Vpdes Sewage Sludge Permit Application For Permit Reissuance
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2VPDES Sewage Sludge Permit Application for Permit Reissuance
Instructions
WHO MUST SUBMIT THE APPLICATION - All facilities with a current VPDES Permit that authorizes the discharge of treated sewage wastewater
that are applying for reissuance must complete and submit this application.
Part 1 is general information to be provided by all facilities.
Part 2 must be completed by all facilities that generate Class A or Class B biosolids that are land applied.
Part 3 must be completed by all facilities that land apply Class B biosolids.
Part 1 – Sludge Disposal Management (To be completed by all facilities)
Facility Name:
VPDES Permit No:
1.
Shipment Off Site for Treatment or Blending
Is sewage sludge from your facility sent to another facility that provides treatment or blending?
Yes
No
If you send sewage sludge to more than one facility, attach additional sheets as necessary.
Shipment off site is:
The primary method of sludge disposal
A back up method of sludge disposal
a. Receiving Facility Name
b. Receiving Facility VPDES Permit No.
c. Include an acceptance letter from the Receiving Facility.
d. Receiving Facility’s ultimate disposal method for sewage sludge
2.
Disposal in a Municipal Solid Waste Landfill
Is sewage sludge from your facility placed in a municipal solid waste landfill?
Yes
No
If sewage sludge is placed on more than one municipal solid waste landfill, attach additional pages as necessary.
Landfilling is:
The primary method of sludge disposal
A back up method of sludge disposal
a. Landfill Name
b. Landfill Permit No.
c. Include an acceptance letter from the landfill.
3.
Incineration
Is sewage sludge from your facility fired in a sewage sludge incinerator?
Yes
No
Incineration is:
The primary method of sludge disposal
A back up method of sludge disposal
a. Do you own or operate all sewage sludge incinerators in which sewage sludge from your facility is fired?
Yes
No
If yes, provide the Air Registration No.
If no, complete items b - d for each incinerator that you do not own or operate.
b. Facility Name
c. Air Registration No.
d. Include an acceptance letter from the Incinerator.
4.
Class A Biosolids
Do you produce Class A biosolids for land application or distribution and marketing? If yes, complete Part 2.
Yes
No
Are Class A biosolids from your facility land applied in bulk?
Yes
No
Yes
No
Do you sell or give away Class A biosolids in a bag or other container for application to the land? If yes, provide the
VDACS certification number?
5.
Class B Biosolids
Do you produce Class B biosolids? If yes, complete Part 2.
Yes
No
Are Class B biosolids from your facility land applied land applied under the authorization of this VPDES Permit? If yes,
Yes
No
complete Part 3.
6.
Land Application Under a Separate Permit
Are biosolids from your facility land applied under the authorization of a permit other than your VPDES Permit?
Yes
No
Biosolids are land applied under the authorization of a
VPA permit
Another VPDES Permit
Out of State
Complete items a - c for each VPA permit authorized to land apply biosolids from your facility.
a. Permittee Name
b. Permit No.
c. Include copy of any information you provide to the Receiving VPDES or VPA Permittee to comply with the "notice and necessary
information" requirement of 9VAC25-31-530 F.
Rev 7/18/2012
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