Form 2B - CAFO Permit Application

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Form Approved
OMB No. 2040-0250
EPA I.D. NUMBER (copy from Item 1 of Form 1)

FORM

EPA

2B
NPDES

U.S. ENVIRONMENTAL PROTECTION AGENCY
APPLICATIONS FOR PERMIT TO DISCHARGE WASTEWATER
CONCENTRATED ANIMAL FEEDING OPERATIONS AND AQUATIC ANIMAL PRODUCTION FACILITIES

Applying for: Individual Permit 

I. GENERAL INFORMATION

Coverage Under General Permit 
C. FACILITY OPERATION
STATUS

A. TYPE OF BUSINESS

B. CONTACT INFORMATION

 1. Concentrated Animal Feeding
Operation (complete items B, C, D,
and section II)

Owner/or
Operator Name:______________________________________

 1. Existing Facility

Telephone: ( ______ )_________________________________

 2. Proposed Facility

 2. Concentrated Aquatic Animal
Production Facility (complete items
B, C, and section III)

Address: ___________________________________________
Facsimile: ( ______) __________________________________
City: _________________ State:_____ Zip Code: __________

D. FACILITY INFORMATION
Name: __________________________________________________ Telephone: ( ______ ) ___________________________________
Address: _________________________________________________Facsimile: ( _______ ) ____________________________________
City: ___________________________ State: ___________________Zip Code: ______________________________________________
County: ___________________________ Latitude: __________________________ Longitude: ______________________________
If contract operation:

Name of Integrator:____________________________________________
Address of Integrator: _________________________________________

II. CONCENTRATED ANIMAL FEEDING OPERATION CHARACTERISTICS
B. MANURE, LITTER, AND/OR WASTEWATER
PRODUCTION AND USE

A. TYPE AND NUMBER OF ANIMALS
2. ANIMALS
1. TYPE
 Mature Dairy Cows
 Dairy Heifers
 Veal Calves
 Cattle (not dairy or veal
calves)
 Swine (55 lbs. or over)
 Swine (under 55 lbs.)
 Horses
 Sheep or Lambs
 Turkeys
 Chickens (Broilers)
 Chickens (Layers)
 Ducks
 Other: Specify __________
3. TOTAL ANIMALS

EPA Form 3510-2B (Rev. 11-08)

NO. IN OPEN
CONFINEMENT

NO. HOUSED
UNDER ROOF

1. How much manure, litter, and wastewater is generated
annually by the facility? ________tons ________ gallons
2. If land applied how many acres of land under the control of
the applicant are available for applying the CAFOs
manure/litter/wastewater? _____________________acres
3. How many tons of manure or litter, or gallons of wastewater produced by the CAFO will be transferred annually
to other persons? ________tons ________gallons

Form Approved
OMB No. 2040-0250
C. 

TOPOGRAPHIC MAP

D. TYPE OF CONTAINMENT, STORAGE AND CAPACITY
1. Type of Containment

Total Capacity (in gallons)

 Lagoon
 Holding Pond
 Evaporation Pond
 Other: Specify ___________________
2. Report the total number of acres contributing drainage: __________________ acres
Total Number of
Days

3. Type of Storage

Total Capacity
(gallons/tons)

 Anaerobic Lagoon
 Storage Lagoon
 Evaporation Pond
 Aboveground Storage Tanks
 Belowground Storage Tanks
 Roofed Storage Shed
 Concrete Pad
 Impervious Soil Pad
 Other: Specify ___________________
E. NUTRIENT MANAGEMENT PLAN
Note: Effective February 27, 2009, a permit application is not complete until a nutrient management plan is submitted to the
Permitting Authority.
1. Please indicate whether a nutrient management plan has been included with this permit application.

 Yes

 No

2. If no, please explain:

3. Is a nutrient management plan being implemented for the facility?

 Yes

 No

4. The date of the last review or revision of the nutrient management plan. Date: _________________
5. If not land applying, describe alternative use(s) of manure, litter, and/or wastewater:

F. LAND APPLICATION BEST MANAGEMENT PRACTICES
Please check any of the following best management practices that are being implemented at the facility to control runoff and protect
water quality:
 Buffers

 Setbacks

EPA Form 3510-2B (Rev. 11-08)

 Conservation tillage

 Constructed wetlands  Infiltration field  Grass filter

 Terrace

Form Approved
OMB No. 2040-0250

III. CONCENTRATED AQUATIC ANIMAL PRODUCTION FACILITY CHARACTERISTICS
A. For each outfall give the maximum daily flow, maximum 30-day
flow, and the long-term average flow.
1. Outfall No.

2. Flow (gallons per day)
a. Maximum.
Daily

b. Maximum
30 Day

c. Long Term
Average

B. Indicate the total number of ponds, raceways, and similar
structures in your facility.
1. Ponds

2. Raceways

3. Other

C. Provide the name of the receiving water and the source of water
used by your facility.

1. Receiving Water

2. Water Source

D. List the species of fish or aquatic animals held and fed at your facility. For each species, give the total weight produced by your facility per
year in pounds of harvestable weight, and also give the maximum weight present at any one time.
1. Cold Water Species
a. Species

2. Warm Water Species
a. Species

b. Harvestable Weight (pounds)
(1) Total Yearly

(2) Maximum

E. Report the total pounds of food during the calendar month of
maximum feeding.

b. Harvestable Weight (pounds)
(1) Total Yearly

1. Month

(2) Maximum

2. Pounds of Food

IV. CERTIFICATION
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 individuals immediately responsible for obtaining the information, 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 and Official Title (print or type)

B. Telephone ( _______ ) ____________________

C. Signature

D. Date Signed

EPA Form 3510-2B (Rev. 11-08)

Form Approved
OMB No. 2040-0250
INSTRUCTIONS
GENERAL

Item II-D

This form must be completed by all applicants who check “yes” to Item IIB in Form 1. Not all animal feeding operations or fish farms are required to
obtain NPDES permits. Exclusions are based on size and whether or not the
facility discharges proposed to discharge. See the description of these
exclusions in the CAFO regulations at 40 CFR 122.23.

1. Provide information on the type of containment and the capacity of the
containment structure (s).
2. The number of acres that are drained and collected in the containment
structure (s).
3. Identify the type of storage for the manure, litter, and/or wastewater. Give
the capacity of this storage in days.

For aquatic animal production facilities, the size cutoffs are based on whether
the species are warm water or cold water, on the production weight per year in
harvestable pounds, and on the amount of feeding in pounds of food (for cold
water species). Also, facilities which discharge less than 30 days per year, or
only during periods of excess runoff (for warm water fish) are not required to
have a permit.

Item II-E

Refer to the Form 1 instructions to determine where to file this form.

Provide information concerning the status of submitting a nutrient management
plan for the facility to complete the application. In those cases where the
nutrient management plan has not been submitted, provide an explanation. If
not land applying, describe the alternative uses of the manure, litter, and
wastewater (e.g., composting, pelletizing, energy generation, etc.).

Item I-A

Item II-F

See the note above to be sure that your facility is a “concentrated animal
feeding operation” (CAFO).

Check any of the identified conservation practices that are being implemented
at the facility to control runoff and protect water quality.

Item I-B

Item III

Use this space to give owner/operator contact information.

Supply all information in Item III if you checked (2) in Item I-A.

Item I-C

Item III-A

Check “proposed” if your facility is not now in operation or is expanding to
meet the definition of a CAFO in accordance with the CAFO regulations at 40
CFR 122.23.

Outfalls should be numbered to correspond with the map submitted in Item XI
of Form 1. Values given for flow should be representative of your normal
operation. The maximum daily flow is the maximum measured flow occurring
over a calendar day. The maximum 30-day flow is the average of measured
daily flow over the calendar month of highest flow. The long-term average
flow is the average of measure daily flows over a calendar year.

Item I-D
Use this space to give a complete legal description of your facility’s location
including name, address, and latitude/longitude. Also, if a contract grower, the
name and address of the integrator.
Item II
Supply all information in item II if you checked (1) in item I-A.
Item II-A
Give the maximum number of each type of animal in open confinement or
housed under roof (either partially or totally) which are held at your facility for
a total of 45 days or more in any 12 month period. Provide the total number of
animals confined at the facility.
Item II-B
Provide the total amount of manure, litter, and wastewater generated annually
by the facility. Identify if manure, litter, and wastewater generated by the
facility is to be land applied and the number of acres, under the control of the
CAFO operator, suitable for land application. If the answer to question 3 is yes,
provide the estimated annual quantity of manure, litter, and wastewater that the
applicant plans to transfer off-site.
Item II-C
Check this box if you have submitted a topographic map of the entire
operation, including the production area and land under the operational control
of the CAFO operator where manure, litter, and/or wastewater are applied with
Form 1.

Item III-B
Give the total number of discrete ponds or raceways in your facility. Under
“other,” give a descriptive name of any structure which is not a pond or a
raceway but which results in discharge to waters of the United States.
Item III-C
Use names for receiving water and source of water which correspond to the
map submitted in Item XI of Form 1.
Item III-D
The names of fish species should be proper, common, or scientific names as
given in special Publication No. 6 of the American Fisheries Society. “A List of
Common and Scientific Names of Fishes from the United States and Canada.”
The values given for total weight produced by your facility per year and the
maximum weight present at any one time should be representative of your
normal operation.
Item III-E
The value given for maximum monthly pounds of food should be
representative of your normal operation.
Item IV
The Clean Water Act provides for severe penalties for submitting false
information on this application form.
Section 309(C)(2) of the Clean Water Act provides 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.”

Federal regulations require the certification to be signed as follows:
A. For corporation, by a principal executive officer of at least the level of
vice president.
B. For a 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.

EPA Form 3510-2B (Rev. 11-08)

Paper Reduction Act Notice
The public reporting and recordkeeping burden for this collection of
information is estimated to average 9.5 hours per response. The public
reporting and recordkeeping burden for development of the nutrient
management plan to be submitted with the form is estimated to average 58
hours per response. Send comments on the Agency's need for this
information, the accuracy of the provided burden estimates, and any
suggested methods for minimizing respondent burden, including through
the use of automated collection techniques to the Director, Collection
Strategies Division, U.S. Environmental Protection Agency (2822T), 1200
Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB
control number in any correspondence. Do not send the completed form to
this address.