Form 1 - Application for NPDES Permit

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United States
Environmental Protection
Agency

Office of
Enforcement
Washington, DC 20460

EPA Form 3510-1
Revised August 1990

Permits Division

Application Form 1 – General
Information
Consolidated Permits Program

This form must be completed by all persons applying for a
permit under EPA’s Consolidated Permits Program. See
the general instructions to Form 1 to determine which
other application forms you will need.

DESCRIPTION OF CONSOLIDATED
PERMIT APPLICATION FORMS

FORM 1 PACKAGE
TABLE OF CONTENTS
Section A. General Instructions

The Consolidated Permit Application Forms are:
Form 1 – General Information (included in this part);

Section B. Instructions for Form 1

Form 2 – Discharges to Surface Water (NPDES Permits):

Section C. Activities Which Do Not Require Permits
Section D. Glossary

2A. Publicly owned Treatment Works (Reserved - not included in
this package),

Form 1 (two copies)

2B. Concentrated Animal Feeding Operations and Aquatic Animal
Production Facilities (not included in this package),
2C. Existing Manufacturing, Commercial, Mining, and Silvicultural
Operations (not included in this package), and
2D. New Manufacturing, Commercial, Mining, and Silvicultural
Operations (Reserved - not included in this package);
Form 3 – Hazardous Waste Application Form (RCRA Permits - not
included in this package);
Form 4 – Underground Injection of Fluids (UIC Permits - Reserved not included in this package); and
Form 5 – Air Emissions in Attainment Areas (PSD Permits - Reserved - not included in this package).

SECTION A – GENERAL INSTRUCTIONS

needed under each of the above programs. Item II of Form 1 will
guide you to the appropriate supplementary forms.

Who Must Apply
With the exceptions described in Section C of these instructions,
Federal laws prohibit you from conducting any of the following activities without a permit.

You should note that there are certain exclusions to the permit requirements listed above. The exclusions are described in detail In
Section C of these instructions. If your activities are excluded from
permit requirements then you do not need to complete and return
any forms.

NPDES (National Pollutant Discharge Elimination System Under the
Clean Water Act, 33 U.S.C. 1251). Discharge of pollutants into the
waters of the United States.

NOTE: Certain activities not listed above also are subject to EPA
administered environmental permit requirements. These include
permits for ocean dumping, dredged or fill material discharging, and
certain types of air emissions. Contact your EPA Regional office for
further information.

RCRA (Resource Conservation and Recovery Act, 42 U.S.C. 6901).
Treatment, storage, or disposal of hazardous wastes.
UIC (Underground Injection Control Under the Safe Drinking Water
Act, 42 U.S.C. 300f). Injection of fluids underground by gravity flow
or pumping.

Table 1. Addresses of EPA Regional Contacts and States Within
the Regional Office Jurisdictions

PSD (Prevention of Significant Deterioration Under the Clean Air Act,
72 U.S.C 7401). Emission of an air pollutant by a new or modified
facility in or near an area which has attained the National Ambient Air
Quality Standards for that pollutant.

REGION 1
Permit Contact, Environmental and Economic Impact Office, U.S.
Environmental Protection Agency, 1 Congress St., Suite 1100,
Boston, MA 02114-2023, Phone: (617) 918-1111, Fax: (617) 9181809, Toll free within Region 1: (888) 372-7341,
http://www.epa.gov/region01/.
Connecticut, Maine, Massachusetts, New Hampshire,
Rhode Island, and Vermont.

Each of the above permit programs is operated in any particular
State by either the United States Environmental Protection Agency
(EPA) or by an approved State agency. You must use this application form to apply for a permit for those programs administered by
EPA. For those programs administered by approved states, contact
the State environmental agency for the proper forms.

REGION 2
Permit Contact, Permits Administration Branch, U.S. Environmental Protection Agency, 290 Broadway, New York, NY 100071866, Phone: (212) 637-3000, Fax: (212) 637-3526,
http://www.epa.gov/region02/.
New Jersey, New York, Virgin Islands, and Puerto Rico.

If you have any questions about whether you need a permit under
any of the above programs, or if you need information as to whether
a particular program is administered by EPA or a State agency, or if
you need to obtain application forms, contact your EPA Regional
office (listed in Table 1).
Upon your request, and based upon information supplied by you,
EPA will determine whether you are required to obtain a permit for a
particular facility. Be sure to contact EPA if you have a question,
because Federal laws provide that you may be heavily penalized if
you do not apply for a permit when a permit is required.

REGION 3
Permit Contact (3 EN 23), U.S. Environmental Protection Agency,
1650 Arch Street, Philadelphia, PA 19103-2029, Phone: (215)
814-5000, Fax: (215) 814-5103, Toll free: (800) 438-2474,
http://www.epa.gov/region03/.
Delaware, District of Columbia, Maryland, Pennsylvania,
Virginia, and West Virginia.

Form 1 of the EPA consolidated application forms collects general
information applying to all programs. You must fill out Form 1 regardless of which permit you are applying for. In addition, you must fill out
one of the supplementary forms (Forms 2 – 5) for each permit

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SECTION A – GENERAL INSTRUCTIONS
Table 2. Filing Dates for Permits
FORM (permit)

REGION 4
Permit Contact, Permits Section, U.S. Environmental Protection
Agency, Atlanta Federal Center, 61 Forsyth Street, SW, Atlanta,
GA 30303-3104, Phone: (404) 562-9900, Fax: (404) 562-8174,
Toll free: (800) 241-1754, http://www.epa.gov/region04/.
Alabama, Florida, Georgia, Kentucky, Mississippi,
North Carolina, South Carolina, and Tennessee.

WHEN TO FILE

2A (NPDES) . . . . . . . . . . 180 days before your present NPDES permit expires.
2B (NPDES) . . . . . . . . . . 180 days before your present NPDES permit expires2,
or 180 days prior to startup if you are a new facility.
2C (NPDES) . . . . . . . . . . 180 days before your present NPDES permit expires2.
2D (NPDES) . . . . . . . . . . 180 days prior to startup.
3 (Hazardous Waste) . . . Existing facility: Six months following publication of
regulations listing hazardous wastes.
New facility: 180 days before commencing physical
construction.
4 (UIC) . . . . . . . . . . . . . . A reasonable time prior to construction for new wells;
as directed by the Director for existing wells.
5 (PSD). . . . . . . . . . . . . Prior to commencement of construction.

REGION 5
Permit Contact (5EP), U.S. Environmental Protection Agency, 77
West Jackson Boulevard, Chicago, IL 60604-3507, Phone: (312)
353-2000, Fax: (312) 353-4135, Toll free within Region 5: (800)
621-8431, http://www.epa.gov/region5/.
Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin.

1

Please note that some of these forms are not yet available for use and are listed
as “Reserved” at the beginning of these instructions. Contact your EPA Regional
office for information on current application requirements and forms.

REGION 6
Permit Contact (6AEP), U.S. Environmental Protection Agency,
Fountain Place 12th Floor, Suite 1200, 1445 Ross Avenue, Dallas,
TX 75202-2733, Phone: (214) 665-2200, Fax: (214) 665-7113,
Toll free within Region 6: (800) 887-6063,
http://www.epa.gov/region06/.
Arkansas, Louisiana, New Mexico, Oklahoma, and Texas.

2

If your present permit expires on or before November 30, 1980, the filing date is
the date on which your permit expires. If your permit expires during the period
December 1, 1980–May 31, 1981, the filing date is 90 days before your permit
expires.

Federal regulations provide that you may not begin to construct a
new source in the NPDES program, a new hazardous waste management facility, a new injection well, or a facility covered by the
PSD program before the issuance of a permit under the applicable
program. Please note that if you are required to obtain a permit
before beginning construction, as described above, you may need to
submit your permit application well in advance of an applicable
deadline listed in Table 2.

REGION 7
Permit Contact, Permits Branch, U.S. Environmental Protection
Agency, 901 North 5th Street, Kansas City, KS 66101, Phone:
(913) 551-7003, Toll free: (800) 223-0425,
http://www.epa.gov/region07/.
Iowa, Kansas, Missouri, and Nebraska.

Fees
The U.S. EPA does not require a fee for applying for any permit
under the consolidated permit programs. (However, some States
which administer one or more of these programs require fees for the
permits which they issue.)

REGION 8
Permit Contact (8E-WE), U.S. Environmental Protection Agency,
999 18th Street, Suite 500, Denver, CO 80202-2466, Phone: (303)
312-6312, Fax: (303) 312-6339, Toll free: (800) 227-8917,
http://www.epa.gov/region08/.
Colorado, Montana, North Dakota, South Dakota, Utah, and
Wyoming.

Availability of Information to Public
Information contained in these application forms will, upon request,
be made available to the public for inspection and copying. However,
you may request confidential treatment for certain information which
you submit on certain supplementary forms. The specific instructions
for each supplementary form state what information on the form, if
any, may be claimed as confidential and what procedures govern the
claim. No information on Forms 1 and 2A through 2D may be
claimed as confidential.

REGION 9
Permit Contact, Permits Branch (E-4), U.S. Environmental Protection Agency, 75 Hawthorne Street, San Francisco, CA 94105,
Phone: (415) 947-8000, Fax: (415) 947-3553, Toll free within Region 9: (866) EPA-WEST, http://www.epa.gov/region09/.
Arizona, California, Hawaii, Nevada, Guam, American Samoa,
and Trust Territories.

Completion of Forms
Unless otherwise specified in instructions to the forms, each item in
each form must be answered. To indicate that each item has been
considered, enter “NA,” for not applicable, if a particular item does
not fit the circumstances or characteristics of your facility or activity.

REGION 10
Permit Contact (M/S 521), U.S. Environmental Protection Agency,
1200 Sixth Avenue, Seattle, WA 98101, Phone: (206) 553-1200,
Fax: (206) 553-2955, Toll free: (800) 424-4372,
http://www.epa.gov/region10/.
Alaska, Idaho, Oregon, and Washington.

If you have previously submitted information to EPA or to an approved State agency which answers a question, you may either
repeat the information in the space provided or attach a copy of the
previous submission. Some items in the form require narrative explanation. If more space is necessary to answer a question, attach a
separate sheet entitled “Additional Information.”

Where to File
The application forms should be mailed to the EPA Regional office
whose Region includes the State in which the facility is located (see
Table 1).
If the State in which the facility is located administers a Federal
permit program under which you need a permit, you should contact
the appropriate State agency for the correct forms. Your EPA Regional office (Table 1) can tell you to whom to apply and can provide
the appropriate address and phone number.

Financial Assistance for Pollution Control
There are a number of direct loans, loan guarantees, and grants
available to firms and communities for pollution control expenditures.
These are provided by the Small Business Administration, the Economic Development Administration, the Farmers Home Administration, and the Department of Housing and Urban Development, Each
EPA Regional office (Table 1) has an economic assistance coordinator who can provide you with additional information.

When to File
Because of statutory requirements, the deadlines for filing applications vary according to the type of facility you operate and the type of
permit you need. These deadlines are as follows:1

EPA’s construction grants program under Title II of the Clean Water
Act is an additional source of assistance to publicly owned treatment
works. Contact your EPA Regional office for details.

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SECTION B – FORM 1 LINE BY LINE INSTRUCTIONS
Table 3 (continued)
Petroleum storage and transfer units with a total storage capacity
exceeding 300,000 barrels;
Taconite ore processing plants;
Glass fiber processing plants; and
Charcoal production plants.

This form must be completed by all applicants.
Completing This Form
Please type or print in the unshaded areas only. Some items have
small graduation marks in the fill-in spaces. These marks indicate the
number of characters that may be entered into our data system. The
marks are spaced at 1/6" intervals which accommodate elite type (12
characters per inch). If you use another type you may ignore the
marks. If you print, place each character between the marks. Abbreviate if necessary to stay within the number of characters allowed for
each item. Use one space for breaks between words, but not for
punctuation marks unless they are needed to clarify your response.

Item III
Enter the facility’s official or legal name. Do not use a colloquial name.
Item IV
Give the name, title, and work telephone number of a person who is
thoroughly familiar with the operation of the facility and with the facts
reported in this application and who can be contacted by reviewing
offices if necessary.

Item I
Space is provided at the upper right hand corner of Form 1 for insertion of your EPA Identification Number. If you have an existing facility, enter your Identification Number. If you don’t know your EPA
Identification Number, please contact your EPA Regional office
(Table 1), which will provide you with your number. If your facility is
new (not yet constructed), leave this item blank.

Item V
Give the complete mailing address of the office where correspondence should be sent. This often is not the address used to designate the location of the facility or activity.

Item II
Answer each question to determine which supplementary forms you
need to fill out. Be sure to check the glossary in Section D of these
instructions for the legal definitions of the bold faced words. Check
Section C of these instructions to determine whether your activity is
excluded from permit requirements.

Item VI
Give the address or location of the facility identified in Item III of this
form. If the facility lacks a street name or route number, give the
most accurate alternative geographic information (e.g., section
number or quarter section number from county records or at intersection of Rts. 425 and 22).

If you answer “no” to every question, then you do not need a permit,
and you do not need to complete and return any of these forms.

Item VII
List, in descending order of significance, the four 4-digit standard
industrial classification (SIC) codes which best describe your facility
in terms of the principal products or services you produce or provide.
Also, specify each classification in words. These classifications may
differ from the SIC codes describing the operation generating the
discharge, air emissions, or hazardous wastes.

If you answer “yes” to any question, then you must complete and file
the supplementary form by the deadline listed in Table 2 along with
this form. (The applicable form number follows each question and is
enclosed in parentheses.) You need not submit a supplementary
form if you already have a permit under the appropriate Federal
program, unless your permit is due to expire and you wish to renew
your permit.

SIC code numbers are descriptions which may be found in the
“Standard Industrial Classification Manual” prepared by the Executive Office of the President, Office of Management and Budget,
which is available from the Government Printing Office, Washington,
D.C. Use the current edition of the manual. If you have any questions
concerning the appropriate SIC code for your facility, contact your
EPA Regional office (see Table 1).

Questions (I) and (J) of Item II refer to major new or modified
sources subject to Prevention of Significant Deterioration (PSD)
requirements under the Clean Air Act. For the purpose of the PSD
program, major sources are defined as: (A) Sources listed in Table 3
which have the potential to emit 100 tons or more per year emissions; and (B) All other sources with the potential to emit 250 tons or
more per year. See Section C of these instructions for discussion of
exclusions of certain modified sources.

Item VIII-A
Give the name, as it is legally referred to, of the person, firm, public
organization, or any other entity which operates the facility described
in this application. This may or may not be the same name as the
facility. The operator of the facility is the legal entity which controls
the facility’s operation rather than the plant or site manager. Do not
use a colloquial name.

Table 3. 28 Industrial Categories Listed In Section 169(1) of the
Clean Air Act of 1977
Fossil fuel-fired steam generators of more than 250 million BTU per
hour heat input;
Coal cleaning plants (with thermal dryers);
Kraft pulp mills;
Portland cement plants;
Primary zinc smelters;
Iron and steel mill plants;
Primary aluminum ore reduction plants;
Primary copper smelters;
Municipal incinerators capable of charging more than 250 tons of
refuse per day;
Hydrofluoric acid plants;
Nitric acid plants;
Sulfuric acid plants;
Petroleum refineries;
Lime plants;
Phosphate rock processing plants;
Coke oven batteries;
Sulfur recovery plants;
Carbon black plants (furnace process);
Primary lead smelters;
Fuel conversion plants;
Sintering plants;
Secondary metal production plants;
Chemical process plants;
Fossil fuel boilers (or combination thereof) totaling more than 250
million BTU per hour heat input;

Item VIII-B
Indicate whether the entity which operates the facility also owns it by
marking the appropriate box.
Item VIII-C
Enter the appropriate letter to indicate the legal status of the operator
of the facility. Indicate “public” for a facility solely owned by local
government(s) such as a city, town, county, parish, etc.
Items VIII-D-H
Enter the telephone number and address of the operator identified in
Item VIII-A.
Item IX
Indicate whether the facility is located on Indian Lands.
Item X
Give the number of each presently effective permit issued to the
facility for each program or, if you have previously filed an application
but have not yet received a permit, give the number of the application, if any. Fill in the unshaded area only. If you have more than one
currently effective permit for your facility under a particular permit
program, you may list additional permit numbers on a separate sheet
of paper. List any relevant environmental Federal (e.g., permits
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SECTION B – FORM 1 LINE BY LINE INSTRUCTIONS
Item XII
Briefly describe the nature of your business (e.g., products produced
or services provided).

under the Ocean Dumping Act, Section 404 of the Clean Water Act
or the Surface Mining Control and Reclamation Act), State (e.g.,
State permits for new air emission sources in nonattainment areas
under Part D of the Clean Air Act or State permits under Section 404
of the Clean Water Act), or local permits or applications under
“other.”

Item XIII
Federal statues provide for severe penalties for submitting false
information on this application form.

Item XI
Provide a topographic map or maps of the area extending at least to
one mile beyond the property boundaries of the facility which clearly
show the following:

18 U.S.C. Section 1001 provides that “Whoever, in any matter within
the jurisdiction of any department or agency of the United States
knowingly and willfully falsifies, conceals or covers up by any trick,
scheme, or device a material fact, or makes or uses any false writing
or document knowing some 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.”

The legal boundaries of the facility;
The location and serial number of each of your existing and proposed intake and discharge structures;

Section 309(c)(2) of the Clean Water Act and Section 113(c)(2) of
the Clean Air Act each provide that “Any person who knowingly
makes any false statement, representation, or certification in any
application, . . . shall upon conviction, be punished by a fine of no
more than $10,000 or by imprisonment for not more than six months,
or both.”

All hazardous waste management facilities;
Each well where you inject fluids underground; and
All springs and surface water bodies in the area, plus all drinking
water wells within 1/4 mile of the facility which are identified in the
public record or otherwise known to you.

In addition, Section 3008(d)(3) of the Resource Conservation and
Recovery Act provides for a fine up to $25,000 per day or imprisonment up to one year, or both, for a first conviction for making a false
statement in any application under the Act, and for double these
penalties upon subsequent convictions.

If an intake or discharge structure, hazardous waste disposal site, or
injection well associated with the facility is located more than one
mile from the plant, include it on the map, if possible. If not, attach
additional sheets describing the location of the structure, disposal
site, or well, and identify the U.S. Geological Survey (or other) map
corresponding to the location.

FEDERAL REGULATIONS REQUIRE THIS APPLICATION TO BE
SIGNED AS FOLLOWS:

On each map, include the map scale, a meridian arrow showing
north, and latitude and longitude at the nearest whole second. On all
maps of rivers, show the direction of the current, and in tidal waters,
show the directions of the ebb and flow tides. Use a 7-1/2 minute
series map published by the U.S. Geological Survey, which may be
obtained through the U.S. Geological Survey Offices listed below, If
a 7-1/2 minute series map has not been published for your facility
site, then you may use a 15 minute series map from the U.S. Geological Survey. If neither a 7-1/2 nor 15 minute series map has been
published for your facility site, use a plat map or other appropriate
map, including all the requested information; in this case, briefly
describe land uses in the map area (e.g., residential, commercial).

A. For a corporation, by a principal executive officer of at least the
level of vice president. However, if the only activity in Item II which
is marked “yes” is Question G, the officer may authorize a person
having responsibility for the overall operations of the well or well
field to sign the certification. In that case, the authorization must
be written and submitted to the permitting authority.
B. For partnership or sole proprietorship, by a general partner or
the proprietor, respectively; or
C. For a municipality, State, Federal, or other public facility, by either a principal executive officer or ranking elected official.

You may trace your map from a geological survey chart, or other
map meeting the above specifications. If you do, your map should
bear a note showing the number or title of the map or chart it was
traced from. Include the names of nearby towns, water bodies, and
other prominent points. An example of an acceptable location map is
shown in Figure 1-1 of these instructions. (NOTE: Figure 1-1 is
provided for purposes of illustration only, and does not represent any
actual facility.)
U.S.G.S. OFFICES

AREA SERVED

Eastern Mapping Center
National Cartographic Information Center
U.S.G.S.
536 National Center
Reston, VA 22092
Phone No. (703) 860-6336

Ala., Conn., Del., D.C., Fla.,
Ga., Ind., Ky., Maine, Md.,
Mass., N.H., N.J., N.Y., N.C.,
S.C., Ohio, Pa., Puerto Rico,
R.I., Tenn., Vt., Va., W. Va.,
and Virgin Islands

Mid Continent Mapping Center
National Cartographic Information Center
U.S.G.S.
1400 Independence Road
Rolla, MO 65401
Phone No. (314) 341-0851

Ark.. Ill., Iowa, Kans., La.,
Mich., Minn., Miss., Mo.,
N. Dak., Nebr., Okla., S. Dak.,
and Wis.

Rocky Mountain Mapping Center
National Cartographic Information Center
U.S.G.S.
Stop 504, Box 25046 Federal Center
Denver, CO 80225
Phone No. (303) 234-2326

Alaska, Colo., Mont., N. Mex.,
Tex., Utah, and Wyo.

Western Mapping Center
National Cartographic Information Center
U.S.G.S.
345 Middlefield Road
Menlo Park, CA 94025
Phone No. (415) 323-8111

Ariz., Calif., Hawaii, Idaho,
Nev., Oreg., Wash., American
Samoa, Guam, and Trust
Territories

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SECTION C – ACTIVITIES WHICH DO NOT REQUIRE PERMITS
II. Hazardous Waste Permits Under the Resource Conservation
and Recovery Act. You may be excluded from the requirement to
obtain a permit under this program if you fall into one of the following
categories:

1. National Pollutant Discharge Elimination System Permits
Under the Clean Water Act. You are not required to obtain an
NPDES permit if your discharge is in one of the following categories,
as provided by the Clean Water Act (CWA) and by the NPDES
regulations (40 CFR Parts 122-125). However, under Section 510 of
CWA a discharge exempted from the federal NPDES requirements
may still be regulated by a State authority; contact your State environmental agency to determine whether you need a State permit.

Generators who accumulate their own hazardous waste on-site for
less than 90 days as provided in 40 CFR 262.34;
Farmers who dispose of hazardous waste pesticide from their own
use as provided in 40 CFR 262.51;

A. DISCHARGES FROM VESSELS. Discharges of sewage from
vessels, effluent from properly functioning marine engines, laundry, shower, and galley sink wastes, and any other discharge incidental to the normal operation of a vessel do not require NPDES
permits. However, discharges of rubbish, trash, garbage, or other
such materials discharged overboard require permits, and so do
other discharges when the vessel is operating in a capacity other
than as a means of transportation, such as when the vessel is being used as an energy or mining facility, a storage facility, or a
seafood processing facility, or is secured to the bed of the ocean,
contiguous zone, or waters of the United States for the purpose of
mineral or oil exploration or development.

Certain persons treating, storing, or disposing of small quantities
of hazardous waste as provided in 40 CFR 261.4 or 261.5; and
Owners and operators of totally enclosed treatment facilities as
defined in 40 CFR 260.10.
Check with your Regional office for details. Please note that even if
you are excluded from permit requirements, you may be required by
Federal regulations to handle your waste in a particular manner.
III. Underground Injection Control Permits Under the Safe Drinking Water Act. You are not required to obtain a permit under this
program if you:

B. DREDGED OR FILL MATERIAL. Discharges of dredged or fill
material into waters of the United States do not need NPDES
permits if the dredging or filling is authorized by a permit issued by
the U.S. Army Corps of Engineers or an EPA approved State under Section 404 of CWA.

Inject into existing wells used to enhance recovery of oil and gas
or to store hydrocarbons (note, however, that these underground
injections are regulated by Federal rules); or
Inject into or above a stratum which contains, within 1/4 mile of the
well bore, an underground source of drinking water (unless your
injection is the type identified in Item II-H, for which you do need a
permit). However, you must notify EPA of your injection and submit certain required information on forms supplied by the Agency,
and your operation may be phased out if you are a generator of
hazardous wastes or a hazardous waste management facility
which uses wells or septic tanks to dispose of hazardous waste.

C. DISCHARGES INTO PUBLICLY OWNED TREATMENT
WORKS (POTW), The introduction of sewage, industrial wastes,
or other pollutants into a POTW does not need an NPDES permit.
You must comply with all applicable pretreatment standards
promulgated under Section 307(b) of CWA, which may be included in the permit issued to the POTW. If you have a plan or an
agreement to switch to a POTW in the future, this does not relieve
you of the obligation to apply for and receive an NPDES permit
until you have stopped discharging pollutants into waters of the
United States.

IV. Prevention of Significant Deterioration Permits Under the
Clean Air Act. The PSD program applies to newly constructed or
modified facilities (both of which are referred to as “new sources”)
which increase air emissions. The Clean Air Act Amendments of
1977 exclude small new sources of air emissions from the PSD
review program. Any new source in an industrial category listed in
Table 3 of these instructions whose potential to emit is less than 100
tons per year is not required to get a PSD permit. In addition, any
new source in an industrial category not listed in Table 3 whose
potential to emit is less than 250 tons per year is exempted from the
PSD requirements.

(NOTE: Dischargers into privately owned treatment works do not
have to apply for or obtain NPDES permits except as otherwise
required by the EPA Regional Administrator. The owner or operator of the treatment works itself, however, must apply for a permit
and identify all users in its application. Users so identified will receive public notice of actions taken on the permit for the treatment
works.)
D. DISCHARGES FROM AGRICULTURAL AND SILVICULTURAL ACTIVITIES. Most discharges from agricultural and silvicultural activities to waters of the United States do not require
NPDES permits. These include runoff from orchards, cultivated
crops, pastures, range lands, and forest lands. However, the discharges listed below do require NPDES permits. Definitions of the
terms listed below are contained in the Glossary section of these
instructions.

Modified sources which increase their net emissions (the difference
between the total emission increases and total emission decreases
at the source) less than the significant amount set forth in EPA
regulations are also exempt from PSD requirements. Contact your
EPA Regional office (Table 1) for further information.

1. Discharges from Concentrated Animal Feeding Operations.
(See Glossary for definitions of “animal feeding operations” and
“concentrated animal feeding operations.” Only the latter require
permits.)
2. Discharges from Concentrated Aquatic Animal Production
Facilities. (See Glossary for size cutoffs.)
3. Discharges associated with approved Aquaculture Projects.
4. Discharges from Silvicultural Point Sources. (See Glossary
for the definition of “silvicultural point source.”) Nonpoint source
silvicultural activities are excluded from NPDES permit requirements. However, some of these activities, such as stream
crossings for roads, may involve point source discharges of
dredged or fill material which may require a Section 404 permit.
See 33 CFR 209.120.
E. DISCHARGES IN COMPLIANCE WITH AN ON-SCENE COORDINATOR'S INSTRUCTIONS.

1-5

SECTION D – GLOSSARY
NOTE: This Glossary includes terms used in the instructions and in Forms 1, 2B, 2C, and 3. Additional terms will be included in the future when
other forms are developed to reflect the requirements of other parts of the Consolidated Permits Program. If you have any questions concerning the
meaning of any of these terms, please contact your EPA Regional office (Table 1)
.
been set for sulfur oxides, particulate matter, nitrogen dioxide, carbon monoxide, ozone, lead, and hydrocarbons. For purposes of the
Glossary, “attainment area” also refers to “unclassifiable area,” which
means, for any pollutants, an area designated under Section 107 as
unclassifiable with respect to that pollutant due to insufficient Information.

ALIQUOT means a sample of specified volume used to make up a
total composite sample.
ANIMAL FEEDING OPERATION means a lot or facility (other than
an aquatic animal production facility) where the following conditions
are met;
A. Animals (other than aquatic animals) have been, are, or will be
stabled or confined and fed or maintained for a total of 45 days or
more in any 12 month period; and

BEST MANAGEMENT PRACTICES (BMP) means schedules of
activities, prohibitions of practices, maintenance procedures, and
other management practices to prevent or reduce the pollution of
waters of the United States. BMP’s include treatment requirements,
operation procedures, and practices to control plant site runoff,
spillage or leaks, sludge or waste disposal, or drainage from raw
material storage.

B. Crops, vegetation, forage growth, or post-harvest residues are
not sustained in the normal growing season over any portion of
the lot or facility.
Two or more animal feeding operations under common ownership
are a single animal feeding operation if they adjoin each other or if
they use a common area or system for the disposal of wastes.

BIOLOGICAL MONITORING TEST means any test which includes
the use of aquatic algal, invertebrate, or vertebrate species to measure acute or chronic toxicity, and any biological or chemical measure
of bioaccumulation.

ANIMAL UNIT means a unit of measurement for any animal feeding
operation calculated by adding the following numbers: The number
of slaughter and feeder cattle multiplied by 1.0; Plus the number of
mature dairy cattle multiplied by 1.4; Plus the number of swine
weighing over 25 kilograms (approximately 55 pounds) multiplied by
0.4; Plus the number of sheep multiplied by 0.1; Plus the number of
horses multiplied by 2.0.

BYPASS means the intentional diversion of wastes from any portion
of a treatment facility.
CONCENTRATED ANIMAL FEEDING OPERATION means an
animal feeding operation which meets the criteria set forth in either
(A) or (B) below or which the Director designates as such on a
case-by-case basis:

APPLICATION means the EPA standard national forms for applying
for a permit, including any additions, revisions, or modifications to the
forms; or forms approved by EPA for use in approved States, including any approved modifications or revisions. For RCRA, “application”
also means “Application, Part B.”

A. More than the numbers of animals specified in any of the following categories are confined:
1. 1,000 slaughter or feeder cattle,

APPLICATION, PART A means that part of the Consolidated Permit
Application forms which a RCRA permit applicant must complete to
qualify for interim status under Section 3005(e) of RCRA and for
consideration for a permit. Part A consists of Form 1 (General Information) and Form 3 (Hazardous Waste Application Form).

2. 700 mature dairy cattle (whether milked or dry cows),
3. 2,500 swine each weighing over 25 kilograms (approximately
55 pounds),
4. 500 horses,

APPLICATION, PART B means that part of the application which a
RCRA permit applicant must complete to be issued a permit. (NOTE:
EPA is not developing a specific form for Part B of the permit application, but an instruction booklet explaining what Information must
be supplied is available from the EPA Regional office.)

5. 10,000 sheep or lambs,
6. 55,000 turkeys,
7. 100,000 laying hens or broilers (if the facility has a continuous overflow watering),

APPROVED PROGRAM or APPROVED STATE means a State
program which has been approved or authorized by EPA under 40
CFR Part 123.

8. 30,000 laying hens or broilers (if the facility has a liquid manure handling system),
9. 5,000 ducks, or

AQUACULTURE PROJECT means a defined managed water area
which uses discharges of pollutants into that designated area for the
maintenance or production of harvestable freshwater, estuarine, or
marine plants or animals. “Designated area” means the portions of
the waters of the United States within which the applicant plans to
confine the cultivated species, using a method of plan or operation
(including, but not limited to, physical confinement) which, on the
basis of reliable scientific evidence, is expected to ensure the specific individual organisms comprising an aquaculture crop will enjoy
increased growth attributable to the discharge of pollutants and be
harvested within a defined geographic area.

10. 1,000 animal units; or
B. More than the following numbers and types of animals are confined:
1. 300 slaughter or feeder cattle,
2. 200 mature dairy cattle (whether milked or dry cows),
3. 750 swine each weighing over 25 kilograms (approximately
55 pounds),
4. 150 horses,

AQUIFER means a geological formation, group of formations, or part
of a formation that is capable of yielding a significant amount of
water to a well or spring.

5. 3,000 sheep or lambs,
6.16,500 turkeys,

AREA OF REVIEW means the area surrounding an injection which is
described according to the criteria set forth in 40 CFR Section
146.06.

7. 30,000 laying hens or broilers (if the facility has continuous
overflow watering),

AREA PERMIT means a UIC permit applicable to all or certain wells
within a geographic area, rather than to a specified well, under 40
CFR Section 122.37.

8. 9,000 laying hens or broilers (if the facility has a liquid manure handling system),
9. 1,500 ducks, or

ATTAINMENT AREA means, for any air pollutant, an area which has
been designated under Section 107 of the Clean Air Act as having
ambient air quality levels better than any national primary or secondary ambient air quality standard for that pollutant. Standards have

10. 300 animal units; AND

1-6

SECTION D – GLOSSARY
and Discharges through pipes, sewers, or other conveyances, leading into privately owned treatment works. This term does not include
an addition of pollutants by any indirect discharger.

Either one of the following conditions are met: Pollutants are
discharged into waters of the United States through a manmade
ditch, flushing system or other similar manmade device (“manmade” means constructed by man and used for the purpose of
transporting wastes); or Pollutants are discharged directly into
waters of the Unites States which originate outside of and pass
over, across, or through the facility or otherwise come into direct
contact with the animals confined in the operation.

DISPOSAL (in the RCRA program) means the discharge, deposit,
injection, dumping, spilling, leaking, or placing of any hazardous
waste into or on any land or water so that the hazardous waste or
any constituent of it may enter the environment or be emitted into the
air or discharged into any waters, including ground water.

Provided, however, that no animal feeding operation is a concentrated animal feeding operation as defined above if such
animal feeding operation discharges only in the event of a 25
year, 24 hour storm event.

DISPOSAL FACILITY means a facility or part of a facility at which
hazardous waste is intentionally placed into or on land or water, and
at which hazardous waste will remain after closure.

CONCENTRATED AQUATIC ANIMAL PRODUCTION FACILITY
means a hatchery, fish farm, or other facility which contains, grows
or holds aquatic animals in either of the following categories, or
which the Director designates as such on a case-by-case basis:

EFFLUENT LIMITATION means any restriction imposed by the
Director on quantities, discharge rates, and concentrations of pollutants which are discharged from point sources into waters of the
United States, the waters of the continguous zone, or the ocean.
EFFLUENT LIMITATION GUIDELINE means a regulation published
by the Administrator under Section 304(b) of the Clean Water Act to
adopt or revise effluent limitations.

A. Cold water fish species or other cold water aquatic animals including, but not limited to, the Salmonidae family of fish (e.g., trout
and salmon) in ponds, raceways or other similar structures which
discharge at least 30 days per year but does not include:

ENVIRONMENTAL PROTECTION AGENCY (EPA) means the
United States Environmental Protection Agency.

1. Facilities which produce less than 9,090 harvest weight kilograms (approximately 20,000 pounds) of aquatic animals per
year; and

EPA IDENTIFICATION NUMBER means the number assigned by
EPA to each generator, transporter, and facility.

2. Facilities which feed less than 2,272 kilograms (approximately 5,000 pounds) of food during the calendar month of
maximum feeding.

EXEMPTED AQUIFER means an aquifer or its portion that meets
the criteria in the definition of USDW, but which has been exempted
according to the procedures in 40 CFR Section 122.35(b).

B. Warm water fish species or other warm water aquatic animals
including, but not limited to, the Ameiuridae, Cetrarchiclae, and
Cyprinidae families of fish (e.g., respectively, catfish, sunfish, and
minnows) in ponds, raceways, or other similar structures which
discharge at least 30 days per year, but does not include;

EXISTING HWM FACILITY means a Hazardous Waste Management
facility which was in operation, or for which construction had commenced, on or before October 21, 1976. Construction had commenced if (A) the owner or operator had obtained all necessary
Federal, State, and local preconstruction approvals or permits, and
either (B1) a continuous on-site, physical construction program had
begun, or (B2) the owner or operator had entered into contractual
obligations, which could not be cancelled or modified without substantial loss, for construction of the facility to be completed within a
reasonable time.

1. Closed ponds which discharge only during periods of excess
runoff; or
2. Facilities which produce less than 45,454 harvest weight
kilograms (approximately 100,000 pounds) of aquatic animals
per year.

(NOTE: This definition reflects the literal language of the statute.
However, EPA believes that amendments to RCRA now in conference will shortly be enacted and will change the date for determining when a facility is an “existing facility” to one no earlier than
May of 1980; indications are the conferees are considering October 30, 1980. Accordingly, EPA encourages every owner or operator of a facility which was built or under construction as of the
promulgation date of the RCRA program regulations to file Part A
of its permit application so that it can be quickly processed for interim status when the change in the law takes effect. When those
amendments are enacted, EPA will amend this definition.)

CONTACT COOLING WATER means water used to reduce temperature which comes into contact with a raw material, intermediate
product, waste product other than heat, or finished product.
CONTAINER means any portable device in which a material is
stored, transported, treated, disposed of, or otherwise handled.
CONTIGUOUS ZONE means the entire zone established by the
United States under article 24 of the convention of the Territorial Sea
and the Contiguous Zone.
CWA means the Clean Water Act (formerly referred to the Federal
Water Pollution Control Act) Pub. L. 92-500, as amended by Pub. L.
95-217 and Pub. L. 95-576, 33 U.S.C. 1251 et seq.

EXISTING SOURCE or EXISTING DISCHARGER (in the NPDES
program) means any source which is not a new source or a new
discharger.

DIKE means any embankment or ridge of either natural or manmade
materials used to prevent the movement of liquids, sludges, solids,
or other materials.

EXISTING INJECTION WELL means an injection well other than a
new injection well.
FACILITY means any HWM facility, UIC underground injection well,
NPDES point source, PSD stationary source, or any other facility or
activity (including land or appurtenances thereto) that is subject to
regulation under the RCRA, UIC, NPDES, or PSD programs.

DIRECT DISCHARGE means the discharge of a pollutant as defined
below.
DIRECTOR means the EPA Regional Administrator or the State
Director as the context requires.

FLUID means material or substance which flows or moves whether
in a semisolid, liquid, sludge, gas, or any other form or state.

DISCHARGE (OF A POLLUTANT) means:
A. Any addition of any pollutant or combination of pollutants to waters of the United States from any point source; or

GENERATOR means any person by site, whose act or process
produces hazardous waste identified or listed in 40 CFR Part 261.

B. Any addition of any pollutant or combination of pollutants to the
waters of the contiguous zone or the ocean from any point source
other than a vessel or other floating craft which is being used as a
means of transportation.

GROUNDWATER means water below the land surface in a zone of
saturation.
HAZARDOUS SUBSTANCE means any of the substances designated under 40 CFR Part 116 pursuant to Section 311 of CWA.
(NOTE: These substances are listed in Table 2c-4 of the instructions
to Form 2C.)

This definition includes discharges into waters of the United States
from: Surface runoff which is collected or channelled by man; Discharges through pipes, sewers, or other conveyances owned by a
State, municipality, or other person which do not lead to POTW’s;
1-7

SECTION D – GLOSSARY
B. After proposal of standards of performance in accordance with
Section 306 of CWA which are applicable to such source, but only
if the standards are promulgated in accordance with Section 306
within 120 days of their proposal.

HAZARDOUS WASTE means a hazardous waste as defined in 40
CFR Section 261.3 published May 19, 1980.
HAZARDOUS WASTE MANAGEMENT FACILITY (HWM facility)
means all contiguous land, structures, appurtenances, and improvements on the land, used for treating, storing, or disposing of hazardous wastes. A facility may consist of several treatment, storage, or
disposal operational units (for example, one or more landfills, surface
impoundments, or combinations of them).

NON-CONTACT COOLING WATER means water used to reduce
temperature which does not come into direct contact with any raw
material, intermediate product, waste product (other than heat), or
finished product.

IN OPERATION means a facility which is treating, storing, or disposing of hazardous waste.

OFF-SITE means any site which is not “on-site”.
ON-SITE means on the same or geographically contiguous property
which may be divided by public or private right(s)-of-way, provided
the entrance and exit between the properties is at a cross-roads
intersection, and access is by crossing as opposed to going along,
the right(s)-of-way. Non-contiguous properties owned by the same
person, but connected by a right-of-way which the person controls
and to which the public does not have access, is also considered
on-site property.

INCINERATOR (in the RCRA program) means an enclosed device
using controlled flame combustion, the primary purpose of which is
to thermally break down hazardous waste. Examples of incinerators
are rotary kiln, fluidized bed, and liquid injection incinerators.
INDIRECT DISCHARGER means a nondomestic discharger introducing pollutants to a publicly owned treatment works.
INJECTION WELL means a well into which fluids are being injected.

OPEN BURNING means the combustion of any material without the
following characteristics;

INTERIM AUTHORIZATION means approval by EPA of a State
hazardous waste program which has met the requirements of Section 3006(c) of RCRA and applicable requirements of 40 CFR Part
123, Subparts A, B, and F.

A. Control of combustion air to maintain adequate temperature for
efficient combustion;
B. Containment of the combustion-reaction in an enclosed device
to provide sufficient residence time and mixing for complete combustion; and

LANDFILL means a disposal facility or part of a facility where hazardous waste is placed in or on land and which is not a land treatment facility, a surface impoundment, or an injection well.

C. Control of emission of the gaseous combustion products.

LAND TREATMENT FACILITY (in the RCRA program) means a
facility or part of a facility at which hazardous waste is applied onto
or incorporated into the soil surface; such facilities are disposal
facilities if the waste will remain after closure.

(See also “incinerator” and “thermal treatment”).
OPERATOR means the person responsible for the overall operation
of a facility.

LISTED STATE means a State listed by the Administrator under
Section 1422 of SDWA as needing a State UIC program.

OUTFALL means a point source.

MGD means millions of gallons per day.

OWNER means the person who owns a facility or part of a facility.

MUNICIPALITY means a city, village, town, borough, county, parish,
district, association, or other public body created by or under State
law and having jurisdiction over disposal of sewage, industrial
wastes, or other wastes, or an Indian tribe or an authorized Indian
tribal organization, or a designated and approved management
agency under Section 208 of CWA.

PERMIT means an authorization, license, or equivalent control
document issued by EPA or an approved State to implement the
requirements of 40 CFR Parts 122, 123, and 124.
PHYSICAL CONSTRUCTION (in the RCRA program) means excavation, movement of earth, erection of forms or structures, or similar
activity to prepare a HWM facility to accept hazardous waste.

NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES) means the national program for issuing modifying, revoking
and reissuing, terminating, monitoring, and enforcing permits and
imposing and enforcing pretreatment requirements, under Sections
307, 318, 402, and 405 of CWA. The term includes an approved
program.

PILE means any noncontainerized accumulation of solid, nonflowing
hazardous waste that is used for treatment or storage.
POINT SOURCE means any discernible, confined, and discrete
conveyance, including but not limited to any pipe, ditch, channel,
tunnel, conduit, well, discrete fissure, container, rolling stock, concentrated animal feeding operation, vessel or other floating craft from
which pollutants are or may be discharged. This term does not include return flows from irrigated agriculture.

NEW DISCHARGER means any building, structure, facility, or installation: (A) From which there is or may be a new or additional discharge of pollutants at a site at which on October 18, 1972, it had
never discharged pollutants; (B) Which has never received a finally
effective NPDES permit for discharges at that site; and (C) Which is
not a “new source.” This definition includes an indirect discharger
which commences discharging into waters of the United States. It
also includes any existing mobile point source, such as an offshore
oil drilling rig, seafood processing vessel, or aggregate plant that
begins discharging at a location for which it does not have an existing permit.

POLLUTANT means dredged spoil, solid waste, incinerator residue,
filter backwash, sewage, garbage, sewage sludge, munitions,
chemical waste, biological materials, radioactive materials (except
those regulated under the Atomic Energy Act of 1954, as amended
[42 U.S.C. Section 2011 et seq.]), heat, wrecked or discarded
equipment, rocks, sand, cellar dirt and Industrial, municipal, and
agriculture waste discharged into water. It does not mean:
A. Sewage from vessels; or

NEW HWM FACILITY means a Hazardous Waste Management
facility which began operation or for which construction commenced
after October 21, 1976.

B. Water, gas, or other material which is injected into a well to facilitate production of oil or gas, or water derived in association with
oil and gas production and disposed of in a well, if the well used
either to facilitate production or for disposal purposes is approved
by authority of the State in which the well is located, and if the
State determines that the injection or disposal will not result in the
degradation of ground or surface water resources.

NEW INJECTION WELL means a well which begins injection after a
UIC program for the State in which the well is located is approved.
NEW SOURCE (in the NPDES program) means any building, structure, facility, or installation from which there is or may be a discharge
of pollutants, the construction of which commenced:

(NOTE: Radioactive materials covered by the Atomic Energy Act
are those encompassed in its definition of source, byproduct, or
special nuclear materials. Examples of materials not covered include radium and accelerator produced isotopes. See Train v.
Colorado Public Interest Research Group, Inc., 426 U.S. 1 [1976].)

A. After promulgation of standards of performance under Section
306 of CWA which are applicable to such source; or

1-8

SECTION D – GLOSSARY
of RCRA), and the Commonwealth of the Northern Mariana Islands
(except in the case of CWA).

PREVENTION OF SIGNIFICANT DETERIORATION (PSD) means
the national permitting program under 40 CFR 52.21 to prevent
emissions of certain pollutants regulated under the Clean Air Act
from significantly deteriorating air quality in attainment areas.

STATIONARY SOURCE (in the PSD program) means any building,
structure, facility, or installation which emits or may emit any air
pollutant regulated under the Clean Air Act. “Building, structure,
facility, or installation” means any grouping of pollutant-emitting
activities which are located on one or more contiguous or adjacent
properties and which are owned or operated by the same person (or
by persons under common control).

PRIMARY INDUSTRY CATEGORY means any industry category
listed in the NRDC Settlement Agreement (Natural Resources Defense Council v. Train, 8 ERC 2120 [D.D.C. 1976], modified 12 ERC
1833 [D.D.C. 1979]).
PRIVATELY OWNED TREATMENT WORKS means any device or
system which is: (A) Used to treat wastes from any facility whose
operator is not the operator of the treatment works; and (B) Not a
POTW.

STORAGE (in the RCRA program) means the holding of hazardous
waste for a temporary period at the end of which the hazardous
waste is treated, disposed, or stored elsewhere.

PROCESS WASTEWATER means any water which, during manufacturing or processing, comes into direct contact with or results from
the production or use of any raw material, intermediate product,
finished product, byproduct, or waste product.

STORM WATER RUNOFF means water discharged as a result of
rain, snow, or other precipitation.
SURFACE IMPOUNDMENT or IMPOUNDMENT means a facility or
part of a facility which is a natural topographic depression, manmade
excavation, or diked area formed primarily of earthen materials
(although it may be lined with manmade materials), which is designed to hold an accumulation of liquid wastes or wastes containing
free liquids, and which is not an injection well. Examples of surface
impoundments are holding, storage, settling, and aeration pits,
ponds, and lagoons.

PUBLICLY OWNED TREATMENT WORKS or POTW means any
device or system used in the treatment (including recycling and
reclamation) of municipal sewage or industrial wastes of a liquid
nature which is owned by a State or municipality. This definition
includes any sewers, pipes, or other conveyances only if they convey
wastewater to a POTW providing treatment.
RENT means use of another’s property in return for regular payment.

TANK (in the RCRA program) means a stationary device, designed
to contain an accumulation of hazardous waste which is constructed
primarily of non-earthen materials (e.g., wood, concrete, steel, plastic) which provide structural support.

RCRA means the Solid Waste Disposal Act as amended by the
Resource Conservation and Recovery Act of 1976 (Pub. L. 94-580,
as amended by Pub. L. 95-609, 42 U.S.C. Section 6901 at seq.).

THERMAL TREATMENT (in the RCRA program) means the treatment of hazardous waste in a device which uses elevated temperature as the primary means to change the chemical, physical, or
biological character or composition of the hazardous waste. Examples of thermal treatment processes are incineration, molten salt,
pyrolysis, calcination, wet air oxidation, and microwave discharge.
(See also “incinerator” and “open burning”).

ROCK CRUSHING AND GRAVEL WASHING FACILITIES are facilities which process crushed and broken stone, gravel, and riprap (see
40 CFR Part 436, Subpart B, and the effluent limitations guidelines
for these facilities).
SDWA means the Safe Drinking Water Act (Pub. L 95-523, as
amended by Pub. L. 95-1900, 42 U.S.C. Section 300[f] et seq.).

TOTALLY ENCLOSED TREATMENT FACILITY (in the RCRA program) means a facility for the treatment of hazardous waste which is
directly connected to an industrial production process and which is
constructed and operated in a manner which prevents the release of
any hazardous waste or any constituent thereof into the environment
during treatment. An example is a pipe in which waste acid is neutralized.

SECONDARY INDUSTRY CATEGORY means any industry category which is not a primary industry category.
SEWAGE FROM VESSELS means human body wastes and the
wastes from toilets and other receptacles intended to receive or
retain body wastes that are discharged from vessels and regulated
under Section 312 of CWA, except that with respect to commercial
vessels on the Great Lakes this term includes graywater. For the
purposes of this definition, “graywater” means galley, bath, and
shower water,

TOXIC POLLUTANT means any pollutant listed as toxic under Section 307(a)(1) of CWA.
TRANSPORTER (in the RCRA program) means a person engaged
in the off-site transportation of hazardous waste by air, rail, highway,
or water.

SEWAGE SLUDGE means the solids, residues, and precipitate
separated from or created in sewage by the unit processes of a
POTW. “Sewage” as used in this definition means any wastes,
including wastes from humans, households, commercial establishments, industries, and storm water runoff, that are discharged to or
otherwise enter a publicly owned treatment works.

TREATMENT (in the RCRA program) means any method, technique,
or process, including neutralization, designed to change the physical,
chemical, or biological character or composition of any hazardous
waste so as to neutralize such waste, or so as to recover energy or
material resources from the waste, or so as to render such waste
non-hazardous, or less hazardous; safer to transport, store, or dispose of; or amenable for recovery, amenable for storage, or reduced
in volume.

SlLVICULTURAL POINT SOURCE means any discernable, confined, and discrete conveyance related to rock crushing, gravel
washing, log sorting, or log storage facilities which are operated in
connection with silvicultural activities and from which pollutants are
discharged into waters of the United States. This term does not
include nonpoint source silvicultural activities such as nursery operations, site preparation, reforestation and subsequent cultural treatment, thinning, prescribed burning, pest and fire control, harvesting
operations, surface drainage, or road construction and maintenance
from which there is natural runoff. However, some of these activities
(such as stream crossing for roads) may involve point source discharges of dredged or fill material which may require a CWA Section
404 permit. “Log sorting and log storage facilities” are facilities
whose discharges result from the holding of unprocessed wood, e.g.,
logs or roundwood with bark or after removal of bark in
self-contained bodies of water (mill ponds or log ponds) or stored on
land where water is applied intentionally on the logs (wet decking).
(See 40 CFR Part 429, Subpart J, and the effluent limitations guidelines for these facilities.)

UNDERGROUND INJECTION means well injection.
UNDERGROUND SOURCE OF DRINKING WATER or USDW
means an aquifer or its portion which is not an exempted aquifer
and:
A. Which supplies drinking water for human consumption; or
B. In which the ground water contains fewer than 10,000 mg/l total
dissolved solids.
UPSET means an exceptional incident in which there is unintentional
and temporary noncompliance with technology-based permit effluent
limitations because of factors beyond the reasonable control of the
permittee. An upset does not include noncompliance to the extent
caused by operational error, improperly designed treatment facilities,
inadequate treatment facilities, lack of preventive maintenance, or
careless or improper operation.

STATE means any of the 50 States, the District of Columbia, Guam,
the Commonwealth of Puerto Rico, the Virgin Islands, American
Samoa, the Trust Territory of the Pacific Islands (except in the case
1-9

SECTION D – GLOSSARY
WATERS OF THE UNITED STATES means:
A. All waters which are currently used, were used in the past, or
may be susceptible to use in interstate or foreign commerce, including all waters which are subject to the ebb and flow of the tide;
B. All interstate waters, including interstate wetlands;
C. All other waters such as intrastate lakes, rivers, streams (including intermittent streams), mudflats, sandflats, wetlands,
sloughs, prairie potholes, wet meadows, playa lakes, and natural
ponds, the use, degradation, or destruction of which would or
could affect interstate or foreign commerce including any such waters;
1. Which are or could be used by interstate or foreign travelers
for recreational or other purposes,
2. From which fish or shellfish are or could be taken and sold in
interstate or foreign commerce,
3. Which are used or could be used for industrial purposes by
industries in interstate commerce;
D. All impoundments of waters otherwise defined as waters of the
United States under this definition;
E. Tributaries of waters identified in paragraphs (A) – (D) above;
F. The territorial sea; and
G. Wetlands adjacent to waters (other than waters that are themselves wetlands) identified in paragraphs (A) – (F) of this definition.
Waste treatment systems, including treatment ponds or lagoons
designed to meet requirement of CWA (other than cooling ponds as
defined In 40 CFR Section 423.11(m) which also meet the criteria of
this definition) are not waters of the United States. This exclusion
applies only to manmade bodies of water which neither were originally created in waters of the United States (such as a disposal area
in wetlands) nor resulted from the impoundments of waters of the
United States.
WELL INJECTION or UNDERGROUND INJECTION means the
subsurface emplacement of fluids through a bored, drilled, or driven
well; or through a dug well, where the depth of the dug well is greater
than the largest surface dimension.
WETLANDS means those areas that are inundated or saturated by
surface or groundwater at a frequency and duration sufficient to
support, and that under normal circumstances do support, a prevalence of vegetation typically adapted for life in saturated soil conditions. Wetlands generally include swamps, marshes, bogs, and
similar areas.

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Please print or type in the unshaded areas only.

Form Approved. OMB No. 2040-0086.

FORM

U.S. ENVIRONMENTAL PROTECTION AGENCY

1

GENERAL INFORMATION

I. EPA I.D. NUMBER
S

Consolidated Permits Program
(Read the “General Instructions” before starting.)

GENERAL

EPA I.D. NUMBER

III.

FACILITY NAME

V.

FACILITY MAILING
ADDRESS

VI.

FACILITY LOCATION

C

D

1

2

13

14

15

GENERAL INSTRUCTIONS
If a preprinted label has been provided, affix it in the
designated space. Review the information carefully; if any of it
is incorrect, cross through it and enter the correct data in the
appropriate fill-in area below. Also, if any of the preprinted data
is absent (the area to the left of the label space lists the
information that should appear), please provide it in the proper
fill-in area(s) below. If the label is complete and correct, you
need not complete Items I, III, V, and VI (except VI-B which
must be completed regardless). Complete all items if no label
has been provided. Refer to the instructions for detailed item
descriptions and for the legal authorizations under which this
data is collected.

LABEL ITEMS
I.

T/A

F

PLEASE PLACE LABEL IN THIS SPACE

II. POLLUTANT CHARACTERISTICS
INSTRUCTIONS: Complete A through J to determine whether you need to submit any permit application forms to the EPA. If you answer “yes” to any questions, you must
submit this form and the supplemental form listed in the parenthesis following the question. Mark “X” in the box in the third column if the supplemental form is attached. If
you answer “no” to each question, you need not submit any of these forms. You may answer “no” if your activity is excluded from permit requirements; see Section C of the
instructions. See also, Section D of the instructions for definitions of bold-faced terms.
Mark “X”
YES

SPECIFIC QUESTIONS

NO

Mark “X”

FORM
ATTACHED

SPECIFIC QUESTIONS

18

B. Does or will this facility (either existing or proposed)
include a concentrated animal feeding operation or
aquatic animal production facility which results in a
discharge to waters of the U.S.? (FORM 2B)

A. Is this facility a publicly owned treatment works which
results in a discharge to waters of the U.S.? (FORM 2A)
16

C. Is this a facility which currently results in discharges to
waters of the U.S. other than those described in A or B
above? (FORM 2C)

22

17

23

24

E. Does or will this facility treat, store, or dispose of
hazardous wastes? (FORM 3)
28

G. Do you or will you inject at this facility any produced water
or other fluids which are brought to the surface in
connection with conventional oil or natural gas production,
inject fluids used for enhanced recovery of oil or natural
gas, or inject fluids for storage of liquid hydrocarbons?
(FORM 4)
I. Is this facility a proposed stationary source which is one
of the 28 industrial categories listed in the instructions and
which will potentially emit 100 tons per year of any air
pollutant regulated under the Clean Air Act and may affect
or be located in an attainment area? (FORM 5)

29

30

D. Is this a proposed facility (other than those described in A
or B above) which will result in a discharge to waters of
the U.S.? (FORM 2D)
F. Do you or will you inject at this facility industrial or
municipal effluent below the lowermost stratum
containing, within one quarter mile of the well bore,
underground sources of drinking water? (FORM 4)

YES

NO

FORM
ATTACHED

19

20

21

25

26

27

31

32

33

37

38

39

43

44

45

H. Do you or will you inject at this facility fluids for special
processes such as mining of sulfur by the Frasch process,
solution mining of minerals, in situ combustion of fossil
fuel, or recovery of geothermal energy? (FORM 4)
34

40

35

41

36

42

J. Is this facility a proposed stationary source which is
NOT one of the 28 industrial categories listed in the
instructions and which will potentially emit 250 tons per
year of any air pollutant regulated under the Clean Air Act
and may affect or be located in an attainment area?
(FORM 5)

III. NAME OF FACILITY
C

1
15

SKIP
16 – 29

30

69

IV. FACILITY CONTACT
A. NAME & TITLE (last, first, & title)

B. PHONE (area code & no.)

C

2
15

16

45

46

48

49

51

52-

55

V. FACILTY MAILING ADDRESS
A. STREET OR P.O. BOX
C

3
15

16

45

B. CITY OR TOWN

C. STATE

D. ZIP CODE

C

4
15

16

40

41

42

47

51

VI. FACILITY LOCATION
A. STREET, ROUTE NO. OR OTHER SPECIFIC IDENTIFIER
C

5
15

16

45

B. COUNTY NAME

46

70

C. CITY OR TOWN

D. STATE

F. COUNTY CODE (if known)

E. ZIP CODE

C

6
15

16

EPA Form 3510-1 (8-90)

40

41

42

47

51

52

-54

CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
VII. SIC CODES (4-digit, in order of priority)
A. FIRST
C
(specify)
7
15

16

-

B. SECOND
C

(specify)

7

19

15

16

-

19

C. THIRD
7
15

D. FOURTH

(specify)

C

16

-

(specify)

C

7

19

15

16

-

19

VIII. OPERATOR INFORMATION
B. Is the name listed in Item
VIII-A also the owner?

A. NAME
C

8
15

† YES † NO
55 66

16

C. STATUS OF OPERATOR (Enter the appropriate letter into the answer box: if “Other,” specify.)
F = FEDERAL
S = STATE
P = PRIVATE

D. PHONE (area code & no.)

(specify)

M = PUBLIC (other than federal or state)
O = OTHER (specify)

c

A
56

15

6

-

18

19

-

21

22

-

26

E. STREET OR P.O. BOX

26

55

F. CITY OR TOWN

G. STATE

H. ZIP CODE

C

† YES

B
15

16

40 41

X. EXISTING ENVIRONMENTAL PERMITS
A. NPDES (Discharges to Surface Water)
C

T

16

17

18

30

C

T

T

I

9

P

15

16

C

9 U
15

16

17

18

17

T

16

51

† NO

52

T

I

16

17

30

9
18

30

I

15

C

9 R
15

-

E. OTHER (specify)
(specify)
18

C. RCRA (Hazardous Wastes)
C

47

I

B. UIC (Underground Injection of Fluids)
C

42

D. PSD (Air Emissions from Proposed Sources)

I

9 N
15

IX. INDIAN LAND
Is the facility located on Indian lands?

T

I

16

17

30

E. OTHER (specify)
(specify)

9
17

18

30

15

18

30

XI. MAP
Attach to this application a topographic map of the area extending to at least one mile beyond property boundaries. The map must show the outline of the facility, the
location of each of its existing and proposed intake and discharge structures, each of its hazardous waste treatment, storage, or disposal facilities, and each well where it
injects fluids underground. Include all springs, rivers, and other surface water bodies in the map area. See instructions for precise requirements.
XII. NATURE OF BUSINESS (provide a brief description)

XIII. CERTIFICATION (see instructions)
I certify under penalty of law that I have personally examined and am familiar with the information submitted in this application and all attachments and that, based on my
inquiry of those persons immediately responsible for obtaining the information contained in the application, I believe that the information is true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment.
A. NAME & OFFICIAL TITLE (type or print)

B. SIGNATURE

C. DATE SIGNED

COMMENTS FOR OFFICIAL USE ONLY
C

C
15

16

EPA Form 3510-1 (8-90)

55