ࡱ> ` $bjbjss );R"""""""4VKKKhK$LVvhM@S@2T2T2TUhyY\[0ttttttt$wh\ztY"^ UU^^t""2T2TFvaaa^"2T"2Tta^taarlT""l2TM ൤K^UlqD\v0vclz {_ {ll {"m]05]"aW]s]]]]ttQaX]]]v^^^^VVV$#z* VVVz*VVV"""""" ANTIDEGRADATION REVIEW APPLICATION UTAH DIVISION OF WATER QUALITY Introduction The objective of antidegradation rules and policies is to protect existing high quality waters and set forth a process for determining where and how much degradation is allowable for socially and/or economically important reasons. In accordance with Utah Administrative Code (UAC R317-2-3), an antidegradation review (ADR) is a permit requirement for any project that will increase the level of pollutants in waters of the state. The rule outlines requirements for both Level I and Level II ADR reviews, as well as public comment procedures. This application is intended to assist the applicant and Division of Water Quality (DWQ) staff in complying with the rule but is not a substitute for the complete rule in R317-2-3.5. Additional details can be found in the Utah Antidegradation Implementation Guidance and relevant sections of the guidance are cited in this application form. ADRs should be among the first steps of an application for a UPDES permit because the review helps establish project design expectations. ADRs are also required for any project taking place within a stream channel and for applications to fill wetlands as part of the Army Corps of Engineers 404 permitting process. The level of effort and amount of information required for the ADR depends on the nature of the project and the characteristics of the receiving water. To avoid unnecessary delays in permit issuance, the Division of Water Quality (DWQ) recommends that the process be initiated at least one year prior to the date a final approved permit is required. This antidegradation application must be completed and approved by DWQ before any UPDES permit can be issued. DWQ will determine if the project will impair beneficial uses (Level I ADR) using information provided by the applicant. The applicant is responsible for conducting the Level II ADR, if necessary. For the permit to be approved, the Level II ADR must document that all feasible measures have been undertaken to minimize pollution for social or economically beneficial projects resulting in any increase in pollution to waters of the state. Parts A, B, D, and G are required for all permits, whereas Parts C, E, and F are only required for Level II ADRs. Once the application is complete, it should be signed, dated, and submitted to the DWQ staff member who is responsible for the UPDES permit or 401 Certification. For additional clarification on the antidegradation application process and procedures, please contact Nicholas von Stackelberg (801-536-4374) or Jeff Ostermiller (801-536-4370). Antidegradation Review Application Part A: Applicant Information Facility Name:  FORMTEXT       Facility Owner:  FORMTEXT       Facility Location:  FORMTEXT       Application Prepared By:  FORMTEXT       Receiving Water:  FORMTEXT       What Are the Designated Uses of the Receiving Water (R317-2-6)? Domestic Water Supply:  FORMDROPDOWN  Recreation:  FORMDROPDOWN  Aquatic Life:  FORMDROPDOWN  Agricultural Water Supply:  FORMDROPDOWN  Great Salt Lake:  FORMDROPDOWN  Category of Receiving Water (R317-2-3.2, -3.3, and -3.4):  FORMDROPDOWN  UPDES Permit Number (if applicable):  FORMTEXT       Effluent Flow Reviewed:  FORMTEXT       What is the application for? (check all that apply)  FORMCHECKBOX  An application for a UPDES permit for a new facility or project.  FORMCHECKBOX  An expansion or modification of an existing wastewater treatment works that will result in an increase in the mass or concentration of a pollutant discharged to waters of the state.  FORMCHECKBOX  A permit renewal requiring limits for a pollutant not covered by the previous permit.  FORMCHECKBOX  An expansion or modification of an existing wastewater treatment works that will result in an increase in volume discharged over the volume used to obtain previous permit limits.  FORMCHECKBOX  A proposed UPDES permit renewal with no changes in facility operations. Part B. Is a Level II ADR required? This section of the application is intended to help applicants determine if a Level II ADR is required for specific permitted activities. In addition, the Executive Secretary may require a Level II ADR for an activity with the potential for major impact on the quality of waters of the state (R317-2-3.5a.1). B1. The receiving water or downstream water is a Class 1C drinking water source.  FORMCHECKBOX  Yes A Level II ADR is required (Proceed to Part C of the Application)  FORMCHECKBOX  No (Proceed to Part B2 of the Application) B2. The UPDES permit is new or is being renewed and the proposed effluent concentration and loading limits are higher than the concentration and loading limits in the previous permit and any previous antidegradation review(s).  FORMCHECKBOX  Yes (Proceed to Part B3 of the Application)  FORMCHECKBOX  No No Level II ADR is required and there is no need to proceed further with application questions. B3. Will any pollutants use assimilative capacity of the receiving water, i.e. do the pollutant concentrations in the effluent exceed those in the receiving waters at critical conditions? For most pollutants, effluent concentrations that are higher than the ambient concentrations require an antidegradation review? For a few pollutants such as dissolved oxygen, an antidegradation review is required if the effluent concentrations are less than the ambient concentrations in the receiving water. (Section 3.3.3 of Implementation Guidance)  FORMCHECKBOX  Yes (Proceed to Part B4 of the Application)  FORMCHECKBOX  No No Level II ADR is required and there is no need to proceed further with application questions. B4. Are water quality impacts of the proposed project temporary and limited (Section 3.3.4 of Implementation Guidance)? Proposed projects that will have temporary and limited effects on water quality can be exempted from a Level II ADR.  FORMCHECKBOX  Yes Identify the reasons used to justify this determination in Part B4.1 and proceed to Part G. No Level II ADR is required.  FORMCHECKBOX  No A Level II ADR is required (Proceed to Part C) B4.1 Complete this question only if the applicant is requesting a Level II review exclusion for temporary and limited projects (see R317-2-3.5(b)(3) and R317-2-3.5(b)(4)). For projects requesting a temporary and limited exclusion please indicate the factor(s) used to justify this determination (check all that apply and provide details as appropriate) (Section 3.3.4 of Implementation Guidance):  FORMCHECKBOX  Water quality impacts will be temporary and related exclusively to sediment or turbidity and fish spawning will not be impaired. Factors to be considered in determining whether water quality impacts will be temporary and limited: The length of time during which water quality will be lowered:  FORMTEXT       The percent change in ambient concentrations of pollutants:  FORMTEXT       Pollutants affected:  FORMTEXT       Likelihood for long-term water quality benefits:  FORMTEXT       Potential for any residual long-term influences on existing uses:  FORMTEXT       Impairment of fish spawning, survival and development of aquatic fauna excluding fish removal efforts:  FORMTEXT       Additional justification, as needed:  FORMTEXT       Level II ADR Part C, D, E, and F of the application constitute the Level II ADR Review. The applicant must provide as much detail as necessary for DWQ to perform the antidegradation review. Questions are provided for the convenience of applicants; however, for more complex permits it may be more effective to provide the required information in a separate report. Applicants that prefer a separate report should record the report name here and proceed to Part G of the application. Optional Report Name:  FORMTEXT       Part C. Is the degradation from the project socially and economically necessary to accommodate important social or economic development in the area in which the waters are located? The applicant must provide as much detail as necessary for DWQ to concur that the project is socially and economically necessary when answering the questions in this section. The social and economic importance of publicly owned treatment works (POTWs) are typically considered self-evident and do not require detailed explanation. More information is available in Section 6.2 of the Implementation Guidance. C1. The facility is a POTW and is necessary for economic and social growth of the serviced community.  FORMCHECKBOX  Yes (Proceed to Part D of the Application)  FORMCHECKBOX  No (Proceed to Part C1 of the Application) C1. Describe the social and economic benefits that would be realized through the proposed project, including the number and nature of jobs created and anticipated tax revenues.  FORMTEXT       C3. Describe any environmental benefits to be realized through implementation of the proposed project.  FORMTEXT       C4. Describe any social and economic losses that may result from the project, including impacts to recreation or commercial development.  FORMTEXT       C5. Summarize any supporting information from the affected communities on preserving assimilative capacity to support future growth and development.  FORMTEXT       C6. Please describe any structures or equipment associated with the project that will be placed within or adjacent to the receiving water.  FORMTEXT       Part D. Identify and rank (from increasing to decreasing potential threat to designated uses) the parameters of concern. Parameters of concern are parameters in the effluent at concentrations greater than ambient concentrations in the receiving water. The applicant is responsible for identifying parameter concentrations in the effluent and DWQ will provide parameter concentrations for the receiving water. More information is available in Section 3.3.3 of the Implementation Guidance. Parameters of Concern: RankPollutantAmbient ConcentrationEffluent Concentration1 FORMTEXT       FORMTEXT       FORMTEXT      2 FORMTEXT       FORMTEXT       FORMTEXT      3 FORMTEXT       FORMTEXT       FORMTEXT      4 FORMTEXT       FORMTEXT       FORMTEXT      5 FORMTEXT       FORMTEXT       FORMTEXT       Pollutants Evaluated that are not Considered Parameters of Concern: PollutantAmbient ConcentrationEffluent ConcentrationJustification FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Part E. Alternative Analysis Requirements of a Level II Antidegradation Review. Level II ADRs require the applicant to determine whether there are feasible less-degrading alternatives to the proposed project. More information is available in Section 5.5 and 5.6 of the Implementation Guidance. E1. The UPDES permit is being renewed without any changes to flow or concentrations. Alternative treatment and discharge options including changes to operations and maintenance were considered and compared to the current processes. 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FORMCHECKBOX  Yes (Proceed to Part F)  FORMCHECKBOX  No or Does Not Apply (Proceed to E2) E2. Attach as an appendix to this application a report that describes the following factors for all alternative treatment options (see 1) a technical description of the treatment process, including construction costs and continued operation and maintenance expenses, 2) the mass and concentration of discharge constituents, and 3) a description of the reliability of the system, including the frequency where recurring operation and maintenance may lead to temporary increases in discharged pollutants. Most of this information is typically available from a Facility Plan, if available. Report Name:  FORMTEXT       E3. Describe the proposed method and cost of the baseline treatment alternative. The baseline treatment alternative is the minimum treatment required to meet water quality based effluent limits (WQBEL) as determined by the preliminary or final wasteload analysis (WLA) and any secondary or categorical effluent limits. E4. Were any of the following alternatives feasible and affordable? AlternativeFeasible Reason Not Feasible/AffordablePollutant Trading FORMDROPDOWN  FORMTEXT      Water Recycling/Reuse FORMDROPDOWN  FORMTEXT      Land Application FORMDROPDOWN  FORMTEXT      Connection to Other Facilities FORMDROPDOWN  FORMTEXT      Upgrade to Existing Facility FORMDROPDOWN  FORMTEXT      Total Containment FORMDROPDOWN  FORMTEXT      Improved O&M of Existing Systems FORMDROPDOWN  FORMTEXT      Seasonal or Controlled Discharge FORMDROPDOWN  FORMTEXT      New Construction FORMDROPDOWN  FORMTEXT      No Discharge FORMDROPDOWN  FORMTEXT       E4. From the applicant s perspective, what is the preferred treatment option?  FORMTEXT       E5. Is the preferred option also the least polluting feasible alternative?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If no, what were less degrading feasible alternative(s)?  FORMTEXT       If no, provide a summary of the justification for not selecting the least polluting feasible alternative and if appropriate, provide a more detailed justifiŘƘǘɘ˘̘Ә֘٘IO%&01ÿ۷nV/jh*hF h^6Uehr hF hiX6ehr)jhF hiX6Uehr hiX5 h/ 5 h5 h 85 he5 hF 5 h,:5hiXhiX5h2YhCrhG hF hCr5hF hG 5 hG 5jhU[ 5Uj)hU[ hn5U hU[ 5ǘ4HMkd*$$IflF H! x t06    44 la $$Ifa$gdrgde@&^`gd7{gdCr 2Dnʟƾk\hrhrB*CJaJph&jhrhrB*CJUaJphhrhr5CJaJhrhrCJaJ h"5 hr5 he5 hqM<5 h'5 hq85 h_A5 h}w5hqOhe5 hG 5 hiX5)jhF hiX6Uehr4jhF ha6UehmHnHruП&JrKkdW,$$IflF H! x t06    44 la $Ifgd]($ $Ifa$gdr  $Ifgdrʟ̟ΟПҟ&(DFHJL`bɺn_HnC1#jl-h](h_{zCJUaJ ho5,j,h{FhoB*CJUaJphhrhoB*CJaJph&jhrhoB*CJUaJphhrhoCJaJ hr5h](hrCJaJ#j+h](h_{zCJUaJh](hoCJaJjh](hoCJUaJhrhr5CJaJ&jhrhrB*CJUaJph,jS+h{Fh_{zB*CJUaJphbprtРҠ"$@BDFH\^lnpȡr`#jj0h](h_{zCJUaJ,j/h{FhoB*CJUaJph#j.h](h_{zCJUaJ,jQ.h{FhoB*CJUaJphhrhoB*CJaJph&jhrhoB*CJUaJphhrhoCJaJ ho5h](hoCJaJjh](hoCJUaJrtqdTK $Ifgd]($ $Ifa$gdr  $Ifgdrkd-$$IflF H! x t06    44 la"FnqdTK $Ifgd]($ $Ifa$gdr  $IfgdrkdU/$$IflF H! x t06    44 lanpΡqdTK $Ifgd]($ $Ifa$gdr  $Ifgdrkd0$$IflF H! x t06    44 laȡʡ̡ΡС:<>@BVXfhjʢ̢΢ТҢЙՊsaЙՊJ,jM4h{FhoB*CJUaJph#jh3h](h_{zCJUaJ,j2h{FhoB*CJUaJphhrhoB*CJaJphhrhoCJaJ#j1h](h_{zCJUaJh](hoCJaJjh](hoCJUaJ ho5&jhrhoB*CJUaJph,jO1h{FhoB*CJUaJph@hqdTK $Ifgd]($ $Ifa$gdr  $IfgdrkdS2$$IflF H! x t06    44 lahjТqdTK $Ifgd]($ $Ifa$gdr  $Ifgdrkd3$$IflF H! x t06    44 laҢ<>Z\^`bvxʣ̣ΣУңİxİaO#j7h](h_{zCJUaJ,jK7h{FhoB*CJUaJph#jf6h](h_{zCJUaJ,j5h{FhoB*CJUaJphhrhoB*CJaJph&jhrhoB*CJUaJphhrhoCJaJ ho5jh](hoCJUaJ#j4h](h_{zCJUaJh](hoCJaJ<`qdTK $Ifgd]($ $Ifa$gdr  $IfgdrkdQ5$$IflF H! x t06    44 laУqdTK $Ifgd]($ $Ifa$gdr  $Ifgdrkd6$$IflF H! x t06    44 la8`qdTK $Ifgd]($ $Ifa$gdr  $IfgdrkdO8$$IflF H! x t06    44 la2468:NP^`bdh  "q`Hq/jI:hF h^5Uehr hF h^5ehr)jhF h^5Uehr h^5 hG 5 hf+5#jd9h](h_{zCJUaJh](hoCJaJjh](hoCJUaJ ho5,j8h{FhoB*CJUaJphhrhoB*CJaJph&jhrhoB*CJUaJph`bd02Υ,qhcVVHVV@&^`gd7{ ^`gdi=gdF  gdAkd9$$IflF H! x t06    44 la",.26Хҥ "&*,Djl~Ħ˷˧˟˷ˏ˟ˇqY/j;hF h^5Uehr hF h^5ehr hw25h^h^5j5;hahn5UhF h^5j:hahn5Ujh^5U h"5 hG 5 h^5)jhF h^5Uehr4jhF ha5UehmHnHru"ĦƦȦ4Dp.0468LNPZ\^`rDzncUGh0hum5CJ\aJh0h]"f5CJ\aJh_A5CJ\aJ4jhF ha5UehmHnHru/j!<hF h/ 5Uehr hF h/ 5ehr)jhF h/ 5Uehr hF 5U h"5 hA5 hh5h^h^5 h^5)jhF h^5Uehr,Ȧ6^Of !t   h^hgd gd7{ h^h`gd7{gdK~ 8@&^8gd7{`gdum`gd/ @&gd7{gdumh@&^h`gd7{`gdi= @&`gd7{cation as an attachment.  FORMTEXT       Part F. Optional Information F1. Does the applicant want to conduct optional public review(s) in addition to the mandatory public review? Level II ADRs are public noticed for a thirty day comment period. More information is available in Section 3.7.1 of the Implementation Guidance.  FORMCHECKBOX  No  FORMCHECKBOX  Yes F2. Does the project include an optional mitigation plan to compensate for the proposed water quality degradation?  FORMCHECKBOX  No  FORMCHECKBOX  Yes Report Name:  FORMTEXT       Part G. Certification of Antidegradation Review G1. Applicant Certification The application should be signed by the same responsible person who signed the accompanying permit application or certification. Based on my inquiry of the person(s) whtzMNPQ_`adefguvwy~  򯠯ĉyj=hahn5U hb1humj=hahn5Ujhum5U ho5 hum5j =hahn5U hz5j<hahn5Ujh/ 5U hw25 hU5 h/ 5hhum5 h]"f5/ !/0:; rtѹ{oh^hVQG@<h7{ hi=h7{h6h7{5>* h7{6hi=h7{6hWh7{5>* h7{5>*heh7{5CJaJh7{5CJaJh6h7{5CJaJh05CJaJ hK~54jhw2ha5UehmHnHru/jo>hw2hJ5Uehr hw2hJ5ehr)jhw2hJ5Uehr hJ5humo manage the system or those persons directly responsible for gathering the information, the information in this application and associated documents is, to the best of my knowledge and belief, true, accurate, and complete. Print Name: Signature: Date: G2. DWQ Approval To the best of my knowledge, the ADR was conducted in accordance with the rules and regulations outlined in UAC R-317-2-3. 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