Document OJ4e6wL3OE1KbLg602qXYMM9p

U.S. Environmental Protection Agency Region 5 Purpose: Industrial User Pretreatment Compliance Inspection Facility: Perdue Foods, LLC (Perdue) 65 South 200 West Washington, Indiana 47501 Inspection Date: April 13, 2022 EPA Representatives: Rajen Patel, Environmental Engineer, 312-886-5741 Valerie Dooling, Environmental Engineer, 312-886-7167 Facility Representatives: Brandon Bottorff, Director of Operations, 812-617-2189 Neil Powel, Regional Environmental Manager, 704-754-0970 Todd Logan, Environmental Compliance Manager, 812-259-5174 Ron Adams, Wastewater Supervisor, 812-254-8566 Report Prepared by: Rajen Patel Water Enforcement and Compliance Assurance Branch, Section 2 patel.rajen@epa.gov RAJEN PATEL Digitally signed by RAJEN PATEL Date: 2022.06.08 12:40:47 -04'00' Inspector Signature: __________________________________ Approver Name and Title: Ryan Bahr, Section 2 Supervisor Water Enforcement and Compliance Assurance Branch Bahr, Ryan Digitally signed by Bahr, Ryan Approver Signature and Date: ____________________D_at_e:_2_02_2_.0_6._08_1_3_:2_6:_41_-_0_5'0_0_' BACKGROUND The purpose of the inspection was to describe, evaluate, and document compliance with the Clean Water Act (CWA) and associated pretreatment regulations with respect to the Perdue Foods facility located at 65 South 200 West, Washington, Indiana 47501 (facility). There are two entities (Approval and Control Authority) that have the responsibility to develop and implement the federal pretreatment program. An Approval Authority is either the state Director of a National Pollutant Discharge Elimination System (NPDES) in an authorized state with an EPA-approved pretreatment program or the EPA Regional Administrator in a state without an approved pretreatment program. A Control Authority is either a Publicly Owned Treatment Works (POTW) with an approved pretreatment program or the Approval Authority for any POTW that does not have an approved program. The State of Indiana and City of Washington POTW do not have an EPA-approved pretreatment program. EPA is the Control Authority in Indiana and has enforcement authority pertaining to the pretreatment requirements at Perdue Foods. EPA has developed nationally applicable pretreatment standards under CWA section 307(b) in its General Pretreatment Regulations for Existing and New Sources of Pollution at 40 (Code of Federal Regulations) CFR Part 403. Such pretreatment standards are directly applicable to indirect dischargers based on the processes conducted at the facilities and the applicability of those standards. Perdue Foods is a Significant Industrial User (SIU) as per 40 CFR 403.3. The discharges to the City of Washington POTW are subject to the applicable local Sewer Use Ordinance (SUO) Limitations and surcharges. The effluent standards for the poultry processer, which are contained in 40 CFR 432, Subpart K - Poultry First Processing, 432.110 applies to the discharges of process wastewater resulting from the slaughtering of poultry, further processing of poultry and rendering of material derived from slaughtered poultry. Process wastewater includes water from animal holding areas at these facilities. Perdue Foods also has an Industrial Wastewater Pretreatment (IWP) Permit (Permit Number INP000176) issued by the Indiana Department of Environmental Management (IDEM) which contains effluent limitations, monitoring requirements and other conditions. The facility discharges into the Washington POTW. The current permit is valid through May 31, 2023. The facility falls primarily under Standard Industrial Classification (SIC) Code 2015 "Poultry Slaughtering and Processing". Facilities under this SIC are subject to IDEM Rule 6 for stormwater and Perdue submitted a Notice of Intent (NOI) to comply with the terms and requirements of the rule. Perdue's stormwater run-off is discharged though a point source to waters of the US (to Hawkins Creek just a few blocks south of the facility, which connects to the White River two miles west of the facility). Perdue has developed, implemented, updated, and maintained a Stormwater Pollution Prevention Plan (SWPPP). The facility does not have a stormwater permit. Hawkins Creek has been listed as impaired for "biota" on the latest Indiana 2 303(d)List; however, no Total Maximum Daily Load (TMDL) has been developed for Hawkins Creek. SITE INSPECTION Opening Conference EPA representatives entered the facility at 8:30 am on April 13, 2022. IDEM regional inspectors Holly Zurcher and Jeremy Ferguson joined the EPA team for this inspection. We signed in at the reception desk and were greeted by Tom Logan, the facility's Environmental Compliance Manager and Ron Adams, Wastewater Supervisor at Perdue. Mr. Logan escorted us to a large conference room and introduced us to Brandon Bottorff, the facility's Director of Operations and Neil Powel, Perdue's Regional Environmental Manager. The EPA inspection team presented credentials to the facility representatives and began the opening conference at 8:50 pm. I explained to the Perdue representatives that EPA was performing the CWA compliance evaluation inspection of the facility operations and we would evaluate its wastewater discharges and take photos during the inspection. I also advised the facility that confidential business information (CBI) may be declared for materials reviewed during the inspection. The facility did not request any specific CBI. I informed the facility representatives that they would receive copies of the photographs collected during the inspection as an attachment to the inspection report. Since there was a chance of a heavy rain later in the morning, we started with a facility walk-through and toured the majority of the plant's operations by accessing each process area from outside of the building. The facility tour ended around 10:30 am. After a short break, we began the opening conference at 10:40 am and continued the discussion about the facility's background, manufacturing processes, preventative maintenance program, wastewater treatment process, and review of the facility's compliance reporting history (preventative maintenance log, sampling data and Monthly Monitoring Reports (MMRs) for 2021). Facility Background I asked Mr. Bottorff about the nature of products and the company's history of operations. He stated that Perdue has owned and operated its Washington plant since 1985. The plant was originally constructed in 1965. Perdue bought the facility from Shenandoah Farms in 1985. This facility is Perdue's only turkey process plant in the US. Other nation-wide Perdue facilities process chicken and hogs. Perdue has been in operation for the past 102 years. It is family-owned and a 3rd generation company. It is the 4th largest meat company in the US. The facility (20-acres) site map (Attachment II) shows facility boundaries, onsite drainage conveyances and direction of flow, identification of impervious and pervious surfaces, existing structural control measures and identification of areas of raw material, final products, processing areas, waste materials, chemicals and oil storage areas. Mr. Bottorff stated that there are six US Department of Agriculture (USDA) inspectors on site ensuring compliance on each process step involving the food safety. 3 Mr. Bottorff stated that Perdue Foods normally operates three shifts per day (5am-2pm; 2pm11pm and 11pm - 5am), five days a week (may operate 6th day during peak demand), with no longer-period (week or more) of scheduled shutdowns for maintenance or process modifications. Maintenance is primarily done on weekends. Mr. Bottorff added that 870 employees work at the facility and their production remains steady, for the most part, throughout the year. Process Description The facility processes poultry products. Plant processes include washing, slaughtering, deboning, chilling, and shipping of poultry. An average 4.7 million pounds of turkeys get processed each week. Products are ground (raw) turkey and food service (ready to cook). Products are sold to supermarkets and restaurants. Live turkeys are delivered to the facility via truck and are slaughtered, eviscerated, and processed into various fresh and frozen turkey meat products. Whole turkeys are not processed at the facility. Birds come from Perdue Breeder in Thorntown and Perdue Hatchery in Vincennes, then to one of the Perdue grow-out farms which are located in a 90-mile radius. It takes a bird about 20 weeks from hatch to be ready for slaughter. A schematic process wastewater flow diagram was not available at the time of the inspection. Mr. Powell sent (via email) the attached wastewater flow diagram (Attachment III) on April 20, 2022. Approximately one-million-gallons of water is used daily. Of that, about 80% gets used for the Harvest/ Evisceration step. The rest is used in deboning and sanitation. Sanitation uses approximately 100,000 gallons per day. The chillers are filled with approximately 100,000 gal of freshwater and are emptied daily. The chillers are dumped between midnight and 4am. There will be a rise in the equalization (EQ) tank at that time. In 2016, the facility remodeled its Evisceration line to increase product yield (without the increase in raw material) and decreasing the usage of water by an average of 4 to 5% each year. Mr. Powell stated that Perdue has an established "Environmental Sustainability" 5-year (2018 2023) goal to reduce its water usage by 25% for all of its facilities nationwide. Perdue's Washington facility is on track to meet the goal by 2023. The facility has reduced its water usage by 20% from its 2018 levels (41.6 gallons per bird down to 33.4 gallons per bird at present) and expects to meet the goal (31.2 gallons/bird) ahead of the 2023 deadline. Ms. Dooling asked if the facility noted any increase in concentration of pollutants due to decrease in the water usage. Mr. Powell stated that they have noted a reduced surcharge (reduced quantity of pollutants) and a reduction in discharge volumes to the POTW. Perdue provided EPA with production in incoming pounds; however, they do measure production in Without Giblets (WOG) pounds which is weight prior to deboning. Perdue processes more product in the beginning of the year and in November (Thanksgiving). They attribute this to an increase in new year's resolutions to eat healthier and replace red meat with turkey. 4 The maintenance department staffs 30 employees and is led by a maintenance and reliability district manager who is responsible for finding and repairing parts or equipment that are malfunctioning. Preventative maintenance is scheduled each day and maintenance employees are assigned a daily rounds packet. If additional maintenance is needed, then it is then scheduled into the planner and assigned in the packet. Mr. Patel and Ms. Dooling reviewed facility's preventative maintenance and actual repair records for a randomly selected month of March 2021. The midnight shift (11 pm to 5 am) is a sanitation shift managed by an outside company. During the sanitation shift, each process equipment is sanitized prior to the start of 5 am morning shift. During our review of the MMRs, IDEM inspectors noted that Perdue had erroneously reported the Oil and Grease (O&G) sampling results on its March 2021 MMR. The data was submitted as 180.92 pounds per day instead of the actual 21.1mg/L and 143.7 pounds per day instead of the actual 17.9 mg/L. These values are below the 100 mg/L permitted for O&G, but Perdue had incorrectly reported these values as being above the permit effluent limits. EPA and IDEM also reviewed the facility's "evidence book" which records information on bypass and overflow events and surcharges paid by Perdue. During the EPA, Ms. Dooling noted that the facility had reported three bypass events (all in 2020 and none in 2021). The facility claimed that the remedial measures put in place after the 2020 bypass events resulted in no bypass event in all of 2021 and first quarter of 2022. One bypass event resulted in (up to) 700 gallons of overflow from the nurse tank into the process area pit, which the bypass report claims was contained. The second bypass event resulted in about 1,500 gallons of wastewater overflow from the EQ tank to an adjacent drain designed to capture such EQ overflow and pipe it back to the North Offal pit/area where it gets mixed with the process wastewater. The report stated that the EQ overflow occurred on a weekend due to an alarm malfunction on the EQ tank. After that incident, a backup alarm was installed on the EQ tank. The third bypass event took place in the chemical storage area. The facility estimates up to 100 gallons of Ferric Chloride may have spilled on the floor due to a leak in its stainless-steel feedline. The report stated that the facility had repaired the pipe damage and stopped the leak. The operator had contained the area with sandbags and berms and called the vacuum truck for cleaning the area. The facility reported in bypass/overflow reports to IDEM (attachment VII) that no amount of spill reached the stormwater outfall. We also reviewed facility records of its sludge which is transported to an offsite lagoon for drying prior to the land application. The facility has contracted the sludge transport and land application with the Wealing Brothers. Mr. Logan stated that the facility had made progress in terms of reducing the weekly amount of transported sludge (down from 15 trucks per week to an average 10 trucks per week now). Mr. Bottorff stated that Perdue invests an average of $2 million annually at this facility for capital improvement projects. As a part of its 2022 capital improvements plan, Perdue has procured a 20,000-gallon sludge holding and decanting tank with a goal to reduce the amount of sludge decant down to 5 truckloads per week, and an annual $200,000 in savings from reduced sludge amount. 5 The Dissolved Air Floatation (DAF) unit is designed to treat up to 800 gallons per minute of wastewater. It was originally an O&G separator unit that got converted to a DAF unit and is aging, according to Mr. Bottorff. He stated that Perdue is also in the process of purchasing a new DAF control (AFCO unit) by 2025 which is expected to reduce the chemical usage and be more efficient by saving manpower. Perdue has also procured an autosampler system to sample and analyze Total Suspended Solids (TSS). It is expected to be installed in June 2022. Perdue also showed EPA a purchase order for a backup blower for the EQ basin which was approved on April 8, 2022. The facility installed sluice gates at stormwater outfalls 2 and 3 on the south side of the facility (Attachment IV) to regulate the flow of stormwater from the outdoor operations area. Stormwater from the areas outside the main plant and adjoining support operations flow to the ditches on the south and west side of the property then to outfalls 2 and 3. Mr. Logan stated that staff is responsible for checking the quality of the stormwater (odor, appearance, oil sheen) during a rain event and prior to opening the sluice gates which allow stormwater to flow from the ditches through outfalls 2 and 3. It was raining at the time of inspection and both the sluice gates 2 and 3 were raised open partially to let the stormwater flow through the stormwater outfalls 2 and 3 respectively. The staff would not open the sluice gate in the event the stormwater quality meets any of the criteria of an "unpermitted discharge" per the facility SWPPP. Stormwater outfalls 1 and 2 only receive stormwater from the parking lot areas (not from the operations areas). Hence, there are no sluice gates installed at outfalls 1 and 2. The facility stormwater discharges flow to the Hawkins Creek just south of the facility. Photo 45 shows the stormwater ditch leading to Sluice Gate 2, the gate for outfall 2. Perdue's pretreatment system consists of the separation of renderables (waste meat and bones from wastewater), two rotating screens, polymer addition, and a grit chamber with the ability to skim solids. Ferric Chloride is used as a coagulant. Renderables are hauled off-site for animal feed. Solids are removed from the grit chamber unit and used for land application. Sampling is conducted directly after the grit chamber unit. The process waste stream averages 877,750 gallons per day (GPD) from poultry processing operations. Process wastewater is generated by overflow and daily emptying of scalders and chillers, continuous washing and cleaning of poultry carcass and parts, employee hand washing, continuous spray washers on product conveyors, and clean-up operations. In addition to process waste stream(s), air scrubbers and ice makers generate an average of 46,000 GPD, cooling water averages 60,000 GPD, boiler blowdown generates 1,250 GPD, and sanitary wastewater generates 15,000 GPD. When asked whether the facility was aware that the Sequential Batch Reactor (SBR) is down at the Washington POTW, Mr. Logan indicated that the facility staff was not aware of the POTW's unit being down until the EPA inspection. Mr. Adams stated that in the past, the POTW's Superintendent Scott Rainey would communicate with Perdue once or twice a year. Since Mr. Rainey's retirement last fall, Perdue has not had any communication with the POTW staff. 6 Facility Walk-Through Mr. Bottorff, Mr. Powell, Mr. Logan, Mr. Adams, and the IDEM inspectors joined us during the facility walk-through. We began the walk-through at 9:00 am. Mr. Logan escorted us to the North Offal processing area located on the north-east portion of the facility and showed us the initial processing of slaughtered turkey's feathers and meat separation (photos 3, 38, 39, 40). All process wastewater from the North Offal process area flows into the floor drain (also referred to as "North Pit" - photos 1 & 41). Wastewater from pump overflow also enters the north pit (photo 5). The feather and waste meat disposal trucks continously drip a small amount of wastewater that flows back into the drains (photos 2 & 6). Two 20-horsepower pumps pump the wastewater from the north pit up to the two overhead rotary screens that separates the solid meat materials and the feathers from the wastewater stream. The screen renderings are sent to a rendering facility offsite by DarPro. The tour continued to the Offal Storage Area. We noticed a large concrete pad where the trucks are stored. The pad is sloped and is diked around the drain. Mr. Adams stated that this drain connects to the north pit (photo 9) and any water collected in the train would flow to and mix with the process wastewater in the north pit. Mr. Logan then escorted us towards the "Live Cooling Shed" - a holding shelter (photo 15) for approximately 168,000 birds that are brought in to be processed each week. Both shelters are cleaned once a week and the wash water from the shelters flows to a drain (photo 16) that is connected to a manhole (photo 17) located between two shelters. Mr. Adams stated that the manhole pumps the water to the north pit. The screened wastewater then enters the receiving tank (also referred to as "nurse tank" - photo 21) where two variable speed 40-horsepower pumps pump the wastewater to a 750,000-gallon EQ tank (photo 10 - also referred to as "flow equalization basin"). The EQ tank has two 75-horsepower blowers that aerate and mix the wastewater in the EQ tank. Mr. Logan showed us two alarms for the EQ tank level controls. One alarm is at 1 panels from top and the other near the top (photos 13 & 14). EQ undergoes two cleaning cycles on weekends. The Wastewater Manager pumps the EQ tank down to panel on Friday before leaving and a facility staff person is assigned to check the EQ tank before leaving each Friday. EPA noted that the EQ tank is on a sloped area and a drain (photo 11) located just southeast of the EQ tank would capture any overflow from the tank. Mr. Logan stated that this drain connects to the north pit. At the time of inspection, the EQ tank was full (photo 12). Two 25-horsepower pumps pump the wastewater to the DAF unit (photo 25). Mr. Logan took us to the chemical storage shed where polymer (coagulant in a powder form) is mixed with water and cured before being added to the wastewater (photos 18 and 19). The chemical shed also housed two 3000-gallon tanks for Ferric Chloride (photo 20). Mr. Patel asked, and Mr. Logan confirmed that the chemical shed does not have any floor drains. Ferric Chloride and polymer are added to the wastewater prior to entering the DAF. In addition to chemicals stored in the chemical shed, a polymer used in the sludge decant process (photo 22) is also stored in the DAF building. 7 We then proceeded to the DAF unit area where chemicals and pressurized air goes through a flocculation tube and then enters the DAF (photo 23). Pressurized air, coagulants, and flocculants remove the pollutants from the wastewater and form a heavy sludge material that floats on the top of the water in the DAF unit. A moving set of blades skim the floating materials to the end of the DAF (photos 24 and 26) where it enters the sludge hopper. We noticed a floor drain in the DAF unit area and Mr. Logan stated that the drain connects to the north pit. A pump is used to remove the sludge from the hopper to a tanker truck outside the DAF building. Mr. Logan stated that the sludge decant drops into a square holding tank behind the truck (photo 7), which is used temporarily until a permannet 20,000-gallon sludge holding and decanting tank is installed outside the DAF building later this year. Decanted water is piped back to the nurse tank and then to the DAF unit for treatment (photo 8). When full, the truck transports the decanted sludge to a 3-million-gallon capacity sludge holding lagoon offsite, where the sludge is held (for further drying) until spring and fall and then land applied to land offsite. The treated water is sampled as per the permit requirements just prior to a Parshall flume (photos 27 and 30) where the final discharge flow volume is measured. The flow is measured at an open pipe (photos 31 and 32), which is connected by a 2" pipe to the Parshall flume. A sampling rounds sheet is kept near the flow meter. EPA was provided a copy of the blank rounds sheet (photos 33 and 34). Ms. Dooling noted that the thermometer in the sample refrigerator measured that the temperature was not consistently below 6 degrees Celsius - also noted in IDEM's March 15, 2022, inspection report. Mr. Logan stated that an autosampler (to collect 24-hour flow proportional composite samples) is expected to be installed in June 2022. Facility discharge water finally enters the POTW located immediate south of the facility. The facility collects a grab sample at the Parshall Flume location five times a week. Their pH sampler is calibrated once every week. The facility also collects samples for Total Kjeldahl Nitrogen (TKN), TSS O&G five days a week. Samples are stored in refrigerator prior to being picked up by the contract laboratory each Tuesday, Thursday, and Saturday. During the records review, the EPA team reviewed the chain of custody forms. Mr. Patel asked whether the facility has a slug discharge control plan and Mr. Powell stated that they did not and there is no record of the facility having a slug discharge situation. As we continued our tour, we noticed a long trough (with drains) inbetween buildings (photo 44). According to Perdue, the drain is closed and is cleaned and pumped periodically to the wastwater treatment system (DAF unit). Mr. Adams stated that the trough gets cleaned once a month (during summer months - and that it is usually packed with snow in cooler months). Before we ended the tour at the South Offal process area, we stopped by to inspect the stormwater ditch on the south side of the facility. Stormwater from the outdoor operations areas flow to outfall #2 (photo 45). EPA viewed the south pit which had a similar setup as the north pit. Just outside the south wall of the building where the south pit is located, there is another long trough (photo 44) with drains. Perdue stated that similarly to the west end of this trough, the drains are sealed, and any liquid is periodically pumped back to the south pit. EPA noted there is some discoloration on the ground outside of the trough near the CO2 tanks. 8 After the south pit inspection, the EPA team walked by the parking lot and noted two open cleanouts with domestic sanitary waste visible. Perdue stated that the snowplow pulled up the drain covers, and they were not replaced. After completing the facility walk-through portion of the inspection, Mr. Bottorff escorted us to office meeting room for the closing conference. Closing Conference We began the closing conference at noon with Mr. Bottorff, Mr. Powell, Mr. Logan and Mr. Adams. Ms. Zurcher and Mr. Ferguson of IDEM were present at the closing conference. We discussed the following areas of concern: The EPA and IDEM team observed - a pipe connected to the nurse tank leads directly to the final discharge point near the Parshall Flume bypassing the DAF treatment process. Neither Mr. Logan, Mr. Adams nor Mr. Powell knew the original reason the bypass was built, but it had been there (remained locked) for many years. IDEM inspectors confirmed that for the previous five years the bypass had been locked. Federal General Pretreatment regulations 403.17 (d) prohibits bypass (intentional diversions of waste streams from any portion(s) of the industrial user's facility treatment facility. The sample refrigerator in the DAF unit building was observed to fluctuate above 6 degrees Celsius. 40 CFR 403.12(g)(5) states that all sampling analyses shall be performed in accordance with procedures contained in 40 Code of Federal Regulations (CFR) Part 136 and amendments thereto or with any other test procedures approved by the EPA Administrator. Part 136 procedures requires the samples be preserved at or below 6 degrees Celsius. 40 CFR 403.5 (a)(1) states that an industrial user may not introduce any pollutants into the POTW which cause Pass Through or Interference and 40 CFR 403.5 (b)(4) states that an industrial user may not introduce to the POTW any pollutant, including oxygen demanding pollutants, that is released in a Discharge at a flow rate or pollutant concentration which will cause Interference with the POTW. Perdue is the single largest source of wastewater flow volume (accounts for approximately 25% of City of Washington's total daily wastewater flow to its POTW). Perdue has not been in regular communication with the POTW management and operators to ensure that Perdue's wastewater loading does not create a pass through or cause interference at the POTW. We also observed open cleanouts for the sanitary water flow leaving the facility. These open cleanouts pose a risk of stormwater entering the system or and process wastewater overflowing out. EPA team requested the following information: 1. Wastewater flow diagram 2. Stormwater outfalls and Drain map 3. SWPPP 4. 2021 Monthly Surcharge Calculations 5. November 2021 Laboratory Wastewater Analysis 9 Within one week of the EPA inspection, Mr. Powell provided images (Attachment - V) addressing the DAF bypass removal, and images (Attachment - VI ) addressing the open sanitary water clean outs and all of the above requested information from the closing conference. We ended the closing conference and departed the facility at 12:30 pm. List of Attachments I. Inspection photographs II. Site Map & Stormwater Drainage Diagram III. Process Wastewater Flow Diagram IV. Stormwater Outfalls 2 & 3 V. DAF Bypass Removal - before and after VI. Sanitary Cleanout Removal - before and after VII. Bypass/Overflow Reports submitted to IDEM 10 Perdue Foods, LLC, 65 South 200 West, Washington, IN 47501 EPA Inspection April 13, 2022 All photos taken by Valerie Dooling, Environmental Engineer, U.S. EPA Camera: RICOH WG-4 GPS All times in Central time zone 1: RIMG0215 Description: Floor drains which lead to north pit. Location: North Offal Date/Time: April 13, 2022 - 7:57am 2: RIMG0216 Description: Feather and renderings disposal truck dripping wastewater that flows to the drains in Photo 1 Location: North Offal Date/Time: April 13, 2022 - 7:58am 3: RIMG0217 Description: Feather and meat seperator above north pit. Process wastewater is flowing into north pit. Location: North Offal Date/Time: April 13, 2022 - 7:58am 4: RIMG0218 Description: Legs and other renderings on conveyor drop into feather and meat separator above north pit Location: North Offal Date/Time: April 13, 2022 - 7:58am 5: RIMG0219 Description: Wastewater from pump overflow which enters the north pit Location: North Offal Date/Time: April 13, 2022 - 8:01am 6: RIMG0220 Description: Truck that recieves meat dripping liquid which enters floor drains in photo 1 Location: North Offal Date/Time: April 13, 2022 - 8:01am 7: RIMG0221 Description: Decant from the truck (temporary sludge press) drops into holding tank on outdoor concrete pad. Decant is pumped to the nurse tank. Location: Outside Dissolved Air Floatation (DAF) building Date/Time: April 13, 2022 - 8:05am 8: RIMG0222 Description: Decant hose which is pumped to the nurse tank Location: Outside of DAF building Date/Time: April 13, 2022 9: RIMG0223 Description: Trucks parked in an area that is sloped and bermed. Drain connects to the north pit. Location: Offal Truck storage area Date/Time: April 13, 2022 - 8:08am 10: RIMG0224 Description: 750,000-gallon Equalization (EQ) Tank Location: Central portion of the facility Date/Time: April 13, 2022 - 8:12am 11: RIMG0225 Description: Drain outside the EQ tank - pumped to the north pit Location: Central portion of the facility Date/Time: April 13, 2022 - 8:16am 12: RIMG0226 Description: EQ tank - full Location: Central portion of the facility Date/Time: April 13, 2022 - 8:17am 13: RIMG0227 Description: Two alarms on EQ tank Location: Central portion of the facility Date/Time: April 13, 2022 - 8:19am 14: RIMG0228 Description: Same as Photo 13 Location: Central portion of the facility Date/Time: April 13, 2022 - 8:19am 15: RIMG0229 Description: Shelters for live birds Location: Central portion of the facility Date/Time: April 13, 2022 - 8:20am 16: RIMG0230 Description: Drain that connects to a pit to a manhole Location: In between two shelters Date/Time: April 13, 2022 - 8:21am 17: RIMG0231 Description: View down the shelter drain - pumps water to the north pit Location: In between two shelters Date/Time: April 13, 2022 - 8:22am 18: RIMG0232 Description: Polymer (powder form) mixed in the tank Location: Chemical Shed adjacent to the nurse tank Date/Time: April 13, 2022 -8:27am 19: RIMG0233 Description: Polymer mixing Location: Chemical Shed adjacent to the nurse tank Date/Time: April 13, 2022 - 8:27am 20: RIMG0234 Description: Two Ferric Chloride tanks Location: Chemical Shed adjacent to the nurse nank Date/Time: April 13, 2022 - 8:27am 21: RIMG0235 Description: Nurse tank on top left. Piping shown to right of nurse tank pumps wastewater to the EQ tank. Location: Immediate South of the DAF unit building Date/Time: April 13, 2022 - 8:31am 22: RIMG0236 Description: Chemical for sludge decant Location: DAF unit building Date/Time: April 13, 2022 - 8:33am 23: RIMG0237 Description: Addition of Ferric Chloride and Polymer to the wastewater prior to entering DAF Location: DAF unit building Date/Time: April 13, 2022 - 8:34am 24: RIMG0238 Description: DAF - sludge is skimmed off Location: DAF unit building Date/Time: April 13, 2022 - 8:36am 25: RIMG0239 Description: Wastewater is entering the DAF unit Location: DAF unit building Date/Time: April 13, 2022 - 8:36am 26: RIMG0240 Description: DAF sludge hopper (end of the DAF unit) Location: DAF unit building Date/Time: April 13, 2022 - 8:40am 27: RIMG0241 Description: Parshall Flume and grate Location: DAF unit building Date/Time: April 13, 2022 - 8:41am 28: RIMG0242 Description: Locked bypass upstream of Parshall Flume. Old bypass from the nurse tank. Location: DAF unit building Date/Time: April 13, 2022 - 8:46am 29: RIMG0243 Description: Sample holding refrigerator upstream of Parshall Flume Location: DAF unit building Date/Time: April 13, 2022 - 8:46am 30: RIMG0244 Description: Parshall Flume and older (not in operation) flow meter Location: DAF unit building Date/Time: April 13, 2022 - 8:47am 31: RIMG0245 Description: Flow meter. 2" pipe in Parshall Flume connecting flow meter pipe (bottom right). Location: DAF unit building Date/Time: April 13, 2022 - 8:49am 32: RIMG0246 Description: View down - showing pipe and flow meter and Parshall Flume Location: DAF unit building Date/Time: April 13, 2022 - 8:49am 33: RIMG0247 Description: Front of Rounds sheet - located adjacent to flow meter Location: DAF unit building Date/Time: April 13, 2022 - 8:50am 34: RIMG0248 Description: Back page of Rounds sheet Location: DAF unit building Date/Time: April 13, 2022 - 8:50am 35: RIMG0249 Description: Vehicle loading and offloading Location: Just north of the north offal Date/Time: April 13, 2022 - 8:52am 36: RIMG0250 Description: Darker photo, same as photo 37 - Meat rendering separtor Location: North Offal Date/Time: April 13, 2022 - 8:56am 37: RIMG0251 Description: Meat rendering separator Location: North Offal Date/Time: April 13, 2022 - 8:57am 38: RIMG0252 Description: Meat and feather separator. Wastewater collects in the pit below the separator. Location: North Offal Date/Time: April 13, 2022 - 8:59am 39: RIMG0253 Description: Meat and Feather Separator. Note employee shoveling meat that jammed the conveyor and caused it to fall on the floor above the north pit. Location: North Offal Date/Time: April 13, 2022 40: RIMG0254 Description: Feather and Meat conveyors Location: North Offal Date/Time: April 13, 2022 - 9:00am 41: RIMG0255 Description: Wastewater entering the drain in the north pit Location: North Offal Date/Time: April 13, 2022 - 9:00am 42: RIMG0256 Description: pH log Location: Housed in a small room on the north side of the shipping dock Date/Time: April 13, 2022 - 9:06am 43: RIMG0257 Description: pH calibration log Location: Housed in a small room on the north side of the shipping dock Date/Time: April 13, 2022 - 9:09am 44: RIMG0258 Description: Trough with drain between buidings. The drain is closed - gets cleaned and pumped periodically. Location: Just south of the shipping dock Date/Time: April 13, 2022 - 9:13am 45: RIMG0259 Description: Sluice gate is opened for rain (kept closed in dry weather). Location: Stormwater Ditch on the south property line - leading to stormwater outfall 2 Date/Time: April 13, 2022 - 9:18am 46: RIMG0260 Description: Dead bird in the parking lot that flows to a stormwater drain. Perdue staff showed us the photo of this dead bird removed and area cleaned at the end of the inspection. Location: Near South property line - next to the ditch Date/Time: April 13, 2022 - 9:19am 47: RIMG0261 Description: Trough with drain near south offal. Area is diked and closed. Drain is periodically pumped to the south offal. Location: Just outside South Offal - near south parking lot Date/Time: April 13, 2022 - 9:21am 48: RIMG0262 Description: Area outside the trough from photo 47 (under the CO2 tank) shows some straining. This is a partking lot that has stormwater drains. Location: Just outside South Offal - near south parking lot Date/Time: April 13, 2022 - 9:21am 49: RIMG0263 Description: Pipe with wastewater flowing into the south pit Location: South Offal Date/Time: April 13, 2022 - 9:21am 50: RIMG0264 Description: South pit Location: South Offal Date/Time: April 13, 2022 - 9:25am 51: RIMG0265 Description: Wastewater flowing into the drain that leads to south pit Location: South Offal Date/Time: April 13, 2022 - 9:25am 52: RIMG0266 Description: Two cleanouts in the parkinglot without covers Location: Just outside South Offal - near east parking lot Date/Time: April 13, 2022 - 9:27am Attachment II - Site Map North offal Feather Screen 20 hp 20 hp Meat Screen Animal feed rendering Sludge trailer South offal 15 hp 15 hp Lagoon Land application Sludge hopper Over head screens Receiver tank 40 hp 40 hp 75 hp 75 hp aeration blowers 750k EQ tank 25 hp 25 hp Skimmer/DAF Air and polymer added 30 hp 30 hp air pumps Burkert 250G pH controller Parshall Flume/Flow meter POTW Ferric added Wastewater Flow Diagram Perdue Farms Inc. Washington, IN Attachment IV - Process Wastewater Flow Diagram Attachment IV Perdue Farms (Perdue Foods, LLC) in relation to the Hawkins Creek (south of Perdue facility) Sluice Gate 3 at outfall 3 Stormwater Culverts with Sluice Gates at these two locations SW corner of Perdue Sluice Gate 2 at outfall 2 Attachment V - DAF Bypass Removal - before and after At the time of EPA Inspection -4/13/22 After the EPA Inspection - 4/19/2022 Attachment VI - Sanitary Cleanout Removal - before and after At the time of EPA Inspection -4/13/22 After the EPA Inspection - 4/14/2022 VII. Bypass/Overflow Reports submitted to IDEM BYPASS / OVERFLOW INCIDENT REPORT State Form 48373 (R7 / 4-16) Indiana Department of Environmental Management Office of Water Quality + Q.,(,"" '1181v ,J.ldl\,a.t,VcJ'-'l.Y' D Follow-up to Bypass report previously sent on: ___ ( INSTRUCTIONS: Complete all parls of this form and email signed copies to wwreports@Jdem.lN.gov. Submittal of this reporl will satisfy the Office of Water Quality (OWQ) telephone and written bypass/overflow reporting requirements of your NPDES permit. Please use and the second page of this form as necessary to identify separate locations caused by the same event. If you have any questions while filling out the report form, please contact Renee Repar at (317) 232-6770 or rrepar@ldem.ln.gov. To report a spill or if the release is resulting in a fish klll or other severe environmental damage, immediately report the release to the Emergency Response Section spill response line at: (317) 233-7745 or toll free within Indiana at (888) 233-7745. (1) Facility Name (Organization) Perdue Farms Washington IN . . (2) Mailing Address (reporting organization) I 65s200WWashington IN 47501 . . . . I (3) County Daviess (4) NPDES Permit I INP000176 I I (5) Outfall Number (6) Date (mmlddlyy) and Time (7) Date (mmldd/yy) and Time Release Began Release Stopped 001A '31/2020 11 11:30 AM Gil PM (10) Amount of Flow Released (Always provide a volume.) Check one: Estimated D Actual 1500 Gallons (8) Location of Release (streets address or Manhole, Lift Statton, Force Mafn etc.) (9) Latitude (Deg Min Sec) (9) Longitude (Deg Min Sec) Equalization Tank 38.655204 -87.205969 (11) WWTP Flow During Release (12) WWTP Peak Design Flow Rate 1 .138 MGD I 2000 MGD (13) Overflow Type (Select one.) (14) Describe any damage to aquatic life or receiving stream: D Sanitary Sewer Overflow 0 Treatment Bypass (at wastewater plant) D Prohibited Combined Sewer Overflow D Dry Weather Combined Sewer Overflow D Combined Sewer Svstem Release Approximately 1500 overflowed the equalization tank due to a water line being left on after the plant shutdown. No one was in the wastewater department to find the tank filling nor to hear the alarm for high level in the tank. (15) Reason for Bypass/ Overflow (Select one or more.) D Construction Related D Power Failure D Equipment Failure D Unknown !;ZI Exceeded Max Capacity D Precipitation Inches (16) System Component(s) (Select one or more.) D Manhole D House Lateral D Pipe Failure ( D Pump Station Failure D Treatment Bypassed 0 other D Influent Structure D Air Relief Valve Sewer Clean Out (17) Additional Description of the Bypass/ Overflow Event: (18) Description of the Area Impacted (Check all that apply.) Affected Private Property D Basement Backup D Occurred at Treatment Plant D Reached Public Land D Reached Receiving Water Name of Receiving Water Impacted: Describe Other: (in the box below) Ill (19) Additional organizations notified by facility, if necessary IDEM Emergency Response Health Dept. (Select one or more.) DNR Fish and Wildlife D Local Emergency Management D other: (20) Actions Taken to Prevent, Minimize, or Mitigate Damage including Clean-up and Treatment of Affected Area (Select one or more of the following, then add a written description.) Removed Blockage D Repaired Pipe D Repaired Pump Station li1] other Olime Clean-Up Debris Flow was stopped and the process was turned on to bring the tank level down. Clean up of the water was done and all water was diverted to the wastewater treatment for processing. (21) Resolution: Actions Taken or Planned to Prevent Recurrence ..The wastewater plant is now manned 24 hours a day, 7 days a week. **Additional berming was put in place "Guards will now patrol this area to monitor the tank levels Calling system was installed to notify staff of high levels. CERTIFICATION AND SIGNATURE 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. (The area below is for a handwritten signature or an electronic substitute then fax or scan to PDF for emailing.) ( SIGNATURE: DATE (month, day, year): lndlv!duat Making Report (printed) Telephone Number Contact Email Date (month, day, year) I Time IDEM Notified l="<>...t:k'- "" l . \'),, ;;>_E;',L\,SS7 - l-""l./e.1--:-W\\S 031 /70 n BYPASS / OVERFLOW INCIDENT REPORT State Form 48373 {R7 / 4-16) Indiana Department of Environmental Management Office of Water Quality D Follow8up to Bypass report previously sent on: ___ ( INSTRUCTIONS: Complete all parts ofthis form and en/ail signed copies to wwreporls@Jdem.JN.gov. Submittalofthis report willsatisfy the Offlce of Water Quality (OWQ) telephone and written bypass/overflow teporting requirements ofyourNPDESpermif. PleasfJ use and the second page ofthis form as necessary to identify separate locations caused by the same event. ffyou have any questions while filling out the report. form, please contact Renee Repar at (317) 232-6770 or rrepar@fdem.in.qov. To report a spill or if the release Is resulting in a fish kill or other severe environmental damage, immediately report the release to the Emergency .. . .. . Response -Section spill esponse line at: (317) 233w7745 or toll free within Indiana at (888) 233w7745 (1) Facility Name (Organi,ation) ' . (2) Mailing Address (reporting organization) (3) County (4) NPDES Permit Perdue Farms Washington IN 65s200W Washington I N 47501 Daviess INP0001 76 w (5) Outfall Number {6) Date (mmlddlyy) and Time (7) Dale (mmlddlyy) iind Tfme (8) Location of Release (streets address or Release Began Release Stopped Mtinhole, Lfft Statron, Force Ma!n etc.) (9) Lalltude (Dog Min Sec) (9) l.ongilude (Deg Min Sec) 001 A 1 2/2020 @ ' 1 2/2020 @ 1 Nurse tank 38.655204 -87.205969 (10} Amount of Flow Released (Always provide a volume.) (1 1) WWTP Flow During Release (12) WWTP Peak Design Flow Ra1e Check one: lii'I Estimated D Actual 5-700 Gallons . 1 38 MGD 2000 MGD {13} Overffaw rype (Select one.) (14) Describe any damage to aquatic life or receiving stream: D Sanitary Sewer Overflow 0 Treatment Bypass (at wastewater plant) No unprocessed water made it offsite. The wastewater was captured in the D Prohibited Combined Sewer Overflow D Dry Weather Combined Sewer Overflow stormwater pits. D Combined Sewer S stem Release (15) Reason for Bypass / Overflow (Select one ormore.) D Construction Related D Power Failure bl! Equipment Failure D Unknown D Exceeded Max Capacity D Precipitation Inches (16) System Component(s) (Select one or more.) Manhole 0 House Lateral D Pipe Failure lii'I Pump Slation Failure ( D Treatment Bypassed Other D Influent StructUre D Air Relief Valve Sewer Clean Out (1 7) Additional Description of the Bypass / Overflow Event: The level sensor failed to detect the level in the tank and did not turn on the pump when the tank started overflowing the staff turned on the pumps, squeegeed over water to a drain that would send the water back to the system. An emergency response vacuum truck was called and they cleaned up the area of any residues and pumped out (1 8) Description of the Area Impacted (Check aft that apply.) G!r Affected Private Property D Basement Backup D Occurred at Ttea_tment Plant D Reached Public Land D Reached Receiving Water Name of Receiving Water Impacted: DlaevsecrisbeenDstoherr1a1/i1nurtehe box below) the storm drains. ( 1 9) Additional organizations notified by facility, if necessary (Select one ormore.) IDEM 6mergency Response D Health Dept. D DNR Fish and WIidlife D Local Emergency Management O Other (20) Actions Taken to Prevent, Minimize, or Mitigate Damage including Clean-up and Treatment of Affected Area (Select one ormore ofthe following, then adda wrillen description.) El} Removed Blockage O Repaired Pipe O Repaired Pump Station (ll Other O Lime Clean-Up Debris Flow was stopped and the process was turned on to bring the tank level down. Clean up of the water was done and all water was diverted to the wastewater treatment for processing. (21 ) Resolution: Actions Taken or Planned to Prevent Recurrence * audible and visual alarm will be installed in the tank Texting high level alarm system is being installed new ball floats that area better suited for the tank are being installed. I certify under penalty of law that this document and all attachments were prepared under my directron 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 pen;;ons who manage the system, Or those persons directly responsible for gathering the information, the information submitted Is, to the best of my knwledge and belief, true, accurate, and complete. I am aware that there are .significant penaltles. for submitting fale information, including the possibility of fine and imprisonment for knoWing violations. (The area below fs for ti' handwritten signature or an electronic substitute then fax or scan to PDF for emailing.) DAIE month,. day, ear): A P M M BYPASS/ OVERFLOW REPORT (Supplemental Locations) State Form 48373 (R7 / 4-16) Indiana Department of Environmental Management Office of Water Quality O Follow-up to Bypass report previously sent on; ___ (23) Complete all parts of each table for additional discharge fooatlons caused by the same event as on the first page. . . . . - . For any Jocations identified in the Nf?DS permit, include the Outfall number for that location from the permit. Outfall Date (mmlddlW) and Time Date (mmldd/W) and Time Location of Release (streets address or Number Release Beaan AM PM Release Sto"'"'ed 1 AM PM Maflhole Lift Station, Force Main etc.I Amount of Flow Released D Estimated D Actual Gallons Description of the Area Impacted (Check all that apply.) D Affected Private Property D Reached Public Land D Basement Backup O Reached Receiving Water Name . .. . . ' Outfall Number Date (mmldd/yy) and Time Date (mmlddlyy) and Time Location of Release (streets address or Release Beoan Release Sto--ed Manhole. Lift Station Force Main etc.) I AM AM PM PM . Latitude IDeN Min Seel of Receiving Water Latitude /Den Min Seel Longitude /Doa Min Sec) Impacted Longitude fDea Min Seel Amount of Flow Released Description of the Area Impacted (Check all that apply.) Name of Receiving Wale Impacted D Estimated D Actual Gallons D Affected Private Property D Reached Public Land D Basement Backup D Reached Receiving Watr . . . . . ' - Outfall Number Date (mmlddlyy) an d Time Date {mmlddlw) and Time Location of Release {streets address or Release Benan Release St0""'ed Manhole Lift Station, Force Main etc.l I AM AM PM PM Latitude IDea Min Seel Longitude /Deq Min Sec) Amount of Flow Released Descriptlon of the Area Impacted (Checkaft that apply.) Name of Receiving Water Impacted D Estimated D Actual D Affected Private Property D Basement Backup Gallons D Reached Public Land D Reached Receiving Water . .. . 0uttall ( I Number Date /mmlddlyy) and Time Release 6""an AM PM Date (mmlddlyy} and Time Release Stonned AM PM Location of Release (streets address or Manhole, Li-rt Station, Force Main etc.l Latitude J.Dea Min Seel Longitude (Dea Min Sec) Amount of Flow Released D Estimated D Actual Gallons Outfall Number Date (mmldd/yy) Release Benan Description of the Area Impacted (Check all that apply.) Name D Affected Private Property D Basement Backup . . . D Raached Pub!lc Land D Reached Receiving Water . - and Time Date (mmlddlyy) and Time Location of Release (streets address or AM PM Release Stonned 1 APMM Manhole, Utt Station, Force Main etc.I of Receiving Water Latitude roooMlnSecl Impacted Longitude (De.Q Min Sec) Amount of Flow Released Description of the Area Impacted (Check all that sppJy,) Name of Receiving Water Impacted D Estimated D Actual Gallons 0 Affected Private Property Reached Public Land D Basement Backup D Reached Receiving Water .. . Outfall I Number Date (mmldd/yy) and Time Release Beaan AM PM Date /mmlddlyy) and Time Release Sto;..ed DAM PM Location of Release (streets address or Manhole, Lift Station. Force Main etc.) Latitude tOen Min Seel Longitude /Dea Min Seel Amount of Flow Released D Estimated D Actual Gallons Description of the Area Impacted (Check all that apply.) D Affected Private Property D Basement Backup D Reached Public Land D Reached Receiving Water Name of Receiving Water Impacted (ATTACHADDITIONAL SHEETS IF NECESSARY.) CERTIFICATION AND SIGNATURE l 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 responslble for gathering the information, the information submitted Is, to the best of my knowledge and /'!:_ .. belief, true, accurate, and complete. f am aware that there are significant penalties for submitting false information, Including the possibility of fine and imprisonment for knowing violations. ,,., ( S!f:GI '. = ':NAT:,!UR!:Ec,: _/u,;;;;;=====-------_l ATE/(m !:2,o,,n:,'l!h', dcl!1Y;_;, Yo!'Q:i:12/;) BYPASS / OVERFLOW INCIDENT REPORT Stale Form 48373 (R7 / 4-16) Indiana Department of Environmental Management Office ofWater Quality D Follow-up to Bypass report previously sent on: ___ ( INSTRUCTIONS; Complete a/J parts ofthis form and email signed copies to wwreporls@idem.lN.gov. Submittal of this report will satisfy the Office of Water Quality (OWQ) telephone and written bypaFJsloverf/ow reporting requirements ofyourNPDES permit Please use and the secondpage of this form as necessary to identify separate locations caused by the same event. Ifyou have any questions while fif/fng out the report form, please contact Renee Repa1 at (317) 232-6770 or rrepar@idem.in.gov. To report a spill or if the release Is resulting in a fish kill or other severe environmental damage, immed iately report the release to the Emergency Response Section spil l response line at: (317) 2337745 or toll free within lndlana at (888) 2337745 . . . (1 ) Facllity Name {Organization) I Perdue Foods . . (5) Ouall Number (6) Date (mmlddlyy) and Time Release Began ' (2) Mailing Address (reporting organization) I 65s 200W . ' . (3) County Daviess {7) Date (mmldd!YJIJ and Time (8) Location of Release (streets address or Release Stopped Manhole, Ult StaUon, Force Main etc.) (9) Latitude (Deg Min Sec) I (4) NPDES Permit IN P0001 76 (9) Longitude (Deg Min Sec) oil 11 00 1 a 612020@ 6/2020 @0L !;II AM PM EQ Tank pump house 38.655204 -87.205969 (10) Amount of Flow Releesed (Always provide a volume.) l Check one; Estimated Actual 5-1 00 Gallons (1 1) WWTP FlowDuring Release j 1 .0 MGD {12} WWTP Peak Design Flow Rate 2 MGD (13) Overflow Type (Selecf one.) 0 Sanitary Sewer Overtlow fl! Treatment Bypass (at wastewater plant) (14) Describe any damage to aquatic life or receiving stream: No process water made it olfsite. The spill was captured before it made it olfsite in D Prohibited Combined Sewer Overflow D Dry Weather Combined Sewer Overflow the stormwater collection area. 0 Combined Sewer Svstem Release ( 1 5) Reason for Bypass / Overflow {Select one or more.) D Construction Related D Power Failure !ill Equipment Fal!ure D Unknown D Exceeded Max Capacitv D Precipitation Inches (1 6) System Component(s) (Select one or more.) D Manhole D House lateral D Pipe Failure 0 Pump Station Failure ( D Treatment Bypassed @') Other D Influent Structure D Air ReliefValve Sewer Clean Out (17) Additional Description of the Bypass / Overflow Event: The ferric chloride feed line has a hole develop in the welds o the stainless piping. The operator found the leak and stopped it Immediately. The ferric made its way to the storm water drain inside the plant area but did not make it through to the outfall. We sandbagged and placed booms to stop any flow potentially out of the storm drain and called in a Vacuum truck to clean up any residual (18) Description of the Area Impacted (Check all that apply.) Affected Private Property D Basement Backup O Occurred at Treatment Plant D Reached Public Land D Reached Receiving Water Name of Receiving Water Impacted: Doscribe Other: (in the box below) (19} Additlonal organizations notlf!ed by facility, if necessary (Select one or more.) 0 IDEM Emergency Response 0 Health Dept. DNR Fish- and Wildlife D Local Emergency Management 0 Other: {20) Actions Taken to Prevent, Minimize, or Mitigate Damage including Clean-up and Treatment ofAffected Area (Select one ormore of the following, then add a written de$cription.) D Removed Blockage Sil Repaired Pipe D Repaired Pump Station D other Lime D Clean-Up Debris The piping was repaired and the leak was stopped. The affected area was cleaned up and the gravel around the area was scraped up and pH was ran. on it and i.t was fou.nd th.at the pH was neutral. IDEM. was called on the cleanup and we were told that it was safe to (T) H8Sb1Ut1on. ACflons 1aicel'iOt Plannea lo PrevenrRei;u1 1enGe We are looking into curbing to help eliminate potential spills to make it to the drains and minimize our impacts to the waters of the state or the local P01W. Also we are looking at Spill Kits and how to also be beneficial to spill response. CERTIFICATION AND SIGNATU RE I certify under penalty of !aw that this document and all attachmentS" were prepared undei" my diretion 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 be!fef, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, Including the possibilityoffine and imprisonment for knowing violations. (The area below Is for a handwritten signature or an electronic substitute then fax orscan to PDF for emaiflng.) SIGNATURE: Individual Making Report (printed) ( k .v Lb of\ Date (month, tfay, year) J lime IDEM Notified r. C1:oc ( BYPASS/ OVERFLOW REPORT (Supplemental Locations) State Form 48373 (R7 / 416) Indiana Department of Environ mental Management Office of Water Quality 0 Follow-up to Bypass report previously sent on: ___ (23) Complete alJ parts ofeach tabfe for additionat discharge /or:;ations caused by the same event as on the first page. . . For any locations Identified in the NPDE.S permit, Include the Outfallnumber for that Iocati011 from lhe permit. Outfall Date (mmlddlyy) and Time Date (mmlddlyy) and Time Location of Release (streets addreSs or Latitude longitude Number Release Benan Amount of Flow Released 0 Estimated D Actual Release Stonned Manhole Lift Station, Force Main etc.l !Den Min Seel /Dea Min Seel AM I AM PM PM Description of the Area Impacted (Checlc all that apply.) D AffecJed Private Properly D Basement Backup Name of Receiving Water Impacted Gallons D Reached Public Land D Reached Receiving Water . .. . . Outfall Number Date (mmlddlyy) and Time Date (mmlddlyy) and Time Location of Release (streets address or Release Benat1 Release $tanned Manhole, Lift Station, Force Main etc.! Latitude /Den Min Seel Longitude (Dea Min SecJ I AM AM Amount of Flow Released D Estimated D Actual Gallons PM PM Description of the Area Impacted (Check all that appfy.) " D Affected Private Property O Basement Backup D Reached Public Land D Reached Receiving Water Name of Receiving Water Impacted . . Outfall Number Date /mmlddlyy) and Time Date (mmlddlyy) and Time Location of Release (streets address or Release Beaan Release Sto-ed Manhole, Lift Station, Force Main etc. I Latitude 1Dea Min Seel Longitude (Dea Min Seel I AM AM PM PM Amount of Flow Released D E:.stimated D Actual Gallons Description of the Area lmpacte9 (Check all that apply.) D Affected Private Property D Basement Backup D Reached Public Land D Reached Receiving Water Name of Receiving Water Impacted . .. . Outfall ( Number Date (mmlddlyy) and Time Date (mmlddlyy) and Time Location of Release (streets address or Release Beaan Release Sto--ed Manhole, Lift Station, Force Main etc.I Latitude !Dea M)n Seel Longitude (Dea Min SecJ Amount of Flow Released D Estimated D Actual Gallons AM [DAM PM PM Description of the Area Impacted (Check all that apply.) D Affected Private Property D Baaement Backup D Reached Public Land D Reached Receiving Water Name of Receiving Water Impacted . . . ' Outfall Number Date (mm/dd/yy) and Time Date (mmlddlyy) and Tima Location of Release (streets address or Release Beoan Release Stonned Manhole, Lilt Station Forre Main etc.l Latitude /Dea Min Seel Longitude /Dea Min Seel I Amount of Flow Released D Estimated D Actual Gallons AM AM PM PM Description of the Area Impacted (Check all that apply.) D Affected Private Property D Basement Backup D Reached Public Land D Reached Receiving Water Name of Receiving Water Impacted . .. . . Outfall Date (mmlddlyy) and Time Date (mmldd/w) and Time Location of Release (streets address or Latitude Longitude Number Release 881'1M Amount of Flow Released D Estimat.ed D Actual Gallons Release Sto"'"'ed Manhole, Lift Station, Force Main etc. J !Den Min Seel (Dea Min Seel AM [DAM PM PM Description of the Area Impacted /Check all that apply.) D Affected Private Property D Basement Backup Reached Public Land 0 Reached Receiving Water Name of Receiving Water Impacted . (ATTACH ADDITIONAL SHEETS IF NECESSARY.) CERTIFICATION AND SIGNATURE I crt1fy under penalty of Jaw that this document and al! 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 liiqulry 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 ignificant penalties for submitting false information, including the possibility of fine and imprisonment for knog vio!a"ons. 1 LsllGN'i_AT!!U:!_FRE::.:dOl'U.,L;;:;;;;;;,,=====--- ----_l:DAT5.EJr:m/ o'!'n"!hl 'cdc,cl!a'!SYc!Y!ar)t,:,,Z,,;ij)