APPENDIX 2
MANTENO WATER POLLUTION CONTROL CENTER
Industrial Wastewater Discharge Permit Application:
Facility Name:
Mailing Address:
SIC #:__________________________________
Authorized Representative: Name/Title:
Telephone Number:
Description of Business Activities:
A. Production Related:
1. Product(s) produced:
2. Rate of production: (Daily, Monthly, Seasonal):
3. Raw materials used and stored:
4. Attach site plan
B. Operational Related:
1. Number of employees:_________________________
2. Operating hours:_________________________
3. Hours of wastewater discharge:_____________________
4. Water Use:
a) Source of water_________________________
b) Types of water use and consumption_______________
c) Volumes in each category (daily, monthly, seasonal fluctuation if applicable)_________________________
5. Wastewater Data:
a) Volume of discharge (daily, monthly, seasonal fluctuations if applicable)_________________________
b) Points of discharge (attach diagram)
c) Wastewater Characteristics: (in mg/l)
BOD5 _______________ Cadmium ____________________
Suspended Solids _______________ Chromium ___________________
Oil & Grease _______________ Copper ___________________
Ammonia Nitrogen ________________ Lead ____________________
Ph _____________ Manganese ___________________
Nickel ____________________
Cyanide _______________ Zinc ___________________
Other pollutants as may be regulated by applicable Categorical Pretreatment Regulations.
*Please indicate the source of the above analytical data, when the samples were taken, and by whom.
APPENDIX 3
MAXIMUM CHEMICAL CONCENTRATION LIMITS
CONSTITUENT | CONCENTRATION (mg/L) |
Ammonia Un-ionized (as N) | 0.1 |
Arsenic (Total) | 1.0 |
Barium (Total) | 5.0 |
Cadmium (Total) | 0.05 |
Chromium (Total Hexavalent) | 0.3 |
Chromium (Total Trivalent) | 1.0 |
Copper (Total) | 1.0 |
Cyanide (Total) | 0.025 |
Fluoride (Total) | 15.0 |
Iron (Total) | 2.0 |
Iron (Dissolved) | 0.5 |
Lead (Total) | 1.0 |
Manganese (Total) | 1.0 |
Mercury (Total) | 0.0005 |
Nickel (Total) | 1.0 |
Oil, Fats and Grease | 100.0 |
Phenols | 0.3 |
Selenium | 1.0 |
Silver | 1.1 |
Zinc (Total) | 1.0 |
Total Dissolved Solids | 1,500.0 |
(Ord. 93-5, 7-26-1993)