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STATE OF CONNECTICUT DEPARTMENT OF ENVIRONMENTAL PROTECTION Central Permit ProcessingUnit DEP USE ONLY 79 Elm Street Hartford, CT 06106-5127 Permit Application Transmittal Form Please complete this transmittal form in accordance with the instructions in order to ensue;the proper handling of your application(s)and the associated fee(s). Print legibly or type. Part 1: Applicant Information pPucan'. Town of South Windsor Mailing Address: 1540 Sullivan Avenue Cityrrown: South. Windsor ..��State: Cr Zip Code: 06074 Business Phone 860 644-2511 ext.: Fax: F(R60) 644 7280 1 Contact Person: C. F. Shaw Phone: 8g- 511 ezt• 247= Applicant(check one): ❑ individual ❑ company ❑ federal govi ❑ state agency municipality If a Company,list company e. .,corporation, limited partnership,etc.): ❑ Check if any co-applicants. If so,attach additional sheet(s)with the required information as supplied above. Please provide the following information to be used for billing purposes only, if different:_. CompanyAndividual Name: Town of South Windsor Mailing Address: 1540 Sullivan Avenue Cityfrown: South Windsor State: F-C-T--1 zip Code: 06074 Contact Person: C. F. Shaw Phone: (86j�644 2511 ext. 247 Part 111: Project Information f P I f arfn Renewal of surface water discharge permit No:. Cr 0100510 for operation of wastewater collection and treatment system. Location(City/Town): I Vibert ndqnr.—CT— Other Project Related Permits(not included with this form): None I1 ............__._. i DEP-APP-001 1 of 4 Rev.11/10/04 t Part III: Individual Permit Application and Fee Information New, No.of Original+ or Renew individual Permit Applications Initial Permits Repui Fees Applied For Total Initial Fees Co es l _ J New Source Review $750.00 _._ _t 1+0 ! Title v 'n Permits none __� -'---_____._._ 1+0 To Groundwater $1050.00 To Sanitary Sewer POTW $1050.00 ��._._ a _ 1+1 To Surface Water NPDES $1050.00 �, i_ �� 1+2 �-- Dam Construction none 1+2 Flood Management Certification none Inland 401 Water Quality Certification none I Inland Wetlands and Watercourses none __ ____ �µ� � 1+5 1 -- -_ Stream Channel Encroachment Lines Water Diversion * `"-" 1+5 Certificate of Permission $400.00 1+3 Coastal 401 Water Oualky Certification none �� _� 1+3 i Structures and ngrridal Wetlands $525.00 1+3 Aerial Pesticide Application * � �� 1+2 Aquatic Pesticide Application $100.00 r 1+0 �... i CGS Section 22a.454 Waste Facilities * [ 1+1 ti Hazardous Waste Treatment�Stor a and Disposal Facilities * 1+1 E � 4 [ Marine Terminal License $125.00 1+0 RCRA Closure Plan =3750.00 1+0 RCRA Post Closure $3750.00 1+0 Solid Waste Facilities _ (( 1+2 Waste Transportation Subtotal at GENERAL PERMITS and AUTHORIZATIONS Subtotals Page 3 14 ;---t Enter subtotals from Part IV,Pages 3&4 of this form Subtotals Page 4 1*_ 0.00 �0�� 1$0.001,050 00 114020 " * See fee schedule on individual application. DEP-APP-001 2 of 4 Rev.11110104 s Part IV., General Permit Registrations and Requests for Other Authorizations Application and Fee Information Initial . Original+ ✓ General Permits and Other Authorizations Permits Total initial Fees Required Fees Applied For Copies ❑ Construct and/or Operate a New or Existing Emergency Engine $500.00 ___._ ? C ... 1-0 Construct and/or Operate a New or Existing Phase 1 Distributed $500.00 1 t 0 ❑ Generation E nea...._ ❑ Construct and/or Operate a New or Existing Surface Coating $500.00 - `� '" " 1+0 Operation ❑ Limit Potential to Emit from Major Stationary Sources of Air $1000.00 � 1+0 Pollution ❑ Emergency Authorization ❑ Temporary Authorization ii-- ❑ Other,(please specify)s E== ❑ Domestic Sewage $500,00 !_._ � � 1+0 ❑ Food Processing Wastewater $500.00 t�-� -:. 1+0 ❑ Groundwater Remediation Wastewater to a Sanitary Sewer $500.00 _e t T ry � 1+0 ❑ Hydrostatic Pressure Testing $500.00 C�. i 1+0 ❑ Hydrostatic Pressure.Testing(Natural Gas Pipelines) $1000.00 t.. __^s- tF __� 1+1 ❑ Minor Non-Contact Cooling and Heat Pump Water $500.00 1+1 .._ .-:. r ❑ - Minor Photographic Processing -4 1.0 - - _Minor Printing 3 Publishing Wastewater $500.00 L._. �. 1+0 -:. - ❑ Minor Tumbling or Cleaning of Parts Wastewater =1000A0 �� 1+1 Miscellaneous Discharges of Sewer Compatible Wastewater 1+1 El Flow<5,000 gpd and fire sprinkler system testwater :500.00 -- -- ----� ❑ Flow>5,000 gpd $1000.00 ❑ Stormwater Associated with Commercial Activities $500.00 � � � 1-0 ❑ Stormwater Associated with Industrial Activities t500.00 1,+O. Stormwater S Dewatering Wastswaters-Construction Activities ❑ 5 acres 00.00 10 a 1+0 ❑ >10 acres =101000.00 ❑ Swimming Pool Wastewater-Public Pools and Contractors smo.00 �_�� � 1+0 Vehicle Maintenance Wastewater Registration Only $SOO.00 1+0 00 ❑ Approval of Registration by DEP $10 .00 - ❑ Water Treatment Wastewater $500.00 E_ �J � 1+0 ❑ Emergency Authorization-Discharge to POTW $375.00 1+0 ❑ Emergency Authorization-Discharge to Surface Water $750.00 r�---t i 1+0. Temporary Authorization-Discharge to POTW $375.00 t1—.. _1 1+0 ❑ Temporary Authorization-Discharge to Surface Water $760.00 !�_�__. ��� 1+0 ❑ Other.(please specify): --------- �� r------------ ** Contact the specific permit program for this information(Contact numbers are provided In the instructions). DEP-APP-001 3 of 4 Rev.11110104 Part IV: General Permit Registrations and Requests for Other Authorizations Application and Fee Information (continued) Oinal ✓ General Permits and Other Authorizations Mihal Permits Total Initial Fee Required No of Fees Applied For Copies Now _ ❑ Dam Safety Repair and Alteration $1000.00 s _ 1+2 ❑ Diversion of Water for Consumptive Use1+2 ❑ Habitat Conservation s1000.00 _ i •H. _. 1+2 © Lake Pond and Basin Dredaing $1000.00 _ ----- 1+2 ❑ Minor Gradina $1000.00 _.._.. 3 e._.....__.._.-. 1+2 ❑ Minor Structures $1000.00 �� 1+2 ❑ Utilities and Drainage $1000.00 _.__ -7 1 1+2 ** Emergency Authorization �.____..,.._._._...._,_ �._._.,_...__...._... ❑ Other, leasespecify): y --- E�---.---� �-•___ ❑ 4/40 Docks $700.00 ❑ Non-harbor Moorings $100.00 ( �� 1+0 ❑ Osprey Platforms and Perch Poles none ��� 1+0 © Pump-out Facilities no fee for Clean Vessel Act grant recipients) $100.00 t lM_ _ 1+0 ❑ Remedial Activities Required by Order s700.00 1+0 ❑ Residential Flood Hazard Mitigation $100.00 � i 1+0 ❑ Swim floats $100.00 1+0 ❑ Emergency Authorization ❑ Temporary Authorization Other, lease s - ❑ .(p pacify)•L ❑ Addition of Grass Clippings at Registered Leaf Composting —Y Facilities $500.00 "� -` "" '� 1+0 ❑ Asbestos Disposal Authorization $240.00 t�W_ t 1+0 ❑ Construct and Paint and Stain Bulld Facilities $500.00 L___;_� €._` _.__ _ tt4 1-0 ❑ Construct and Operate Paint and Stain DropFacilities $200.00 1_ _ i 1+0 ❑ Drop-site Recycling Facility $200.00 #�M -- 1+0 ❑ Leaf Compostina Facility none 1+1 ❑ Limited Processing Recycling Facility $500.00 1+0 [j One Day Collection of Household Hazardous Waste and Hazardous $500.00 Waste from Certain Generators ❑ Recyclables Transfer Facility $500.00 1+0 ❑ Single Item Recycling Facility $500.00 �_w�._� ] 1+0 ❑ Special Waste Authorization $525.00 � � _ � 1+0 ❑ Emergency Authorization ❑ Temporary Authorization ❑ Other,(please specify): _ * See fee schedule on application. * * Contact the specific permit program for this information (Contact numbers are provided in the instructions). DEP-APP-001 4 of 4 Rev.11/10/04 Permit Application for Wastewater Discharges Please complete this form in accordance with Section 22a-430 CGS and Sections 22a-430-3,4, 6 and 7 RCSA and the instructions(DEP-PERD4NST-100). Print or type unless otherwise noted. Part 1: Application Type in the table categories of discharge sources originating from the site. Identify the application type by placing an"N"for new permit,"R"for a renewal of an existing permit, and"M"for a modification of an existing permit in the box(es)by the corresponding type of receiving water. DER Use Only ✓ Categories of Discharge Sources Type of Application Facility I.D. (check all that apply): Receiving Type Water N, R,M Application No. Permit No. Manufacturing, Commercial,.Mining,or Surface Water ❑ Silvicultural Activities POTW (Process Wastewater) Ground water Surface Water Domestic Sewage Treatment Facilities POTW R Ground Water Surface Water ❑ Solid Waste Disposal Areas-Landfills POTW Ground Water *Land Treatment Non-point Source Surface Water ❑ Systems (incl. Septic Tank Systems> Pon✓ 5000 gpd) Ground Water Surface Water ❑ Agricultural Activities Pow✓ Ground Water Surface Water ❑ Concentrated Aquatic Animal Production Pony Facilities Ground Water Surface Water ❑ Privately Owned Treatment Works Pony Ground Water Surface Water ❑ Other(please specify): Pon'►' Ground Water * Before completing an application:for this type of discharge, contact the Subsurface Disposal Section of the Bureau of Water Management at 860-424-3018 for additional information. Bureau of Water Management DEP-PERD-APP-100 1 of 9 Rev.08/21/03 Part I: Application Type (continued) If this application is for a renewal or modification of an existing permit or includes a discharge previously licensed by a general permit or an emergency or temporary authorization, provide: 1. Facility I.D. number(Formerly known as DEP/WPC number): 132-001 2. Permit or Authorization Number(s) Expiration Date: Category of Discharge Source 0100510 12it9/2006 Sanitary Sewage Part II: Fee Information Please note:effective August 21, 2003 the initial fee of$1050.00 is to be submitted for each permit that you are applying for(i.e. a permit for all surface water discharges, a permit for all POTW discharges, and/or a permit for all ground water discharges). For municipalities the initial fee is$525.00 for each permit.The application will not be processed without the initial fees.An invoice will be sent for the remaining fee amount. See Section 22a-430- 6 RCSA for the remaining fee amount and for permit modification fees. Part III: Applicant Information 1. Fill in the name and phone number of the applicant(s)as indicated on the Permit Application Transmittal Form(DEP-APP-001). Applicant:Town of South Windsor: Phone:860-644-2511 Location address, if different than mailing address: 1 Vibert Road South Windsor, CT ❑ Enter a check mark if there are co-applicants. If so, label and attach additional sheet(s)with the above information for each co-applicant. 2. List primary contact for departmental correspondence and inquiries,if different than the applicant. Name: C. F. Shaw Mailing Address: 1540 Sullivan Avenue City/Town:South Windsor State: Cr Zip Code:O6074_ Business Phone: 860 -644-2511 ext. 247 Fax:860_644-7280 Contact Person:C. F. Shaw Title: Superintendent. of. Pollution C"' Control Bureau of Water Management DEP-PERD-APP-100 2 of 9 Rev.08/21/03 Part III: Applicant Information (continued) 3. List attorney or other representative, if applicable. Firm Name: Halloran & Sage LLP Mailing Address:One Goodwin Square, 225 Asylum Street City/Town:Hartford State:CIC Zip Code: 06103- Business Phone:86O 522-6103 ext. Fax: 860-548-0006 Attorney: Duncan J. Forsyth Title: 4. Facility or Site Owner, if different than the applicant. Name: Mailing Address: City/Town: State: Zip Code: - Business Phone: - - ext. Fax: - - Contact Person: Title: Location address, if different than mailing address: 5. List any engineer(s)or other consultant(s)employed or retained to assist in preparing the application or in designing or constructing the activity. Please enter a check mark if additional sheets are necessary, and label and attach them to this sheet. Name: NONE Mailing Address: City/Town: State: Zip Code: Business Phone: - -_ ext. Fax: - - Contact Person: Title: Service Provided: Bureau of Water Management DEP-PERD-APP-100 3 of 9 Rev.08/21/03 r Part IV: Site Information 1. Name of facility, if applicable: Town of South Windsor Water Pollution Control Facility Street Address or Description of Location: One Vibert Road City or Town: §outh Windsor Latitude and I ongiti ide of the PPrOxtm8t8"C " , Ad secoA . Latitude: 72037'30" Longitude: 41049'30" Method of determination(check one): ❑ GPS USGS MAP ❑ other If a USGS Map was used, provide the quadrangle name:Manchester 2. Is the activity,which is the subject of this application located within the coastal boundary as delineated on DEP approved coastal boundary maps? ❑ Yes ® No If yes, and this application is for a new permit or for a modification of an existing permit,you must submit a Coastal Consistency Review Form(DEP-APP-004)with your application as Attachment G. Question No. 3 is Optional 3. Is the project site located within an area identified as a habitat for endangered,threatened or special concern species as identified on the "State and Federal Listed Species and Natural Communities Map"? ❑ Yes 91 No Date of Map: If yes, complete and submit the attached Connecticut Natural Diversity Data Base(CT NDDB) Review Request Form to the address specified on the form. When submitting this permit application, please include copies of any correspondence to the NDDB, including copies of the completed CT NDDB Review Request Form, any field surveys, and any other information which may lead you to believe that endangered or threatened species may or may not be located in the area of your existing or proposed permitted activity,as Attachment H. 4. Is the project site located within a town required to establish Aquifer Protection Areas? (Check town list in instructions) IN Yes ❑ No hyes, is the site located in an initial setback area or recharge area as identified in a Level B map? Yes ® No 5. Is the project site located on federally recognized Indian lands? ❑ Yes No 6. Does this application include any stormwater discharges to a Medium Municipal Separate Storm Sewer System (MS4)? ❑ Yes ® No Bureau of Water Management DEP-PERD-APP-100 4 of 9 Rev.08/21/03 Part V: Facility or Activity Information 1. For the facility or activity generating the discharge, provide a list of principal raw materials utilized, products produced or services provided, if applicable. Principal Raw Materials: Domestic Sewage ProductsProduced:Wastewater slfiap:ind trda:teda .f-Itient Services Provided: Wastewater collection and treatment 2. SIC Codes: Primary: 4952 Note: For domestic sewage treatment facilities the SIC code is 4952. 3. Identify wastes or wastewaters not included in this application or previously licensed by another permit or general permit. For domestic sewage treatment plants, include grit, screenings and sludge at a minimum. Type Quantity(mass per unit time) Method of disposal incineration,waste hauler,etc. Grit 90 ta6r Waste hauler Sludge 783 talyr Incineration by MDC r or Bureau of Water Management DEP-PERD-APP-100 5 of 9 Rev.08/21/03 Part V: Facility or Activity Information (continued) 4. Inventory of toxic and hazardous substances and oil or petroleum liquids(please see instructions) 0 Please enter a check mark if additional sheets are necessary. If so, please reproduce this sheet and attach copies to this sheet. Use of toxic or hazardous If stored on-site,indicate TRI Name of toxic or hazardous substance and maximum maximum quantity of pollutant substance or oil quantity .used per day stored substance ves or no Pbtassi Pmm-@mte Control H2S2 100 lbs. (72) 551b containers 607 Cesar Oil Iubricmt varicus 55 S mIl Tel h s T15 W System I lic 011 I 11ic Oil (UV) K_: 4oz/wee1t3D gal Gatti Gattim Fi dd Cuttirg&Mrhinirg Metal; (Pb Distillate) used as reltrired 36, 13oz- Spray Electrical. aWanw 1 1, Contact Gemer; use as DidAOredrrL—l-Fluaethaie needed 24, 2(b z:; S, MDisWm Displaces ELer-U cal. Egnpnmt; (Petmlem Distillate) used as reeded 24, 14MV;Spray Pemb:atixg OilFr np xit y; Ngthe, Eftml uses= as regAred 24; 2+46vz Spray FbMtratfig&Release Frri pint 4mgsmbly; Methylene NDr-i& u as regAred 12, 16oz Spray M±11 626 Beadrig lub icant; Bpi g Oil use as r>eede`l 10 PA1 L.E. 6404 t tcr ditfused- lbrbim Oi-1 air blower; 40 Wy.r. .55 gal L.E. 1275 Bear— t; Case use as needed gg pounds Mbbik DIE 24 I re i Main Hy>;�. System; 50 gal;per year 55 gal SAE 1544k%tar Oil anpnmt use as rid Wasp&Harriet Killer jct plien TPee Ih�tillate HA _-gl; use as 12,15 carte "dil nsedei Bureau of Water Management DEP-PERD-APP-100 6 of 9 Rev.08/21/03 Part V: Facility or Activity Information(continued) 5. For outstanding requirements or compliance schedules which are related to the discharges that are the subject of this application, provide the following: Final Compliance Date Identification of Requirement Brief Description of Project and Status (Indicate whether federal, state or local required or projected Omrat' s evaluation �rov'd' s. N©V/WR/MU#05-002 s e o maximize rea men End 11/2005 reduction. Part VI: Supporting Documents Be sure to read the instructions(DEP-PERD-INST-100)to determine whether the attachments listed are applicable to your specific activity. Please enter a check mark by the attachments as verification that all applicable attachments have been submitted with this permit application form. When submitting any supporting documents, please label the documents as indicated in this part(e.g.,Attachment A, etc.)and be sure to include the applicants name as indicated on the Permit Application Transmittal Form. Unless otherwise specified,all attachments must be completed by all applicants. ® Attachment A: Executive Summary (DEP-PERD-ARP-101) ❑ Attachment B: Applicant Background Information (DEP-PERD-APP-008);if applicable ® Attachment C: Applicant Compliance Information(DEP-APP-002); if applicable Attachment D: A USGS Quadrangle Map indicating the exact location of the facility or site and Latitude and Longitude Form(DEP-APP-003). (Not required for applications to discharge from Landfills) ® Attachment E: For Renewal of an Existing Permit and Other Discharges Previously Licensed by DEP, (DEP-PERD-APP-102) (Not required for applications to discharge from Land Treatment Non-point Source Systems) ® Attachment E1: Certification Regarding Submittal of Previously Approved Documents, (DEP-PERD- APP-102A); if applicable ® Attachment F: Site Plans and Floor Plans (Not required for applications to discharge from Landfills or Land Treatment Non-point Source Systems. Domestic Sewage Treatment Facilities need only include a site plan,floor plans are not required) ❑ Attachment G: Coastal Consistency Review Form(DEP-APP-004); if applicable Bureau of Water Management DEP-PERD-APP-100 7 of 9 Rev.08/21/03 Part VI: Supporting Documents (continued) ❑ Attachment H: Copies of any correspondence provided to or received from the CT NDDB program, including a copy of a completed CT NDDB Request Form(DEP-APP-007)and copies of any field surveys previously conducted to determine the presence of any endangered, threatened or special concern species. Pollution Prevention Plans: Attachments I—L (Not required for applications to discharge from Land Treatment Non-point Source Systems) ® Attachment 1: Operation and Maintenance for Collection and Treatment Systems: ChecklistGene I Description an PI on(DEP--PERD--AP - ❑ Attachment J: Solvent Management Plan;if applicable with Plan Checklist and Certification(DEP- PERD-APP-104) ® Attachment K: Spill Prevention and Control Plan Checklist and Certification(DEP-PERD-APP-105) For applications to discharge process wastewaters,the Spill Prevention and Control Plan must be submitted also. (Not required for applications to discharge from Domestic Sewage Treatment Facilities) ' ❑ Attachment L: Resource.Conservation Strategies (DEP-PERD-APP-106) (Not required for applications to discharge from Domestic Sewage Treatment Facilities) Attachment M: Line Drawing and Process Flow Diagram, if applicable. (Not required for applications to discharge from Land Treatment Non-point Source Systems. Domestic Sewage Treatment Facilities need only include a process flow diagram;aline drawing is not required.) ❑ Attachment N: Description and Plans and Specifications of Collection,Treatment and Disposal Systems (Not required for applications to discharge from Land Treatment Non-point Source Systems, Landfills to groundwater or Domestic Sewage Treatment Facilities) ® Attachment O: Discharge Information(DEP-PERD-APP-107) (Not required for applications to discharge from Land Treatment Non-point Source Systems, Landfills,Agricultural Activities, and Concentrated Aquatic Animal Production Facilities) ® Attachment P: Domestic Sewage Treatment Facilities(DEP-PERD-APP-108)(Not required for applications to discharge from subsurface systems) ❑ Attachment Q: Discharges of Domestic Sewage Through Land Treatment Non-Point Source Discharge Systems, Including Septic Tank Leachfield Systems(DEP-PERD-APP-109)Submit an engineering report as specified in this attachment. - ❑ Attachment R: Checklist for Solid Waste Disposal Areas(DEP-PERD-WEED-APP-110)Complete the checklist, including Leachate Parameters and Appendix I and II of Part 258(DEP- PERD-APP-110A). ❑ Attachment S: For applications to discharge from agricultural activities, submit a farm waste management plan as specified in the instructions(DEP-PERD-INST-100). For applications to discharge from Concentrated Animal Feeding Operations,complete the form (DEP-PERD-APP-111). Bureau of Water Management DEP-PERD-APP-100 8 of 9 Rev.08/21/03 Part VI: Supporting Documents (continued) ❑ Attachment T: Concentrated Aquatic Animal Production Facilities (DEP-PERD-APP-112) ❑ Attachment U: For applications to discharge from a community sewerage system not owned by a municipality, submit a signed letter from the Water Pollution Control Authority of the municipality in which the system exists, as specked in the instructions(DEP-PERD- INST-100). ❑ Attachment V: Privately Owned Treatment Facilities (DEP-PERD-APP-113) Part VII: Application Certification The applicant(s) and the individual(s)responsible for actually preparing the application must sign this part. An application will be considered insufficient unless all required signatures are provided. I have personally examined and am familiar with the information submitted in this document and all attachments thereto, and I certify that based on reasonable investigation, including my inquiry of the individuals responsible for obtaining the information,the submitted information is true,accurate and complete to the best of my knowledge and belief. I certify that this application is on complete and accurate forms as prescribed by the commissioner without alteration of the text. I understand that a false statement in the submitted information may be punishable as a criminal offense, in accordance with Section 22"of the General Statutes, pursuant to Section 53a-157b of the General Statutes, and in accordance with any other applicable statute. I certify that I will comply with all notice requirements as listed in Section 22a-6g of the General Statutes. Signature of Applicant Date Matthew B. Galligan Town Manager Name of Applicant(print or type) Tale(if applicable) G / Z/aon.6 Signature of Preparer Date C. F. Shaw Superintendent of 'Pollution Name of Preparer(print or type) Title (if applicable) C6ntrol ❑ Please enter a check mark if additional signatures are necessary. If so, please reproduce this sheet and attach signed copies to this sheet. Bureau of Water Management DEP-PERD-APP-100 9 of 9 Rev.08/21/03 A Attachment A: Executive Summary Applicant Name: Town of South Windsor (as indicated on the Permit Application Transmittal Form) Location of Facility or Activity: 1 Vibert Road, South Windsor, CT 06074 -Contact-Pei sen=C. i;'�—S� one: -644-2511, ext. 247 For renewals or modifications of an existing permit, provide the Facility I.D.No.: 132-001 In the table below il'sti each.discharge that is the subject of this application. For renewals of existing permits, label each discharge by the same discharge serial number stated in the previous permit and provide the existing permit number. For new permits, label each discharge to a surface water consecutively starting with serial number 101;for discharges to a POTW label each discharge consecutively starting with 201;and for discharges to ground water label each discharge consecutively starting with 301. �xDscharge � � ame xaf dtscharge r x enaF Maximum 'Category of ovation Name oflaaTW- Y-Geo �a'tiiba[Vxlescrt Mori Hu peel ::Flow �schar e g P P Name surface anrater of totion of dtscha eta' Pe mlt .�{ga110"� ounce � M - '�-� � Yoh°jrottndwater�ame.:of �"oint���'.,�0 feet�o h u per der tfi , 3 ar#ace watersfierarea� rdm earBricgej �: �� gg CT 010051 39750,030 Sewatery Connecticut River rust sou at g amp aver, en of Va pert. Road Bureau of Water Management DEP-PERD-APP-101 1 of 2 Rev.08/07/00 Provide a brief general description of the nature of the business or activity and of.each existing or proposed activity or process generating each discharge. For new discharges, provide a timeline for initiation of the discharges as well as a brief summary of the environmental impact of the proposed discharges. ❑ If additional sheets are necessary, please label and attach them to this sheet and enter a check mark. Wastewater treatment and disposal of wastewater sludge Provide a table of contents of the application which includes the Permit Application Transmittal Form,the permit application form, and a list of titles of-all plans, drawings,reports,studies,or other supporting documentation which are attached as part of the application,along with the corresponding attachment label and the number of pages (i.e., Executive Summary -Attachment A-4 pages). = Permit Application .Transmittal Form - .4 pages Permit Application for Wastewater Discharges - 9 pages - Executive Summary - Attachment A - 2 pages - Applicant Background Information - 1 page - Applicant. Compliance Information- Attachment C - 2 pages _ Attachment D - USGAS Quadrangle Map - 1 page - Attwachment E - Attachment F - Attachment I - Attachment K . - Attachment M. - Attachment 0 - Attachment P Bureau of water Management DEP-PERD-APP-101 2 of 2 Rev.08/07/00 x ` Applicant Compliance Information DEP ONt k "= Vic.oJlnd Applicant Name: Town of South Windsor s in ica ad on the Permit Application Transmittal Form) If you answer yes to any of the questions below,you must complete the Table of Enforcement Actions on the reverse side of this sheet as directed in the instructions for your permit application. A. During the five years immediately preceding submission of this application, has the applicant been convicted in any jurisdiction of a criminal violation of any environmental law? ❑ Yes ® No B. During the five years immediately preceding submission of this application,has a civil penalty been imposed upon the applicant in any state,including Connecticut,or federal judicial proceeding for any violation of an environmental law? ❑ Yes ® No C. During the five years immediately preceding submission of this application, has a civil penalty exceeding five thousand dollars been imposed on the applicant in any state, including Connecticut, or federal administrative proceeding for any violation of an environmental law? ❑ Yes No D. During the five years immediately preceding submission of this application, has any state, including Connecticut, or federal court issued any order or entered any judgement to the applicant concerning a violation of any environmental law? ® Yes ❑ No E. During the five years immediately preceding submission of this application, has any state, including Connecticut,or federal administrative agency issued any order to the applicant concerning a violation of any environmental law? ® Yes ❑ No DEP-APP-002 1 of 2 Rev.12110/99 Table of Enforcement Actions Milk U. tpebf=Ac ti Cii e,' �Dckea eta s State of Connecticut NOV/WR/M # Violated Effluent limitations for DEP - Notice of Violatio• 3/22/05 05-002 BOD and TSS Copies of this form may be duplicated for additional space. Please enter a check mark if additional sheets are attached. DEP-APP-002 2 of 2 Rev.12/10/99 Latitude and Longitude Applicant Name: (as indicated on the Permit Application Transmittal Form) Method of latitude and longitude determination (check one): ❑ Global Positioning System (GPS) USGS Map ❑ Other(please specify) In the table below, label each point for which latitude and longitude were measured, being consistent with identification numbers assigned throughout the application(e.g., 100, 101, etc.). For renewals or modifications of existing permits, please provide the existing permit number.Also provide: a brief description of the point(e.g., monitoring well, pipe outlet,air stack,etc.); latitude and longitude in degrees, minutes and seconds( .g.,41 E 16' 29");and the name of the USGS quadrangle map(s)the points described are located on. ft.: iq For,IJEP, U ,kR K r i '�Ot11 ` � �m���=�# � ��-N� i�er;� �'-` ' • �o 1 � ucfe „� #Lb• de � t�at��:�lAa�'<N"" � � GIB ID 132-001 CIO100510 enter of Plant Site 72037'30" 41049'30" Manchester Flo! x � a r RS „ t A DEP-APP-003 1 of 1 Rev. 12/10/99 72.37'30" r•,o:rPson�,c��. - ........ 41 52'30= _ u, •., rv.'�-,,-a r- . 100 ' a •' o ✓ ° ��' t ti �4 � of Z • .—o t •�• C Ott ttt4 a38°c°"'N ; c _ , I1�'R tisal:►Ztc)v �~ - is I �.�_ _ �O•'yy •: ���.. _� -� • rJ • • — Zo Aw I saf r+:• • `� Wmdsor- ti � o •� •PRY ^'••' �� ` +• + � _ 1 .N East Windsor H ',= .x =+' • ` ' �.S� Boa// I so so 8 so Edwards Ce4, Ir `,t .••-�,�o • .�• � � r so . .� • `• � Mom• • � .. �� Discharge Outlet R o e• ' (Ha[tlolfd �••�rr � •�' ��J Longitude 410 49' 46" `rfou :. i •. • '•�"' js- •• Latitude 720 37' 01" �� on a •.. - . . e�statae�') . b ,��3/ e • ++ems�• � -i► '•�.+. _ �� • •. STRON -- BM .2 cal Centw of Site t 41° Center Cam ••. titude ° 37' 30 r . _ �• ... •. y% -N�wbe .ems.' •. r7 •b ® ••. ROAD YIw POok c �LA. C • '. •. ': cA Unie to WindsorSC ,-• , �• I, :;\ :'�,;"`;;' •.i� a 1N3WHOtllld .. - '� � }•: . ,. 1 - Attachment E: For Renewal of an Existing Permit and Other Discharges Previously Licensed by the Department of Environmental Protection Applicant Name: Town of South Windsor (as indicated on the Permit Application Transmittal Form) 1. Complete the following table with a summary of discharge quality data from the previous two years:To complete the table for renewals, refer to your existing permit;for other discharges previously licensed by DEP, refer to your previous authorization or permit.See instructions(DEP-PERD-INST-100)for further guidance on how to fill in this table. Reproduce this sheet for each discharge serial number. Use the same discharge serial numbers as indicated on your previous permit and provide the existing permit number. Reproduce and complete this form for each permit that you are proposing to renew. Summary o�isctta §e Jlnalyses� � � �_�_ W- 1 - Discharge Serial Number. 001 Permit Number. CT 0100510 Name o'� ermit P rameter= gvera e �� � � � ��� �� axrttlum � �lumberaof, �wNumtierof�� �aNPAES ¢ ;� Colicentration Concentration; ►naCyses `Exceecianc�s h BOD5 24 trg/1 216 irg/1 264 14 TSS 21.5 ng/1 268 ng/1 264 11 D.O. Efflumt 2.55 n o 4.9 ng/1 520 N/A Settleable Solids NX REPOI TED 52D WA Turbidity 8.78 310 .520 1V/A pH 52D 0 Temp 61 74OF 52D WA Ammonia Nitrogen as N 14.03 25 24 WA Nitrate Nitro en as N 2.15 rtp/l- 12 npq4 24 WA Nitrite Nitrogen as N 0.81 ttg/l- 7.2.�t o 24 N/A Total Nitrogen 19.76 rWA 515 no 24 A TKN 16.91 %4 50%4 24 N/A Al Linn ty 130 nig/l 204 nga 24 WA Orft HmqImte 2.18 3.2 ng/1 24 N/A Total Hxx#ate 2.9 5.0. Fecal Colifatm 39 MM 88 4 W Disinfection M nWj 370 nW, see/ 880 N/A Bureau of Water Management DEP-PERD-APP-102 1 of 2 Rev.08/07/00 r Permit Number: 2. Provide a brief narrative describing any changes in the processes or activities generating or treating the discharge(s)which are proposed and/or have occurred since the date of the last permit application. For example, such information should include the addition,substitution,or elimination of processes, modifications of treatment systems or chemicals added to treat the discharge, pollution prevention measures;and any other changes which may affect the quality or quantity of the discharge(s). Installed W:`disinfection system 4/2001 3. If in the table in question 1,you indicated that any permit parameter was exceeded,and any exceedances were by more than twice the permit limit or occurred more than three times,describe the steps taken to correct the problem. The Town hired a consultant to evaluate operations and make recommendations to be taken to maximize treatment pollutant reduction for parameters in the Town's .NPDES permit. A final report dated November 28, 2005 was submitted to the Connecticut D.E.P. for review and comment. (10) ogres w2re in the fall of 2004 vhm preventive maintanarr..e was beirg perfor'Ed on m Atiple clarifiers. (Seven M events:care also cased by this activity.) Maintenance sdeldixg has-been c oed to Spritg~ao`l plant process canfig ration gets to wort ft. activity. Offiw BM;-, TSS and fecal exceechr hive generMy been casised by slilge baUdrg. TV Town is Q re ntly OpEratixg u li x.a Notice of Violation a-d his contracted with(IM for process assistance. The pliant process has bey► dawd to allow ratification ar�d has since been more stable. Zlne process lElps manage varios filawntous orgaAg s, helpirg to control bullarg problEm. Bureau of Water Management DEP-PERD-APP-102 2 of 2 Rev.08/07/00 Attachment El: Certification Regarding Submittal of Previously Approved Documents 1. If your application concerns a discharge previously licensed by DEP,you may incorporate any of the documents listed below by reference into your application.To incorporate a document by reference,the document must have been submitted to DEP previously and you must complete the following certification indicating that such documents accurately represent the facility and its operations as of the date of this application.You are not required to resubmit such documents unless requested by DEP. However, please provide a general description of all collection and treatment facilities previously approved on the back of this sheet. Please check the appropriate box(es)to indicate which documents you are incorporating by reference. I have examined the documents identified by a check mark below,which were previously submitted for permit issuance to the Department of Environmental Protection for the discharge(s)which are the subject of this application, and certify that to the best of my knowledge and belief, such documents accurately represent the facility-and-it o is app ication. 1 further certify that I will submit such documents to the Department of Environmental Protection upon request. Please place a check mark in the appropriate spaces indicating which documents you are proposing to incorporate into this application by reference. Please provide each document's final revision date. (� Site Plan Revision Date: 4/1F/85 ® Floor Plan Revision Date: 4/16/85 Pollution Prevention Plans --- -- ------------ - - —-- --- Operation and Maintenance Plan Revision Date: ❑ Solvent Management Plan Revision Date: / Spill Prevention and Control Plan Revision Date: 11/ /94 ❑ Resource Conservation Strategies Revision Date: / / $� Collection,Treatment and Disposal System Plans and.Specifications Revision Date: UV Disinfection System 2/2000 / Fire Bubble G , /Z/ Zcs©Cs Signature of Applicant Date C. F. Shaw Superintendent of Collut' n Name of Applicant(print or type) Title (if applicable) Permit Number: CT 0100510 Bureau of Water Management DEP-PERD-APP-102A 1 of 2 Rev.08/07/00 Permit-Number: 2. Provide a brief general description of all systems to collect and treat the discharge(s)which are the subject of this application and for which plans and specifications have been previously approved by DEP. The South Windsor sewage system includes approximately 128 miles of gravity sanitary sewers, eleven pumping stations, and a secondary waste activated treatment facility. The wastewater treatment facility is a Class III facility involving an aerated septage receiving tank, a headworks building with aerated grit chamber, three main.pumps, three primary clarifiers four (4) aerators (2 surface mechanical and 2 fire buble-d�f-used�;+-,.- clarifiers, and two gravity thickeners. Sludge dewatering is accomplished by a belt.filter press, and dewatered sludge is transported to the Hartford MDC facility for incineration. The Town uses a UV system.for final effluent disinfection,. and auxiliary- emergency power generators are available to ensure uninterrupted facility .operation during periods of commercial power loss. Bureau of Water Management DEP-PERD-APP-102A 2 of 2 Rev.08/07/00 Attachment F 1 SECONDARY ECO D RS HYDRANT (TYP•) AERATION TANKS NO. 1 ;�. PRIMARY =^ 20" SECONDARY u NQ4 �Nar 1 CLARIFIERS INFLUENT hr 0. N 3 -NL NO. 2 24 SECONDARY BYPASS UV DISINFECTION •—•-I 24" SECONDARY CHAMBER I EFFLUENT SLUDGE t.• ; ° STORAGE 16" PRIMARY I _ INFLUENT. I THICK E ER ; CONTROL ARAGE BUILDING 0 P pNSFORMER MANHOLE O o j . GARAGE ATCHBASIN BUILDING ` �TYP.) o ° JOTPARKING BUILDNGRKS 0---METER PIT ` —.� (36" OUTFALL TO CONNECTICUT RIVER SEPTAGE 30" PLANT BYPASS "'- RECEIVING TANK VIBERT ROAD 25 0 50 cm Attachment I: Operation and Maintenance of the Collection and Treatment Systems General Description, Plan Checklist and Certification Reproduce and complete this entire form for each permit that you are applying for. Type of receiving water(check one): ® Surface Water ❑ POTW ❑ Ground Water Part A: General Description Please provide a general description of the methods and provisions for the operation and maintenance of the collection and treatment systems, specifically addressing Plan Elements No. 1, 6, and 9 outlined in Part B: Plan Checklist. Be sure to label this description by identifying it as"Attachment I-Part A"and attach the description to this Plan Checklist. Part B: Plan Checklist Review the following plan elements to ensure that each element is included and adequately addressed in your Operation and Maintenance Plan.A copy of this plan must be maintained on-site at all times.Certify that the plan is adequate with respect to each element by inserting your initials in the space provided. For elements which are determined to be not applicable to the collection and treatment systems,please indicate"N/A"next to the element and provide a brief explanation. Yx... ."1sr i : :.w Plan l=lemerits �� om �e .. ._.t: 1. A detailed description of all wastewater treatment equipment on site including: a. A description of treatment unit sizes,their operating capacities,_retention times, manufacturers and models. b. A functional description of each treatment system and subsystem including a discussion of how each item functions and variables that might affect Performance. 2. A detailed description of collection and treatment system operation,start-up, shut-down and power outage procedures, including the positions of all switches,valves, instrument settings and precautions.For batch systems, include operating instructions describing testing procedures to be performed for each batch,when different treatments are to be used and instructions for operating the different types of treatments. 3. A list of instrument calibration and alarm testing frequencies.This should include but not be limited to the frequency that the pH meters and alarms,flow meters,and level alarms are tested or calibrated. 4. An inventory of all spare parts and equipment kept at the facility for the wastewater treatment system. Bureau of Water Management DEP-PERD-APP-103 1 of 4 Rev.08/07/00 <r. . Plan .WInitiaiiNof A I!Cat lei,. 5. A list of all treatment chemicals, quantities stored at the facility and dosage rates. G 6. A maintenance plan for the collection and treatment system,both preventive and corrective,with proposed daily,weekly, monthly,semi-annual and annual inspections and procedures. 7. The number of full or part time waste water treatment system operators needed to properly run the system and a detailed description of any training the operators have had in the proper operation of the treatment system.For domestic sewage treatment facilities,the plan must include documentation of operator certification as required by RCSA Sections 22a-416-1 through 22a-416-10. 8. A description of the log(s)to be kept near the treatment system, or readily accessible,.for operational monitoring and inspections.All entries must show time, date and be initialed. These log books must be bound, pre-numbered and contain the following information,as applicable: a. for batch treatment systems: (1) number of gallons of each batch discharged (2) treatment chemicals added to each batch (3) the results of any chemical analysis done on each batch (4) what the wastewater of each batch consisted of(what processes contributed to the batch) (5) the pH of each batch at time of discharge (6) when meters and probes were calibrated and/or replaced (7) any maintenance performed on the system (8) any observations the operator may have noticed about the discharge (clarity,foam, etc.) Bureau of Wafer Management DEP-PERD-APP-103 2 of 4 Rev.08/07/00 _�- •�" °�> :InitiallNot�Ap 1'icable y�,:'���' �_ 8. b. for flow through systems: (1) total daily/shift flow (2) treatment chemical dosage rates (3) daily/shift treatment chemical tank levels (4) the results of any chemical analysis performed on the discharge (5) the range of pH during the day/shift (6) when meters and probes were calibrated and/or replaced any maintenance performed on the system (8) the reason for any upsets that may have occurred (9) any observations the operator may have noticed about the discharge (clarity,foam, etc.) 9. A description of any security measures to prevent vandalism of the collection and treatment systems. 10. A flow diagram of the treatment system generating the discharge.The diagram must show all incoming waste streams,treatment units and their sizes,treatment chemical additions, all pumps and valves,electrical �J equipment(pH sensors and controllers, high level sensors and alarms, etc.)and connections between electrical units.Average, maximum, and design flow rates of incoming waste streams between treatment units and from discharge points and pumps must be indicated. Bureau of Water Management DEP-PERD-APP-103 3 of 4 Rev.08/07/00 Applicant Certification of an Operation and Maintenance Plan Checklist Applicant Name: Town of South Windsor (as indicated on the Permit Application Transmittal Form) Application Number(if known): 132-001 Facility I.D. Number(renewals only): CT 0100510 Permit Number(renewals only): 1 have personally examined and am familiar with the information contained in the Operation and Maintenance Plan required for this application,and I certify that based on reasonable investigation, including my inquiry of the individuals responsible for preparing the Operation and Maintenance Plan,such plan contains all applicable information listed in the Operation and Maintenance Plan Checklist. I further certify that I will submit this plan to the Department of Environmental Protection(DEP)upon request. w • 2 ao(o Applicant Signature Date In the space below, please provide the names of the persons who prepared the Operation and Maintenance Plan and a brief description of the qualifications of each preparer, (i.e.,professional certifications, education background, related work experience,etc.). Minges Associates -Farmington, CT.,Consulting Professional Engineers Bureau of Water Management DEP-PERD-APP-103 4 of 4 Rev.08/07/00 AERATION SECONDARY TANKS PRIMARY CLARIFIERS . 4. NO. I CLARIFIERS 1 N0. 1 STOP GATE NO. 5 Z I -MECHANICAL AERATOR (TYP. OF 4) 1 �< o- ° I ° PRIMARY EFFLUENT STOP GATES SAMPLER (TYP. OF 4) 770-7 2 C1 N0. 3 N . 2 NQ: NO. STOP GATES NO r I IBBT (TYP. OF.2) 4 `FINEFINE I BUBBLE BUBBLE UV DISINFECTION BI 01h0 ENT ANNEL 66LLLwER�OwwEERR NO. 1 24r SECONDARY EFFLUENT GATE BYP EFFLUENT �'f_SAMPLER q��g PLANT WATER SUPPLY 4 r R BAR RACK SUCTION MDC FLOW TANK WATER METER r- -'- - - -1 COMMINUTOR t STRAINER DISTRIBUTION SEPTAGE I � t t „y BOX RECEIVING ' ER PLATES (TYP. OF 2)1 HEAD TANK ORKS STOP GATEiA i AIR T I GATES I ING. LAN NO.1 I STOP GATE IB t I (TYP OF 4) i AIR i } i FUTURE I WET WELL I HYDROPNEUMATIC TANK SUCTION 1 iJI A7ED i LINES TO PRIMARY CLARIFIERS �ERt TO SECONDARY CLARIFIERS (Typ.STOP Gp g� AMBERS i NO. 2 t TO PRETREEATMENT SEPTAGE i + �- i t NO. 0. -..� I PUMP 3300 GPM i 16' CI PLANT t t 28 FT MH I I WATER { I t RAW WASTEWATER j t PUMPS < SEPTAGE t PUMPS t CONTROL RECEIVING -.- j 1 BUILDING t% MANHOLE t ��-------------------� _-� M '-4-INFLUENT 4 I j SAMPLER 16r q PRIMARY INFLUENT Cp L-------- ----------------I 42r RC UTFALL TO 42r RC INFLUENT 36N OE CUT RIVER r INV.22.8 N 2 . INFLUENT MANHOLE CDM Figure 5.3-3 Liquid Process Flow Schematic . Attadment M 3 HP RAS AND WAS PUMP _ _PUMP ROOM ___ 6" MAG SECONDARYL IIERR 8" 8• , METER " RAS 7.5 HP PRIMARY SLUDGE PUMPS I —�R S N0.1 ' pKON CPLAR FlARY ERS 8" 6" 70- . 1 RAS N0. NO. 4 NO. 1 _ 10" 4WAS I O 1 O 6" SCUM I 4" Nd. 3 6` SCUM 47 -.-- �— 10" SLUDGE 4" WAS NO.1 6" 6" 6" SLUDGE y f DRAWOFF DRAWOFF N0. 2 10"I r . I NO. 3 ' N0. 2 N0. 16" 8" 8� RX N0.4 -.— 8_ 00 10" RAS I 4 EK 6" SUFE - �ME LD DOPPLER METER 3"ME THICKENED SLUDGE PUMP rCONTReL BUILDING 1 } (TYP. OF 2) tO 6" CI SLUDGE THICKEN EFFLUENT I ) a KMN01 FEED I WET WELL I ;o .GARAGE • + ( 6" -..4 �— ( • I 4" SCUM I FILTRATE 4` SCUM I ( 6` SLUDGE I f L DRAWOFF TO HARTFORD MDC SLUDGE !I .4 I SLUD I BELT DEwATERED. _� WASTEWATER THICKENER + 6 1 4 —= 6" STORAGE I PRE —_ ROLLDOF�F I TREATMENT I 1 I LANT FLOCCU ATOR 6" SLUDGE ` I I CON EYOR./~ DRAWOFF 4" RPump OOM I I r 3 6" PRIMARY SLUDGE : . • THI t0 6" WAS TRUCK CONNECTION Figure 5.3-4 CDM Solids Process Flow Schematic �..__._., Attachment: M __. Attachment O: Discharge Information (must be completed and submitted for each discharge) Applicant Name: Town of South Windsor (as indicated on the Permit Application Transmittal Form) Existing Permit Number(if applicable): Cr 0100510 Complete this attachment for each discharge and label each discharge consecutively starting with serial number 101 for discharges to a surface water,201 for discharges to a POTW,and 301 for discharges to ground water. Attachment O is not required for applications to:discharge from land treatment non-point source discharge systems(including septic tank leachfield systems);discharge from landfills;discharge from agricultural activities or concentrated animal feeding operations;or discharge from concentrated aquatic animal production facilities. Part-A r;enerat-Disoharge Info ation — --- Discharge Serial Number: 1. For discharges to a surface water only: a. The discharge enters the surface water(check one): directly ❑ through a municipal storm sewer through other drainage systems(e.g.,swale) Please specify below: b. Name of surface water body the discharge first enters: c. Surface water classification of the above listed water body: Present: C Future: B 2. For discharges to a POTW only: a. The discharge enters the POTW(check one): ❑ directly hauled ❑ through a sanitary sewer or a combined sewer b. Name of POTW the discharge first enters: c. Facility I.D. or location address of POTW: d. Does the discharge contain a substance,which,in the absence of a wastewater discharge permit, would be a hazardous waste under 40 CFR Part 261? ❑ Yes ❑ No 3. For discharges to ground water only: a. Groundwater classification of the site: Present: Future: b. Name of surface water body in watershed area: Surface water classification of the above listed water body: Present: Future: Bureau of Water Management DEP-PERD-APP-107 1 of 21 Rev.08/07/00 r Part A: General Discharge Information (continued) Discharge Serial Number: 001 4. Average Daily Flow(gpd): 21200,000 Maximum Daily Flow(gpd): 3,500,000 Design Flow(gpd): 3,750,000 Date discharge began or will begin: / 1968 5. Is the discharge continuous? ®. Yes ❑ No If yes, indicate: Average number of hours.per day of the discharge:24 Maximum number of hours per day of the discharges24 —— -- 6. For other than a continuous discharge(e.g., batch, intermittent,or seasonal discharges), indicate: Average number of hours per event of the discharge: NA Maximum number of hours per event of the discharge: The duration and frequency of the discharge: 7. Description of each specific activity or each process generating the discharge and identification of all types of waste generated by each process. Primary treatment (clarification) - primary sludge Secondary treatment (aeration & clarification)-waste activated sludge 8. For domestic sewage treatment plants, list the location of all discharges including any plant bypasses, pumping station bypasses, and collection system overflows and bypasses. Indicate clearly if any such bypasses and/or overflows are part of a separate or a combined sewage collection system. Plant by-pass upstream of Headworks Building ❑ If additional sheets are necessary, please label and attach them to this sheet and enter a check mark. Bureau of Water Management DEP-PERD-APP-107 2 of 21 Rev.08/07/00 4 ;9 Part A: General Discharge Information (continued) 9. Process and/or Treatment Substances Discharge Serial Number. ),01 dame�f substances usedn Ltstf toxiceor hazardous' x � ' " �yst�nyWailatle:aquatic - *� Reiterating theanrastewater substances con.tauied�n process oxtcity test results forprocess t and/or treatment substance y anti/or reatment�ubstance Aquatic Toxicity Tests None submitted to D.E.P. Bureau of Water Management DEP-PERD-APP-107 3 of 21 Rev.08/07/00 t Part A: General Discharge Information (continued) Effluent Limitations and Conditions (Questions 10&11 need not be completed by domestic sewage treatment facilities,including POTWs) Discharge Serial Number: 001 1Oa. Is this discharge described by any discharge categories listed in Appendix A, "Primary Industry Categories"of RCSA Sections 22a-430-3 and 4? ❑ Yes ® No 1Ob. Are there any treatment requirements established in CSA_Section22a-43DA(&)_?__ ❑ Yes ® No 11a. Is there an effluent limitation, standard,guideline, or categorical pretreatment standard established for this type of discharge in 40 CFR Parts 400-471 or elsewhere pursuant to 301, 306,307, 318,405 of the Clean Water Act? ❑ Yes ® No If you answered yes to question 10a,or l0b,or l l a, please complete the following table by providing the name of the discharge category and the specific citation to the regulation, if applicable,that establishes the limitation or condition. - ar1e of dtsfiarge category and appropriate hmttatioi<1.or Name b subpart arld approp:nate cttatton'from.stake and/otedet X regulations. �pondttioil. sib a�cttatton f f aes or 170. _ r �, .. :tea 6d 5tee�h�anufac(unngi 4 G R,'ParC. �ecflon22a3O�I`s YRCSA-- Bureau of Water Management DEP-PERD-APP-107 4 of 21 Rev.08/07/00 Part A: General Discharge Information (continued) Effluent Limitations and Conditions (continued) Discharge Serial Number. 001 11b. Are any of the effluent limitations applicable to the discharge expressed in terms of production? ❑ Yes IM No If yes,complete the following table. For existing discharge, list an actual measurement of.your average or maximum level of daily production. For new discharges, list an average or maximum projected daily production. (Indicate in the table whether the production figures given are average or maximum level.) Express the production in the terms and units used in the applicable discharge limitation. Attach additional sheets if necessary. dame nd Qua Hof a`"ems a ego:; rill' .ub a: pf siuct per a wit r escn. on frocess°.A °. rough Y`�K its fVdasu cAl- . ample• t tain essstee(strrps g r�on=and Steel Ntl rSif 7AVOo gbsvafzta�n(ess assed throu h sdtder flux drochl�ric ►tdreiclrn steel° tryPs avert e . athsnB# t'Cinne :. . Bureau of Water Management DEP-PERD-APP-107 5 of 21 Rev.08/07/00 Attachment O: Discharge Information (continued) Part B: Discharge Analysis All applicants must complete Part B,Tables 1 through 4 for each discharge. Be sure to review the instructions; specifically, "Testing Requirements for All Discharge Categories", Schedule A in the instructions under Attachment 0 before completing this part. In addition,please note that for existing discharges previously licensed by DEP, identify the substances that were monitored in the existing permit by placing"PP"in the" Daily Composite or Grab Sample Results"column by the substance. For such substances,you need not repeat the analytical results in Tables 1 through 4,as long as such results are provided in Attachment E of the application. Please indicate whether the discharge analysis was based on(check one): ❑ Projection Actual wastewater ❑ Wastewater from other similar discharge_ _— All applicants must provide analysis results in column 1 for all the substances listed in Table 1 and other information needed to complete columns 2 and 3,for each discharge except the following: For discharges of non-contact cooling water,heat pump wastewaters and blowdown from heating and cooling equipment, provide analysis results for substances numbered in Table 1 as 3,5, 6, and 11 through 16 only. Table 1 Date Sampled: / / Dischar a Serial Number: 001 NOT ' at1y Compostte umber E11** Results . Analyses xA - 1. Biochemical Oxygen Demand 5Da ' 2. Chemical O en Demand 3. Oil and Grease Total* 4. Oil and Grease Hydrocarbon Fraction* 5. Total Suspended Solids Fly 6. Ammonia as Nitrogen) PP 7. Phos horus(Total) PP 8. Nitrate PP 9. Nitrite PP 10. Total Kieldahl Nitro en PP 11. Total Residual Chlorine* 12. Temperature Winter and Summer)* PP 13. H minimum and maximum * PP 14. Copper,Total PP 15. Lead Total PP 16. Zinc Total PP * Check the instructions under this part for the required method of sample collection. •'For surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management DEP-PERD-APP-107 6 of 21 Rev.08/07/00 Part B: Discharge Analysis(continued) All applicants must complete Table 2 for each discharge by placing an"X"in column 1, if applicable and by placing an"X"in column 2 or 3. If column 1 or 2 is marked for any substance,you must provide analysis results in column 4 for that substance and other information needed to complete columns 5 and 6 for that substance. Table 2 [:Date Sampled: I I Discharge Serial Number: 3' a aDX CIAETA 'S equtcec� Knownor elfeve ' om ost � Nuier='� Ep' *` , .�f 1DES, E�IOtS �b chedule kN 5tfspec ed �Abser�x i ��trab Ty � A �see ,� s =`�iSap1 'A nal ses 1. Antimony,Total PP 2. Arsenic,Total PP 3. Beryllium,Total PP 4. Cadmium,Total PP 5. Chromium,Total PP 6. Chromium, PP 7. Mercury,Total PP 8. Nickel, Total PP 9. Selenium,Total PP 10. Silver,Total PP 11. Thallium,Total PP 12. Cyanide,Total* PP 13. Cyanide, PP 14. Phenols,Total* PP ` Check the instructions under this part for the required method of sample collection. "For-surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management DEP-PERD-APP-107 7 of 21 Rev.08/07/00 Part B: Discharge Analysis (continued) Table 2 (continued) Date Sampled: / / Discharge Serial Number: 001 NM s 3 INRO ``E&-`'s _? �:g a Analyses` y811y ,� VOL/�TILES*�� # Reggired Known or Believed Cornposlte Number fPA** >� r s Eby Suspected Absent or Grab of :s Method; �� � _� r Schedule APresentr� Sample Analyse see i-Result * a rS 1. Acrolein X 2. Acrylonitrile X 3. Benzene 4. Bromoform R S. Carbon Tetrachloride X 6. Chlorobenzene X 7. Chlorodibromomethane X 8. Chioroethane X 9. 2-Chloroeth ivin I Ether X 10. Chloroform x 11. Dichlorobromomethane X 12. 1, 1-Dichloroethane x 13. 1,2-Dichloroethane x 14. 1, 1-Dichloroeth lene X 15. 1,2-Dichloro ro ane X 16. 1, 3-Dlchloropropylene X 17. Eth (benzene X 18. Methyibromide X 19.. Meth (chloride X 20. Methylene Chloride R 21. 1, 1, 2,2;Tetrachloroethane X 22. Tetrachloroethylene X 23. Toluene x 24. 1, 2-Trans-Dichloroethylene X Check the Instructions under this part for the required method of sample collection. ••For surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management DEP-PERD-APP-107 8 of 21 Rev.08/07/00 Part B: Discharge Analysis (continued) Table 2(continued Date Sampled: I I bischar a Serial Number: 001 44 NS $ dglnalysis� ai(y YOLATi1rE5* a ate wired Knowr BIteved tom osfte 1V rube P ** r "a , � M- e6611e�A.i Preen. x3amp1i: a4Tta1 se Instruciotis 25. 1, 1, 1-Trichloroethane X - - - --- - — 26. 1, 1, 2-Trichloroethane 27. Trichloroethylene X 28. .Vinyl Chloride X �G�IINS=f.RACTlO.IV�CIDaCOMP,OUND$, 1. 2-Chloro henoi X 2. 2,4-Dichloro henoi X 3. 2,4-Dimeth l henol X 4. 4,6-Dinitro-0-Cresol X 5. 2,4-Dinitro henoi X 6. 2-Nitro phenol X 7. 4-Nitro phenol X 8. P-Chloro-M-Cresol X 9. Pentachloro henoi X 10. Phenol X 11. 2,4,6-Trichlorophenol X �R' 1. Acena hthene X 2. Acena hth lene X 3. Anthracene X 4. Benzidine X 5. Benzo a anthracene X 6. Benzo(a)pyrene X 7. 3,4-Benzo-fluoranthene X Check the Instructions under this part for the required method of sample collection. •`For surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management DEP-PERD-APP-107 9 of 21 Rev.08/07/00 Part B: Discharge Analysis (continued) Table 2(continued) 001 Date Sampled: / / Discharge Serial Number: equ;recit iCnon olr.` - y � B Y nsf . 5uspec#ed .: r sent l a i. t , MetiYod' �y SChedu a ,esert` Sample naly e ASE`w EUTF . OMPOUND$ seeu lnstructtons rlow 8. Benzo(ghi)perylene X 9. Benzo(k)fluoranthene 10. Bis 2-Chloroethox Methane 11. Bis 2-Chloroeth I Ether X 12. Bis 2-Chioroiso ro I Ether X 13. Bis 2-Eth Ihex I Phthalate x 14. 4-Bromo hen I hen I Ether X 15. Butylbenzyl Phthalate X 16. 2-Chlorona hthalene 17. 4-Cholorophenylphenyl Ether 18. Chrysene 19. Dibenzo a, H anthracene . X 20. 1,2-Dichlorobenzene X 21. 1,3-Dichlorobenzene 22. 1,4-Dichlorobenzene X 23. 3,3-Dichlorobenzidine X 24. Diethyl phthalate 25. Dimeth I phthalate 26. Di-n-b I phthalate X 27. 2,4-Dinitrotoluene X 28. 2,6-Dinitrotoluene X 29. Di-n-octyl phthalate X 30. 1, 2-Diphenylhydrazine X as Azobenzene 31. Fuuoranthene X Check the instructions under this part for the required method of sample collection. "For surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management DEP-PERD-APP-107 10 of 21 Rev.08/07/00 Part B: Discharge Analysis (continued) Date Sampled: / / Table 2 (continued)) bischar a Serial Number:.. 001 s 1 2 3� q ASE EUTTRAL COMPOUNDS Y- , tequired lnownxor Believed composite Number `EPA 31 ed a4bsent or ra1i oc �� � Schedule 4 l'resan ' Sample An se ' y seed ,� x r�� esults Instructions ; �. Y 32. Fluorene X 33. Hexachlorobenzene X 34. Hexachiorobutadiene R 35. Hexachlorocyclopentadiene X 36. Hexachloroethane X 37. Indeno 1,2,3-cd Pyrene X 38. Iso horone X 39. Naphthalene X 40. Nitrobenzene _ X 41. N-nitroso dimeth lamine X 42. N-Nitrosodi-n-Propylamine X 43. N-Nitrosodiphenylamine X 44. Phenanthrene X 45. P rene X 46. 1,24-Trichlorobenzene X 1. Aldrin X 2. AI ha-BHC X 3. Beta-BHC X 4. Gamma-BHC K 5. Delta-BHC X 6. Chlordane X 7. 4,4-DDT R 8. 4,4-DDE R Check the instructions under this part for the required method of sample collection. "For surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management DEP-PERD-APP-107 11 of 21 Rev.08/07/00 Part B: Discharge Analysis (continued) Table 2 (continued) Date Sampled: / / Discharge Serial Number: 001 ' F Anal sisf� F d ax yf ' ; Daily 3 Regwreda ;Known or BeJteved Composite NumberE A k ay Suspected `Absent ars,of ethod -z Schedule resent r Sample Analyse RESTICJDES �h ;see... �tesu`Jts* `3 ` Instructions ��, 9. 4,4-DDD X 10. Dieldrin X 11. AI ha-Endosulfan R 12. Beta-Endosulfan 13, Endosulfan Sulfate 14. Endrin X 15. Endrin Aldehyde X 16. Heptachlor g 17. He tachlor Epoxide R 18. PCB-1242 X 19. PCB-1254 X 20. PCB-1221 X 21. PCB-1232 X 22. PCB-1248 X 23. PCB-1260 X 24. PCB-1016 X 25. Toxaphene X Check the Instructions under this part for the required method of sample collection. •'For surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management DEP-PERD-APP-107 12 of 21 Rev.08/07/00 Y Part B: Discharge Analysis(continued) All applicants must complete Table 3 for each discharge by placing an"X"in either column 1 or 2. If column 1 is marked for any substance,you must provide analysis results for that substance in column 3 and other information needed to complete columns 4 and 5 for that substance. Table 3 Date Sampled: / / Discharge Serial Number: 001 �r } �'- � � •, �°;rye ai k�b TH�1511B5 A'NCF.S F ' •,� fig.... x:�,, z � e am esu apse 1. Bromide X 2. Color X 3. Fecal Coliform' PP 4. Fluoride X 5. Nitrogen,Total Organic PP 6. Radioactivit �y X a.Alpha,Total X b. Beta,Total X c. Radium,Totalf d. Radium,226 Total X 7. Sulfate X 8. Sulfide' X 9. Sulfite X 10. Surfactants X 11. Aluminum,Total X 12. Barium,Total X 13. Boron,Total X 14. Cobalt,Total X 15. Iron, Total X 16. Magnesium,Total X Check the Instructions under this part for the required method of sample collection. For surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management DEP-PERD-APP-107 13 of 21 Rev.08/O7/00 Part B: Discharge Analysis (continued) Table 3 (continued) Date Sampled: / I Discharge Serial Number: 001 r '. 3tza. it g >t _ r f t I z a y r'i, £y•n! s "u't ", .hr,m' x 'VI f �- Kt>Iown ��elfeve�l� PQ tte , Numbers yi DTHEf SUBSTANCES ' y = _ _ _¢ .. ��:... - gSu's�ec ed:' -or.Gra�b se �Sai�n�ile � nalyse�s e•�C 17. Molybdenum,Total X 18. Manganese,Total 19. Tin,Total X 20. Titanium,Total X W. y: 3, 4s S f ��Q k' .Y"r Y: _ _"S.• �rv: L+% :A DT#{ER `CItX1Gntt7f; fIAZARD(�USUBSTGE. 1. Asbestos X 2. . Acetaldehyde X 3. All I alcohol X 4. All I chloride X 5. Amyl acetate R 6. Aniline X 7. Benzonitn e X 8. Benz I chloride R 9. Butyl acetate X 10. Butyiamine X 11. Ca tan X 12. . Carbaryl X 13. Carbofuran R 14. Carbon disulfide X 15. Chlo os X 16. Couma hos X 17. Cresol X 18. Crotonaldeh de x 19. Cyclohexane X Check the instructions under this part for the required method of sample collection. For surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management , DEP-PERD-APP-107 14 of 21 Rev.08/07/00 Y Part B: Discharge Analysis(continued) Table 3 (continued) Date Sampled: / /_ Discharge Serial Number: 001 _ ,„ - � OTHER TOXIC AND p number SPA ,Known or Believed Dom ostte *+� iAZARDOUS z _ g Suspected, h Absent orrab #� of Method �UBSTANCESB Present x � n � �� � s Sample , Analysed 10 - _ yFSa� Ne $ : ResUItS" t '{a r 20. 2,4-Dichlorophenoxy X acetic acid - - --X- - -- - _ 21. Diazinon 22. Dicamba X 23. Dichlobenil X 24. Dichlone X 25. 2,2-Dichloro- X ro ionic acid 26. Dichlorvos X 27. Diethyl amine X 28. Dimeth I amine X 29. Dinitrobenzene X 30. Di uat x 31. Disulfoton R 32. Diuron - X 33. Epichlorohydrin X 34. Ethanolamine X 35. Ethion X 36. Ethylene diamine x 37. Ethylene dibromide fir 38. Formaldehyde X 39. Furfural X 40. Guthion X -_ -_ 41. Isoprene X Check the instructions under this part for the required method of sample collection. ••For surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management DEP-PERD-APP-107 15 of 21 Rev.08107/00 Part B: Discharge Analysis (continued) Table 3 (continued) Date Sampled: / / Discharge Serial Number: s y. T'Y., •. y, ,y#,. �<; M�`4' 1 'Y'Y Y5 �,p5t-.' 5 ^�i'3' ,.t„ &$.: .+}c gA. 5.�z , x L. -.5'.fv. WIN HER TOXIC 1ND ACnown-or, $eiieved Com osite ** Y, f PGo 3Numbe� .EPA s � HAZARDOUS Suspected, \bsertt r .or drab of � Metho - ..�' . s ."4a{K� c�"�, � y"�•....s � '`% �zx�i�eSu�S*,� , y,,� -.' '�r^` r��?c'� £- 42. Isopropanolamine X 43. Kelthane .X 44. Kepone X 45. Malathion X 46. Merca todimethur 47. Methox chlor X 48. Methyl mecca tan X 49. Methyl methac late X 50. Methyl parathion X 51. Mevin hos X 52. Mexacarbate X 53. Monoeth I amine X 54. Monomethyl amine X 55. Naled X 56. Na thenic acid X 57. Nitrotoluene X 58. Parathion X 59. Phenolsulfanate X 60. Phosgene X 61. Pro ar ite X 62. Propylene oxide X 63. Pyrethrins X 64. Quinoline X 65. Resorcinol X Check the instructions under this part for the required method of sample collection. For surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management DEP-PERD-APP-107 16 of 21 Rev.08/07/00 y Part B: Discharge Analysis (continued) Table 3 (continued) Date Sampled: / / Discharge Serial Number: 001 R F TO 3 = f _ a'., i -k" �ga �aw �" `'g �`'i,v{i- * .Daily `» ,":�.r •` - "OT�ER•TOXIC AND Known Qr Believed �Co" �. # 'HAZA1tDO.tJS FSuspected Y�4bi;ent =�'� or-Grab � �z�'�of ��` �III�'�ho�; SUBSTaANCE$' Prg�s t" SamplesAnals�es a .. tenults* q 66. Strontium X 67. Strychnine X 68. Styrene X 69. 2,4, 5-T(2,4, 5- X Trichlorophenoxy acetic acid 70. TDE(Tetrachloro- X di hen ethane 71. 2,4, 5-TP[2-(2,4,5- X Tdchlorophenoxy) ro anoic acid 72. Trichlorofan X 73. Triethylamine X 74. Trimethylamine X 75. Uranium X 76. Vanadium X 77. Vinyl acetate X 78. Xylene X 79. Xylenol X 80. Zirconium X Check the instructions under this part for the required method of sample collection. •'For surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management DEP-PERD-APP-107 17 of 21 Rev.08/07/00 Part B: Discharge Analysis(continued)- All applicants must complete Table 4 for each discharge,by placing an"X"in either column 1 or 2 for the substances numbered.1-6. If column 1 is marked for any substance,you must provide analysis results for that substance and any other information needed to complete columns 3 through 5 for that substance. Table 4 Date Sampled: / / Discharge Serial Number: 001 1Cnotn►n Believe �tsliec ed nt ompostteo Numer etho 'Present � a�Grab an BST�►WCES ,u �tesitls"� �►tya� ses - � . .... 1. 2,4,5-trichlorophenoxy acetic X acid 2,4,5. 2. 2-(2,4, 5-trichlorophenoxy) X propanoic acid(Silvex,2,4, 5,-TP 3. 2-(2,4 ,5-trichlorophenoxy) X ethyl, 2, 2-dichloropropionate Erbon 4. 0, 0-dimethyl-0-(2,4,5- trichlorophenyl) X hos horothioate Ronnel 5. 2,4, 5-trichloro henol CP X 6. hexachlorophene(HCP) X In addition,it 1) your facility uses or manufactures one of the substances listed above as items 1-6 or knows or has reason to believe or can reasonably ascertain that one of those substances may be present in the discharge; or 2) your facility has a discharge resulting from a process regulated under 40 CFR Part 430-Pulp, Paper, and Paperboard Point Source Category;or 3) you know or have reason to believe or can reasonably ascertain that 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD)may be present in the discharge; you must also provide the analysis results for the dioxin and furan substances numbered 7 through 27,on the following page, using"EPA Method 1613: Tetra-through Octa-Chlorinated Dioxins and Furans by Isotope Dilution HRGC/HRMS". Check the instructions under this part for the required method of sample collection. For surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management DEP-PERD-APP-107 18 of 21 Rev.08/07/00 r. Part B: Discharge Analysis (continued) Table 4(continued).. 001 Date Sampled: / / Discharge Serial Number: 4 � � , umber ` � �atlompostte rof l:P ►" S(IBSTANCES 'S # �- Sample Results" a4nal�sesMetlio 7. 2,3,7,8-TCDD etrachlorodibenzo- ioxin 8. Total- TCDD 9— 2 3 7,8-TCDF-- etrachlorodibenzofuran- - - -- - - — - - - - - 10. Total- TCDF 11. 1,2,3,7,8-PeCDD Pentachlorodibenzo- ioxin 12. Total-PeCDD 13. 1,2,3,7,8-PeCDF Pentachlorodibenzofuran 14, 2,3,4,7,8-PeCDF 15. Total-PeCDF 16. 1,2,3,4,7,8-HxCDD Hexachlorodibenzo- ioxin 17. 1,2,3.,6,7,8-HxCDD 18. 1,2,3,7,8,9-HxCDD 19: Total-HxCDD 20. 1,2,3,6,7,8-HxCDF Hexachlorodibenzofuren 21. 1,2,3,7,8,9-HxCDF 22. Total-HxCDF 23. 1,2,3,4,6,7,8-H CDF He tachlorodibenzofuran 24.. 1,2,3,4,7,8,9-H CDF 25. Total-H CDF 26. OCDD O tachlorodibenzo- ioxin 27. OCDF(Hexachlorodibenzofuran) Check the instructions under this part for the required method of sample collection. ••For surface water discharges only,check the instructions for required EPA methods of analyses. Bureau of Water Management DEP-PERD-APP-107 19 of 21 Rev.08/07/00 Part B: Discharge Analysis(continued) If you know or have reason to believe that any biological test for acute or chronic toxicity has been made on any of your discharges or on any water receiving the discharge within the last three years,or for discharges previously licensed by DEP,since the issuance of such license,complete Table 5. Reproduce and complete Table 5 for each permit that you are applying for. (see Instructions) Table 5: Biological Toxicity Testing Data Existing Permit Number: CT 0100510 y.. ischa�e Tstpet:ies Companso pec es om artsgrt I apt ,PDate� YVlethod* Res Its olimiesu;s 'o�Lim�t; = :S� w� 001 T__ _12/-8/05 Acute DF-� -100/1 _ P PP 00/100 P 9 /9/05 Acute DP 100/82 F PP 100/28 F 8 W05 Chronic CD 100/100 PP 100/100 6 10/05 Acute DP 100/100 P PP 00/92 P 3 /4/05 Acute -...2DP 100/100 P PP 100/100 P 2 /3104 Acute DP 100/100 P PP 100/98 P 0 /1/04 Acute DP 100/100 P PP 00/96 P . 7 97/04 Chronic CD 100/100 PP 90/90 6 0604 Acute DP 100/100 P PP 100/50 F 3 25/04 Acute DP 100/100 P PP 100/86 00/96 P 3 /2/04 Acute DP 100/100 P PP F 12/4/03 Acute OP 100/100 P PP 00/100 P 10/9/03 Acute DP 100/100 P . PP 00/92 P 8/5/03 Chronic CD 100/100 PP 00/100 9/1103 Acute DP 100/96 P PP 00/82 F 7/1003 Acute DP 100/10 P PP 00/46 F Bureau of Water Management DEP-PERD-APP-107 20 of 21 Rev.08/07/00 Part B: Discharge Analysis(continued) If you know or have reason to believe that any biological test for acute or chronic toxicity has been made on any of your discharges or on any Water receiving the discharge within the last three years,or for discharges previously licensed by DEP, since the issuance of such license,complete Table 5. Reproduce and complete Table 5 for each permit that you are applying for.(see Instructions) Table 5: Biological Toxicity Testing Data Existing Permit Number. ° tit' Ica f•. Esc ON aisTests" per` a des' r ° , - s P c; �n arise, �t ec�es o. aT so 001 T -5 Q3/_0 A DP 00/92 P PP 100/1 -- P--- 5 2203 A DP 100/94 P PP 100/100 P 5 / 1/0 A DP 100/1 P PP 100/12 F 3 Q0/0 A DP 100/10C P PP 100/88 F 3 /6/03 A DP 100/1 P PP 100/64 F Bureau of Water Management DEP-PERD-APP-107 20 of 21 C(R1t. Rev.08/07100 Part B: Discharge Analysis (continued) Table 6: Discharge Toxicity Evaluation . All Dischar es 1. Except as provided below, all applicants for permits to discharge to a surface waterbody(i.e.,for new and existing discharges)must perform a Discharge Toxicity Evaluation(DTE)in accordance with Section 22a-430- 4(c)(21)(B)RCSA and submit the results of the DTE as Attachment 0,Table 6. 2. Exceptions: A DTE need not be performed or submitted with this application it a. this application for a permit is to discharge sewage from a POTW;or b. a DTE covering all discharges to surface waters at the site has been previously approved by DEP;or c. the applicant has been specifically exempted from submission of a DTE for the discharge(s),in writing by DEP,in accordance with Section 22a-430-4(c)(21)(C),prior to submittal of this application. (see instructions) 3. For discharges to a POTW, a DTE may be required depending on the nature of the discharge. In this case, you Will be notified by DEP after submitting your application. If any of the analyses reported in Tables 1 through 6 of this application were performed by a contract laboratory or consulting firm,list the name,address and telephone number of the laboratory or firm and the type of analyses performed. . Table 7: Contract Laboratory Identification All Discharges ' nTe�leptioie tanaesi " - .. „' .; . _ea'�Cod%.8:�lii� List) EnvironmentalMountain Ave. Risk, lTD Bloomfield, CT (860) 242-9933 Aquat -t ToX'C'-ty 06002 Acute&Chrcdc QeiEriv ro�� 587 S. Mickle UMTR14E (860) 6454102 Iris. mar].iester, Cr ORAO dgkb:y ents TN TIN, NBI IC2 1�13 Bureau of Water Management DEP-PERD-APP-107 21 of 21 Rev.08/07/00 Attachment P: Domestic Sewage Treatment Facilities (excluding subsurface systems) Applicant Name: Town of South Windsor (as indicated on the Permit Application Transmittal Form) ki reatment acility lnforma0x6.6 v.T t ,nsKc i� ,x � r g Facility Name(if different than applicant): Town of South-Windsor:-Water-Pollution Control Facility -- Provide a brief description of the treatment and collection systems: The collection system includes 128. miles of gravity sewer, and 11 pump stations. The Treatment is in a secondary activated waste treatment system with a design capacity of 3.75 MGD, involving an aerated septage receiving tank, a headworks building, 3 main b3fltient pumps, three primary clarifiers, 4 aerators, 2 secondary clarifiers., 2..gravity thickeners, and a W system for disinfection. Sludge is watered,3by means of a belt filter press, and transported tote MXU kr or for incineration. ORION a e ud e o. do For discharges previously authorized by DEP, provide the average mass(dry tons)of sludge generated by the facility.annually: 784 d.t. 759 d.t. �2005) 2004) For all applications,estimate the mass(dry tons)of sludge expected to be generated by the facility during the next five years: 2006 d.t. 785 2009 d.t. 800 2007 d.t. 790 2010 d.t. 800 2008 d.t. 790 Provide a brief description of existing sludge disposal/utilization practices-at the facility(including ash disposal if appropriate): dewater by belt filter press on-site, disposal at MDC for incineration. Provide a brief description of the proposed measures to be taken to dispose of sludge in the event the existing sludge disposal/utilization practice becomes unavailable due to unforeseen circumstances: haul thickened sludge to MDC for incineration. Bureau of Water Management DEP-PERD-APP-108 1 of 3 Rev.08/07/00 1. Does the facility accept septage? ( Yes ❑ No a. If yes, does the facility have a septage receiving facility? ® Yes ❑ No (1) If yes, is the septage receiving facility located within the wastewater treatment plant site? ® Yes ❑ No (2) If no, explain how septage is accepted at the facility: E Is access to the septage discharge point restricted or otherwise monitored? Yes ❑ No The following analyses must have been performed on a grab sample of sludge within one year preceding the date this application is submitted and the results of such analyses must be submitted with this application as part of Attachment P. Reference Attac t= oenix ra ories ty 1. For POTWs with a design flow of equal to or greater than 1 MGD,attach the results of a Priority Pollutants Scan. The Priority Pollutant Scan shall include the following: Volatiles, Semi-Volatiles, Pesticides, PCBs and the following Heavy Metals: Arsenic (As) Mercury (Hg) Beryllium (Be) Molybdenum (Mo) Cadmium (Cd) Nickel (Ni) Chromium, Total (Cr) Selenium (Se) Copper (Cu) Zinc (Zn) Lead (Pb) 2. For POTWs with a design flow of less than 1 MGD,attach the results of a heavy metals analysis on a dry weight basis. This analysis shall include the following heavy metals: Copper (Cu) Lead (Pb) Cadmium (Cd) Nickel (Ni) Chromium (Cr) Zinc (Zn) The percent(%)solids of the sample should also be submitted. Bureau of Water Management DEP-PERD-APP-108 2 of 3 Rev.08/07/00 Attachment P (continued): Domestic Sewage Treatment Facilities . (excluding subsurface systems) Summary Sheet of Industrial and Commercial Non-Hazardous Waste Hauled to Water Pollution Control Facilities Please complete this form by providing the information requested for the previous five years. POTW Name: South Windsor Water Pollution Control Facility Name of Person Completing Form: C. F. Shaw Date: 5/15 2006 w. Dame of f�ctUty Location ddr�ss oIatureof�WasteS uiume aricT fry_ue c r'l x- Generatingliaste ereratingacilitjr = Vli sfeRedev�de South Windsor Amm Rte. 5 South Vuldsor Septic 4500 gaL/yr, Cotmmmi.al 'Thv_e Chapel Pbad South Vmdsor STUC 200D Wyr. Ten Pin Bowl Rte. 5 Forth VM jsor Septic 600D gWyr. aigx d Properties VhYb0rville Road South Wirdsor Septic 30M gWyr. Topstone Golf Griffin Read South VmJsor Septic 3)00 gaVyr. Kte-T-i.te Mel Rte. 5 South Wii Septic Wyr. Adniml M7v%- Mlirgbo i Road South Windsor: Septic 100D Wyr. Red. Star 5T ess Sullivan Amite South Vm1sor STUC 1500 Syr. A m7i= Freight Strong Road. South Vmisor Septic 1500 Wyr. Bureau of Water Management DEP-PERD-APP-108 3 of 3 Rev.08/07/00 Jun . 9. 2006 11 :58AM No.9072 P. I we,S�o%n •CC090 ��c� Environmental Laboratories, Inc. 567 EPA I addle Taropllw,P.O.Box 370,Mumbester,CT 00an TeL(860)6ORM Faa(860)"64M Analysis Report FOR: Attn.-A.Kathy Foley June 09,2006 Town Of South Windsor WPCF I rabert Roast South Windsor,CT 06074 Sample Information Custody Wormation Date Tome Matrim SLUDG Collected by: KF 05/244/06 0:00 Location Code: TWNSOUTH Received by: SW 05/25/06 16:00 Rush Request: Analyzed by; see"By"below P.O.#: 06090006 Laboratory- Data SDG I.D.: GAU23995oeniz LD: AH2$985 -` Ph Client ID: SLUDGE ANALYSIS FOR PERMIT RENEWAL SLUDGE CAKE Parameter Result RL Units Date Time By Reference Arsenic <1.0 1.0 mzft 06/25/06 llt/E 6010/ESW.7 Ber)dlium <0.50 0.50 m91Kg 06/25/06 M/E 6010/E800.7 Cadmium; <0.50 040 mgd9 OSM/06 XX 6010/RM.7 Chromium SAO 8M mg/$g 06/26/m WE 6010/E800.7 Copper 304 6.0 mg/Sg 05/30R6 EH $010M200.7 Mercury 2.89 0.50 M"g 05/30106 ass SW 7471 Molybdenum 4.19 0.60 m6 ft 06M6/06 WE 6010MM.7 Nickel 44.8 0.50 mg/Bg 05=06 " 6018"A*.7 Lead 14.2 0'60 =9199 06ASIOS M/E 60101E800.7 Selenium <2.6 2.5 mg/gg 0SM/06 M/E 60 XOSM.7 Zee 346 5.0 mg/Sg 05/30= EA 6010=00.7 Total Solids Q 104C SO 0.06 % 05AGMS KL Ss09A/E160.3 Merairy Digat on Completed 05/30/06 K SW7471 Soil&L for PCB Completed 06/27/06 L SW3545/3550 Soil Ext.for Pesticide Completed 05/27/06 L $546 Soil BXL for Semi-Vol Completed 06/27/06 L SW3550/3M Total Metals Digest Completed 06/85/06 AG SW846.3050 Polychlorinated BiuhglWs PCB•1016 ND n0 UVXg 06/30/06 MH SW BOBS PCB-1221 ND n0 U999 06/30/06 MD swam PCB-1232 ND no ug1[cg 05/30/06 MH SW SM PCB-1242 ND 120 ug/,Bg 06/30/06 KH SW 8082 PCB-1248 ND 120 ug/Bg 05/30/m MH SW M82 PCB-1254 ND X20 ug/Sg 06/30/06 MR SW 8062 Page 1 ox 6 Jun. 9. 2006 11 :58AM No-9072 P. 2 Client ID: SLUDGE ANALYSIS FOR PERMIT RENEWAL SLUDGE C" Phoenix LD-- AH23995 Parameter Result RL Units Date Time By Reference FCs-1260 ND no USK9 05/30/06 lKR sw sm PCB-1262 ND 1220 wwwg 05/30/06 MH Sw sm PCB-1268 ND 120 ug/Kg 05/30/OG MB swam QAM sumpgates %DCBP(Surrogate Rec) 71 % 05/80106 MR Sw So82 %TCMX(Surrogate Rec) 72 % 05/30/06 Ma sw sm Pesticides• Soil 4,4'-DDD ND 32 ug/Kg 06,28/06 JH BW8081 4,4'-DDE ND 22 ug/Sg 05/28/00 in- SW80si - 4,4'-•DDT - _ _ ND 32_ Uzft OGMSMO JR BW8081 a--BHC ND 16 aglK9 03/28/06 JH swo"I Aldrin ND 7 u9/K9 05/28/06 in SW8081 b-BHC ND 16 VWX9 05R8106 JH sws"i Chlordane ND 66 ug/Kg 05/28/06 JH Sw9081 d-BHC ND 1s ag/S,g 06/29/06 JH 9w8o81 Dieldrin ND 7.0 ugmg 06/88/06 JM Sws081 Eadosu Van i ND i6 ug/Kg MUM JH SW8061 Eadosulfan 11 ND 33 ugh 06=106 JH SW8061 Endoeulfan sulfate ND 32 U999 06/28/06 JS Sw80s1 Eadrin ND 32 u9ft 05/28p6 JH SW8081 Endrin aldehyde ND 32 UM 06,28106 JH g`wgpgi Endrin ketone ND 32 u9199 06/28/06 J,H 9W8081 g-BHC ND 16 ag/Kg 06128/06 JH sws"I HeptaeWor ND is u9mg 06/m/06 da SW8081 Heptachlor epoxide ND IS- ug/Kg 05/28N6 ju Sw8081 Metbocycblor ND 160 n9/K9 03/)ts/06 JH SW8081 Touapbene ND 160 U0119 05=/06 JH SWswi AAl C Surrogates %DCBP(Surrogate Roe) 119 % 06/ OO JH SW8081 %TCMX(Surrogate Rec) 98 % 05128M JH Sw"81 Volatiles 1,1,1,2-Tetrachloreethane ND 260 n9/K6 06/31/06 RM OW8260 1,1,1-Trichloroethane ND 250 u9mg 05/31MG RM SM260 1,1,2,2-Tetmcbaoroetbme ND 250 ugMg 05/31106 RM SW8260 1,1,2-TrieWoroethane ND 250 ug/Sg 05131/06 RM SW8260 1,1-Dichla=tL=e ND 250 a91K9 05131M RM SgM290 1,1-DieWoroethene ND 250 ug/Hg 05/31106 RM SW9260 1,1-Dichloropropene ND 250 ng/Kg 05/31/06 RM SW8260 1,2,3-Trichlorobenzene ND 250 u9/K9 05/31/06. Im SW8860 1,2,3-TrichloroproPaae ND 250 ug/Bg 06/31/+06 RM SWs260 1,2,4-Tx'ichlorobenzene ND 250 RX9 05/31/06 RM SW8260 1,2A-Trimethylbenzene ND 250 waft 05131" RM SW8280 Page 2 of 6 Jun. 9. 2006 11 :58AM No.9072 P. 3 Client ID; SLUDGE AXALY8I8 FOIL PERMIT RENEWAL SLUDGE CAK Phoenix����� AIi23995 Parameter Result RY. Units Uate Time B y Reference 1,2,Dibromo-3-claloropropaae NA 254 ugag 1,2•Dxchlorobenzeae 05/31/06 RM SW8260 ND 260 ug/Bg 05/32/06 RM S"260 1,2-Dicbloroethane ND 200 1,2-DichiomptaMe ug/Kg 05/31/06 RM 8W8860 260 ug/Sg 05/31/06 RM SW826o 1,3,6-Trimethylbenzeme ND 850 u 1,3-Dicblorobenzeae M 05/31/09 RK BW8260 ND 250 U999 06/31p6 RM � 1,3-Dichloropropane ND 250 IA�-Dkhlarobe=ne 250 �g 06/31/06 RM sW ug/Hg 05/31/06 RM SW8260 Dz 2,2-. cl�loraprapane ND 8Z60 850 ug ft 05/31/a RM 8W8260 2-Clilorotolueae ND 280 4-Chlorotoluene ng/Fg 05/3 vw RM SWSM Benzene _ _ __ _ 250 WV4 05/31/06 RM 9W8860 ND 850 am 05/3!/06 RM SW8260 Bromobenzeae Nb 250 Bromochloromethane u g 06/81/06 >9tM 8W8260 ND 850 uBaB NAM RM SW8260 Bzamodichlorometbeme NU .260 Bromol'orm UVXg 06/31/06 RM SW8864 ND 250 �g 05/31/06 33M 8W8M Sromometl�uae ND S60 Carbon tetrachloride u� 05/31M RM 8W62" ChImbenzene ND 250 ug/Bg 05/31/06 RD1 SW8260 ND 250 �g 06131MG RIK ggr8260 Chloroethane NO 250 Chloroform UM 0011" RM 8W6260 Cblarotnethane ND 250 ag/K9 05A1106 RM 8w$M ND 260 IMM cis-1,2-Dichloroethenc 06/31/06 RX SW8260 CIS-1,$-bichlompropeaie ND L" UM 05/31/06 RM SW8260 ND 260 DibrowmMoromethane ugag 06/31/06 RM SW8260 Dabromoetbane ND 250 UM05/31109 RM SM260 ND 50 U91K9 06/31h06 11M SW8260 Dibromometh 2 ame ND 50 Doi Woroditluoronothane U"S 05/31" RM SW81:60 Ethylbemzene- ND 8b0 05/31/06 R t SW8260 ND 250 Hentchlorobuta&me nM 06/31" RX SW8260 ND 250 U9fX9 05/31/06 Isopropyywomene ND 250 ug/Kg 06/31/OB RM SWSS60 ua&p-Xylene ND 250 SW8260 250 05/31N6 RM SW8260 Methyl Ethyl Ketone 81000 1500 Methyl t butyl ether(MTBE) NDlw 05�1/08 RM SW8260 600 W)K8 05131/06 Rid 8W8860 Methylene chloride ND 250 n-Butylbenzeute UM06/!!!/06 RX n-Propylbenzene ND 860 ND Soo ug/Kg 05/31M RM SW8260 ugfwg NapbOWene ND 05131XS RM SW8S60 o-Xylene ND 230 �8 05/31fi6 RM SW8260 F-Isopropyltoluene ND 25 250 0 ug/Sg 0618v" RX gW82�1�-Butyibenzene � ug/Sg 06/31M AM swuso Styrene 250 ugIXg 05131/06 RM sW8$60 ND 250 ug%g 06/31/06 RM tert-Butylbenzene ND SW8S60 Tetmehloroetheue 250 ag/Kg 05/31/06 RM SW8260 250 uKB6 05/31p6 RM 8W8860 Page 3 of 6 Jun- 9. 2006 11 :58AM No-9072 P. 4 Client ID: SLUDGE ANALYSIS FOR pFaMrr RENEWAL SLUDGE CAR Phoeauc 1GD.: AFi28995 Parameter Result RL Units Date Time By Reference Toluene 700 260 uif8 06/311" RM 9W8260 Total Xylenes ND 250 ug/Sg 06/31/06 RM SW8260 trans-1,2-Dichloroethene ND 250 ug/K9 WSW RM SW8200 trans-1,3-Dichloropropene ND 250 ug/Kc 05AIM RM SW8260 Tricbloroethene ND 250 Ug/HS 06/31/06 RK SW8260 Trichloratluoromethane ND 250 um 05/31/06 RM SW8260 Vinyl chloride ND 250 ug/Hg 05/31/06 am SW8260 AA/AC Surrofttea %1,2-dichlorobeuzeneA4 99 % 06/3vw RM S"Go %Brompfluorobenzene 90 % 05/31/06 RM- SW8260 %Dibromofluoranethane 109 `fD IM RM SW8260 %Toluene-d8 92 % 05/3106 RIK SW8260 Semivolatiles 1,2,4-Trichlorobenzene ND 42000 ug/Kg 05/2#i/06 KCA SW 6270 1,2-Diclalorobewene ND 42000 ug/Kg 06/25/06 KCA SW$270 1,2-Diphenylhydrazine ND 42000 ug/Kg 05/25/06 RQA SW 8Z70 1,3-Dicbloroben ene ND 42000 ugft 06/25/06 KCA SW 8270 1,4-Dichlorobenzene ND 42000 ugag 05/25/06 KCA SW 8270 W-Trichlorophenol ND 210000 ug/Hg 05/25/06 KCA SW 8270 2,4,6-TrkiAorophenol ND Z10000 ug/Kg OWN KCA SW 62" 2,4-Dichlmuphenol WD 210000 u ►�g gg 05/2.f'/06 KCA SW$270 2A-Dimethylphenol ND 210000 uvxg 05R5/06 KCA SW 8270 2,4-Dinitrophenol ND 210000 ug/Hg 05/25/06 KCA SW 8270 2,4-DjWuvWluene ND 42000 ng/H$ 06/25/06 WCA OW 8270 2,6-Mblarophenol ND 210000 ug/Kg 05/2"6 KCA SW$270 2,6-Dinitrotoluene ND 42000 uB1Ytg 05=106 KCA 2-Chloronaphthalene SW 8270 ND 42000 ugft 05/25/06 KCA SW 8270 2-Mompbanol ND 210000 ug/Kg OM AN KOA SW 8270 2-Methy1naphdWene ND 43000 ug/Rg 05/261" KCA SW 8Z70 2-Metb+ylphenol(o-cresol) ND 210000 ug/Kg 05AS/06 KCA SW 8270 2-Nitroaniline ND 84000 ugft 05/86/06 KCA OW 8270 2-Nitrophenol ND 210000 ng/Hg 05/25/ft KCA SW 8270 3&4-Metbepbenol(m&p cresop 330000 210000 ug/Kg 05/25/06 KCA SW 8270 3,V-Dichlorobeozidine ND 84000 ug1Hg 05)25/06 KCA $W 8270 3-Nitroantline ND 84000 ug/Kg 0595/06 KCA SW 8270 4,6-Dinitro-2-methylphenol ND 210000 ug/Kg 05/26/06 KCA. OW 9270 4-Bromophavyl phempl ether ND 42000 ug/Kg 05125/06 KCA 1 SW 8270 4-Chloro-3-meth Y phenol ND 210000 ug/Bg 051Z6/06 KCA. OW 8270 4-Cbloroaniline Np 84000 a8/Sg 06/86/06 HCA SW 8270 4-Chlorophenyl phecyi ether ND 42000 ugag 005/06 K,CA� $W 8270 �4-Nitzoa zde ND 84000 ug/Kg 05)25/06 KCA 4-Nitrophenol SW$270 210000 ug/Kg 061Z5106 KCA SW 8270 Acenaphthene 330000 42000 uVxg 05/25/06 KCA SW$270 Page 4 of 6 Jun. 9. 2006 11 :69AM No.9072 P. 5 Client ID: SLUDGE ANALYSIS FOR PERMff RENEWAL SLUDGE CAK phoenix I.D.: AU23995 Parameter Result RL Units Date Time By Reference Amnaphthylene ND 42000 Anthracene ug/gg 06/$6/06 KCA BW g270 ND vg/,Bg 05/25/06 KCA SW 8270 Bez b cene ND 42000 ug/Kg 05,25/06 KCA SW 8270 Benzidine idine ND 84000 ug/Kg OWAS/" SCA, BW U70 Benw(a)pyrene ND 42000 ug/Kg 05,25/06 KCA Benzo(b)fluoranthene ND BW 8270 42000 ug/Kg 06/25/06 KCA SW 9270 Benzo(ghi)l:erylene ND 42000 UgAKS Ob/26/06 KCA Benzo(k)iluorantbene ND SW 82?0 ' Benzoic acid ND42000 �'u� 0!i/2jf/06 KCA SW 8270 Benzyl sac id ND 43M ug/gg 05/25106 KCA SW 8270 4"0 mgiRg 0646/00 $CA SW 8279 Benzyl butyl phthalate ND i3)s(2-r�iloroethoxy)methane _ _ _ 42000 ng1Kg 05=06 HCA SW$270 ND 42000 ug/Kg 05)MAM KCA SW 8270 Bis(2-ebloroethyl)Other ND 42000 Bis(2-chloroaisoproPYl)ether ND 42000 �/26I06 KCA SW 8270 Bis(2-ethylb=yQphthalate 42000 ug/Hg 06/26/06 KCA SW 8270 09000 �� 03"106 KCA BW 82" Di-n-b ND 4Z000 ug/KC 05/25)06 KCA SW 8270 Di-n-butyiphthalate ND Di-n-octylpk�thalate 4200005/26/06 8C�! SW 8270 ND 42M ugXg 06/25/06 KCA Dibena(a,h)anthracene ND SW$270 Dibensofuran ND 42000 06/26/06 W-A. SW 8270 Diethyl phthalate ND 42000 �g 05,25/06 KCA SW 8270 48000 ug/Bg Dimethyiphthalate ND 42000 ugag 061Z6N6 KCA SW 8270SW 8270 06/ggpg KCA Fluorandhke" ND SW 8270 42000 ugll{g OSM/06 KCA, l:luorene ND �� Hexachlarobemsene �g 06125/06 KCA SW 8270 ND 42M ugKKg O{f/26106 HCA, Fle�achlorobutadieae ND SW 8270 Iieaachl 42000 06/Z6106 KCA SW 8270 omcyciopeRta4ene ND 4Z000 ug/Kg 05/&K/p6 KCA Resaehloroethane SW 8270 42000 ug/Kg 06/25/06 KCA SW 8270 Indeno(1,2,3-cd)pyme ND 42000 Isophorone 06�61n6 WA, SW 8270 ND 42000 U"r 05,25/06 KCA SW 8270 N Nitra"-n-propylamine ND 42000 N-Nitrow&methylamine u�g 06/26N6 KCA SW 8270 42 ug/gg 05=106 K,CA, SW 8270 N Nxtrosodiphenylamine ND 4200W0 ug/K8' 061SSN6 KCA Naphthalene ND SW 82" Nitrobenzene ND 42W u0B6 06/Z6/06 KCA SW 82" Pentachloropheuol u8lKg 05/25/06 KCA SW 8270 ND 210000 ug/Kg 06/25/06 KCA Pbrenanthrene ND SW 5270 Phenol 42M 06/251" KCA SW 8270 ND 210000 ug/Kg 06/25/06 KCA Fyrene ND SW 8270 Pyridine 42000 ug/Kg 06/96106 KCA SW 8270 ND 48000 uM 06/26/06 KCA Surrogiatea SW 8270 %2,4,6-Tribronmophenol Diluted Out •2-Fkwrobiphenyi Diluted Out % 06/95106 KCA SW 8270 2-Fl % 05)2410 HCA?b uoxapb�eaol Diluted out SW 8270 % 05/26/06 KCA SW 8270 Page 5 of 6 Jun . 9. 2006 11 :59AM No.9072 R. 6 Client ID: SLUDGE ANALYSIS FOR PERMIT RENEWAL SLUDGE CAK Phoenix I.D.: AW3995 Parameter Result RL Units Date lime B Y Reference •Nitro6eAzene-db Diluted Out •PhenoW5- Dilated Out 05/25/06 HCA SW 8270 96 OMM )KCA SW 9270 •Terpbenyl-d14 Diluted Out % XCA SW 8270 Comments_ ND=Not detected BDG=Below Detection Limit RL=Reporting Limit If tbel�o are any questions regarding this data,please eall Phoenix Client Services at extension 200. Gam► PhyAl kx,LsboratoryDirector juft % Page 6 of 6 Jun. 9. 2006 11 :59AM No.9072 P. 7 E10 lK ACC0.9 i OEM& tUi t x Environmental Laboratories, Inc. W Igmt 14i AI*1`wWUA%I'.OM*x 270,Manchester,or o6040 TeL(860)645-11o8 Fax(ON)445403 Analysis Report FUR: Attu:Ms.Katby Foley June 09, 2006 Town Of South Windsor WPCF 1 Vibert Road South Windsor,CT 06074 Sample Information Custody Information Date IlMe Matrix: WASTE WATER. Collected by: KF 06/01M 7:00 Location Code: TWNSOUTH Received by: LB 06/01/06 15:00 Kush Request: Analyzed by: see^By"below P.Q.#: 06090001 LaboratQry Data 8DG LD.: GAM5349 ----- � Client ID: WEEKLY NITROGEN 5/31106 FINAL EFFLUENT Phoenix LD.: AH25848 Parameter Result RL Unfits Date Time By Reference Nitrite as Nitrogen 1.8 0M OWL 06f01W 22:38 ye S00.0 Nitrate sa Nitrogen 7.4 0.10 mg/L 06/01M 2243 3/e 30o."o56 Nit rogau Tot KM" 6.8 0.1 wg/L 06/05/00 WM E361.1 Comments: ND=Not deter BDL=Below Detcakion Limit RL=Re porting Limit If there are any questions regarding this data,please call Phoenix Client Services at extension 200. t/ s x,T.abOacato:ry Victor June ,2006 Page I of 1