TIM TYLER SURVEYING AND MAPPING

Transcription

1 TIM TYLER SURVEYING AND MAPPING TOLL FREE: FAX: HWY. 65 N. CONWAY, ARKANSAS November 16,2006 Mr. Parviz Mokhtari, Staff Engineer Arkansas Department of Environmental Quality Water Division PO Box Little Rock, AR Re: Eaglebrook Subdivision Faulkner County, Arkansas Dear Mr. Mokhtari: Enclosed you will find copy's of response and comment letters from the Arkansas Department of Health, revised NPDES permit applications, and proof of publication and payment to the local newspaper for the proposed wastewater treatment facility at Eaglebrook Subdivision. If you have any questions please call me at (50 1) Sincerely, PING AND ENGINEERING, INC. Project Manager cc: H&B Development Enclosure: Stated

2 Arkansas Department of Health and Human Services Division of Health Paul K. Halverson, DrPH, Director Engineering Section - Environmental ~ealth~ranch 1 Center for Local Public Health Postal Address P. 0. Box 1437, Slot H-37 Little Rock, AR TDD: Physical Address for UPS or Fedex 4815 West Markham St., Slot H-37 Llttle Roc AR Fax: September 8,2006 Mr. Steve Kirk Tim Tyler Surveying and Mapping 240 Hwy. 65 North Conway, AR F- RE: Eaglebrook Subdivision Waterline Extension, Sewer Collection and Treatment Plant Vilonia Waterworks, Faulkner County Project # Dear Mr. Kirk: The plans & specifications for the captioned project have been reviewed and we have the following comments: 1. Please address the feasibility of annexing the development into the City of Vilonia and connecting to the Vilonia Sewer system. Provide documentation from the City of Vilonia if annexation/connection is not allowed. Submit documentation on the mechanism (subdivision covenants, bill of assurance, property association by-laws. Etc.) by which the wastewater system owner will operate, maintain and repair the collection system and treatment system. The documentation must clearly show that the owner, or its designee, will: A. Require property owners to connect and remain connected to the sewer system. B. Establish fees or assessments for property owners or occupants by which the sewer system will be operated and maintained, including debt retirement if applicable. C. Define remedies to the owner entity if the fees or assessments are not paid. D. Establish and enforce material and construction standards for mains, pumps, valves, tanks, controls and any other applicable sewer system components. E. Provide exclusive inspection, maintenance, service and repair on all components of the sewer collection and treatment system including service lines. F. Provide for its continuation in the event of bankruptcy, foreclosure or other event which prevents its normal functioning. G. Comply with all applicable local, state and federal laws and regulations. 3. A 300-ft bufferzone from habitable structures, residential lots and recreation areas is required for the proposed treatment plant. Please show the entire bufferzone on the plans and location of nearest developments. Please address the property outside of the development and inside the bufferzone, provide an easement or concurrence statement from the owner(s). The buffenone appears to effect - lots 10 through 17, and 51 through 53. Please revise lot boundaries or eliminate lots to provide for the buffenone

3 Steve Kirk September 8,2006 Page 2 4. Due to the location of residences downstream from the treatment plant along the proposed receiving tributary of Little Palarm Creek and the normal extended dry conditions it experiences, we require hard piping the effluent to Little Palarm Creek. 5. Please clarify the size of the filter backwash line piping. Portions are shown as 3-inch and portions are shown as 2-inch on plan sheet Please clarify the purpose and destination of the return weir noted on the end of the aeration basin on plan sheet Provide design calculations for the wastewater treatment system components specific to this project. 8. It appears the influent pumps to the wastewater treatment plant are oversized and will cause a loading rate of nearly double the maximum design loading rate specified for the filters. Please clarify. ', 9. Emergency power supply should be provided. Clarify how the system will operate during an extended power outage. 10. Please verify and revise the slopes for Sewer Lat A-1 between manholes MH#l and MH# Please revise sections and 3.12 of the specifications to require air testing of sewer mains in accordance with Uni-Bell standards for PVC pipe and eliminate reference to ASTM C Please provide a legible copy of page of the specifications. Further review of this project will continue upon your response to the above comments. When submitting correspondence pertaining to this project, please include our reference number Engineer Supervisor Engineering Section RH: LAJ: MY: my FA ' vw+!', a: Cecil McMurtry, Vilonia Waterworks \ Bill Reed, Vilonia Wastewater ::+* Faulkder County Health Office -.I L* ADEQ, Water Division Mr. Anindyo 'Tito" Sarkar, P.E. EClean Engineering and Consulting Inc. s. -.> 12 Ridgeton Court Little Rock, AR '. *; <,!-,,. :*, -4- -:.,- s \.-*4:3:*$+.-.,.. &.- '

4 November 3,2006 TIM TYLER SURVEYING AND MAPPING TOLL FREE: FAX: HWY. 65 N. CONWAY, ARKANSAS Mr. Lance Jones, PE Engineering Supervisor Arkansas Department of Health Division of Engineering Markham Street Little Rock, AR Re: Eaglebrook Subdivision Faulkner County, Arkansas Project # r. LI : i \ NOV 2 0 Dear Mr. Jones: Below are our comments to your review of the Eaglebrook Subdivision, Faulkner, County, Arkansas. I. We spoke with Mr Bill Reed, Sewer Manager for the City of Vilonia concerning annexation and providing sewer service to the development. He informed us that the City a Vilonia is approximately 3.0 miles from the development and that they could not annex an area into the City, which is not adjacent to the current city limits. He also stated they do not provide sewer service to areas that are outside the city limits. 2. Enclosed you will find a financial statement from First Security bank, copies of Covenants and Restrictions, Contracts between POA and AWWMC and the City of Vilonia. 3. The buffer around the wastewater treatment facility has been changed to 300-foot. We would like to request the Arkansas Department of Health review the facility after startup and optimization and to reduce the buffer to 150ft radius based on the information below and actual field data obtained. The EQ basin will be set at ground level, covered and will have a vent containing charcoal to remove odors from any discharged air. The Aeration basin will be mixed and aerated using aspirating aerator's; which.. do not emit a mist. These aerators are place at the bottom of the bhsin, pull air from the surface and disperse at the bottom of the basin. The basin will have a, 8'.,<: T fiberglass cover to prevent the discharge of mist caused by wind action..:.. F:. '.,. The Sludge storage basin will be covered and have a charcoal filter.., +...

5 5." The clarifier will have a fiberglass cover to prevent the discharge of mist caused by wind action. The surface of the Chlorine Contact Basin will be approximately 7 foot below grade. All pumps required for operations will be submersible, and should not cause any noise or mist. A privacy fence will be constructed around the facility to prevent unwanted entry and to keep out of sight. We are in the process of contacting the adjacent property owners as notification of the treatment facility buffer extended onto their property. We will forward copies of these notifications. 4. We would like to ask based on approved responses on all other comments that the project be allowed to continue without responding to this issue at this time. 5. The filter backwash piping is 2" PVC. 6. We anticipate that during startup and thru the fir-& few years of operation of the facility, influent flow will be very low. The influent pumps are set up to operate on a constant basis to pump the design flow. Until the design flow of the facility is met the return weir can be adjusted to allow a portion of the flow to return to the EQ basin allowing for longer pump run times. 7. Enclosed find a copy of the Technical Memorandum for the facility. 8. Although the lnfl~nt pumps are rated high, the flow going into the plant will be controiied by the inlet weir structure. The purpose of the weir is to distribute the flow evenly throughout the 24 hours period. Therefore, the filters will be loaded with only a small fraction of the rated pump flow rate. 9. The facility will have an emergency phone dialer, which in the event of a failure or power outage will call a set of selected numbers and will require a caller to acknowledge the call. The contracted operators of the facility have portable emergency generators, which will be used for this facility in the event of a power outage The slopes between MH 1-3 have been revised. I I. Specification has been revised Copy enclosed..j i r $,.!. :. ::.. 2.p -4 t-p. Thank you for your consideration on this matter and if you have any questions please call ' ine at (501) St&li,. I_cRc,',.. -

6 Sincerely, TIM TYLW SURVEYING,.YAPPING AND ENGINEERING, INC. && e Kirk, CET cc: H&B Development City of Vilonia Water Department E-Clean Engineering and Consulting, Inc. Enclosure: Stated

7 PROOF OF PUBLICATION STATE OF ARKANSAS County of Faulkner I, Scot Morrissry. do hereby certify that I am the publisher of the Log Cabin Democrat, a daily newspaper published in the City of Conway, Arkansas, and having a bonafide circulation in Faulkner County. Arkansas. that said newspaper has been published at regular intervals continuously during n period of at least twelve (12) months prior to the date of publication of the annexed and is in all respects eligible and qualified to publish legal notices under the provisions sf Acl 152 of the I937 Acts of the General Assembly of the State of Arkansas as amended by Act 263 ol' the 1937 Acts ol'the General Assembly of the Slate of Arkansas. I further certify that said legal advertisement. a copy of which is hereby attached. rubmitted to..?4 Parviz MokMBrj Ark- Departme Environmend a% NPDES Branch, Wa$r DiJke 8001 Nat~onal hwt Post Office Box Little Rock. AR 7221 a% Teleohone: (501) 682-Q Fees for Printing. %... Cost of Proof s Sq"" Total. $ was published in said newspaper for insertions on the following jays, to-wit:.../ :..(_... '.,...,. :I......, ,..2,>*.,..*...,-....r;, *'...'./ +-:....>', ',. j 5 ~&sc:ibed and'ykorn;(io &is... day of ,,.-.,. -.. %..,' _:. - -".-..,. ' ,a'.,...,.,.., :.:.... Notary Public ~/l~'cpmmission yxpir$'... APT!:!.~.Z!?!.!!....,,......,....

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9 I EL Itm Dlnchrgers - Proddo eslimotes lor rhc paramtna7s Itsred m tllo leh-hand column below unlors wa~vod I," 11-c [,~IIO,,(,I\,~ aulhoriry Insload ol ~lte nurnhr of n~oor~,ron~onls taken provudo Ill0 source of arl~melcd volucs (rcc r,*rrr,rcr,on;/ ' Pdlui ant OX haa<arnvrn Parrrrrrlar V*lua Vdua (Iarr fa.#/... IJl 10.1 /(I Nwntror of -1 ' S ~ ~ t c ~ ~ M.acurur8>on1 ; I r~t~n rt.n I I,/,lea. Concanll.rkon -- Concsnltr~~ol?.. ~mt,. re.#,. j d.ccra,rpcr,.. OIM~ (800) focal S w Soldr [ISS) - ko( C d i h (;I bclircd' ' ' gnwm H ll renirarr vacra IS ~ 6 i l A ~ I)(::. I ),;I1! )~:; i.[;11 I [It! ;. 'L. r; C,II pmmea lor lmmbualvra fw,~llor.r~ & MCD MCD Value -.a= I.w*Iu* (Svnvnrrl 2 5 I)CS igll 'C I 'If wmrct coolmq wrlcr IS Lururgea I EPA Form 3SrO.ZE (I-$@) ~UQC I of z 1

10 Gravity Collection, flow equalization, aeration,clarification, filtration,disinfection, and outfall VII. Other Information (Optione/l Use the space below to expand upon any of theabove questions or to brlng tothe tnention of the revieweranvother tnformat~on you feel should be considered in estclblish~ng permlr lim~tations Attach add~t~onal sheets, if necessary I None VIII. Cokilflcation A. Namo & Official Title r4LOL- D. Date S ipd

11 INSTRUCTIONS: Arkansas Department of Environmental Quality NPDES FORM 1 PERMIT APPLICATION This form should be typed or printed in ink. IF i4:ufficient space is available to address any item please continue on an attached sheet of paper. i. Please complete the following Section (s): i * As necessary If you need help on SIC or NNAICS (Question No. 5 of Section H) go to If you have any questions about this form you may call NPDES Section at and ally of the followiny nunibers or so to..:. Arkansas Depa~~nient of Health Department of Interior- Water supply USGS Hydrologic Unit Codes and Area Map Use the followi~ig infonnatiori for Section B: Scale ol'map Inli,rlllatio~~. I :250,1HJO I I "=20,833') 1:62,5(Jo i 1 "=j:208') 1:63,000 (1"=5,2jO'j I :L5,00(i( 1 "=2.083'j 1 :20,000 ( 1 "= 1,667) 1 : ( 1 =5,292') 1:24,000 (1"=2,000') 1:63,360 ( 1 "=5,280') UII~IIO\\II Medlod is uwil 111li)n11atio11: I - Address Mapping 2 - Aerial I'hoto \\'I Ground Coiltrol 3 - Cadastral Survc\ 4 - State I'li111 Coord. S!.stcin COIIV. - l'o\\~1sh~~scctio11-k1g Sys.. Conv 6 - IJ'I'M Coordi~~ales Collvcrsioll 7 - Ila\v I'hoto Extroclion X - Cil'S Surve). 9 - I,OI<AN-C Navigatiol~ Lkvice A,- Map Irlteplatioll B - Navigation Qual~t!. Gl'S C - I~CIIIOIC Sellsing D ' Code Centroid U - UII~IIOMII I I I t i M I I I I I I - Norill Alllcrical~ L)atuln 1927 : 2 - North.A~l~cric;~n l)i11~11i 198.; : 11 - t!111;11o\v11 'I'LXIIIII~II Accuracl; illli)nl~atioll: I - 11caresl 10th ol'a secolld ; 2 -uearesl swlld; 3 -ncrrrcsl I0 scwollds; 4 -.XI sccollds: 5-1lcilrcst IIIIII~I~~; 6-11~1res1 I0 ~llitlillcs; 7-11wres130 III~II~I~~S; 8-11~11rcst dcg1.c~ Collcclion I'oillt: I - Cc~~lro~d ol' I'rtxessi~~g Arco: Z - I:ronl door of facilit!. 3 - Othcr (slxcifi.) The followilig Fortns in addition to Form I is required for processing your application: Form 2A - Municipal Dischargers Form 2C Esistii~g blanuracturing, Conllnercial. Mining. and Silvicultural Operations Form 2D - New Sources and New Discllargcrs Applicalion Tor Per~nir lo Discllargc Process Wastewater Fo.rn~ 2F - Applicalion Tor Pcrolil to Discharge Slorl~l Watcr Discllargs Associated Wirh Industrial Acli\.ii\ Form 2E - I;;~cilit ics Whicl~ Do No1 Discl~arge Proccss Waslew;~lcr (LC. Domcsr ic. No11 contacl cooling \\.;t[cr) Page I of I

12 PERMIT APPLICATION FORM 1 ARKANSAS DEPAR'l"bEN?' 01: ENV[RONMEN*I'AL QUALl'fY WATER DIVISION POSl' OFFICE BOX I.ITTLE ROCK, AR PURPOSE OF THIS APPLICATION X INITIAL PERMIT APPLlCATION FOR NEW FACILITY INITIAL PERMIT AF'PLICATION FOR EXISTING FACILITY MODIFICATION OF EXISTING PERMIT REISSUANCE (RENEWAL) OF EXlSTlNG PERMIT MODIFICATION AND CONSTRUCTION OF EXISTING PERMIT CONSTRUCTION PERMIT SECTION A- GENERAL INFORMATION I. I-acil~~! Nalllc: Eaglcbrook Si~bdi\.isio~~ 1. LcgaI.4pplicai11 N;IIIIC (Iftltc;~pplic;int is difrcrc~~r fro~u thc abo1.c)- Arkans:~s Water and Wi~stc\vatcr Managerncnt. Inc..<. Opcrator (Pcr~l~irrcc) Na~nc: SHAYNE HOBBS 4. Is IIIC opcriltor idcntificd in r1~1111bcr 3 i~bovc. thc o\\,ncr of tllc f;tciiir!-'' s Ycs 5. NPDES Pcri~lit Nun~bcr (IT Applicablc): NIA 6. NPDES Gcrlcral Pcr~liit Nr~rl~ber (If Applicable): N/A 7. NPDES Gcrlcral Storiu W;itcr Pcrrl~it Nu~ubcr (If Applicablc): NIA 8. Docs your hcility IloId any otl~cr pcr~uits \vllicl~ arc nor listcd above? Yes 9. Pcrioit Nuiubcrs andlor nalllcs ofi~~ly pcrrnits issucd b!. ADEQ or EP.4 for an ilcti\,it!. locatcd in Arker~sas Illat is prcsenrl! llcld by Ihc applicanl or its parent or subsidiary corporation: Held bs Page 2 of 2

13 ~ - ~ ~ Givc a verbal description (Direction) of tile f;~cility with respect to known or easily identifiable landmarks: From 1-40 at Conway. Arkansas travcl East on Arkansas Stale Highway 64 to the co~n~nunity of Hamlet. continue East for 1.5 rniles, the project site \\.ill bc on tllc right bchind thc mini \\.archouses on tllc Soutll sidc of tl~c I~iglr~vay. 1 I. Facility Location: (Attach a map with location markcd; street. routc no. or other specific identifier) Slreet: Hmy 64 Easl City: Hamlet County: Faulkner State: Ar Zip: Facility Mailing Addrcss (Strcct or Post Olllcc Bos): Slrect: N/A P.0 Bos City: Stale: ZLP 13. Neighboring States Within 20 Miles of thc perlnitted facility (Check all that apply): Oklahonla Missouri Tc~l~lcsscc Louisiaail Tcsas Mississippi I -I. Type of on-ncrship: Public Fcdcral 15. Indicate applicablc Standard Industrial Class~fi~lriou (SIC) Codcs or NAlCS codes for all proccsscs: Pri III;I~\,. Orhcr Otl~cr - ~ 0 Design Floiv: 0.0 I SO MGD Higl~cst hlo~~tlll! A\.cragc of tl~c I;lst t\\o yatrs Flo\\: NIA MGD 17. Is Outfi~ll cquippcd \\ ill1 ;I diltt~scr" )'cs S No IX Rcsporisiblc Olllcinl (as dcscribcd on tllc I:lsr p;~yc of Illis rlppl~cilrion):.. Naluc: ~ N HOBBS E III[C IllIc OWNER Addrcss P.O.- BOX Pllouc Nuulbcr City i t : Contva! Stiltc:.4r Zip. 77n12 I0 Dcsignatcd Facili~!; COIII~IC[ (as describe OII rllc last page of this appllcarion): Nacnc: Mr. JeE Jacks TII Opcrntor City: Con\\.a\. Statc: Ar Zip: Naalc. address and rclcpl~onc niunbcr of consr~lri~~g cnginecr fir111 (If none. so state): Name: Addrcss: City: E-Clean Engineering and Const~ltin&. - lnc. - ~ 12 Kidgcto~~ Ct Plkonc Null~bcr: I 50 I p- Little Rock - 1 Slatc: Ar [Zip

14 SECTION B: FACILITY AND OUTFALL INFORMATION I. Facility Location: Lat: 35 O 04 ' 53 " Long: 92 " " Section: 9 Township: 5N Range: 12W County: Faulkner Nearest Town: Hamlet USGS Hydrologic Unit Code: What map scale is used? 1:25,000 What Method is used? Delorme Indicate Technical Accuracy 2 What map datum is used? U Where is the collection point? Outfall 2. OutfalVmonitoring Location: Lat: 35 O 04 ' 52 " Long: r - USGS Hydrologic Unit Code: What map scale is used? 1:25,000 What Method is used? Delorme Indicate Technical Accuracy U What map datum is used? NAD27 Where is the collection point" Oulfall Name of Receiving Stream (i.e. an unnamed tributary of Mill Creek, thence into Mill Creek; thence into Arkansas hver): Unamed tributary; thence little Palarm Creek: thence Palarm Creek; thence Lake Convvay " Outfall -NIA: Lat: o " Long: o USGS Hydrologic Unit Code: What map scale is used? What Method is used? Indicate Technical Accuracy What map datum is used? Where is the collection point? Name of Receiving Stream (i.e. an unnamed tributary of Mill Creek, thence into Mill Creek; thence into Arkansas River): 3. Are the proposed or existing facility located above the 100-year flood level? X Yes If "No", what measures are (or will be) used to protect the facilities? 1. Type of Treatment system (Included all components of treatment system and Attach the process flow diagram): \ Gravity collection, flow equalization, aeration, clarification, filtration, disinfection and outfall. Page 4 of 4

15 I. Sludgc Disposal Method (Check as many as are applicable): Landfill Landfill Site Narne Land Application ADEQ Solid Waste Permit No. - ADEQ Stare Pennit No. Mctltod of sludge rreatlnent Wllal is thc cniatatcd alnount of sludge gcnerated ar tllc rrearlncnr Bcilitx? Dry TodAcre per \car Gallorl/Acres per pgr List all llte land application sites ivi~ltile follo\ving iuformalion:.,. Total Available Field Nuutber Nc\v/Old Range Township Section $. Acrcs Acrcs CropCo\.cr Londi~r~Ratc 0 Scl~tic tank Arkansas Dcparrmcot ofh~11th Pcrrnit No.: Distribution anti Marketing Facilir! recci\.ing sludgc: Nantc: Address. City: State: Zip: Pl~one:, Rail: Pipc: Othcr: - - Subsurface Disl)osal (Lagoonirtg) LOC~IIOII of lagoon Hot\ old is the lagoou? Surfacc are of lagoon: Acre Depth: Ft Does lagoon have a liner'? (7 Ycs No Incineration Location of incincraror Other (Pro\.ide corl~plctc dcscription) Sludgc will bc pu~~~ped oul and disposed of by a liccnsed sludgc hauler and disposcd of at a pcrrnitted location. Page 5 of 5

16 SECTION D - WATER SUPPLY Water Sources (check as many as are applicable): Private Well - Distance from Discllarge point: 'within 5 mile Within 50 mile pd Municillal Water Utility (Specifj. City): Citv of Vilonia Distance fro111 Discllarge point: Within 5 mile Within 50 mile Surface Water- Name of Surface Walcr Source. Distancc from Discharge point: 0. Witl~in 5 niilc Other (Specif!.): Distance fro111 Discl~argc poinl: 0. Within 5 milc Within 50 mile Within 50 niile I Act -336 of I995 pro\.ides for financial nssurancc rcq~lircriie~lls for pcr~nitting couullon sewage systeuls. Arka~~s~s Codc Depanriicr~l of Pollution Control and Ecolog! sllall no1 perrnil or regislcr any cornlnon sewage systeni sening two(2) or more occupicd lots. residences. businesses. or otller disccrnible occt~pied init withour llle applicant first dernonstraring lo tlrc dcpart~ncnt its financial ability to co\,cr tile costs ofopcr:itir~g and maintaining the systeln for a period of five (5) years Please provide fin~rlcinl iissurdflcc in ordcr to sllo\\s lira1 1l1c facilily is able to co\.cr tlrc cosls of opcraring and r~~ain~airrirrg lllc Ircatrncnc sysrcrn for IIIC rrcsr fivc!cars. Tlrc rnir~in~i~l finirncii~l ;Issurancc rna! bc dcl~~onsrrnlcd lo lllc dcpart~r~cnr (Arkansas Codc X-5-703(;1)(2)):.4. B!. obtaiui~~b IIISII~;IIICC; ' B. By passing a financial tcsr: C. By obtaining a lcttcr of crcdil: D. 8). obtainir~g a surcl! bond: E. By obtaining a trust fbnd or escrow accounl: F. Tl~rougl~ tllc irsc of a combination of insurancc. financial tcst. letter ofcredil. surcl!. bond. Irusl fund. or cscrou. accourir. 2. Applicallr lras prc\~iousl~ subiililtcd. or 11;rs on file \I ill1 111i.s Dcpart~ncnl, a co~uplac Disclosurc Forrii 21s rcquircd b! 199 I : Acl of If YES. dittc subu~irtcd: 1005 Di\.isiou: \V:IICI. Page 6 of 6

17 SECTION F - INDUSTRIAL ACTIVITY I. Does an effluent guidelines lilnitation pro~nulgated by EPA (ii!! Section 304 of the Clean Water Act (CWA) apply to your facility? i;,j~.:si,\!,:<;~j!, 2:),:~I>:L.<:I~~!,I$ r.4.:!.'::n;i!?j -i, i i!,!i:i.:~:;i?;~!->i. Ij ji,::,) under YES (Answer questions 2 and 3) NO 2. What Part of 40 CFW 3. WllatSubpart(s)? 4. Give a brief descriplion of all operations at this facilily including primary products or senficcs (attaclr additional sliects if necessal).) : 5. Production: (projcctcd for nc\\ bcilitics) r Last 12 Montlls Higllcsl Production Year of Lasr 5 Ycars Product(s) Manufactured (Brand namc) Highest Monlll I bdday Days of Operation Monthly Avcragc I bdday Days of Operation I I - 1- j SECTION G - WASTEWATER DISCHARGE INFORMATION Facili~ies that chcckcd "Yes" in qt~cstion I of Scction F arc considcrcd Categorical Industrial Users and slio~lld skip to qucstion 2. I. For Non-Categorical Uscrs Only. LISI at.cragc \vastc\\ilter discliargc. rnasilnum d~schargc. and t3.p ~Tclisclrarge (batclr. continuous, or bot 11). for each plant process. l nclude llle reference n~ililbcr from t llc proccss flow sclrcmat ic (rcferencc Figurc 1 ) lllal corresporids to each proccss. INew facilities slioilld provide cstilnates for each disckarge.1 -- No. Proccss Dcscriptiorr Avcragc Flou (GPD) Masi~nu~u Flow (GPD) Typc of D~schtrgc (batch. co~rr~uuous. none) 1 1 i Page 7 of 7

18 If batch discharge occurs or will occur, indicaie: [New facilities may estimate.] Number of batch discharges: per day Average discharge per batch: Tirne of batch discllarges (days of week) (hours of day) Flow rate: gallons/minute Percent of total discharge: - Answer questions 2,3, and 4 only if you are subject to Categorical Standards. 2. For Categorical Users: Provide the waslelvatcr discharge flows for each of your processes or proposed processes. Include the reference number fro111 the process flow sche~natic (reference Figure I) that corresponds to each process. [New facilities should provide estimates for each discharge. 1 No. Rcgulatcd Proccss Average Flow (GPD) Maximum Flow (GPD) Type of Discharge (batch, continuoos, nonc) No. Unregulated Process Avcragc Flow (GPD) Masiinur~i Flow (GPD) Type of Discharge (batch. continuous. none) I j I No. Dilu~io~l (e.g.. Cooliug Water) A\,cragc Flo\\. (GPD) Masi~uum Flou. (GPD) Tgpc of Discharge (batch. conlinuous. norlc) I If batcll discharge occurs or \\.ill occur. indicate: INelv facilities Inay cslimalc. I Numbcr of batch discharges: Tirnc of batch discharges per da!- (days of \vcck) A\,cragc discharge pcr balch: Pcrcenr of total discl~arge: 3. Do you have. or plan to havc. aurorl~atic sampling cquip~l~c~lt or contin~rous waslc\\.aler flow melering cquipmcn~ ;II this facilily'? Current: Flow Metcring Sampling Equiprncnt Planned: Flow Metering Sarl~pl~ng Equiprucnl YCS Ycs Yes Ycs If so. plcasc indica~c tllc prcscrlt or filturc location of his cquip~llcrlt 011 IIIC sewcr scllcr~lalic and dcscribe thc cquipn~cnl bclo~v: Page 8 of 8

19 4. Are any process clunges or expansions planned during the next three years that could alter wastewater volumes or cl~aracteristics? Yes No (If no, skip Question 5) 5. Briefly describe these cllanges and their effects on the wastewater volu~ne and characteristics Tccllnical infornlation to support this application sllall be furnished in appropriate detail to understand tire project. Infor~nalion in this Part is required for obtair~ilig a construction perniit or for nlodificatio~l of tire Ircatmcntldisposal s~sleo~. I. Describe thc process for \trasteivatcr lreatmcnt. Include llle types control equipment lo bc lnstallcd along tvitll their methods of operation and control cficiency. 2 Onc sct of constn~c~ion plans and specifications. approvcd by a Profcssionnl Enginccr (PE) registered in Arkansas, must be sub~nitted as foilotvs: a. The plans Inust sllow flow rates in addition to pertinent di~ucnsionso lltal detention ti~~lcs. 01 crflow rates. and loadings per acre. ctc. can be calculated.,i b. Specifications and co~nplete design calculations. c. All treated \\astc\vater diwl~arges should Ila\.e a flow unwsuring de\,icc sucli as a weir or Parslrall flume installed. Wllcre there IS a significa~ difference belbveen t hc flow rates of tlle raw and trearcd waste\vater, a flo~ uleasuring device sllould be provided both before and after treatment. ~ f f t ~ w ~ ~ ~ - ~ & f t e c ~ K $ i a ~ storlu ~ u.aler a construclion c r e s pertnil. rllusl bc obtained by submitling a notice of intent (NOI) to ADEQ. Page 9 of 9

20 SECTION I: SIGNATORY REQUIREMENTS The information contained in this forni rnust be certified by a rcs~onsible of/iciulas defined in tlie "signatory requirements for permit applications" (40 CFR ). Responsible official is defined as follows: Corporation, a principal officer of at least tile level of vice president Partnership, a general partner Sole proprietorship: the proprietor Municipal, state, federal, or other public facility: principal executive officer, or ranking elected official. 1 certify under penalty of lam tlrat this docutnent and all attachments were prepared under Iny direction or supervision in accordance ititlr a systeln designed to assure that qualified personnel properly gather and evaluate tlre inforniation submitted. Based on my inquir) of the person or persons who manage the system, or gathering the infonnation, the information submitted is, to the best of my knowledge and belief, tliat there are significant penalties for Signature of responsible oficial: Dale: \\\\b\~b C( Printed riarile of rcsponsible oficial: ~ Y N. E H O ~ OlIicial tirle of responsible oficial. OWNER Tclcphone Nu~nbcr B!: signature in Scctioli I abo1.c. tllc applicant cci-lilies Illat tllc na~ried individual is qualified as prinl belo\\. to act as a duly authorized rcprescntativc under the pro\isions of 40 CFR (b). (NOTE: If no duly autllorizcd representative is dcsignatcd in this section. tlrc Dcpartmcnl considers tl~e applicant to bc tlrc rcsponsiblc oliicial for tllc facility and only reports. ctc.. signcd b!. tlrc applicant nil1 bc accepted b!: tllc Department). Cognidant Official (Duly Au~lrorized Represcrrtati\,c) 40 CFR (b) statcs tlrat all rcports requiyd by ll~e permit. or oillcr ~nformation requcstcd by the Director. shall bc signed by the ;tpplicanl (or person autlrorized by t11e :tpplicnnl) or by a duly autlioriz,ed reprexntati\.e of that pcrsori A pcrsou is duly autliorized rcprcsentativc only if: (I) tlrc authorization is lliade in writing b ~, the applicant (or person autliorized by the applicant): (2) thc authorization specifies eitlier an indi~idual or a position having rcsponsibility for tlre overall opcralion of tl~e regulated facility or activity responsibility. or an individual or position having o\.crall rcsponsibility for cn\.ironmcntal matters for [l,emlw\l_ Tlre applicanr Ircrcby designates the following person as a cognizant ofiicial. or duly aullrorized represenlalive. for signing reports. ctc.. including Discharge Monitoring Repons (DMR) required by the pennil. and otllcr infor~nation requested by rhc Director: Mr. JelT Jackson NAME (first. last) Opcrator TITLE TELEPHONE Page 10 of I0

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