Form Dep / Dow - Pretreatment Annual Report For Publicly Owned Treatment Works - Kentucky Pollutant Discharge Elimination System - 2014 Page 4
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8V. NARRATIVE SUMMARY OF PRETREATMENT PROGRAM
A. Treatment Works
1. Did the Control Authority experience any of the following that was caused by industrial users within the previous
12 months?
a. Interference
Yes
No
b. Pass Through
Yes
No
c. Fire or explosions (flashpoint, and such)
Yes
No
d. Corrosive structural damage
Yes
No
e. Flow obstruction
Yes
No
f. Excessive flow rates
Yes
No
g. Excessive pollutant concentrations
Yes
No
h. Heat problems
Yes
No
i. Interference due to oil and grease
Yes
No
j. Toxic fumes
Yes
No
k. Illicit dumping of hauled wastes
Yes
No
l. Worker health safety
Yes
No
m. Other (specify:
)
Yes
No
2. Describe the corrective actions taken and the name and address, if known, of the industrial user(s) responsible.
N/A
B. Fats, Oils, and Grease
1. Have any problems at the treatment works been caused by Fats, Oils, or Grease?
Yes
No
2. Does the Control Authority currently have a Fats, Oils, and Grease program or is it in the
Yes
No
process of developing a program?
C. List all current industrial users that have been or will be deleted from the Pretreatment Program and explain the
reason for the deletion. Describe actions taken to ensure that there is no reasonable potential for discharge to the
POTW.
N/A
D. List all industrial users that were added to the Pretreatment Program in the past year, and indicate if the industry is
categorical and/or significant. Indicate if you plan to add any industries in the next six (6) months and if the industry
is categorical and/or significant.
N/A
E. List all categorical industrial users that are subject to reduced reporting requirements under 40 CFR 403.12(e)(3).
N/A
F. List all non-significant categorical industrial users (NSCIUs).
N/A
Applicable Federal
NSCIU Name
Physical Address
Categorical Regulation
Process Flow (GPD)
G. List any non-SIU permits (e.g. UST, general, reclamation) that have been issued.
N/A
Permittee’s Name
Operation
Type of Permit
DEP / DOW
Revised October 2014
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