HomeMy WebLinkAboutDWQ-2024-006035EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMB No. 2040-0004
Does your facility currently have an effective NPDES permit or have you been directed by your NPDES permitting authority to submit a
full Form 2S permit application?
Yes Complete Part 2 of application package (begins p. 7). No Complete Part 1 of application package (below).
Complete this part only if you are a “sludge-only” facility (i.e., a facility that does not currently have, and is not applying for, an NPDES
permit for a direct discharge to a surface body of water).
.
1.1 Facility name
Mailing address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
Location address (street, route number, or other specific identifier) Same as mailing address
City or town State ZIP code
1.2
Public—federal Public—state Other public (specify)___________________
Private Other (specify) _________
2.1 Is applicant different from entity listed under Item 1.1 above?
Yes No SKIP to Item 2.3 (Part 1, Section 2).
2.2 Applicant name
Applicant address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
2.3 Is the applicant the facility’s owner, operator, or both? (Check only one response.)
Owner Operator Both
2.4 To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
Facility and applicantFacilityApplicant(they are one and the same)
.
3.1 Provide the total dry metric tons per the latest 365-day period of sewage sludge generated, treated, used, and
disposed of:
Amount generated at the facility
Amount treated at the facility
Amount used (i.e., received from off site) at the facility
Amount disposed of at the facility
EPA Form 3510-2S (Revised 3-19) Page 1
UTL025585 Bayview Landfill
Bayview Landfill
1997 E 3500 N
Layton UT 84040
Jared Maughan Landfill Manager (801) 822-6328 jmaughan@northernutahera.org
10800 S State Rd 68
Inter Local Agency
0
0
0
0
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMB No. 2040-0004
.
4.1 Using the table below or a separate attachment, provide existing sewage sludge monitoring data for the pollutants
for which limits in sewage sludge have been established in 40 CFR 503 for your facility’s expected use or disposal
practices. If available, base data on three or more samples taken at least one month apart and no more than
4.5 years old.
Check here if you have provided a separate attachment with this information.
(mg/kg dry weight)
Arsenic
Cadmium
Chromium
Copper
Lead
Mercury
Molybdenum
Nickel
Selenium
Zinc
Other (specify)
___________________
Other (specify)
___________________
Other (specify)
___________________
Other (specify)
___________________
Other (specify)
___________________
Other (specify)
___________________
Other (specify)
___________________
Other (specify)
___________________
Other (specify)
___________________
EPA Form 3510-2S (Revised 3-19) Page 2
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMB No. 2040-0004
.
5.1 For each sewage sludge use or disposal practice, indicate the amount of sewage sludge used or disposed of, the
applicable pathogen class and reduction alternative, and the applicable vector attraction reduction option. Attach
additional pages, as necessary.
(check one) (dry metric tons)
Land application of bulk sewage
Land application of biosolids
(bulk)
Land application of biosolids
(bags)
Surface disposal in a landfill
Other surface disposal
Incineration
Not applicable
Class A, Alternative 1
Class A, Alternative 2
Class A, Alternative 3
Class A, Alternative 4
Class A, Alternative 5
Class A, Alternative 6
Class B, Alternative 1
Class B, Alternative 2
Class B, Alternative 3
Class B, Alternative 4
Domestic septage, pH
adjustment
Not applicable
Option 1
Option 2
Option 3
Option 4
Option 5
Option 6
Option 7
Option 8
Option 9
Option 10
Option 11
5.2 For each of the use and disposal practices specified in Item 5.1, identify the treatment process(es) used at your
facility to reduce pathogens in sewage sludge or reduce the vector attraction properties of sewage sludge. (Check
all that apply.)
Preliminary operations (e.g., sludge Thickening (concentration) grinding and degritting)
Stabilization Anaerobic digestion
Composting Conditioning
Disinfection (e.g., beta ray irradiation, Dewatering (e.g., centrifugation, sludge drying
gamma ray irradiation, pasteurization) beds, sludge lagoons)
Heat drying Thermal reduction
Methane or biogas capture and recovery Other (specify) _____________________________
.
6.1 Does the sewage sludge from your facility meet the ceiling concentrations in Table 1 of 40 CFR 503.13, the
pollutant concentrations in Table 3 of 40 CFR 503.13, Class A pathogen reduction requirements at 40 CFR
503.32(a), and one of the vector attraction reduction requirements at 40 CFR 503.33(b)(1)–(8)?
Yes SKIP to Part 1, Section 8 (Certification). No
6.2 Is sewage sludge from your facility provided to another facility for treatment, distribution, use, or disposal?
Yes No SKIP to Part 1, Section 7.
6.3 Receiving facility name
Mailing address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
6.4 Which activities does the receiving facility provide? (Check all that apply.)
Treatment or blending Sale or give-away in bag or other container
Land application Surface disposal
Incineration Other (describe)
Composting
EPA Form 3510-2S (Revised 3-19) Page 3
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMB No. 2040-0004
.
Provide the following information for each site on which sewage sludge from this facility is used or disposed of.
Check here if you have provided separate attachments with this information.
7.1 Site name or number
Mailing address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
Location address (street, route number, or other specific identifier) Same as mailing address
City or town State ZIP code
County County code Not available
7.2 Site type (check all that apply)
Agricultural Lawn or home garden Forest
Surface disposal Public contact Incineration
Reclamation Municipal solid waste landfill Other (describe)
.
8.1 In Column 1 below, mark the sections of Form 2S, Part 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.
Section 1: Facility Information w/ attachments
Section 2: Applicant Information w/ attachments
Section 3: Sewage Sludge Amount w/ attachments
Section 4: Pollutant Concentrations w/ attachments
Section 5: Treatment Provided at Your Facility w/ attachments
Section 6: Sewage Sludge Sent to Other
Facilities w/ attachments
Section 7: Use and Disposal Sites w/ attachments
Section 8: Checklist and Certification Statement
EPA Form 3510-2S (Revised 3-19) Page 4
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMB No. 2040-0004
8.2
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. 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 Phone number
Signature Date signed
EPA Form 3510-2S (Revised 3-19) Page 5
UTL025585 Bayview Landfill
Jared Maughan Landfill Manager (801) 822-6328
08/20/2024
This page intentionally left blank.
EPA Form 3510-2S (Revised 3-19) Page 6
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMB No. 2040-0004
Complete this part if you have an effective NPDES permit or have been directed by the NPDES permitting authority to submit a full
permit application. In other words, complete this part if your facility has, or is applying for, an NPDES permit.
Part 2 is divided into five sections. Section 1 pertains to all applicants. The applicability of Sections 2 to 5 depends on your facility’s
sewage sludge use or disposal practices. See the instructions to determine which sections you are required to complete.
.
All Part 2 applicants must complete this section.
1.1 Facility name
Mailing address (street or P.O. box)
City or town State ZIP code Phone number
Contact name (first and last) Title Email address
Location address (street, route number, or other specific identifier) Same as mailing address
City or town State ZIP code
1.2 Is this facility a Class I sludge management facility?
Yes No
1.3 million gallons per day (mgd)
1.4
1.5
Public—federal Public—state Other public (specify) ____________
Private Other (specify) ____________
1.6 Is applicant different from entity listed under Item 1.1 above?
Yes No SKIP to Item 1.8 (Part 2, Section 1).
1.7 Applicant name
Applicant mailing address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
1.8 Is the applicant the facility’s owner, operator, or both? (Check only one response.)
Operator Owner Both
1.9 To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
Facility and applicantFacilityApplicant(they are one and the same)
EPA Form 3510-2S (Revised 3-19) Page 7
UTL025585 Bayview Landfill
Bayview Landfill
1997 E 3500 N
Layton UT 84040 (801) 822-6328
Jared Maughan Landfill Manager jmaughan@northernutahera.org
10800 S State Rd 68
Elberta UT 84626
0
0
Norther Utah Enviornmental Resource Agency
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMB No. 2040-0004
1.10 Facility’s NPDES permit number
Check here if you do not have an NPDES permit but are otherwise required
to submit Part 2 of Form 2S.
1.11 Indicate all other federal, state, and local permits or construction approvals received or applied for that regulate this
facility’s sewage sludge management practices below.
RCRA (hazardous wastes)
_________________________
Nonattainment program (CAA)
_________________________
NESHAPs (CAA)
_________________________
PSD (air emissions)
_________________________
Dredge or fill (CWA Section
404)
_________________________
Other (specify)
_________________________
_________________________ Ocean dumping (MPRSA)
_________________________
UIC (underground injection of
fluids)
_________________________
1.12 Does any generation, treatment, storage, application to land, or disposal of sewage sludge from this facility occur in
Indian Country?
No SKIP to Item 1.14 (Part 2, Section 1) Yes below.
1.13 Provide a description of the generation, treatment, storage, land application, or disposal of sewage sludge that
occurs.
1.14 Have you attached a topographic map containing all required information to this application? (See instructions for
specific requirements.)
Yes No
1.15 Have you attached a line drawing and/or a narrative description that identifies all sewage sludge practices that will be
employed during the term of the permit containing all the required information to this application? (See instructions for
specific requirements.)
Yes No
1.16 Do contractors have any operational or maintenance responsibilities related to sewage sludge generation, treatment,
use, or disposal at the facility?
No SKIP to Item 1.18 (Part 2, Section 1) Yes below.
1.17 Provide the following information for each contractor.
Check here if you have attached additional sheets to the application package.
Contractor company name
Mailing address (street or
P.O. box)
City, state, and ZIP code
Contact name (first and last)
Telephone number
Email address
EPA Form 3510-2S (Revised 3-19) Page 8
UTL025585 Bayview Landfill
UTL025585
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMB No. 2040-0004
1.17
cont. Responsibilities of contractor
Using the table below or a separate attachment, provide sewage sludge monitoring data for the pollutants for which limits in
sewage sludge have been established in 40 CFR 503 for this facility’s expected use or disposal practices. All data must be
based on three or more samples taken at least one month apart and must be no more than 4.5 years old.
Check here if you have attached additional sheets to the application package.
1.18
(mg/kg dry weight)
Arsenic
Cadmium
Chromium
Copper
Lead
Mercury
Molybdenum
Nickel
Selenium
Zinc
1.19 In Column 1 below, mark the sections of Form 2S, Part 2, that you have completed and are submitting with your
application. For each section, specify in Column 2 any attachments that you are enclosing. Note that not all
applicants are required to complete all sections or provide attachments. See Exhibit 2S–2 in the Instructions.
Section 1 (General Information) w/ attachments
Section 2 (Generation of Sewage Sludge or Preparation of a Material
Derived from Sewage Sludge) w/ attachments
Section 3 (Land Application of Bulk Sewage Sludge) w/ attachments
Section 4 (Surface Disposal) w/ attachments
Section 5 (Incineration) w/ attachments
1.20
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. 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
Signature Date signed
Telephone number
Upon the request of the NPDES permitting authority, you must submit any other information the authority deems necessary to
assess sewage sludge use or disposal practices at your facility and identify appropriate permitting requirements.
EPA Form 3510-2S (Revised 3-19) Page 9
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
.
2.1 Does your facility generate sewage sludge or derive a material from sewage sludge?
Yes No SKIP to Part 2, Section 3.
2.2 Total dry metric tons per 365-day period generated at your facility:
2.3 Does your facility receive sewage sludge from another facility for treatment use or disposal?
Yes No SKIP to Item 2.7 (Part 2, Section 2) below.
2.4 Indicate the total number of facilities from which you receive sewage sludge for
treatment, use, or disposal:
Provide the following information for each of the facilities from which you receive sewage sludge.
Check here if you have attached additional sheets to the application package.
2.5 Name of facility
Mailing address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
Location address (street, route number, or other specific identifier) Same as mailing address
City or town State ZIP code
County County code Not available
2.6 Indicate the amount of sewage sludge received, the applicable pathogen class and reduction alternative, and the
applicable vector reduction option provided at the offsite facility.
(dry metric tons)
Not applicable
Class A, Alternative 1
Class A, Alternative 2
Class A, Alternative 3
Class A, Alternative 4
Class A, Alternative 5
Class A, Alternative 6
Class B, Alternative 1
Class B, Alternative 2
Class B, Alternative 3
Class B, Alternative 4
Domestic septage, pH adjustment
Not applicable
Option 1
Option 2
Option 3
Option 4
Option 5
Option 6
Option 7
Option 8
Option 9
Option 10
Option 11
2.7 Identify the treatment process(es) that are known to occur at the offsite facility, including blending activities and
treatment to reduce pathogens or vector attraction properties. (Check all that apply.)
Preliminary operations (e.g., sludge grinding and Thickening (concentration) degritting)
Stabilization Anaerobic digestion
Composting Conditioning
Disinfection (e.g., beta ray irradiation, gamma ray Dewatering (e.g., centrifugation, sludge drying
irradiation, pasteurization) beds, sludge lagoons)
Heat drying Thermal reduction
Methane or biogas capture and recovery Other (specify) ___________________________
EPA Form 3510-2S (Revised 3-19) Page 10
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
2.8 For each sewage sludge use or disposal practice, indicate the applicable pathogen class and reduction alternative
and the applicable vector attraction reduction option provided at your facility. Attach additional pages, as necessary.
(check one)
Land application of bulk sewage
Land application of biosolids
(bulk)
Land application of biosolids
(bags)
Surface disposal in a landfill
Other surface disposal
Incineration
Not applicable
Class A, Alternative 1
Class A, Alternative 2
Class A, Alternative 3
Class A, Alternative 4
Class A, Alternative 5
Class A, Alternative 6
Class B, Alternative 1
Class B, Alternative 2
Class B, Alternative 3
Class B, Alternative 4
Domestic septage, pH adjustment
Not applicable
Option 1
Option 2
Option 3
Option 4
Option 5
Option 6
Option 7
Option 8
Option 9
Option 10
Option 11
2.9 Identify the treatment process(es) used at your facility to reduce pathogens in sewage sludge or reduce the vector
attraction properties of sewage sludge? (Check all that apply.)
Preliminary operations (e.g., sludge grinding and Thickening (concentration) degritting)
Stabilization Anaerobic digestion
Composting Conditioning
Disinfection (e.g., beta ray irradiation, gamma ray Dewatering (e.g., centrifugation, sludge drying
irradiation, pasteurization) beds, sludge lagoons)
Heat drying Thermal reduction
Methane or biogas capture and recovery
2.10 Describe any other sewage sludge treatment or blending activities not identified in Items 2.8 and 2.9 (Part 2, Section
2) above.
Check here if you have attached the description to the application package.
2.11 Does the sewage sludge from your facility meet the ceiling concentrations in Table 1 of 40 CFR 503.13, the pollutant
concentrations in Table 3 of 40 CFR 503.13, Class A pathogen reduction requirements at 40 CFR 503.32(a), and one
of the vector attraction reduction requirements at 40 CFR 503.33(b)(1)–(8) and is it land applied?
No SKIP to Item 2.14 (Part 2, Section 2) Yes below.
2.12 Total dry metric tons per 365-day period of sewage sludge subject to this
subsection that is applied to the land:
2.13 Is sewage sludge subject to this subsection placed in bags or other containers for sale or give-away for application to
the land?
Yes No
Check here once you have completed Items 2.11 to 2.13, then SKIP to Item 2.32 (Part 2, Section 2) below.
EPA Form 3510-2S (Revised 3-19) Page 11
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
2.14 Do you place sewage sludge in a bag or other container for sale or give-away for land application?
No SKIP to Item 2.17 (Part 2, Section 2) Yes below.
2.15 Total dry metric tons per 365-day period of sewage sludge placed in a bag or
other container at your facility for sale or give-away for application to the land:
2.16 Attach a copy of all labels or notices that accompany the sewage sludge being sold or given away in a bag or other
container for application to the land.
Check here to indicate that you have attached all labels or notices to this application package.
Check here once you have completed Items 2.14 to 2.16, then SKIP to Part 2, Section 2, Item 2.32.
2.17 Does another facility provide treatment or blending of your facility’s sewage sludge? (This question does not pertain to
dewatered sludge sent directly to a land application or surface disposal site.)
No SKIP to Item 2.32 (Part 2, Section 2) Yes below.
2.18 Indicate the total number of facilities that provide treatment or blending of your facility’s
sewage sludge. Provide the information in Items 2.19 to 2.26 (Part 2, Section 2) below
for each facility.
Check here if you have attached additional sheets to the application package.
2.19 Name of receiving facility
Mailing address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
Location address (street, route number, or other specific identifier) Same as mailing address
City or town State ZIP code
2.20 Total dry metric tons per 365-day period of sewage sludge provided to receiving
facility:
2.21 Does the receiving facility provide additional treatment to reduce pathogens in sewage sludge from your facility or
reduce the vector attraction properties of sewage sludge from your facility?
No SKIP to Item 2.24 (Part 2, Section 2) Yes below.
2.22 Indicate the pathogen class and reduction alternative and the vector attraction reduction option met for the sewage
sludge at the receiving facility.
Not applicable
Class A, Alternative 1
Class A, Alternative 2
Class A, Alternative 3
Class A, Alternative 4
Class A, Alternative 5
Class A, Alternative 6
Class B, Alternative 1
Class B, Alternative 2
Class B, Alternative 3
Class B, Alternative 4
Domestic septage, pH adjustment
Not applicable
Option 1
Option 2
Option 3
Option 4
Option 5
Option 6
Option 7
Option 8
Option 9
Option 10
Option 11
EPA Form 3510-2S (Revised 3-19) Page 12
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
2.23 Which treatment process(es) are used at the receiving facility to reduce pathogens in sewage sludge or reduce the
vector attraction properties of sewage sludge from your facility? (Check all that apply.)
Preliminary operations (e.g., sludge grinding and Thickening (concentration) degritting)
Stabilization Anaerobic digestion
Composting Conditioning
Disinfection (e.g., beta ray irradiation, gamma ray Dewatering (e.g., centrifugation, sludge drying
irradiation, pasteurization) beds, sludge lagoons)
Heat drying Thermal reduction
Methane or biogas capture and recovery Other (specify) ____________________________
2.24 Attach a copy of any information you provide the receiving facility to comply with the “notice and necessary
information” requirement of 40 CFR 503.12(g).
Check here to indicate that you have attached material.
2.25 Does the receiving facility place sewage sludge from your facility in a bag or other container for sale or give-away for
application to the land?
No SKIP to Item 2.32 (Part 2, Section 2) Yes below.
2.26 Attach a copy of all labels or notices that accompany the product being sold or given away.
Check here to indicate that you have attached material.
Check here once you have completed Items 2.17 to 2.26 (Part 2, Section 2), then SKIP to Item 2.32 (Part 2, Section 2)
below.
2.27 Is sewage sludge from your facility applied to the land?
Yes No SKIP to Item 2.32 (Part 2, Section 2)
below.
2.28 Total dry metric tons per 365-day period of sewage sludge applied to all land
application sites:
2.29 Did you identify all land application sites in Part 2, Section 3 of this application?
No Submit a copy of the land application plan Yes with your application.
2.30 Are any land application sites located in states other than the state where you generate sewage sludge or derive a
material from sewage sludge?
No SKIP to Item 2.32 (Part 2, Section 2) Yes below.
2.31 Describe how you notify the NPDES permitting authority for the states where the land application sites are located.
Attach a copy of the notification.
Check here if you have attached the explanation to the application package.
Check here if you have attached the notification to the application package.
2.32 Is sewage sludge from your facility placed on a surface disposal site?
No SKIP to Item 2.39 (Part 2, Section 2) Yes below.
2.33 Total dry metric tons of sewage sludge from your facility placed on all surface
disposal sites per 365-day period:
2.34 Do you own or operate all surface disposal sites to which you send sewage sludge for disposal?
Yes SKIP to Item 2.39 (Part 2, Section 2) No below.
2.35 Indicate the total number of surface disposal sites to which you send your sewage
sludge.
(Provide the information in Items 2.36 to 2.38 of Part 2, Section 2, for each facility.)
Check here if you have attached additional sheets to the application package.
EPA Form 3510-2S (Revised 3-19) Page 13
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
2.36 Site name or number of surface disposal site you do not own or operate
Mailing address (street or P.O. box)
City or Town State ZIP Code
Contact Name (first and last) Title Phone Number Email Address
2.37 Site Contact (Check all that apply.)
Owner Operator
2.38 Total dry metric tons of sewage sludge from your facility placed on this surface
disposal site per 365-day period:
2.39 Is sewage sludge from your facility fired in a sewage sludge incinerator?
No SKIP to Item 2.46 (Part 2, Section 2) Yes below.
2.40 Total dry metric tons of sewage sludge from your facility fired in all sewage
sludge incinerators per 365-day period:
2.41 Do you own or operate all sewage sludge incinerators in which sewage sludge from your facility is fired?
Yes SKIP to Item 2.46 (Part 2, Section 2) No below.
2.42 Indicate the total number of sewage sludge incinerators used that you do not own or
operate. (Provide the information in Items 2.43 to 2.45 directly below for each facility.)
Check here if you have attached additional sheets to the application package.
2.43 Incinerator name or number
Mailing address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
Location address (street, route number, or other specific identifier) Same as mailing address
City or town State ZIP code
2.44 Contact (check all that apply)
Incinerator owner Incinerator operator
2.45 Total dry metric tons of sewage sludge from your facility fired in this sewage
sludge incinerator per 365-day period:
2.46 Is sewage sludge from your facility placed on a municipal solid waste landfill?
Yes No SKIP to Part 2, Section 3.
2.47 Indicate the total number of municipal solid waste landfills used. (Provide the
information in Items 2.48 to 2.52 directly below for each facility.)
Check here if you have attached additional sheets to the application
package.
EPA Form 3510-2S (Revised 3-19) Page 14
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
2.48 Name of landfill
Mailing address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
Location address (street, route number, or other specific identifier) Same as mailing address
County County code Not available
City or town State ZIP code
2.49 Total dry metric tons of sewage sludge from your facility placed in this
municipal solid waste landfill per 365-day period:
2.50 List the numbers of all other federal, state, and local permits that regulate the operation of this municipal solid waste
landfill.
2.51 Attach to the application information to determine whether the sewage sludge meets applicable requirements for
disposal of sewage sludge in a municipal solid waste landfill (e.g., results of paint filter liquids test and TCLP test).
Check here to indicate you have attached the requested information.
2.52 Does the municipal solid waste landfill comply with applicable criteria set forth in 40 CFR 258?
Yes No
EPA Form 3510-2S (Revised 3-19) Page 15
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
3.1 Does your facility apply sewage sludge to land?
Yes No SKIP to Part 2, Section 4.
3.2 Do any of the following conditions apply?
The sewage sludge meets the ceiling concentrations in Table 1 of 40 CFR 503.12, the pollutant concentrations in
Table 3 of 40 CFR 503.13, Class A pathogen reduction requirements at 40 CFR 503.32(a), and one of the vector
attraction reduction requirements at 40 CFR 503.33(b)(1)–(8);
The sewage sludge is sold or given away in a bag or other container for application to the land; or
You provide the sewage sludge to another facility for treatment or blending.
Yes SKIP to Part 2, Section 4. No
3.3 Complete Section 3 for every site on which the sewage sludge is applied.
Check here if you have attached sheets to the application package for one or more land application sites.
3.4 Site name or number
Location address (street, route number, or other specific identifier) Same as mailing address
County County code Not available
City or town State ZIP code
(see instructions)
USGS map Field survey Other (specify) ______________
3.5 Provide a topographic map (or other appropriate map if a topographic map is unavailable) that shows the site location.
Check here to indicate you have attached a topographic map for this site.
3.6 Are you the owner of this land application site?
Yes SKIP to Item 3.8 (Part 2, Section 3) below. No
3.7 Owner name
Mailing address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
3.8 Are you the person who applies, or who is responsible for application of, sewage sludge to this land application site?
Yes SKIP to Item 3.10 (Part 2, Section 3) below. No
3.9 Applier’s name
Mailing address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
EPA Form 3510-2S (Revised 3-19) Page 16
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
3.10 Type of land application:
Agricultural land Forest
Reclamation site Public contact site
Other (describe)
3.11 What type of crop or other vegetation is grown on this site?
3.12 What is the nitrogen requirement for this crop or vegetation?
3.13 Are the vector attraction reduction requirements at 40 CFR 503.33(b)(9) and (b)(10) met when sewage sludge is
applied to the land application site?
No SKIP to Item 3.16 (Part 2, Section 3) Yes below.
3.14 Indicate which vector attraction reduction option is met. (Check only one response.)
Option 9 (injection below land surface) Option 10 (incorporation into soil within 6 hours)
3.15 Describe any treatment processes used at the land application site to reduce vector attraction properties of sewage
sludge.
Check here if you have attached your description to the application package.
3.16 Is the sewage sludge applied to this site since July 20, 1993, subject to the cumulative pollutant loading rates
(CPLRs) in 40 CFR 503.13(b)(2)?
Yes No SKIP to Part 2, Section 4.
3.17 Have you contacted the NPDES permitting authority in the state where the bulk sewage sludge subject to CPLRs will
be applied to ascertain whether bulk sewage sludge subject to CPLRs has been applied to this site on or since
July 20, 1993?
No Sewage sludge subject to CPLRs may
Yes not be applied to this site. SKIP to Part 2,
Section 4.
3.18 Provide the following information about your NPDES permitting authority:
NPDES permitting authority name
Contact person
Telephone number
Email address
3.19 Based on your inquiry, has bulk sewage sludge subject to CPLRs been applied to this site since July 20, 1993?
Yes No SKIP to Part 2, Section 4.
3.20 Provide the following information for every facility other than yours that is sending, or has sent, bulk sewage sludge
subject to CPLRs to this site since July 20, 1993. If more than one such facility sends sewage sludge to this site,
attach additional pages as necessary.
Check here to indicate that additional pages are attached.
Facility name
Mailing address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
EPA Form 3510-2S (Revised 3-19) Page 17
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EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
4.1 Do you own or operate a surface disposal site?
Yes No SKIP to Part 2, Section 5.
4.2 Complete all items in Section 4 for each active sewage sludge unit that you own or operate.
Check here to indicate that you have attached material to the application package for one or more active
sewage sludge units.
4.3 Unit name or number
Mailing address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
Location address (street, route number, or other specific identifier) Same as mailing address
County County code Not available
City or town State ZIP code
(see instructions)
USGS map Field survey Other (specify) ______________
4.4 Provide a topographic map (or other appropriate map if a topographic map is unavailable) that shows the site
location.
Check here to indicate that you have completed and attached a topographic map.
4.5 Total dry metric tons of sewage sludge placed on the active sewage sludge unit
per 365-day period:
4.6 Total dry metric tons of sewage sludge placed on the active sewage sludge unit
over the life of the unit:
4.7 Does the active sewage sludge unit have a liner with a maximum permeability of 1 × 10-7 centimeters per second
(cm/sec)?
No SKIP to Item 4.9 (Part 2, Section Yes 4) below.
4.8 Describe the liner.
Check here to indicate that you have attached a description to the application package.
4.9 Does the active sewage sludge unit have a leachate collection system?
No SKIP to Item 4.11 (Part 2, Section Yes 4) below.
4.10 Describe the leachate collection system and the method used for leachate disposal and provide the numbers of any
federal, state, or local permit(s) for leachate disposal.
Check here to indicate that you have attached the description to the application package.
EPA Form 3510-2S (Revised 3-19) Page 18
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EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
4.11 Is the boundary of the active sewage sludge unit less than 150 meters from the property line of the surface disposal
site?
No SKIP to Item 4.13 (Part 2, Yes Section 4) below.
4.12 Provide the actual distance in meters: meters
4.13 Remaining capacity of active sewage sludge unit in dry metric tons: dry metric tons
4.14 Anticipated closure date for active sewage sludge unit, if known (MM/DD/YYYY):
4.15 Attach a copy of any closure plan that has been developed for this active sewage sludge unit.
Check here to indicate that you have attached a copy of the closure plan to the application package.
4.16 Is sewage sludge sent to this active sewage sludge unit from any facilities other than your facility?
No SKIP to Item 4.21 (Part 2, Section Yes 4) below.
4.17 Indicate the total number of facilities (other than your facility) that send sewage
sludge to this active sewage sludge unit. (Complete Items 4.18 to 4.20 directly
below for each such facility.)
Check here to indicate that you have attached responses for each facility to
the application package.
4.18 Facility name
Mailing address (street or P.O. box)
City or town State ZIP code
Contact name (first and last) Title Phone number Email address
4.19 Indicate the pathogen class and reduction alternative and the vector attraction reduction option met for the sewage
sludge before leaving the other facility.
Not applicable
Class A, Alternative 1
Class A, Alternative 2
Class A, Alternative 3
Class A, Alternative 4
Class A, Alternative 5
Class A, Alternative 6
Class B, Alternative 1
Class B, Alternative 2
Class B, Alternative 3
Class B, Alternative 4
Domestic septage, pH adjustment
Not applicable
Option 1
Option 2
Option 3
Option 4
Option 5
Option 6
Option 7
Option 8
Option 9
Option 10
Option 11
4.20 Which treatment process(es) are used at the other facility to reduce pathogens in sewage sludge or reduce the vector
attraction properties of sewage sludge before leaving the other facility? (Check all that apply.)
Preliminary operations (e.g., sludge grinding and degritting) Thickening (concentration)
Stabilization Anaerobic digestion
Composting Conditioning
Disinfection (e.g., beta ray irradiation, gamma ray Dewatering (e.g., centrifugation, sludge
irradiation, pasteurization) drying beds, sludge lagoons)
Heat drying Thermal reduction
Methane or biogas capture and recovery Other (specify) _____________________
EPA Form 3510-2S (Revised 3-19) Page 19
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
4.21 Which vector attraction reduction option, if any, is met when sewage sludge is placed on this active sewage sludge
unit?
Option 11 (Covering active sewage Option 9 (Injection below and surface) sludge unit daily)
Option 10 (Incorporation into soil within 6 hours) None
4.22 Describe any treatment processes used at the active sewage sludge unit to reduce vector attraction properties of
sewage sludge.
Check here if you have attached your description to the application package.
4.23 Is groundwater monitoring currently conducted at this active sewage sludge unit, or are groundwater monitoring data
otherwise available for this active sewage sludge unit?
No SKIP to Item 4.26 (Part 2, Yes Section 4) below.
4.24 Provide a copy of available groundwater monitoring data.
Check here to indicate you have attached the monitoring data.
4.25 Describe the well locations, the approximate depth to groundwater, and the groundwater monitoring procedures used
to obtain these data.
Check here if you have attached your description to the application package.
4.26 Has a groundwater monitoring program been prepared for this active sewage sludge unit?
No SKIP to Item 4.28 (Part 2, Yes Section 4) below.
4.27 Submit a copy of the groundwater monitoring program with this permit application.
Check here to indicate you have attached the monitoring program.
4.28 Have you obtained a certification from a qualified groundwater scientist that the aquifer below the active sewage
sludge unit has not been contaminated?
No SKIP to Item 4.30 (Part 2, Yes Section 4) below.
4.29 Submit a copy of the certification with this permit application.
Check here to indicate you have attached the certification to the application package.
4.30 Are you seeking site-specific pollutant limits for the sewage sludge placed on the active sewage sludge unit?
Yes No SKIP to Part 2, Section 5.
4.31 Submit information to support the request for site-specific pollutant limits with this application.
Check here to indicate you have attached the requested information.
EPA Form 3510-2S (Revised 3-19) Page 20
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
5.1 Do you fire sewage sludge in a sewage sludge incinerator?
Yes No SKIP to END.
5.2 Indicate the total number of incinerators used at your facility. (Complete the remainder
of Section 5 for each such incinerator.)
Check here to indicate that you have attached information for one or more
incinerators.
5.3 Incinerator name or number
Location address (street, route number, or other specific identifier)
County County code Not available
City or town State ZIP code
(see instructions)
USGS map Field survey Other (specify) ______________
5.4 Dry metric tons per 365-day period of sewage sludge fired in the sewage sludge
incinerator:
5.5 Submit information, test data, and a description of measures taken that demonstrate whether the sewage sludge
incinerated is beryllium-containing waste and will continue to remain as such.
Check here to indicate that you have attached this material to the application package.
5.6 Is the sewage sludge fired in this incinerator “beryllium-containing waste” as defined at 40 CFR 61.31?
Yes No SKIP to Item 5.8 (Part 2, Section 5) below.
5.7 Submit with this application a complete report of the latest beryllium emission rate testing and documentation of
ongoing incinerator operating parameters indicating that the NESHAP emission rate limit for beryllium has been and
will continue to be met.
Check here to indicate that you have attached this information.
5.8 Is compliance with the mercury NESHAP being demonstrated via stack testing?
Yes No SKIP to Item 5.11 (Part 2, Section 5) below.
5.9 Submit a complete report of stack testing and documentation of ongoing incinerator operating parameters indicating
that the incinerator has met and will continue to meet the mercury NESHAP emission rate limit.
Check here to indicate that you have attached this information.
5.10 Provide copies of mercury emission rate tests for the two most recent years in which testing was conducted.
Check here to indicate that you have attached this information.
5.11 Do you demonstrate compliance with the mercury NESHAP by sewage sludge sampling?
No SKIP to Item 5.13 (Part 2, Section 5) Yes below.
5.12 Submit a complete report of sewage sludge sampling and documentation of ongoing incinerator operating parameters
indicating that the incinerator has met and will continue to meet the mercury NESHAP emission rate limit.
Check here to indicate that you have attached this information.
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EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
5.13 Dispersion factor in micrograms/cubic meter per gram/second:
5.14 Name and type of dispersion model:
5.15 Submit a copy of the modeling results and supporting documentation.
Check here to indicate that you have attached this information.
5.16 Provide the control efficiency, in hundredths, for each of the pollutants listed below.
Arsenic
Cadmium
Chromium
Lead
Nickel
5.17 Attach a copy of the results or performance testing and supporting documentation (including testing dates).
Check here to indicate that you have attached this information.
5.18 Provide the risk-specific concentration (RSC) used for chromium in
micrograms per cubic meter:
5.19 Was the RSC determined via Table 2 in 40 CFR 503.43?
Yes No SKIP to Item 5.21 (Part 2, Section 5) below.
5.20 Identify the type of incinerator used as the basis.
Fluidized bed with wet scrubber Other types with wet scrubber
Fluidized bed with wet scrubber and wet Other types with wet scrubber and wet electrostatic
electrostatic precipitator precipitator
5.21 Was the RSC determined via Table 6 in 40 CFR 503.43 (site-specific determination)?
No SKIP to Item 5.23 (Part 2, Section 5) Yes below.
5.22 Provide the decimal fraction of hexavalent chromium concentration to total
chromium concentration in stack exit gas:
5.23 Attach the results of incinerator stack tests for hexavalent and total chromium concentrations, including the date(s) of
any test(s), with this application.
Check here to indicate that you have attached this information. Not applicable
5.24 Do you monitor total hydrocarbons (THC) in the exit gas of the sewage sludge incinerator?
Yes No
5.25 Do you monitor carbon monoxide (CO) in the exit gas of the sewage sludge incinerator?
Yes No
5.26 Indicate the type of sewage sludge incinerator.
5.27 Incinerator stack height in meters:
5.28 Indicate whether the value submitted in Item 5.27 is (check only one response):
Actual stack height Creditable stack height
EPA Form 3510-2S (Revised 3-19) Page 22
UTL025585 Bayview Landfill
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004
5.29 Maximum performance test combustion temperature:
5.30 Performance test sewage sludge feed rate, in dry metric tons/day
5.31 Indicate whether value submitted in Item 5.30 is (check only one response):
Average use Maximum design
5.32 Attach supporting documents describing how the feed rate was calculated.
Check here to indicate that you have attached this information.
5.33 Submit information documenting the performance test operating parameters for the air pollution control device(s)
used for this sewage sludge incinerator.
Check here to indicate that you have attached this information.
5.34 List the equipment in place to monitor the listed parameters.
Total hydrocarbons or carbon monoxide
Percent oxygen
Percent moisture
Combustion temperature
Other (describe)
5.35 List all air pollution control equipment used with this sewage sludge incinerator.
Check here if you have attached the list to the application package for the noted incinerator.
EPA Form 3510-2S (Revised 3-19) Page 23
UTL025585 Bayview Landfill