C. The required
registration statement shall contain the following information:
1. Facility name and street address, owner
name, mailing address, telephone number, and email address (if
available);
2. Operator or other
contact name, mailing address, telephone number, and email address;
3. The nature of the business;
4. A USGS 7.5 minute topographic map or
equivalent computer generated map showing the facility location extending to at
least one mile beyond the property boundary and the location of the discharge
points;
5. The receiving waters of
the discharge;
6. The outfall
number, latitude and longitude (in decimal degrees (six digits -
ten-thousandths place)), the daily maximum and monthly average process
wastewater flow (millions of gallons per day or gallons per day), duration of
discharges, and frequency of discharge;
7. The type of water treatment (e.g.,
conventional filtration treatment, microfiltration, ultrafiltration,
nanofiltration, reverse osmosis, or a combination of these) and, if applicable,
a description of any treatment type changes since the previous registration
statement was submitted;
8. The
number of any existing VPDES or VPA permit;
9. The Virginia Department of Health Public
Water Supply Identification (PWSID) number;
10. If the existing VPDES permit contains a
groundwater monitoring plan requirement, a copy of the department-approved plan
shall be submitted unless the plan has been previously submitted and approved
and remains unchanged. If a plan has been previously approved, cite the plan
and date of approval;
11.
Information regarding the lining of any settling basins or lagoons, whether
such units are earthen lined, and if so, whether the linings have a
permeability of no greater than 10-6
cm/sec;
12. The results of any
whole effluent toxicity evaluation required by the 2018 potable water treatment
plant general permit regulation,
9VAC25-860-50 A 3,
or the current individual permit, if not previously submitted to the
department;
13. A schematic drawing
showing the treatment of the water from raw water intake through finished water
distribution. Indicate clearly where backwash, reject water, clean in place
water, and disinfection chemicals could enter the process wastewater and exit
the outfall to state waters. Also include in schematic where solids from any
treatment process are settled or dried;
14. Information on chemicals used in the
production of drinking water and process wastewater treatment, to include (i) a
description of chemicals, (ii) a proposed or actual schedule and quantity of
chemical usage, (iii) a description of any chemical or chemical usage changes
since the previous registration statement was submitted, and (iv) a description
of which chemicals have no likelihood of entering the process
wastewater;
15. A description of
how solids and residue from any settling basins or lagoons are
disposed;
16. Whether the facility
will discharge to a municipal separate storm sewer system (MS4). If yes, the
name of the MS4 owner must be provided. If the owner of the potable water
treatment plant is not the owner of the MS4, the facility owner shall notify
the MS4 owner of the existence of the discharge and include a copy of the
notification with the registration statement. The notification shall include
the following information: the name of the facility, a contact person and
contact information (telephone number and email), the location of the
discharge, the nature of the discharge, and the owner's VPDES general permit
number;
17. If a new potable water
treatment plant owner proposes to discharge within five miles upstream of
another public water supply system's intake, the new potable water treatment
plant owner shall notify the public water supply system's owner and include a
copy of the notification with the registration statement; and
18. The following certification:
"I certify under penalty of law that this document and all
attachments were prepared under my direction or supervision in accordance with
a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system or those persons directly responsible for
gathering the information, the information submitted is to the best of my
knowledge and belief true, accurate, and complete. I am aware that there are
significant penalties for submitting false information including the
possibility of fine and imprisonment for knowing violations."