ࡱ> UWTG Zbjbjَ gsM ]$,,,,P| t,((>>>$">>(>>,, R >,z5r,,fb88 Department of Environmental Protection Waste Discharge Permit Application Publicly Owned Treatment Facilities ______________________________________________________________________________ This form must be attached to the General Application for a Waste Discharge Permit Please answer all questions completely, using additional pages as necessary with responses clearly identified by item number on this form. 1. Facility Name: _________________________________ NPDES # ME __ __ __ __ __ __ __ 2. Wastewater treatment facilities for normal (or dry weather) flows. Please show below or attach a line drawing showing all treatment units and important associated or supporting units. What is the design capacity of treatment facility in MGD? Monthly Average ______ Daily Maximum _____ Peak Rate ______ 3. Wastewater treatment facilities for storm water flows. A.) Please show below or attach a line drawing with all treatment units or operating practices used for storm water flows above the capacity of the facilities used for normal flows. What is the design capacity in MGD? Daily maximum _______ Peak Rate _______ What is the frequency of high flows? _________________________________________ Does the facility have a high flow management plan? ___________ If so, date of last revision _______________ 4. Wastewater collection system. List below all Combined Sewer Overflow points in the system, even if inactive. NumberNameLocationReceiving Water Describe any significant problems or issues with the collection system that affect the wastewater treatment facility operation or effluent quality. 5. Septage and other wastes received. (See Chapter 555 of the Departments rules.) Gallons of septage currently authorized. Monthly total ______; Daily maximum ______ Gallons of septage requested for future. Monthly total ______; Daily maximum ______ Describe current and/or proposed septage receiving and treatment facilities. Please attach the management plan for these facilities, per Chapter 555, Section 6. Are other wastes received by truck or other dedicated conveyance? _____ If so, describe. 6. Industrial contributions. Include only process and other non-domestic wastes. Process wastes from categorical users. See appendix A for a list of categorical industries. SourceType of wastesPretreated?Average volume and strengthOther significant (non-categorical) sources of process wastes. SourceType of wastesPretreated?Average volume and strength Other miscellaneous wastes such as rinse waters, cooling waters, etc. SourceNature of wasteAverage volume and strength 7. Effluent toxicity testing Please list the dates of Whole Effluent Toxicity and Priority Pollutant screening and surveillance tests previously submitted under Chapter 530.5 during the last five years. DateWhole Effluent Toxicity done?Priority Pollutant Scan done? Please attach the results of additional effluent toxicity testing done but not reported as part of the tests listed above or the requirements of discharge permit limitations. 8. Facility modifications or improvements. Please include reference to plans, studies or reports done in support of these changes as appropriate. Describe modifications and improvements that have been completed since the previous permit issuance or reissuance. Describe modifications or improvements being planned or under consideration, including proposed implementation schedules. 9. Facility operations. Describe significant operational issues, upsets and problems that have been encountered during the past two years. Describe any proposed changes to the present facility operation. 10. Person completing this form Name: __________________________________________ Phone: _______________________ Affiliation: ______________________________________________ Date: ________________ Appendix A. List of Primary Industrial Categories Adhesives and sealantsAluminum formingAuto and other laundriesBattery manufacturingCoal miningCoil coatingCopper formingElectrical and electronic componentsElectroplatingExplosives manufacturingFoundriesGum and wood chemicalsInorganic chemicals manufacturingIron and steel manufacturingLeather tanning and finishingMechanical products manufacturingNonferrous metals manufacturingOre miningOrganic chemicals manufacturingPaint and ink formulationPesticidesPetroleum refiningPharmaceutical preparationsPhotographic equipment and suppliesPlastics processingPlastic and synthetic materials manufacturingPorcelain enamelingPrinting and publishingPulp and paper millsRubber processingSoap and detergent manufacturingSteam electric power plantsTextile millsTimber products processing Form DEPLW1999-21 ______________________________________________________________________________ Page  PAGE 3 Form DEPLW1999-21 Application for Publicly Owned Treatment Facilities ______________________________________________________________________________ RvLZ0JmH0J j0JUCJ>*5CJ jUmH .QRvEFh & F & F h$$.QRvEFJK=>?@ABC+ Y Z | }                            TJK=>?@ABC+ Y Z | } $ & F p & Fh & F         $$l H$$       V W P Q  & F hvh & Fh h & F *>$$$l H$  V W P Q R S T U   d e l { 123456789:;<=>?@AB                     RQ R S T U   d e l { $$l h2 d%$ & F & F 123456789: & F$$l h2 d%$:;<=>?@AB$$l h2 % & F$$l h2 d%$EF89:;<=VW45             W$$l *b" & F h$$$l h2 %$$l *b"$EF89:;<  & F  h & F  h & F h$$l *b"$<=VW45(9: $$lH$$ & F (9:Sijv&CDb {vqmhc        ,-  8  XY  {              $%  J  YZ  g  st        &:Sijv&CDbh| $$lH$$  'KL`!"0KLM_` $$ $$lH$$  'KL`!"0KLM_`VWXYZþ               !"  :  NO  }      $VWXYZ$ 0/ =!"#$% &P/ =!"#$%n/# ~vÍPNG  IHDR0f gAMA IDATx[(aeW^<N˺ .ەԑ-B lA $H @@ $H @@ $H @@ $H @@ $H `-/___SP2cʈHVZk27[e  -?6e*mѰ:aR"۷ѯx@2 Zk| ^U;?>- Y\Ҫq7[ @?cZ 0 E nK8mǭv7mi7ˎw@ AžѪ+ 4> &D #Z6[-qcvD FʤA}yp٘˟xފZ*ш@4aC?E a͓ᣣ&bN'c)_7o,@32z4Qq]?yW1b7*5^^Z[Eo`NZ͜d8!^L0QͥA1CDܦEI@ :Ivlz|ZsJ ʞt@ RrT^ {XZgUopzgB $Q6k)Gpijx9'x}!HضOèhT {;|3!1uă_@Z]HH]k1ig~sCquQHKs ΞTy!e;"XaQe>_móҊZ]m/f\'8UMƁ, h$sg?Vtc[Pb=ÿ.Izҽ:ۙ/-|>inJ~qiEn${(w,Ƌ:zHN@:]Һg5!eH0iGчɨ`*0#[ %dntx#֕=xcDRW 9K0)s*f VV٣aR:1euw-'-`~W,'0c=ZM~b7|d0oNU#dM{= P<"XdQd2|v4A MPww#"!Dn2Y#̗=.݂ (wu4,UyՈ`FRT=֣HA HDQlD!H#ΑsI";ZTt;YDH#/(ZаLRK#.@Bdn6[SEytGIV2E EPiԾHݵ:H#=NR_yV}$5?sJ!AYi+!*u"ID2 %jڒ3{GK_tF7rT%ݡ]@AEI"PmSiT"&(3y]ǑFhѻ H#R =L:I}r"Uj9G)b4Gݳ $Ɣ(4Jl4@i;CoU4B?=JѾz+4qgRKa:aiFI=Ҩi(Da g@ =sҵH#s?o(d54I&2A:-iiguoTR =^3TKLqc(8LʬMJ s .MAa)=ZN = hi_J8M $ 9%3QF>ҹ!rH*JGH#mSJ-!(*!^I|\H&EuGӯ$UI"?ҨCv^ȩ^E!e'HzH.QVGWRgTSVеFH9T+{F5r%ވ",q.sО(2AZi5as = V?$m#Jc.zHF[@"JA<39/qIpfX/HGOA "fBJF@uDuMDMrH>1F3g魁o95L"5(侱ݲIT-H#/2TձղF-톙DZϿ5tʾ"r<Gդ;©dJ1xQҸdcLŐ0>Y̗:B;+U]ԯL[׋R1w.j Ǐs˹x-=|NXv \\ē`x[1ާ0:eh?~HLZ2}V3mzE4NKH&&@#H#.{/s3cI_qN%ׅ,v~EgmyOzRWܷ]~l@zɤDs's1+ ҖUrI#@D !~S%i@T,=tt9IQ@1TA+'u="~`-0][TV}issM3]Lneו Y ߿_v>DJhutF&4U)!cLNZK |讗~&^!>nQsJǶ=\ (E?$X/T錸,L3N #Qמʹ`fh̶̤"A!nb@TˍW!wA=Ƈt5UYWd؆*WSZӾ3h̭3}:rz:mVNV m%;Wd93i@z Z~" 7e/dŎ5!a"+p=rQS&0k:)d=GiCgKٝޑFÌ-sT,YNWicU3ԽO9B z|=tZKǼ݂R.MFJo?~iZ0D;n_{5' 0-^WeeuK@5h,]&J9J|uG\@Jxz֬P3=0S+7ݭ$#jitb`m*hV!= e |Z]Ȧ .} uR%rT\^x.]Σ80u ʀVysI?Q~w\@ujFj7~t YM˦ˤɚ}yծr<9BFћ wύ侇g>JhFfQ T&-y@z+Ǜ $&C%Aiy`e:ٝ}Mf2ݽ4Hm:\?TT!`VK?HH3̡3MyVIZ#`h0Ff R z>L2/î4?<_i'nb(Zt{`1(sx0:m݊?A942׉K.q+I?nVMKXgP/o0ʃǦiI|jO.W=rz˚%:hV_$yk)2Q"jQ4R}A[0UqH(;]R )Gqx8%gWΫs9d'Uh!oRP &;߯&h-v=*輱e)!Օbʲ(ja\pyI z^TVȡ1lL%>{Q(IpfnQ@ =E١L]m@;/ 0 sLZY(zZ̹#^vREboW!UoC{`Yҁ4q3{6 @H tpCn ^/X lOtx"=jAǻЉ@h#*P:s8@ N\0)#W^"_ \*yԀ wFjoHu7=Dt>d۸.'/?>L))f2O!@ӣ 5wvJKeGBˬ): H FJ$剸l3yc5% w]*HE78>A sBGѷo2\Ve2S`{w2va~pu+)ala|R#s~bn5-#me-JSG-G)M9VՔr>GL~:0!9c\-TnĬ^k४DO|fFrsb{+huHfN]]K׻e謢L)3 >oe)&~3R}Y=3׈>I7_{EfT?^+?᷶s/E[qǭgyJSCv#'(]~X*$A+-Km.kmAc݆K$Of͕bN %݇3(ٓnM{wgqi@Jrz31v5 de!_t?9B)[놣 TOly;uٳ)rϟO/R[Π)@JRtо MJZY 2kzՃ nKEU!v9-3gѡ0ed8?ti6x}]]>ߓ|rTLF@$w_upxQyΗxՎN+;MiW&z,kˋӖ N+utOo#=Y׉uUӘ.gM~XWzuVދmp?":1yLЎ۲w?=|9ز>ﳢf#=mۤ)+!ٶ>?51=< Cw)#ӾZu!Mb`qQ;wuiX ?o$5Ug=$BR_j?k>nG_E jΤ_g @1Ǻ=, SzEKkv<.Cjf̯2p!l CK@!&5T"@@" T}s( nJR$|Z]Vjrpi<~'HQ9dd\{ܯ0ey(ȹ~])!J~qIFuRQcҡY/pC2MYn߁Tpȧ}0wَJA ;ǁVzGΖۢ=$kKLHRRXii=Ͳ;a7hv{)7Dl=Rх۞ P؁~IW @mJ*HLP@B/dIxŮ`8&(簭ls#HCjB1AW 0L #ge}nyő8Cvf)_ûz?~[u= `W azKߞRr^_~p"y~k﯇T\69!i^pa^wrpRBcEhOCRv]VоHoW3Rvw2_K'I]%GmrC<&/@XPVzY-RE+=fsh@fԝqaeRQL)4ŘYtwOH mS;L*>* &ZK!=(:@-w$tHcwSo;pC22F\qʰ=qZueL+Ӊt W\ [֠wPe+lR~ȥAٙ#[[Q~)6ե>Rc\w8\yÂҬKJu=7ptUTM\4i#dw76o5ҧw^agF/R}u j9wϟt}p%ڥ/2I;jL ֩=)4 5x_4Ng(]" c:)z S^I 56݃ߩi{H:tݾ_yܩY___fH]1%+ooqe+ӿptWY7 'L)eJ`)H mOGC m4^4 ڴHHԏBD&͢pEk L9I<4itaYEwqi01$͕-H}IS (gvzd9ҁ4=1-^YJ°5AF/T q}#>ȤޥB,ԕ NdH[aS&|@ZCLWQVgcxRCNPX%מFYZ(dec) Yۓb^ ;h,E9gذ}cɯId#iZ=$C0v~Zn؅-7l )#@;LR)t}#[cM]{XZ:O[wiZph e 1=T?{\ 圞: >!e<\+bi@ʏ1CkbXq' LVK|.6R-HQdIB5)gK'_@ٞ~* H(Z@& Hw*Sx)ʋc=!E^.BLzEȲLsIȼ޽kj4S,C*]$5+1OlN|=Фfj@<+㣈F:7"H9!Iq=Z@#ci ۲D mP; 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