Discharge Permit Application - City of Saginaw MI

Office of Environmental ComplianceCity of Saginaw Wastewater Treatment Facility2406 Veterans Memorial ParkwaySaginaw, Michigan 48601-1268City of Saginaw/Northwest Utilities Authority Sewer DistrictDischarge Permit Application/Comprehensive Industrial Wastewater SurveyThe information provided in this survey/permit application will enable the City of SaginawWastewater Treatment Industrial Pretreatment Program to update files related to nondomesticsewer users in the City of Saginaw and Northwest Utilities Authority servicearea.Please complete the Permit Application and return it to the Environmental ComplianceOffice ninety (90) days prior to the date upon which any discharge will begin orrecommence. This survey/permit application is in accordance with the City of SaginawCode of Ordinances Title V, Chapter 51: Sewer, Michigan Department of EnvironmentalQuality (MDEQ) and the United States Environmental Protection Agency (USEPA)Industrial Pretreatment rules and regulations.If you have any questions please contact the Environmental Compliance Office at(989) 759-1523.The following websites contain information that may be helpful in filling out this permit.City of Saginaw Code of Ordinances Title V, Chapter 51: Sewerwww.amlegal.com/library/mi/index.shtmlDEQ –Industrial Pretreatment web sitewww.michigan.gov/deq(Go to Department/ Water)General Industrial Pretreatment Regulations, (40CFR403)www.gpoaccess.gov/cfr/index.htmlList of Standard Industrial Classification Codes (SIC)www.sec.gov/info/edgar/siccodes.htmlList of North American Industry Classification System (NAICS)www.naics.comReference material included with this application:1. Local limits2. List of pollutants for analysis1

SECTION A - GENERAL INFORMATION1. Facility Name:2. Facility Address:AddressCity, State & ZipPhone and Fax #3. Business Mailing Address:AddressCity, State & ZipPhone and Fax #4. In business since:5. Designated signatory authority of the facility: (Attach similar information for eachauthorized representative)NameTitleAddressCity, State & ZipPhone and Fax #E-mail6. Designated environmental facility contact: (if different from #4 above)NameTitleCity, State & ZipPhone and FaxE-mailSECTION B - BUSINESS ACTIVITY1. If the facility employs or will be employing processes in any of the industrial categoriesor business activities listed below (regardless of whether they generate wastewater,waste sludge, or hazardous wastes), place a check beside the category of businessactivity (Check all that apply).EPA Industrial CategoriesAluminum FormingAsbestos ManufacturingBattery ManufacturingCanned and Preserved Fruits and Vegetable Processing2

Canned and Preserved Seafood ProcessingCarbon Black ManufacturingCement ManufacturingCentralized Waste TreatmentChemicals with PesticidesCoal MiningCoil CoatingCopper FormingDairy Products ProcessingElectrical and Electronic ComponentsElectroplatingExplosives ManufacturingFerroalloy ManufacturingFertilizer ManufacturingGlass ManufacturingGum and Wood Chemicals ManufacturingHospitalInk FormulatingInorganic Chemicals ManufacturingIron and Steel ManufacturingMeat and Poultry ProductsLeather Tanning and FinishingMeat and Poultry ProductsMetal Finishing (electroplating, electrolyses plating, anodizing, coating, chemicalEtching and milling, and printed circuit board manufacture)Metal Molding and CastingMetal PowdersMetal Products and MachineryNonferrous Metal Forming and Metal PowdersNonferrous Metal ManufacturingOrganic Chemicals, Plastics, and Synthetic Fibers ManufacturingPaint FormulatingPaving and Roofing Materials (Tars and Asphalt)Pesticide ChemicalsPharmaceutical ManufacturingPhotographicPhosphate ManufacturingPlastic and Synthetic Materials ManufacturingPlastics Molding and FormingPorcelain EnamelingPulp, Paper, and Paperboard ManufacturingRubber ManufacturingSoap and Detergent ManufacturingSteam Electric Power GeneratingSugar ProcessingTimber ProcessingTransportation Equipment CleaningWaste Combustors3

2. Indicate applicable Standard Industrial Classification (SIC) or list the NorthAmerican Industry Classification System (NAICS) for all processes (If morethan one applies, list in descending order of importance). A list of SIC andNAICS Codes can be found using web address on the first page of this permit.3. Give a brief description of all processes or operations at the facility including primaryproducts or services (attach additional sheets as necessary).4. PRODUCT VOLUME: (Attachments such as product lists are acceptable)Amounts Per Day (Daily Units)Product (Brand name) Past Calendar Year Estimate This YearAVERAGE MAXIMUM AVERAGE MAXIMUM4

SECTION C - SEWER and WASTEWATER DISCHARGE INFORMATION2. Is the building presently connected to the public sanitary sewer system? (Yes/No)3. Provide copies of the most recent water/sewer consumption bills.Submit records from multiple accounts if applicable.4. Does (or will) this facility discharge any wastewater other than domestic (bathrooms,kitchen, household) to the City (POTW)?(Yes/No)5

5. List the average wastewater discharge, maximum discharge, type of discharge (batch, continuous, or variable), and location andsize of sewer connection for each plant process.No. Process Description Ave Flow Max Flow Type of Discharge Location and size of sewer(Gallons per day)connection12345678Flow totalsExplain the difference, if any, between Section C.3. water usage and Section C. 5. total process flow (evaporation, contained in product,storm water etc).6

ParameterBiochemical Oxygen Demand (BOD 5 )Fats, Oils and Grease (FOG)Ammonia Nitrogen (NH 3 N)Total PhosphoruspHTemperature (T)Total Suspended Solids (TSS)Amenable Cyanide (CN -)Arsenic (As)Cadmium (Cd)Chromium (Cr)Copper (Cu)Mercury (Hg)Nickel (Ni)Lead (Pb)Selenium (Se)Zinc (Zn)BenzeneBTEXTotal Toxic Organics (TTOs)Polychlorinated Biphenyls (PCBs)Unitsmg/Lmg/Lmg/Lmg/LStandard UnitsDegrees Fahrenheitmg/Lmg/Lmg/Lmg/Lmg/Lmg/Lmg/Lmg/Lmg/Lmg/Lmg/Lmg/Lmg/Lmg/Lug/LSECTION E– WASTEWATER TREATMENT1. Is any form of wastewater treatment practiced at this facility? (Yes/No)If no, skip to section F2. Treatment devices or processes used or proposed for treating wastewater or sludge(Check all that apply)Air flotationIon exchangeBiological treatment, typeMercury recovery systemCarbon AdsorptionNeutralization, pH correctionCentrifugeOzonationChemical precipitationPolymer additionChlorinationRainwater diversion or storageCycloneReverse osmosisFiltrationSedimentationFlow equalizationSeptic tankGrease or oil separation, typeSilver recovery unitGrease trapSolvent separationGrinding filterSpill protectionGrit removalSumpGround water remediation system Ultra filtrationOther, Please name8

3. Describe the pollutant loadings, flow rates, design capacity, physical size, andoperating procedures of each treatment process checked above.(Attach additional sheets if necessary)4. Attach a process flow diagram for each existing or planned treatment system. Includeprocess equipment, by-products, by-product disposal method, by-product transfermethod, waste and by-product volumes, and design and operating conditions.5. Describe any future changes in treatment or disposal methods planned or underconstruction for the wastewater discharge to the sanitary sewer. Please include theestimated completion date(s).6. Is there a wastewater treatment operator or a company responsible for the operation ofthe treatment system?(Yes/No)If yes, provide the following information. If no, skip to number 8Name:Title:Phone:Full Time:Part Time:Fax:(Specify hours)(Specify hours)7. Is the operator certified? (Yes/No)8. Is there an operations manual kept on site for the pretreatment equipment? (Yes/No)9. Is there a maintenance schedule for the pretreatment system(s)? (Yes/No)10. What preventative maintenance is performed on the pretreatment system(s)?9

SECTION F – CHEMICAL INVENTORY AND SPILL PREVENTION1. Does this facility use or store any pesticides or toxic organic pollutants?(See list of organic pollutants provided)(Yes/No)2. List types and quantity of all chemicals used or planned for use. Include copies ofmanufacturer's Material Safety Data Sheets (MSDS) and any other related certificatesof analyses for all chemicals identified. For petroleum products please list descriptionand quantity only. (Information can be put on a CD or Disk)ChemicalQuantity3. Are there chemical storage containment areas at the facility? (Yes/No)If yes, please give a description of their location, contents, size, type, and frequencyand method of cleaning. Also, indicate in a diagram, or comment on theproximity of these containment areas to a sewer or storm drain.4. Are there floor drains in the manufacturing or chemical storage area(s)? (Yes/No)If yes, where do they discharge?5. If there are chemical storage containment areas in the manufacturing area, could anaccidental spill lead to a discharge to: (check all that apply)Sanitary sewer system (POTW)Storm drainOther, specifyGroundCombined sewer –sanitary/storm6. Does this facility have a Pollution Incident Prevention Plan (PIPP), Slug Plan, SpillPrevention or Spill Prevention Countermeasure & Control Plan (SPCC) to prevent10

spills of chemicals or slug discharges from entering the Control Authority's collectionsystem?(Yes/No)If yes, (Please attach a copy of all that apply with the application)7. Please describe below any previous spill events and remedial measures taken toprevent their reoccurrence.8. Does the facility discharge, generate, dispose of, store, or handle hazardous materialsor wastes.(Yes/No)SECTION G - CATEGORICAL INDUSTRIAL USERSProvide the following Total Toxic Organic (TTO) information.1. Does (or will) this facility use any of the toxic organics that are listed under the TTOstandard 40 CFR Part 433.2 and 413.3 of the applicable categorical pretreatmentstandards published by EPA?(Yes/No)2. Has a baseline monitoring report (BMR) that contains TTO been completed? (Yes/No)If yes, please attach a copy3. Has a toxic organics management plan (TOMP) been developed? (Yes/No)If yes, please attach a copySECTION H - NON-DISCHARGED WASTES1. Are any waste liquid or sludge generated, reclaimed, recycled or disposed of at thefacility?(Yes/No)If yes, please describe belowWaste Generated Quantity (per year) Disposal Method11

2. State the name and address of all waste haulers:NameNameAddressAddressPermit # Permit #(If applicable)(If applicable)NameAddressNameAddressPermit # Permit #(If applicable)(If applicable)SECTION I - ENVIRONMENTAL PERMITSIf any federal, state, or local environmental permits have been issued to the facility please listthem below?SECTION J - COMPLIANCE CERTIFICATION1. Are all applicable federal, state, or local pretreatment standards and requirementsbeing met on a consistent basis?(Yes/No)If no, answer the following questions:a. What additional operations and maintenance procedures are being consideredto bring the facility into compliance? Also, list additional treatment technologyor practice being considered in order to bring the facility into compliance.b. Provide a schedule for bringing the facility into compliance. Specify majorevents planned and reasonable completion dates. Note: if the ControlAuthority issues a permit to the applicant, it may establish a schedule forcompliance different from the one submitted by the facility.MilestoneCompletion Date12

SECTION K - AUTHORIZED SIGNATURESIn accordance with City of Saginaw Code of Ordinances Title V, Chapter 51§34 or theNorthwest Utilities Authority Sewage Disposal Regulations No. 91-1, §1-114, information anddata provided in this permit application which identifies the nature and frequency of dischargeshall be available to the public without restriction. Requests for confidential treatment of otherinformation shall be governed by procedures specified in Chapter 51§39 or 1-114. There is a$200.00 administration fee for processing the permit application. An invoice will be issuedand must be paid before a discharge permit is issued. Send the completed and signedapplication 90 days prior to the date upon which any discharge will begin or recommence to:City of Saginaw, Wastewater Treatment Facility2406 Veterans Memorial ParkwaySaginaw, MI 48601-1268Authorized Representative Statement:“I certify under penalty of law that this document and all attachments were preparedunder my direction or supervision in accordance with a system designed to assure thatqualified personnel properly gather and evaluate the information submitted. Based on myinquiry of the person or persons who manage the system, or those persons directlyresponsible for gathering the information, the information submitted is, to the best of myknowledge and belief, true, accurate, and complete. I am aware that there are significantpenalties for submitting false information, including the possibility of fine and imprisonment forknowing violations.”Date:Name:Signature:Title:Phone #:Fax #:13

City of Saginaw Discharge Permit Application Required Analytical ParametersAmmonia NitrogenBiological Oxygen Demand (BOD-5 day)PhosphoruspHTemperatureTotal Suspended SolidsOil and greaseCyanide, totalCyanide, amenableArsenicCadmiumChromiumCopperMercuryNickelLeadSeleniumZincPriority Pollutants, Volatiles (VOC)1,1,1-Trichloroethane1,1,2,2-Tetrachloroethane1,1,2-Trichloroethane1,1-Dichloroethane1,1-Dichloroethene1,2-Dichlorobenzene1,2-Dichloroethane1,2-Dichloropropane2-Chloroethylvinyl etherAcroleinAcrylonitrileBenzeneBromodichloromethaneBromoformBromomethaneCarbon tetrachlorideChlorobenzeneChloroethaneChloroformChloromethaneCis-1,2-DichloroetheneCis-1,3-DichloropropeneDibromochloromethaneEthylbenzeneMethylene chlorideTetrachloroetheneToluene14

Trans-1,2-DichloroetheneTrans-1,3-DichloropropeneTrichloroetheneTrichlorofluoromethaneVinyl chlorideXylenesPriority Pollutants, Semi-Volitile Base Neutral, Acids2,4,6-Trichlorophenol2,4-Dichlorophenol2,4-Dimethylphenol2,4-Dinitrophenol2-Chlorophenol2-Methyl-4,6-dinitrophenol2-Nitrophenol4-Chloro-3-methylphenol4-NitrophenolPentachlorophenolPhenol1,2,4-Trichlorobenzene1,2-Dichlorobenzene1,2-Diphenylhydrazine1,3-Dichlorobenzene1,4-Dichlorobenzene2,3,7,8-TCDD2,4-Dinitrotoluene2,6-Dinitrotoluene2-Chloronaphthalene3,3'-Dichlorobenzidine4-Bromophenyl phenyl ether4-Chlorophenyl phenyl etherAcenaphtheneAcenaphthyleneAnthraceneBenzidineBenzo(a)anthraceneBenzo(a)pyreneBenzo(b)fluorantheneBenzo(ghi)peryleneBenzo(k)fluorantheneBis(2-chloroethoxy)methaneBis(2-chloroethyl)etherBis(2-chloroisopropyl)etherBis(2-ethylhexyl)phthalateButylbenzyl phthalateChryseneDi-N-butylphthalateDi-n-Octyl phthalate15

Dibenzo(ah)anthraceneDiethyl phthalateDimethyl phthalateFluorantheneFluoreneHeptachlorHeptachlor epoxideHexachlorobenzeneHexachlorobutadieneHexachlorocyclopentadieneHexachloroethaneIndeno(123cd)pyreneIsophoroneN-Nitrosodi-n-propylamineN-NitrosodimethylamineN-NitrosodiphenylamineNaphthaleneNitrobenzenePhenanthrenePyrenePriority Pollutants, Pesticides4,4'-DDD4,4'-DDE4,4'-DDTAldrinAlpha-BHCBeta-BHCChlordaneDelta-BHCDieldrinEndosulfan IEndosulfan IIEndosulfan sulfateEndrinEndrin aldehydeGamma-BHCHeptachlorHeptachlor epoxideToxaphenePriority Pollutants, PCBs by Method 608 OnlyPCB Aroclor 1016PCB Aroclor 1221PCB Aroclor 1232PCB Aroclor 1242PCB Aroclor 1248PCB Aroclor 1254PCB Aroclor 126016

City of SaginawCode of Ordinances, Title V: Chapter 51: SewerLocal LimitsParameter Limit Daily Max UnitsBOD 5 Biochemical Oxygen Demand 493 mg/LCN¯ Cyanide (amenable) 0.473 mg/LFOG Fats, Oils and Grease 100 mg/LNH 3 N Ammonia Nitrogen 77 mg/LP Phosphorus 7 mg/LpH 6.0 to 10.5 S.U.Temperature 120 Deg. F.TSS Total Suspended Solids 1100 mg/LMetalsAs Arsenic 0.473 mg/LCd Cadmium (total) 0.110 mg/LCr Chromium (total) 2.770 mg/LCu Copper (total) 1.184 mg/LHg Mercury 0.0002 mg/LNi Nickel (total) 1.786 mg/LPb Lead (total) 0.377 mg/LSe Selenium (total) 0.083 mg/LZn Zinc (total) 1.162 mg/LOrganicsBenzene 0.5 mg/LTotal BTEX 5 mg/LPCBs Total Polychlorinated Biphenyls 0.2 μg/LThe quantification level shall not exceed 0.0002 mg/L unless a higher level isappropriate due to matrix interference. Any discharge of mercury at or above thequantification level is a specific violation.The quantification level shall be 0.2 μg/L unless a higher level is appropriate due tomatrix interference. Any discharge of total PCBs at or above the quantification levelis a specific violation.Surcharge LimitsParameter Limit Units SurchargesBOD 5 Biochemical Oxygen Demand 200 mg/L $0.14 /lbNH 3 N Ammonia Nitrogen 30 mg/L $0.41 /lbP Phosphorus 4 mg/L $1.02 /lbTSS Total Suspended Solids 350 mg/L $0.12 /lbPlus a 10% charge of the amount of the charges not paid on or before the due date.17