Schedule J - Industrial Treatment Works Construction Or Pretreatment Works Page 3

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FOR IEPA USE:
LOG #
DATE RECEIVED:
ILLINOIS ENVIRONMENTAL PROTECTION AGENCY
DIVISION OF WATER POLLUTION CONTROL
PERMIT SECTION
Springfield, Illinois 62706
SCHEDULE J INDUSTRIAL TREATMENT WORKS CONSTRUCTION OR PRETREATMENT WORKS
1.
NAME AND LOCATION:
1.1
Name of project _________________________________________________________________________________
1.2
Plant Location
1.2.1
_________________
________________
______________
Quarter Section
Section
Township
Range
P.M.
1.2.2 Latitude _________________ deg.
__________________ min.
__________________ sec.
"NORTH
1.2.3 Longitude _________________ deg.
__________________ min.
__________________ sec. "WEST
1.2.3 Name of USGS Quadrangle Map (7.5 or 15 minute) ___________________________________________________
2.
NARRATIVE DESCRIPTION AND SCHEMATIC WASTE FLOW DIAGRAM: (see instructions)
2.1
PRINCIPAL PRODUCTS:
2.2
PRINCIPAL RAW MATERIALS:
3.
DESCRIPTION OF TREATMENT FACILITIES
:
3.1
Submit a flow diagram through all treatment units showing size, volumes, detention times, organic loadings, surface settling rate,
weir overflow rate, and other pertinent design data. Include hydraulic profiles and description of monitoring systems.
3.2
Waste Treatment Works is: Batch
, Continuous
, No. of Batches/day _______ , No. of Shifts/day _______
3.3
Submit plans and specifications for proposed construction.
; Will begin on _____________________ .
3.4
Discharge is: Existing
4.
DIRECT DISCHARGE IS TO: Receiving Stream
Municipal Sanitary Sewer
Municipal storm or municipal combined sewer
If receiving stream or storm sewer are indicated complete the following:
Name of receiving stream ___________________________________ ; tributary to _______________________________________ ;
tributary to __________________________________ _____ ; tributary to ____________________________________________ ;
5.
Is the treatment works subject to flooding? Yes
No
If so, what is the maximum flood elevation of record (in reference to the
treatment works datum) and what provisions have been made to eliminate the flooding hazard?
6.
APPROXIMATE TIME SCHEDULE: Estimated construction schedule:
Start of Construction __________________________ ;
Date of Completion _________________________
Operation Schedule __________________________ ;
Date Operation Begins _________________________
100% design load to be reached by year ________________ .
7.
DESIGN LOADINGS
7.1
Design population equivalent (one population equivalent is 100 gallons of wastewater per day, containing 0.17 pounds of BOD
5
and 0.20 pounds of suspended solids;
BOD ___________________ ; Suspended Solids ____________________ ; Flow _______________________ .
7.2
Design Average Flow Rate ________________________ MGD.

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