounds or more; 5. 10,000 swine each weighing less than 55 pounds; 1-9 FORM 1—GLOSSARY CONTINUED 6. 500 horses; 7. 10,000 sheep or lambs; 8. 55,000 turkeys; 9. 30,000 laying hens or broilers, if the AFO uses a liquid manure handling system; 10. 125,000 chickens (other than laying hens), if the AFO uses other than a liquid manure handling system; 11. 82,000 laying hens, if the AFO uses other than a liquid manure handling system; 12. 30,000 ducks (if the AFO uses other than a liquid manure handling system); or 13. 5,000 ducks (if the AFO uses a liquid manure handling system). B. MEDIUM CONCENTRATED ANIMAL FEEDING OPERATION (MEDIUM CAFO) means any AFO with the type and number of animals that fall within any of the ranges listed below and which has been defined or designated as a CAFO. An AFO is defined as a Medium CAFO if: The type and number of animals that it stables and confines falls within any of the following ranges: a. 200 to 699 mature dairy cows, whether milked or dry; b. 300 to 999 veal calves; c. 300 to 999 cattle other than mature dairy cows or veal calves. Cattle includes but is not limited to heifers, steers, bulls and cow/calf pairs; d. 750 to 2,499 swine each weighing 55 pounds or more; e. 3,000 to 9,999 swine each weighing less than 55 pounds; f. 150 to 499 horses; g. 3,000 to 9,999 sheep or lambs; h. 16,500 to 54,999 turkeys; i. 9,000 to 29,999 laying hens or broilers, if the AFO uses a liquid manure handling system; j. 37,500 to 124,999 chickens (other than laying hens), if the AFO uses other than a liquid manure handling system; k. 25,000 to 81,999 laying hens, if the AFO uses other than a liquid manure handling system; I. 10,000 to 29,999 ducks (if the AFO uses other than a liquid manure handling system); ore m. 1,500 to 4,999 ducks (if the AFO uses a liquid manure handling system); and 2. Either one of the following conditions are met: a. Pollutants are discharged into waters of the United States through a man-made ditch, flushing system, or other similar man- made device; or b. Pollutants are discharged directly into waters of the United States which originate outside of and pass over, across, or through the facility or otherwise come into direct contact with animals confined in the operation. CONCENTRATED AQUATIC ANIMAL PRODUCTION FACILITY (defined at § 122.24) means a hatchery, fish farm, or other facility which contains, grows, or holds aquatic animals in either of the following categories, or which the Director designates as such on a case -by -case basis: A. Cold water fish species or other cold water aquatic animals including, but not limited to, the Salmonidae family of fish (e.g., trout and salmon) in ponds, raceways, or other similar structures which discharge 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 5,000 pounds) of food during the calendar month of maximum feeding. B. Warm water fish species or other warm water aquatic animals including, but not limited to, the Ameiurrdae, Cefrarchiclae, and Cyprinidae families of fish (e.g., respectively, catfish, sunfish, and minnows) in ponds, raceways, or other similar structures which discharge at least 30 days per year, but does not include; 1. Closed ponds which discharge only during periods of excess runoff; or 2. Facilities which produce less than 45,454 harvest weight kilograms (approximately 100,000 pounds) of aquatic animals per year. 1-10 FORM 1—GLOSSARY CONTINUED CWA means the Clean Water Act (formerly referred to as the Federal Water Pollution Control Act or Federal Water Pollution Control Act Amendments of 1972) Public Law 92-500, as amended by Public Law 95-217, Public Law 95-576, Public Law 96-483 and Public Law 97-117, 33 U.S.C.1251 et seq. CWA AND REGULATIONS means the Clean Water Act (CWA) and applicable regulations promulgated thereunder. In the case of an approved State program, it includes State program requirements. DAILY DISCHARGE means the "discharge of a pollutant" measured during a calendar day or any 24-hour period that reasonably represents the calendar day for purposes of sampling. For pollutants with limitations expressed in units of mass, the "daily discharge" is calculated as the total mass of the pollutant discharged over the day. For pollutants with limitations expressed in other units of measurement, the "daily discharge" is calculated as the average measurement of the pollutant over the day. DIRECT DISCHARGE means the "discharge of a pollutant." DIRECTOR means the Regional Administrator or the State Director, as the context requires, or an authorized representative. When there is no "approved State program," and there is an EPA administered program, "Director" means the Regional Administrator. When there is an approved State program, "Director" normally means the State Director. In some circumstances, however, EPA retains the authority to take certain actions even when there is an approved State program. (For example, when EPA has issued an NPDES permit prior to the approval of a State program, EPA may retain jurisdiction over that permit after program approval, see § 123.1.) In such cases, the term "Director" means the Regional Administrator and not the State Director. DISCHARGE (OF A POLLUTANT) means: • Any addition of any pollutant or combination of pollutants to waters of the United States from any point source; or • Any addition of any pollutant or combination of pollutants to the waters of the contiguous zone or the ocean from any point source other than a vessel or other floating craft which is being used as a means of transportation. This definition includes discharges into waters of the United States from: surface runoff which is collected or channelled by man; discharges through pipes, sewers, or other conveyances owned by a State, municipality, or other person which do not lead to a treatment works; and discharges through pipes, sewers, or other conveyances, leading into privately owned treatment works. This term does not include an addition of pollutants by any "indirect discharger". DISCHARGE MONITORING REPORT means the EPA uniform national form, including any subsequent additions, revisions, or modifications for the reporting of self -monitoring results by permittees. DMRs must be used by "approved States" as well as by EPA. EPA will supply DMRs to any approved State upon request. The EPA national forms may be modified to substitute the state agency name, address, logo, and other similar information, as appropriate, in place of EPA's. DRAFT PERMIT means a document prepared under § 124.6 indicating the Director's tentative decision to issue or deny, modify, revoke and reissue, terminate, or reissue a "permit." A notice of intent to terminate a permit, and a notice of intent to deny a permit, as discussed in § 124.5, are types of "draft permits." A denial of a request for modification, revocation and reissuance, or termination, as discussed in § 124.5, is not a "draft permit." A "proposed permit" is not a "draft permit." EFFLUENT LIMITATION means any restriction imposed by the Director on quantities, discharge rates, and concentrations of "pollutants" which are "discharged" from "point sources" into "waters of the United States," the waters of the "contiguous zone," or the ocean. EFFLUENT LIMITATIONS GUIDELINES means a regulation published by the Administrator under section 304(b) of the CWA to adopt or revise "effluent limitations." ENVIRONMENTAL PROTECTION AGENCY (EPA) means the United States Environmental Protection Agency. FACILITY or ACTIVITY means any NPDES "point source" or any other facility or activity (including land or appurtenances thereto) that is subject to regulation under the NPDES program. GENERAL PERMIT means an NPDES "permit" issued under § 122.28 authorizing a category of discharges under the CWA within a geographical area. HAZARDOUS SUBSTANCE means any substance designated under 40 CFR part 116 pursuant to section 311 of the CWA. INDIAN COUNTRY (or INDAN LANDS) means: • All land within the limits of any Indian reservation under the jurisdiction of the United States Government, notwithstanding the issuance of any patent, and, including rights -of -way running through the reservation; • All dependent Indian communities with the borders of the United States whether within the originally or subsequently acquired territory thereof, and whether within or without the limits of a state; and • All Indian allotments, the Indian titles to which have not been extinguished, including rights -of -way running through the same. FORM 1—GLOSSARY CONTINUED INDIAN TRIBE means any Indian Tribe, band, group, or community recognized by the Secretary of the Interior and exercising governmental authority over a Federal Indian reservation. INDIRECT DISCHARGE means a nondomestic discharger introducing "pollutants" to a "publicly owned treatment works." LARGE MUNICIPAL SEPARATE STORM SEWER SYSTEM (defined at § 122.26(b)(4)) means all municipal separate storm sewers that are either. (i) Located in an incorporated place with a population of 250,000 or more as determined by the 1990 Decennial Census by the Bureau of the Census (Appendix F of 40 CFR 122); or (ii) Located in the counties listed in appendix H of 40 CFR 122, except municipal separate storm sewers that are located in the incorporated places, townships or towns within such counties; or (iii) Owned or operated by a municipality other than those described in paragraphs (i) or (ii) and that are designated by the Director as part of the large or medium municipal separate storm sewer system due to the interrelationship between the discharges of the designated storm sewer and the discharges from municipal separate storm sewers described under paragraphs (i) or (ii). In making this determination the Director may consider the following factors: (A) Physical interconnections between the municipal separate storm sewers; (B) The location of discharges from the designated municipal separate storm sewer relative to discharges from municipal separate storm sewers described in paragraph (i); (C) The quantity and nature of pollutants discharged to waters of the United States; (D) The nature of the receiving waters; and (E) Other relevant factors; or (iv) The Director may, upon petition, designate as a large municipal separate storm sewer system, municipal separate storm sewers located within the boundaries of a region defined by a storm water management regional authority based on a jurisdictional, watershed, or other appropriate basis that includes one or more of the systems described in paragraphs (i), (ii), (iii). LOG SORTING AND LOG STORAGE FACILITIES (defined at § 122.27) means facilities whose discharges result from the holding of unprocessed wood, for example, logs or roundwood with bark or after removal of bark held in self-contained bodies of water (mill ponds or log ponds) or stored on land where water is applied intentionally on the logs (wet decking). (See 40 CFR 429, subpart I, including the effluent limitations guidelines.) MAJOR FACILITY means any NPDES "facility or activity" classified as such by the Regional Administrator, or, in the case of "approved State programs," the Regional Administrator in conjunction with the State Director. MAXIMUM DAILY DISCHARGE LIMITATION means the highest allowable "daily discharge." MEDIUM MUNICIPAL SEPARATE STORM SEWER SYSTEM (defined at § 122.26(b)(7)) means all municipal separate storm sewers that are either: (i) Located in an incorporated place with a population of 100,000 or more but less than 250,000, as determined by the 1990 Decennial Census by the Bureau of the Census (appendix G of 40 CFR 122); or (ii) Located in the counties listed in appendix I of 40 CFR 122, except municipal separate storm sewers that are located in the incorporated places, townships or towns within such counties; or (iii) Owned or operated by a municipality other than those described in paragraph (i) or (ii) and that are designated by the Director as part of the large or medium municipal separate storm sewer system due to the interrelationship between the discharges of the designated storm sewer and the discharges from municipal separate storm sewers described under paragraph (i) or (ii). In making this determination the Director may consider the following factors: (A) Physical interconnections between the municipal separate storm sewers; (B) The location of discharges from the designated municipal separate storm sewer relative to discharges from municipal separate storm sewers described in paragraph (i); (C) The quantity and nature of pollutants discharged to waters of the United States; (D) The nature of the receiving waters; or (E) Other relevant factors; or 1-12 FORM 1—GLOSSARY CONTINUED (iv) The Director may, upon petition, designate as a medium municipal separate storm sewer system, municipal separate storm sewers located within the boundaries of a region defined by a storm water management regional authority based on a jurisdictional, watershed, or other appropriate basis that includes one or more of the systems described in paragraphs (i), (ii), (iii) of this section. MUNICIPALITY means a city, town, borough, county, parish, district, association, or other public body created by or under State law and having jurisdiction over disposal of sewage, industrial wastes, or other wastes, or an Indian tribe or an authorized Indian tribal organization, or a designated and approved management agency under section 208 of the CWA. MUNICIPAL SEPARATE STORM SEWER (defined at § 122.26(b)(8)) means a conveyance or system of conveyances (including roads with drainage systems, municipal streets, catch basins, curbs, gutters, ditches, man-made channels, or storm drains): • Owned or operated by a State, city, town, borough, county, parish, district, association, or other public body (created by or pursuant to State law) having jurisdiction over disposal of sewage, industrial wastes, stormwater, or other wastes, including special districts under State law such as a sewer district, flood control district or drainage district, or similar entity, or an Indian tribe or an authorized Indian tribal organization, or a designated and approved management agency under section 208 of the CWA that discharges to waters of the United States. • Designed or used for collecting or conveying stormwater. • Which is not a combined sewer; and • Which is not part of a POTW as defined at 40 CFR 122.2. MUNICIPAL SLUDGE (see sewage sludge) 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, 402, 318, and 405 of the CWA. The term includes an "approved program." NEW DISCHARGER means any building, structure, facility, or installation: • From which there is or may be a "discharge of pollutants;" • That did not commence the "discharge of pollutants" at a particular "site" prior to August 13,1979; • Which is not a "new source;" and • Which has never received a finally effective NPDES permit for discharges at that "site." This definition includes an "indirect discharger" which commences discharging into "waters of the United States" after August 13,1979. It also means any existing mobile point source (other than an offshore or coastal oil and gas exploratory drilling rig or a coastal oil and gas developmental drilling rig) such as a seafood processing rig, seafood processing vessel, or aggregate plant, that begins discharging at a "site" for which it does not have a permit; and any offshore or coastal mobile oil and gas exploratory drilling rig or coastal mobile oil and gas developmental drilling rig that commences the discharge of pollutants after August 13, 1979, at a "site" under EPA's permitting jurisdiction for which it is not covered by an individual or general permit and which is located in an area determined by the Regional Administrator in the issuance of a final permit to be an area of biological concern. In determining whether an area is an area of biological concern, the Regional Administrator shall consider the factors specified in 40 CFR 125.122(a)(1) through (10). An offshore or coastal mobile exploratory drilling rig or coastal mobile developmental drilling rig will be considered a "new discharger" only for the duration of its discharge in an area of biological concern. NEW SOURCE means any building, structure, facility, or installation from which there is or may be a "discharge of pollutants," the construction of which commenced: • After promulgation of standards of performance under section 306 of the CWA which are applicable to such source, or • After proposal of standards of performance in accordance with section 306 of the 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. OWNER OR OPERATOR means the owner or operator of any "facility or activity" subject to regulation under the NPDES program. PERMIT means an authorization, license, or equivalent control document issued by EPA or an "approved State" to implement the requirements of this part and parts 123 and 124. "Permit" includes an NPDES "general permit" (§ 122.28). Permit does not include any permit which has not yet been the subject of final agency action, such as a "draft permit" or a "proposed permit." PESTICIDE DISCHARGES TO WATERS OF THE UNITED STATES FROM PESTICIDE APPLICATION means the application of biological pesticides, and the application of chemical pesticides that leave a residue, from point sources to waters of the United States. In the context of this definition of pesticide discharges to waters of the United States from pesticide application, this does not include 1-13 FORM 1—GLOSSARY CONTINUED agricultural storm water discharges AR return flows from irrigated agriculture, which are excluded by law (33 U.S.C.1342(I); 33 U.S.C. 1362(14)). PESTICIDE RESIDUE for the purpose of determining whether a NPDES permit is needed for discharges to waters of the United States from pesticide application, means that portion of a pesticide application that is discharged from a point source to waters of the United States and no longer provides pesticidal benefits. It also includes any degradates of the pesticide. POINT SOURCE means any discernible, confined, and discrete conveyance, including but not limited to, any pipe, ditch, channel, tunnel, conduit, well, discrete fissure, container, rolling stock, concentrated animal feeding operation, landfill leachate collection system, vessel or other floating craft from which pollutants are or may be discharged. This term does not include return flows from irrigated agriculture or agricultural stormwater runoff. (See § 122.3). POLLUTANT means dredged spoil, solid waste, incinerator residue, filter backwash, sewage, garbage, sewage sludge, munitions, chemical wastes, biological materials, radioactive materials (except those regulated under the Atomic Energy Act of 1954, as amended (42 U.S.C. 2011 of seq.)), heat, wrecked or discarded equipment, rock, sand, cellar dirt and industrial, municipal, and agricultural waste discharged into water. It does not mean: • Sewage from vessels; or • Water, gas, or other material which is injected into a well to facilitate 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 either to facilitate production or for disposal purposes is approved 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 degradation of ground or surface water resources. Note: Radioactive materials covered by the Atomic Energy Act are those encompassed in its definition of source, byproduct, or special nuclear materials. Examples of materials not covered include radium and accelerator -produced isotopes. See Train v. Colorado Public Interest Research Group, Inc., 426 U.S.1 (1976). PRIMARY INDUSTRY CATEGORY means any industry category listed in the NRDC settlement agreement (Natural Resources Defense Council et al. v. Train, 8 E.R.C. 2120 (D.D.C.1976), modified 12 E.R.C.1833 (D.D.C.1979)); also listed in appendix A of part 122. PRIVATELY OWNED TREATMENT WORKS means any device or system which is (1) used to treat wastes from any facility whose operator is not the operator of the treatment works and (2) not a "POTW." PROCESS WASTEWATER means any water which, during manufacturing 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. PROPOSED PERMIT means a state NPDES "permit" prepared after the close of the public comment period (and, when applicable, any public hearing and administrative appeals) which is sent to EPA for review before final issuance by the State. A "proposed permit" is not a "draft permit." PUBLICLY OWNED TREATMENT WORKS or POTW (defined at § 403.3) means a treatment works as defined by CWA Section 212, which is owned by a state or municipality (as defined by CWA Section 502(4)). This definition includes any devices or systems used in the storage, treatment, recycling, and reclamation) of municipal sewage or industrial wastes of a liquid nature. This definition also includes sewers, pipes, and other conveyances only if they convey wastewater to a POTW. The term also means the municipality as defined in CWA Section 502(4), which has jurisdiction over the indirect discharges to and the discharges from such a treatment works. REGIONAL ADMINISTRATOR means the Regional Administrator of the appropriate Regional Office of the Environmental Protection Agency or the authorized representative of the Regional Administrator. ROCK CRUSHING AND GRAVEL WASHING FACILITIES (defined at § 122.27) means facilities which process crushed and broken stone, gravel, and riprap (See 40 CFR 436, subpart B, including the effluent limitations guidelines). SCHEDULE OF COMPLIANCE means a schedule of remedial measures included in a "permit", including an enforceable sequence of interim requirements (for example, actions, operations, or milestone events) leading to compliance with the CWA and regulations. 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 toilets and other receptacles intended to receive or retain body wastes that are discharged from vessels and regulated under section 312 of the 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, bath, and shower water. SEWAGE SLUDGE means any solid, semi -solid, or liquid residue removed during the treatment of municipal waste water or domestic sewage. Sewage sludge includes, but is not limited to, solids removed during primary, secondary, or advanced waste water treatment, scum, septage, portable toilet pumpings, type III marine sanitation device pumpings (33 CFR 159), and sewage sludge products. Sewage sludge does not include grit or screenings, or ash generated during the incineration of sewage sludge. 1-14 FORM 1—GLOSSARY CONTINUED SILVICULTURAL POINT SOURCE NRflWQPf %.27) means any discernible, confined, and discrete conveyance related to rock crushing, gravel washing, log sorting, or log storage facilities which are operated in connection with silvicultural activities and from which pollutants are discharged into waters of the United States. This term does not include non -point source silvicultural activities such as nursery operations, site preparation, reforestation and subsequent cultural treatment, thinning, prescribed burning, pest and fire control, harvesting operations, surface drainage, or road construction and maintenance from which there is natural runoff. However, some of these activities (such as stream crossing for roads) may involve point source discharges of dredged or fill material which may require a CWA Section 404 permit (see 33 CFR 209.120 and part 233). SITE means the land or water area where any "facility or activity" is physically located or conducted, including adjacent land used in connection with the facility or activity. SLUDGE -ONLY FACILITY means any "treatment works treating domestic sewage" whose methods of sewage sludge use or disposal are subject to regulations promulgated pursuant to section 405(d) of the CWA and is required to obtain a permit under § 122.1(b)(2). STANDARDS FOR SEWAGE SLUDGE USE OR DISPOSAL means the regulations promulgated pursuant to section 405(d) of the CWA which govern minimum requirements for sludge quality, management practices, and monitoring and reporting applicable to sewage sludge or the use or disposal of sewage sludge by any person. STATE means any of the 50 States, the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Virgin Islands, American Samoa, the Commonwealth of the Northern Mariana Islands, the Trust Territory of the Pacific Islands, or an Indian Tribe as defined in these regulations which meets the requirements of § 123.31 of this chapter. STATE DIRECTOR means the chief administrative officer of any State or interstate agency operating an "approved program," or the delegated representative of the State Director. If responsibility is divided among two or more State or interstate agencies, "State Director" means the chief administrative officer of the State or interstate agency authorized to perform the particular procedure or function to which reference is made. STORMWATER (or STORM WATER) (defined at § 122.26(b)(13)) means stormwater runoff, snow melt runoff, and surface runoff and drainage. STORMWATER DISCHARGE ASSOCIATED WITH INDUSTRIAL ACTIVITY (defined at § 122.26(b)(14)) means the discharge from any conveyance that is used for collecting and conveying stormwater and that is directly related to manufacturing, processing or raw materials storage areas at an industrial plant. The term does not include discharges from facilities or activities excluded from the NPDES program under this part 122. For the categories of industries identified in this section, 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 waste waters (as defined at 40 CFR 401); 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 materials, and intermediate and final products; and areas where industrial activity has taken place in the past and significant materials remain and are exposed to stormwater. For the purposes of this paragraph, material handling activities include storage, loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product, by-product or waste product. The term excludes areas located on plant lands separate 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 stormwater drained from the above described areas. Industrial facilities (including industrial facilities that are federally, State, or municipally owned or operated that meet the description of the facilities listed in paragraphs 1 through 14 below) include those facilities designated under the provisions of 40 CFR 122.26(a)(1)(v). The following categories of facilities are considered to be engaging in "industrial activity" for purposes of 40 CFR 122.26(b)(14): 1. Facilities subject to stormwater effluent limitations guidelines, new source performance standards, or toxic pollutant effluent standards under 40 CFR Subchapter N (except facilities with toxic pollutant effluent standards which are exempted under paragraph 11 below); 2. Facilities classified as Standard Industrial Classification 24, Industry Group 241 that are rock crushing, gravel washing, log sorting, or log storage facilities operated in connection with silvicultural activities defined in 40 CFR 122.27(b)(2)—(3) and Industry Groups 242 through 249; 26 (except 265 and 267), 28 (except 283), 29, 311, 32 (except 323), 33, 3441, 373; (not included are all other types of silvicultural facilities); 3. Facilities classified as Standard Industrial Classifications 10 through 14 (mineral industry) including active or inactive mining operations (except for areas of coal mining operations no longer meeting the definition of a reclamation area under 40 CFR 434.11(1) because the performance bond issued to the facility by the appropriate SMCRA authority has been released, or except for areas of non —coal mining operations which have been released from applicable State or Federal reclamation requirements after December 17,1990) and oil and gas exploration, production, processing, or treatment operations, or transmission facilities that discharge stormwater contaminated by contact with or that has come into 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; inactive mining sites do not include sites 1-15 FORM 1-GLOSSARY CONTINUED where mining claims are being maintained prior to disturbances associated with the extraction, beneficiation, or processing of mined materials, nor sites where minimal activities are undertaken for the sole purpose of maintaining a mining claim); 4. Hazardous waste treatment, storage, or disposal facilities, including those that are operating under interim status or a permit under subtitle C of RCRA; 5. 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 subsection) including those that are subject to regulation under subtitle D of RCRA, 6. Facilities involved in the recycling of materials, including metal scrapyards, battery reclaimers, salvage yards, and automobile junkyards, including but limited to those classified as Standard Industrial Classification 5015 and 5093; 7. Steam electric power generating facilities, including coal handling sites; 8. Transportation facilities classified as Standard Industrial Classifications 40, 41, 42 (except 4221-25), 43, 44, 45, and 5171 which have vehicle maintenance shops, equipment cleaning operations, or airport deicing operations. Only those portions of the facility that are either involved in vehicle maintenance (including vehicle rehabilitation, mechanical repairs, painting, fueling, and lubrication), equipment cleaning operations, airport deicing operations, or which are otherwise identified under paragraphs 1-7 or 9-11 are associated with industrial activity; 9. 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 land 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 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 CWA; 10. Construction activity including clearing, grading and excavation, except operations that result in the disturbance of less than five acres of total land area. Construction activity also includes the disturbance of less than five acres of total land area that is a part of a larger common plan of development or sale if the larger common plan will ultimately disturb five acres or more; 11. Facilities under Standard Industrial Classifications 20, 21, 22, 23, 2434, 25, 265, 267, 27, 283, 285, 30, 31 (except 311), 323, 34 (except 3441), 35, 36, 37 (except 373), 38, 39, and 4221-25. TOXIC POLLUTANT means any pollutant listed as toxic under section 307(a)(1) or, in the case of "sludge use or disposal practices," any pollutant identified in regulations implementing section 405(d) of the CWA. TREATMENT WORKS TREATING DOMESTIC SEWAGE (TWTDS) means a POTW or any other sewage sludge or waste water treatment devices or systems, regardless of ownership (including federal facilities), used in the storage, treatment, recycling, and reclamation of municipal or domestic sewage, including land dedicated for the disposal of sewage sludge. This definition does not include septic tanks or similar devices. For purposes of this definition, "domestic sewage" includes waste and waste water from humans or household operations that are discharged to or otherwise enter a treatment works. In States where there is no approved State sludge management program under section 405(f) of the CWA, the Regional Administrator may designate any person subject to the standards for sewage sludge use and disposal in 40 CFR 503 as a "treatment works treating domestic sewage," where he or she finds that there is a potential for adverse effects on public health and the environment from poor sludge quality or poor sludge handling, use or disposal practices, or where he or she finds that such designation is necessary to ensure that such person is in compliance with 40 CFR 503. UPSET (defined at § 122.41(n)) 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 operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive maintenance, or careless or improper operation. VARIANCE means any mechanism or provision under section 301 or 316 of the CWA or under 40 CFR 125, or in the applicable "effluent limitations guidelines" which allows modification to or waiver of the generally applicable effluent limitation requirements or time deadlines of the CWA. This includes provisions which allow the establishment of alternative limitations based on fundamentally different factors or on sections 301(c), 301(g), 301(h), 301(i), or 316(a) of the CWA. WATERS OF THE UNITED STATES as defined at § 122.2. WHOLE EFFLUENT TOXICITY (WET) means the aggregate toxic effect of an effluent measured directly by a toxicity test. 1-16 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19 NCS000369 BWGP OMB No. 2040-0004 Form U.S. Environmental Protection Agency 1 :.EPA Application for NPDES Permit to Discharge Wastewater NPDES GENERAL INFORMATION SECTION• • r 1.1 Applicants Not Required to Submit Form 1 1.1.1 s the facility a new or existing publicly owned 1.1.2 Is the facility a new or existing treatment works treatment works? treating domestic sewage? If yes, STOP. Do NOT complete No If yes, STOP. Do NOT No Form 1. Complete Form 2A. complete Form 1. Complete Form 2S. 1.2 Applicants Required to Submit Form 1 1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing, operation or a concentrated aquatic animal commercial, mining, or silvicultural facility that is a production facility? currently discharging process wastewater? oYes 4 Complete Form 1 ® No Yes 4 Complete Form Ea No z and Form 213. 1 and Form 2C. 1.2.3 Is the facility a new manufacturing, commercial, 1.2.4 Is the facility a new or existing manufacturing, mining, or silvicultural facility that has not yet commercial, mining, or silvicultural facility that = commenced to discharge? discharges only nonprocess wastewater? Yes 4 Complete Form 1 [0 No ❑ Yes 4 Complete Form ® No N and Form 2D. 1 and Form 2E. 1.2.5 Is the facility a new or existing facility whose '— discharge is composed entirely of stormwater a associated with industrial activity or whose discharge is composed of both stormwater and non-stormwater? ® Yes 4 Complete Form 1 ❑ No and Form 2F unless exempted by 40 CFR 122.26(b)(14)(x) or (b)(15). SECTION•D• • • r 2.1 Facili Name BUTLER WARNER GENERATING PLANT `0 2.2 EPA Identification Number 0 O J A 2.3 Facility Contact N v Name (first and last) Title Phone number a WILLIAM MAY PLANT MANAGER 910-223-4814 Email address ACE.MAY@FAYPWC.COM 6 2.4 Facility Mailing Address zStreet or P.O. box 2274 CUSTER AVENUE City or town State ZIP code FAYETTEVILLE INC 28312 EPA Form 3510-1 (revised 3-19) Page 1 EPA Identification Number NPDES Pend Number Facility Name Form Approved 03/05/19 NCS000369 BWGP OMB No. 2040-0004 H 2.5 Facility Location Street, route number, or other specific identifier a �0 2274 CUSTER AVENUE m o County name County code (if known) CUMBERLAND 0 E City or town State ZIP code o z A I I FAYETTEVILLE NC 28312 3. SIC CODESSECTION AND NAICS r 3.1 SIC Code(s) Description (optional) 4931 ELECTRIC & OTHER SERVICES COMBINED N N O U U z a 3.2 NAICS Code(s) Description (optional) 221112 FOSSIL FUEL ELECTRIC POWER GENERATION 4.1 1 Name of Operator FAYETTEVILLE PUBLIC WORKS COMMISSION 0 4.2 Is the name you listed in Item 4.1 also the owner? M `o ® Yes ❑ No = 4.3 Operator Status ❑ Public —federal ® Public —state ❑ Other public (specify)- ❑ Private ❑ Other 0 (specify) 4.4 Phone Number of Operator 4.5 Operator Address Street or P.O. Box n. € d O 3 P.O. BOX 1089 a` City or town State ZIP code 0, FAYETTEVILLE INC 28302 o Email address of operator ACE.MAY@FAYPWC.COM SECTION 5. •• •1 L 5.1 Is the facility located on Indian Land? 5 ❑ Yes ® No EPA Form 35104 (revised 3-19) Page 2 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19 NCS000369 BWGP OMB No. 2040-0004 SECTION• I 6.1 Existing Environmental Permits (check all that apply and printortype the corresponding permit number for each) ® NPDES (discharges to surface ❑ RCRA (hazardous wastes) ❑ UIC (underground injection of o !-€ water) NCS000369 fluids) r+ i ❑ PSD (air emissions) ® Nonattainment program (CAA) ® NESHAPs (CAA) c TITLE V TITLE V w ❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section 404) ❑ Other (specify) SECTIONI 7.1 Have you attached a topographic map containing all required information to this application? (See instructions for specific requirements.) ® Yes ❑ No ❑ CAFO—Not Applicable (See requirements in Form 2B.) SECTIONOF r 8.1 Describe the nature of your business. ELECTRIC POWER GENERATION FACILITY N C N m O N 3 N Z SECTION•• r 9.1 Does your facility use cooling water? d ®Yes ❑ No 4 SKIP to Item 10.1. a U 9.2 Identify the source of cooling water. (Note that facilities that use a cooling water intake structure as described at o 40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your a „ NPDES permitting authority to determine what specific information needs to be submitted and when.) PUBLIC WATER SYSTEM THAT IS DISCHARGE TO PUBLIC SEWER SYSTEM SECTIONr VARIANCE REQUESTSr r 10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)? (Check all that v apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and d when.) a ❑ Fundamentally different factors (CWA ❑ Water quality related effluent limitations (CWA Section d Section 301 (n)) 302(b)(2)) R ❑ Non -conventional pollutants (CWA ❑ Thermal discharges (CWA Section 316(a)) Section 301(c) and (g)) ® Not applicable EPA Form 3510A (revised 3.19) Page 3 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03N5119 NCS000369 I BWGP OMB No. 2040-0004 SECTION• CERTIFICATION STATEMENT (40 11.1 In Column 1 below, mark the sections of Form 1 that you have completed and are submitting with your application. For each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not all applicants are required to provide attachments. Column 1 Column 2 ❑x Section 1: Activities Requiring an NPDES Permit ❑ w/ attachments x❑ Section 2: Name, Mailing Address, and Location ❑ w/ attachments ® Section 3: SIC Codes ❑ w/ attachments ® Section 4: Operator Information ❑ w/ attachments ® Section 5: Indian Land ❑ wl attachments ® Section 6: Existing Environmental Permits ❑ w/ attachments m d Section 7: Map w/ topographic ® ❑ w/ additional attachments ma w o .g ® Section 8: Nature of Business ❑ wl attachments ® Section 9: Cooling Water Intake Structures ❑ w/ attachments ' e m a ® Section 10: Variance Requests ❑ w/ attachments c y ® Section 11: Checklist and Certification Statement ❑ wl attachments Y z 11.2 Certification Statement U I 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name (print or type first and last name) Official title William Ace May Power Plant Manager Signature Dale signed October 7, 2022 W I L LIA�,i112i1372F�T ) EPA Form 3510-1 (revised 3-19) Page 4 United States Office of Water EPA Form 3510-2F Environmental Protection Agency Washington, D.C. Revised March 2019 Water Permits Division aE� Application Form 2F Stormwater Discharges Associated with Industrial Activity NPDES Permitting Program Note: Complete this form and Form 1 if you are a new or existing facility whose discharge is composed entirely of stormwater associated with industrial activity, excluding discharges from construction activity under 40 CFR 122.26(b)(14)(x) or (b)(15). If your discharge is composed of stormwater and non-stormwater, you must complete Forms I and 2F, and you must complete Form 2C, 213, or 2E, as appropriate. See the "Instructions" inside for further details. Paperwork Reduction Act Notice The U.S. Environmental Protection Agency estimates the average burden to collect and complete Form 2F to be 28.1 hours. The estimate includes time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and completing and reviewing the collection of information. Send comments about the burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Chief, Information Policy Branch (PM-223), U.S. Environmental Protection Agency, 1200 Pennsylvania Avenue, NW, Washington, DC 20460, and to the Office of Information and Regulatory Affairs, Office of Management and Budget, 725 17th Street, NW, Washington, DC 20503, marked "Attention: Desk Officer for EPA." FORM 2F—INSTRUCTIONS General Instructions Who Must Complete Form 2F? You must complete Form 2F if you answered "Yes" to Item 1.2.5 on Form 1---that is, you are a new or existing facility and your discharge is composed entirely of stormwater associated with industrial activity (excluding discharges from construction activity under 40 CFR 122.26(b)(14)(x) or (b)(15)) or composed of stormwater and non-stormwater and are seeking coverage under an individual National Pollutant Discharge Elimination System (NPDES) permit. Note that applicants in the latter category must also complete Forms 2C, 2D, or 2E, as applicable. See inset below. Notes • Form 2F must be completed by any operator of a facility that discharges stormwater associated with industrial activity or the operator of any stormwater discharger 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. • For discharges composed entirely of stormwater, the operator must complete Form 2F in conjunction with Form 1. • For discharges of stormwater combined with process wastewater, the operator must complete and submit Form 2F, Form 1, and Form 2C. Process wastewater is water that comes into direct contact with or results from the production or use of any raw material, intermediate product, finished product, byproduct, waste product, or wastewater. • For discharges of stormwater combined with nonprocess wastewater, the operator must complete Form 2F, Form 1, and Form 2E. Nonprocess wastewater includes noncontact cooling water and sanitary wastes that are not regulated by effluent guidelines, except discharges by educational, medical, or commercial chemical laboratories. • For new discharges of stormwater associated with industrial activity that will be combined with other new non-stormwater discharges, the operator must submit Form 2F, Form 1, and Form 2D. Where to File Your Completed Form Submit your completed application package (Forms 1 and 2F plus any other applicable forms) to your NPDES permitting authority. Consult Exhibit 1-1 of Form 1's "General Instructions" to identify your NPDES permitting authority. Public Availability of Submitted Information The U.S. Environmental Protection Agency (EPA) will make information from NPDES permit application forms available to the public for inspection and copying upon request. You may not claim any information on Form 2F (or related attachments) as confidential. You may make a claim of confidentiality for any information that you submit to EPA that goes beyond the information required by Form 2F. Note that NPDES permitting authorities will deny claims for treating any effluent data (estimated or actual) as confidential. If you do not assert a claim of confidentiality at the time you submit your information to the NPDES permitting authority, EPA may make the information available to the public without further notice to you. EPA will handle claims of confidentiality in accordance with the Agency's business confidentiality regulations in Part 2 of Title 40 of the Code of Federal Regulations (CFR). Completion of Forms Print or type in the specified areas only. If you do not have enough space on the form to answer a question, you may continue on additional sheets, as necessary, using a format consistent with the form. Provide your EPA Identification Number from the Facility Registry Service, NPDES permit number, and facility name at the top of each page of Form 2F and any attachments. If your facility is new (i.e., not yet constructed), write or type "New Facility" in the space provided for the EPA Identification Number an NPDES permit number. If you do not know your EPA Identification Number, contact your NPDES permitting authority. See Exhibit 1-1 of Form 1's "General Instructions" for contact information. Additionally, for Tables A through D, provide the applicable outfall number at the top of each page. Do not leave any response areas blank unless the form directs you to skip them. If the form directs you to respond to an item that does not apply to your facility or activity, enter "NA" for "not applicable" to show that you considered the item and determined a response was not necessary for your facility. The NPDES permitting authority will consider your application complete when it and any supplementary material are received and completed according to the authority's satisfaction. The NPDES permitting authority will judge the completeness of any application independently of the status of any other permit application or permit for the same facility or activity. Definitions The legal definitions of all key terms used in these instructions and Form 2F are in the "Glossary" at the end of the "General Instructions" in Form 1. 2F-1 FORM 2F—INSTRUCTIONS CONTINUED Line -by -Line Instructions Section 1.Outfall Location Item 1.1. Identify each of the facility's ouffalls by number. For each ouffall, specify the latitude and longitude to the nearest 15 seconds and name of the receiving water. Latitude and longitude coordinates may be obtained in a variety of ways, including use of hand held devices (e.g., a GPS enabled smartphone), internet mapping tools (e.g., hftps://mynasadata.larc.nasa.gov/latitudelongitude-finder/ , geographic information systems (e.g., ArcView), or paper maps from trusted sources (e.g., U.S. Geological Survey or USGS). The location of each ouffall (i.e., where the coordinates are collected) shall be the location where collected and concentrated stormwater flows are discharged from the facility such that the first receiving water body into which the discharge flows, either directly or through a separate storm sewer system, is a water of the United States. If you need further guidance in responding to Item 1.1, refer to http://www.epa.qov/geosDatial/lafitudelonaitude-data-standard. Note: In EPA's stormwater permits, "outalls" are referred to as "discharge points." Note that space has been provided on the form for six ouffalls. If you have more than this number, type your information on a separate sheet of paper in a format similar to that of the form. Make sure you note the EPA Identification Number, NPDES permit number, and facility name at the top of the page and indicate the specific item of the form to which you are responding —Item 1.1 in this case. In other sections of the form, you will be asked to provide information by outfall number (Sections 2, 4, 5, and 7). Section 2. Improvements Item 2.1. Indicate if you are required by any federal, state, or local authority to meet an implementation schedule for constructing, upgrading, or operating wastewater treatment equipment or practices or any other environmental programs that could affect the discharges described in this application. The requirements include, but are not limited to, permit conditions, administrative enforcement orders, enforcement compliance schedule letters, stipulations, court orders, and grant or loan conditions. If yes, continue to Item 2.2. If no, skip to Section 3. Item 2.2. Briefly identify and describe each applicable project (e.g., consent decree, enforcement order, or permit condition). For each condition, specify the affected outfall number(s), the source(s) of the discharge, the required final compliance date, and the projected final compliance date. Item 2.3.OPTIONAL ITEM. Indicate if you have attached any sheets describing any additional water pollution control programs (or other environmental projects that could affect your discharges) that you may now have underway or planned. If you attach additional sheets, indicate in the attachment whether each program is actually underway or is planned, and indicate your actual or planned schedule for construction. Be sure to note your EPA Identification Number, NPDES permit number, and facility name at the top of any attached pages. Section 3. Site Drainage Map Item 3.1 Attach a site drainage map showing the topography of the facility. If a topographic map is unavailable, you may provide an outline of drainage areas served by the outfall(s) covered in the application. The site map must include the following information: • Each of its drainage and discharge structures. • The drainage area of each stormwater ouffall. Paved areas and buildings within the drainage area of each stormwater outfall; each past or present area used for outdoor storage or disposal of significant materials; each existing structural control measure to reduce pollutants in stormwater runoff; materials loading and access areas; and areas where pesticides, herbicides, soil conditioners, and fertilizers are applied. • Each hazardous waste treatment, storage, or disposal facility (including each area not required to have a Resource Conservation and Recovery Act permit and 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. • Springs and other surface water bodies that receive stormwater discharges from the facility. When you have completed and attached your site map to Form 2F, answer "Yes" to Item 3.1. Section 4. Pollutant Sources Item 4.1. List all outalls discharging stormwater. Provide an estimate of the impervious surface area drained by the ouffall. Specify units of measure. (Impervious surfaces are surfaces where stormwater runs off at rates significantly higher than background rates—e.g., predevelopment levels. They include paved areas, building roofs, parking lots, and roadways.) Provide an estimate of the total surface area (impervious and pervious areas) drained by each ouffall (within a mile radius of the facility). You may use the site map developed under Item 3.1 to estimate the total area drained by each outfall. For areas under 5 acres, consult your NPDES permitting authority to determine whether the area should be reported to the nearest tenth of an acre or nearest quarter of an acre. Item 4.2. Provide a narrative description of the following • Significant materials that in three years prior to the submittal of this application have been treated, stored, or disposed of in a manner to allow exposure to stormwater. • Method of treatment, storage, or disposal of such materials. • Materials management practices employed, in the three years prior to the submittal of this application, to minimize contact by these materials with stormwater runoff. • Materials loading and access areas. • The location, manner, and frequency in which pesticides, herbicides, soil conditioners, and fertilizers are applied. You should identify your significant materials by chemical name, 2F-2 FORM 21F—INSTRUCTIONS CONTINUED form (e.g., powder, liquid, etc.), and type of container or treatment unit. Indicate any materials treated, stored, or disposed of together. The term "significant 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 the Comprehensive Environmental Response, Compensation, and Liability Act; any chemical the facility is required to report pursuant to Section 313 of Title III of the Superfund Amendments and Reauthorization Act; and fertilizers; pesticides; and waste products such as ashes, slag, and sludge that have the potential to be released with stormwater discharges. Item 4.3. For each outfall, list the location and type of existing structural and non-structural control measure(s) to reduce pollutants in stormwater runoff. Structural controls include structures that enclose materials handling or storage areas; structures that cover materials; and berms, dikes, or diversion ditches around manufacturing, production, storage, or treatment units and retention ponds. Spill prevention plans, employee training, visual inspections, preventive maintenance, and housekeeping measures are examples of non-structural controls. Describe the treatment, including the schedule and type of maintenance activities performed, and the ultimate disposal of any solid or fluid wastes other than by discharge. For each structural control identified, indicate the type of treatment the stormwater receives using the codes in Exhibit 2F-1, at the end of the instructions. For each non-structural control identified, indicate "Not Applicable" in the "Codes from Exhibit 2F-1" column. Section 5. Non-Stormwater Discharges Item 5.1. Provide a certification that all outfalls that should contain stormwater discharges associated with industrial activity have been tested or evaluated for the presence of non-stormwater discharges. Tests for such non-stormwater discharges can include smoke tests, fluorometric dye tests, analysis of accurate schematics, and others. Item 5.2. Include a description of the method used, the date of any testing, and the onsite drainage points that were directly observed during a test used to support the certification in Item 5.1. All non- stormwater discharges must be identified in a Form 2C, 2D, or 2E. See "Who Must Complete Form 2F?" above for more information. Section 6. Significant Leaks or Spills Item 6.1. Describe any significant leaks or spills of toxic or hazardous pollutants at the facility within the three years prior to the submittal of this application. Include the approximate date and location of the spill or leak and the type and amount of material released. Section 7. Discharge Information Item 7.1. Answer whether you are a new source or new discharge. Contact your NPDES permitting authority to determine if you are a new source or new discharge. Tables A, B, C, and D Items 7.2 to 7.17. These items require you to collect and report data in Tables A through D, at the end of Form 2F, for the parameters and pollutants listed in Exhibits 2F-2, 2F-3, and 2F-4 (at the end of the instructions). The instructions for completing Tables A through D are table -specific, as are the criteria for determining who should complete them. Important note: Read the "General Instructions for Reporting, Sampling, and Analysis" below before completing Items 7.2 to 7.17. Item 7.2 and Table A. All applicants must complete Table A. If the discharge is an existing discharge and your discharge is composed exclusively of stormwater (i.e., no process or nonprocess wastewater) then you only need to provide monitoring data for oil and grease, total phosphorus, total Kjeldahl nitrogen, and total nitrogen. Indicate "NA" for "not applicable" in the columns for all other parameters. Answer "Yes" to Item 7.2 once you have completed this task. Item 7.3 and Table B. Indicate whether the facility is subject to an effluent limitations guideline (ELG) (see 40 CFR Subchapter N to determine which pollutants are limited in ELGs) or if the facility is subject to effluent limitations in an NPDES permit for its process wastewater or stormwater (if the facility is operating under an existing NPDES permit). If yes, continue to Item 7.4. If no, skip to Item 7.5. Note: Stormwater discharges from certain industrial sources or activities have specific ELGs for which they must comply. These stormwater-specific ELGs include: Regulated Discharge 40 CFR Section Discharges resulting from spraydown or intentional Part 429, Subpart I wetting of logs at wet deck storage areas Runoff from phosphate fertilizer manufacturing facilities Part 418, Subpart A that comes into contact with any raw materials, finished product, byproducts or waste products (SIC 2874) Runoff from asphalt emulsion facilities Part 443, Subpart A Runoff from material storage piles at cement Part 411, Subpart C manufacturing facilities Mine dewatering discharges at crushed stone, Part 436, Subparts B, construction sand and gravel, or industrial sand mining C, and D facilities Runoff from hazardous waste and non -hazardous waste Part 445, Subparts A landfills and B Runoff from coal storage piles at steam electric Part 423 generating facilities Runoff containing urea from airfield pavement deicing at Part 449 existing and new primary airports with 1,000 or more annual non -propeller aircraft departures Item 7.4. In Table B, list all pollutants that are limited in an ELG to which the facility is subject and all pollutants listed in the facility's NPDES permit for its process wastewater (if the facility is operating under an existing NPDES permit) and provide quantitative data for each pollutant (provide actual data for existing dischargers and estimated data for new sources and new dischargers). If a pollutant in Exhibits 2F-2 or 2F-3 is indirectly limited by an ELG through an indicator (e.g., use of total suspended solids as an indicator to control the discharge of iron and aluminum), you must provide data for the pollutant in Table B. Complete one table for each outfall. Answer "Yes" to Item 7.4 once you have completed this task. 2F-3 FORM 2F—INSTRUCTIONS CONTINUED Item 7.5 and Table C. Table C requires you to address the pollutants in Exhibits 2F-2, 2F-3, and 2F-4 for each outfall. Pollutants in each of these exhibits are addressed differently. Indicate whether you know or have reason to believe any pollutants in Exhibit 2F-2 are present in the discharge. If yes, continue to Item 7.6. If no, skip to Item 7.7. Item 7.6. For each ouffall, list all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge in Table C (except pollutants previously listed in Table B that are limited directly or indirectly by an ELG) and either report quantitative data or briefly describe the reasons the pollutant is expected to be discharged. Answer "Yes' to Item 7.6 once you have completed this task. Item 7.7. This item asks if you qualify as a "small business." If so, you are exempt from the reporting requirements for the organic toxic pollutants listed in Exhibit 2F-3. You can quality as a small business in two ways: (1) If your facility is a coal mine and if 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 estimated total production under 30 CFR 795.14(c)) instead of conducting analyses for the organic toxic pollutants; (2) 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 that is the source of the discharge. The data should not be limited to production or sales for the process or processes that 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 online from the U.S. Department of Commerce, Bureau of Economic Analysis at hft[)://www.bea.ciovinafionaVDdf/SNTables.r)df. If you qualify as a small business according to the criteria above, answer "Yes" to Item 7.7 and skip to Item 7.18.Otherwise, answer "No" and continue to Item 7.8. Item 7.8. Indicate whether you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge. If yes, continue to Item 7.9. If no, skip to Item 7.10. Item 7.9. For each ouffall, list all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in Table C (except pollutants previously listed in Table B). Answer "Yes" to Item 7.9 once you have completed this task. Item 7.10. Indicate whether you expect any of the pollutants from Exhibit 2F-3 to be discharged in concentrations of 10 parts per billion (ppb) or greater. If yes, continue to Item 7.11. If no, skip to Item 7.12. Item 7.11. Provide quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in concentrations of 10 ppb or greater (provide actual data for existing dischargers and estimated data for new sources and new dischargers). Answer "Yes" to Item 7.11 once you have completed this task. Item 7.12. Indicate whether you expect acrolein, acrylonitrile, 2,4- dinitrophenol, or 2-methyl-4,6-dinitrophenol to be discharged in concentrations of 100 ppb or greater. If yes, continue to Item 7.13. If no, skip to Item 7.14. Item 7.13. Provide quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be discharged in concentrations of 100 ppb or greater (provide actual data for existing dischargers and estimated data for new sources and new dischargers). Answer "Yes" to Item 7.13 once you have completed this task. Item 7.14. For any pollutants you expect to be present in the discharge at concentrations less than 10 ppb (or less than 100 ppb for the above four pollutants), either submit quantitative data or briefly describe the reasons the pollutant is expected to be discharged in Table C. Answer "Yes" to Item 7.14 once you have completed this task. Item 7.15. Indicate whether you know or have reason to believe any pollutants in Exhibit 2F4 are present in the discharge. If yes, continue to Item 7.16. If no, skip to Item 7.17. Item 7.16. For each outfall, list any pollutant in Exhibit 217-4 that you know or believe to be present in the discharge in Table C and explain why you believe it to be present. No analysis is required, but if you have analytical data, you must report it. Answer "Yes" to Item 7.16 once you have completed this task. Note: Under40 CFR IV.12(a)(2), certain discharges of hazardous substances (listed in Exhibit 2F-5) may be exempted from the requirements of CWA section 311, which establishes reporting requirements, civil penalties, and liability for cleanup costs for spills of oil and hazardous substances. A discharge of a particular substance can 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. If you would like to apply for an exemption from the requirements of CWA section 311, attach additional sheets of paper to your application, setting forth the following information: 1. The substance and the amount of each substance that might be discharged. 2. The origin and source of the discharge of the substance. 3. The treatment to be provided for the discharge by a. An onsite treatment system separate from any treatment system treating your normal discharge; b. A treatment system designed to treat your normal discharge and that 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) or contact your NPDES permitting authority for further information on exclusions from CWA Section 311. Item 7.17 and Table D. Provide data for the storm event(s) that resulted in the maximum daily discharges for the flow weighted composite sample in Table D. If sampling is conducted during more than one storm event, you only need to report the information 2F-4 FORM 217—INSTRUCTIONS CONTINUED requested on Table D for the storm event(s) that resulted in any maximum pollutant concentration reported on Tables A through C. Provide flow measurements or estimates of the flow rate, as well as 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 that 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. Answer "Yes" to Item 7.17 once you have completed this task. Used or Manufactured Toxics Item 7.18. Review Exhibits 2F-2 through 2F4 and determine if you currently use or manufacture any of the pollutants listed as intermediate or final products or byproducts. If so, answer "Yes." You should also answer "Yes" if you know or have reason to believe that 2,3,7,84etrachloro-dibenzo-p-dioxin (TCDD) is discharged or if you use or manufacture 2,4,5-trichlorphenoxy acetic acid (2,4,5-T); 2-(2,4,5-trichlorophenoxy) propanoic acid (Silvex, 2,4,5-TP); 2-(2,4,5-trichlorophenoxy) ethyl, 2,2- dichloropropionate (Erbon); 0,0-dimethyl 0-(2,4,5-tdchlorphenyl) phosphorothioate (Ronnel); 2,4,5-trichlorophenol (TCP); or hexachlorophene (HCP). If your answer to Item 7.18 is "No," skip to Section 8. Item 7.19. List all of the toxic pollutants identified under Item 7.18, including TCDD. Note that the NPDES permitting authority may waive or modify the requirement if you demonstrate that it would be unduly burdensome to identify each toxic pollutant and the NPDES permitting authority has adequate information to issue your permit. You may not claim any information submitted in response to Item 7.18 as confidential; however, you do not have to distinguish between use or production of the pollutants or list the amounts. Section 8. Biological Toxicity Testing Data Item 8.1. Answer whether you know of or have reason to believe that biological toxicity testing has been conducted of your wastewater treatment, including engineering reports or pilot plant studies. If no, skip to Section 9.Otherwise, continue. Item 8.2. List any tests of which you are aware and their purposes. Section 9. Contract Analysis Information Item 9.1. Indicate if any of the analyses performed in Section 7 were performed by a contract laboratory or consulting firm. If no, skip to Section 10. If yes, continue to Item 9.2. Item 9.2. Provide the name, address, phone number, and pollutants analyzed by the laboratory or consulting firm(s) in the spaces provided. Section 10. Checklist and Certification Statement Item 10.1. Review the checklist provided on the application. In Column 1, mark the sections of Form 2F that you have completed and are submitting with your application. For each section in Column 2, indicate whether you are submitting attachments. Item 10.2. The Clean Water Act (CWA) provides for severe penalties for submitting false information on this application form. Section 309(c)(2) of the CWA 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 six months or both." FEDERAL REGULATIONS AT 40 CFR 122.22 REQUIRE THIS APPLICATION TO BE SIGNED AS FOLLOWS: A. For a corporation, by a responsible corporate officer. For the purpose of this section, a responsible corporate officer means: (1) 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 (2) the manager of one or more manufacturing, production, or operating facilities, provided the manager is authorized to make management decisions which govern the operation of the regulated facility including having the explicit or implicit duty of making major capital investment recommendations, and initiating and directing other comprehensive measures to assure long term environmental compliance with environmental laws and regulations; the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for permit application requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures. B. For a partnership or sole proprietorship, by a general partner or the proprietor, respectively. For a municipality, state, federal, or other public facility, by either a principal executive officer or ranking elected official. For purposes of this section, a principal executive officer of a federal agency includes: (1) The chief executive officer of the agency, or (2) a senior executive officer having responsibility for the overall operations of a principal geographic unit of the agency (e.g., Regional Administrators of EPA). END Submit your completed Form 1, Form 2F, and all associated attachments (and any other required NPDES application forms) to your NPDES permitting authority. 2F-5 General Instructions for Reporting, Sampling, and Analysis Important note: Read these instructions before completing Tables A through C and Section 7 of Form 2F. General Items Complete the applicable tables for each outfall at your facility. Be sure to note the EPA Identification Number, NPDES permit number, facility name, and applicable outfall number at the top of each table page and any associated attachments. You may report some or all of the required data by attaching separate sheets of paper instead of completing Tables A through C for each of your outfalls so long as the sheets contain all of the required information and are similar in format to Tables A through C. For example, you may be able to print a report in a compatible format from the data system used in your gas chromatography/ mass spectrometry (GC/MS) analysis completed under Table B. If you are an existing discharger, you are required to report actual quantitative data. See "Use of Historic Data" below for use of historic data. If you are a new source or discharge, you may supply estimated data along with the source of each estimate. If you have quantitative data available, however, you must provide it. Base estimates on available, in-house or contractor engineering reports, or any other studies performed on the proposed facility. Use the following codes to report your source information in the "Source of Information" column: Data Source Code reports 1 —Engineering Actual data from pilot plants 1 Estimates from other engineering reports 2 Data from other similar plants 3 Best professional estimates 4 Others 5 and specify on the table No later than 24 months after your facility commences to discharge, you must complete and submit sampling and analysis data for the pollutants and parameters in Tables A through C. However, you need not report results for tests you have already performed and reported under the discharge monitoring requirements of your NPDES permit. Table A requires you to report at least one analysis for each pollutant listed. Tables B and C require you to report analytical data in two ways. For some pollutants addressed in Tables B 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 Tables 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 Items 7.2 through 7.17 of the instructions for completing Tables A through C.). Base your determination that a pollutant is/will be present in your discharge on your knowledge of the facility's raw materials, material management practices, maintenance chemicals, history of spills and releases, intermediate and final products and byproducts, and any previous analyses known to you of your effluent or similar effluent. Sampling The collection of the samples for the reported analyses should be supervised by a person experienced in performing sampling of industrial wastewater or stormwater discharges. You may contact your NPDES permitting authority for detailed guidance on sampling techniques and for answers to specific questions. See Exhibit 1-1 of Form 1 for contact information. Any specific requirements in the analytical methods —for example, sample containers, sample preservation, holding times, and the collection of duplicate samples —must be followed. The time when you sample should be representative of your normal operation, to the extent feasible, with all processes that contribute wastewater in normal operation, and with your treatment system operating properly with no system upsets. Collect samples from the center of the flow channel, where turbulence is at a maximum, at a site specified in your present NPDES permit, or at any site adequate for the collection of a representative sample. Grab samples must be taken in the first 30 minutes of discharge (or as soon thereafter as practicable) for pH, temperature, cyanide, total phenols, residual chlorine, oil and grease, fecal coliform (including E. cob) and enterococci (previously known as fecal streptococcus at 40 CFR 122.26(d)(2)(iii)(A)(3)), and volatile organic compounds. 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 must be collected from the discharge resulting from a storm event that is greater than 0.1 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 must be taken during the first 30 minutes of the discharge (or as soon thereafter as practicable), and a flow - weighted composite must be taken for the entire event or for the first three hours of the event. Grab and composite samples are defined as follows: Grab sample: An individual sample of at least 100 milliliters collected during the first 30 minutes (or as soon thereafter as practicable) of the discharge. This sample is to be analyzed separately from the composite sample. Flow -weighted composite sample: A flow -weighted composite sample may be taken with a continuous sampler that proportions the amount of sample collected with the flow rate or as a combination of a minimum of three sample aliquots taken in each hour of discharge 2F-6 General Instructions for 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 15 minutes between aliquot collections. The composite must be flow proportional; the time interval between either each aliquot or the volume of each aliquot must be proportional to either the stream (effluent) flow at the time of sampling or the total stream (effluent) flow since the collection of the previous aliquot. Aliquots may be collected manually or automatically. Where GC/MS volatile organic analysis is required, aliquots must be combined in the laboratory immediately before analysis. Only one analysis for the composite sample is required. Use of Historical Data Existing data may be used, if available, in lieu of sampling conducted solely for the purposes of this application, provided it is representative of the present discharge and was collected within 3 years of the application due date. If you sample for a listed pollutant on a monthly or more frequent basis, summarize the data collected within one year of the application for the pollutant(s) at issue. Among the factors that would cause the data to be unrepresentative are significant changes in production level; changes in raw materials, processes, or final products; and changes in stormwater treatment. The NPDES permitting authority may request additional information, including current quantitative data, if they determine it to be necessary to assess your discharges. The NPDES permitting authority may allow or establish appropriate site -specific sampling 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 sampled, 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 136, and additional time for submitting data on a case -by -case basis. Reporting Report sampling results for all pollutants in Tables A through C as concentration and mass, with the exception of flow, temperature, pH, color, and fecal coliform organisms. Flow, temperature, pH, color, and fecal coliform organisms must be reported as million gallons per day (mgd), degrees Celsius ("C), standard units, color units, and most probable number per 100 milliliters (MPN/100 mQ, respectively. Use the following abbreviations in the columns requiring "units" in Tables A through C. Concentration Mass m = parts per million Ibs = pounds m JL = milligrams per liter ton = tons (English tons b = parts per billion mQ = milligrams !L = micrograms per liter g = grams MPN = most probable number per 100 milliliters kg = kilograms T = tonnes metric tons Sampling, and Analysis Continued All reporting of values for metals must be in terms of "total recoverable metal" unless: • An applicable, promulgated ELG specifies the limitation for the metal in dissolved, valent, or total form; • All approved analytical methods for the metal inherently measure only its dissolved form (e.g., hexavalent chromium); or • The NPDES permitting authority has determined that in establishing case -by -case limitations it is necessary to express the limitations of the metal in dissolved, valent, or total form to carry out the provisions of the CWA. If you measure only one grab sample and one flow -weighted composite sample for a given outfall, complete only the "Maximum Daily Discharge" columns in the tables and enter "1" in the "Number of Storm Events Sampled" column. The NPDES permitting authority may require you to conduct additional analyses to further characterize your discharges. If you measure more than one value for a grab sample or a flow - weighted composite sample for a given outfall and those values are representative of your discharge, you must report them. You must describe your method of testing and analysis. The "Average Daily Discharge" column on Tables A to C is not compulsory but should be filled out if data are available. To complete the "Average Daily Discharge" column, determine the average of all values within the last year and report the concentration and mass. Report the total number of storm events sampled under the "Number of Storm Events Sampled" column. Substantially Identical Outfalls If you have two or more substantially identical outfalls, you may request permission from your NPDES permitting authority to sample and analyze only one outfall and submit the results of the analysis for all substantially identical outfalls. If your request is granted, submit the following information on a separate sheet attached to the application form: the identity of the outfall you did test and an explanation of how it is substantially identical to the outfall(s) that you did not test. Analysis Except as specified below, all required quantitative data shall be collected in accordance with sufficiently sensitive analytical methods approved under 40 CFR 136 or required under 40 CFR chapter I, subchapter N or 0. A method is "sufficiently sensitive" when: • The method minimum level (ML) is at or below the level of the applicable water quality criterion for the measured pollutant or pollutant parameter. • The method ML is above the water quality criterion, but the amount of the pollutant or pollutant parameter in the facility's discharge is high enough that the method detects and quantifies the level of the pollutant or pollutant parameter in the discharge. 2F-7 General Instructions for Reporting, Sampling, and Analysis Continued • The method has the lowest ML of the analytical methods select a different method from the remaining EPA -approved approved under 40 CFR 136 or required under 40 CFR methods that is sufficiently sensitive consistent with 40 CFR chapter I, subchapter N or 0, for the measured pollutant or 122.21(e)(3)(i). Where no other EPA -approved methods exist, you pollutant parameter. must select a method consistent with 40 CFR 122.21(e)(3)(0). Consistent with 40 CFR 136, you may provide matrix- or sample- When there is no analytical method that has been approved under specific MLs rather than the published levels. Further, where you 40 CFR 136; required under 40 CFR chapter I, subchapter N or 0, can demonstrate that, despite a good faith effort to use a method and is not otherwise required by the NPDES permitting authority, that would otherwise meet the definition of "sufficiently sensitive," you may use any suitable method but shall provide a description of the analytical results are not consistent with the quality assurance the method. When selecting a suitable method, other factors such (QA)Iquality control (QC) specifications for that method, then the as a method's precision, accuracy, or resolution, may be considered NPDES permitting authority may determine that the method is not when assessing the performance of the method. performing adequately and the NPDES permitting authority should 2F-8 Exhibit 217-1. Codes for Treatment Units and Disposal of Wastes Not Discharged 1. PHYSICAL TREATMENT PROCESSES 1 A.................Ammonia stripping 1-13 ................. Dialysis 1—C ................ Diatomaceous earth filtration 1—D ................ Distillation 1—E................. Electrodialysis 1—F................. Evaporation 1—G ................ Flocculation 1—H ................ Flotation 1-1..................Foam fractionation 1—J ................. Freezing 1—K.................Gas-phase separation 1—L.................Grinding (comminulors) 2 A ................. Carbon adsorption 2—B................. Chemical oxidation 2—C ................Chemical precipitation 2—D ................Coagulation 2—E................. Dechlorination 2—F................. Disinfection (chlorine) 3—A.................Activated sludge 3-13 .................Aerated lagoons 3—C ................Anaerobic treatment 3—D ................ Nitrification—denitrification 1—M................ Grit removal 1—N ................ Microstraining 1-0................ Mixing 1—P ................ Moving bed filters 1—Q................ Multimedia filtration 1—R................ Rapid sand filtration 1—S ................ Reverse osmosis (hyperfilfration) 1—T ................ Screening 1—U ................ Sedimentation (settling) 1—V ................ Slow sand filtration 1—W ............... Solvent extraction 1—X ................ Sorption 2. CHEMICAL TREATMENT PROCESSES 2—G................ Disinfection (ozone) 2—H ................ Disinfection (other} 2-1.................. Electrochemical treatment 2—J.................Ion exchange 2—K ................ Neutralization 2—L................. Reduction 3. BIOLOGICAL TREATMENT PROCESSES 3—E ................ Pre -aeration 3—F ................ Spray inigationliand application 3—G ................ Stabilization ponds 3—H ................ Trickling filtration 4. WASTEWATER DISPOSAL PROCESSES 4—A.................Discharge to surface Water 4—C ................ Reusetrecycle of treated effluent 4-13 .................Ocean discharge through outfall 4—D................ Underground injection 5. SLUDGE TREATMENT AND DISPOSAL PROCESSES 5—A.................Aerobic digestion 5-13 .................Anaerobic digestion 5—C ................ Belt filtration 5—D ................Centrifugation 5—E.................Chemical conditioning 5—F.................Chlorine treatment 5—G ................ Composting 5—H ................Drying beds 5-1.................. Elutriation 5—J.................Flotation thickening 5—K................. Freezing 5—L.................Gravity thickening 5—M................ Heat drying 5—N ................ Heat treatment 5-0................ Incineration 5—P ................ Land application 5—Q................ Landfill 5—R ................ Pressure filtration 5—S ................ Pyrolysis 5—T ................ Sludge lagoons 5—U ................ Vacuum filtration 5—V ................ Vibration 5—W ............... Wet oxidation 2F-9 Exhibit 2F-2. Conventional and Nonconventional Pollutants (40 CFR 122.21, Appendix D, Table IV) Bromide Chlorine, total residual Color Fecal coliform Fluoride Nitrate -nitrite Nitrogen, total organic (as N) Oil and grease Phosphorus (as P), total Radioactivity (as alpha, total; beta, total; radium, total; and radium 226, total) Sulfate (as SO4) Sulfide (as S) Sulfite (as SO3) Surfactants Aluminum, total Barium, total Boron, total Cobalt, total Iron, total Magnesium, total Molybdenum, total Manganese, total Tin, total Titanium, total 2F-10 Exhibit 2F-3. Toxic Pollutants (40 CFR 122.21, Appendix D, Tables II and III) Toxic Pollutants and Total Phenol Antimony, total Copper, total Silver, total Arsenic, total Lead, total Thallium, total Beryllium, total Mercury, total Zinc, total Cadmium, total Nickel, total Cyanide, total Chromium, total Selenium, total Phenols, total GC/MS Fraction —Volatile Compounds Acrolein Dichlorobromomethane 1,1,2,2-tetrachloroethane Acrylonitrile 1,1-dichloroethane Tetrachloroethylene Benzene 1,2-dichloroethane Toluene Bromoform 1,1-dichloroethylene 1,2-trans-dichloroethylene Carbon tetrachloride 1,2-dichloropropane 1,1,1-tichloroethane Chlorobenzene 1,3-dichloropropylene 1,1,2-tichloroethane Chlorodibromomethane Ethylbenzene Trichloroethylene Chloroethane Methyl bromide Vinyl chloride 2-Chloroethyivinyl ether Methyl chloride Chloroform Methylene chloride GC1MS Fraction —Acid Compounds 2-chlorophenol 2,4-dinitrophenol Pentachlorophenol 2,4-dichlorophenol 2-nitrophenol Phenol 2,4-dimethylphenol 4-nitrophenol 2,4,6-tdchlorophenol 4,6-dinitro-o-cresol P-chloro-m-cresol GC/MS Fraction—Base/Neutral Compounds Acenaphthene 4-chlorophenyl phenyl ether Hexachlorobenzene Acenaphthylene Chrysene Hexachlorobutadiene Anthracene Dibenzo (a,h) anthracene Hexachlorocyclopentadiene Benzidine 1,2-dichlorobenzene Hexachloroethane Benzo (a) anthracene 1,3-dichlorobenzene Indeno (1,2,3-cd) pyrene Benzo (a) pyrene 1,4-dichlorobenzene Isophorone 3,4-benzofluoranthene 3,3-dichlorobenzidine Naphthalene Benzo (ghi) perylene Diethyl phthalate Nitrobenzene Benzo (k) fluoranthene Dimethyl phthalate N-nitrosodimethylamine Bis (2-chloroethoxy) methane Di-n-butyl phthalate N-nitrosodi-n-propylamine Bis (2-chloroethyl) ether 2,4-dinitrotoluene N-nitrosodiphenylamine Bis (2-chloroisopropyl) ether 2,6-dinitrotoluene Phenanthrene Bis (2-ethylhexyl) phthalate Di-n-octyl phthalate Pyrene 4-bromophenyl phenyl ether 1,2-diphenylhydrazine (as azobenzene) 1,2,4-tichlorobenzene Butyl benzyl phthalate Fluoranthene 2-chloronaphthalene Fluorene GC/MS Fraction —Pesticides Aldrin Dieldrin PCB-1254 a-BHC a-endosulfan PCB-1221 R-BHC R-endosulfan PCB-1232 y-BHC Endosulfan sulfate PCB-1248 6-BHC Endrin PCB-1260 Chlordane Endrin aldehyde PCB-1016 4,4'-DDT Heptachlor Toxaphene 4,4'-DDE Heptachlor epoxide 4,4'-DDD PCB-1242 2F-11 Exhibit 2F-4. Certain Hazardous Substances and Asbestos (40 CFR 122.21, Appendix D, Table V) Asbestos Acetaldehyde Allyl alcohol Allyl chloride Amyl acetate Aniline Benzonitrile Benzyl chloride Butyl acetate Butylamine Captan Carbaryl Carbofuran Carbon disulfide Chlorpyrifos Coumaphos Cresol Crotonaldehyde Cyclohexane 2,4-D (2,4-dichlorophenoxyacetic acid) Diazinon Dicamba Dichlobenil Dichlone 2,2-dichloropropionic acid Dichlorvos Diethyl amine Dimethyl amine Toxic Pollutant Hazardous Substances Dintrobenzene Naphthenic acid Diquat Nitrotoluene Disulfoton Parathion Diuron Phenolsulfonate Epichlorohydrin Phosgene Ethion Propargite Ethylene diamine Propylene oxide Ethylene dibromide Pyrethrins Formaldehyde Quinoline Furfural Resorcinol Guthion Strontium Isoprene Strychnine Isopropanolamine Styrene Kelthane 2,4,5-T (2,4,5-tdchlorophenoxyacetic acid) Kepone TDE (tetrachlorodiphenyl ethane) Malathion 2,4,5-TP [2-(2,4,5-trichlorophenoxy) propanoic acid] Mercaptodimethur Trichlorofon Methoxychlor Triethanolamine ' Methyl mercaptan Triethylamine Methyl methacrylate Trimethylamine Methyl parathion Uranium Mevinphos Vanadium Mexacarbate Vinyl acetate Monoethyl amine Xylene Monomethyl amine Xylenol Naled Zirconium 2F-12 1. Acetaldehyde 2. Acetic acid 3. Acetic anhydride 4. Acetone cyanohydrin 5. Acetyl bromide 6. Acetyl chloride 7. Acrolein 8. Acrylonitrile 9. Adipic acid 10. Aldrin 11. Allyl alcohol 12. Aliyl chloride 13. Aluminum sulfate 14. Ammonia 15. Ammonium acetate 16. Ammonium benzoate 17. Ammonium bicarbonate 18. Ammonium bichromate 19. Ammonium bifluodde 20. Ammonium bisulfte 21. Ammonium carbomate 22. Ammonium carbonate 23. Ammonium chloride 24. Ammonium chromate 25. Ammonium citrate 26. Ammonium fluoroborate 27. Ammonium fluoride 28. Ammonium hydroxide 29. Ammonium oxalate 30. Ammonium silicofluodde 31. Ammonium sulfamate 32. Ammonium sulfide 33. Ammonium sulfite 34. Ammonium tartrate 35. Ammonium thiocyanate 36. Ammonium thiosulfate 37. Amyl acetate 38. Aniline 39. Antimony pentachloricie 40. Antimony potassium tartrate 41. Antimony tribromide 42. Antimony tichloride 43. Antimony trifluoride 44. Antimony trioxide 45. Arsenic disulfide 46. Arsenic pentoxide 47. Arsenic dichloride 48. Arsenic trioxide 49. Arsenic trisulfide 50. Barium cyanide 51. Benzene 52. Benzoic acid 53. Benzonitrile 54. Benzoyl chloride 55. Benzyl chloride 56. Beryllium chloride 57. Beryllium fluoride 58. Beryllium nitrate 59. Butylacetate 60. n-butylphthalate 61. Butylamine 62. Butyric acid 63. Cadmium acetate 64. Cadmium bromide 65. Cadmium chloride 66. Calcium arsenate 67. Calcium arsenb 68. Calcium carbide 69. Calcium chromate 70. Calcium cyanide 71. Calcium dodecyibenzenesulfonate 72. Calcium hypochlorite NCS000369Exhibit 2F-5. Hazardous Substances 73. Caplan 74. Carbaryl 75. Carbofuran 76. Carbon disulfide 77. Carbon tetrachloride 78. Chlordane 79. Chlorine 80. Chlorobenzene 81. Chloroform 82. Chloropyrifos 83. Chlorosulfonic acid 84. Chromic acetate 85. Chromic acid 86. Chromic sulfate 87. Chromous chloride 88. Cobaltous bromide 89. Cobaltous formate 90. Cobaltous sulfamate 91. Coumaphos 92. Cresol 93. Crotonaldehyde 94. Cupric acetate 95. Cupric acetoarsenite 96. Cupric chloride 97. Cupric nitrate 98. Cupric oxalate 99. Cupric sulfate 100. Cupric sulfate ammoniated 101. Cupric tartrate 102. Cyanogen chloride 103. Cyclohexane 104. 2,4-D acid (2,44chlorophenoxyacetic acid) 105.2,4-D esters (2,4-dichlorophenoxyacetic acid esters) 106. DDT 107. Diazinon 108. Dicamba 109. Dichlobenil 110. Dichlone 111. Dichlorobenzene 112. Dichloropropane 113. Dichloropropene 114. Dichloropropene-dichloproropane mix 115.2,2-dichloropropionic acid 116. Dichlorvos 117. Dieldrin 118. Diethylamine 119. Dimethylamine 120. Dinitrobenzene 121. Dinitrophenol 122. Dinitrotoluene 123. Diquat 124. Disulfoton 125. Diuron 126. Dodecylbenzesulfonic acid 127. Endosulfan 128. Endrin 129. Epichlorohydrin 130. Ethion 131. Ethylbenzene 132. Ethylenediamine 133. Ethylene dibromide 134. Ethylene dichloride 135. Ethylene diaminetetracetic acid (EDTA) 136. Ferric ammonium citrate 137. Ferric ammonium oxalate 138. Ferric chloride 139. Ferric fluoride 140. Ferric nitrate 141. Ferric sulfate 142. Ferrous ammonium sulfate 143. Ferrous chloride 144. Ferrous sulfate 145. Formaldehyde 146. Formic acid 147. Fumadc acid 148. Furfural 149. Guthion 150. Heptachlor 151. Hexachlorocydopentadiene 152. Hydrochloric acid 153. Hydrofluoric acid 154. Hydrogen cyanide 155. Hydrogen sulfide 156. Isoprene 157. Isopropanolamine dodecylbenzenesulfonate 158. Kelthane 159. Kepone 160. Lead acetate 161. Lead arsenate 162. Lead chloride 163. Lead fluoborate 164. Lead fluorite 165. Lead iodide 166. Lead nitrate 167. Lead stearate 168. Lead sulfate 169. Lead sulfide 170. Lead thiocyanate 171. Undane 172. Lithium chromate 173. Malathion 174. Maleic add 175. Maleic anhydride 176. Mercaptodimethur 177. Mercuric cyanide 178. Mercuric nitrate 179. Mercuric sulfate 180. Mercuric thlocyanate 181. Mercurous nitrate 182. Methoxychlor 183. Methyl mercaptan 184. Methyl methacrylate 185. Methyl parathion 186. Mevinphos 187. Mexacarbate 188. Monoethylamine 189. Monomethylamine 190. Naled 191. Naphthalene 192. Naphthenic add 193. Nickel ammonium sulfate 194. Nickel chloride 195. Nickel hydroxide 196. Nickel nitrate 197. Nickel sulfate 198. Nitric add 199. Nitrobenzene 200. Nitrogen dioxide 201. Nitrophenol 202. Nitrotoluene 203. Parafonnaldehyde 204. Parathion 205. Pentachlorophenol 206. Phenol 207. Phosgene 208. Phosphoric add 209. Phosphorus 210. Phosphorus oxychloride 211. Phosphorus pentasulfide 212. Phosphorus tichloride 213. Polychlorinated biphenyls (PCB) 214. Potassium arsenate 215. Potassium arsenite 2F-13 Type text he&hibit 2F-5. Hazardous Substances 216. Potassium bichromate 245. Sodium phosphate (dibasic) 271. Uranyl acetate 217. Potassium chromate 246. Sodium phosphate (tribasic) 272. Uranyl nitrate 218. Potassium cyanide 247. Sodium selenite 273. Vanadium peroxide 219. Potassium hydroxide 248. Strontium chromate 274. Vanadyl sulfate 220. Potassium permanganate 249. Strychnine 275. Vinyl acetate 221. Propargite 250. Styrene 276. Vinylidene chloride 222. Propionic acid 251. Sulfuric acid 277. Xylene 223. Propionic anhydride 252. Sulfur monochloride 278. Xylenol 224. Propylene oxide 253. 2,4,5-T acid (2,4,5-tdchlorophenoxyacetic acid) 279. Zinc acetate 225. Pyrethrins 254. 2,4,5-T amines (2,4,5-tdchlorophenoxy acetic acid 280. Zinc ammonium chloride 226. Quinoline amines) 281. Zinc borate 227. Resorcinol 255.2,4,5-T esters (2,4,5-trichlorophenoxy acetic acid 282. Zinc bromide 228. Selenium oxide esters) 283. Zinc carbonate 229. Silver nitrate 256.2,4,5-T salts (2,4,5-trichlorophenoxy acetic acid 284. Zinc chloride 230. Sodium salts) 285. Zinc cyanide 231. Sodium arsenate 257. 2,4,5-TP acid (2,4,5-tdchlorophenoxy propanoic 286. Zinc fluoride 232. Sodium arsenite acid) 287. Zinc formate 233. Sodium bichromate 258. 2,4,5-TP acid esters (2,4,5-tdchlorophenoxy 288. Zinc hydrosulfite 234. Sodium bifluoride propanoic acid esters) 289. Zinc nitrate 235. Sodium bisulfite 259. TDE (tetrachlorodipheno ethane) 290. Zinc phenolsulfonate 236. Sodium chromate 260. Tetraethyl lead 291. Zinc phosphide 237. Sodium cyanide 261. Tetraethyl pyrophosphate 292. Zinc siticofluodde 238. Sodium dodecylbenzenesulfonate 262. Thallium sulfate 293. Zinc sulfate 239. Sodium fluoride 263. Toluene 294. Zirconium nitrate 240. Sodium hydrosulfide 264. Toxaphene 295. Zirconium potassium fluoride 241. Sodium hydroxide 265. Trichlorofon 296. Zirconium sulfate 242. Sodium hypochlorite 266. Trichloroethylene 297. Zirconium tetrachloride 243. Sodium methylate 267. Trichlorophenol 244. Sodium nitrite 268. Triethanolamine dodecylbenzenesulfonate 269. Tdethylamine 270. Trimethylamine 2F-14 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCS000369 I BWGP OMB No. 2040-0004 Form U.S Environmental Protection Agency 2F ,EPA Application for NPDES Permit to Discharge Wastewater NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY SECTIONOUTFALL LOCATIONr 1.1 Provide information on each of the facilit 's outfalls in the table below Outfall Receiving Water Name Latitude Longitude Number 1 LOCKS CREEK 35' 05 ' 46.6' -78` 49 ' 48.0 0 V 0 J a , n n • u N Q SECTIONRO r 2.1 Are you presently required by any federal, state, or local authority to meet an implementation schedule for constructing, upgrading, or operating wastewater treatment equipment or practices or any other environmental programs that could affect the discharges described in this application? ❑ Yes ® No 4 SKIP to Section 3. 2.2 Briefly identify each applicable project in the table below. Brief Identification and Affected Outfalls Final Compliance Dates Description of Project (list oudall numbers) Source(s) of Discharge Required Projected c E w 0 E E 2.3 Have you attached sheets describing any additional water pollution control programs (or other environmental projects that may affect your discharges) that you now have underway or planned? (Optional Item) ❑ Yes ❑ No EPA Form 3510-2F (Revised 3-19) Page 1 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCS000369 BWGP OMB No. 2040-0004 SECTIONr 0 3.1 Have you attached a site drainage map containing all required information to this application? (See instructions for specific guidance.) o ® Yes ❑ No SECTIOI 14. POLLUTANT SOURCESr 4.1 Provide information on the facility's pollutant sources in the table below. Outfall Impervious Surface Area Total Surface Area Drained Number (within a mile radius of the facility) (within a mile radius of the facility) specify units specify units 1 specify units specify units specify units specfy units specify units specify units specify units specify units specify units specify units 4.2 Provide a narrative description of the facility's significant material in the space below. (See instructions for content requirements.) STORMWATER RUNOFF FUEL OIL TANKS ELECTRIC POWER TRANSFORMERS 3 O a 4.3 Provide the location and a description of existing structural and non-structural control measures to reduce pollutants in stormwater runoff. See instructions forspecificguidance.) Stormwater Treatment Codes Outfall from Number Control Measures and Treatment Exhibit 2F-1 list 1 OIL WATER SEPARATORS, BERMS (AGAINST FUEL OIL TANKS) SPILL PREVENTION, EMPLOYEE TRAINING, SEMI-ANNUAL AND MONTHLY VISUAL INSPECTIONS OF TANKS & BERMS OIL BOOMS ARE DEPLOYED IN RETENTION POND NEAR STORM DRAIN INLETS. ELECTRIC POWER TRANSFORMERS ARE INSPECTED MONTHLY EPA Form 3510-2F (Revised 3-19) Page 2 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCS000369 I BWGP OMB No. 2040-0004 TION 5. NON• -Dr 5.1 1 certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the presence of non-stormwater discharges. Moreover, I certify that the outfells identified as having non-stormwater discharges are described in either an accompanying NPDES Form 2C, 21), or 2E application. Name (print or type first and last name) Official title William Ace May I Power Plant Manager N M aiyimwie ' ,tl WILLIAl'++ n�c c^�t 5.2 Provide the testing information requested in the table below. Outfall Description of Testing Method Used Number October 7, 2022 Date(s) of Testing I Directly Observed 6.1 1Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years. HAVE NONE See the instructions to determine the pollutants and parameters you are required to monitor and, in turn, the tables you must o comolete. Not all aoolicants need to complete each table. 7.1 Is this a new source or new discharge? aYes 4 See instructions regarding submission of ® No 4 See instructions regarding submission of m estimated data. actual data. Tables A, B, C, and D m 7.2 Have you completed Table A for each outfall? ® Yes ❑ No EPA Form 3510-2F (Revised 3-19) Page 3 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCS000369 BWGP OMB No. 2040-0004 7.3 Is the facility subject to an effluent limitation guideline (ELG) or effluent limitations in an NPDES permit for its process wastewater? ❑ Yes ® No 4 SKIP to Item 7.5. 7.4 Have you completed Table B by providing quantitative data for those pollutants that are (1) limited either directly or indirectly in an ELG and/or (2) subject to effluent limitations in an NPDES permit for the facility's process wastewater? ❑ Yes ❑ No 7.5 Do you know or have reason to believe any pollutants in Exhibit 2F-2 are present in the discharge? ❑ Yes EJ No 4 SKIP to Item 7.7. 7.6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the.discharge and provided quantitative data or an explanation for those pollutants in Table C? ❑ Yes ❑ No 7.7 Do you qualify for a small business exemption under the criteria specified in the Instructions? ❑ Yes 4SKIP to Item 7.18. ® No 7.8 Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge? ❑ Yes ® No 4 SKIP to Item 7.10. - 7.9 Have you listed all pollutants in Exhibit 217-3 that you know or have reason to believe are present in the discharge in ..'c Table C? 0 ❑ Yes ❑ No o : 7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater? ,Ca ❑ Yes ® No 4 SKIP to Item 7.12. 7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in concentrations of 10 ppb or greater? ❑ Yes ❑ No 7.12 Do you expect acrolein, acrylonitrile, 2,44nitrophenol, or 2-methyl-4,6-dinitrophenol to be discharged in concentrations of 100 ppb or greater? ❑ Yes [L7J No 4 SKIP to Item 7.14. 7.13 Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be discharged in concentrations of 100 ppb or greater? ❑ Yes ❑ No 7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the discharge at concentrations less than 10 ppb (or less than 100 ppb for the pollutants identified in Item 7.12)? ❑ Yes ❑ No 7.15 Do you know or have reason to believe any pollutants in Exhibit 2174 are present in the discharge? ❑ Yes ® No 4 SKIP to Item 7.17. 7.16 Have you listed pollutants in Exhibit 2F4 that you know or believe to be present in the discharge and provided an explanation in Table C? ❑ Yes ❑ No 7.17 Have you provided information for the storm event(s) sampled in Table D? ❑ Yes ® No EPA Form 3510-2F (Revised 3-19) Page 4 EPA ldemblimlion Number NPDES Permit Number Fadlity Name Form Approved 03/05/19 NCS000369 BWGP OMB No. 2040-0004 o Used or Manufactured Toxics 7.18 Is any pollutant listed on Exhibits 2F-2 through 2F-4 a substance or a component of a substance used or omanufactured as an intermediate or final product or byproduct? c 0 ❑ Yes ❑ No 4 SKIP to Section 8. 7.19 List the pollutants below, including TCDD if applicable. c 1. 4. 7. v m 2. 5. 8. L U 0 3. 6. 9. SECTIONBIOLOGICAL T• D t 8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on 2 any of your discharges or on a receiving water in relation to your discharge within the last three years? 0 ❑ Yes ® No 4 SKIP to Section 9. 8.2 Identify the tests and their purposes below. x Testis) Purpose of Testis) Submitted to NPDES Permitting Authority? Date Submitted 0 ~ ❑ Yes ❑ No A U ❑ Yes ❑ No 0 m ❑ Yes ❑ No SECTION• • • r 9.1 Were any of the analyses reported in Section 7 (on Tables A through C) performed by a contract laboratory or consulting firm? ® Yes NONPOLARIZED GREASE ❑ No 4 SKIPto Section 10. 9.2 Provide information for each contract laboratory or consulting firm below. Laboratory Number Laboratory Number Laboratory Number 3 Name of laboratory/firm MERITECH CROSS CREEK LAB `o NC165 NCO0133 i_ FAYETTEVILLE PWC FACILITY 0 H .y Laboratory address 642 TAMCO ROAD 601 N. EASTERN BLVD. a a REIDSVILLE, NC 27320 FAYETTEVILLE, NC 28301 12 A Phone number o U (336) 342-4748 (910) 223-4702 Pollutant(s) analyzed NON POLARIZED GREASE TOTAL SUSPENDED SOLIDS PH EPA Form 3510-2F (Revised 3-19) Page 5 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119 NCS000369 BWC,p OMB No. 2040-0004 SECTIONI CHECKLIST AND CERTIFICATION STATEMENT (40 10.1 In Column 1 below, mark the sections of Form 2F that you have completed and are submitting with your application. For each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not all applicants are required to complete all sections or provide attachments. Column 1 Column 2 ® Section 1 ❑ w/ attachments (e.g., responses for additional outfalls) ❑ Secion 2 ❑ w/ attachments ❑ Section 3 ❑ w/ site drainage map ❑ Section 4 ❑ w/ attachments ❑ Section 5 ❑ w/ attachments ❑ Section 6 ❑ w/ attachments v ❑ Section 7 ❑ Table A ❑ w/ small business exemption request n o El Table B ❑ wl analytical results as an attachment ❑ Table C ❑ Table D c v ❑ Section 8 ❑ w/attachments a c ❑ Section 9 ❑ w/attachments (e.g., responses for additional contact laboratories or firms) Y z ❑ Section 10 ❑ 0 10.2 Certification Statement I 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 property 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. Name (print or type first and last name) Official title William Ace May Power Plant Manager Signature Date signed October 7, 2022 K'nLA! I EPA Form 3510-2F (Revised 3-19) Page 6 NPues Permit Number Facility Name Oudall Number Form Approved 03105/19 NCS000369 BWGP 1 0MB No. 2040-0004 TABLE A. CONVENTIONAL AND NON CONVENTIONALr You must provide the results of at least one anal sis for every pollutant in this table. Complete one table for each outfall. See instructions for additional details and requirements. Pollutant or Parameter Maximum Daily Discharge specify units) Average Daily Discharge (specify units) Number of Storm Events Sampled Source of Information (new sourcelnew dischargers only; use codes in instructions) Grab Sample Taken During First 30 Minutes ed Flow -Weighted Composite Composite Grab. Sample Taken During First 30 Minutes Flow -Weighted Composite Composite 1. Oil and grease 11 mg/I 2. Biochemical oxygen demand (BODS) 3. Chemical oxygen demand (COD) 4. Total suspended solids (TSS) 13.3 mg/I 5. Total phosphorus 6. Total Kjeldahl nitrogen (TKN) 7. Total nitrogen (as N) 8. pH (minimum) 6.14 Am 401 pH (maximum) 7,4g 1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-21' (Revised 3-19) Page 7 This page intentionally left blank. NPutS Perrot Number Facility Name Oudall Number Form Approved 03/05119 NCS000369 BWGP 1 1 OMB No. 2040-0004 List each pollutant that is limited in an effluent limitation guideline (ELG) that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater (if the facility is operating under an existing NPDES permit). Complete one table for each outfall. See the instructions for additional details and requirements. Pollutant and CAS Number (if available) Maximum Daily Discharge (sped units Average Daily Discharge spec units)NumberofStomt Events Sampled Source of Information (new Information dischargers only; use codes in instructions) Grab Sample Taken During First 30 Minutes Flow-Weighted Composite Grab Sample Taken During First 30 Minutes Flow -Weighted Composite r Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2F (Revised 3-19) Page 9 This page intentionally left blank. Identification Number NPDES Permit Number Facility Name Wall Number Form Approved 03/05/19 NCS000369 I BWGP OMB No. 2040-0004 TABLE C. TOXIC POLLUTANTS, CERTAIN HAZARDOUS SUBSTANCES, AND ASBESTOS (4U CrK -1 22.26(c)(1)(i)(E)(4) and 40 CFR 122.21 (g)(7)(vi)(B) and (vii))' List each pollutant shown in Exhibits 2F-2, 2F-3, and 2F-4 that you know or have reason to believe is present. Complete one table for each outfall. See the instructions for additional details and requirements. Pollutant and:CAS Number'(if available) . .Mkimum;Daily Discharge s :units Average:Daily:Discliarge . sea units Number of Storm :Events Sampled Source,of Information new; rce/n .( sou ew. dischargers only;. use oodes'ln instructions) :Grab Sam - le Taken ... - Duran First 9 30 Minutes Fiow-Weighted Composite _.., . Grab Sam le.Taken During:First. ' 30 Minutes Flaw Weighted>_. Composite . 1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2F (Revised 3-19) Page 11 This; page intentionally left' blank. EPA Idenfiicallon Number NPOES Permit Number Facility name Outfall Number Form Approved 03/05/19 NCS000369 I BWGP 1 OMB No. 2040-0004 TABLE D. STORM EVENT • • .t Provide data for the storm event(s) that resulted in the maximum daily discharges for the flow -weighted composite sample. Number of Hours Between Duration of Storm Event Total Rainfall During Beginning of Storm Measured and Maximum Flow Rate Total Flow from Rain Event Date of Storm Event (in hours) Storm Event End of Previous Measurable Rain During Rain Event (in gallons or specity units) (in inches) Event (in gpm or specify units) 01/13/2019 0.801, MANUAL DISCHARGE 01/13/2020 0.80" 120 HOURS 01/14/2019 0 MANUAL DISCHARGE 09/30/2020 2.00" 72 HOURS Provide a description of the method of flow measurement or estimate. 01/13/2019 HIGHEST GREASE MEASURED 01/13/2020 HIGHEST TOTAL SUSPENDED SOLIDS MEASURED 01/14/2019 LOWEST PH MEASURED 09/30/2020 HIGHEST PH MEASURED EPA Form 3510-217 (Revised 3-19) Page 13