19QA019_-_(Attch_6)_WTP_Permit.pdf

TABLE OF CONTENTS

1. SPECIFIC PERMIT CONDITIONS

1.1. EFFLUENT LIMITS, MONITORING, & REPORTING

1.1.1. DISCHARGE RESTRICTIONS

1.1.2. LIMITS & MONITORING

1.1.3. REPORTING

1.2. MIXING ZONE LIMITS, MONITORING, & REPORTING

1.2.1. MIXING ZONE ASSIGNMENT

1.2.2. NOTIFICATION OF INTENDED USE OF MIXING ZONE

1.2.3. LIMITS &MONITORING

1.2.4. REPORTING

1.3. OTHER REQUIREMENTS

1.3.1. QUALITY ASSURANCE PROJECT PLAN

1.3.2. COMPLIANCE WITH ALASKA ADMINISTRATIVE CODE

1.3.3. CHANGE IN DISCHARGE

1.3.4. ADDITIONAL MONITORING

1.3.5. REPRESENTATIVE SAMPLING

1.3.6. REPORTING

2. MANAGEMENT PRACTICES

2.1. PROPER OPERATION AND MAINTENANCE

2.2. REMOVED SUBSTANCES

2.3. AIR AND LAND RELEASES

2.4. RECORDS RETENTION

2.5. CHANGE IN DISCHARGE

2.6. TOXIC POLLUTANTS

2.7. ACCIDENTAL DISCHARGE AND SPILL REPORTING

2.8. NONCOMPLIANCE NOTIFICATION

3. GENERAL PERMIT CONDITIONS

3.1. ACCESS AND INSPECTION

3.2. INFORMATION ACCESS

3.3. CIVIL AND CRIMINAL LIABILITY

3.4. ADVERSE IMPACT

3.5. CULTURAL OR PALEONTOLOGICAL RESOURCES

3.6. APPLICATIONS FOR RENEWAL

3.7. OTHER LEGAL OBLIGATIONS

3.8. POLLUTION PREVENTION

SITE MAP……………………………………………………………………………………………..11

DISCHARGE MONITORING REPORT

NONCOMPLIANCE NOTIFICATION

ACCIDENTAL DISCHARGE/SPILL NOTIFICATION.………………………………………

ATTACHMENT A: QUALITY ASSURANCE PROJECT PLAN

1. SPECIFIC PERMIT CONDITIONS

1.1. EFFLUENT LIMITS, MONITORING, AND REPORTING

1.1.1. DISCHARGE RESTRICTIONS

1.1.1.1. During the period beginning on the effective date of this permit and lasting through the expiration or termination date, the Permittee is authorized to discharge filter backwash and bypass well water from the EAFB Drinking WTP into Garrison Slough.

1.1.1.2. The discharge must not contain additives, such as antifreeze solutions, methanol, solvents, corrosion inhibitors, garbage, toxic substances, grease or oils which produce a sheen, any more than trace amounts of foam, or other contaminants.

1.1.1.3. The discharge must not cause or contribute to a violation of Alaska Water Quality Standards (18 AAC 70).

1.1.1.4. No other treated or untreated wastewater, sludge, or other material shall be discharged to the lands or waters of the state unless otherwise approved by the Department.

1.1.2. LIMITS AND MONITORING

1.1.2.1. Effluent limitations for Total Iron and Arsenic shall be set as the upstream background concentration when concentrations for these parameters at the upstream monitoring location do not meet the effluent limitations as prescribed in the table below. Sampling at the upstream and concrete weir monitoring locations must occur on the same date and at the same time.

1.1.2.2. Upstream background samples must be collected between the utilidor crossing of Garrison Slough and Central Avenue. (See attached map).

Monitoring and reporting must adhere to the effluent limitation and monitoring requirement table on page 4.

1.1.2.3. Representative effluent samples must be collected at the concrete weir of the constructed settling pond, where the wastewater enters Garrison Slough. (See attached map). Monitoring and reporting must adhere to the requirements in the following table:

EAFB WTP 3

EFFLUENT LIMITATIONS AND MONITORING

Maximum

Frequency of

Sample Minimum Units Value Parameter Value Analysis Type

Flow (effluent) NA .30 mgd Daily Measure

Dissolved Oxygen (upstream) report report mg/L Quarterly1

(4/year) Grab

Footnotes

1. Quarterly shall consist of one sample collected in each of the calendar quarters: (Jan.-Mar., April-June, July-Sept., Oct.-Dec.). Sampling during the winter months should occur prior to freeze up, and just after spring thaw.

2. Composite samples must consist of at least four equal volume grab samples, two of which must be taken during periods of peak flow (7-9 a.m.

and 6- 8p.m.)

3. The maximum effluent limit for Total Iron shall be the upstream background concentration when the upstream background concentration is more than 1 mg/L.

4. The maximum effluent limit for Arsenic shall be the upstream background concentration when the upstream background concentration is more than 50 µ/L.

5. The Alaska Water Quality Standard (18 AAC 70) limit is 0.011 mg/L for total residual chlorine. For monitoring purposes in this permit, the detection limit is 0.1 mg/L, and measurements below 0.1 mg/L are considered undetectable or zero, 0.

6. No test required if chlorine is not used as a disinfectant.

1.1.3. REPORTING

By the 14th of the following month, submit monthly results of required effluent analyses to the Department on the enclosed Discharge Monitoring Report form (DMR) or using a similar format.

Total Iron (upstream) report report mg/L Quarterly (4/year)

Grab or Composite2

Arsenic (upstream) report report µ/L Quarterly (4/year)

Grab or Composite

Dissolved Oxygen (concrete weir)

2 17 mg/L Quarterly Grab (4/year)

Total Iron3

(concrete weir) NA 1 mg/L Quarterly

(4/year) Grab or Composite

Arsenic4

NA 50 µ/L Quarterly

Grab or Composite pH (concrete weir)

6 9 std. units Quarterly (4/year)

Grab

Total Suspended Solids

NA 60 mg/L Quarterly

Grab or Composite

Total Dissolved Solids (concrete weir) report report mg/L Quarterly (4/year)

Grab or Composite

Total Residual Chlorine5,6

(concrete weir)

NA 0.1 mg/L Quarterly (4/year)

Grab

EAFB WTP 4

1.2. MIXING ZONE LIMITS, MONITORING, & REPORTING

1.2.1. MIXING ZONE ASSIGNMENT

This discharge is assigned a mixing zone to meet Alaska Water Quality Standards (18 ACC 70) for chlorine, pH and dissolved oxygen. The mixing zone for this discharge is defined as the total area extending approximately 500 feet from the concrete weir at the constructed settling pond at the WTP north to the culvert where Garrison Slough passes Central Avenue. (See attached map).

1.2.2. NOTIFICATION OF INTENDED USES OF MIXING ZONE

The Permittee shall provide the Department written notice if water from inside of the mixing zone is used, or is intended to be used as a water supply for aquaculture, human consumption, food processing, or contact recreation. These waters and uses are defined in the Alaska Water Quality Standards (18 AAC 70).

1.2.3. LIMITS AND MONITORING

1.2.3.1. Mixing zone limitations for Dissolved Oxygen shall be set as the upstream background concentration when the Dissolved Oxygen concentration at the upstream monitoring location does not meet the mixing zone limitations prescribed in the table below. Sampling at the upstream and mixing zone monitoring locations must occur on the same date and at the same time.

1.2.3.2. Upstream background samples must be collected between the utilidor crossing of Garrison Slough and Central Avenue. (See attached map).

1.2.3.3. Representative mixing zone samples must be collected at the downstream outer edge of the mixing zone at the culvert where Garrison Slough passes Central Avenue. (See attached map). Monitoring and reporting must adhere to the requirements in the following table:

MIXING ZONE LIMITATIONS AND MONITORING

Parameter Minimum Value

Maximum Value Units Frequency of

Analysis Sample Type

Total Residual Chlorine1,2 NA 0.011 mg/L Quarterly3

(4/year) Grab pH4 6.5 8.5 std. units Quarterly (4/year)

Grab

Dissolved Oxygen5 7 NA mg/L Quarterly

Grab (4/year)

Footnotes

1. The Alaska Water Quality Standard (18 AAC 70) limit is 0.011 mg/L for total residual chlorine. For monitoring purposes in this permit, the detection limit is 0.1 mg/L, and measurements below 0.1 mg/L are considered undetectable or zero, 0.

2. No test required if chlorine is not used as a disinfectant.

3. Quarterly shall consist of one sample collected in each of the calendar quarters: (Jan.-Mar., April-June, July-Sept., Oct.-Dec.).

Sampling during the winter months should occur prior to freeze up, and just after spring thaw.

4. pH for fresh water must be within 0.5 std. units of background.

5. The minimum mixing zone limit for Dissolved Oxygen shall be the upstream background concentration when the upstream background concentration is less than 7 mg/L.

EAFB WTP 5

1.2.4. REPORTING

By the 14th of the following month, submit monthly results of required mixing zone analyses to the Department on the enclosed DMR or using a similar format.

1.3. OTHER REQUIREMENTS

1.3.1. QUALITY ASSURANCE PROJECT PLAN

Regarding monitoring and laboratory analyses, the Permittee must comply with its quality assurance project plan (QAPP), and keep a copy of the QAPP available at the WTP. Unless the Permittee submits an individual facility-specific QAPP to the Department, monitoring and laboratory analyses must be conducted according to the attached QAPP. See Attachment A. If the Permittee wishes to operate under a facility-specific QAPP, an individual QAPP must be submitted to the Department within 90 days after issuance of the permit.

1.3.2. COMPLIANCE WITH ALASKA ADMINISTRATIVE CODE

The discharge shall not cause contamination of surface or groundwater, and shall not cause or contribute to a violation of the Alaska Water Quality Standards (18 AAC 70) or the Alaska Wastewater Disposal regulations (18 AAC 72).

1.3.3. CHANGE IN DISCHARGE

No other treated or untreated wastewater, sludge, or other materials shall be discharged to the lands or waters of the state unless otherwise approved by the Department.

1.3.4. ADDITIONAL MONITORING

If the Permittee monitors any influent or effluent characteristic identified in this permit more frequently than required, the results of such monitoring must be reported to the Department in the corresponding monthly DMR. The reporting of process control measurements that are independent of those used for compliance shall not be required.

The Department will also not require reporting of testing that is conducted for training purposes provided that the Department receives written advance notification.

1.3.5. REPRESENTATIVE SAMPLING

Samples and measurements taken as required must be representative of the volume and nature of the monitored discharge. Grab samples should be taken during daily peak flow and composite samples should be flow proportional.

1.3.6. REPORTING

Monitoring results shall be summarized and reported monthly to the Department. Each DMR must be signed, postmarked, faxed, or emailed no later than the 14th day of the month following the month that monitoring occurred. Reporting shall begin at the commencement of discharge and shall be done on the attached DMR. If there is no discharge during an entire reporting period, the Permittee shall mark the DMR appropriately and submit the form monthly as required. Reports submitted on a form similar to the DMR in the same format and providing the same information as the DMR will be accepted. Signed copies of these and all other reports required herein must be submitted to the Department at the following address:

EAFB WTP 6

Alaska Department of Environmental Conservation Division of Water

610 University Ave.

Fairbanks, AK 99709

Telephone: 907-451-2101 Fax: 907-451-2187

Email: wq_permit@dec.state.ak.us

Intentional false statements on permit required reports by the Permittee, operator, or other employees including contractors may result in the imposition of criminal penalties under AS 46.03.790.

2. MANAGEMENT PRACTICES

2.1. PROPER OPERATION AND MAINTENANCE

2.1.1. At all times, the Permittee must exercise proper operation and maintenance (O&M) of all facilities and systems of treatment and control (and related appurtenances), which are installed or used by the Permittee to achieve compliance with the conditions of this permit.

2.1.2. The facility must be operated and maintained consistent with the design that was approved by the Department.

2.1.3. Within six months from the effective date of this permit, the Permittee shall complete an O&M manual for the WTP. The Department shall be notified when the O&M manual has been completed. The O&M manual shall be kept at the facility and made available to the Department upon request.

2.1.4. The Permittee shall keep equipment maintenance logs of any scheduled or non-scheduled maintenance. These logs shall be kept at the facility and made available to the Department upon request. Logs shall include the date, time, scope of work performed, and names of persons performing the work.

2.2. REMOVED SUBSTANCES

Collected grit, scum, sludge, or other pollutants removed in the course of treatment or control of wastewater must be disposed of in a Department approved and permitted manner.

2.3. AIR AND LAND RELEASES

The Permittee must not place, deposit, or allow placement or deposit on the premises, any material which may produce, cause or contribute to the spread of disease, create a safety hazard or in any way endanger the health of the public.

2.4. RECORDS RETENTION

All records and information resulting from the monitoring activities required by this permit, including all records of analyses performed, and calibration and maintenance of instrumentation, and recordings from continuous monitoring instrumentation must be retained

EAFB WTP 7

mailto:wq_permit@dec.state.ak.us in Alaska for observation by the Department for five years. Upon request from the Department, the Permittee must submit certified copies of such records.

A copy of this permit shall be kept available to the public at the treatment facility.

2.5. CHANGE IN DISCHARGE

All discharges authorized herein must be consistent with the terms and conditions of this permit.

The discharge of any pollutant or toxic material (including oil, grease, or solvents) more frequently than or at a concentration or limit not authorized, shall constitute noncompliance with the permit. Any anticipated facility expansions, flow increases, or process modifications which will result in new, different, or increased discharges of pollutants must be reported by submission of a new wastewater disposal permit application, and request a plan review at least thirty days before the implementation of such changes. Physical changes may also be subject to plan review by the Department.

2.6. TOXIC POLLUTANTS

If during the life of this permit a new or revised toxic pollutant (including oil, grease, or solvents) concentration standard is established in accordance with 18 AAC 70 for a pollutant present in this discharge and that standard is more stringent than the limitation in this permit, then upon the effective date of the new rule, this permit is considered to be automatically modified in accordance with the new toxic pollutant concentration standard.

2.7. ACCIDENTAL DISCHARGES AND NONCOMPLIANCE

The Permittee must provide protection from accidental discharges not in compliance with the provisions of this permit. To prevent such discharges, the Permittee must maintain the WTP in good working condition at all times. If an accidental discharge occurs, the Permittee must report the event to the Department as soon as possible or within 24 hours after becoming aware of such conditions. Within seven days of event discovery, a completed version of the attached accidental discharge/spill notification form or all the information requested by the form must be sent to the Department as a follow-up written report.

2.8. NONCOMPLIANCE NOTIFICATION

2.8.1. If, for any reason, the Permittee does not comply with or will be unable to comply with any effluent limitation specified in this permit, the Permittee must report the noncompliance to the Department as soon as possible or within 24 hours after becoming aware of such conditions.

2.8.2. A written follow-up report must be sent to the Department within seven days of discovering the noncompliance event. The Permittee may use the attached noncompliance notification form to report noncompliance. A written report must contain but is not limited to:

2.8.2.1. times and dates on which the event occurred, and if not corrected, the anticipated time the noncompliance is expected to continue,

2.8.2.2. a detailed description of the event, including quantities and types of materials involved, EAFB WTP 8

2.8.2.3. details of any actual or potential impact on the receiving environment or public health,

2.8.2.4. details of actions taken or to be taken to correct the causes of the event, and

2.8.2.5. details of actions taken or to be taken to correct any damage resulting from the event.

2.8.3. Despite the exercise of all possible care, maintenance measures, and corrective measures by the Permittee, influent quality changes, equipment malfunctions, or uncontrollable circumstances may sometimes result in effluent concentrations exceeding the permit limitations,. The Permittee must demonstrate to the Department that such circumstances did exist where, despite all evasive measures, the effluent concentrations exceeded those set forth in this permit. The Commissioner shall consider such evidence in determining the Department’s actions. The Department does not waive any of its legal rights during such consideration.

3. GENERAL PERMIT CONDITIONS

3.1. ACCESS AND INSPECTION

The Permittee must allow the Commissioner or their representative access to the permitted facilities at reasonable times to conduct scheduled or unscheduled inspections or tests to determine compliance with this permit, state laws and regulations.

3.2. INFORMATION ACCESS

Except for information relating to confidential processes or methods of manufacture, all records and reports submitted in accordance with the terms of this permit must be available for public inspection at the Department’s Division of Water, 610 University Avenue Fairbanks, Alaska 99709-3643.

3.3. CIVIL AND CRIMINAL LIABILITY

Nothing in this permit shall relieve the Permittee from civil or criminal penalties for noncompliance, whether or not such noncompliance is due to factors beyond his control, including, but not limited to, accidents, equipment breakdowns, or labor disputes.

3.4. ADVERSE IMPACT

The Permittee must take all necessary precautions to minimize any adverse impacts to the receiving waters or lands resulting from noncompliance with any limitation specified in this permit, including any additional monitoring needed to determine the nature and impact of the non-complying activity. The Permittee must cleanup and restore all areas adversely impacted by the noncompliance.

3.5. CULTURAL OR PALEONTOLOGICAL RESOURCES

Should cultural or paleontological resources be discovered as a result of this activity, work, which would disturb such resources, is to be stopped, and the State Historic Preservation Office, Division of Parks and Outdoor Recreation, Department of Natural Resources, is to be notified immediately (907-269-8721).

EAFB WTP 9

EAFB WTP 10

3.6. APPLICATIONS FOR RENEWAL

In accordance with 18 AAC 15.100(d), applications for renewal or amendment of this permit must be made no later than 30 days before the expiration date of the permit or the planned effective date of the amendment.

3.7. TRANSFER OF OWNERSHIP

In the event of any change in control or ownership of facilities from which the authorized discharges emanate, the Permittee must notify the succeeding owner or controller of the existence of this permit in writing, a copy of which must be forwarded to the Department at the address in this permit. The original Permittee remains responsible for permit compliance unless and until the succeeding owner or controller agrees in writing to assume such responsibility and the Department approves assignment of the permit. The Department will not unreasonably withhold such approval.

3.8. OTHER LEGAL OBLIGATIONS

The requirements, duties, and obligations set forth in this permit are in addition to any requirements, duties, or obligations contained in any permit that the Department or the U.S.

Environmental Protection Agency has issued or may issue to the Permittee. This permit does not relieve the Permittee from the duty to obtain any necessary permits and to comply with the requirements contained in any such permit or with applicable state and federal laws and regulations. All activities conducted by the Permittee pursuant to the terms of this permit and all plans implemented by the Permittee pursuant to the terms of this permit must comply with all applicable federal and state laws and regulations.

3.9. POLLUTION PREVENTION

In order to prevent and minimize present and future pollution, when making management decisions that affect waste generation, the Permittee shall consider the following order of priority options:

• Waste source reduction

• Recycling of waste

• Waste treatment

• Waste disposal

Discharge Monitoring Report (page 1 of 2)

Permit Number:

2007DB0004

Expires after:

July 25, 2012

Submit this Report to:

File Number: 107.48.003

Alaska Department of Environmental Conservation 610 University Ave.

Fairbanks, AK 99709

Applicant Name: United States Air Force, Eielson Air Force Base

Responsible Party: Gary Schneider, Base Civil Engineer

Address: 2310 Central Ave., Suite 100 Phone / Email: (907) 377-5213 / gary.schneider@eielson.af.mil

Facility: EAFB WTP Onsite Contact: Malcolm Nason, Water Systems Superintendent

Location: EAFB, Alaska Phone: (907) 377-2264 Sample Period

From: Required Reporting Frequency:

monthly

Discharge: filter backwash and bypass well water to Garrison Slough To:

Parameter Minimum Value Maximum Value

Number of

Analyses

Number of Violations Units Frequency of

Analysis Sample Method

Results Flow (effluent)

Limits NA 0.3 report report mgd Daily Measure

Results Dissolved Oxygen (upstream) Limits report report report NA mg/L Quarterly (4/year) Grab

Results Total Iron (upstream) Limits report report report NA mg/L Quarterly (4/year)

Grab or Composite

Results Arsenic (upstream)

Limits report report report NA µ/L Quarterly

(4/year) Grab or

Composite

Results Dissolved Oxygen (concrete weir) Limits 2 17 report report mg/L Quarterly (4/year) Grab

Results Total Iron (concrete weir) Limits NA 1 or upstream background report report mg/L Quarterly

(4/year) Grab or

Composite

Results Arsenic (concrete weir) Limits NA 50 or upstream background report report µ/L Quarterly

(4/year) Grab or

Composite

Results pH (concrete weir)

Limits 6 9 report report std. units Quarterly

(4/year) Grab

Results Total Suspended Solids (concrete weir) Limits NA 60 report report mg/L Quarterly (4/year)

Grab or Composite

Results Total Dissolved Solids (concrete weir) Limits report report report report mg/L Quarterly (4/year)

Grab or Composite

Results Total Residual Chlorine (concrete weir) Limits mg/L Quarterly (4/year) Grab

NA 0.1 report report

________ CHECK HERE IF THERE WAS NO DISCHARGE DURING THE ENTIRE REPORTING PERIOD

Discharge Monitoring Report (page 2 of 2)

Permit Number:

2007DB0004

Expires after:

July 25, 2012

Submit this Report to:

File Number: 107.48.003

Alaska Department of Environmental Conservation 610 University Ave.

Fairbanks, AK 99709

Applicant Name: United States Air Force, Eielson Air Force Base

Responsible Party:

Gary Schneider, Base Civil Engineer

Address: 2310 Central Ave., Suite 100 Phone / Email: (907) 377-5213 / gary.schneider@eielson.af.mil

Facility: EAFB WTP Onsite Contact: Malcolm Nason, Water Systems Superintendent

Location: EAFB, Alaska Phone / Fax: (907) 377-2264 Sample Period

From:

Required Reporting Frequency:

monthly

Discharge: filter backwash and bypass well water to Garrison Slough

To:

Mixing Zone Parameter Minimum.

Value Maximum.

Value Number of Analyses

Number of Violations Units Frequency of Analysis Sample Method

Results Total Residual Chlorine Limits NA 0.011 report report mg/L Quarterly (4/year) Grab

Results pH

Limits 6.5 8.5 report report std.

units Quarterly (4/year) Grab

Results Dissolved Oxygen Limits 7 or upstream background NA report report mg/L Quarterly

(4/quarter) Grab

I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE INFORMATION, THE INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS.

NAME, TITLE OF PRINCIPAL EXECUTIVE

OFFICER

SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT

DATE TELEPHONE

COMMENT AND EXPLANATION OF ANY VIOLATIONS (REFERENCE ALL ATTACHMENT HERE)

________ CHECK HERE IF THERE WAS NO DISCHARGE DURING THE ENTIRE REPORTING PERIOD

NONCOMPLIANCE NOTIFICATION1

GENERAL INFORMATION

ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION

Division of Water, Wastewater Discharge Program

Phone: ANCHORAGE (907) 269-3059, Fax: (907) 269-7508;

FAIRBANKS (907) 451-2130, Fax: (907) 451-2187;

JUNEAU (907) 465-5300, Fax: (907) 465-5274

Permit # : 2007DB0004

APPLICANT / COMPANY:

US Air Force, Eielson Air Force Base

FACILITY NAME:

EAFB WTP

FACILITY LOCATION:

EAFB, Alaska

PERSON REPORTING: PHONE NUMBER OF PERSON REPORTING: REPORTED HOW (e.g. by phone)?

DATE & TIME EVENT WAS NOTICED: DATE & TIME REPORTED: NAME OF DEPARTMENT STAFF

CONTACTED:

VERBAL NOTIFICATION MUST BE MADE TO THE DEPARTMENT & EPA WITHIN 24

HOURS OF EVENT DISCOVERY.

INCIDENT DETAILS (attach additional sheets, lab reports and photos as necessary) DESCRIBE THE EVENT (include amounts of wastewater involved):

CAUSE OF EVENT (be specific):

PERMIT CONDITION DEVIATION (identify each permit condition exceeded during the event and attach additional sheets if necessary):

Parameter (e.g. BOD, pH) Permit Limit Exceedance (sample result) Sample Date

CORRECTIVE ACTIONS (attach a description of corrective actions taken to restore compliance and to minimize or prevent recurrence):

Yes (if yes, provide details below)

No

ENVIRONMENTAL DAMAGE: Unknown

ACTUAL OR POTENTIAL PUBLIC HEALTH RISKS AND ENVIRONMENTAL HARM(describe in detail and attach additional sheets as needed):

ACTIONS TAKEN TO REDUCE OR ELIMINATE PUBLIC HEALTH RISKS AND ENVIRONMENTAL HARM (describe in detail - e.g. Supplied drinking water to nearby well owners and informed well owners not to drink from wells until further notice.):

COMMENTS:

Based on information and belief formed after reasonable inquiry, I certify that the statements and information in and attached to this document are true, accurate, and complete.

NAME: SIGNATURE: DATE:

THIS FORM MUST BE SENT TO THE DEPARTMENT WITHIN 7 DAYS AFTER INITIAL (WITHIN 24 HOURS OF THE EVENT DISCOVERY)

NOTIFICATION.

1. Includes noncompliance caused by upset.

ACCIDENTAL DISCHARGE / SPILL NOTIFICATION

GENERAL INFORMATION

ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION

Division of Water, Wastewater Discharge Program Phones: ANCHORAGE (907) 269-3059, Fax: (907) 269-7508

FAIRBANKS (907) 451-2130, Fax: (907) 451-2187 JUNEAU (907) 465-5300, Fax: (907) 465-5274

PERMIT #: 2007DB0004

APPLICANT / COMPANY:

US Air Force, Eielson Air Force Base

FACILITY NAME:

EAFB WTP

FACILITY LOCATION:

EAFB, Alaska

PERSON REPORTING:

PHONE NUMBER OF PERSON REPORTING: REPORTED HOW (e.g. by phone)?

DATE & TIME OF SPILL:

DATE & TIME REPORTED NAME OF DEPARTMENT STAFF

CONTACTED:

INITIAL NOTIFICATION MUST BE MADE TO THE DEPARTMENT WITHIN 24 HOURS OF SPILL

DISCOVERY

INCIDENT DETAILS (attach additional sheets, lab reports and photos as necessary) PRODUCT SPILLED (e.g. sewage, propylene glycol, etc):

SOURCE OF SPILL:

QUANTITY SPILLED (volume or weight):

QUANTITY CONTAINED: QUANTITY RECOVERED: QUANTITY DISPOSED:

SURFACE AREA AFFECTED (square feet): SURFACE TYPE (e.g. tundra, land covered with snow, etc.):

CAUSE OF SPILL AND ACTIONS TAKEN TO PREVENT RECURRENCE (be specific):

CLEANUP ACTIONS (describe in detail):

DISPOSAL METHODS AND LOCATION (describe in detail):

STATUS OF CLEANUP ACTIONS (if clean up has not begun, provide the estimated start & completion times and reasons for the delay):

ENVIRONMENTAL DAMAGE: YES (if yes, provide details below) NO UNKNOWN

ACTUAL OR POTENTIAL PUBLIC HEALTH RISKS AND ENVIRONMENTAL HARM (describe in detail):

ACTIONS TAKEN TO REDUCE PUBLIC HEALTH RISKS AND ENVIRONMENTAL HARM (describe in detail - e.g. Supplied drinking water to nearby well owners and informed well owners not to drink from wells until further notice):

COMMENTS:

Based on information and belief formed after reasonable inquiry, I certify that the statements and information in and attached to this document are true, accurate, and complete.

NAME:___________________________ SIGNATURE:_________________________ DATE:_______________

THIS FORM MUST BE SENT TO THE DEPARTMENT WITHIN 7 DAYS AFTER INITIAL (WITHIN 24 HOURS OF THE EVENT

DISCOVERY) NOTIFICATION.

2.8.3. Despite the exercise of all possible care, maintenance measures, and corrective measures by the Permittee, influent quality changes, equipment malfunctions, or uncontrollable circumstances may sometimes result in effluent concentrations exceeding the permit limitations,. The Permittee must demonstrate to the Department that such circumstances did exist where, despite all evasive measures, the effluent concentrations exceeded those set forth in this permit. The Commissioner shall consider such evidence in determining the Department’s actions. The Department does not waive any of its legal rights during such consideration.