SJDO_TE-7 MWRA Sewer Use Discharge Permit.pdf

TE-7

SEWER USE DISCHARGE PERMIT APPLICATION

TOXIC REDUCTION AND CONTROL

SAN JUAN DISTRICT OFFICE, PR

CONTENTS

Section A General Information Page 1

Section B Product or Service Information Page 3

Section C Plant Operational Characteristics Page 4

Section D Water Usage Page 5

Section E Sanitary Sewer Connection Page 6

Section F Wastewater Discharge Page 7

Section G Wastewater Pretreatment Page 9

Section H Wastewater Process Changes Page 11

Section I Non-Discharged Waste Page 12

Section J Characteristics of Discharge Page 13

Attachments Other Filings

Addendum for Photoprocessing and Printing Operations Addendum for Electroplating and Metal Finishing Operations

Addendum for Cooling Systems Anti-Corrosion Chemicals Information

Permit Number Applicant Name

Facility Address

Last Revised 11/12/2020

SEWER USE DISCHARGE PERMIT APPLICATION

SECTION A - GENERAL INFORMATION

1. Business Name of Applicant:

2. Facility Address:

3. Facility Representative to Contact Concerning Information Provided Herein.

Name:

Telephone No.:

Title:

Facsimile No:

e-mail Address:

4. Name and Title of Authorized Representative: Name:

Telephone No.:

Mailing Address: (If Different from Facility Address):

5. Name of Person to Receive Permit (If Different from Above):

Name:

Telephone No.:

e-mail Address*:

6. Name of Person to Receive Permit Bill (If Different from Above):

Name:

Telephone No.:

*e-mail Address - required if you want the PRASA to send you e-mail when it receives analytical data from your laboratory via the e-SMART program.

7. Check One: Existing Discharge Proposed Discharge If proposed discharge, anticipated date of initial discharge:

Note to Authorized Representative: In accordance with Title 40 of the Code of Federal Regulations Part 403, Section

403.14 and M.G.L. c.21 and 27, information and data provided in this questionnaire which identified the nature and frequency of discharge shall be available to the public without restriction. Requests for confidential treatment of other information shall be governed by procedures specified in 40 C.F.R. part 2 and 360 C.M.R.§ 10.011. Should a discharge permit be required for your facility, the information in this questionnaire will be used to issue the permit.

I have personally examined and am familiar with the information submitted in this document and attachments. I believe that the submitted information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and/or imprisonment.

Date Signature of Authorized Representative

Definition of Authorized Representative

(A) For a corporation, its (i) president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function, or any other person who performs similar policy-or decision-making functions for the corporation, or (ii) the manager of one or more manufacturing, production, or operation facilities employing more than 250 persons or having gross annual sales or expenditures exceeding $25 million (in second-quarter 1980 dollars), if authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.

(B) For a partnership or sole proprietorship, a general partner or proprietor.

(C) By a duly authorized representative of an individual designated in paragraph (A) or (B) if:

(i) the authorization is made in writing by the individual described in paragraph (A) or (B);

(ii) the authorization specifies either an individual or a position having responsibility for the overall operation of the facility from which the Industrial Discharge originates, such as the position of plant manager or a position of equivalent responsibility, or having overall responsibility for environmental matters for the company; and (iii) the written authorization is submitted with this form.

SECTION B - PRODUCT OR SERVICE INFORMATION

1. Check all operations which are present at your facility:

Electroplating* Leather Tanning

Metal Finishing* Photographic Developing*

Machine Shop Printing*

Foundry Food or Beverage Processing

Battery Manufacturing Medical Care

Porcelain Enameling Laboratory

Electronics Manufacturing Painting/Finishing

Printed Circuit Board Manufacturing Repair Shop/Garage

Organic Chemical Manufacturing Equipment Cleaning/Washing

Inorganic Chemical Manufacturing Military

Pharmaceutical Manufacturing Residential

Steam/Electric Power Manufacturing Office Units/Retail Shops Timber Products Other

* The enclosed addendum for this process must be completed.

1a. Provide a brief description of the operation(s) checked above.

2. List applicable Standard Industrial Classification (SIC) code(s) for all processes in descending order of importance.

3. List chemicals and raw materials used in manufacturing processes or supporting operations that could contribute to wastewaters discharged to the sanitary sewer system. List only those present in quantities of 5 gallons/5 pounds or greater.

Quantity used Quantity used Chemical/Material per year Chemical/Material per year

4. Has your company prepared a Toxic Chemical Release Inventory reporting form (Form R) in response to the Superfund Amendment and Reauthorization Act (SARA) section 313?

Yes No

SECTION C - PLANT OPERATIONAL CHARACTERISTICS

1. Production Information:

a. Total production hours per work day

b. Production shift schedule:

First shift start Second shift start Third shift start stop stop stop

c. Production days per week

d. Average annual work days per year

e. Number of employees

2. If the operation is subject to seasonal variation, please describe:

3. Does the operation shut down for vacation, maintenance, or other reasons?

Yes No

If yes, indicate period when shut down occurs:

4. Does the facility implement any of the following management plans?

Spill Prevention Control and Countermeasure Plan

Source Reduction Plan

Toxic Organic Management Plan

Toxicity Reduction Evaluation

SECTION D - WATER USAGE

1. Water Sources:

Name the water sources for your facility. Include the amount contributed from each source in 100 cubic feet (ft3) or gallons from the beginning of July to the end of June. Indicate the year. (100 ft3 = 748 gallons)

Source Name Annual Water Use

7/1/ - 6/30

Municipal (Town or City) 100 ft3 Private Water Company 100 ft3 Surface Water (Lake,Pond) gallons On Site Well gallons Other Source gallons

Total:

2. Has incoming water been analyzed within the past year?

If so, attach a copy of the results.

3. Is any water used in product manufacturing or lost through evaporation?

If so, describe and provide amount(s).

4. Describe any sewer discharge produced from clean water purification or conditioning systems. Include amount(s).

SECTION E - SANITARY SEWER CONNECTION

1. List all plant sewer connections from your facility to the street sewer. If more than 3 are connections exist, attach the additional connection information on another sheet.

Location of Sewer

Connection Connection or Discharge Point (Name of street, buildings, etc.)

2. Provide in the space below or attach a drawing of the industrial complex showing locations of sewer connections referenced above. Assign connection numbers using the numbers provided. For reference and field orientation, buildings, streets, alleys, and other pertinent physical structures should be included.

SECTION F - WASTEWATER DISCHARGE

1. Complete tables A and B. Quantities should be expressed in gallons. Sanitary wastewater may be estimated based on 25 gallons per person per day (gpd). Check all applicable spaces and total the gallons per day column.

A. CONTINUOUS DISCHARGES

Discharge Location Sanitary Sewer

Type Gallons per day Estimated Measured Pretreatment Connection from E-1 Storm Drain Surface 1 2 3 Other:

Sanitary Wastewater 1

Process Wastewater 2

Wastewater 3

Contaminated

Cooling Water

Uncontaminated

Cooling Water

Boiler/Tower

Blowdown

Air Pollution

Control

Wastewater

Other:

TOTAL

1 Wastewater including human and domestic waste from such sources as lavatories, showers, and kitchens.

2 Process wastewater not regulated by National Categorical Pretreatment Standards.

3 Process wastewater regulated by National Categorical Pretreatment Standards.

For a list of industries subject to National Categorical Pretreatment Standards refer to the Code of Federal Regulations, 40 CFR 403, Appendix C.40 CFR 400-471 contains a complete list of regulations governing National Categorical Pretreatment Standards.

1a. How is wastewater flow measured?

If unmeasured, is there a reason for not installing a measuring device?

B. BATCH INTERMITTENT AND SEASONAL DISCHARGES

Discharge Location

Type

Frequency (check one)

Gallons per Discharge

Pretreatment

Sanitary Sewer Connection from E-1

Storm Drain

Surface Water

Daily Weekly Monthly Yearly

2 3 other:

Wastewater

Wastewater 3

Cooling System

Plant Washdown

Equipment Washdown

Boiler/Tower Blowdown

Spent Chemical Solutions

Backwash

Other:

2 Process wastewater not regulated by National Categorical Pretreatment Standards.

3 Process wastewater regulated by National Categorical Pretreatment Standards.

Are all discharges accounted for in Tables A and B? Yes No

If not, please explain:

SECTION G - WASTEWATER PRETREATMENT

Wastewater treatment performed before sewer system discharge

1. Is there any form of pretreatment practiced at your facility? Yes No

(Refer to list below)

2. Complete the following table.

Identify any treated wastestream.

In the spaces provided in the pretreatment column, fill in the number corresponding to the applicable treatment method(s).

1. Neutralization/pH adjustment 6. Silver Recovery

2. Chemical precipitation 7. Screen/Grit removal

3. Sedimentation 8. Grease trap

4. Filtration 9. Gas/Oil separator*

5. Ion exchange 10. Other

Treated Wastestream Pretreatment Discharge Frequency Sewer Connection from E-1 batch continuous 1 2 3 other:

* Provide a drawing for each gas/oil separator at the facility. Describe maintenance and maintenance frequency.

3. List all the applicable Federal Categorical Pretreatment Standards established by the USEPA (Environmental Protection Agency), for your facility.

4. Provide the Puerto Rico Natural Resources Department classification for your pretreatment system. Pretreatment system class

5. List name and DEP operator grades for certified pretreatment system operators working at your facility.

Operator Name Grade Operator Name Grade Operator Name Grade

SECTION G - WASTEWATER PRETREATMENT (continued)

6. Provide a process flow diagram for each pretreatment system. Include the location of flow meters, accessible sampling points and sewer connection(s) which receive treated wastewater. Provide sewer connection number from Section E.

SECTION H - WASTEWATER PROCESS CHANGES

1. Are any process changes planned for the next two years which would affect wastewater volume or characteristics including pretreatment modifications, variations in wastewater volume, and/or additional sewer connections.? Yes No

If yes, briefly describe these changes and their effects on the wastewater volume and characteristics.

SECTION I - NON-DISCHARGED WASTE

1. Are any waste liquids or sludge removed from the facility site? Yes No If yes, they may be best quantified as:

Waste Type Estimated Gallons/Year

Waste Solvent Waste Product Oil Grease Pretreatment Sludge Inks/Dyes Thinner Paints Acids and Alkalis Plating Waste Photo developing Waste Pesticides Other

2. Attach a copy of the most recent Hazardous Waste Manifest for each applicable waste listed above. In place of Manifests, Large Quantity Hazardous Waste Generators may submit a copy of Part III, the Waste Summary, from their DEP Annual Waste Report.

3. State the name and address of any waste hauler(s) employed by your company.

4. Are any sludges, liquids or spill clean up materials placed with the trash for disposal? Yes No

Describe discarded waste:

State name and address of hauler for this waste:

5. Does your facility employ the service of a commercial laundry? Yes No State name and address of the company:

SECTION J - CHARACTERISTICS OF DISCHARGE

1. Identify the conventional toxic and hazardous pollutants expected to be present in your wastewater discharge.

CONVENTIONAL POLLUTANTS

pH (provide average) s.u. high pH s.u. low pH s.u.

Oil and grease (petroleum or mineral origin) Oil and grease (animal or vegetable origin) Ammonia Total Suspended Solids (TSS) Concentration: mg/l

VOLATILE COMPOUNDS

acrolein 1,2 - dichloropropane acrylonitrile 1,2 - dichloropropylene benzene ethylbenzene bromoform methyl bromide carbon tetrachloride methyl chloride chlorobenzene methylene chloride chlorodibromoethane 1,1,2,2 - tetrachloroethane chloroethane tetrachloroethylene 2-chloroethylvinyl ether toluene chloroform 1,2 - trans - dichloroethylene dichlorobromomethane 1,1,1 - trichloroethane 1,1 - dichloroethane 1,1,2 - trichloroethane 1,2 - dichloroethane trichloroethylene 1,1 - dichloroethylene vinyl chloride

ACID COMPOUNDS

2 - chlorophenol 2,4 - dichlorophenol 2,4 - dimethylphenol 4,6 - dinitro-o-cresol 2,4 - dinitrophenol 2 - nitrophenol

4 - nitrophenol p-chloro-m-cresol pentachlorophenol phenol 2,4,6 - trichlorophenol

SECTION J - CHARACTERISTICS OF DISCHARGE (continued)

BASE/NEUTRAL COMPOUNDS

acenaphthene dimethyl phthalate acenaphthylene di-n-butyl phthalate anthracene 2,4 - dinitrotoluene benzidine 2,6 - dinitrotoluene benzo(a) anthracene di-n-octyl phthalate benzo (a) pyrene 1,2 - diphenyl hydrazine 3,4 - benzofluoranthene fluoranthene benzo (ghi) perylene fluorene benzo (k) fluoranthene hexachlorobenzene bis (2 - chloroethoxy) methane hexachlorobutadiene bis (2 - chloroethyl) ether hexachlorocyclopentadiene bis (2 - chloroisopropyl) ether hexachloroethane bis (2 - ethylhexyl) phthalate indeno (1,2,3 - cd) pyrene 4 - bromophenyl phenyl ether isophorone butylbenzyl phthalate naphthalene 2 - chloronaphthalene nitrobenzene 4 - chlorophenyl phenyl ether N-nitrosodimethylamine chrysene N-nitrosodi-n-propylamine dibenzo (a,h) anthracene N-nitrosodiphenylamine 1, 2 - dichlorobenzene phenanthrene 1,3 - dichlorobenzene pyrene 1,4 - dichlorobenzene 3,3 - dichlorobenzidine diethyl phthalate

1,2,4 - trichlorobenzene

PESTICIDES/PCBs aldrin endrin alpha - BHC endrin aldehyde beta - BHC heptachlor gamma - BHC (Lindane) heptachlor epoxide delta - BHC PCB - 1242 chlordane PCB - 1254

4,4 - DDT PCB - 1221

4,4 - DDE PCB - 1232

4,4 - DDD PCB - 1248

dieldrin PCB - 1260 alpha-endosulfan PCB - 1016 beta-endosulfan endosulfsan sulfate toxaphene

METALS, CYANIDE

antimony (total) mercury (total) arsenic (total) nickel (total) beryllium (total) selenium (total) boron (total) silver (total) cadmium (total) thallium (total) chromium (total) zinc (total) copper (total) lead (total) cyanide (total)

HAZARDOUS SUBSTANCES

acetaldehyde kelthane allyl alcohol kepone allyl chloride malathion amyl acetate mercaptodimethur asbestos (fibrous) methoxychlor aniline methyl mercaptan benzonitrile methyl methacrylate benzyl chloride methyl parathion butyl acetate mevinphos butylamine mexacarbate captan monoethyl amine carbaryl monomethyl amine carbofuran naled carbon disulfide napthenic acid chlorpyrifos nitrotoluene coumaphos parathion cresol phenosulfonate crotonaldehyde phosgene cyclohexane propargite 2,4 - D (2,4 - dichlorophenoxy acetic acid) propylene oxide diazinon pyrethrins dicamba quinoline dichlobenil resorcinol dichlone strontium 2,2 - dichloropropionic acid strychnine dichlorvos styrene diethyl amine 2,4,5 - T (2,4,5 - trichlorophenoxy acetic acid) dimethyl amine TDE (tetrachlorodiphenylethane) dinitrobenzene 2,4,5-TP[2-(2,4,5-trichlorophenoxy) propanol]

SECTION J - CHARACTERISTICS OF DISCHARGE (continued) dioxin (TCDD) trichlorfon diquat triethanolamine dodecyclbenzenesulfonate disulfoton triethylamine diuron trimethylamine epichlorohydrin uranium ethion vanadium ethylene diamine vinyl acetate ethylene dibromide xylene formaldehyde xylenol furfural zirconium guthion isoprene isopropanolamine dodecylbenzenesulfonate

If you are unable to identify the chemical constituents of products you use that are discharged in your wastewater, attach copies of the Materials Safety Data Sheets (MSDS) for those products.

2. For the pollutants listed in the Section, indicate on a separate sheet the total amount used for the past year.

3. If any wastewater analyses have been performed on the wastewater discharge(s) from your facility to the sanitary sewer system, attach a copy of the two most recent results. Include the following with the results: the date of the analysis, name of the DEP certified laboratory performing the analysis and location(s) from which sample(s) were taken.

OTHER FILINGS:

There are circumstances when the Puerto Rico Aqueduct and Sewer Authority (PRASA) cannot issue a permit to you until you fulfill the requirements of another agency. This page asks for information about whether you are required to file with the Environmental Policy Act (EPA) and the status of your filing, if any. If you have any questions about the requirements of those agencies, please contact them.

A. Is the activity for which you require an PRASA permit a part of a project that is likely to impact a geographic area and affect or cause a change in the historical, architectural, archeological, or cultural qualities of a property as defined by the National Park Service (NPS), which operates under the U.S. Department of the Interior. (For example, answer “no” if this application is for a permit renewal or you are not doing new construction. NPS defines “new construction” as a modification to the land or any existing structure.) [] yes [] no If “no,” skip question B.

B. If your answer to question A is “yes:”

(1) Have you provided the required project notification form to the NPS? [] yes [] no

(2) Briefly describe the status of the project with NPS. Provide documentation allowing PRASA to act on this application. If you have not provided notice to the NPS, explain why you have not provided notice and when you will provide notice.

C. Is the activity for which you require an PRASA permit a part of a project that is subject to review under the Environmental Policy Act (EPA)? (For example, answer “no” if this application is for a permit renewal or not part of a larger project).

[] yes [] no If “no,” skip question D.

D. If your answer to question C is “yes:”

(1) Have you made the required EPA filing? [] yes [] no

(2) Briefly describe the status of the EPA review. Provide documentation allowing PRASA to act on this application. If you have not filed with EPA, explain why you have not filed and when you will file.

Addendum to the PRASA Sewer Use Permit Application for

Photoprocessing and Printing Operations

This addendum must be completed by establishments engaged in photodeveloping and/or printing.

Indicate the type of process operations performed on site:

Photodeveloping/Finishing

Arts/Graphics

X-ray

Printing

A. Photodeveloping/Finishing Processes

1. Indicate the type of photoprocessor(s) in use:

Manual processor for negatives paper

2. Where are the photochemicals and rinses discharged?

Floor drain via collection tray sink via collection tray other

Addendum for Photoprocessing and Printing Operations

3. Complete the table below.

PHOTOPROCESSING DISCHARGE

Fixer Usage Other Photochemicals and Rinses

Quantity Used Gallons Discharge Discharge

Processor Name Location per day (gpd) Treatment Frequency Treatment Frequency

Type:

batch type: batch gpd none intermittent continuous no discharge¹ none intermittent continuous no discharge1 batch type: batch gpd intermittent intermittent

¹ If spent chemicals or wastewaters are not discharged, identify disposal method:

B. PRINTING

1. Indicate type of printing operations performed on site:

Offset Letter Press Serigraphy (silk screening) Deep Etch Plate Captive

2. Type of Plate Used:

Metal Paper Polymer

Specify the plate type used

3. Where are the plate developers and rinses discharged?

Floor drain Sink

4. Is the discharge treated? Yes No

If it is treated, describe treatment:

Addendum for Electroplating and Metal Finishing Operations

This addendum must be completed by independent circuit board manufacturers and industries engaged in electroplating or metal finishing. These industries are regulated by Federal Categorical Standard 40 CFR 413 or

40 CFR 433.

1. What was or will be the date of commencement of the electroplating/finishing processes at your facility?

2. Do you own 50% or more of the product that is plated? Yes No

3. List the base materials that are finished.

4. List finishes.

5. Indicate metal finishing operations.

Electroplating Electroless plating Anodizing

Coating (chromating, phosphating and coloring) Chemical etching milling

Printed Circuit Board Manufacturing

6. Indicate the auxiliary processes associated with finishing operations.

Cleaning Shearing Abrasive Jet Machining Solvent Degreasing Electric Discharge Machining Electrochemical Machining Paint Stripping Machining Laser Beam Machining Sand Blasting Welding

Impact Deformation Ultrasonic Machining Grinding Electron Beam Machining

Soldering Pressure Deformation Plasma Arc Machining

Heat Treating Thermal Cutting Hot Dip Coating Polishing Flame Spraying Salt Bath Descaling Tumbling Brazing Vapor Plating

Electrostatic Painting Burnishing Thermal Infusion Testing Sintering Electropainting Calibration Vacuum Metalizing Assembly Laminating

Addendum for Electroplating and Metal Finishing Operations (continued)

7. Attach a floor plan of the process area(s) on an 8 ½ x 11" sheet.

8. Indicate the types of treatment included in your pretreatment system:

____Cyanide Treatment Method of Cyanide Treatment:

____Ion Exchange ____Chlorination ____Electrolytic Decomposition ____Other

____Chromium Reduction ____Precipitation ____Flocculation ____Filtration ____Electrolytic Recovery ____Ion Exchange ____Neutralization / pH Adjustment

9. Provide the average total daily flow from the pretreatment system.

gallons per day

10. What is the type of device measuring final pretreated effluent flow?

____Weir ____Type of Weir:

____ V-Notch ____60° ____45° ____30° ____22½°

____Contracted Rectangular Sharp Crested Weir (with end contractions)

____Suppressed Rectangular Sharp Crested Weir (without end contractions)

____Parshall Flume

Size ____”

____ Magmeter

____Venturi meter

____Other

Addendum for Cooling Systems Anti-Corrosion Chemicals Information

1) Does the facility have a cooling system? Yes ( ) No ( )

2) Is it a closed-loop system? Yes ( ) No ( )

3) Is it a water or glycol system?

4) How many cooling towers?

5) What chemicals does the facility use for corrosion inhibition in each cooling system?

6) Are they Molybdenum based? Yes ( ) No ( )

7) Amount of product added to the system on a weekly/monthly basis?

8) Does the system have a blow down? Yes ( ) No ( )

8a) What's the daily blow down flow?

8b) What's the blow down frequency?

gpd / (day, week, month, year)

9) If closed loop, does the system drain down?

9a) How often is the system drained down and how much volume?

10) Is there a place to access the system blowdown to collect a sample?

11) Name and address of the chemical manufacturer and supplier of the anti-corrosion products?

12) Attach copies of MSDS for each chemical.

13) Is the system maintained in-house or contracted out for maintenance?

In-house ( ) Contractor ( )

13a) Name and phone’s number of contractor:

14) If information on the cooling system cannot be provided (multi-tenants facilities, leased building, etc.)

provide landlord or building maintenance manager’s name and phone number.