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HomeMy WebLinkAboutDWQ-2025-004161 Lila Canyon Mine 794 North ‘C’ Canyon Road P.O. Box 910 East Carbon, UT 84526 Phone: (435) 888-4000 Fax: (435) 888-4002 Via Electronic Mail May 13, 2025 Utah Division of Water Quality UPDES Program 195 North 1950 West Salt Lake City, Utah 84116 Attn: Jeff Studenka UPDES Permit Re: Emery County Coal Resources, Inc. Lila Canyon Mine, UPDES Permit #UT0026018 Renewal of UPDES Permit Dear Mr. Studenka: Please find the attached application for an intent to renew of Emery County Coal Resources, Inc. (“ECCR”), Lila Canyon Mine’s UPDES Permit Number UT0026018. We appreciate your time and consideration of this application. If you have any questions, please contact me at 435-650-1850. Sincerely, Jesse Candelaria Environmental Tech. Lila Canyon Mine Lila Canyon Mine 794 North ‘C’ Canyon Road P.O. Box 910 East Carbon, UT 84526 Phone: (435) 888-4000 Fax: (435) 888-4002 Written Waver Request: Lila Canyon mine is requesting a waver for the requirement of sampling the pollutants specified in Table A of the attached UPDES Permit renewal application, which are not included in the current UPDES Permit UTU002618 and are not considered pollutants of concern at the mining facility. These Pollutants Include:  Biochemical Oxygen Demand (BOD5)  Chemical Oxygen Demand (COD)  Total Organic Carbon (TOC)  Ammonia (N) Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 1 of 23 Part I. General Information (40 CFR 122.21(j)(1) and (9)) Permit Status:  Renewal  New Permit UPDES Permit No.:  New Permit; UPDES Permit # Not Available Facility Name: Facility Location: City State Zip Facility Mailing Address: City State Zip Facility Contact: Title: Phone Number: Email Address: Name of Signatory: Title: Is the applicant the facility owner, operator or both? (check only one response.)  Owner  Operator  Both Indicate below any existing environmental permits. (Check all that apply and type the corresponding permit number for each.)  RCRA (hazardous waste)  UIC (underground injection control)  PSD (air emissions)  Nonattainment program (CAA)  NESHAPs (CAA)  Dredge or fill (CWA Section 404)  Other (specify) Nature of Business CFR (40 CFR 122.21(f)(8)) Describe the nature of your business Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 2 of 23 Part II. Facility Information Design and Actual Flow Rates Provide design and actual flow rates in designated spaces. Maximum Design Flow Rate mgd Annual Average Flow Rates (Actual) Five Years Ago Four Years Ago Three Years Ago mgd mgd mgd Two Years Ago Last Year Current Year mgd mgd mgd Maximum Daily Flow Rates (Actual) Five Years Ago Four Years Ago Three Years Ago mgd mgd mgd Two Years Ago Last Year Current Year mgd mgd mgd Describe the treatment for each outfall* Outfall Number Outfall Number Outfall Number Level of Treatment Primary Treatment Unit Treatment Unit Treatment Unit Size Size Size Flow rate Flow rate Flow rate Retention time Retention time Retention time Other Other Other Equivalent to secondary Treatment Unit Treatment Unit Treatment Unit Size Size Size Flow rate Flow rate Flow rate Retention time Retention time Retention time Other Other Other Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 3 of 23 Part II. Facility Information continued Describe the treatment for each outfall* continued Outfall # Outfall # Outfall # Secondary Treatment Unit Treatment Unit Treatment Unit Size Size Size Flow rate Flow rate Flow rate Retention time Retention time Retention time Other Other Other Advanced Treatment Unit Treatment Unit Treatment Unit Size Size Size Flow rate Flow rate Flow rate Retention time Retention time Retention time Other Other Other Other (specify) Treatment Unit Treatment Unit Treatment Unit Size Size Size Flow rate Flow rate Flow rate Retention time Retention time Retention time Other Other Other * The data can be entered in the section above or an excel spreadsheet. Attached additional sheets if needed. Production Outfall Number Operation, Product, or Material Quantity per Day Unit of Measure Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 4 of 23 Part II. Facility Information continued BLUEPRINT: Attach a line drawing that shows the water flow through your facility with a water balance.  Line Drawing/Blueprint Attached MAP: Attach a USGS topographic map or aerial photo extending one mile beyond the property boundaries of the site, the facility or activity boundaries, any treatment area(s), outfall(s), major drainage patterns, and the receiving surface waters stated above.  Map Attached Are improvements to the facility scheduled?  YES If YES, explain below.  NO If NO, Skip to Part III Briefly list and describe the schedule improvements. 1. 2. 3. 4. Provide scheduled or actual dates of completion for improvements. Scheduled or Actual Dates of Completion for Improvements Scheduled Improvement (from above) Affected Outfalls (list outfall number) Begin Construction (MM/DD/YYYY) End Construction (MM/DD/YYYY) Begin Discharge (MM/DD/YYYY) Attainment of Operational Level (MM/DD/YYYY) 1. 2. 3. 4. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 5 of 23 Part III. Sampling Information Provide all parameter sampling data with analytical results, reporting limit and any laboratory flags on an Excel or similar spreadsheet. An Excel Spreadsheet template may be provided upon request. Has WET testing been conducted during the last 5 years?  YES  NO Indicate the acute and chronic WET tests (PASS or FAIL) results for the past 5 years. If no WET testing for the quarter, then leave blank (e.g., for semi-annual or annual testing or missed testing events). Year Outfall No. ________ Outfall No. ________ Outfall No. ________ Acute Chronic Acute Chronic Acute Chronic Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 1  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 2  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 3  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Qtr 4  PASS  FAIL Describe any cause(s) of toxicity: Were the above WET analysis submitted to Utah DWQ? YES  NO Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 6 of 23 Part IV. Compliance Information Has the facility had and parameter exceedances over the past five years?  YES  NO If Yes, provide the below information: Parameter Exceedance Month/Year Cause Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 7 of 23 Part IV. Compliance Information continued Facility monitoring data. Please provide the past five years of all parameters required to be monitored in the UPDES permit. The data can be entered in the section below or an excel spreadsheet. Attached additional sheets if needed. Month Year Parameter Min Max Avg MDL/RL* *MDL/RL is the analysis method detection limit or reporting limit located on the laboratory analysis report. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 8 of 23 Part V. Outfalls and Receiving Water(s) Provide the latitude and longitude to the nearest second for each dewatering outfall. The specified location should be after all treatment and before release to the receiving water. Provide the name of the initial receiving water. If the initial receiving water is unnamed, please also indicate the closed named drainage the receiving water flows into (i.e. unnamed tributary of City Creek). Attach additional sheets if necessary for more outfalls. Each outfall to a different receiving water segment is subject to additional application fees and annual fees. Outfall No. Average daily flow rate Latitude Longitude Receiving Surface Waters (Name) mgd O ‘ “ O ‘ “ mgd O ‘ “ O ‘ “ mgd O ‘ “ O ‘ “ Do any of the outfalls described above have a season or periodic discharges?  YES  NO If so, provide the following information for each applicable outfall. Outfall No. Outfall No. Outfall No. Number of times per year discharges occurs Average duration of each discharge (specify units) Average flow of each discharge mgd mgd mgd Months in which discharge occurs Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 9 of 23 Part VI. Effluent and Intake Characteristics Table A. Conventional and Non-Conventional Pollutants Are you requesting a waiver for one or more pollutants listed Table A for any of your outfalls?  YES  NO If yes, indicate the applicable outfalls below. Provide a written waiver request and other required information with the application. Outfall Number Outfall Number Outfall Number Have you completed monitoring for all Table A pollutants at each of your outfalls for which a waiver has not been requested and attached the results to this application?  YES  NO; a waiver has been requested for all pollutants at all outfalls Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants Do any of the facility’s processes that contribute wastewater fall into one or more of the primary industry categories listed in Appendix A?  YES  NO  Not applicable Have you checked “Testing Required” for all toxic metals, cyanide, and total phenols in Section 1 of Table B?  YES  NO List the applicable primary industry categories and check the boxes indicating the required Gas Chromatography/Mass Spectrometry (GS/MS) Fraction(s) identified in Appendix A. Primary Industry Category Required Gas Chromatography/Mass Spectrometry (GS/MS) Fraction(s)  Volatile  Acid  Base/Neutral  Pesticide  Volatile  Acid  Base/Neutral  Pesticide  Volatile  Acid  Base/Neutral  Pesticide Have you checked “Testing Required” for all required pollutants in Sections 2 through 5 of Table B for each of the GC/MS fractions?  YES  NO Have you checked “Believe Present” or Believed Absent” for all pollutants listed in Sections 1 through 5 of Table B where testing is not required?  YES  NO Have you provided (1) quantitative data for those Section 1, Table B, pollutants for which you have indicated testing is required or (2) quantitative data or other required information for those Section 1, Table B, pollutants that you have indicated are “Believe Present” in your discharge?  YES  NO Have you provided (1) quantitative data for those Sections 2 through 5, Table B, pollutants for which you have determined testing is required or (2) quantitative data or an explanation for those Sections 2 through 5, Table B, pollutants you have indicated are “Believed Present” in your discharge?  YES  NO Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 10 of 23 Part VI. Effluent and Intake Characteristics continued Table C. Certain Conventional and Non-Conventional Pollutants Have you indicated whether pollutants are “Believed Present” or “Believed Absent” for all pollutants listed on Table C for all outfalls?  YES  NO Have you completed Table C by providing (1) quantitative data for those pollutants that are limited either directly or indirectly in an Effluent Limitation Guidelines and/or (2) quantitative data or an explanation for those pollutants for which you have indicated “Believe Present”?  YES  NO Table D. Certain Hazardous Substances and Asbestos Have you indicated whether pollutants are “Believed Present” or “Believed Absent” for all pollutants listed on Table D for all outfalls?  YES  NO Have you completed Table D by (1) describing the reasons the applicable pollutants are expected to be discharged and (2) by providing quantitative data, if available?  YES  NO Table E. 2,3,7,8-Tetrachlorodibenzo-p-Dioxin (2,3,7,8-TCDD) Does the facility use or manufacture one or more of the 2,3,7,8-TCDD congeners listed below:  2,4,5-trichlorophenoxy 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-dichloro-propionate (Erbon)  0,0-dimethyl 0-(2,4,5-trichlorophenyl) phosphorothioate (Ronnel)  2,4,5,-trichlorophenol (TCP)  hexachlorophene (HCP).  Or do you know of have reason to believe that TCDD is or may be present in the effluent?  YES, Complete Table E  NO, Skip to Part VII Have you completed Table E by reporting qualitative data for TCDD?  YES  NO Were any of the analyses reported in this section performed by a contract laboratory or consulting firm?  YES  NO, Skip to Part VII Provide information for each contract laboratory or consulting firm below. Laboratory Number 1 Laboratory Number 2 Laboratory Number 3 Name of laboratory/firm Laboratory address Phone Number Pollutant(s) analyzed Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 11 of 23 Part VII. Used or Manufactured Toxics Is any pollutant listed in Table B a substance or a component of a substance used or manufactured at your facility as an intermediate or final product or byproduct?  YES  NO, Skip to Part VIII List the pollutants below. 1. 4. 7. 2. 5. 8. 3. 6. 9. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 12 of 23 Part VIII. Biosolids Information (If Not Applicable, Skip to Part IX.) Was the Biosolids Annual Report submitted?  YES  NO  Attach a Biosolids Management Plan with application Serve Connections? Provide the total dry metric tons per the latest 365-day period of sewage sludge generated, treated, used and disposed of: Practice Dry Metric Tons per 365-day Period Amount generated at the facility Amount treated at the facility Amount used (i.e., received from offsite) at the facility Amount disposed of at the facility Treatment Provided at Your Facility Identify the treatment process(es) used at your facility to reduce pathogens in sewage sludge  Preliminary operations (e.g., sludge grinding and degritting)  Stabilization  Composting  Disinfection  Heat drying  Methane or biogas capture and recovery  Thickening (concentration)  Anaerobic digestion  Conditioning  Dewatering (e.g. centrifugation, sludge drying beds, sludge lagoons)  Thermal reduction Sewage Sludge Disposal Method Land Application of Bulk Sewage Sludge Is sewage sludge form your facility applied to the land?  YES  NO If No, Skip to next section Total dry metric tons per 365-day period of sewage sludge applied to all land sites: Surface Disposal Is sewage sludge from your facility placed on a surface disposal site?  YES  NO If No, Skip to next section Total dry metric tons of sewage sludge from your facility placed on all surface disposal sites per 365-day period: Do you own or operate all surface disposal sites to which you send sewage sludge for disposal?  YES  NO If No, complete the below information Surface disposal site you do not operate Site name Mailing address City State Zip Contact Name Title Phone Number Email Address Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 13 of 23 Part VIII. Bisolids Information continued Incineration Is sewage sludge from your facility fired in a sewage sludge incinerator?  YES  NO If No, Skip to next section Total dry metric tons of sewage sludge from your facility fired in all sewage sludge incinerators per 365-day period: Do you own or operate all sewage sludge incinerators in which sewage sludge from facility is fired?  YES  NO If No, complete the below information Incinerator location you do not operate Site name Mailing address City State Zip Contact Name Title Phone Number Email Address Disposal in a Municipal Solid Waste Landfill Is sewage sludge from your facility placed on a municipal solid waste landfill?  YES  NO If No, Skip to next section Total dry metric tons of sewage sludge from your facility placed in this municipal solid waste landfill per 365-day period: Do you own or operate the municipal solid waste landfill in which sewage sludge is disposed?  YES  NO If No, complete the below information Municipal Solid Waste Landfill you do not operate Site name Mailing address City State Zip Contact Name Title Phone Number Email Address Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 14 of 23 Part IX. Reuse Information (If Not Applicable, skip to Part X.) Is wastewater effluent directly applied to land?  YES  NO If YES, complete the below information. Land Application Site and Discharge Data Location Size Average Daily Volume Applied How often acres gpd  Seasonal  Continuous  Intermittent acres gpd  Seasonal  Continuous  Intermittent acres gpd  Seasonal  Continuous  Intermittent Seasonal land application. Indicate months of seasonal land application  January  February  March April May  June  July August September October November December Where is the Reuse water distributed  Residential irrigation  Urban uses  Non-residential landscape irrigation  Golf course irrigation  Toilet flushing  Fire protection  Irrigation of food crops (direct contact with edible part) – spray irrigation  Irrigation of food crops (Non direct contact with edible part) – no spray irrigation  Irrigation  Sod farms  Silviculture  Limited access highway rights of way  Other areas where human access is restrict or unlikely to occur  Irrigation of animal feed crops other than pasture for milking animals  Impoundment of wastewater where direct human contact is not allowed or is unlikely to occur  Cooling water  Soil compaction or duct control in construction areas  Other  Attached an updated Reuse Project Plan An updated Reuse Project Plan is required during every permit renewal. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 15 of 23 Part X. Antidegradation Review The objective of antidegradation rules and policies is to protect existing high quality waters and set forth a process for determining where and how much degradation is allowable for socially and/or economically important reasons. In accordance with Utah Administrative Code (UAC R317-2-3), an antidegradation review (ADR) is a permit requirement for any project that will increase the level of pollutants in waters of the state. The rule outlines requirements for both Level I and Level II ADRs, as well as public comment procedures. This review form is intended to assist the applicant and Division of Water Quality (DWQ) staff in complying with the rule but is not a substitute for the complete rule in R317-2-3.5. Additional details can be found in the Utah Antidegradation Implementation Guidance and relevant sections of the guidance are cited in this review form. ADRs should be among the first steps of an application for a UPDES permit because the review helps establish treatment expectations. The level of effort and amount of information required for the ADR depends on the nature of the project and the characteristics of the receiving water. To avoid unnecessary delays in permit issuance, DWQ recommends that the process be initiated at least one year prior to the date a final approved permit is required. DWQ will determine if the project will impair beneficial uses (Level I ADR) using information provided by the applicant and whether a Level II ADR is required. The applicant is responsible for conducting the Level II ADR. For the permit to be approved, the Level II ADR must document that all feasible measures have been undertaken to minimize pollution for socially, environmentally or economically beneficial projects resulting in an increase in pollution to waters of the state. For permit requiring a Level II ADR, this antidegradation form must be completed and approved by DWQ before any UPDES permit can be issued. Typically, the ADR form is completed in an iterative manner in consultation with DWQ. The applicant should first complete the statement of social, environmental and economic importance (SEEI) in Section C and determine the parameters of concern (POCs) in Section D. Once the POCs are agreed upon by DWQ, the alternatives analysis and selection of preferred alternative Section E can be conducted based on minimizing degradation resulting from discharge of the POCs. Once the applicant and DWQ agree upon the preferred alternative, the review is considered complete, and the form is submitted to DWQ. What are the designated uses of the receiving water (R317-2-6)? (check all that apply)  Domestic Water Supply  Recreation  Aquatic Life  Agricultural Water Supply  Great Salt Lake Antidegradation Category 1, 2 or 3 of receiving water? (R317-2-3.2, -3.3, and -3.4): Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 16 of 23 Part X. Antidegradation Review continued Effluent flow reviewed: typically, this should be the maximum daily discharge at the design capacity of the facility. Exceptions should be noted. What is the application for? (Check all that apply)  A UPDES permit for a new facility, project, or outfall.  A UPDES permit renewal with an expansion of modification of an existing wastewater treatment works.  A UPDES permit renewal requiring limits for a pollutant not covered by the previous permit and/or an increase to existing permit limits.  A UPDES permit renewal with no charges in facility operations. Section B. Is a Level II ADR required? This section of the form is intended to help applicants determine if a Level II ADR is required for specific permitted activities. In addition, the Executive Secretary/Director may require a Level II ADR for an activity with the potential for major impact on the quality of waters of the state (R317-2-3.5a.1). B1. The UPDES permit is new or is being renewed and the proposed effluent concentration and loading limits are higher than the concentration and loading limits in the previous permit and any previous antidegradation review(s).  YES – (Proceed/Skip to B3 of the Form)  NO – No Level II ADR is required and there is no need to proceed further with the review questions. Continue to the Certification Statement and Signature page. B2. Will any pollutants use assimilative capacity of the receiving water, i.e. do the pollutant concentrations in the effluent exceed those in the receiving waters at critical conditions? For most pollutants, effluent concentrations that are higher than the ambient concentrations require an antidegradation review? For a few pollutants such as dissolved oxygen, and antidegradation review is required if the effluent concentrations are less than the ambient concentrations in the receiving water. (Section 3.3.3 of Implementation Guidance)  YES – (Proceed to B3 of the Form)  NO – No Level II ADR is required and there is no need to proceed further with the review questions. Continue to the Certification Statement and Signature page. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 17 of 23 Part X. Antidegradation Review continued B3. Are water quality impacts of the proposed project temporary and limited (Section 3.3.4 of Implementation Guidance)? Proposed projects that will have temporary and limited effects on water quality can be exempted form a Lev le II ADR.  YES – Identify the reason used to justify this determination if B4.1 and proceed to Section G. No Level II ADR is required.  NO – A Level II ADR is required (Proceed to Section C) B3.1 Complete this question only if the applicant is requesting a Level II review exclusion for temporary and limited projects (See R317-2-3.5(b)(3) and R317-2-3.5(b)(4)). For projects requesting a temporary and limited exclusion please indicate the factor(s) used to justify this determination (check all that apply and provide details as appropriate) (Section 3.3.4 of Implementation Guidance):  Water quality impacts will be temporary and related exclusively to sediment or turbidity and fish spawning will not be impaired. Factors to be considered in determining whether water quality impacts will be temporary and limited: a)The length of time during which water quality will be lowered: b)The perfect change in ambient concentrations of pollutants: c)Pollutants affected: d)Likelihood for long-term water quality benefits: e)Potential for any residual long-term influences on existing uses: f)Impairment of fish spawning, survival and development of aquatic fauna excluding fish removal efforts: Additional justification, as needed: Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 18 of 23 Part X. Antidegradation Review continued Level II ADR Section C, D, E, and F of the form constitute the Level II ADR Review. The applicant must provide as much detail as necessary for DWQ to perform the antidegradation review. Questions are provided for the convenience of applicants; however, for more complex permits it may be more effective to provide the required information in a separate report. Applicants that prefer a separate report should record the report name here and proceed to Section G of the form. Option Report Name: Section C. Is the degradation from the project socially and economically necessary to accommodate important social or economic development in the area in which the waters are located? The applicant must provide as much detail as necessary for DWQ to concur that the project is socially and economically necessary when answering the questions in the section. More information is available in Section 6.2 of the Implementation Guidance. C1. Describe the social and economic benefits that would be realized through the proposed project, including the number and nature of jobs created and anticipated tax revenues. C2. Describe any environmental benefits to be realized through implementation of the proposed project. C3. Describe any social and economic losses that may result from the project, including impacts to recreation or commercial development. C4. Summarize any supporting information from the affected communities on preserving assimilative capacity to support future growth and development. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 19 of 23 Part X. Antidegradation Review continued C5. Please describe any structures or equipment associated with the project that will be placed within or adjacent to the receiving water. C6. Will the discharge potentially impact a drinking water source, e.g., Class 1C waters? Depending upon the locations of the discharge and its proximity to downstream drinking water diversions, additional treatment or more stringent effluent limits or additional monitoring, beyond that which may otherwise be required to meet minimum technology standards or in stream water quality standards, may be required by the Director in order to adequately protect public health and the environment (R317-2-3.5 d.).  YES  NO Section D. Identify and rank (from increasing to decreasing potential threat to designated uses) the parameters of concern. Parameters of concern are parameters in the effluent at concentrations greater than ambient concentrations in the receiving water. The applicant is responsible for identifying parameter concentrations in the effluent and DWQ will provide parameter concentrations for the receiving water. More information is available in Section 3.3.3 of the Implementation Guidance. Parameters of Concern: Rank Pollutant Ambient Concentration Effluent Concentration 1. 2. 3. 4. 5. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 20 of 23 Part X. Antidegradation Review continued Pollutants Evaluated that are not Considered Parameters of Concern: Pollutant Ambient Concentration Effluent Concentration Justification 1. 2. 3. 4. 5. Section E. Alternative Analysis Requirements of Level II Antidegradation Review. Level II ADRs require the applicant to determine whether there are feasible less-degrading alternatives to the proposed project. More information is available in Section 5.5 and 5.6 of the Implementation Guidance. E1. The UPDES permit is being renewed without any changes to flow or concentrations. Alternative treatment and discharge options including changes to operations and maintenance were considered and compared to the current processes. NO economically feasible treatment or discharge alternatives were identified that were not previously considered for any previous antigradation review(s).  YES – (Proceed to Section F)  NO or Does Not Apply (Proceed to E2) E2. Attach as an appendix to this form a report that describes that following factors for all alternative treatment options (see 1) a technical descriptions of the treatment process, including construction costs and continued operation and maintenance expenses, 2) the mass and concentration of discharge constituents, and 3) a description of the reliability of the system, including the frequency where recurring operation and maintenance may lead to temporary increases in discharged pollutants. Most of this information is typically available from a Facility Plan, if available. Report Name: E3. Describe the proposed method and cost of the baseline treatment alternative. The baseline treatment alternative is the minimum treatment required to meet water quality based effluent limits (WQBEL) as determined by the preliminary or final wasteload analysis (WLC) and any secondary or categorical effluent limits. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 21 of 23 Part X. Antidegradation Review continued E4. Were any of the following alternatives feasible and affordable? Alternative Feasible Reason Not Feasible/Affordable Pollutant Trading  YES  NO Water Recycling/Reuse  YES  NO Land Application  YES  NO Connection to Other Facilities  YES  NO Upgrade to Existing Facility  YES  NO Total Containment  YES  NO Improved O&M of Existing Systems  YES  NO Seasonal or Controlled Discharge  YES  NO New Construction  YES  NO No Discharge  YES  NO E5. From the applicant’s perspective, what is the preferred treatment option? Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Page 22 of 23 Part X. Antidegradation Review continued E6. Is the preferred option also the least polluting feasible alternative?  YES  NO If No, what were less degrading feasible alternative(s)? If No, provide a summary of the justification for not selecting the least polluting feasible alternative and if appropriate, provide a more detailed justification as an attachment. Section F. Optional Information F1. Does the applicant want to conduct optional public review(s) in addition to the mandatory public review? Level II ADRs are public noticed for a thirty day comment period. More information is available in Section 3.7.1 of the Implementation Guidance.  YES  NO F2. Does the project include an optional mitigation plan to compensate for the proposed water quality degradation?  YES  NO Report Name: Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Appendix A. Testing Requirements for Organic Toxic Pollutants Industry Categories* Industry Category Volatile Gas Chromatography/Mass Spectrometry (GS/MS) Fraction(s)† Pesticide Acid Base/Neutral 1. Adhesives and sealants X X X  2. Aluminum forming X X X  3. Auto and other laundries X X X X 4. Battery manufacturing X  X  5. Coal mining     6. Coil coating X X X  7. Copper forming X X X  8. Electric and electronic compounds X X X X 9. Electroplating X X X  10. Explosives manufacturing  X X  11. Foundries X X X  12. Gum and wood chemicals (all subparts except D and F) X X   13. Gum and wood chemicals, Subpart D (tall oil rosin) X X X  14. Gum and wood chemicals, Subpart F (rosin-based derivatives) X X X  15. Inorganic chemicals manufacturing X X X  16. Iron and steel manufacturing X X X  17. Leather tanning and finishing X X X  18. Mechanical products manufacturing X X X  19. Nonferrous metals manufacturing X X X X 20. Ore mining, Subpart B (base and precious metals)  X   21. Organic chemicals manufacturing X X X X 22. Paint and ink formulation X X X  23. Pesticides X X X X 24. Petroleum refining X    25. Pharmaceutical preparations X X X  26. Photographic equipment and supplies X X X  27. Plastic and synthetic materials manufacturing X X X X 28. Plastic processing X    29. Printing and publishing X X X X 30. Pulp and paperboard mills X X X X 31. Rubber processing X X X  32. Soap and detergent manufacturing X X X  33. Steam electric power plants X X   34. Textile mills (except Subpart C, Greige Mills) X X X  35. Timber products processing X X X X Key *See note at conclusion of 40 CFR 122, Appendix D (1983) for explanation of effect of suspensions on testing requirements for primary industrycategories† The pollutants in each fraction are listed in Table B X Testing is required Testing is not required Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application Table A Page 1 of 1 UPDES Permit No. Facility Name Outfall Number Table A. Conventional and Non-Conventional Pollutants1 Pollutant Waiver Requested (if applicable) Units (specify) Effluent Intake (optional) Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses  Check here if you have applied to Utah DWQ for a waiver for all of the pollutants listed on this table for the noted outfall. 1. Biochemical oxygen demand (BOD5)  Concentration  Mass  2. Chemical oxygen demand (COD)  Concentration  Mass  3. Total organic carbon (TOC)  Concentration  Mass  4. Total suspended solids (TSS)  Concentration  Mass  5. Ammonia (as N)  Concentration  Mass  6. Flow  Rate  7. Temperature (winter)  Fahrenheit  Temperature (summer)  Fahrenheit  8. pH (minimum)  Standard units SU pH (maximum)  Standard units SU 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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 1 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 1. Toxic Metals, Cyanide, and Total Phenols 1. Antimony, Total (7440-36-0)    Concentration  Mass  2. Arsenic, Total (7440-38-0)    Concentration  Mass  3. Beryllium, Total (7440-41-7)    Concentration  Mass  4. Cadmium, Total (7440-43-9)    Concentration  Mass  5. Chromium, Total (7440-47-3)    Concentration  Mass  6. Copper, Total (7440-50-8)    Concentration  Mass  7. Lead, Total (7439-92-1)    Concentration  Mass  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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 2 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 1. Toxic Metals, Cyanide, and Total Phenols continued 8. Mercury, Total (7439-97-6)    Concentration  Mass  9. Nickel, Total (7440-02-0)    Concentration  Mass  10. Selenium, Total (7782-49-2)    Concentration  Mass  11. Silver, Total (7440-22-4)    Concentration  Mass  12. Thallium, Total (7440-28-0)    Concentration  Mass  13. Zinc, Total (7440-66-6)    Concentration  Mass  14. Cyanide, Total (57-12-5)    Concentration  Mass  15. Phenols, Total    Concentration  Mass  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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 3 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 2. Organic Toxic Pollutants (GC/MS Fraction – Volatile Compounds) 1. Acrolein (107-02-8)    Concentration  Mass  2. Acrylontrile (107-13-1)    Concentration  Mass  3. Benzene (71-43-2)    Concentration  Mass  4. Bromoform (75-25-2)    Concentration  Mass  5. Carbon tetrachloride (56-23-5)    Concentration  Mass  6. Chlorobenzene (108-90-7)    Concentration  Mass  7. Chlorodibrompmethane (124-48-1)    Concentration  Mass  8. Chloroethane (75-00-3)    Concentration  Mass  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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 4 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 2. Organic Toxic Pollutants (GC/MS Fraction – Volatile Compounds) continued 9. 2-chloroethylvinyl either (110-75-80)    Concentration  Mass  10. Chloroform (67-66-3)    Concentration  Mass  11. Dichlorobromomethane (75-27-4)    Concentration  Mass  12. 1,1-dichloroethane (75-34-3)    Concentration  Mass  13. 1,2-dichloroethane (78-875)    Concentration  Mass  14. 1,1-dichloroethylene (75-35-4)    Concentration  Mass  15. 1,2-dichloropropane (78-87-5)    Concentration  Mass  16. 1,3-dichloropropylene (542-75-6)    Concentration  Mass  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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 5 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 2. Organic Toxic Pollutants (GC/MS Fraction – Volatile Compounds) continued 17. Ethylbenzene (100-41-4)    Concentration  Mass  18. Methyl bromide (74-83-9)    Concentration  Mass  19. Methyl chloride (74-87-3)    Concentration  Mass  20. Methylene chloride (75-09-2)    Concentration  Mass  21. 1,1,2,2-tetrachloroethane (79-34-5)    Concentration  Mass  22. Tetrachloroethlyne (127-18-4)    Concentration  Mass  23. Toluene (108-88-3)    Concentration  Mass  24. 1,2-trans- dichloroethylene (156-60-5)    Concentration  Mass  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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 6 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 2. Organic Toxic Pollutants (GC/MS Fraction – Volatile Compounds) continued 25. 1,1,1-trichloroethane (71-55-6)    Concentration  Mass  26. 1,1,2-trichloroethane (79-00-5)    Concentration  Mass  27. Trichloroethylene (79-01-6)    Concentration  Mass  28. Vinyl chloride (75-01-4)    Concentration  Mass  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 40 CFR chapter I, subchapter N or O. Continue to Section 3 Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 7 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 3. Organic Toxic Pollutants (Gas Chromatography/Mass Spectrometry (GS/MS) Fraction – Acid Compounds) 1. 2-chlorophenol (95-57-8)    Concentration Mass 2. 2,4-dichlorophenol (120-83-2)    Concentration Mass 3. 2,4-dimethylphenol (105-67-9)    Concentration Mass 4. 4,6-dinitro-o-cresol (534-52-1)    Concentration Mass 5. 2,4-dinitrophenol (51-28-5)    Concentration Mass 6. 2-nitrophenol (88-75-5)    Concentration Mass 7. 4-nitrophenol (100-02-7)    Concentration Mass 8. p-chloro-m-cresol (59-50-7)    Concentration Mass 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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 8 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 3. Organic Toxic Pollutants (Gas Chromatography/Mass Spectrometry (GS/MS) Fraction – Acid Compounds) continued 9. Pentachlorophenol (87-86-5)    Concentration Mass 10. Phenol (108-95-2)    Concentration Mass 11. 2,4,6-trichlorophenol (88-05-2)    Concentration Mass 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 40 CFR chapter I, subchapter N or O. Continue to Section 4 Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 9 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 4. Organic Toxic Pollutants (Gas Chromatography/Mass Spectrometry (GS/MS) Fraction – Base/Neutral Compounds) 1. Acenaphthene (83-32-9)    Concentration Mass 2. Acenaphthylene (208-96-8)    Concentration Mass 3. Anthracene (120-12-7)    Concentration Mass 4. Benzidine (92-97-5)    Concentration Mass 5. Benzo (a) anthracene (56-55-3)    Concentration Mass 6. Benzo (a) pyrene (50-32-8)    Concentration Mass 7. 3,4-benzofluoranthene (205-99-2)    Concentration Mass 8. Benzo (ghi) perylene (191-24-2)    Concentration Mass 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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 10 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 4. Organic Toxic Pollutants (Gas Chromatography/Mass Spectrometry (GS/MS) Fraction – Base/Neutral Compounds) continued 9. Benzo (k) fluoranthene (207-08-9)    Concentration Mass 10. Bis (2-chloroethoxy) methane (111-91-1)    Concentration Mass 11. Bis (2-chloroethyl) ether (111-44-4)    Concentration Mass 12. Bis (2-chloroisopropyl) ether (102-80-1)    Concentration Mass 13. Bis (2-ethylhexyl) phthalate (85-68-7)    Concentration Mass 14. 4-bromophenyl phenyl ether (101-55-3)    Concentration Mass 15. Butyl benzyl phthalate (85-68-7)    Concentration Mass 16. 2-chlorophthalene (91-58-7)    Concentration Mass 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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 11 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 4. Organic Toxic Pollutants (Gas Chromatography/Mass Spectrometry (GS/MS) Fraction – Base/Neutral Compounds) continued 17. 4-chlorophenyl phenyl ether (7005-72-3)    Concentration Mass 18. Chrysene (218-01-9)    Concentration Mass 19. Dibenzo (a,h) anthracene (53-70-3)    Concentration Mass 20. 1,2-dichlorobenzene (95-50-1)    Concentration Mass 21. 1,3-dichlorobenzene (541-73-1)    Concentration Mass 22. 1,4-dichlorobenzene (106-46-7)    Concentration Mass 23. 3,3-dichlorobenzidine (91-94-1)    Concentration Mass 24. Diethyl phthalate (84-66-2)    Concentration Mass 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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 12 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 4. Organic Toxic Pollutants (Gas Chromatography/Mass Spectrometry (GS/MS) Fraction – Base/Neutral Compounds) continued 25. Dimethyl phthalate (131-11-3)    Concentration Mass 26. Di-n-butyl phthalate (84-74-2)    Concentration Mass 27. 2,4-dinotrotoluene (121-14-2)    Concentration Mass 28. 2,6-dinotrotoluene (121-14-2)    Concentration Mass 29. Di-n-octyl phthalate (117-84-0)    Concentration Mass 30. 1,2-Diphenylhydrazine (as azobenzene) (122-66-7)    Concentration Mass 31. Fluoranthene (206-44-0)    Concentration Mass 32. Fluorene (86-37-7)    Concentration Mass 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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 13 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 4. Organic Toxic Pollutants (Gas Chromatography/Mass Spectrometry (GS/MS) Fraction – Base/Neutral Compounds) continued 33. Hexachlorobenzene (118-74-1)    Concentration Mass 34. Hexachlorobutadiene (87-68-3)    Concentration Mass 35. Hexachlorocyclopentadiene (77-47-4)    Concentration Mass 36. Hexachloroethane (67-72-1)    Concentration Mass 37. Indeno (1,2,3-cd) pyrene (193-39-5)    Concentration Mass 38. Isophorone (78-59-1)    Concentration Mass 39. Naphthalene (91-20-3)    Concentration Mass 40. Nitrobenzene (98-95-3)    Concentration Mass 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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 14 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 4. Organic Toxic Pollutants (Gas Chromatography/Mass Spectrometry (GS/MS) Fraction – Base/Neutral Compounds) continued 41. N-nitrosodimethylamine (62-75-9)    Concentration Mass 42. N-nitrosodi-n-propylamine (621-64-7)    Concentration Mass 43. N-nitrosodiphenylamine (86-30-6)    Concentration Mass 44. Phenanthrene (85-01-8)    Concentration Mass 45. Pyrene (129-00-0)    Concentration Mass 46. 1,2,4-trichlorobenzene (120-82-1)    Concentration Mass 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 40 CFR chapter I, subchapter N or O. Continue to Section 5 Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 15 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 5. Organic Toxic Pollutants (Gas Chromatography/Mass Spectrometry (GS/MS) Fraction – Pesticides) continued 1. Aldrin (309-00-2)    Concentration Mass 2. α-BHC (319-84-6)    Concentration Mass 3. β-BHC (319-85-7)    Concentration Mass 4. γ-BHC (58-89-9)    Concentration Mass 5. δ-BHC (319-86-8)    Concentration Mass 6. Chlorodane (57-74-9)    Concentration Mass 7. 4,4’-DDT (50-29-3)    Concentration Mass 8. 4,4’-DDE (72-55-9)    Concentration Mass 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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 16 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 5. Organic Toxic Pollutants (Gas Chromatography/Mass Spectrometry (GS/MS) Fraction – Pesticides) continued 9. 4,4’-DDD (72-54-8)    Concentration Mass 10. Dieldrin (60-57-1)    Concentration Mass 11. α-endosulfan (115-29-7)    Concentration Mass 12. β-endosulfan (115-29-7)    Concentration Mass 13. Endosulfan sulfate (1031-07-8)    Concentration Mass 14. Endrin (72-20-8)    Concentration Mass 15. Endrin aldehyde (7421-93-4)    Concentration Mass 16. Heptachlor (76-44-8)    Concentration Mass 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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 17 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 5. Organic Toxic Pollutants (Gas Chromatography/Mass Spectrometry (GS/MS) Fraction – Pesticides) continued 17. Heptachlor epoxide (1024-57-3)    Concentration Mass 18. PCB-1242 (53469-21-9)    Concentration Mass 19. PCB-1254 (11097-69-1)    Concentration Mass 20. PCB-1221 (11104-28-2)    Concentration Mass 21. PCB-1232 (11141-16-5)    Concentration Mass 22. PCB-1248 (12672-29-6)    Concentration Mass 23. PCB-1260 (11096-82-5)    Concentration Mass 24. PCB-1016 (12674-11-2)    Concentration Mass 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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table B Page 18 of 18 Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Testing Required Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses Section 5. Organic Toxic Pollutants (Gas Chromatography/Mass Spectrometry (GS/MS) Fraction – Pesticides) continued 25. Toxaphene (8001-35-2)    Concentration Mass 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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table C Page 1 of 4 Table C. Certain Conventional and Non-Conventional Pollutants 1 Pollutant/Parameter (and CAS Number, if available) Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses  Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfall. You need not complete the “Presence or Absence” column of Table C for each pollutant.  Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall. You need not complete the “Presence or Absence” column of Table C for each pollutant. 1. Bromide (24959-67-9)   Concentration  Mass  2. Chlorine, total residual   Concentration  Mass  3. Color   Concentration  Mass  4. E.coli   Concentration  Mass  5. Fluoride (16984-48-8)   Concentration  Mass  6. Nitrate   Concentration  Mass  7. Nitrite   Concentration  Mass  8. Nitrogen, total organic (as N)   Concentration  Mass  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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table C Page 2 of 4 Table C. Certain Conventional and Non-Conventional Pollutants 1 continued Pollutant/Parameter (and CAS Number, if available) Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses 9. Oil and Grease   Concentration  Mass  10. Phosphorus (as P), total (7723-14-0)   Concentration  Mass  11. Sulfate (as SO4) (14808-798-)   Concentration  Mass  12. Sulfide (as S)   Concentration  Mass  13. Sulfite (as SO3) (14265-45-3)   Concentration  Mass  14. Surfactants   Concentration  Mass  15. Aluminum, total (7429-90-5)   Concentration  Mass  16. Barium, total (7440-39-3)   Concentration  Mass  17. Boron, total (7440-42-8)   Concentration  Mass  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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table C Page 3 of 4 Table C. Certain Conventional and Non-Conventional Pollutants 1 continued Pollutant/Parameter (and CAS Number, if available) Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses 18. Cobalt, total (7440-48-4)   Concentration  Mass  19. Iron, total (7439-89-6)   Concentration  Mass  20. Magnesium, total (7439-95-4)   Concentration  Mass  21. Molybdenum, total (7439-95-4)   Concentration  Mass  22. Manganese, total (7439-95-5)   Concentration  Mass  23. Tin, total (7440-31-5)   Concentration  Mass  24. Titanium, total (7440-32-6)   Concentration  Mass  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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table C Page 4 of 4 Table C. Certain Conventional and Non-Conventional Pollutants 1 continued Pollutant/Parameter (and CAS Number, if available) Presence or Absence (check one) Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long-Term Average Daily Discharge (if available) Number of Analyses Long-Term Average Number of Analyses 25. Radioactivity Alpha, total   Concentration  Mass  Beta, total   Concentration  Mass  Radium, total   Concentration  Mass  Radium 226, total   Concentration  Mass  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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table D Page 1 of 6 Table D. Certain Hazardous Substances and Asbestos 1 Pollutant/Parameter (and CAS Number, if available) Presence or Absence (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data (specify units) Believed Present Believed Absent 1. Asbestos   2. Acetaldehyde   3. Allyl alcohol   4. Allyl chloride   5. Amyl acetate   6. Aniline   7. Benzonitrile   8. Benzyl chloride   9. Butyl acetate   10. Butylamine   11. Captan   12. Carbaryl   13. Carbofuran   14. Carbon disulfide   15. Chlorpyrifos   16. Coumaphos   17. Cresol   18. Crotonaldehyde   19. Cyclohexane   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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table D Page 2 of 6 Table D. Certain Hazardous Substances and Asbestos 1 continued Pollutant/Parameter (and CAS Number, if available) Presence or Absence (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data (specify units) Believed Present Believed Absent 20. 24-D (2,4-dichlorophenoxyacetic acid)   21. Diazinon   22. Dicamba   23. Dichlobenil   24. Dichlone   25. 2,2-dichloropropionic aicd   26. Dichlorvos   27. Diethyl amine   28. Dimethyl amine   29. Dintrobenzene   30. Diquat   31. Disulfoton   32. Diuron   33. Epichlorohydrin   34. Ethion   35. Ethylene diamine   36. Ethylene dibromide   37. Formaldehyde   38. Furfural   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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table D Page 3 of 6 Table D. Certain Hazardous Substances and Asbestos 1 continued Pollutant/Parameter (and CAS Number, if available) Presence or Absence (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data (specify units) Believed Present Believed Absent 39. Guthion   40. Isoprene   41. Isopropanolamine   42. Kelthane   43. Kepone   44. Malathion   45. Mercaptodimethur   46. Methoxychlor   47. Methyl mercaptan   48. Methyl methacrylate   49. Methyl parathion   50. Mevinphos   51. Mexacarbate   52. Monoethyl amine   53. Monomethyl amine   54. Naled   55. Naphthenic acid   56. Nitrotoluene   57. Parathion   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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table D Page 4 of 6 Table D. Certain Hazardous Substances and Asbestos 1 continued Pollutant/Parameter (and CAS Number, if available) Presence or Absence (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data (specify units) Believed Present Believed Absent 58. Phenolsulfonate   59. Phosgene   60. Propargite   61. Propylene oxide   62. Pyrethrins   63. Quinoline   64. Resorcinol   65. Strontium   66. Strychnine   67. Styrene   68. 2,4,5-T (2,4,5-trichlorophenoxyacetic acied)   69. TDE (tetrachlorodiphenyl ethane)   70. 2,4,5-TP [2-(2,4,5-triclorophenoxy) propanoic acid]   71. Trichlorofon   72. Triethanolamine   73. Triethylamine   74. Trimethylamine   75. Uranium   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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table D Page 5 of 6 Table D. Certain Hazardous Substances and Asbestos 1 continued Pollutant/Parameter (and CAS Number, if available) Presence or Absence (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data (specify units) Believed Present Believed Absent 76. Vandium   77. Vinyl acetate   78. Xylene   79. Xylenol   80. Zioconium   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 40 CFR chapter I, subchapter N or O. Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table D Page 6 of 6 Hazardous Substances 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. Allyl chloride 13. Aluminum sulfate 14. Ammonia 15. Ammonium acetate 16. Ammonium benzoate 17. Ammonium bicarbonate 18. Ammonium bichromate 19. Ammonium bifluoride 20. Ammonium bisulfite 21. Ammonium carbamate 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 silicofluoride 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 pentachloricle 40. Antimony potassium tartrate 41. Antimony tribromide 42. Antimony trichloride 43. Antimony trifluoride 44. Antimony trioxide 45. Arsenic disulfide 46. Arsenic pentoxide 47. Arsenic trichloride 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 arsenite 68. Calcium carbide 69. Calcium chromate 70. Calcium cyanide 71. Calcium dodecylbenzenesulfonate 72. Calcium hypochlorite 73. Captan 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 (2,4-dichlorophenoxyacetic 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. Fumaric acid 148. Furfural 149. Guthion 150. Heptachlor 151. Hexachlorocyclopentadiene 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. Lindane 172. Lithium chromate 173. Malathion 174. Maleic acid 175. Maleic anhydride 176. Mercaptodimethur 177. Mercuric cyanide 178. Mercuric nitrate 179. Mercuric sulfate 180. Mercuric thiocyanate 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 acid 193. Nickel ammonium sulfate 194. Nickel chloride 195. Nickel hydroxide 196. Nickel nitrate 197. Nickel sulfate 198. Nitric acid 199. Nitrobenzene 200. Nitrogen dioxide 201. Nitrophenol 202. Nitrotoluene 203. Paraformaldehyde 204. Parathion 205. Pentachlorophenol 206. Phenol 207. Phosgene 208. Phosphoric acid 209. Phosphorus 210. Phosphorus oxychloride 211. Phosphorus pentasulfide 212. Phosphorus trichloride 213. Polychlorinated biphenyls (PCB) 214. Potassium arsenate 215. Potassium arsenite 216. Potassium bichromate 217. Potassium chromate 218. Potassium cyanide 219. Potassium hydroxide 220. Potassium permanganate 221. Propargite 222. Propionic acid 223. Propionic anhydride 224. Propylene oxide 225. Pyrethrins 226. Quinoline 227. Resorcinol 228. Selenium oxide 229. Silver nitrate 230. Sodium 231. Sodium arsenate 232. Sodium arsenite 233. Sodium bichromate 234. Sodium bifluoride 235. Sodium bisulfite 236. Sodium chromate 237. Sodium cyanide 238. Sodium dodecylbenzenesulfonate 239. Sodium fluoride 240. Sodium hydrosulfide 241. Sodium hydroxide 242. Sodium hypochlorite 243. Sodium methylate 244. Sodium nitrite 245. Sodium phosphate (dibasic) 246. Sodium phosphate (tribasic) 247. Sodium selenite 248. Strontium chromate 249. Strychnine 250. Styrene 251. Sulfuric acid 252. Sulfur monochloride 253. 2,4,5-T acid (2,4,5-trichlorophenoxyacetic acid) 254. 2,4,5-T amines (2,4,5-trichlorophenoxy acetic acid amines) 255. 2,4,5-T esters (2,4,5-trichlorophenoxy acetic acid esters) 256. 2,4,5-T salts (2,4,5-trichlorophenoxy acetic acid salts) 257. 2,4,5-TP acid (2,4,5-trichlorophenoxy propanoic acid) 258. 2,4,5-TP acid esters (2,4,5-trichlorophenoxy propanoic acid esters) 259. TDE (tetrachlorodiphenyl ethane) 260. Tetraethyl lead 261. Tetraethyl pyrophosphate 262. Thallium sulfate 263. Toluene 264. Toxaphene 265. Trichlorofon 266. Trichloroethylene 267. Trichlorophenol 268. Triethanolamine dodecylbenzenesulfonate 269. Triethylamine 270. Trimethylamine 271. Uranyl acetate 272. Uranyl nitrate 273. Vanadium penoxide 274. Vanadyl sulfate 275. Vinyl acetate 276. Vinylidene chloride 277. Xylene 278. Xylenol 279. Zinc acetate 280. Zinc ammonium chloride 281. Zinc borate 282. Zinc bromide 283. Zinc carbonate 284. Zinc chloride 285. Zinc cyanide 286. Zinc fluoride 287. Zinc formate 288. Zinc hydrosulfite 289. Zinc nitrate 290. Zinc phenolsulfonate 291. Zinc phosphide 292. Zinc silicofluoride 293. Zinc sulfate 294. Zirconium nitrate 295. Zirconium potassium fluoride 296. Zirconium sulfate 297. Zirconium tetrachloride Division of Water Quality (DWQ) UPDES Program UPDES Industrial Permit Application UPDES Permit No. Facility Name Outfall Number Table E Page 1 of 1 Table E. 2,3,7,8 Tetrachlorodibenzo P Dioxin (2,3,7,8 TCDD) Pollutant TCDD Congeners Used or Manufactured Presence or Absence (check one) Results of Screening Procedure Believed Present Believed Absent 1. 2,3,7,8-TCDD   