ML17309A880

Submits Info Copy of St Lucie County Wastewater Permit Application for South Hutchinson Island Water Reclamation Facility

ML17309A880
Person / Time
Site:	Saint Lucie
Issue date:	03/26/1997
From:	Stall J FLORIDA POWER & LIGHT CO.
To:	NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
L-97-71, NUDOCS 9704030028
Download: ML17309A880 (105)

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<ACCESSION NBR:9704030028 DOC.DATE: 97/03/26 NOTARIZED: NO

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FACIL,:50-335 St. Lucie Plant, Unit 1, Florida Power

& Light Co.

05000335 50-389 St. Lu61'e'lant Unit 2, Florida Power

& Light Co.

05000389

,, AUTH.NAME AUTHOR'FFILIATION STALL;J.A.

Florida fbwer

& Light Co.

RECIP.NAME RECIPIENT AFFILIATION Document Control Branch (Document Control Desk)

SUBJECT:

Submits info copy of St Lucie County Wastewater

Permit, Application for South Hutchinson Island Water Reclamation Facility.

DISTRIBUTION CODE:

C001D COPIES RECEIVED:LTR ENCL SIZE:

TITLE: Licensing Submittal: Environmental Rept Amdt

& Related Correspondence NOTES:

RECIPIENT ID CODE/NAME WIENS,L.

INTERNAL: ACRS NUDOCS-ABSTRACT RGN2 DRS/RSB EXTERNAL: NOAC COPIES LTTR ENCL 1

1 1

1 1

1 1

1 1

1 RECIPIENT ID CODE/NAME NRC PDR COPIES LTTR ENCL 1

1 1

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N NOTE TO ALL "RIDS" RECIPIENTS:

PLEASE HELP US TO REDUCE WASTE. TO HAVE YOUR NAME OR ORGANIZATION REMOVED FROM DZSTRIBUTZON LISTS OR REDUCE THE NUMBER OF COPIES RECEIVED BY YOU OR YOUR ORGANIZATION, CONTACT THE DOCUMENT CONTROL DESK (DCD)

ON EXTENSION 415-2083 TOTAL NUMBER OF COPIES REQUIRED:

LTTR 8

ENCL 7

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Florida Power & Light Company, 6501 South Ocean Orive, Jensen Beach, FL 34957 March 26, 1997 L-97-71 10 CFR 50.36b 10 CFR 50.4 U. S. Nuclear Regulatory Commission Attn: Document Control Desk Washington, DC 20555 Re:

St. Lucie Units 1 and 2 Docket Nos. 50-335 and 50-389 St. Lucie County - South.Hutchinson Island Water Reclamation Facility

Wastewater Permit A lication St. Lucie County has been constructing and plans to commence operation of the South Hutchinson Island Water Reclamation Facility (SHIWRF) in 1997.

The facility is being constructed on Hutchinson Island approximately one mile south of the St. Lucie Plant.

Reclaimed water from the facilitywillbe used for irrigation ofproperties on Hutchinson Island.

During periods of high flow and/or rainy weather, one of the discharge paths for excess reclaimed water from the SHIWRF willbe their discharge serial number D001. This discharge willbe into the St. Lucie Plant cooling water discharge canal and willuse the plant outfall system to reach the Atlantic Ocean.

For both Units 1 and 2, Section 3.1 of the Environmental Protection Plan (EPP) allows FPL to make changes to the station design or operation affecting the environment provided the changes do not involve an unreviewed environmental question.

FPL has completed an EPP Section 3.1 review for the construction activities associated with the outfall piping by St. Lucie County.

Section 1.0 of the EPP states that environmental concerns which relate to water quality matters are to be regulated by way of the licensee's NPDES permit (the Florida Department of Environmental Protection, FDEP, has assumed the responsibility for regulating water quality concerns; the FDEP Wastewater Permit is now required in lieu of the NPDES Permit).

Section 3.2.4 of the EPP requires that the NRC be provided with copies of proposed changes to the permit at the time it is submitted to the permitting agency.

Since the operational use of the plant outfall by the County relates to water quality issues requiring Wastewater Permit approval from FDEP, it is exempt from the Section 3 ~ 1 review.

Attached is an information copy of the St. Lucie County Wastewater Permit Application for the South Hutchinson Island Water Reclamation Facility (Facility ID 5156C01743).

This permit 9'704030028 9'70326 PDR ADQCK';05000335 P

PDR an FPL Group company Il)llMlltIlllll3tIll0lllBI1Llll

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"St. Lucie Units 1 and 2 Docket Nos. 50-335 and 50-389 L-97-71 Page 2 application has been submitted by St. Lucie County, not FPL; however, since this matter affects the St. Lucie cooling water discharge

canal, the permit is being provided to the NRC for information. The permit application was submitted to FDEP by St. Lucie County on October 28, 1996.

Should you have any questions or require any additional information on SHIWRF or the use of the St. Lucie Plant outfall by St. Lucie County, please contact us.

Very truly yours, J. A. Stall Vice President St. Lucie Plant JAS/GRM Attachment cc:

Regional Administrator, Region II, USNRC Senior Resident Inspector, USNRC, St. Lucie Plant

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St. Lucie Units 1 and 2 Docket Nos. 50-335 and 50-389 L-97-71 Attachment

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== FLQRf5A WASTEWATER PERMIT APPLICATIONFORM 1

g GENERAL INFORMATION ST. LUCIE COD<TY SOUTH HUTCHmSOW ISL~~a VATERRECLAiVlATIONFACILITY.

T~sform must'be compl~ oy;a11 pc sons apgl~g for a Gc. siQt to ope aiB a domestic'or ind~~'al 'vs isa'te'r'.facility Se= Po~~'1 u'e =~~~ e'~oicii,othe

<<.97p4p3pp28 environmental engineers, scientists, planners, tt management consultants CAMP DRESSER 8 McKEE oSces worldwide RZGrdes:

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DESCRIPTION OF PERMIT APPE.ICATION FORMS 0

Fora 1 - Gene& infarction. This boolt!et inc!udes general information on applying for a pe~t to operate a

do~c or indust..'al wastewater facility. Form 1 is required for all permit applications.

For 2 - Spe fic izziorzaation.

Tais group of farms inc!udes the sl~ information reauired for the e~ af w~~zatcr facQity for which a perznit is aMed.

Se!e"t the appropriate fozza(s) to be submitted with For" l.

Fora Farm Fora Fora Fazza Farm Form Fora 2A - Domesuc Wastewater Facilities.

23 Caa~tratcd Animal Feeding Opefauaas aad Aquauc Aniznai Praducoeoa Faciliucs 2CS -Industrial Wastewater Faciliues (discharging p~ wastewater ta su~~ wat rs) 2CQ -Industrial Wastewater Facilities (di~g'"g proces was.~ater to grouad water).

2ES -Industrial Wastewater Facilities (dischrghzg aoa-proem wastewater to surace wat.rs).

2EG -Industrial Facilities (discharging aaa-precis wast'cwater ta ground water).

2F - Stornwatcr Discharges to Sur~ Waters from Industrial or Domestic Facilities 2CR -Noa-Discharging/Closed Loap Re"yc!e Sys'.

SECTION A - GEIGER V INSTRUCTIONS Who Must Apply; Pemas who are or are going to discharg was~ter to waters of rlorida or the United States -ust fiie for az:d be granted a pemt under Secuaas 403.087, 403.088, or 403.0885, Florida Statutes (F.S.).

The-.= are severe

.ies for~gag without

• pemt.

Ther are satne e"c ptions to this requirezaeat.

Dis ages of domes c sewage fram vessels aad dis"ages

, from proper!y operating marine eagines are,not required ta have a pe.~t uadc-. the laws listed above.

Eoweve.-,

ges of tubaish, twh, garbage or other such tcataais 6sciaged overboard do require pe.its.

Vesse!s operazed in a capacizy other than as a means of transportation ar= required ta have a petit ifthey are dis=~g'"g ta wat ~. Taese types inc!ude vessels used as an enemy or~g facility, a storage facility, a seafoac proc~i"g

facility, or a anchored facility far the purpose oftaint or oil explorttioa or dcvelopmeaz.

The introduction of se~age, industrial wastes, or othe.- pollutaats into a domesuc wastewater treat=eat fac'ty does aot need a permit under Secuoas 403.087, 403.088 or 40"..0885, F.S.

Persons discharging to pe.wtas"water treatmeat facilities must comply al! applicable preueatmeat standards.

If a peaon has a plan or aa agreemeat to switch from dimt discharge inta waters of the sm to disc~m~e ta a domestic treatment fac'uty, it does aot reheve the pe~a from obtaining a pe~t for the di~ge uaul such time as the connection is made aad the discharge is stopped.

Mast discharges from agricultural aad silvicdzuial activities to watew of the state do not require a pe~t under Sectiaas 403.087, 403.088, or 403.0885, F.S.

However, pe~ts under those sections ar" required for discharges from coa~traad aniznal feeding operations, caa~tzated aquatic animal production faciliues, acuvities assaciacaL with approved aquaculnirc project, aad silvicultural point so~.

V(hc:c to Apply:

Permit applicatioas must bc filed with the Department ofEnvironmental Protection (DEP) distric: office showa in Figure 1 for the couaty in which the wastewater facility is located, except for pcrzait applications for seam elec'ical generating power plaats which are filed with the DEP office ia Tallahassee.

DEP offi~ are located at 1-2 0

Figure 1.

State Map Shouting DEP District Offices rroffres

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.~ r Mrdm Dare tevy NORTH AST DESTRUCT J

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NORTEiWl~ DISTRICT 160 Governmeat Ccater Pensacola,,Florida 32501-5794 Phone No. (904)436-8300 Northwest District Branch Office 2353 Jenks Avenue Panama City, Florida 32405 Phone No. (904) 872-4375 Northwest District Branch Office

'2815 Remington Green Circle Tauahassce, Florida 32308 Phoae No. (904)488-3704 NORTHEAST DISTRICT 7825 Baymcadows Way Jacksonville, Florida 32256-7577 Phoae No. (904)448-4300 Northeast District Branch OfFice 5700 Southwest 34 Street, Suite 1204 Gainesville, Florida 32608 Phone No. (904)336-2095 SOUTHWEZI'ISTRICT 3804 Cocoaut Palm Drive Tampa, Florida 33619-8218 Phoae No. (813)542<100 CEiVIIULDISIRICT 3319 Maguire Boulevard, Suite 232 Orlando, Florida 32803-3767 Phone No. (407)894-7555 SOUTH DISTRICT OFHCE 2295 Victoria Avenue, Suite 364 Fort Myers, Florida 33901 Phone No. (813)3324975 South District Branch Office 11400 Overseas Highway, Suite 123 Marathon, Florida 33050 Phoae No. (305)289-2310 SOUTHEAST DISTRICT 1900 South Coagress Aveaue, Suite A West Palm Beach, Florida 33406 Phoae No. (407)433-2650 Southeast District Branch Office 1801 Southeast HillmoorDrive, Suite C-204 Port St. Lucie, Florida 34952 Phone No. (407)878-3890 DER Fora p~.9l0(u (El!ac&a I I i

.When to Apply:

Applications must be filed with the appropriate DEP offic 180 days before your current permit expires or 180 days before startup of a new or modified facility. If the submitted application is for a new facility or for a modification of an existing facility, the information required for describing the construction must be filed at least 90 days before construction begins.

The DEP encourages applicants to file the materials describing thc construe:ion of a new facility or the modification of an existing facility as early as possible to avoid problems with delays in startup or facility redesign to achieve eNuent limitations.

~: Federal regulations provide that a new source in the NPDES program may not bc constructed or started to be constructed before thc issuance of an operation permit.

Because of this regulation, a permit application for a new source may need to be submitted well in advance of thc required 180 days.

Fees:

Application fees are listed in Section 624.050, Florida Administrative Code (F.A.C.). An application will not be processed until the application fee has been paid. Ifthe DEP dctermincs that a permit should be issued for less than five years duration, the application fec willbe pro rated.

Ifa permit is issued for a surface water discharge, the permittee willbe assessed a regulatory and surveillance program fce annually.

Those fees are listed in Secuon 62-4.052, F.A.C. Failure to pay the annual fce may result in revocation of the permit.

Availabilityof Information to the Public:

Information contained in these applications forms will, upon request, bc made available to the public for inspection and copying.

However, you may request confidential treatment for certain information which you may submit to supplement the information requested on these forms.

Section 620.302, F.A.C., and 40 CFR 2 provide set forth the procedures for making thc claim.

No information on Forms 1 and 2A through 2EG may be claimed as confidential.

Completion of Forms:

Unless otherwise specifie in instructions to the forms, each item in each form must be answered.

To indicate that each item has been considered, ent NA, for not applicable, if a particular item does not fit the circumstances or characteristics of your facility or activity.

Ifyou have previously submitted information to the DEP which answers a question, you may either repeat the information in the space provided or attach a copy of the previous submission.

DO NOT WIVE 'ON FILE".

Some items in the form require narrative explanation. If more space is necessary to answer a question, attach a

separate sheet entitled 'Additional Information.

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(EPeaha I I 1-5

SECTION B - FORM 1 LINE-BY-LINEINSTRUCTIONS This form must be completed by all applicants.

Completing This Form:

Please type or print in the underlined areas only.

Some items have a limited number of spaces or characters so that your response. may bc catered into a computer program.

Please do not exceed this maximum number with your response.

Abbreviate ifnecessary to stay within the number of characters allowed for each item.

Use one space for breaks between words, but not for punctuation marks unless they are needed to clarify your response.

Item I Space is provided at thc upper right hand corner of Form 1 for insertioa of your Facility Identificatio Number. Ifyou have an existing facility, eater your identificatio number. Ifyou don't know your identification aumbcr, please contact the appropriate DEP office which willprovide you with your number. Ifyour faciliry is new (aot yet constructed), leave this item blank.

Item II Answer each question to determine which supplementary forms you need to fillout.

Be sure to check the glossary in Sectioa C of these instructions for the legal dcfinitions of any words you are not certain of their meaning.

If you answer no'o every question, thea you may not need a permit.

However, you should call the appropriate district office to determine ifyou have made a correct determination. Ifyou answer yes'o any question, thea you must complete and file the supplementary form by the deadline listed in Section A aloag with

~ this form.

Item III Eater the facility's official or legal name.

Do aot use a colloquial aame.

Item IV Give the name, title, and work telephone number of a person who is thoroughly familiar with the operation of the facility, with the facts reported ia this application, aad who caa be contacted by reviewiag offices if neccssaty.

Item V Give the complete mailing address of the offic where corrcspoadcacc should be seat.

This often is not the address used to designate the locatioa of the facility or activity.

Item VI Give the address or location of the facilityidentifie in Item IIIof this form. Ifthe facilitylacks a street name or route number, give the most accurate alteraative geographic information (for example, sectioa number or quarter section number from county records or at intersection of Rts 426 aad 22).

DEt rona 4~8loei 0

Item VII four, in descending order of significance, 4&gitstandard industrial classification (SIC) codes which best describ your facility in terms of the principal products or services you produce or provide.

Also, specify each classification in words. These classi fications may differ from the SIC codes describin thc operation genarating the discharge from the facility.

SIC code numbers are descriptioas which may be fouad in the Standard Industrial Classification Manual prepared by the Exectttivc Office of the President, Office of Management and Budget, which is available from the Government Printing Office, Washington, D.C. Your local library may have a copy of this publication which you may use.

Use the curreat edition of the manual. Ifyou have aay questions concerning thc appropriate SIC code for your facility, please coatact the appropriate DEP district office.

Item VIII-A Give the name, as it is legally referred to, of the person, firm, public organization, or aay other entity which operates the facility describe in this application.

This may or may not be the same name as thc facility. The operator of the facilityis the legal entity which controls the facility's operation rather than the plant or site manager.

Do not usc a colloquial name.

Item VIII-B Indicate whether the entity which operates the facility also owns it by marking the appropriate box.

Item VIII-C Eater the appropriate letter to indicate thc legal status of the operator of thc facility. Indicate public for a facility solely owned by a local government, such as a city, town, county, etc.

Items VXII-Dthrough H Enter the telephone number aad address of the operator identifie in Item VIII-A.

Item IX Indicate whether the facility is located on Indian Lands.

Item X Give the number of each presently effective wastewater permit issued to thc facility listed in this application.

List relevant federal, state, aad local permits.

DO NOT LIST ALLYOUR PERMITS. LIST ONLY CURRENT ENVIRONMENTALPERMITS RELATINGTO THIS PROJECT.

Item 3D Provide a topographic map or maps of the area extending at least to one mile beyond the property boundaries of the facility which clearly show the following:

The legal boundaries of the facility; 1-7

The location and serial number of each of your existing and proposed intake and discharge structures; AQ hazardous waste management facilities; Esch weQ where you inject fluids underground; and AQ springs and surface water bodies in the area, plus aQ drinking water wells within 1/4 mile of the facility which are identified in the public record or otherwise known to you.

Ifan intake or discharge structure, hazardous waste disposal site, or injection well associated with the facility is located more than one mile from the plant, include it on the map, ifpossible. Ifnot, attach additional sheets describing thc location of the structure, disposal site, or weQ, and identify the U.S. Geological Survey (or other) map corresponding to the location.

On each map, include the map scale, a meridian arrow showing north, and latitude and longitude at the nearest whole second.

On aQ maps of rivers, show the direction of the current, and in tidal waters, show the directions of the ebb and flow tides.

Use a 7-1/2 minute series map published by the U.S. Geological Survey. Ifa 7-1/2 minute series map has not been published for your facilitysite, then you may usc a 15 minute series map from the U.S. Geological Survey. Ifneither a 7-1/2 nor 15 minute series map has been published for your facility site, use a plat map or other appropriate map, including aQ the requested information; in this case, briefly des" ribe land uses in the map area (for example, residential, commercial).

You may trace your map from a geological survey chart, or other map meeting the above specification. If you do, your map should bear a note showing the numbe. or title of the map or chart from which it was traced.

Include the names of nearby towns, water bodies, and other prominent points.

You may obtain a topographic map from:

Eastern Mapping Center National Cartographic Information Center U.S. Geological Survey 536 National Center Reston, VA 22092 item XII Briefl describe the nature of your business (for example, products produced or services provided).

Item XIII Section 403.161, F.S., provides severe penalties for submitting false information on this application form or any reports or records required by a permit, ifissued.

There are both civil and criminal penalties, in addition to the revocation of the permit.

Rule 62420.305, F.A.C., requires that the application and any reports required by the permit, ifissued, to be signed as follows:

A. For a corporation, by a responsible corporate officer as described in Rule 62<20.305, F.A.C.;

B.

For partnership or sole proprietorship, by a gene% partner or the proprietor, respectively; or C.

For a municipality, state, federal or other public facility, by a principal executive officer or elected official.

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SECTION C - GLOSSARY NOTE: This Glossary includes terms used in the instructions and in Forms 1, 2A thxough 2EG. Ifyou have any questions concerning the meaning of any of these terms, please contact your DEP district offic.

Aliquot means a sample of specified volume used to make up a total composite sample.

Axxixnal Feeding Operation ueans a lot or facility (other than an aquatic animal production facility) where the following condifions are met:

A. ~s (other than aquatic animals) have been, are, or willbe stabled or confined and fed or maintained for a total of 45 days or more in any 12 month period; and B. Crops, vegetation, forage growth, or post-harvest residues are not sustained in the normal growing season aver any portion of the lot or facility.

Two or more animal feeding operations under common ownership are a single animal feeding operation ifthey adjoin each other or ifthey usc a common area or system for the disposal of wastes.

Animal Unit means a unit of measurement for any animal feeding operation calculated by adding the following number.

The number of slaughter and feeder cattle multiplied by 1.0; plus the number of mature dairy cattle multiplied by 1.4; plus the number ofswine weighing over 25 kilogxams (approximately 55 pounds)multiplied by 0.4; plus the number of sheep multiplied by 0.1; plus the number of horses multiplied by 2.0.

Application means the approved DEP standard forms for applying for a permit, including any approved additions,

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revisions, or modifications to the forms.

Approved forms are numbered, Form 62420.910, and have an effective date of October 1, 1994, or later.

Aquifer means a geological formation, group of formations, or part of a formation that is capable of yielding a significant amount of water to a well or spring.

Best Management Practices (BMP) means schedules of activities, prohibitions of practices, maintenance procedures, and other management practices to prevent or reduce the pollution of waters of the United States.

BMPs include treatment requirements, operation procedures, and practices to control plant site runoff, spillage or leaks, sludge or waste disposal, or drainage from raw material storage.

Biological Monitoring Test means any test which include the use of aquatic algal, invertebrate, or vertebrate species to measure acute or chronic toxicity, and any biological or chemical measure of bioac~ulation.

Bypass means the intentional diversion of wastes from any portion of a treatment facility.

Concentrated Animal Feeding Operation means an animal feeding operation which meets the criteria set forth in Chapter 62470, F.A.C.

Concentrated Aquatic Animal Production Facility means a hatchery, fish farm, or other facilitywhich contains, grows or hold aquatic animals as set forth in Chapter 62460, F.A.C.

Contact Cooling Water means water used to reduce temperature which comm into contact with a xaw material, intermediate product, waste product other than heat, or finished product.

1-9

CWA means the Clean Water Act as amended, 33 U.S.C. $251 et seq.

Dike meaas any embanhneat or ridge of either naturtl or manmade materials used to preveat the movement of 1iquids, sludges, solids, or other materials.

Discharge (of a Pollutant) means aay addition of aay pollutant or combination of pollutants to waters of the State from any point source; or aay additioa of any pollutant or combinatioa of pollutants to the inarinc waters of ahab State from any point source other than a vessel or other floating craft which is being used as a means of transportation.

This definition includes discharges into waters ofthe State from surface runoffwhich is collected or channeUed by maa; discharges through pipes, sewers, or other coaveyaaces owaed by the State, a municipality, or other person which do not lead to POTWs; aad discharges through pipes, sewers, or other conveyances, leading into privately owned treatment works.

This term docs not include an addition of polluumts by any indirect discharge.

Effluent Limitation mean any restriction imposed by the DEP on quantities, discharge rates, aad concentrations of pollutaats which are discharged from point sources into waters of the State.

EQluent Limitation Guideline means a regulation published under Section 304(b) of the Clean Water Act to adopt or revise effluent limitations.

EPA means the United States Environmental Protection Agency.

Existing Source or Existing Disctuirger means any source which is aot a new source or a new discharger.

.'Facility or wastewater facilitymeans any facilitywhich can reasonably be expected to be a source ofpollution and includes aay or all of the following: a collection and traasmissioa

system, a wastewater treatmeat works, a reuse or disposal system, and a residuals managemeat facility.

Ground Water means water below the land surface in a zone of saturation.

Indirect Discharger means aa industrial discharger introducing pollutants to a publicly owned treatment works.

Injection Well mean a well into which fluids are injected.

MGD means millions of gallons per day.

Municipality meaas a city, village, town, borough, county, district, association, or other public body created by or under State law and have jurisdiction over disposal of sewage, industrial wastes, or other wastes.

National Pollutant Discharge Elimination System (NPDES) means thc national program for issuing, modifying, revoking aad reissuing, terminatioa, monitoring and enforcing permits and imposing and enforcing pretreatment requiremeats, under Sections 307, 318, 402, and 405 of the CWA. The term includes a State program which has been authorized by EPA under 40 CFR Part 123.

New Discharger mean any building, structure, facility, or installation: (A) from which there is or may be a new or additioaal discharge of pollutants at a site at which on October 18, 1972, it had never discharged pollutants; (B) which has never received a finally effective NPDES permit for discharges at that site; aad (C) which is not a 'ncw source. 'his definition includes an indirect discharger which commences discharging into water DEP Fona 42dXI.9IOtu (Blackie I I 1

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of the State.

It also includes any existing mobile point source, such as aa offshore oil drilling rig, seafood processing vessel, or aggregate plant that begins discharging at a location for which it does not have an exzstmg pezmtt.

New Source means any building, structure, facility, or installation from which there is or may be a discharge of pollutants, the coastzuction of which commeaced:

(A) after promulgatioa of staadards of performance under Section 306 of the CWA which arc applicable to such source; or (B) after proposal of standards of performance ia accordance with Section 306 of CWA which are applicablc to such source, but only ifthe standards are promulgated in accordance with Section 306 withia 120 days of their proposal.

Noa-Contact Cooling Water means water used to reduce temperature which does not come into direct contact with aay zaw material, intermediate produce, waste product (other than heat), or finished product.

OfMite meaas any site which is not on-site.

OnSite means on the same or geographically coatiguous property which may be divided by public or private right(s)cf-way, provided the eatrance and exit between the properties is at a cross-roads intersection, and access is by crossing as opposed to going along, the right(s)wf-way. Noncontiguous properties owned by the same person, but connected by a rightwf-way which the person controls and to which the public does not have access, is also considered oa-site property.

Operator means the pezsoa respoasible for the overall operation of a facility.

Outfall means a point source.

Owner means the pezsoa who owns a facility or part of a facility.

Permit means an authorizatio, license, or equivaleat control documeat issued by the State to implemeat the requirements of 40 CFR 122, 123, and 124 and Chapter 403, F.S.

Point Source means any discezzuble, confined, and discrete conveyance, including but aot limited to aay pipe, ditch, channel, tunnel, coaduit, well, discrete fissure, container, rolling stock, concentrated animal feeding operation, vessel or other floating craft from which pollutants are or may be discharged.

This term does not include return flows from irrigated agriculture.

Pollutant means dredged spoil, solid waste, incinerator residue, filterbackwash,

sewage, garbage, sewage sludge, munitions, chemical waste, biological materials, radioactive materials (except those regulated under the Atomic Energy Act of 1954, as amended),

heat, wrecked or discarded equipmeat, rocks, sand, cellar dirt and industrial, municipal, aad agriculture waste discharged into water.

It does NOT mean: (A) sewage from vessels; or (B) water, gas, or other material which is injected into a well to facilitate production of oil or gas, or water derived in associatioa with oil and gas production and disposed of in a well, ifthe well used either to facilitate production or for disposal purposes is approved by authority of the State in which thc well is located, and ifthe State determines that the injectioa or disposal willnot result in the degradatioa of ground or surface water resources.

Privately Owned Treatment Works means aay device or system which is used to treat domestic wastewater from aay facility which is not a POTW.

Process Wastewater means aay water which, during maaufacturing or processing, comes into direct contact with or results from the production or use of any zaw material, interznediate product, finished product, byproduct, 1-11 r

or waste product.

Publicly Owned Treatment Works (POTW) means any device or system used in the treatment (including zecycling and reclamation) of domestic scwagc or industrial wastes of a liquid nature which is owned by a State oz municipality. This definition includes any sewers, pipes, or other conveyances only ifthey convey wastcwatcr to a POTW providing treatment.

Residuals means the solid, semisolid, or liquidresidue generated during thc ttattmcnt ofdomestic wastewater.

Not included are solids removed fzom pump stations and liftstations, and screenings and grit removed from the headworks of domestic wastewater treatment facilities. Also not included are other solids removed prior to tzeatment of the residuals to meet the stabilization standards of Chapter 62440, P.A.C., or ash generated during the incineration of residuals.

Sewage From Vessels means human body wastes and the wastes from toilets and other receptacles intended to receive or retain body wastes that are discharged from vessels and regulated under Section 312 of the CWA.

Sewage Sludge means residuals.

Silvicultural Point Source means any discernable, confined and discrete conveyance related to rock crushing, gravel washing, log sorting, or log storage facilities which are operated in connection with silvicultural activities and &om which pollutants are discharged into water of thc State.

r Storm Water Runoff means water discharged as a result of rain, snow, or other precipitation.

Surface Impoundment or Impoundment means a facility or part of a facility which is a natural topographic depression, mazunade excavation, or diked area formed primarilyofearthen materials (although itmay be lined with manmade materials), which is designed to hold an accumulation ofliquidwastes or wastes containing free liquids, and which is not an injection welL Examples ofsurface impoundments are holding, storage, settling, and aezation pits, ponds, and lagoons.

Toxic Pollutant means any pollutant listed as toxic under Section 307(a)(1) of the CPS.

Upset means an exceptional incident in which there is unintentional and temporary noncompliance with technology-based permit efTluent limitations because of factors beyond the reasonable control of the permittee.

An upset does not include noncompliance to the extent caused by operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive maintenance, or careless or improper operation.

Waters of the State means the waters defined in Section 403.031, P.S., and including waters of the United States to the seaward boundaries of the State.

DEP foaa ~.910(l)

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1-12 0

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- FLOR A

WASTEWATER. PEKH1T APPLICATIONFORM l GENUG INFOP2vtATION

,, I IDENTIHCATIONNUMBER:

If CHARACIXEUSTICS:

Facility ID 5156C01743 1NSTRUCTlONS:

Complctc thc questions below to dctcnnioc <<hcthcr you need to submit any permit application lorms to the Department of Environmental protection. Ifyou answer 'ycs'o any questions, you must submit this form and thc supplemental form listed in thc parenthesis following the question.

Mark 'X'n thc blank in thc third column ifthc supplcmcntal form is attached. Ifyou answer 'no'o each question, you need not submit any of thcsc forms.

You may anrwcr oo ifyou activity i~ cxcludcd ttom permit requirements.

Sce Section B of thc instrucuons.

Scc also, Section C of thc instructions for *6mYions of the terms used here.

SPECIFIC QUESTIONS A. Is this hcility a domestic wastewater facilitywhich results in a diMurge to surface or ground waters?

B. Does or willthis facility (either existing or proposed) include a concentrated animal feeding operation or aquatic animal production facilitywhich results in a discharge to waters?

C. Does or willthis hciiity(other than those describe in A. or B.)

discharge process wastewater, or non-process wastewater regulated by eKuent guidelines or ncw source performance standards, to surface waters?

YES NO X

FORM ATTACHED Form 2A D. Does or willthis facility (other than those described in A. or B.)

discharge process wastewater to ground waters?

E. Does or willthis facilitydischarge non-process wastewater, not regulated by eNuent guidelines or new source performance standards, to surface waters?

F. Does or willthis facilitydischarge non-process wastewater to ground waters?

G. Docs or willthis facility discharge stormwater to surface waters?

H. Is this facility a nondischarging/closed loop recycle system?

Form 2F HI NAME OF FACILITY:(40 characters and spaces)

S. Hutchinson Is. Water Reclamation Fac.

Dsr Fona cAzl.sic(t) ta&ahe I I

)

1-13

Facility ID 5156C01743 IVFACILITYCONTACT: (A. 30 characters and spaces)

A. Name and Title (Last, first, 8c title)

William Blazak, UtilityDirector B. Phone (area code &: no.)

561-462-1150 V FACILITYMAILINGADDRESS: (A. 30 characters and spaces; B. 25 characters and spaces)

A. Street or P.O. Box:

Post Office Box 728 B. City or Town:

Fort Pierce SiciciFL

~p Code: 34982 VIFACILITYLOCATION: (A. 30 characters and spaces; B. 24 characters and spaces; C. 3 spaces (iflmown);

D. 25 characters and spaces; E. 2 spaces; F. 9 spaces)

A. Street, Route or Other Specific Identiftet-7601 South Ocean Drive B. County Name:

St. Lucie D. City or Town:

Jensen Beach C. County Code (ifknou n):

E. Sictc:FL F. 2ip Code:34957

t. Code I:

3. Code I:

(Specify)

(S~)

2. Code I:

4. Code I:

VIISIC CODES: (44git, in order of priority) ti/A (POTW)

(Specify)

(Specify)

O.

VIIZ OPERATOR lÃFORMATIONt (A. 40 characters and spaces; B.

1 character, C.

1 character (ifother, specify); D. 12 characters; E. 30 characters and spaces; F. 25 characters and spaces; G. 2 characters; H. 9 characters)

A. Name:

St. Lucie County B. Is the name in VIIIA.'thc owner? Yes: XNo:

(code)

(speci fy)

St. Lucie County D. Phone No.:

561-462-1150 E. Street or P. O. Box:

Post Office Box 728 F. City or Town'ort Pierce State:

FL H. Zip Code: 349B2 IXINDIANLAND:Is the facility located on Indian lands?

Yes:

No:

X 1-14

F~d ty ID 5156C01743 X E~CKHNG El@'IRONMEÃl'ALPERMITS:

A. NPDES Permit No.

None B. UIC Permit No.

Hone C. Other (specify)

E

.C ns)

D. Other (speci fy)

FDEP HSSW HS 56-2631976 XIMAP: Attach to this application a topographic map of the area extending to at least one mile beyond property boundaries.

The map lnust show the outline of the facility, the location of each of its existing and proposed intake and discharge structures, each ofits hazardous waste treatment, storage, or disposal facilities, and each well where it injects fluids underground.

Include all springs, rivers and other surface water bodies in thc map area.

Sec instructions for precise requirements.

XIINATURE OF BVSINIDS (provide a brief description)

Wastewater Treatment and Reclaimed Water Production Facility XIIICERTIFICATION (sec instructions)

I ccrd under oflaw that I have personally examined and am familiarwith the information submitted in this application and all attachments and that, based on my inquiry of those persons immediately responsible for obtaining the information contained in the application, I believe that the information is true, accurate and complete.

I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment.

William Blazak A. Name (type or print)

B. Signature Utilit Director OfficialTitle (type or print)

C. Date Signed DEt Fan@ 4~.9 I0(n lBfac&e I I+

1-15

LOCATIONMAP CI

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FROM WWT/WR PLANT I

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i UNIT NO.

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I 2 OIA WYE OUTLET UNIT NO.

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FORCE MAIN AND RECLAIMED WATER DISTRIBUTION MAIN (R001) il4 r

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WASTEWATER TREATMENT/

RECLAIMED WATiR FACILITY li~24 ~

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11 1,

ANKONA, FLA.

1948 PHOTO REVI SED 1983 EDEN, FLA.

1948 PHOTO REVISED 1983 0I cs cs I

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CONCCUR INIKAYAL S fKE2 IIAIICti4LC40acllc rllllcJC all&I Cc Itrt I 44C SOUTH HUTCHINSON ISLAND SCHEMATIC C0 M WASTEWATER COLLECTION AND RECLAIMED V/ATER DISTRISUTION SYSTEMS p/anncrc.

• management cancv(Ian(a FIGURE 4-1

LOCATION NAP 42 Ci'IVA<TEWATER FORCE MAIN ANO RECLAIMED WATER DISTRIBUTION MAIN (ROO>)

N

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Cr so l.UcIE co sthRT!N co p) 'UMP S lATION i'40.

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PUMP STATION NO.

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PUMP STATION NO.

PUMP STATION NO.

2 PUMP STATION NO.

1 44 04 4

IX 4u at r p44 EDEN, FLA.

1948 f000 0

Icxl xxxl x40 4xo xx00 0040 loco rttf I

0 I 0404t Ite CQNTQVA Ift'fKRYAL 5 FK.I lttllclt0t.Cccecllc KsfCAt, c4ftflt CI Isfs etucnuictc tcctlien 27 ia,t.

si'15'HOTO REVISED 1983 SOUTH HUTCHINSON ISLAND SCHEMATIC

,C 0I WASTEWATER COLLECTION AND RECLAlivlED en ra"mental engi'"ecrs. sclcn('s(s WATER plSTRIBUTION SYSTEMS

planners, If. management canstrlfcnfs FIGURE 4-1A

g)l,tjtECtl0

=- KOZ A WASTEWATER PERMIT APPLICATIONFORM 2A FOR DOMESTIC WASTEWATER FACILITIES

WASTEWATER PERMIT APPLICATION FORM 2A APPLICATION FOR A DOMESTIC WASTEWATER FACILITYPERMIT

~-

TABLE OF CONTENTS INSTRUCTIONS FOR FORM 2A Page General Instructions

\\

l. Applicant aad Facility Description Section 9. Certificatioas Section 2, Treatment. Facility Description Section 3.

Reuse or ENuent Disposal System Description A. Discharges to Surface Waters (including wetlands)

B. Reuse and Land Application Systems C. Ground Water Disposal by Underground Injection Scctioa 4. Scheduled Improvements and Schedules of Implementation Sectioa 5. Industrial Wastewater Contributions Section 6. Additional Informatioa Required for Permit Renewals Sectioa 7. Additional Informatioa Required for Residuals/Septage Management Fac lities Section 8. Documeatatioa Submitted 2AI-2 2AI-2 2AI-5

. 2AI-8 2AI-9 ~

2AI-10 2AI-11 2AI-12 2AI-13 2AI-13 2AI-15 TABLES t

Table 1. Treatment Codes Table 2.

General Action Description Codes Table 3. Units of Measuremeat by SIC Code 2AT-1 2AT-3 2AT-4 FOR'vf 2A Application for a Domestic Wastewater Facility Permit 2A-1 Df? Fona dX4%8lag)

Elfeaiva I I 2AI-2

INSTRUCTIONS FOR FORM 2A APPLICATIONFOR A DOMESTIC WASTEWATER FACG ITYPEP2vQT GENERAL INSTRUCTIONS

1. Application for a domestic wastewater treatmcat facilitypermit, reuse or disposal system permit, limited wct weather discharge permit, residuals/septage managemeat facility permit, or any combiaatioa thereof shall be made using this form and DEP Form 62420.910(1).

The appropriate number of copies of this form and DEP Form 62420.910(1), withsupporting documentation, and a check for thc appropriat application fee made payable to thc Dcpartmeat of Environmental Protection shall be submitted with this application as required by Rule 62420.310, F.A.C.

2.

Unless otherwise specified in the detailed instructions, each applicable item must be completed ia full in order to avoid delay in processing.

To indicate that each item has been considered, eater NA for not applicable, where a particular item does not fit the circumstances or characteristics ofyour facility.

3. Allinformation must be typed or printed in ink.

4. Dates must bc catered in MM/DD/YYformat.

S.

Some items in this form require narrative explanation.

For this purpose, attach a separate sheet entitled

'Additional Information.'here a separate sheet is used, identify the name of thc applicant, the activity, and the section and item number of the form to which it refers.

Allother documents required by this applicatioa must be similarly identifie.

SECTION l. APPLICANT AND FACILITYDESCRIPTION

1. hpplicanon +pc Indicate whether this applicatioa is for coastructioa of new facilities, for substantial modificatioa of existing facilities, or for renewal of aa existiag facilitypermit.

As define in Rulc 62420.200, F.A.C., substaatial modification means a modificatioa to the facility which is reasonably expected to lead to a substantially differen environmental impact or which involves a substantially differeat type of wastewater or residuals treatment, reuse, or disposal system.

A substantial modification includes changes in thc characteristics of the cfflueat, reclaimed water, or residuals, changes to the locatioa of the discharge, or changes in the permitted capacity of the treatzncat, reuse, or disposal system.

Ds? Foaa ~.9 Iota I I 2AI-3

Application for minor modification of existing facilities shall bc made on DEB Form 62420.910(1).

A minor modification means a modification to the facility which is not expected to lead to a substantially different environmental impact or which will not involve a substantially different type of wastewater or residuals treatment, reuse, or disposal system.

A minor modification does not substantially change the characteristics of the cfflucnt, reclaimed water, or residuals nor docs it change the permitted capacity of the treatment, reuse, or disposal system.

It includes construction to replace a unit operation or process structure.

It also includes construction to unit operation or mechanical equipmcnt which is not associated with routine facility Faciiiry +pc - Indicate whether this application is for a wastcwatcr treatment facility, a rcusc or disposal

system, a limited wet weather discharge as define in Rule 62<10.860, F.A.C.,

a residuals/septage management facility or some combination of thc above.

(i.e., Ifthe application is for permit renewal of both treatment and disposal facilities, mark an 'X by thc word Traittncnt and mark an X by the words Reuse or Disposal

. If the application is for construction of treatment facilities only, mark an X

by thc word Treatment only.)

Trcacmenr Faciiicy Infonnarion - Enter thc requested information for the treatment facility which produces the effluent, reclaimed water, or residuals.

Provide the name of the facilityas it is officiallyor legally referred to in order to distinguish it from similar entities, ifany, in thc same geographical area.

Do not use colloquial names as a substitute for the official name.

Enter the facility's DEP identification number ifthe application is for an existing facility (i.e., either for permit renewal or modification). If the application is for a new facility,enter 'NA for the facility'sDEP identification number. Enter the adds'here the facilityis located as well as the mailing address of thc facility.

Enter the ownership status of the permittee.

4. Applicant or Aurhrpnzcd Rcprescnrarivc

- Enter the legal name of the applicant or authorized representative.

Thc applicant or authorized representative is the person, agency, firm, or other entity which owns or is responsible for the wastewater facilities. Enter the name of the applicant as it is officiallyor legally referred to. Do not use colloquial names as a substitute for the officialname.

Next, eater the complete mailing address and telephone number of the applicant or authorized representative.

This often willnot be the same address as is used to,designate the location of the wastewater facilitics.

Applicant's Aurho~d Agenr - Give the name, title, address, and telephone number of the pe~a who is thoroughly familiar with the facts reported on the forms and who can be contacted by the DEP, EPA, or other agencies involved in permit applicauon p~ing and review. Thc person named, although not necessarily the same as the signing official, is also subject to the provisions of the law quoted below the signature line on the first page of Section 9, Certifications.

Project ¹mc and Lkscnprion - For a new facilityor a modification to an existing facility, provide the name and a general descriptio of the project.

The description should include thc reason the project is needed and its relationship to existing facilitics.

7.

Coliscrion Sysrcm Lcng'h - Enter the length of the collection system associated with thc wastewater treatment facility.

Indusrnal Wasrcwarer Contributions - Enter the total estimated average daily wastewater flow from all industrial sources.

Allsignificant industrial users, as defined in Section 5, discharging to the facility must be listed in Section S.

Also indicate whether the facility has an approved pretreatment program, and ifso, the name, address, and telephone number of the pretreatment program coordinator.

Municipolilksor Areas Scrvczi - Eater the names of the municipalities or areas served by this facility and, for each, eater thc best estimate of thc actual population served at the time of this applicatioa. Ifthere is another sewer authority dischargiag into this facility, give the name of that authority and the actual population it serves.

Do not include the names of the aumicipalities or azeas served by that scwcr authority.

10. Rcclaintcd Water Rcztsc and EfflttcntDisposal - Enter the number of disposal points for each discharge to surface waters, thc number of diH'creat types of reuse or land application systems used by thc treatment facility, and thc number ofdifferent underground injectioa well facilitics used by the treiumcat facility. Reuse or land applicatipn systems are considered diH'creat types ifthey are permitted under differeat parts of Chapter 62<10, P.A.C. (ic, slow rate restricted public access, rapid-rate, public~ reuse system, etc.)

Underground injection well systems are considered different faciliticsifthey have different physical locations or distinct DEP idcatification numbers.

~ For each method of reuse or disposal listed, provide thc total design capacity and the basis of the desiga flow (e.g., annual average daily flow, maximum monthly average daily flow, three-month average daily flow).

Intermittent discharges, such as from ovcrflowor bypass points, aad seasonal or periodic discharge points fram lagoons, holding ponds, etc., should not bc included in the flows provided in this item. Intermittent discharge information should be provided in Item 11. A separate Section 3.A., 3.B., or 3.C. must be completed for each reuse or disposal system ideatifiicd.

11. Number ofSctzsontzl or Periodic Discharges - Eater the number'of seasonal or pcriodic discharge points for thc facility.

Seasonal or periodic discharges may result for a variety of reasons including wct weather conditions for reuse or laad application systems aad the need to conduct mechanical integrity tests for underground injection well systems.

A separate Section 3.A. must be completed for each seasonal or periodic discharge point ideatifiied.

12. Flows to Another Wastcwatcr FaciLity - Indicate whether aay flows from the facility go into a

collcctionltranszzussion system or reclaimed water distzibution system coatzollcd by another responsible organization. Ifno, go directly to Item 13. Ifyes, indicate the type of system and provide the name aad mailing address of thc responsible organization receiving the flow. Ifthe flow is to more thaa oae other system, provide the appropriat data of Items 6c, 6d, 6e, and 6f for each system oa additional sheets. Ifthe exact flows to these other systems are not known, provide best estizaates.

13. Rcsidutzls Usc or Disposal - Eater the average amouat of residuals generated by the facility. This amount should be zero for Residuals Management Facilitics that are not also wastewater treatmcat facilities. Indicate whether thc facilityreceives residuals from other facilitics for further trcatzncat and disposal. Ifycs, complete Scctioa 7 of this form.

For each method of residuals use or disposal listed, cater the number of sites or number of receiving facilitics and the average amount of residuals used or disposed of per year.

The total amount of residuals used or disposed of should equal thc total amount of residuals generated aad received.

If the method of use is land applicatioa, an Agricultura Use Plan or Dedicated Site Plan should bc attached for each site. Ifthc residuals arc laadfilled, incinerated, or transporte to another treatmeat facility, thc name, DEP ideatificatioa number, and address of the receiving facility should be listed.

Identify the treatment processes used by thc receiving facilityusing the tzeatmeat codes listed in Table 1.

14. permits anci Applications

a. Ifapplicable, provide the expiration date of the current National Pollutant Discharge Eliminatioa System permit.

b. Ifapplicable, provide the expiration date of the current DEP pezznit for.this facility.

c. Provide the requested information for all existing environmental pczznits from Fedezal, State, and local agencies related to thc docilityor the proposed project. Also, provide the information for all cnvironmcntal permits that have been applied for, are pending, or have been denied during the last 5 years.

d. For all currently effectiv orders and notices issued by Federal, State, and local agencies, provide the name of the issuing agency and the effective date of the order or notice.

SECIION 2. TREATMENTFACILITYDESCRH.'TION section includes spccific information about thc treatment facilitics.

Complete a scpazate Section 2 for each current or proposed method of reuse or disposal identified in Section 1, Items 10 and 11 for which different levels of treatment are provided.

Thc 4-digit serial numbczs which are cstablishcd in Sections 3. A.l., B.l., and C.l.

and which correspond to the treatment facilitydescription should bc entered in the space provided at the top ofeach page of this section.

1. Desertion - Provide a brief nanative description of the treatment process.

Example: Treatment consists of primary sedimentation using clarifiers, followed by biological treatment using activated sludge, foOowed by secondary clarification and chlorination.

Residuals arc treated by aerobic digestion and vacuum filtratio.

Residuals aze disposed of by incineration.

2. Tnazzncnt Cocks - Describe the wastewater treatment processes using thc lcttcred codes which are listed in Table 1.

As much as possible list the codes in thc sequence in which the wastcwatcr treatment processes are applied at this facility. Separate all codes with commas except where slashes arc used to designate parallel operations.

3. Design Capacity ofthe ~nsnz Fadlity - Enter the current design capacity, the proposed incremental design capacity, and the proposed total design capacity in million gallons per day.

4.

Basis of Design Flow - Enter the basis for the cuzzent design capacity, the proposed incremental design capacity, and the proposed total design capacity (e.g., annual average daily flow, maximum monthly average daily flow, three-month average daily flow) for thc treatment facilitics.

5. Design Znazntsnz Levels - At a minimum, enter the range ofpH and the 5My CBOD and the TSS effluent concentrations and percent removals for which thc plant is designed.

Also provide the basis for the efflucnt concentzations (i.e., annual average, monthly average, and weekly average as define in Chapter 62420, F.A.C.). Design data for additional parameters may be required based on additional treatment requirements established in accordance with Depaztment rules for reclaimed water or effluent disposal.

6. Dizinj'cczion Lcicl Provukd - Indicate the level of disinfection provided as specified in Rule 62<00.440, F.A.C.

For the high-level alternative, sce Rules 62-600A40(5)(g) and (h), F.A.C.

Also, if the faciTity disinfects by chlorination and the discharge is to surface waters, indicate whcthcr dechlorination is provided.

7. Residuals Tnazmcnz - Indicate which class criteria the residuals meet after treatment.

For example, ifthe residuals willbe distributed and znarkeied, Class AA should bc chcckcd and thc residuals should meet the criteri in Rule 62440.850, F.A.C. Ifthis is an existing facility, provide the listed parameter concentrations and the date of the sample for the latest laboratory analysis. Ifthe residuals willmeet different class criteria, provide the informafion for each class on separate pages.

8. Rcliabituy Class - Indicate the class of reliability provided by the treatment facility. Reliability shall be provided in accordance with Rule 62-600.400, F.A.C, as described in thc EPA's 19'74 publication entitled Design Criteria for Mechanical, Electric, and Fluid System and Component Reliability, MCD<5. Jf other equivalent reliability is provided, the equivalent reliability features should be described in the prelinunary design report or on a sepaaLtc sheet entitled 'Additional Information'.

SECTION 3.

REUSE OR EFFLUENT DISPOSAL SYSTEM DESCRIPTION This section includes specific information required for the reuse or cfflucnt disposal system.

Complete a separate and appropriate Section 3.A., 3.B., or 3.C. for each current or proposed method of reuse or effluent disposal identified in Section 1, Items 10 and 11. Separate descriptions of each reuse or effluent disposal system arc required even ifthe discharge or reuse system originates at the same treatment facility.

SECTION 3.A. DISCHARGES TO SURFACE WATERS (including wetlands)

1. Discharge Seria Number and ¹mc - Assign a ~git number beginning with D001 for each point of discharge identified in Section 1, Items 10 and 11.

Discharge serial numbers must be consecutive for each additional discharge described; hence, thc second serial number would be D002, the third D003, etc.

Enter this number at the top of each page of Section 3. A.

Give thc name of the discharge point which distinguishes this discharge point from all other discharge points from the facility (e.g., Ursus Creek Discharge; Varga STP Outfall Nu'mber 2). Do not use colloquial terms.

If application for a permit was made previously for this discharge, supply the serial number which was previously assigned. Ifno, eater 'NA.

2. 1Xschargc Location - Provide the name of the county, thc name ofcity or town (ifapplicable), and thc'ame of the street where the point of discharge is located. Ifthe discharge is not located on a named street, provide a description of the point ofdischarge.

State the precise location where thc effluent &om the discharge reaches thc waterway. Ifthe discharge is to a dry waterway, give thc point where the discharge enters the waterway.

3. Discharge Opcnzring Dales - Ifthe discharge has never occurred, but is planned for some future date, give the date the discharge willstart. Ifthe discharge is scheduled to bc discontinued within the next 5 years, give thc best estimated date thc discharge willend and the reason for discontinuing the discharge. Ifthe discharge is already in operation and is not scheduled to be discontinued within the next 5 years, enter NA.

4. Design Capacity ofrhc Outfall - For the outfall identified in Item 1 of this section, provide the cutTent design capacity, the'proposed incremental design capacity, and the proposed total design capacity in million gallons per day (mgd) to three decimal places.

5. Basis of Design Flow - Enter the basis for the current design capacity, the proposed incremental design capacity, and the proposed total design capacity (e.g., annual average daily flow, maximum monthly average daily flow, three-month average daily flow) for the outfall.

DCP Fora ~dlOPJ Efec&a 2AI-7 r

Basis for~nt Lanitczaons - Indicate how and when the efflueat limitations werc established for this discharge.

Technology Based Efflucat Limitation (TBEL)'eans a minimum wastewater treatment requizemeat, established by thc Deparuneat, based on treatment technology.

The minimum treatinent requirements may be set at levels more striageat thaa that which is aeccssiisy to meet water quality standards of the receiving watcrbody.

TBELs for domestic wastewater tzeatzneat facilifies are established in Chapter 62~, Parts 11 and III.

Water Quality Based Efflueat Limitation (WQBEL) means aa cfflueat limitation, which may be morc stringen than a TBEL, that has been determined necessazy by the Department that water quality standards in a receiving body of water will not bc violated.

WQBELs are established in accordance with thc provisions of Chapter 62450, F.A C.

7. Disctuzrgc Point Dcscriptzbn - Discharges into ditches or other water couzscs should bc included ia the category of a stream.

8.

Receiving Patcrbody ¹mc - Provide thc name of thc waterbody as designated on a USGS map of thc area.

Ifthe discharge is to an unnamed tributary, state and provide the name of the fizst body of water fed by that tributary which is named on the map (e.g., unnamed ditch to Vaughan Creek; uaaazned ditch to Serpent River, where Sczpeat River is thc first waterbody that is named oa the map aad is reached by the discharge).

10. Classification of Receiving Watcrbody - Indicate the class of thc receiving waterbody as defined in Chapter 62-302, F.A.C., and whether the zeceiviag waterbody is aa Outstanding Florida Water (OFW) or an Outstanding National Resource Water (ONRW). Ifyes, name the OFW or ONRW and locate on a USGS map.

11. Outfall Inforzntztion - Ifthc discharge is through an outfaH that extends beyond the shoreline or is below the

13. Addituntzl Information Rcqturcd for Seasonal or Pcnodic Disetuzrgcs - For each seasonal or periodic discharge idcatified in Section 1, Item 11, provide the &equcacy of the diieharge.

If the discharge is intermittent, from a holding pond, lagoon, ete., give thc actual or approximate number.

Also, provide the avenge duration and average voluzne of the discharge per incidence, and identify the months duziag the year whea the discharge normally occurs. Ifthe seasonal discharge is a limited wet weather discharge permitted in accordance with Rule 62410.860, F.A.C., complete Item 14 of this sectioa.

mean low water line, complete this item. Ifno, eater NA. The discharge depth below water surface and t ahe receiving water bottom depth below water surface should bc provided for mean flow conditions.

14. Additional Information Required for Limited Wet %cather Discharges Pcrnuttcd in Accordance vtith Rub 62410.860, FA.C. - Information requirements in support of a limited wct weather discharge are contained in Rule 62<10.860, F.A.C. Ifall conditions specified in Rule 62410.860, F.A.C., arc met, a Water Quality Based Efflueat Limitation (WQBEL) willnot be needed for this discharge.

For limited wet weather discharges permitted in accordance with Rule 62410.860, F.A.C., a simulation of operation of the reuse, storage, and limited wet weather discharge system for an average rainfall year shall be included in the preliminary design report in additioa to thc information required by Rule 62410.860(2), F.A.C.

Also, a description of the gauging method aad the facilities that willbe used to measure stream flowin thc receiving waterbody upstzeazn of the point of discharge should be included in the report.

The gaging station should be located on a USGS map.

15. Additional lnfornuztion Required for TVctland Discharges - Ifthe discharge is to a wetland, complete this item.

Chapter 62<11, F.A.C., contains regulatioas for discharge of domestic wastewater to wetlands.

DEP Fona ~.9IOCZ)

Eguaim I I 2AI-8

, 16. Opcnztfonal Data a.

Description ofinfluent and Zfflusnl - As required by Rule 62~1.300(1), F.A.C., influcnt data must be provided only for CBOD, and TSS; effluent data must be provided only for those paratneters which have efflucnt limitations identified in thc permit.

For paratneters which have effluent limitations identified in the, permit and are not listed in'hc Table, enter thc parameter names in thc blank spaces provided.

For each of the required parameters, enter in the appropriate box thc value or code letter answer required.

Values must be reineseatative of the influent and effluen during the twelve preceding months of operation

• or represent best engineering estimates forproposed treatment or disposal systems.

For facilities that have not been in operation for one year, data reported should represent the existing period of record with a note to that effect.

Rcport in the units specified.

Values do not need to be supplied in boxes that have been shaded.

In thc column entitled 'Effluent Frequency of Analysis, specify thc frequency of analysis for each parameter as the number oianalyses per number ofdays (e.g., 3/7 is equivalent to three analyses performed every 7 days). Ifcontinuous, enter 'CONT.

In the column entitled Effluent Number of Am3yses, specify thc number of analyses performed during the previous 12 months of operation at the average frequency specified in the column entitled 'Effluent Frequency of Analysis up to 365.

In the column entitled Sample Type,specify'G forgtabsamples,

'C'4 forcompositesamples,and NA if'CONT was catered in the column entitled Efflucnt Frequency of Analysis. The symbol 0

is to be replaced by thc avenge number ofhours over which the composite sample was coUected (i.e.,

C24 means twcnty-four hour composite).

Sampling schedules, locations, and methodology shall bc as specified in Rulc 62-601.500, F.A.C.

Sampling and testing methods shall be in ~rdance with Rule 62401.400, F.A.C.

b. AddMonal IYastewarsr Characrsnsics

- Indicate with X

in the appropriate box those chemical constituents known to be present in thc effluent based on any previous analyses, whether or not required by thc Department, that have been performed on thc effluent.

Those constituents for which no previous analyses have been performed need not be indicated.

SECTION 3. B. REUSE AND LANDAPPLICATIONSYSTEMS 1.

Rc'use or Land App1icaffon Sysrcm Serial Number and )Porno - Assign a +digitnumber beginning with R001 for each type of reuse or land application system identified in Section 1, Item 10.

Reuse or land application system serial numbers must be consecutive for each additional reuse or land application system dcs"ribed; henc=, thc second reuse or land application system seria number would be R002, the third R003, etc.

Enter this number at the top of each page of Section 3. B.

Give the name of the reuse or land application system which distinguishes this system from all other reuse or land application systems from the facility(e.g., Fairview Reuse System; Greenwood Reclaimed 'iVater System Number 2). Do not use colloquial terms.

Ifapplication for a permit for this reuse or land application system was made previously, supply the previous reuse or land application system serial number assigned. Ifno, enter NA'.

2AI-9

2.

Rcusc or Land Applicasion Sysrcm Locanon - Provide the name of thc couaty the name of city or tow'n (if applicable), and thc name of thc street where the reuse or land applicatioa system is located. Ifthc reuse or land application system is not located on a named street, provide a dcscriptioa of thc location of the rcusc or land applicatioa system.

Provide the latitude aad longitude for thc centroid of the reuse or land application site.

3.

Rcusc or Land Application Sysscm Opcnxsing Bates - Ifthe reuse or land application system has never beep placed into operation, but placing the system into operation is phnncd for some future date, give the date the reuse or land appHcation system will be placed into operation. If the reuse or htnd application system is scheduled to be'aken out of operation within the next 5 years, give the best estimated date the system wiQ cease operation aad the reason for taking thc system out of operation. Ifthc reuse or land application system is already in operation and is not scheduled to be takea out of operation within thc next 5 years, eater NA.

4.

Design. Capacity ofthc Rcusc or Land Application Sysrcm - For the reuse or laad applicatioa system identified in Item 1 of this section, provide the curat design capacity, the proposed incremental design capacity, aad the proposed total design capacity in milliongallons per day (mgd) to three decimal places.

5. Basis of Design Flow - Enter the basis for thc cutreat desiga capacity, the proposed incremental design capacity, and the proposed total design capacity (e.g., annual average daily flow, maximum monthly average daily flow, three-month average daily flow) for the reuse or laad application system.

8. Application Anas and Roses - For each reuse or land applicatioa site used by the treatment facility, provide the area irrigated, the average applicatioa rate, and the site capacity. List major users (greater than or equal to 0.1 mgd), such as golfcourses, separately.

Locate aQ areas or sites receiving reclaimed water along with the overaQ reuse service area on the USGS ma rovided under Section 8., Item 1.c.

PP SECTION 3. C.

GROUND WATER DISPOSAL BY UNDERGROUND INTECTION Ifthe proposed project includes ground water disposal by underground injection, application for construction or operation of the injection well shaQ be made on DEP Form 62-1.209(9).

Application for tratmeat facilities for the injection well shall be made on this form.

1.

Underground Iqjcction Well Facility Seria Number and Nunc - Assign a 4-digit serial number beginning with U001 for each underground injection well facilityideatifled in Section 1, Item 10. Underground injection weH facility serial numbers must be consecutive for each additional underground injection wcQ facility described; hence, the secoad underground injection well facilityserial number would bc U002, the third U003, etc.

Enter this number at the top of each page of Section 3. C.

Give the name of the underground injection well facilitywhich distinguishes this injection well facility from aQ other uadergrouad injectioa well facilities (e.g., Mission Road Underground Injecaon Well Facility; Midway Injccuoa Well System Number 2). Do aot use colloquial terms.

Ifapplication for a permit for this underground injection well facilitywas made previously, supply the previous uaderground injection well facility serial number assigned. Ifno, eater 'NA

~

DEP Fo<<<<<<<< ~.9IOa)

Ec<<cuba I I 2AI-10

2.

Underground Injection R'all Faality Loauion - Provide the name of the county, thc name of city or town (if

~

applicable), and the name of the street where the uadergrouad injection well facilitics are located.

If thc underground injection well facilities are not located on a named street, provide a descriptioa of the, location of the facilities.

State the precise location of the underground injection well faciiitics.

3.

Underground Tqfcction 7VcllFacility DFP Ident/i carion Number or Pcrmi! Applicarion Number - Eater the DEp ideatification number for each underground injection well facility ideatified ia Section 1, Item 10. Ifa DEP ideatification aumber has not been assigned, cater the permit applicatioa number for the underground injection well facilities.

4. Discharge Openztcng Dares - Ifthe discharge has never occurred, but is planned for some fumrc date, give the date the discharge willstart. Ifthe discharge is scheduled to be discontinued within the next 5 years, give the best estimittcd date the discharge willcad and the reason for discontinuing the discharge. Ifthe discharge is to aa existing uadergrouad iajecuoa well facilitywhich is already ia operation and is not scheduled to be taken out of operation within the next 5 years, eater NA'.

5. Design Capacity of thc Underground Injecnon Well Facility - For the uadergmund injection well facilitics identified in Item 1 of this section, provide the current design capacity, the proposed incremental design capacity, and the proposed total design capacity in million gallons per day (mgd) to three decimal places.

6. Basis of Design Row - Enter the basis for the current design capacity, thc proposed incremental design capacity, and the proposed total design capacity (e.g., annual average daily flow, maximum monthly avenge daily flow, three-month avenge daily flow) for the injection well facilitics.

SECTION 4.

SCHEDULED IMPROVEMENTS AND SCHEDULES OF IMPLEMENTATION Provide the information recluested for any scheduled improvements to the wastewater facilities, whether uncompleted or proposed and whether dcvcloped by the applicant (i.c., self-imposed capital improvemeats program) or imposed by local, Federal, or State agencies or by court action.

If the wastcwatcr facilitics have more thaa one implementation schedule, either because of different levels of authority imposing differeat schedules (Item 1b) or staged construction of separate operational units (Item Ic), submit a separate Section 4 for each oae.

1. Improvements Required a.

Discharge Senal Numbers, Reclaimed 7Vatcr Rcusc and Land Applicarion System Serial Numbers, and Underground InJ'ccaon Well Facility Scrud Numbers Affected - List the discharge serial numbers, reuse or land application system serial numbers, aad uaderground injection well facility serial numbers assigned ia Section 3 that arc covered by this implemeatation schedule.

b. Aulhonty Imposing Requirement - Check the appropriate item indicating the authority imposing the implementation schedule.

c. Improvcmcn! Descripnon - Specify the 3+haracter General Action Descriptioa code listed in Table 2 that best describes thc facility improvements.

Ifmore than onc schedule ipplies to the facility because of a staged construction schedule, indicate the stage of coastructioa with the appropriate geaeral action code.

Submit a separate Sectioa 4 for each stage of construction planned.

Also, list all of the 3wharacter specific actioa codes listed in Table 2 which describe in more, detail the pollution abatemeat practices.

2. Impfsmenradon Schetftde and Acrual Compkaon Daces - Indicate, as accurately as possible, scheduled ind actual completion dates.

For improvements imposed by local, Federal, or State agencies or by court action, provide the dates imposed by the compliance schedule and any actual dates of completion, as applicablc.

For self-imposed capital improvement programs, provide, at a mitiimum, thc planned and actual completion dates for completion of final plans and specifications, begin construction, begin reuse 0r disposal, and operational level attained.

A description of thc implementation dates follows.

a.

Prelinunrtry Plans Cockle - The date the prelimituiry ettgineering report is to be completed.

b. Final plaai and Specifications Compfere - The date, the detailed plans and specifications are to be completed.

c. Financing Compte - The date all financing arrangements are to be completed.

d.

Sire Acquind - Thc date thc land to be used for the treatment works is to be acquired.

e.

Begin Construcrion - The date construction is scheduled to begin.

f. End Construction - The date construction is scheduled to be completed.

g. Begin Reuse or Disposal - The date the treatment facilityor reuse or disposal system is scheduled to be placed into operation.

h. Openuional Level Aaaincd - The date the effluent or reclaimed water level is scheduled to comply with the final reclaimed water or efflucnt limitations.

SECTION 5. 1NDUSTKM. WASTEWATER CO~UBUTIONS Domestic wastewater treattnent facilitics that meet any of the criteria in a. through c. below must develop a

pretreatment program in accordance with Chapter 62425, F.A.C.:

a.

Any facility owned or operated by a public utility, as defined in Rule 62425.200, F.A.C., (or combination of facilities operated by the sam'e utility)with a total design flow greater than 5 million gallons per day and receiving pollutants from industrial users which pass through or interfere with the operation of the facility or are otherwise subject to pretreatment standards;

b. Any facilityowned or operated by a public utilitywith a design flowof 5 miHion gallons pcr day or less, if the Departxnent finds that the nature or volume of the industrial influent causes or contributes to treatment process upsets, violations of wastewater effluent limitations, contamination of domestic wastewater residuals, or other circumstances requiring a prctrcatment program in order to prevent interference with the facility or pass through; and c.

Any facility providing reclaimed water to public~ areas in accordance with Chapter 62410, F.A.C, unless thc facilityprovides an affirmative demonstration that there are no signi ficant industrial users discharging into the facility.

2AI-12

If a facility identifie as needing a pretreatment program does not have aa approved pretreatment program, thc

~

~

Department shan include a compliance schedule in their permit for thc development of a program meeung the requirements of Chapter 62425, F.A.C.

Each domestic wastewater treatmeat facility is required to complete a separate Seaion 5 for each significaat industria user as defined in Rulc 62425.200; F.A.C., discharging wastewater into the domestic wastewater facility.

It is the responsibility of the applicant to obtain the required infotmatioa on aay significant industrial user of the facility. Actual data should be provided ifavailable. Ifactual data is not available, Section 5'should be marked

'interi aad a best estimate should be provided with a statemcat indicating the amount of time required to provide the actual information. Filing the permit application should not be delayed beyond the filingdeadline for completion of Section 5.

However, any missing information is to be submitted when it becomes available. Ifcertain of the requested information does not apply, it should be marked 'NA.

1. Signifiarnt Industnal User - Give the name aad the address that designates the location of the facility.

2. Primary Standanf Industrud Classification Cock - Using ~git standard industrial classification (SIC) codes, indicate the type of industrial faciTity described in Section 5 that is discharging into the domestic wastcwatcr facilities covered by this applicatioa.

Standard industrial classification (SIC) code numbers aad descriptioas may be found in the 1972 edition of the

'Standard Industrial Classificatio Maaual'repared by the Executive Office of the Prcsideat, Office of Managemeat and Budget, which is available &om thc Government Printing Office, Washington, D.C. Do not use previous editions of thc maaual.

Copies are also available for exaaiinatioa at the Deparuneat's District Offic.

3.

Prumpal Product or Raw Material - Specify either the principal product or business, or the principal raw material, and the maximum quantity per day produced or consumed.

Quantities ar to be reported in the units ofmeasuremeat given in Table 3 for the particular SIC categories that are iiste~L Enter the letter-number code from the 'Code'olumn in Table 3 for the uaits sclcctcd under 'Units'. Other SIC categories should use the units of measiiremcat normally used by that indusuy.

4. Flow - Indicate thc volume of wastewater discharged into the domestic wastewate: facilities and whether this discharge is intermittent or continuous.

5. PretrcatnMnt Provukd - Indicate whether pretreatment is provided prior to eateriag the domestic wastewater facilities.

6. -Characteristics of Wastewater - Indicate the characteristics of thc wastewater from thc contributin industry in terms of parameters that willadequately identify the wastewater such as BOD, COD, Cr, Za, pH units, degrees Fahreaheit, ctc.

The characteristics should be indicative of the wastewater stream after aay pretreatment is provided by thc industrial facility but prior to entering the domestic wastewater facilities.

SECTION 6. ADDITIONALINFORMATIONREQUII~ PER,'vQT RENEWALS Complete this section ifthe permit application is to reaew aa existing domestic wastewater facilitypermit.

Attach separate sheets entitled Additional Information's indicated.

2AI-13

C SECTION 7. ADDITIONALINFORMA'IIONREQUIRB3 FOR RESIDUALS/SEPTAGN MANAGEMEÃI'ACILH~

Ifthe &cilityaccepts residuals &om oae or morc wxurtcwater treatment facilities for further treaxxncat or disposal, this section should be completed.

This section should also be completed for scptagc management facilities treating more than 10,000 gallons per day monthly average daily flow of scptage.

Residuals/scptage use or disposal information should be provided in Section 1, Item 13.

Residual/septage treatment iaformatioa should be provided Mt Section 2, Item 7. Allother applicable sections of this form should also bc completed.

Aseparate Item 3 of this section must be completed for each wastewater treatment hcilitywhich transports residuals to this residuals/septagc management &cility.

SECTION 8. DOCUMENTATIONSUBMIITED Indicate whether the following docuxaeatation is attached to this application.

I. Gcncxxxl Applicarion Rcquinmcnxx - Ap~ flow diagaun, site plan, aad locatioa map are required with this application. All maps and drawings should be oa paper or other material suitable for reproductioa. If possible, all sheets should bc approximately letter sue with margins suitable for filing aad binding.

As few sheets as necessary should be used to clearly support the applicatioa. Allsheets should include a title which includes the applicant's name, facility locatioa, date of drawing, and designation of the number of sheets of each dixigxam type as 'Page of a

Pmccxx Row Diagnxm - The process low diagram, a line drawing of the wastewater flow through the treatment faciTity, should ideatify each treatment unit (including the residuals treatment processes) and show the current average design flows to each unit. The title is to be headed by the statexneat Process How Diagram.

Site Plan - The site plan should show the curreat status (i.e., operational, not operational, abaadoaed, etc.)

aad the location of all operation aad uait processes.

The title is to be headed by the statement Site Plan.

c.

Locxxrion Mxxp - The locatioa map should bc sn 8 1/2' 11'opy of a USGS map extending one mile beyond the facilities boundaries showing the treatmeat facility location, the reuse or disposal system location, thc land application system site(s), and thc receiving waterbody location, as applicable.

The location of each discharge structure and reuse or land applicatioa site, including any and all outfall devices, dispersive devices, and nonstructural points of reuse or disposal should be shown.

For discharges to surface waters, thc structure must be idcatified using the 4-digit serial number specified in Section 3.A.1.

The location of each reuse and land application system must bc ideatified using the 4-digit serial number specified in Section 3.B.1. Thc location ofeach underground injection well facilitymust be idcntificdusing the 4cHgit seiial number specified in Section 3.C.1.

On all maps of rivers, thc direction of the current is to be indicated by an arrow. In tidal waters, the dixectioas of the ebb aad flowtides are to be shown. The map should show those wells, springs, sinkholcs, other surface water bodies, aad drinking water wells listed in public records or otherwise kaowa to the applicaat in the map area.

Thc title is to be headed by the statemeat

'Location Map'.

Be sure to include thc name and date of the USGS map provided.

DER Foaa ~.9lOgl I I 2AI-14

d. Agricidtural Use Plan or Dedicated Sltc Plan - If thc method of residuals use or disposal is by land application;.attach as applicable, an up-ta~e Agricultuati Usc Plan or Dedicated Site Plan with the application as required by Chapter 62~, F.A.C.

C.

Capacity Analysis Rcport - Applications for modifications to existing &cilities and applications for permit renewal shall include a capacity analysis report ifrequired by Rule 62~.405, F.A.C.

Results of Whole Effuent Biological Taricity Testing - For facilitics discharging to surface waters, applications for modifications to existing &cilities and applications for permit renewal shall include thc results ofMole effiuent biological toxicitytesting as required by Rules 62<20.450 and 62420.455, F.A.C.

Reuse Feasibility Study - In accordance with Section 403.064, Florida Statutes, ifthe wastewater treaunent facility is located in an area that has been designated as a water resource caution area by the Water Management District, a reuse feasibility study must be submitted with this application.

Binding Agrccmcnts and Documentation of Controis on Individual Users of Reclaimed 8'atcr - In accordance with Rules62-620.450 and 62420.455, F.A.C., for projects involving the discharge of reclaimed water or effiuent onto property not owned or under thc direct control of the permiuee, the application shall include a binding agreement, generally for the term of the useful life of any treatment, reuse, or disposal facilities, to ensure adequate operation and mainteruince of facilities. For reuse projects permitted under Part IIIof Chapter 62410, F.A.C., the permittee shall submit documentation of controls on individual users of reclaimed water through detailed agrecmcnts or by local ordinances as set forth in Rule 62E$ 10.491, F.A.C.

2. AdditionalApplication Requirements for Nesv Facilities and Modification to Existing FacilMes Prcit'nunary Design Rcport - For all projects involving construction of ncw facilitics or modifications to existing facilities, a preliminiiry design report must be submitted in support of this application pursuant to Rule 62<20.450, F.A.C. The preliminazy design report must address each applicable section of Rule 62~.715, F.A.C., and, for reuse and land application systems, Rule 62+$ 10.310, F.A.C., and for residuals management facilitics, Rule 62440.880, F.A.C. The preiimitsary design report shall be signed and sealed by the engineer of record.

Documentation ofCompliance withAntsdegradation Rcqturcments -Ifthe proposed project includes a new discharge to surface waters or an expansion of an existing discharge to surfac= waters, attach documentation supporting that the proposed ncw or expanded discharge meets the antidegradation requirements contained in Rule 62M.242, F.A.C.

c Public Service Comnussion (PSC) Certificatio Number and Copy of Certificate or Order Number and Copy ofOrder - In accordance with Rule 62-620.450, F.A.C., new domestic wastewater treatment plants serving an area located in a county regulated by the PSC must obtain, before permit issuance, either a certificate ofauthorization or an order of exemption.

Auach a copy of thc certification number and a copy of the certificate or the order number and a copy of the order.

Letter from the Management and Storage of Surface Waters (MSSW) Permitting Agency - To comply with thc requirements of Rule 62410.465, F.A.C., if the project is to be permitted under part III of Chapter 62<10, F.A.C., ifgolf course lakes are used for storage, and ifthese lakes also serve as part of the stormwater management system, provide a concurrence letter from the Management and Storage of Surface Waters (MSSW) pcrmiuing agency stating that the lakes have sufficient capacity for both stormwater management and storage of reclaimed water.

DER rema 424%.9 IOc>

GTeaiea I I 2AI-15

c.

Request for Approval ofMonitoring PLans for Discharge ofDomestic Wastewater to WelLantis - Ifthe discharge is to a wedands, attach to this application a completed DEP Form 62-1.205(11) in accordance with Rule 62411.600, F.A.C.

f.

Coneurnnt Applicationfor Ground Water Disposal by Utulerground Inj'ection -Ifthc discharge is ground water disposal by underground injection, concurrent application using DEP Form 62-1.209(9) is required.

g. ApplicationforManitonng PLan Approval -Ifthe facilityis required to monitor groundwater in accordance with Chapter 62-52? 600, F.A.C., a complete DEP Form 62-522.900(1), Application for Monitoring plan Approval,~ bc subauttcd with this application.

3. AdditionalApplication Requirements for Permit Renewals a.

Operation and Maintenance Per~'onnanee Report - An operation and maintenance performance report shall bc submitted with the applicatic

. pursuant to Rulc 62400.735, F.A.C.

b. Reclavncd Water or EffluentAnalysis Report - In accordance with Rule 62401.300, F.A.C., wastewater treatment facilities with a permitted capacity of 100,000 gpd or grcatcr that discharge to ground waters via reuse or land application systems shall complete and submit DEP Form 62<01.900(4), Reclaimed Water or Effluen Analysis Report, with any application to renew a permit.

c.

Tcchnical Evaluation ofNeed to Revise Local Pntnatment Limits-For all domestic wastewater facilities with an approved pretreatment program, the applicant shall submit a copy of the latest program approval letter with the application and a written technical evaluation of thc need to revise local limits in accordance with Chapter 62425, F.A.C.

d. Resuits ofMeclianical Integrity Tests - For underground injection facilitics, attach the results ofmechanical integrit tests as referenced in Rule 62-28.130, F.A.C.

SECTION 9.

CERTIFICATIONS As indicated, complete the appropriate certifications for new facilities, modifications to existing facilitics, and permit renewals.

This application and all anachments shall be signed in accordance with Rule 62420.305, F.A.C.

Also, this anplication and all attachments shaH be signed and scaled by a professional engineer registered in Florida in accordance with Rule 62420.310, F.A.C.

DE7 Fons 4M'.9 lao}

KeooLioo I I 2AI-16

The treatment operations showa in this table are, in general, arranged in the order in which they normally oc~

duriag wastewater and residuals traitment, reuse, or disposal.

Enter the codes which most clearly define your plant operations as requested on the application form in the sequence ia which they occur.

Where parallel or alternate operations are involved, list the codes one after thc other, but enclose all of them in slashes.

In most instances, each major operation is designated by a single letter.

To allow more specific definition of complex operations, one or two letters have bcca added to the basic codes showing variations inpr~ or techniques.

For example, thc basic code for filterinoperations is 'F

. To show that it is a sand filter, aa S

is added to make the code FS

. It is further defined to show an intermittent sand filte as 'FSI J

JS S

SC

- Equalization.

- Surge Tank.

- Screens.

Comminutor (grinding of influent wastewater stream).

M

- Metering.

G

- Grit chamber.

GA

- Aerated grit chamber.

0

- Grease removal and skimming tanks not incidental to settling tanks.

OA

- Aerated tank (diffused air).

E

- Pretreatment.

EA

- By aeration.

EG

- By chlorine gas.

EH

- By hypochlorite.

EZ

- By ozonation.

ET

- By temperature control.

EO

- By other.

C

- Primary settling tanks and holding tanks.

R

- Intermediate settling tanks (include only ifused as part of other thaa additional treatment proce was).

AS

- Activated sludge treatment.

ASH

- Conveatioaal (approximately 4 to 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> of aeration with approximately 25 pe'rcent sludge return).

ASA

- High rate aeration (less than 4

hours aeration).

AST

- Tapered aeratioa (variable aeratioa aloag leagth of tank).

ASS Step aeratioa.

ASP

- Plug fiow.

ASR

- Completely mixed step aeration and sludge

rcturil, ASG Stage aeration including intermediate settling.

ASC

- Contact stabilization (provides aeration period less than 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> in contact tank).

ASE

- Extcaded aeration.

ASO

- Pure oxygen used (80 percent+).

AP

- Treatmeat by plain aeration.

APC - Coatact aeration (fixed media, i.e.,

contact plates or frames).

APP

- Plain aeration (ao sludge return).

APO

- Oxidation ditch.

F

- Filters.

FC

- Contact beds including dosing siphons.

FS

- Sand filter.

FSI

- Intermittent sand filters.

FSR

- Rapid sand filters or other sand straining including subsurface.

FO

- Roughing filters.

FT

- Trickling filters.

FTH

- High rate trickling filtets.

'TL

- Low rate trickliag filters.

K

- Intermediate treatmeat (include only ifused as part of other than additional treatment processes).

KG

- Coagulation.

KF

- Flocculatioa.

N /'nal settling tanks.

P Q

~isinfcctioa.

PG

- "By chlorin gas.

TABLE 1 - TREATMENT CODES (continued) 0 PH PO I

IR IA IO L

LE LS LP LH LT LO LA D

DN DA DD DL DC DR DH DT DM DB DG DP Q

B H

T TA V

VC VV VP VH (aerobic

- By hypochlorite.

- By ozone.

- Application of reclaimed water to land.

- Irrigation of restricted access areas (Part II).

~

- Irrigation ofpublic access areas (Part lil).

Irrigation of edible food crops (Part III).

- Rapid-rate land application systems (Part IV).

Absorption fields (Part V).

- Overland flow systems (Part Vl).

- Lagoons or ponds.

- Evaporation (no discharge)

~

- Seepage (no discharge).

- Settling.

- Holding or detention.

- Emergency storage only.

- Stabilization.

- Aeration provided.

- Residuals stabilization.

- Anaerobic.

- Mechamcal aeration provided (aerobic digestion).

- Diffused aeration provided digestion).

- Lime stabilization.

- Compostmg.

- Atr Drymg.

- Heat Drying.

- Heat Treatment.

- Thermophilic Aerobic Digestion.

- Beta Ray Irradiation.

Gamma Ray Irradiation.

- Pasteurization.

- Blending.

- Residuals drying beds.

- Residuals storage tanks (not second stage digestion units).

Residuals thickener.

Air flotation.

Mechanical residuals dewatering.

Centrifuge.

- Rotary vacuum filte.

- Press.

- Heat treatment.

z ZY WH WP WS WA WB WC WD WE WEC WED WG WF WK WI WJ WL WM WN WNS WNA-WNC-WX WU WR X

XA XD XF XI XN XR XO Residuals conditioning.

Elutriation.

Additional treatment.

Heavy metals removal.

Phosphorus removal.

Suspended solids removal.

Carbon absorption.

Breakpoint chlorination.

Chemical coagulation and sedimentation.

Distillation.

Electrical pr~.

Electrochemical.

Electrodialysis.

Evaporation.

Filtration.

Foaming.

Ion exchange.

Dissolved air floatation.

Lagoons-polishing only.

Microscreening.

Nitrogen removal.

Ammonia stripping.

Biological nitrification I stage.

Biological nitrification2 stage.

Denitrification by anaerobic digestion and suspended growth chamber.

Denitrification by anaerobic digestion and packed columns.

Chemical oxidation.

Neutralization.

Reverse osmosis.

Solvent extraction.

Residuals disposal.

Applied to agricultural lands.

Distribution and Marketing.

Burned for fuel.

Incinerated.

Used for landfill.

Land reclamation.

Wet air oxidation.

0 0EF Fons ~.9 lac)

ElTeana I I 2AT-2

TABLE 2 ACTIONDESCRY'TION CODES o

Key word NEW ICT General action descriptioa:

NCW fae111ty o

~ ~

~

~

~

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ o

~ ~ ~ ~ ~ ~

Modifiicatioa (ao increase ia capacity or treatment).............................

MOD Increase in capacity.

~ ~

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

~ ~ ~ ~ o INC InCreaSC 1n treatment ICVClo ~ ~ ~ ~ ~

~

~ ~ ~ ~

~ ~ ~

~ ~

~

~ ~ ~

~ ~

~ ~

~ ~ ~

~ ~ ~

~ ~ ~ ~

~ ~

~

~

INT Both increase in treatment level aad capacity......

Specific action description:

p'1ZGary o ~ ~ ~ ~ ~ o ~

~ ~ ~ ~

~ ~ ~

~ ~ ~

~

~ ~

~ ~ ~

~ ~

~

~

~

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

~ ~

~

~

PRI Scco ndaryo ~ ~ ~ ~ ~ ~ ~

~ ~

~

~

~

~

~ ~ ~ ~ ~

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

~

SEC Advanced.........................................~.................~..........~...................

TER p0115hlng lagoon

~ ~ ~ ~ ~ ~ ~ ~

~

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

~ ~

os

~

~ ~

~

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ PLA phoSPhoruS rea1OVal.

o ~ ~ ~ ~

~

~ ~

~ ~ ~ ~ ~ ~ ~ ~ ~ o ~ ~

~ ~ ~ ~

~ ~

~ ~

~

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ o PHO Nitrogen removal.

~ o ~ ~ ~\\ ~

~

~

~ ~

~ ~

~ ~

~

~

~

NIT Organic removal.

ROR D'sinfection.

DIS Residuals processing..

SLP Residuals disposal.

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

~ ~

~ ~ ~ ~

~ ~ ~

~

~ ~

~ ~ ~ ~ ~ ~ ~ ~

SLD OutfaQ ~ ~ ~ ~ ~ ~

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

~ ~ ~

~

~

~ ~ ~

~ ~ o ~ ~ ~ ~ ~ ~ ~ ~ ~ o ~ ~ ~ ~ ~ ~

~ ~ ~ ~ ~ ~ ~

~

~ ~ ~ ~ ~ ~ ~ ~ ~ ~

OUT Sanitary iaterceptiag sewer SIN Sanitary collector sewer.

CSE mg station.

Pump' IPU Force Main.

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

~ ~ ~ ~ ~

~ ~

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

~ ~ ~ ~

o FUM Infiltration correcnoa...........................................................................

INI 2AT-3

TABLE 3 UNITS OF MEASUI&MENTBY SIC CODE industry)

SIC Codes(s)

Code Units of Measuraneat 201; 2077 202; 5143 2033; 2034; 2037; 2038 2061 2062 2063 2077 (Sce SIC 201.)

2084 2085 2086 2091;2092 A A-2 A-3 B-1 C-1 D-1 E-1 E-2 E-3 F-1 F-2 F-3 G-1 Pound live weight killed (mcatpachng in slaughter house or pachng house; poultry processing)

Pound product (slaughtering and readering; prying)

Pound raw material (readering in offsite plant) 1,000 pound milk equivalent Ton raw material 1,000 bu processed Ton sugar cane pr~

Ton raw sugar proved Toa beets sliced Ton grapes pressed 1,000 gallons wine (table wine, for process season only) 1,000 bu grain processed 1,000 staadard cases Toa raw material Meat products.

Dairy products.

Canned and preserved fruits and vegetables.

Grain mill products.

Raw caac sugar.

Cane sugar refining.

Beet sugar.

Wines, brandy, and brandy spirits.

Distilled liquor, exc=pt brandy.

Bottled aad canned soft drinks.

Scafoods.

22 2421 H-1 H-2 1,000 lb raw material or 1,000 lb product 1,000 fbm Textile mill produce.

Sawmills and planing mills.

2435;2436 2491 2492 26 2812;2816;2819 2821;2823; 2824;2891;3079 2822 283 2841 2865;2869 2873;2874;2875 2879 2891 (Sec SIC 2821) 2911 3011;3021; 3031;3041;3069 3111 3211;3231 3241 327 3292 I-2 I-3 K-1 L-1 M-1 N-1 O-l 0-2 P-1 Q-1 R-1 S-l U-1 V-1 V-2 V-3 V-4 V-5 1,000 ft on thrcc&ighths inch basis 1,000 ft'reated 1,000 ft on a three-fourths inch basis To'n "product Ton product 1,000 pound product 1,000 pound rubber produced 1,000 pound raw material 1,000 pound product or 1,000 gallon product 1,000 pound product 1,000 ton produco 1,000 pound product 1,000 bbl crude or partially refined feedstock (stream day) 1,000 pound raw material 1,000 pound green salted hides or pickled shns 1,000 ton product or 1,000 ft mirrored surface (for mirrored glass only) 1,000 bbl produco 1,000 ton produc't 1,000 ton asbestos used Veneer and plywood.

Wood prese~ing.

Particle board.

Paper and allied products.

Inorganic chemicals.

Plastic materials and synthetic industry.

Synthetic rubber (vul-canizablc elastomers).

Drugs and pharmaceuticals.

Soap and detergents.

Organic chemicals.

Fertilizer industry.

AgriMtural chemicals and pesticides.

Petroleum refining.

Rubber producoa.

Leather tanning and finishing.

Flat glass and glass products made from purchased glass.

Hydraulic cement.

Concrete, gypsum, and plaster products.

Asbestos products.

2AT-5

331 W-1 W-2 Ton dry coal Ton hot metal Blast furnaces.

0 W-3 Ton liquid steel W-5 Ton processed steel WA Ton hot formed steel Steelworks.

Hot forming.

RoUing and finishing mills.

332 Ton metal cast Iron and steel foundries.

333 X-1 1,000 pound metal product Primary smelting and refining of nonferrous metals.

334 335 336 3465;3711;3714 X-2 X-3 Y-1 1,000 pound metal produc'.

1,000 pound metal p~ed 1,000 pound metal cast Unit production Secondary smelting and refining of nonferrous metals.

Rolling, drawing, and extruding of nonferrous metals.

Nonferrous foundries.

Automobile manufacturing 4911;4931 4961 Y-2 Z-l Z-2 or square feet 1,000 MWd generated 1 million pound steam produced Electric power services.

Steam supply.

DEP Fona d~.9IOC)

I I 2ATW 0

N~,~) 0001, R001

6. Disinfection Level Provided Low-level Basic Intermediate x

High-level High-level Alternative Ifthc facility disinfects by chlorination and the discharge is to surface waters, is dechlorination provided?

x Yes No

7. Residuals Treatment a.

Class of Residuals Class AA (Rule 62440.850, F.A.C.)

Class A (Rulc 62~.600, F.A.C.)

Class B (Rule 62~.600, F.A.C.)

Other Ifother, describe.

b. Parameter Concentrations Unknown Total Nitrogen Total Phosphorus Total Potassium Cadmium Copper Lead Nickel ZlGC pH Total Solids Other Parameters (Describe.)

% dry weight

% dry weight

% dry weight mg/kg dry weight mg/kg dry weight lng/kg dry weight mg/kg dry weight mg/kg dry weight standard units Date of Sample

8. Reliability Class x

Class II Class III Other Equivalent Reliability 2A-7

Sdgtgtl Number SECTION 3. A. DISCHARGES TO SURFACE WAT19G (Utciuding wetIaads)

1. Discharge Serial Number and Name Discharge Serial Number

?discharge Name Previous Discharge Serial Number 0001 FPL Coolin Mater Outfall System N/A

2. DLsclmrge Location County City or Town (ifapplicable)

Street or Description St. Liicie County South Hutchinson Island FPL Nuclear Power Plant Cooling Mater S stem Latitude Longitude Dates Coordinates Determined Method Used to Obtain Coordinates 27 o

21

'2

'N 80 o

14

'7 W

10

/

)5

/

96 USGS Ha

3. Disclutrge Operating Dates Discharge Start Date (est. )

Discharge End Date N/A gr

/

26

/

97 Reason for Discontinuing the Discharge N/A

4. Design Capacity of the Outfall Current Design Capacity Proposed Incremental Design Capacity Proposed Total Design Capacity

~ mgd

+~mgd 5.

Basis of Design How Ifother, specify.

Annual Average Daily Flow Maximum MonthlyAverage Daily Flow Three-Month Average Daily Flow

~ Other Hax.

Oa 2A-8

serial Number 6.

Basis for EIIluent Limitations TBEL x Level I WQBEL Level II WQBEL Other Ifother, specify.

Date Effluent Limitations Established

7. Discharge Point Descriptio x

Ocean Stream Esnmry Lake Wetland Other Ifother, specify.

8, Receiving Waterbody Name

9. Type of Receiving Waterbody Atlantic Ocean Fresh Brackish or Marine Class I Class II Class III Chss IV x Class V Is thc receiving waterbody contiguous to, or identified as, an Outstanding Florida Water (OFW) or an Outstanding National Resource Water?

Yes x

No Ifyes, name and locate on a USGS map.

ll. Outfall Information Description of Outfall and Diffuscr Construcnon Materials Length From Shore Diameter Discharge Depth Below Water Surface Receiving Water Bottom Depth Below Water Surface

1400, 000

144, 192 40, 63 40, 63 feet inches feet feet Two outfall pipes:

one of 12'iameter and 1400'ong with horizontal wye discharge fitting, one of 16'iameter and 3,000'ong with multiport diffuser system over last 1500'oncrete

12. Surface Water Improvement and Management (SWBf)

Serial Number 0

a. Will the discharge affect any SWIM plan waterbodies?

Yes X

No

b. Ifycs, name the waterbody.

c. Has thc SWIM plan been approved by a water management district and the Department?

Yes No

d. Ifycs, attach documentation that the proposed discharge is consistent with the SWIM plan.

13. Additional Information Required for Seasonal ot Periodic Disclutrges Unknown frequency

& duration of wet-weather discharges to alternate outfall.

Frequency Dura non Volume Occurrence Times Per Year Days Thousand Gallons Per Incident May Scp Oct Nov Apr Aug Dec

14. Additional Information Required for Limited Wet

. Weather Discharges Permitted in Accordance with Rule 62410.S60, F.A.C.

a. Downstream Watcrbody Refer to Revised Preliminary Oesign Report, dated June 1994, submitted with construction permit application Name of nearest downstr'earn lake, estuary, reservoir, OFW, or Class I water. Show location on a USGS map.

Atlantic Ocean Downstream Waterbody Description X

Stream Estuary Lake Wetland Other Ifother, specify.

2A-10

Classification of Downstream Waterbody serial Number Class I Class II Class III Class IV X

Distance Downstream Average Flow Velocity During Anticipated Periods of Discharge fcct per second Travel Time During Anticipated Periods of Discharge hours

b. Rainfall Information Rainfall Gauging Station Location Period of Record Analyzed:

Beginning Year Ending Year Number of Years

,. Average Annual Rainfall inches per year

c. Simulation of Operation of the Reuse, Storage, and Limited Wet Weather Discharge for an Average Rainfall Year Year Simulated Annual Rainfall During Average Year Number of Days Limited Wet Weather Discharge is Used During Avcragc Rainfall Year (N)

I'ercent of the Days of the Year that the Limited Wet Weather Discharge willOccur During Average Rainfall Year (P) days emote:

P

[ ( N ) I ( 365 ) ] x 100%.

P cannot exceed 25% or bc less than 1%.

d. Reclaimed Water Quality (maximum monthly average)

CBODi TKN (as Nitrogen)

DEt Faaa ~dlooi Qteaies I I 2A-11

Senal Number

c. Minimum Acceptable Stream DilutionFactor (SDF)

Note:

SDF = P(0.085 x CBODs + 0.272 x TKN - 0.484)

The values for CBOD~ and TKN should be in terms of maximum monthly average limitations as provided in 14.d. above.

The value of P should be as calculated in 14.c. above.

f. Adjusted Stream Dilution Factor Note:

Ifthe travel time shown in 14.a., above, is less than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />, provide the adjusted minimum acceptable stream dilution factor.

Adjusted SDF ~ SDF x (24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />)/(travel time in hours)

15. Additional Information Required for wetland Discharges lt/A

a. Is thc wetland a jurisdictional wetland (i.e. within the landward extent of waters as defined in Rule 62-301.400. F.A.C., or isolated and not owned entirely by one person, or owned entirely by the State)?

Ycs No

b. Will thc wetland bc used as a treatment wetland or receiving wetland?

Treatment Receiving Ifthe wetland is to be used as a treatment wetland, attach documentation showing ownership or the applicant's legal interest in the treatment wetland.

c. Ifthe wetland is to be used for treatment, identify the type.

Man-made Hydrologtcally Altered Unaltered

d. Is the wetland herbaceous or moody?

Herbaceous Woody

e. Identify the classification of surface waters within the wetland.

Class I Class II Class III Class IV Class V

f. Are the waters within the wetland part of an OFW?

Yes No DEB Fora ~8Mb I I 2A-12

scrLcl Number O001

~

~

16. Operational Data N/A (NEW PLANT UNDER CONSTRUCTION)

a. Descriptio of Infiucnt and ENucnt Flow mgd pH Units Fecal Coliform Bacteria Number/100 mL CBOD SMy mg/L Chlorine Total Residual mg/L Total Suspended Solids rng/L Ammonia (as N) zng/L Kjcldahi Nitrogen mg/L Nitrate (as N) mg/L Total Phosphorus (as P) mg/L Dissolved Oxygen mg/L Infiuent Annual Average Lowest Monthly Average EIHuent Highest Monthly Average Frequency of Number of Sample Analysis Analyses Type DE7 Fern ~.91OC)

E5ec&e I I 2A-13

a. Description of Influcnt and Effluen (continued) 000 1 0

Influent Effluent Annual Average Annual Average Lowest Monthly Average Highest Monthly Average Frequency of'nalysis Number of Analyses Sample Type

b. Additional Wastewater Characteristic Unknown (Hew plant under construction)

Parameter Parameter Bromide Chloride Cobalt Thallium Titanium Cyanide Fluoride Copper ZUlc Sulfide Aluminum Antimony Arsenic Betyllium

Barium, Manganese Mercury Molybdenum Nickel Selenium Algicides Chlorinated Organic Compounds Oil and Grease Pesticidcs Phcnols Boron Cadmium Silver Radioactivity

~ Ptovidc specific compound or clement as 'Additional Information', ifknown.

DEt Feaa ~.9 Ion)

Edaaiw I I 2A-14 0'

scrilt Number SECTION 3. B. REUSE A~ LAND APPLICATIONSYSTEMS 1..Reuse or Land Applicatioa System Serial Number and Name II Reuse or Land Application System Serial Number Reuse or Land Application System Name Previous Reuse or Land Application System Serial Number R001 South Hutchinson Island Reuse System N/A

2. Reuse or Land Applicatioa System Location County City or Town (ifapplicable)

Street or Description St. Lucie So. Hutchinson Island unincorporated)

Developments along SR A1A Latitude (Approx. centroid)

Longitude Dates Coordinates Determined Method Used to Obtain Coordinates 30 80 o

13 '0

'W 10

/

15

/

96 USGS Hap

3. Reuse or Land Application System Operating Dates System Operation Start Date (Earliest Estimate)

System Operatioa End Date 4

/

26

/

97 N/A

/

/

Reason for Discontinuing System Operation

4. Design Capacity of the Reuse or Land Application System Current Design Capacity Proposed Incremental Design Capacity Proposed Total Design Capacity 0

mgd

+

2.6 mgd 2.6 mgd 5.

Basis of Design Flow Annual Average Daily Flow Maximum Monthly Average Daily Flow Three-Month Average Daily Flow Other Ifother, specify.

Max.

Day

6. Underdrains and Perimeter Ditches

a. Is the reuse or land application system underdrained?

Yes x

No DER Facy CAR.9IOCA I I 2A-15

b. Are perimeter ditches used?

Seria Number Ycs x

No 0

Ifyes, will they be excavated to a depth which willintersect thc seas'onal high ground water table or the ground water mound during any portion of thc year?

Yes No

7. Type of Reuse qr Land Application System Slow-rate land application system/restricted public~ (Chapter 62410, F.A.C., Part Ii)

Slow-rate land applicatioa system/public access

areas, resideatial irrigation, aad edible crop imgatioa (Chapter 62<10, F.A.C., Part III)

Rapid-rate land application system (Chapter 62410, F.A.C., Part IV)

Absorption field system (Chapter 62<ID, F.A.C., Part V)

Overland flow system (Chapter 62410, F.A.C., Part Vi)

Other land applicatioa system with additional levels ofpreapplication treatment (Rule 62410.660, F.A.C.)

Other land application system with lower levels of preapplicatioa treatment (Rule 62410.670, F.A.C.)

8. Application Areas and Rates See Revised Preliminary Design Report dated June 1994 Site/Use Type/Major User Area (acres)

Rate (inches/weeit)

Capacity (mgd)

Total

9. Additional Information Required for Reuse Systems Permitted Under Part IIIof Chapter 62410, F.A.C.

X X

X X

Residential lawns--

Golf courses Cemeteries Parks, playgrouads Landscape areas Kghway mcdiaas, rightswf-way Edible crops Others Ifother, specify.

DER Feed ~.tloc)

I I 2A-16

scrhl Number R001

b. Other Uses of Reclaimed Water (Hone)

Toilet flushin Fire protecuon Construction dust control Aesthetic purposes (decorative ponds, fountains, etc.)

~

Others Ifother, specify.

c. How many hours per day, sevea days per meek, is or will an operator bc oa-site at the wastewater treatment facility?

16 hours1.851852e-4 days <br />0.00444 hours <br />2.645503e-5 weeks <br />6.088e-6 months <br /> per day Ifthe treatment facility is or willbe staffed by an operator less than 24 hrs/day, describe the additional levels of reliability included within the treatment or reuse systems.

(See Rule 62<10.462, F.A.C.)

Reuse pumping system operation only when plant

>s sta e

Automatic switch to reject disposal u on low TSS or chlorine residual.

d. For permit rcaewals, list the dates oa which the operating protocols (as described in Rule 62<10.463, F.A.C.) were submitted to the Department aad the date of the Department's approvals during the last five years.

H/A Date Submitted Date Approved

/

/

/

/

/

/

/

/

/

/

/

/

/

/

/

/

e. For each site where edible crops are or willbe irrigated with reclaimed water, describ the crops grown; thc type of application system used; provisions for crop washing aad for processing, ifany; and provisions for control of public access, ifaay.

(See Rule 62410.475, F.A.C.)

H/A DE7 Foaa 4~.9lma E5ecane I I 2A-17

Sccial Nucabcr SECTION 3. C.

GROUND WATER DISPOSAL BY UNDERGROUND INJECTION H/A

l. Underground Injection Wdl Facility Serial Number and Name Underground Injection Well Facility Serial Number Underground Injection Well Facility Name Previous Underground Injection Well Facility Serial Number

2. Underground Injection Wdl Facility Location County

, City or Town (ifapplicable)

Street or Description Latitude Longitude Dates Coordinates Determined Method Used to Obtain Coordinates N

W

3. Underground Injection Weu Facility DEP Identification Number or Permit Application Number

4. Discharge Operating Dates Discharge Start Date Discharge End Date 0

Reason for Discontinuing the Discharge

5. Design Capacity of the Underground Injection Wdl Facility Current Design Capacity

'roposed Incremental Design Capacity Proposed Total Design Capacity mgd mgd mgd

6. Basis of Design Flow Annual Average Daily Flow Maximum Monthly Average Daily Flow Three-Month Average Daily Flow Other Ifother, specify.

2A-18

Nu~r

0001, R001 SECTION 4. SCHZDULZD IMPRO~~ tTS AND SCHEDULES OF IMPLY~ATION

1. Improvements Required

a. Discharge Serial Numbers, Reclaimed Water Reuse or Land Application System Serial Numbers, and Undergxound Injection Wen Facility Serial Numbers Affected

b. Authority Imposing Requiremeat Ifother, specify.

c. Improvement

Description:

3wharacter General Acaoa Descriptioa 3~ter Specific Action Descriptions

2. Implementation Schedule and Actual Completion Dates

~

~

0001, R001 Local State Federal x

Developed by Applicant Other NEW PRT T

SEC

(

SLO T

OOT Implementation Steps a.

Preliminary Plans Complete b.

Final Plans and Specifications Complete c.

Financing Complete d.

Site Acquired e.

Begin Coastructioa

f. End Construction g.

Begin Reuse or Disposal h.

Operational Level Attained I

/

/

I

/

/

I

/

I

/

4 /

29

/

97 4 I 29

/ 97 4 /29

/97 Actual Completion 6

/

/

94 2

10

/

/

95 94 11

/ 6

/

95

/

/

/

/

/

/

DE7 Form ~.$ 10C)

ESOocoro I I 2A-19

Scsial Number SECTION 5. INDUSTIUALWASTEWATER CONTIU3UTIONS (Ho industries in service area per County Ordinance)

1. Significant Industrial User Name Number and Street City/StateJZi p Code County

2. PrinnLry Standard Industrial Classification Code

3. Principal Product or Raw Material Product Description Quantity per Day Units (See Table 3)

Raw Material

4. How Volume Frequency

5. Pretreatment Provided

. 6.

Characteristics of Wastewater Gallons Per Day Intetmittent Continuous Yes No Parameter Name Value Units 2A-20

SECTION 6. ADDITIONALINFORMATIONREQUIMU3 FOR PEIMIT REi K%'ALS

~

~

~

NOT APPLICABLE 1.

Have there been any modifications to the treatment Qcilities or reuse or disposal system, since the issuance of the current permit? Ifyes, describe on a separate sheet and attach.

2. For limited wct weather discharges, have any modifications been made to thc operation, frequency of discharge, or stream hydrology since the original limited wet weather discharge permit or the most recent permit. Ifyes,.describe on a separate sheet and attach.

Ycs No NA 3.

Have there been any violations during the last six months? Ifyes, describe on a separate sheet and attach.

Yes No

4. Have there been any treatment facility interfercnces due to the discharge of industrial wastewater to the treatment facility during thc last six months? Ifyes, describe on a separate sheet and attach.

Yes No S.

Is there any enforcement action pending against these treatment, reuse, or disposal facilities? Ifyes, describe on a separate sheet and attach.

Yes No 6.

Have all previous permit conditions, including pretreatment requirements, monitoring requirements, and operator attendance been complied with? Ifno, describe on a separate sheet and attach.

Yes No

7. For permit renewals involving a limited wet weather discharge permitted under Rule 62410.860, F.A.C., list the number of days during each of the last fivyears that the limited wet weather discharge was used.

Also, list the total annual rainfall for each year.

Number of Days Used P

(>)

Annual Rainfall (inches) 2.

Total/Average 2A-21

8. For permit renewals involving a limited wet weather discharg~ permitted under Rule 62610.860, F.A.,C.,

pc@vide the number of days during each of the last five years that the actual dilution ratio, as defined in Rule 62410.860, F.A.C., was less than the minimum SDF and the number of months in which the monthly average CBOD, or Tel in the limited wet weather discharge exceeded the permit limitations.

Number of Days the Dilution Ratio Was Less Than SDF Number of Monthsthe Limits Were Exceeded CBOD~

3.

SECTION 7. ADDITIONALINFOR'ISATIONREQUGG2) FOR RESIDUALS/SEPTAGE htANAGKVQ~Vl'ACILITIES

1. Location of Residuals Treatment Processes On wastewater treatment plant site.

Sludge storage and

>me sta >>zat>on (Describ in relation to the wastewater treatment processes.)

facilities located adjacent to clarifiers.

No residuals/septage from off-site.

2. Type and Amount of Waste Treated at this Facility Ho residuals received from off site facility.

Amount (gallons/day)

Amount (dry tons/day)

Type Residuals Septage Food Establishment Sludge Portable Toilet Waste or Holding Tank Waste Boat or Marina Waste Other (Describe.)

or Total or Estinmtcd Actual Is the total amount estimated or actualg

3. Information on Treatment Facilities Transporting Residuals

a. DEP Permit Number

b. Facility Name Number and Street City/State/Zip Code Counry Telephone

c. Facility Type Type I Type II Type III 2A-23

d. Amount of Residuals Received From This Facility Is this amount estimate or actual?

dry tarn/day or e4 Q

e. Describe the treatment provided by this facility before transport.

f. Parameter Concentrations Total Nitrogen Total Phosphorus Total Potassium Cadmium Copper Lead Nickel Z1QC pH Total Solids Other Parameters (Describe.)

% dry werght

% dry weight

% dry weight mg/kg dry weight mg/kg dry weight mg/kg dry weight mg/kg dry weight mg/kg dry weight standard units Date of Sample

4. Describe the manifest system used for tracking residuals during transport from the facilities.

2A-24

SECTION 8. DOCUM~A.TIONSK3MITTED 1.

General Application Requirements Yes No a.

Proem FIow Diagram b.

Site Plaa c

Lccanoa Map d.

Agricultural Usc Plan or Dedicated Site Plan e.

Capacity Analysis Report

f. Results of Whole Efflucat Biological Toxicity Testing g.

Reuse Feasibility Study h.

Binding Agre"meats and Documentation of Controls oa Individual Users of Reclaimed Water 2.

Additional Application Requirements for New Facilities and Modifications to Existing Faalities No a.

PteUminaty Design Report

b. Documentation of Complianc. with Antidegradatioa Requiremcats c.

Public Service Commissioa Certification Number aad Copy of C raficat or Order Number aad Copv of Order

d. I '. from the 2vfanagemeat and Stortge of Suriac= Wa~ Perznitnng Ageacy e.

Request for Approval of Monitoring Plans for Discharge of Domesac Wastewater to Wetlands

f. Coac~t Applicatioa for Ground Water Disposal by Unde. ground Injecaon g.

Applicatioa for Monitoring Plan Approval 3.

Additional Application Requirements for Permit RenewaJs H/A Yes No a.

Operation and Mainteaanc Performaac= Report b.

Reclaimed Water of Efflueat Analysis Report c.

Technical Evaluation of Need to Revise Local Pretreaaneat Limits d.

Results of Mechanical Integrity Testing

SECTION 9.

CERTIHCATIONS 1.

CerttTtcati pas for Construction of New Facilities or Modification to Existing Famlities

a. Applicant or Authorized Representative I certify that thc statemeats made in this application for a petit aad ail anachmcats are ttue co~t aad complctc to thc best of my Itnowledge and belief.

I agree to retaia thc design engineer pf another professional eagineer registered in Florida, to conduct oa-site observation pf construction to p~~

notification of completioa of cpasttuction, and to review record drawings fpr adequacy as refc~~ ia Rulc 62420.630, F.A C. Further, I agree to provide aa appropriate operation aad maintenance ma ggf for thc faciliues pursuaat tp Rule 62<20.630, F.A.C., aad tp retain a professional engineer registered ia Flo~d to examine (or to prepare or revise, ifa~sary) the manual.

For projects regulated by Chapter 62410, F.A.C., I agree to provide the additional operation requirements of that Chapter.

(Signature of Applicant or Authorize/ Rcpr~tative')

(Date)

William Blazak Utilities Oir'ector Phoae 561-462-1150 St. Lucie County Co~y Address

> rg>n~a venue City/State/ZipCode ort merce.

b. Professional Engineer Registers in Florida I edify that the engineering features of this domestic wastewater prpj ect have beea (desi:~ed (axaminad) by me and found to conform to eagineeHng principles applicable to such projects.

In my professional judgemeat, this facility,whea propeHy cpasuucuxl, operated, and maintained, willcomply withall applicable statutes of the State of Florida and rules of the Department.

Name (please type)

Oavid F. Holtz, P.E.

Florida Registration Number 42595 Company Name Cam Oresser 4 McKee Inc.

Company Addrcss1601 Belvedere

Road, Ste.

211, So.

City/State/Zip CodeW.

Palm Beach, FL 33406 Phoae Number 561 689-3336

c. Professional Engineer Registered ia Florida (Seal, Signature, Date, and RegisttationNumbe.)

I certify that this firmor individual has been retained by the applicant to prepare a aotificatioa ofcompletipa of construcaon, to p~are operation and maintenance manuals, aad to review record dtawings for adequacy as reference in Rules 62420.630, 624C0.717, and 62<CO.720, F.A.C'.

Name (please type)

Oavid F. Hol tz P.E.

Florida Registration Number 42595 Company Name Camo Oresser h McKee Inc.

Company Address 1601 Belvedere

Road, Ste.

211, So.

City/State/Zip Code W. Palm Beach, FL 33406 Phoae Number 561 689-3336 (Seal, Sigaature, Date, and Rcgistatioa Number)

Df? Farm CAR.910C) 2A-26

2. Certilications for Permit Renewals HIA

~ a. Applicant or Authorized Representative I certify that the statements made in this application for a permit and all attachments are true, correct and complete to the best of my knowledge and belief. I agree to operate and maintain these wastewater facilities in such a manner as to comply with the provisions of Chapter 403, F.S., Chapter 62400, F.A.C., and all ocher applicable rules of the Dcpartmcnt.

Further, an appropriate operation and mainteaance manual which been examined by a

professional engineer as certifi below is available and located at and can be submitted upon rtsqucst as part of the permit procedure.

A copy of the record drawings or other plans (as applicable) showing modifications to existing facilities, as referenced in Rulc 62~.717, F.A.C., is avaBablc at the same location. I also understand that a permit ifgranted by the Departmen, is transferable only upon Department approval in accordance with Rule 62420.340, F.A.C., and I willnotify the Department in accordance with this rule upon sale or legal transfer of thc permitted facilities. In thc event of abandonmcat or inactivation of the facilities, I will notify the Departtnent and ensure that public health and safety are protected as required by Rule 62420.610, F.A.C.

(Signature of Applicant or Authorized Representative' (Date)

Name (please type)

Title Phone Company Name Company Address City/State/Zip Code

b. Professional Engineer I certify that the engineering features of thcsc domestic wastewater facilities have been examined by me and found to conform to engineering principles applicable to such projects.

I certify that the operation and maintenance manual for these wastewater facilines has been prepared or examined by me or by individual(s) under my direct supervision and that thcrc is reasonable assurance, in my professional judgement, that the facilities, when properly operated and maintained in ~rdancc with this manual, will comply with all applicable statutes of thc State of Florida and rules of the Department.

Name (please type)

Florida Registration Number Company Name Company Address City/State/Zip Code Phone Number (Seal, Signature, Date, and Registration Number)

'tr signed by thc authorized scpscacntatsivc, attach a tcaer or authorization.

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INSTRUCTIONS FOR FORM 2F

'Bust File Form 2F DEP Form 62420.910(8) (Form 2F) must be completed by owners or operators offacilities that discharge stormwater to surface water from a domestic wastewater or industrial facility or activity which discharges to surface water that is permitted by the Depaiunent under Section 403.0885, F.S.

In addition to Form 2F,

a. owners or operators of discharges of stormwater at a facility which discharges process wastewater to surface water must complete and submit DEP Forms 62420.910(l) and (5) (Forms 1 and 2CS).

(See Rule 62420.200, F.A.C., for a definition of process wastewater.)

b. owners or operators of discharges of stormwater at a facilitywhich discharges non-process wastewater to surface water must complete and submit DEP Forms 62420.910(1) and (4) (Forms 1 and 2ES).

(See Rule 62420.200, F.A.C., for a definition of non-process wastewater. }

c. owners or operators of discharges of stormwater from a domestic wastewater facilitywhich discharges to surface water must complete and submit DEP Forms 62420.910(l) and (2) (Forms 1 and 2A).

(See Rule 62420.200, F.A.C., for a definition of domestic wastewater facility.)

Vhere to File Applications The application forms should be sent to the appropriate Department office listed in Form 1.

completeness application willnot be considered complete unless you answer every question on this form and the other forms listed above.

an item does not apply to you, enter NA'fornot applicable) to show that you considered the question.

ublic Availabilityof Submitted Information You may not claim as confidential any information required by this form oi'he other required forms, whether the information is reported on the forms or in an attachment.

Chapter 119, F.S., requires that aH permit applications be made available to the public upon request.

Any information, except effluent data, you submit to the Department which goes beyond that required by the forms listed above may be claimed as confidential ifthe requirements of 40 CFR 2 are met. Ifyou do not assert a claim of confidentiality at the time of submitting the information, the Department may make the information public without further notice to you.

o~initions

'Stormwater discharge'eans the flow of water which occurs following a rainfall event from domestic wastewater facilities and industrial facilities, including plant yards; immediate access roads and rail lines used or traveled by carriers of raw materials, manufactured products, waste material, or by-products used or created by the facility; material handliug sites; refuse sites; sites used for the application or disposal ofprocess wastewater; sites used for the storage and maintenance ofmaterials handling equipment; siw used for residual treatment, storage, or disposal; shipping and receiving areas; manufacturing buildings; storage areas, including tank farms, for raw materials, intermediate and finished products; and areas where industrial activity has taken place in the past and significant materials remain to be exposed to stonnwater.

"Material handling activities" means the storage, loading and unloading,,transportation, or conveyance of any iaw material, intermediate product, finished product, by-product or waste product.

'Ihe term excludes areas located on plant lands separate from 2F-2

the industrial activities as long as the drainage from the excluded areas is not mixed with stormwater drained from the described areas..

'Significant materials'eans raw materials, fuels, solvents, detergents, plastic pellets, finished materials, metallic products materials used in food processing or production, hazardous substances designated under section 101(14) of CERCLA, any chenu the facility is required to report pursuant to section 313 of title IIIof SARA, fertilizers, pesticides, waste products, ashes, slag and sludge that have the potential to be released with stormwater discharges.

Additional significant terms used in these instructions and in the form are defined in the glossary found in Form 1 or in Chapter 62-25, 62400, 62420, or 62-660, F.A.C.

ID Number Fillin your identification number at the top of each odd-numbered page of Form 2F. You may copy this number directly from Form

1. Ifyou are applying for the initialpermit for your facilityor activity and do not have an identification number, leave this item blank and the Department willassign a number.

Item I Determine the latitude and longitude of each of your outfalls and the name of the receiving water. Ifyour stormwater is combined with domestic, process or non-process industrial wastewater, indicate which of the outfalls identifiied on Form 2A, 2CS or 2ES will contain the combined wastewater.

Item II-A Ifyou check yes'o this question, complete all parts of the chart, or attach a copy of any previous submission you have made to the Department containing the same information.

Item II-B You are not required to submit a description of future pollution control projects ifyou do not wish to or ifnone is planned.

Itein III Attach a site map showing topography depicting the facilityincluding:

each of its drainage and discharge structures; the drainage area of each storm water outfall; paved areas and building within the drainage area of each stormwater outfall, each known past or present areas used for outdoor storage or disposal of significant materials, each existing structural control measure to reduce pollutants in stormwater runoff, materials loading and access

areas, areas where pesticides, he*icides, soil conditioners and fertilizers are applied; each ofits hazardous waste treatment, storage or disposal facilities (including each area not required to have a RCRA permit which is used for accumulating hazardous waste for less than 90 days);

each well where fluids from the facility are injected underground; and springs, and other surface water bodies which receive stormwater discharges from the facility.

DEP Foaa 624%.9lOPi E5aabe Hovcaker D. i991 2F-3

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For each outfall, provide an estimate of the area drained by the outfall which is covered by impervious surfaces.

For the purpose of this application, impervious surfaces are surfaces where stormwater runs offat rates that are significantly higher than background rates (for example, pre-development levels) and include paved areas, building roofs, parhng lots, and roadways.

Includ an estimate of the total area, including all impervious and pervious areas, drained by each outfall. The site map required under Item IIIcan be used to estimate the total area drained by each outfall.

Item IV-B Provide a narrative description of signifiicant materials that are currently or in the past three years have been treated, stored, or disposed in a manner to allow exposure to stormwater, method of treatment, storage or disposal of these materials; past and present materials management practices employed, in the last three years, to minimize contact by these materials with stormwater runoff; materials loading and access areas and the location, manner, and frequency in which pesticides, herbicides, soil conditioners, and fertilizers are applied. Significant materials should be identified by chenucal name, form (powder, liquid, etc.), and type of container or treatment unit. Indicate any materials treated, stored, or disposed of together.

Significant materials'ncludes, but is not limited to: raw materials; fuels; materials such as solvents, detergents, and plastic pellets; finished materials such as metallic products; raw materials used in food processing or production; hazardous substances designated under CERCLA; any chemical the facilityis required to report under Title IIIof SARA; fertilizers; pesticides; and waste products such as ashes, slag and sludge that have the potential to be released with stormwater discharges.

Item IV-C For each outfall, structural controls include structures which enclose material handling or storage areas covering materials, berms, es, or diversion ditches around manufacturing, production, storage or treatment units, retention ponds, etc. Nonstructural controls ude practices such as spill prevention plans, employee training, visual inspections, preventive maintenance, and housekeeping easure that are used to prevent or mininuze the potential for releases of pollutants.

tern V Provide a certification that all outfalls that should contain stormwater discharges associated with industrial activity have been tested or evaluated for the presence ofnon-stormwater discharges which are not covered by an wastewater permit under Rule 62420, F.A.C.

Tests for such non-stormwater discharges may include smoke tests, fiuorometric dye tests, analysis of accurate schematics, as well as other appropriate tests.

Part B must include a description of the method used, the date of any testing, and the onmte drainage points that were directly observed during a test. Allnon-stormwater discharges must be identified in a Form 2CS or 2ES application

, which must accompany this application.

Ttem VI

'k Provide a description of existing information regarding the history of significant leaks or spill of toxic or hazardous pollutants at the facility in the last three years.

.:em VII-A,B, and C These items require you to collect and report data on the pollutants discharged for each of your outfalls.

Each part of this item addresses a different set of pollutants and must be completed in accordance with the specific instructions for that part.

The following general instructions apply to the entire item.

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General Instructions for Item VII-A,B, and C part A requires you to report at least one analysis for each pollutant listed.

Parts B and C requires you to report analytical data in two ways. For some pollutants addressed in Parts B aad C, ifyou know or have reason to know that the pollutant is present in your discharge, you may be required to list the pollutant aad test (sample aad analyze) and report the levels of the pollutants in your discharge.

For all other pollutants addressed in Parts B and C, you must list the pollutant ifyou know or have reason to know that the pollutant is present in the discharge, and either report quantitative data for the pollutant or briefly describe the reasons the pollutant js expected to be discharged.

(See specific instructions on the form aad below for Parts A through C.) Base your determination that a pollutant is present in or absent from your discharge on your knowledge of your raw materials, material managemeat practices, maintenance chemicals, history of spills and releases, intermediate and final products and by-products, and any previous analyses known to you of your efflueat or similar effluent.

A. Sampling:

The collection of the samples for the reported analyses shall be in accordance with 40 CFR 136 aad Rule 62-160, F.A.C. Any specific requirements contained ia the applicable analytical methods should be followed for sample containers, sample preservation, holding times, the collection ofduplicate samples, etc. The time when you sample should be representative, to the exteat feasible, ofyour treatment system operating properly with no system upsets.

Samples should be collected from the center of the flow channel, where turbulence is at a maximum, at a site specified in your present permit, or at any site adequate for the collection of a representative sample.

For pH, temperature, cyanide, total phenols, residual chlorine, oil aad grease, and fecal coliform, grab samples takea during the first 30 minutes, or as soon thereafter as practicable, of the discharge must be used.

For all other pollutaats both a grab sample collected duriag the first 30 minutes, or as soon thereafter as practicable, of the discharge and a flow-weighted composite sample must be analyzed.

However, a minimum of one grab sample may be taken for efflueats from holding ponds or other impoundmeats with a retention period of greater thaa 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />.

Allsamples shall be collected from the discharge resulting from a storm event that is greater than 0.1 inches and at least 72 ho from the previously measurable (greater than 0.1 inch rainfall) storm even.

Where feasible, the variance in the duratioa of the eveat and the total rainfall of the event should not exceed 50 percent from the average or mediaa rainfall event in that area.

A grab sample shall be taken during the first 30 minutes, or as soon thereafter as practicable, and a flow-weighted composite shall be taken for the entire event or for the first three hours of the event.

Grab aad composite samples are defiaed as follows:

Grab sample: An iadividual sample of at least 100 milliliters collected during the first 30 minutes, or as soon thereafler as practicable, of the discharge.

This sample is to be analyzed separately from the composite sample.

How-Weighted Composite sample: A low-weighted composite sample may be taken with a continuous sampler that proportions the amount of sample collected with the flowrate or as a combinatioa of a minimum of three sample aliquots taken in each hour of discharge for the entire eveat or for the first three hours of the event, with each aliquot being at least 100 milliliters and collected with a minimum period of 15 minutes between aliquot collections. The composite must be flowproportional; either the time interval between each aliquot or the volume of each aliquot must be proportional to either the stream flow at the time of sampling or the total stream flow since the collection of the previous aliquot.

Aliquots may be collected manually or automatically.

Where GC/MS Volatile Organic Analysis (VOA) is required, aliquots must be combined in the laboratory immediately before analysis.

Only one analysis for the composite sample is required.

Data from samples taken in the past may be used, provided that all data requirements are met; sampling was doae ao more than three years before submission; and all data are representative of the present discharge.

2F-5 0-

Concentration ppb pitts 'p'cr billion opm parts pcr million

~glt miihgrams pcr liter sg/t micrograms pcr liter kg kilograms ong the factors which would cause the data to be unrepresentative are significant changes in production level, changes in raw terials, processes, or final products, and changes in stormwater treatment.

The Department may request additional information, including current quantitative data, ifit is necessary to assess your discha'rges.

The Department may allow or establish appropriate site-specific sampling procedures or requirements, including sampL'ng locations, the season in,which the sampling takes place, the minimum duration between the previous measurable storm event and the storm event sampled, the minimum or maximum level ofprecipitation required for an appropriate storm event, the protocols for collecting samples under 40 CFR 136 or Rule 62-160, F.A.C., and additional time for submitting data on a case-by-case basis.

Mass

.bc pounds ton tons (English mns) wg milligrams grams tonnes (meuic tons)

B. Reporting: Alllevels must be reported as concentration and mass.

Grab samples are reported in terms of concentration.

You may report some or all of the required data by attaching separate sh~

of paper instead of filling out pages VII-1 and VII-2 if separate sheets contain all the required information in a format which is consistent with pages VII-1 and VII-2in spacing and identification of pollutants and columns.

Use the abbreviations listed below in the columns headed

'Units.'ll reporting of values for metals must be in terms of 'total recoverable metal, unless (1) An applicable, promulgated effluent limitation or standard specifies the limitation for the metal in dissolved, valent, or total form; or (2) Allapproved analytical methods for the metal inherently measure only its dissolved form; or (3) The Department has determined that in establishing case-by~

limitations it is necessary to express the limitations on the

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metal in dissolved, valent, or total form to carry out the provision of the CWA. Ifyou measure only one grab sample and one ow-weighted composite sample for a given outfall, complete only the 'Maximum Values'olumns and insert '1'nto 'Number of Storm Events Sampled column. The Department may require you to conduct additional analyses to further characterize your discharges.

Ifyou measure more than one value for a grab sample or a flow-weighted composite sample for a given outfall and those values are representative of your discharge, you must report them.

You must describe your method of testing and data analysis.

You also must determine the average of all values within the last year and report the concentration and mass under the 'Average Values columns, and the total number of storm events samples under the 'Number of Storm Events Sampled'olumns.

C.

Analysis: "You must use test methods promulgated in 40 CFR 136 or Rule 62-160, F.A.C.; however, if none has been promulgated for a particular pollutant, you may use any suitable method for measuring the level of pollutant in your discharge provided that you submit a description of the method or a reference to a published method.

Your description should include the sample holding time, preservation techniques, and the quality control measures which you used. Ifyou have two or more substantially identical outfalls, you may request permission from your permitting authority to sample and analyze only one outfall and submit the results of the analysis for other substantially identical outfalls. Ifyour request is granted by the Department, on a separate sheet attached to the application form, identify which outfall you did test, and describe why the outfalls which you did not test are substantially identical to the outfall which you did test.

Part VQ-A Part VII-Amust be completed by all applicants for all outfalls who must complete Form 2F.

Analyze a grab sample collected during the first 30 minutes, or as soon thereafter as practicable, of the discharge and flow-weighted 2FW

composite samples for all pollutaats ia this Part, and rcport thc results except use only grab samples for pH and oil and grease.

See discussion in General instructions to Item VIIfor definitions of grab sample collected during the first 30 minutes of discharg flow-weighted composite sample.

The "Average Values'olumn is not compulsory but should be filled out ifdata are avails Part VII-B List all pollutants that are limited in an effluent guideline which the facility is subject to or any pollutant listed in the wastewL ~

permit for the facility. Complete one table for each outfall. The 'Average Values columa is aot compulsory but should be fitt<

out ifdata are available.

Analyze a grab sample for all pollutants in this Part, and report the results, except as provided in the GenM Instructions.

Part VII'ustbe completed by all applicants for all outfalls which discharge stormwater associated with industrial activity, or~

the Department is evaluating for'designation as a significant contributor of pollutants to waters, or a contributing to a violation of water quality standards.

Use both a grab sample aad a composite sample for all pollutaats you analyze for in this part except use gab samples for residual chlorine and fecal coliform. The 'Average Values'olumn is not compulsory but should be filled out ifcata are available.

Part C requires you to address the pollutants in Table 2F-2, 2F-3, and 2FA for each outfall. Pollutants in each of Qme Tables are addressed differently.

Table 2F-2: For each outfall, list all pollutants, except pollutants previously listed in Part VII-B,in Table 2F-2 that you know or have reason to believe are discharged.

Ifa pollutant is limited in an effluent guideline limitation for the facility, the pollutant must be analyzed and reported in Part VII-B. Ifa pollutant in Table 2F-2 is indirectly limited by an effluent guideline limitation through aa indicator, you must analyze for it and report the data in Part VII-B. For example, TSS is used as an indicator to control the discharge of iroa and aluminum.

For other pollutants listed ia Table 2F-2, those not limited directly or indirectly by an effluent limitatioa guideline, that you know or have reason to believe are discharged, you must either report quantitative data or briefl describe th reasons the pollutant is expected to be discharged.

Table 2F-3: For each outfall, list all pollutant in Table 2F-3 that you know or have reasoa to believe are discharged.

For every pollutant in Table 2F-3 expected to bc discharged in concentrations of 10 ppb or greater, you must submit quantitative data.

For acrolein; acrylonitrile; 2,4 dinitropheaol; and 2-methyl<,6 dinitrophenol, you must submit quantitative data ifany of these fear pollutaats is expected to be discharged in concentrations 100 ppb or greater.

For every pollutant expected to bc discharged in concentrations less thaa 10 ppb (or 100 ppb for the four pollutants listed above), thea you must either submit quantitative data or briefly describe the reasons the pollutant is expected to be discharged.

Table 2FQ: For each outfall, list any pollutant in Table 2FA that you know or believe to be present in the discharge and explain why you believe it to be present.

No analysis is required, but ifyou have analytical data, you must report them.

Certaia discharges of hazardous substances may be exempted from the requirements of section 311 of the CWA which establishes reporting requiremen's.

Please contact the Department for further information.

Part VII-D Ifsampling is conducted during more than one storm event, you only need to report the iaformation requested in Part VII-Dfor uc storm event(s) which resulted in any maximum pollutant concentration report in Part VII-A,VII-B,or VII-C.

Provide flowmeasurements or estimates of the flowrate, and the total amount ofdischarge for the storm event(s) sampled, the meth'f flowmeasurement, or estimation.

Provide the data and duration of the storm event(s) sampled, rainfall measurement, oresti~

of the storm event which generated the sampled runoffand the duration between the storm event sampled and the end of the previous measurable (greater than 0.1 inch rainfall) storm event.

DER Foaa 424%.9 le)

Eeoc&a Navcakor ~. i%4 2F-7

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Part VII-E

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t any toxic poQutant listed in Tables 2F-2, 2F-3, or 2F-4 which you currently use or manufacture as an intermediate or final duct or by-product.

In addition, ifyou know or have reason to believe that 2,3,7,8 tetrachlorodibenzo-pWoxin (TCDD) is aischarged, or ifyou use or manufacture 2,4,5-trichlorophenoxy acetic acid (2,4,5,-T); 2-(2,4,5-trichlorophenoxy) propanoic acid (Silvex, 3,4,5,-TP);

2-(2,4,5-trichlorophenoxy) ethyl, 2,2&chloropropionate (Erbon); O,0~ethyl O-(2,4,5-trichlorphmyl) phosphorothicate (Ronnel); 2,4,5-trichlorophenol (TCP); or hexachlorophene (HCP); then list TCDD. The Department may valve or modify the requirement ifyou demonstrate that it would be unduly burdensome to identify each toxic pollutant and the Department has adequate information to issue your permit.

You may not claim this information as confiidential; however, you do not have to distinguish between use or production of the pollutants or list the amounts.

Item VIII Self explanatory.

The Department may ask you to provide additional details after your application is received.

Item X Chapter 403, F.S., provides for severe penalties for submitting false information on this application form. Rule 62420.305, F.A.C.,

requires the certification in this item to be signed by an appropriate and responsible authority. Ifthe certification is not signed in accordance with this rule, the application willbe deemed incomplete and returned.

2F-8

TABLE2F-1 CODES FOR TREATMPfTUNITS Physical Treatment Processes 1-A Ammonia Stripping 1-B Dialysis 1-C Diatomaceous Earth Filtration 1-D Distillation 1-E Electrodialysis 1-F Evaporation 1&

Flocculation 1-H Flotation 1-I Foam Fractionation 1-J Freezing 1-K Gas-Phase Separation 1-L Grinding (Comminutors) 1-M Grit Removal 1-N Microstraining 1-0 Mixing 1-P Moving Bed Filters 1-Q Multimedia Filtration 1-R Percolation Pond 1-S Rapid Sand Filtration 1-T Reverse Osmosis (Hyperfiltration) 1-U Screening 1-V Sedimentation (Settling) 1-W Slow Sand Filtration 1-X. Solvent Extraction 1-Y Sorption Chemical Treatment Processes 2-A Carbon Adsorption 2-B Chemical Oxidation 2-C Chemical Precipitation 2-D Coagulation 2-E Dechlorination 2-F Disinfection (Chlorine) 2N Disinfection (Ozone) 2-H Disinfection (Other) 2-I Electrochemical Treatment 2-J Ion Exchange 2-K Neutralization 2-L Reduction Biological Treatment Processes 3-A Activated Sludge 3-B Aerated Lagoons 3-C Anaerobic Treatment 3-D Nitrification-Denitrification 3-E Pre-Aeration 3-F Spray Imgation/Land Application 3W Stabilization Pon'ds 3-H 'rickling Filtration Other Processes 4-A Discharge to Surface Water 4-B Ocean Discharge Through Outfall 4-C Reuse/Recycle of Treated ENuent 4-D Underground Injection DEF Foaa d2dXL9LOP)

Bfcahe~ B, 1994 2F-9

Sludge Treatment aad Disposal Processes 5-A Aerobic Digestion 5-B Anaerobic Digestion 5-C Belt Filtration 5-D Centrifugatioa 5-E Chemical Conditioning 5-F Chlorine Treatment 5&

Composting 5-H Drying Beds 5-I Elutriation 5-J Flotation Thickening 5-K Freezing 5-L Gravity Thickening 5-M Heat Drying 5-N Heat Treatment 5-0 Incineration 5-P Land Application 5+

Landfill 5-R Pressure Filtration 5-S Pyrolysis 5-T Sludge Lagoons 5-U Vacuum Filtration 5-V Vibratioa 5-W Wet Oxidation TABLE2F-2 CONVENTIONALAND NON-CONVEYHONALPOLLUTANTS Aluminum, Total Barium, Total Boron, Total Bromide Chlorine, Total Residual Cobalt, Total Color Fecal Coliform Fluoride Iron, Total Magnesium, Total Molybdenum, Total Manganese, Total Nitrate-Nitrite Nitrogen, Total Organic Oil and Grease Phosphorus, Total Radioactivity Sulfate Sulfite Surfactants Tin, Total Titanium, Total 2F-10

TABLE2F-3 TOXIC POLLUTANTS Antimony, Total Arsenic, Total Beryllium, Total Cadmium, Total Chromium, Total Toxic Pollutants and Total Phenol Copper, Total Cyanide, Total Lead, Total Mercury, Total Nickel, Total Pheaols, Total Selenium, Total Silver, Total Thallium, Total Zmc, Total GC/MS Fraction Volatiles Compounds Acrolein Acryloaitrile Benzeae Bromoform Carbon Tetrachloride Chiorobenzene C3dorodibromomethane Chloroethane 2-Chloroethylvinyl Ether Chloroform Dichlorofromomethane 1,1-Dichloroethane 1,2-Dichloroethane 1,1-Dichloroethylene 1,2-Dichloropropane 1,3-Dichloropropyleae Ethylbenzeae Methyl Bromide Methyl Chloride Methylene Chloride 1,1,2,2-Tetrachloroethane Tetrachloroethylene Toluene 1,2-Tnns,Dichloroethylene 1,1,1-Trichloroethaae 1,1,2-Trichloroethane Trichloroethylene VinylChloride 2~oropheaol 2,4-Dichlorophenol 2,4-Dimethylpheaol 4,6-Dinitro-O-Cresol Acid Compounds 2,4-Dinitrophenol 2-Nitrophenol 4-Nitrophenol p-Chloro-M-Cresol Pentachlorophenol Phenol 2,4,6-Trichlorophenol 2-methyl',6 dinitrophenol 0 Base/Neutral Acenaphthene Acenaphthylene Anthracene Benzidine Benzo(a)anthracene Benzo(a)pyrene 3,4-Benzoflurorantheae Benzo(ghi)perylene Benzo(k) fluoranthene Bis(2whloroethoxy)methane Bis(2whloroethyl)ether Bis(2~hloroisopropyl)ether Bis(2~thylyhexyl)phthalate 4-Bromophenyl Phenyl Ether Butylbenzyl Phthalate 2~oronaphthaleae 4-Chlorophenyl Phenyl Ether Chryseae Dibenzo(a,h)anthracene 1,2-Dichlorobenzene 1,3-Dichlorobenzene 1,4-Dichlorobenzene 3,3-Dichlorobenzidine Diethyl Phthalate Dimethyl Phthalate Di-N-ButylPhthalate 2,4-Dinitrotoluene 2,6-Dinitrotoluene Di-N-Octylphthalate 1,2-Diphenylhydrazine(as Azobenzeae)

Fluroaathene Fluoene Hexachlorobenzene Hexachlorobutadiene Hexachloroethane Indeao(1,2,3M)pyrene Isophoroae Nap thalene

¹trobenzene N-Nitrosodimethylamine N-Nitrosodi-N-Propylamine N-Nitrosodipheaylamine Phenanthrene Pyrene 1,2,4-Trichlorobenzene DEP Foaa AEQ0.9IOg)

BfocuvsN~ %, l994 2F-11 O.

c Aldrin Alpha-BHC Beta-BHC Gamma-BHC Delta-BHC Chlordane 4,4'-DDT 4,4'-DDE 4,4'-DDD Pesticides Dieldrin Alpha-Endosul fan Beta-Endosul fan Endosulfan Sulfate Endrin Endrin Aldehyde Heptachlor Heptachlor Epoxide PCB-1242 PCB-1254 PCB-1221 PCB-1232 PCB-1248 PCB-1260 PCB-1016 Toxaphene TABLE2F-4 HAZARDOUS SUBSTANCES Toxic Pollutant Asbestos Hazardous Substances kcetaldehyde Qlyl alcohol All 1 chloride acetate e

denzonitrile Benzyl chloride 3utyl acetate 3utylamine Carbaryl

~bofuran ebon disulGde Chlorpyrifos Coumaphos

resol

~rotonaldehyde Cyclohexane

.,4-D (2,4cHchlorophenoxyacetic acid) 3iazinon Dicamba Dichlobenil

)ichorvos Diethyl amine Dimethyl amine Dinitrobenzene Diquat Disulfoton Diuron Epichlorohydrin Ethion Ethylene diamine Ethylene dibromide Formaldehyde Furfural Guthion Isoprene Isopropanolamine Kelthane Depone Malathion Mercaptodimethur Methoxychlor Methylmercaptan Methyl methactylate Methyl parathion Mevinphos Mexacarbate Monoethyl amine Monomethyl amine Naled Napthenic acid Nitrolouene Parathion Phenolsul fonate Phosgene Progargite Propylene oxide Pyrethrins Quinoline Resorcinol S tronthium Strychnine Styrene 2y4y5 T tZ,4$-Tdchlosyhcooxyaccdicccid)

TDE (Tetrachlorodiphenyl ethane) 2,4i5 Tp ~~T~~pccoeade eci4 Trichlorofan Triethylamine Trimethylamine Uranium Vanadium Vinylacetate Xylene Xylenol ZUcotuum CHXL9lOIal 2F-12

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eV iNarratirc Description ol'ollutant Sources:

Fat:ility t.D Nggg~f 5156C01726 r A For each outfall, provide an estitnate of the area (include units) of 'unpcrvious surfaces, including paved areas and building roofs, drained to thc outfall, snd an c~te of thc toud surface area dratncd by the outfall, h

Ho.

Area of impervious Surface (units) 1.40 acres Total Ar~ Drainca (umts) 6.40 acres Outfall No.

Area of Impervious Surface (units)

Total Area Drained (units)

B. Pnsvide a narrative dcsetiotion of signiGcant materials that ate currently, or in the past three years have been, treated, stored or disposed in a manner that allows stor or di w', sast acd prcscm nuts."Ms mg-

.-'w"'tee~

~d contact with storm water tune;.t mstcnals loaaine ann access areas; and thc location, manner, and Qtequcncy in which pcsticidcs, hcrbicidcs, soil conditioners, and fcrtiRcrs are applied.

The site will be a wastewater treatment and reclaimed water production facility.

The facility is designed with inherent safety measures to minimize the potential for leaks.

Potentially hazardous materials to be stored on the site include diesel fuel, polymer, sodium bisulfite, sodium hydroxide and chlorine gas.

All chemical storage facilities include secondary containment systems.

C. For each outfall, provide the location and a description of existing suuctural and nonsuuctural control measures to reduce pollutants in stormwatcr runoff; snd a desertion of the treaunent thc stormwatcr receives, including the schedule and type of maintcnancc for control and treauncnt measures and thc ultimate disposal of any solid or Quid wastes other than by discharge.

)utfall No.

Stormwater system is designed to retain all stormwater up to and including 25-year, 72-hour storm event.

Oischarge structure includes a 2.5-inch orifice with shear gate for pond bleed-down.

Tab'4 MtGde Hon-stortnwater Dischargcst N/A (New facility under construction)

A. I certify under penalty of law that the outfaH(s) covered by this applicsdon have been tested or evaluated for thc prescncc of non-stotmwatcr discharges, and that sll non-stormwatcr discharges from these outfall(s) are idcntiffcd in either an accompanying DEP Form 62420.910(5) or (7) (Forms 2CS or~ application for thc outfaQ.

Name and OfGcial Title (type or print)

Signature Date Signed B. Pnsvide a descriptio of the method used, the date of any testing, and the onsitc drainage points that were directly obscrvcd during a test.

"ISgniGcant Leaks or SpiBst N/A (New facility under construction)

Provide existing information regarding thc history of signiGcant leaks or spills of toxic or haxatdous pollutants at the faciTity in thc last three years, including thc approximate date and location of thc spill or leak, and thc type snd amount of material released.

2F-14

Facility I.D. Number 5156C01726 VIIDischarge information:

N/A (New faci 1 ity under constr uction)

A, B, C, N D: Sec insuuctioas before proceeding.

Complete one sct of tables for each outfall. Aanotatc the outfall number ia thc space provided.

Tables VG-A, VH-B, and VH4 are included oa separate ahccts numbered VH.I snd VH-2.

E. Potcnuai discharges not covered by analysis - is aay toxic poUutant listed in Table 2F-2, 2F-3, or 2F-t, a substance or a component of a substance which you currendy usc or maaufacmte as aa intermediate or Gael product or byproduct?

Yes gist all such pollutants below)

No (go to sccuon X)

VIIIBioiogicaIToxiatyTesting Data N/A (New facility under construction)

Do you have any hewlcdge or teasoa to bclicve that any biological test for acute or chronic toxicity has been made on any ofyour discharges or oa a recciviag water in tetsuoa to your discharge within thc last 3 years?

Yes (Est all mch polluumts below)

No (go to Secuoa X)

IXContract Analysis Information N/A Were any ofthc analysis reported in item VH performed by a contract laboratory or consultiag ftrm?

Ycs (Est thc name, address, and tclcphone number of, aad pollutants analyzed by each such laboratory or Qrm below)

No (go to Secuoa X)

h. Name B. Address C, Area Code dc Phoae No.

D. Pollutants Analyzed ocr Foaa cd&sletst Muaiw ttovazher v, toss 2F-15

a X-ACERTIHCATIONS FOR NEW OR MODIHED FACILITKS F ~yg) No xlNC01726

.~ 1 cerdfy that the enginccring features ofuus poUuuon contxol project have been designed by mc and found to'be in conformity with sound enginecring principles, appU bie i lo thc txeatmcnt and disposal of poUutants characterize in thc permit application. There is reasonable assurance, in my professional judgmccx, that thc poUudion contxol fsclUtics <<hcn pxopcriy maintained and opcratcd, wiU discharge an cfQucnt that complies with aU applicablc stamtcs ofthc State ofFlorida and thc rules of thc Depaxtxnent.

agreed that the undersigned, ifauthorize by Ihc owner, willfurnish thc applicant a sct ofinstxuctions for thc proper maintenance and opersdon ofthc poUudon sciliYies and, ifapplicable, poUudion sources.

Oavid F. Holtz, P.E.

Name (plcasc type)

Camp Oresser

& HcKee Inc.

":-,.gany N.=.o Address:

1601 Belvedere Road, Suite 21i South

's.~ox Scag donor Tclcphonc No.

>61-oow-d3ao Date:

I certify under penalty oflaw that this document and aU attachments were prepared under my direction or supervision in accordance with a system designed to assuxe that lualiGed pcrsonncl properly gather and evaluate thc informadion submiacd.

Based on my inquiry of thc person or persons who manage thc system or those persons ~y esponsible for gathering thc information, thc information submiucd is, to the best of my knowledge and bclicf, true, accurate, and complete. I am aware that there axe signiGcant penalties for submiaing false information, including thc possibiTity of Gnc and ixnprisonmcnt for knowing violations.

William Blazak Utilities Oirector Name &, OfGcial Title (type or print)

Signature 561-462-1150 Telephone No. (axea code *no.)

Date Signed TIFICATIONSFOR PERMIT RENEWALS N/A i certify that thc enginccring fcaturcs ofthis poUution contxol project have been examined by mc and found to bc in conformity with sound cnginecring principle, appUcabie to thc txeauncnt and disposai ofpoUutants charactcrized in thc permit application. There is reasonable assuxance, in my professional judgment, that thc poUution control iciTities, when properly maintained and operated, willdischarge an cfUuent that complics with aU applicable statutes ofthe State ofFlorida and thc rules ofthe Depaxtxncnt.

Signauue Company Name Name (please type)

Address:

(AflixScag Florida Registration No.

Telephone No.

Date:

ccxtify under penahy oflaw that this document and aU auachmcnts were prepared under my dirccdion or supervision in accordance with a system designed to assure that ualiGcd personnel properly gather and evaluate the information submiucd.

Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the infortnation, the informadion submiucd is, to thc best of my knowledge and beUcf, uue, accurate, and complete. I am aware that there axe

'gnilicant penaldics for submiuing false information, including the posability of fine and imprisonment for knowing violations.

Name &, OfGcial Tide (type or print)

Signamre Tclcphonc No. (area code &, no.)

Date Signed

'P Foas 424%.9 texan Bfoahe ttoveakec 2I, lsss 2F-16

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SITE DRAINAGEi>IAP