Document 82DmKoZ12Je2K5m1XbBppDQeB

LMNOD-SP DEPARTMENT OF THE ARMY NEW ORLEANS DISTRICT, CORPS OF ENGINEERS P. O. BOX 60267 NEW ORLEANS. LOUISIANA 70160 26 May 1971 PUBLIC NOTICE Interested parties are hereby notified that additional changes have been made regarding the Department of the Army permit program in addition to those changes listed in the public notice dated 28 April 1971 issued by this office. Among the additional changes are the following: 1. The list of required parameters to be reported on by 1 July 1971 has been modified. Applicants in critical industrial groups must report on those items in Table C except Ultimate B.O.D. and Dissolved Oxygen. In lieu of the deleted items, the applicants should report on Chemical Oxygen Demand and Kjeldahl Nitrogen. 2. Revised sheets for Section III of the Preliminary Instruction Booklet have been published. 3- Minor revisions have been made to ENG Pom 4345. 4. Major revisions have been made to ENG Form 4345-1. Additional information, copies of the revised forms, copies of the In struction booklet, and copies of the revised pages for the instructions may be obtained from the Permits Section at this office. You are requested to communicate the information contained in this letter to any other parties whom you deem likely to have an interest in this matter. ZHERBEI R. HAAR, JR Colonel, CE District Engineer DEPARTMENT OF THE ARMY New Orleans District, Corps of Engineers P. 0. Box 60267 New Orleans, Louisiana 70160 LMNOD-S 20 July 1971 PUBLIC NOTICE Interested parties are hereby notified that Part B of ENG FORM 4345-1 and instructions for its preparation have been published and will be distributed by this District. All parties who have submitted Part A of the form will receive copies of Part B and accompanying instructions. Parties not receiving forms by 15 August 1971 should send a request to this District. _ENG FORM 434^-1, Part B, must be submitted for Refuse Act permits by CEL October 1Q7L by all firms or agencies having discharges classified as critical. Critical industries are those included within the following Standard Industrial Classifications ; SIC SIC SIC SIC SIC SIC SIC SIC SIC SIC SIC SIC 098 10-14 201 202 203 2031 2036 204 206 207 208 209 SIC 22 SIC 23 SIC 242 SIC 2432 SIC 2491 SIC 26 SIC__28l CSIC 28l8j SIC "282 SIC 283 SIC 284 SIC 285 SIC 2871 SIC 2879 SIC 2891 SIC 2892 SIC 29 SIC 3011 SIC 3069 SIC 3079 SIC 311 SIC 32 SIC 331 SIC SIC SIC SIC SIC SIC SIC SIC SIC SIC SIC 332 333 334 336 347 35 S6 37 3731 491 493 Additional information, copies of Part B of Form 4345-1 and instructions for its preparation, as well as Forms 4345 and 4345-1, Part A, may be obtained from the Permits & Statistics Branch at this office. You are requested to communicate the information in this notice to any other interests you consider likely to be interested in this matter. HERBERT R. HAAR, JR. Colonel, CE District Engineer 0000362^6 cca FOPf/ APPPOWED OMti >0. 4*? R Q40Q OEPAtfTMENT Or THE ARMY, CORPS OF ENGINEERS APPLICATION FOR PERMIT TO DISCHARGE OR WORK IN NAVIGABLE WATF RS AND THEIR TRIBUTARIES SECT" N I GENERAL INFORMATION 2 Name of applicant and title of signing official r 1. State i Application Number (to be assigned by Corps oi Dn/, Dist. Type Sequence V ' j 3, Maihnq address of applicant I I t ! 4, Name, address telephone number and title of applicant's authorized agent for permit aophcation coordination ana correspondence. { NOTE TO APPLICANT Refer to the oamphlet entitled 'Permits for Work and Structures in <md foi Discharges or Deposits into NrivigaL'e Walrs' before attemntmg to complete this form. Required information a All information contained m this application will, upon request, be made available to the public for inspection and copying, A separate sheet entitled "Confidentia* Answers" must ne used to set out information which is considered by tl * apphe-mt to constitute trad** verets or com merr.wl or f'uancia! nfoi/nation of a confidential nt,tue. The information must clearly indicate the tern number to which it applies Con 4,dent,.i! triM-iT' ,<rf pe considered only for t*\.\ information for which a specific written request of confidentiality has bt *n made on the attach"**4 * `*`f,1 r However in no event will identification of the contents and frequency of a discharge be recognized as confidential Of privilege*.' mt": n h 1: ' i shad furnish such supplementary information as is required by the District Engineer in order to evaluate fully an appi r itior.. : dPL.fUt 'uj| \pace k needed for a complete response to any item on this form, attach a sheet entm-d "Additional Information," Indicate on +n..i ,-iflrr he >i numbers to which answers apply. 'J Dr^v " :u required by items 20 and 21 should be attached to this application Other papers which must be attached to this application include t t?ophcau), copies of a water quality certification or a written communication which describes water quality impact (see !t*m 22 and item 10 of Section il below}, the additional information sheetls} in "c" hove,, .md the confidential information sheet described m "a above Fees if .my discharge or deposit is involved, an application fge of 1 10\J must be submitted with this application An additional $50 is reouired tor cnch .idditiomd oomt of d scharge or deposit. Signature H .t discharge is involved, an application submitted by a co'notation must bo signed by the principal c^acutu i ofhcvr that corporation or by official oi the rank of corporate vice president or above ;,ho reports directly to such principal . <ecutive officer and who has designated `V th*; principal executive officer to make su'-h application.) on t>*haif of the corporation. In the case of z partnership or a sols proprietorship, i' " uppiicauon must be signed by a general pa* 'ner oi thr* nrop; itftor. Other signature; renuiremants are discussed m th't panipHut b. '* no discharge ,s `evolved, an ^opiir.ition mev '>t- ned by the applicant or fus author!?**!, ^gen* Apoucatior is hereby made for a perm,' ^ no^mits to authowze the activities described herein ! ceitdv that i , ' familiar with the jniormvtiou contained m 'his application, and that to the best of my knowledge and belief such information s iuie, complete, and accurate i i j ^3 U S.C. Section 1001 orov des that; Signature of Applicant l Whoever, in any matte? within the jurisdiction of any department or agency of the United States knowingly and wilfully falsifies, conceals w covers up by any trick, scheme, or device a material fact, or makes any false, fictitious or fraudulent statements or representations, c makes or uses any false writing or document knowing some te, contain any false, fictitious or fraudulent statement or entry, shall Le IiHhu <">-ir more than $10 000 or imprisoned not more than five years, or both. I Acronym name of applicant FOR CORPS OF ENGINEERS USE ONLY Are discharge structures CCR 000036247 "H Date received, form noi complete Date received, form complete but without certificate Date received, form complete Date of Cert./Ltr. ENG FORM MAV 71 4346 ---- ~ " ---- __ day Major' Minoi ?| N/A? I Date sent .a SPA, form riot complete -- Data sent to F.P.e , WJAA. D/I. AtC, rPC m complete form day mo V' Page I of 3 i i i S. Date mo fi Chock typ* of application day yr J Original j ~] b. Realnon 8 Mime o( facility where discharge or construction will occur. (Office use onlyl "f 1 Number ut original application | d full mailing address of facility named In item 8 above. 10. Names and mailing addresses of all adioining property owners whose property also adjoins the waterway. 11 Check to indicate the nature of the proposed activity: i Dredging j j n. Construction | | c. Construction With Discharge j L--J 12. If activity is temporary m nature, estimate its duration in months. II application is for a discharge: 13, List intake sources Source Municipal or private water supply system Surface water body Ground watei Other 14 Describe water usage within the plan; Type Cooling water Bailer Feed water Process water Sanitary system* Other 15 List volume of discharges or losses ether than into navigable waters. Type Municipal waste treatment system Surface containment Underground disposal Waste Acceptance firms Evaporation Consumption Estimated Volume in Million Gallons Per day or Fraction Thereof Estimated Volume in Million Gallons Per day or Fraction Thereof Estimated Volume in Million Gallons Per day or Fraction Thereof * Indicate number employees served per day ENG FORM 4345 b Discharge oniy I-----J 0000362^8 CCR II structures exist, or dredging, filling or other construction will occur, the precise location of the activity must be described. a. Name the corporate boundaries within which the structure* exist or the activity will occur. State County 16.17. b. Name of waterway at the location of the activity (Office use only) City or Town 18. ______ 19.--------------- -------------- --------------------------------------------------------------------------------------------------------------------------------------------- -------- -------------" 20. Maps and sketches which show tha location and character of each structure or activity, including any and all outfall devices, dispersive devices, ,md non-structural points of discharge, must be attached to this application. 21. For construction or work in navigable waters for which a separata permit is sought under 33 U.S.C. 403, the character of each structure must be fully shown on detailed plans to be submitted with this application. Note On the drawings those structures for which separate discharge informs ___non (Section II of this form! has been submitted. ____________ _.__________________________________________________________________________ 22. List all approvals or denials granted by Federal, interstate. State or local agencies for any structures, construction, discharges or deposits described in this application. Type of document Id. No. Date Issuing Agancy 23. Check if facility existed or was lawfully under construction prior to April 3, 1970. ?4 [; dredging or filling wilt occur: n State the type of materials involved, their volume in cubic yards, and tha proposed method of measurement. 25. Describe the proposed method of instrumentation which will ba usad to measure the volume Of any solids which may be deposited and to determine its effect upon the waterway. 26. State rates end periods of deposition described in Item 25. ENG FORM ^ CCS 0000362V) .............. SECTION il. PLANT PROCESS AND DISCHARGE DESCRIPTION 1. . - .j:h.i:ge described below is a. Present . . b. Proposed new or changed , 2. Implementation schedule Name of corporate boundaries within which the point of discharge is located. State County (Office use only! City or Town 6. Discharge Serial No. 3. 5. State the precise location of the point of discharge. 7. Latitude_____ _______ Deqrees;________ Min;___ .__,, Sec. 8. Longitude __ ___ ___ Degrees;________ Min;_________Sec. 9. Name of waterway at the point of discharge. 10. Has appl.cation for water quality certification or description of impact been made? If so, give date; Date Check if certificate | j is attached to form Name Issuing Agency mo day yr 11. Narrative description of activity (include terms of general 4-digit Standard Industrial Classification, and specific manufacturing process). 12. Standard industrial classification number. ! i 15. Principal raw material. 13. Principal product. 16. Amount of principal raw material consumed per day. 14. Amount of principal product produced per day. j 17. Number of batch discharges per day. 18. Average gallons per batch discharge. 21. Describe waste abatement practices. 19. Date discharge began. mo day 20. Date discharge will begin. Vr mo day yr ENG FORM MflV 71 4345-1 CCft 000036250 Page 1 of 5 PHYSICAL DESCRIPTION OF INTAKE WATER AND DISCHARGE Parameter and Tode) Flow (Gallons per day) 00056 pH 00400 Temperature (Winter) (F| 74028 Temperature (Summer) (F) 74027 23. PARAMETER Color 00080 Turbidity 00070 Radioactivity 74050 Hardness 00900 Solids 00500 Ammonia 00610 Organic Nitrogen 00605 Nitrate 00620 Nitrite 00615 Phosphorus 00665 Sulfate 00945 Sulfide 00745 Sulfite 00740 Bromide 71870 Chloride 00940 Cyanide 00720 Fluoride 00951 ENG FORM ,, MAY 71 4345-1 PRESENT ABSENT PRESENT ABSENT PRESENT ABSENT \ %x_ \ %co \ DISCHARGE CONTENTS PARAMETER Aluminum 01105 Antimony 01097 Arsenic 01002 Beryllium 01012 Barium 01007 Boron 01022 Cadmium 01027 Calcium 00916 Cobalt 01037 Chromium 01034 Copper 01042 Iron 01045 Lead 01051 Magnesium 00927 Manganese 01055 Mercury 71900 Molybdenum 01062 PARAMETER Nickel 01067 Selenium 01147 Silver 01077 Potassium 00937 Sodium 00929 Titanium 01152 Tin 01102 Zinc 01092 Algicides 74051 Oil and Grease 00550 Phenols 32730 Surfactants 38260 Chlorinated Hydrocarbons 74052 Pesticides 74053 Fecal Streptococci Bacteria 74054 Coliform Bacteria 74056 | j ! t! 1i !1 j j I 1 i ^ oOi ct* -----------------------------Page 2 of 5 II known hazaidous or potentially hazardous substances in your plant been inventoried? |"~| Yos Q No 24b. If yes, have steps been taken to insure that there exists no possibility of any such known hazardous or potentially hazardous substance entering this discharge? j | Yes | ] No 25. Remarks. ' Th^ information above completes the basic reporting requirements which are required of all applicants. Those applicants whose discharge results from i an activity included within any of the Standard Industrial Classification Code (SIC Code) categories listed below must complete Part A of this form as well. CRITICAL INDUSTRIAL GROUPS SIC 098 SIC 10-14 SIC 201 SIC 202 SIC 203 SIC 2031, 2036 SIC 204 SIC 206 SIC 207 SIC 208 SIC 209 SIC 22 SIC 23 SIC 242 SIC 2432 SIC 2491 SIC 26 SIC 281 SIC 2818 SIC 282 SIC 283 SIC 284 FISH HATCHERIES, FARMS, AND PRESERVES DIVISION B - MINING MEAT PRODUCTS DAIRY PRODUCTS CANNED PRESERVED FRUITS, VEGETABLES (EXCEPT SEAFOODS, SIC 2031 AND 2036) CANNED AND CURED FISH AND SEAFOODS; FRESH OR FROZEN PACKAGED FISH AND SEAFOODS GRAIN MILL PRODUCTS SUGAR CONFECTIONARY AND RELATED PRODUCTS BEVERAGES MISCELLANEOUS FOOD PREPARATIONS AND KINDRED PRODUCTS TEXTILE MILL PRODUCTS APPAREL AND OTHER FINISHED PRODUCTS MADE FROM FABRICS AND SIMILAR MATERIALS SAWMILLS AND PLANING MILLS VENEER AND PLYWOOD WOOD PRESERVING PAPER AND ALLIED PRODUCTS INDUSTRIAL INORGANIC AND ORGANIC CHEMICALS (EXCEPT SIC 2818) INDUSTRIAL ORGANIC CHEMICALS PLASTICS MATERIALS AND SYNTHETIC RESINS, SYNTHETIC RUBBER, SYNTHETIC AND OTHER.MAN-MADE FIBERS, EXCEPT GLASS DRUGS SOAP, DETERGENTS, AND CLEANING PREP ARATIONS, PERFUMES. COSMETICS. AND OTHER TOILET PREPARATI NS SIC 285 SIC 2871 SIC 2879 SIC 2891 SIC 2892 SIC 29 SIC 3011, 3069 SIC 3079 SIC 311 SIC 32 SIC 331 SIC 332 SIC 333, 334 SIC 336 SIC 347 SIC 35 SIC 36 SIC 37 SIC 3731 SIC 491 SIC 493 PAINTS, VARNISHES, LACQUERS, ENAMELS, AND ALLIED PRODUCTS FERTILIZERS AGRICULTURAL PESTICIDES, AND OTHER AGRI CULTURAL CHEMICALS, NOT ELSEWHERE CLASSIFIED ADHESIVES AND GELATIN EXPLOSIVES PETROLEUM REFINING AND RELATED INDUSTRIES TIRES AND INNER TUBES; FABRICATED RUBBER PRODUCTS, NOT ELSEWHERE CLASSIFIED i MISCELLANEOUS PLASTICS PRODUCTS LEATHER TANNING AND FINISHING STONE, CLAY. GLASS, AND CONCRETE PRODUCTS BLAST FURNACES, STEEL WORKS, AND ROLLING AND FINISHING MILLS IRON AND STEEL FOUNDRIES PRIMARY SMELTING AND REFINING OF NONFERROUS METALS; SECONDARY SMELTING AND REFINING OF NONFERROUS METALS NONFERROUS FOUNDRIES COATING, ENGRAVING, AND ALLIED SERVICES MACHINERY, EXCEPT ELECTRICAL ELECTRICAL MACHINERY, EQUIPMENT, AND SUPPLIES TRANSPORTATION EQUIPMENT (EXCEPT SHIP BUILDING AND REPAIRING. SIC 3731) SHIP BUILDING AND REPAIRING ELECTRIC COMPANIES AND SYSTEMS COMBINATION COMPANIES AND SYSTEMS CCR 000036252 ENG FORM ENG FORM MAY 71 4345-1 Page 4 of 5 PARAMETER & UNITS ALKALINITY AS Ca CO3 Mg/Jiter METHOD TABLE A Guid* for Completion of Pert A REFERENCES STANDARD METHODS 13TH ED. 1971 A.S.T.M. STANDARDS Pt. 23 1970 W.O.O. METHODS 1971 SIGNIFICANCE IN REPORTING DATA ELECTROMETRIC TITRATION TECHNICON METHYL ORANGE METHOD p. 370 p. 154 P.6 X. B.O.D. 5-DAY Mg/liter MODIFIED WINKLER METHOD OR PROBE METHOD CHEMICAL OXYGEN DEMAND (C.O.D.) Mg/liter DICHROMATE REFLUX METHOD TOTAL SOLIDS Mg/liter GRAVIMETRIC, 105C. METHOD p. 489 p. 496 p. 535 p. 712 - p. 15 P. 17 X. X. p. 280 X. TOTAL DISSOLVED (FILTERABLE) SOLIDS Mg/liter TOTAL SUSPENDED (NON-FILTERABLE) SOLIDS Mg/liter TOTAL VOLATILE SOLIDS Mg/liter GLASS FIBER FILTRATION METHOD, 180C. GLASS FIBER FILTRATION METHOD, 103-105C. GRAVIMETRIC METHOD 550C. p. 539 p. 537 p. 536 | AMMONIA (as N) Mg/liter DISTILLATION-NESSLERIZATION METHOD OR TECHNICON-DIGESTION & PHENOLATE METHOD KJELDAHL NITROGEN Mg/liter DIGESTION-DISTILLATION METHOD OR TECHN ICON-DIGESTION & PHENOLATE METHOD p. 453 p. 469 NITRATE (as N) Mg/liter BRUCINE SULFATE METHOD OR TECHNICON-HYDRAZINE REDUCTION METHOD p. 461 TOTAL PHOSPHORUS (asP) Mg/liter PERSULFATE DIGESTION & SINGLE REAGENT METHOD OR TECHNICON-MANUAL DIGESTION & SINGLE REAGENT OR STANNOUS CHLORIDE p. 526 - p. 275 X. p. 278 X. p. 282 X. p. 134 .XX p. 149 XX p. 170 XX p. 235 .XX PART B DISCHARGE DESCRIPTION (Note: Submission of Part B it required of!all applicants who era alto required to submit Part A. Only those parameters specifically indicated in the instructions are to be reported by a particular industry) (Office use only) Discharge Serial No. B-1. Intake PHYSICAL AND BIOLOGICAL PARAMETERS OF INTAKE WATER AND DISCHARGE (See Table B-1) Discharge PARAMETER AND CODE COLOR 00080 SPECIFIC CONDUCTANCE 00095 TURBIDITY 00070 FECAL STREPTOCOCCI BACTERIA 74054 FECAL COLIFORM BACTERIA 74055 TOTAL COLIFORM BACTERIA 74056 X\x (1) \X0\"X^ (2) ! (3) ! (4) | (5) | (6) _i_________ !---------------------------------------- (7) xX ENG FORM 4345-1 cca o03b^ Page IB of 7 ENG FORM JUN 71 4345-1 CCS OIMnm^ ^28.17 PART B (Office uie only) Discharge Soria) No. B-2. (corn.) CHEMICAL PARAMETERS OF INTAKE WATER AND DISCHARGE {See Table 3-2) Intake Diwharge X % \ V \\>X \V\V \ V %X \VX\ ^ nXxXVV \ t* xSX \xV%V^\\v\\W\\\\xxX X X X X X_________X X X \____ns PARAMETER AND CODE (1) (2) (3) (4) (5) (9) | (7) (8) (9) (10! (HI CHLORIDE 00940 CYANIDE 00720 !1 ( i X FLUORIDE 00951 ALUMINUM-TOTAL 01105 ANTIMONY-TOTAL 01097 ARSENIC-TOTAL 01002 BARIUM-TOTAL 01007 BERYLLIUM-TOTAL 01012 BORON-TOTAL 01022 CADMIUM-TOTAL 01027 cMft cnpM MJ Vi! '! !!j 1 _____ i!1 i_____ i_____ i ;i !! _____ i_____ i11_____ 15( i . !i! i i_ ! i| ij i| ____ i. i ENG FORM JUN71 4345-1 CCR 000036258 iKHiiiU ENG FORM ENG FORM | B-3. Intake PART B (Office uie only) : Diecherge Serial No. RADIOACTIVE PARAMETERS OF INTAKE WATER AND DISCHARGE (See Table B-3) DiKharge Xv\\ XXX XV? X, ** PARAMETER AND CODE ALPHA-TOTAL 01501 ALPHA COUNTING ERROR 01502 BETA-TOTAL 03501 BETA COUNTING ERROR 03502 GAMMA-TOTAL 05501 GAMMA COUNTING ERROR 05502 TRITIUM-TOTAL 07000 TRITIUM COUNTING ERROR 07001 id (2) (3) (4) (5) (6) (7) B-4. REMARKS ENG FORM MdU CCR 000036261 DEPARTMENT OF THE ARMY, CORPS OF ENGINEERS FORM APPROVED OMB NO. 49-R 0408 APPLICATION FOR PERMIT TO DISCHARGE OR WORK IN NAVIGABLE WATERS AND THEIR TRIBUTARIES SECTION I. GENERAL INFORMATION 2. Name of applicant and title of signing official 1. State Application Number (to be assigned by Corps of Engineers) Div. Dist. Type Sequence No. 3. Mailing address of applicant 4. Name, address, telephone number and title of applicant's authorized agent for permit application coordination and correspondence. NOTE TO APPLICANT: Refer to the pamphlet entitled "Permits for Work and Structures in and for Discharges or Deposits into Navigable Waters" before attempting to complete this form. Required Information a. All information contained in this application will, upon request, be made available to the public for inspection and copying. A separate sheet entitled "Confidential Answers" must be used to set out information which is considered by the applicant to constitute trade secrets or com mercial or financial information of a confidential nature. The information must clearly indicate the item number to which it applies. Con fidential treatment can be considered only for that information for which a specific written request of confidentiality has been made on the attached sheet. However, in no event will identification of the contents and frequency of a discharge be recognized as confidential or privileged information. b. The applicant shall furnish such supplementary information as is required by the District Engineer in order to evaluate fully an application. If additional space is needed for a complete response to any item on this form, attach a sheet entitled "Additional Information." Indicate on that sheet the item numbers to which answers apply. d. Drawings required by items 20 and 21 should be attached to this application. Other papers which must be attached to this application include, if applicable, copies of a water quality certification or a written communication which describes water quality impact (see Item 22 and Item 10 of Section II below), the additional information sheat(s) in "c" above, and the confidential information sheet described in "a" above. Fees If any discharge or deposit is involved, an application fee of $100 must be submitted with this application. An additional $50 is required for each additional point of discharge or deposit. Signature a. If a discharge is involved, an application submitted by a corporation must be signed by the principal executive officer of that corporation or by an official of the rank of corporate vice president or above who reports directly to such principal executive officer and who has been designated by the principal executive officer to make such applications on behalf of the corporation. In the case of a partnership or a sole proprietorship, the application must be signed by a general partner or the proprietor. Other signature requirements are discussed in the pamphlet. b. If no discharge is involved, an application may be signed by the applicant or his authorized agent. Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar with the information contained in this application, and that to the best of my knowledge and belief such information is true, complete, and accurate. 18 U.S.C. Section 1001 provides that: Signature of Applicant Whoever, in any matter within the jurisdiction of any department or agency of the United States knowingly and wilfully falsifies, conceals or covers up by any trick, scheme, or device a material fact, or makes any false, fictitious or fraudulent statements or representations, or makes or uses any false writing or document knowing same to contain any false, fictitious or fraudulent statement or entry, shall be fined not more than $10,000 or imprisoned not more than five years, or both. n..... ....... .............................. CCR 000036262 = Acronym name of applicant Data received, form not complete Date received, form complete but without certificate Data received, form complete Date of Cert./Ltr. FOR CORPS OF ENGINEERS USE ONLY Are discharge structures -------------------- Major? | | Minor?j | ----------- -- ----------------- Data tent to EPA, form not complete ----------- -- -- -- -- Date sent to EPA, NOAA, D/I, AEC, _ -- -- ---- -- -- Fpc in complete form day________mo yr ____________ N/A7 day yr ENG FORM 4346 Page 1 of 3 5. Date mo 6. Check type of application: day yr a. Original b. Revision 8. Name of facility where discharge or construction will occur. (Office use only) 7. Number of original application 9. Full mailing address of facility named in item 8 above. 10. Names and mailing addresses of all adjoining property owners whose property also adjoins the waterway. 11. Check to indicate the nature of the proposed activity: a. Dredging [ | b. Construction |' | c. Construction with Discharge | | 12. If activity is temporary m nature, estimate its duration in months. If application is for a discharge; 13. List intake sources Source Municipal or private water supply system Surface water body Ground water Other 14. Describe water usage within the plant Type Cooling water Boiler Feed water Process water Sanitary system* Other 15. List volume of discharges or losses other than into navigable waters. Type Municipal waste treatment system Surface containment Underground disposal Waste Acceptance firms Evaporation Consumption Estimated Volume in Million Gallons Per day or Fraction Thereof Estimated Volume in Million Gallons Per day or Fraction Thereof Estimated Volume in Million Gallons Per day or Fraction Thereof _____ * Indicate number employees served per day b. Discharge only | " | CCR 00003 6<?63 If structures oxist, of dredging, filling or other construction will occur, the precise location of the activity must be described. a. Name the corporate boundaries within which the structures exist or the activity will occur. State County 16.17. b. Name of waterway at the location of the activity (Office use only) City or Town 18. 19.- 20. Maps and sketches which show the location and character of each structure or activity, including any and all outfall devices, dispersive devices, and non-structural points of discharge, must be attached to this application. 21. For construction or work in navigable waters for which a separate permit is sought under 33 U.S.C. 403, the character of each structure must be fully shown on detailed plans to be submitted with this application. Note on the drawings those structures for which separate discharge informaiion (Section II of this fotml has been submitted._______________ ______________________________________________________________ 22. List all approvals or denials granted by Federal, interstate. State or local agencies for any structures, construction, discharges or deposits described in this application. Type of document Id. No. Date Issuing Agency 23. Check if facility existed or was lawfully under construction prior to April 3, 1970. 24. If dredging or filling will occur: 11 State the type of materials involved, their volume in cubic yards, and the proposed method of measurement. 25. Describe the proposed method of instrumentation which will be used to measure the volume of any solids which may be deposited and to determine its effect upon the waterway. 26. State rates and periods of deposition described in Item 25. ENG FORM ^ CCR 00003 6^64 Page 3 of 3 D4NQD-SP DEPARTMENT OF THE ARMY MEW ORLEANS DISTRICT, CORPS OF ENGINEERS P. O. BOX 00267 NEW ORLEANS. LOUISIANA 70160 28 April 1971 PUBLIC NOTICE Interested parties are hereby notified that changes have taken place in the Department of the Army permit program administered by this office. Among the major changes are the following: 1. Applications for all types of permits or revisions of permits must be made on ENG Form 4345 (API; 71) * Applications by letter will no longer be accepted. 2. If a discharge or deposit into a navigable waterway or a tribu tary of a navigable waterway, other than dredged spoil, is involved, an ENG Form 4345-1 (APR 71) must be submitted for each location where a discharge is made. 3. A processing fee of one hundred dollars ($100.00) minimum has been instituted for those applications which involve a discharge. The fee must he paid before an application may be processed. 4. A new instruction pamphlet has been prepared which describes the new program for permits for discharges and deposits and which furnishes detailed instructions on how to fill out the new application forms. Additional information, copies of ENG Forms 4345 and. 4345-1, and copies of the instruction booklet may be obtained from the Permits Section at this office. You are requested to communicate the information contained in this letter to any other parties whom you deem likely to have an interest in the matter. HERBERT R. HAAR, JR Colonel, CE District Engineer DEPARTMENT OF THE ARMY, CORPS OF ENGINEERS APPLICATION FORM FOR DISCHARGES OR WORK IN NAVIGABLE WAI ERS ANO THF.IK TRIBUTARIES SECTION I GENERAL INFORMATION 2 Name of applicant and title of signing official 3. Mailing address of applicant 1 State Application Number Ito be assigned by Corps of Engineers) Dist. Type Sequence No 1, Name, address, telephone number and title of applicant's authorized agent for permit application coordination and correspondence. NOTE TO APPLICANT1 Refer to the Information Pamphlet before attempting to complete this form. Signature a, If a discharge is involved, an application submitted by a corporation mast be signed by the principal executive officer of that corporation or by an official of the rank of corporate vice president or above who reports directly to such principal executive officer and whc been designated by the principal executive officer to make such applications on behalf of the corporation. In the case of a partnership or a sole proprietorship. the application must be signed by a general partner or the proprietor. b, If no discharge is involved, an application may be signed by the applicant or his authorized agent. ? * j j \ Required Information d AM information contained in this application will, upon request, be made available to the public fur inspection and copying. A separate sheet entitled "Confidential Answers'' must be used to set out information which is considered by the applicant to constitute trade secrets or com merciai or financial information of a confidential nature. The information must clearly indicate the item number to which it applies. Con fidential treatment can be considered oniy for that information tor which a specific written request of confidentiality has been made on the attached sheet. However, m no event will identification of the contents of a discharge be recognized as confidential or privileged information. J 11 i ? | h The applicant shall furnish such supplementary information as is required by the District Enameer m order to evaluate fully an application. j c, If additional space is needed tor a complete response to any item on this form, attach a sheet entitled "Additional information," Indicate on that sheet the item numbers to which answers apply. d. Drawings required by Items 20 and 21 should be attached to this application Other papers which must be attached to this application include f applicable, copies of a water quality certification or a written communication which describes water quality impact isee Item 22 and Item 9 of Section M below), the additional information sheet(s) m "c" above, and the confidential information sheet described in "a" above. f ` j I Pees | if any discharge or deposit is involved, an application fee of 100 must be submitted with this application. An additional $50 is required for each 1 additional discharge or deposit. This provision does not apply to agencies or instrumentalities of the Federal, State, or local governments. , _________________ __________________________________________________________________________________________________ i Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar with the information provided above, and that to the best of my knowledge and belief such information is true, complete, and accurate. : 18 U.S.C. Section 1001 provides that: Signature of Applicant Whoever, in any matter within the jurisdiction of any department or agency of the United States knowingly and wilfully falsifies, conceals or covers up by any trick, scheme, or device a material fact, or makes any false, fictitious or fraudulent statements or representations, or makes or uses any false writing or document knowing same to contain any false, fictitious or fraudulent statement or entry, shall be fined not more than $10,000 or imprisoned not more than five years, or both. Acronym name of applicant Date received, form not complete Date received, form complete but without certificate Date received, form complete Date of Cert./Ltr. Mn FOR CORPS OF ENGINEERS USE ONLY Are discharge structures Major? Minor? CCR 000036266 N/A? Date sent to EPA, form not complete Date sent to EPA, NGAA, D/I, AEC, FPC in complete form day J J , j 5. Date (Office use only! mo 6. Check type of application: day yr a. Original b. Revision 8. Name of facility where discharge or construction will occur. 7, Number of original application 9. Full mailing address of facility named in Item 8 above. 10. Names and mailing addresses of all adjacent property owners whose property adjoins the waterway. 11. Check to indicate the nature of the proposed activity: a. Dredging b. Construction c. Construction with Discharge] | 12. If activity is temporary in nature, estimate its duration in months. d. Discharge only If application is for a discharge: 13. List discharges other than into navigable waters. Location Municipal waste treatment system Surface containment Underground disposal Waste Acceptance firms 14. List intake sources Type Municipal or private water supply system Surface water body Ground water Other 15. Describe water usage within the plant Type Cooling water Boiler Feed water Process water Sanitary system * Other * Indicate number employees served per day Volume ____ ____ _____ _____ mgd (million gallons per day) ----------------- -------- ------- mgd ------ ------ mgd Volume ____ _______ _____ ____ mgd ------- ------- mgd ___________- mgd Volume ____ _________ ------ ------ -------- mgd mgd --------------- --------------------- mgd ____ ____ mgd CCR 000036267 ENG FORM .,.E APR 71 4345 Page 2 of 3 if structural exist, or ilndyino, tiding or othsr construction will occur, tfia precise location of tha activity must ba described. a. Mama tfra corporate boundaries within which the structures exist or tha activity will occur. State County (Office use only I City or Town IS. 17. 18. b. Name of waterway at tha location of the activity 19. 20. Maps which show tha location of each structure or activity, including any and all outfall devices, dispersive devices, and non-structural points of discharge, must be attached to this application. 21. The character of each structure must ba fully shown on plan* to ho submitted with this application. Note on tha drawings those structures for which separate discharge information (Section li of this form) has bean submitted. 22. List all approvals or denials granted by Federal, interstate. State or local agencies for any structures, construction, discharges or deposits described in this application. Type of document Id. No. Data Issuing Agency 23. Check if facility existed or was lawfully under construction prior to April 3,1970. 24. If dredging or filling Will occur: a State the type of materials involved, their volume in cubic yards, and tha proposed method of measurement. 25. Describe the proposed method of instrumentation which will be used to measure the volume of any solids deposited and to determine its effect upon the waterway. 26. State rates and periods of deposition described in Item 25. ENG FORM APR 71 4345 CCR 000036268 Page 3 of 3 SECTION II. PLANT PROCESS AND DISCHARGE DESCRIPTION 1. Discharge described below is a. Present i--i b. Proposed new i-- I___ | or changed 1___ I c* Implementation i i schedule 11 (Office use only) Name of corporate boundaries within which the point of discharge is located. State County City or Town 2. 3. .4.. 5. Discharge Serial No. State the precise location of the point of discharge. 6. Longitude -- -- _ Degrees;_______ Min; . Sec. 8. Name of waterway at the point of discharge. 7. Latitude ____ ___ Degrees;________ Min; Sec. 9. Date of application for water quality certification or description of impact. Copies of a certificate or description of impact must be attached to this application. Type of document Id. No. Date Issuing Agency day yr 10. Narrative description of activity (include terms of general 4-digit standard industrial classification, and specific manufacturing process). 11. Standard industrial classification number. 14. Principal raw material. 17. Average gallons per batch discharge. 20. Describe waste abatement practices. 12. Principal product. 13. Amount of principal product produced per day. 15. Amount of principal raw material consumed per day. 16. Number of batch discharges per day. 18. Date discharge will begin. mo day yr 19. Date discharge began. mo day yr ENG FORM ,, APR 71 4345-1 CCR 000036269 Page 1 of 8 PROCESS WATER AND DISCHARGE DESCRIPTION 21. X \ PHYSCAL PARAMETERS X DISCHARGE vv............... \ ' \ \ X (OFFICE USE ONLY) %X DISCHARGE SERIAL NO. XX \wX \\X\\ \X \PARAMETER X XX\AND (CODE) X \ \ %X X % X *"S> X \ V X X X >X x X. v> *v V \^\\ \* \ \\% \ xx FLOW pH TEMPERATURE (WINTER) TEMPERATURE (SUMMER) COLOR ODOR SPECIFIC SPECIFIC CONDUCTANCE TURBIDITY RADIOACTIVITY ENG F RM 4345-1 rfiib 000036270 __ 1 1CCB - Page 2 of 8 CHEMICAL PARAMETERS AC.'OITY (a* Ca COg) ALKALINITY (a*Ca C03 TOTAL HARDNESS TOTAL SOLJDS TOTAL DISSOLVED SOLIDS TOTAL VOLATILE SOLIDS TOTAL SUSPENDED SOLIDS TOTAL ORGANIC CARBON iT.O.C.) DISSOLVED OXYGEN ID.O.I B.O.O. 5-OAY B.O.D. ULTIMATE CHEMICAL OXYGEN DEMAND (C.O.D.) TOTAL OXYGEN DEMAND (T.O.D.) ENG FORM ,,,, 4 APR 71 4345-1 CCR 00 00362 71 LJ ! Page 3 of 8 - CHEMICAL PARAMETERS (Continued) ,\ discharge (OFFICE USE ONLY) v >\ \m \ -\ X .\ \ v \\\ 1+X. x \ \ N \ v\ `%\ V \x DISCHARGE SERIAL NO. \%CX'V*\ X0J%* \Vs\% >'Ox&0d>\\ \0j>\\\vv\ftAv5\V PARAMETER AND (CODE) AMMONIA (as N) *>q \^ \ \v % \ Tt- \ \\ N. \ N. \ N. \\ \ V* \ KJELDAHL NITROGEN ORGANIC NITROGEN NITRATE (as N) NITRITE (as N) PHOSPHORUS-ORTHO (as P) PHOSPHORUS TOTAL (as P) SULFATE SULFIDE SULFITE BROMIDE CHLORIDE CYANIDE FLUORIDE ENG FORM CCR 00003 6272 __________ _____ Page 4 of 8 _ CHEMICAL PARAMETERS (Continued) \ '\X,X-Ax DISCHARGE Av Ax \ X. \ (OFFICE USE ONLY) X\%'S* v X\\ y. A. \\oQU/t/ \ <%\ \ \ \ \\ XX 4, X ^X X o/\ \% N A* XXX X \ \ WAS* x> A.1\ xA\ \ PARAMETER \Xk vA AND (CODE) ^\%/ N. DISCHARGE SERIAL NO. a \ ALUMINUM ANTIMONY ARSENIC BERYLLIUM A BORON CADMIUM CALCIUM COBALT CHROMIUM COPPER IRON LEAD MAGNESIUM ENG FORM APR 71 4345-1 CCR 000CJ36273 ___________ _______________ _______ Page 5 of 8 <b \ VAX CHEMICAL PARAMETERS (Continuad) DISCHARGE \ \ \ <X * \ \ (OFFICE USE ONLY) \ \\ WaX XX \ \\Vas\\ a \ ^ PARAMETER AND (CODE) MERCURY \% X \ X X/> X\ % \X *" DISCHARGE SERIAL NO. MOLYBDENUM NICKEL SELENIUM SILVER TIN 1 ZINC ALGICIDES OIL AND GREASE PHENOLS SURFACTANTS ENG FORM APR 71 434S-1 1 4CCR 00003627 1_____________ ________ Pag* 6 of 8 /bt1 \ \X\ PARAMETER AND (CODE) CHLORINATED HYDROCARBON CHEMICAL PARAMETERS (Continued) *\ DISCHARGE \ *X \ (OFFICE USE ONLY) \\ %X \\ DISCHARC;e serial no. \ \ \ \ \ \/\-V$X--------------- r~ V xw\$ \ o \* \X \A 1t. \ \ *" 0 \o X PESTICIDES ENG FORM ,, . C CR 00003 6275 L_J________________ _________________ _____ Page 7 of 8 23. BIOLOGICAL PARAMETERS <0 \ DISCHARGE \ \ (OFFICE USE ONLY) %\v\ s\\ <s\, \ DISCHARGE SERIAL NO. \ V \ \ \\^v %> v \^\X\%A \ \ \ % \ \\ \ * \\ \\\\\o< PARAMETER AND (CODE) \X \ \X \ \ \ \ \ \X\ \\* \ FECAL STREPTOCOCCI FECAL COLI FORM TOTAL COLI FORM OTHERS 24. Hava all known hazardous substances in your plant baan inventoried to anur* that than exists no possibility of any hazardous substance other than those described above entering this discharge? | |--. YES __ NO .--LJ. 25. REMARKS cca 0000362-^ ENG FORM ----------------------------------------------------- Pag* 8 of 8