APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER
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FORM APPRCVED
OMB No. 158- 'lIDO
FOR AGENCY USE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER
STANDARD FORM A - MUNICIPAL
SECTION L APPLICANT AND FACILITY DESCRIPTION
~ Unless otherwise specified on this form all Items are to be completed, If an Item Is not applicable Indicate 'NA.'
ADDITIONAL INSTRUCTIONS FOR SELECTED ITEMS APPEAR IN SEPARATE INSTRUCTION BOOKLET AS INDICATED. REFER TO
BOOKLET BEFORE FILLING OUT THESE ITEMS.
1. Legal Name of Applicant
(see Instructions)
2. Mailing Address of Applicant
(see Instructions)
Number & Street
City
State
Zip Code
3. Applicant's Authorized Agent
(see instructions)
Name and Title
Number & Slreet
City
State
Zip Code
Telephone
4.
Previous Application
If a previous application for a per-
mit under the National Pollutant
Discharge Elimination System has
been made, give the date of
application.
Please Print or Type
City of Clearwater
Florida
P. O. Box 4749
CI earwater
Florida
33518
F. J. Janocha
Water Poll ution Control Superi ntendent
P. o. Box 4748
Cl earwater
Florida
33518
(8L~1461-""Lt~O
Code
..JS'-b.ooala6S,~,
" CLEARWA TER-EAST STP ',:
"P-~o-80 x. -tt'T2f9""
CLEARWATER FL 33518
4952 AA 740812 110630
73 12 12
YR MO DAY
I certify that I am familiar with the Information contained in this application and that to the best of my knowledge and belief such information
Is true, complete, and accurate.
Picot B. Floyd
Printed Name of Person Signing
I Signature of Appli ant""'llr- thorlzed Agent
18 u.s.e Section 1001 provi s that:
Whoever, in any matter within the jurisdiction of any department or agency of the United States knowingly and wilfully falsifies, conceals or
covers up by any trick, scheme, or device a material fact, or makes any false, fictitious or fraudulent statement or representation, or makes or
uses any false writing or document knowing same to contain any false, fictitious or fraudulent statement or entry, shall be fined not more than
$10,000 or imprisoned not more than five years, or both.
City Manager
Tille
76 11 12
YR MO DAY
Date Application Signed
EPA Form 7550_22 (7-73)
1-1
This section c
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5, Facility (see Instructions)
Give the name, ownerShip, and physi-
cal location of the plant or other
operating facility where dlscharge(s)
presently occur(s) or will occur,
Name
Ownership (Public, Private or
Both Public and Private).
Check,block If a Federal facility
and give GSA Inventory Control
Number
Location:
Number & Street
City
Cou nty
State
6. Discharge to Another Municipal
Facility (see instructions)
a. Indicate If part of your discharge
is Into a municipal waste trans-
port system under another re-
sponsible organization. If yes,
complete 'the rest of this Item
and continue with Item 7. If no,
go directly to Item 7.
b. Responsible Organization
Receiving Discharge
Name
Number & Street
City
State
Zip Code
c. Facility Which Receives Discharge
Give the name of the facility
(waste treatment plant) which re-
ceives and Is ultimately respon-
sible for treatment of the discharge
from your faCility.
d. Average Daily Flow to Facility
(mgd) Give your average dally
flow Into the receiving facility.
7. Facility Discharges, Number and
DiSCharge Volume (see Instructions)
Specify the number of discharges
described In this application and the
volume of water discharged or lost
to each of the categories below.
Estimate average volume per day in
million gallons per day. Do not In-
clude intermittent or noncontinuous
overflows, bypasses or seasonal dis-
charges from lagoons, holding
ponds, etc.
EPA Fonn 7750-22 (7-73)
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Clearwater East Pollution
Control Facil ity
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~PUB
oPRV
o BPP
oFED
NA
Gulf to Bay Boulevard
CI earwater
Pinellas
Florida
DYes
~NO
NA
NA
NA
NA
NA
o
mgd
1-2
~
To: Surface Water
~
Surface Impoundment with
no Effluent
Underground Percolation
Well (~jection)
Other
Total Item 7
If 'other' Is specified, describe
If any of the discharges from this
facility are Intermittent, such as from
overflow or bypass points, or are
seasonal or periodic from lagoons,
holding ponds, etc., complete Item 8,'
8. Intermittent Discharges
a. Facility bypass points
I ndicate the nu mber of bypass
poi nts for the facility that are
discharge points.(see instructions)
b. Facility Overflow Points
Indicate the number of overflow
. points to a surface water for the
facility (see instructions).
c. Seasonal or Periodic Discharge
Points Indicate the number of
points where seasonal discharges
occur from holding ponds,
lagoons, ete:.
9. Collection System Type
Indicate the type and length (In
miles) of the collection system used
by this facility. (see instructions)
Sepa rate Storm
Separate Sanitary
Combined Sanitary and Storm
Both Separate Sanitary and
Combined Sewer Systems
Both Separate Storm and
Combined Sewer Systems
Length
10. Municipalities or Areas Served
(see instructions)
Total PopUlation Served
EPA Form 7550_22 (7-73)
Eastern Clearwater
& Adjacent Unincorporated
Areas
I
Number of
Discharge Points
o
o
o
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1
NA
NA
NA
NA
DSST
~SAN
Dcss
Dssc
Dssc
135 miles
1-3
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FORM APPROVED
OMB No. 158-ROJOC.
Total Volume Discharged,
Million Gallons Per Day
5.2
o
o
o
o
5.2 (Estimated due to faulty flow measuring
equipment. New flow measuring'
equipment Instal led November 1976.)
Name
Actual Populalion
Served
40.000
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11, Average Dally I ndustrlal Flow
Total estimated average dally waste
flow from all Industrial sources,
r;i~z~;!!~l _ 0
~;n;:;~~.:~:::;/fI
mgd
j
..
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Note: All major Industries (as defined In Section IV)
discharging to the munIcipal system must be
listed In Section IV,
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12. Permits, Licenses and Applications
List all existing, pending or denied permits, licenses and applicatIons related to discharges from this facility. (see instructions)
13. Maps and Drawings
Attach all required maps and drawings to the back of this application, (see Instructions)
14. Additional Information
Item
Number Information
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,
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EPA Form 7550-22 (7_73)
1-4
*: U.S, GOVERNMENT PRINTING OFFICE: 1975-628-068/4483-1
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FORM APPROVED
OMB No. 158-ROI00
STANDARD FORM A-MUNICIPAL
FOR AGENCY USE
SECTION U, BASIC DISCHARGE DESCRIPTION
Complete thIs section for each present or proposed discharge IndIcated In Section I, Items 7 and B, that Is to surface waters, This Includes
discharges to other municipal sewerage systems In which the waste water does not go through a treatment works prior to being discharged to
surface waters, Discharges to wells must be descrIbed where there are also discharges to surface waters from this facility, Separate
descriptions of each discharge are required even If several discharges originate In the same facility. All values for an existing discharge should
be representative of the twelve previous months of operation. If thIs Is a proposed discharge, values should reflect best engineering estimates,
ADDITIONAL INSTRUCTIONS FOR SELECTED ITEMS APPEAR IN SEPARATE INSTRUCTION BOOKLET AS INDICATED. REFER TO
BOOKLET BEFORE FILLING OUT THESE ITEMS.
1. Discharge Serial No. and Name
a. Dlschar<3e serial No.
(see instructions)
b. Dischar<3e Name
Give name of discharge, If any
(see Instructions)
c. Previous Discharge Serial No
If a previouS NPDES permIt
application was made for this dis-
charge (Item 4, Section I) provide
previouS discharge serIal number.
2. Discharge Operating Dates
a. Dlscha rge to Begin Date
If the discharge has never
occurred but Is planned for some
future date, give the date the
discharge will begin.
b. Discharge to End Date If the dis-
charge is scheduled to be discon-
tinued within the next 5 years,
give the date (within best estimate)
the discharge will end. Give rea-
son for discontinuing this discharge
In Item 17.
3. Discharge Location Name the
political boundaries wIthin which
the point of discharge Is located:
State
County
(If applicable) City or Town
4, Discharge Point Description
(see Instructions)
Discharge 15 Into (check one)
Stream (Includes ditches, arroyos,
and other watercourses)
Estuary
Lake
Ocean
Well (Injection)
Other
If 'other' is checked, specify type
5. Dischar<3e P,oint - Lat/Long.
State the precise location of the
point of discharge to the nearest
second. (see instructions)
Latitude
LongitUde
E PA Form 7550-22 (7-73)
001
Clearwater East Pollution Control Facility Outfall
NA
60 L
VR MO
80 7
VR MO
Florida
Pinellas
CI earwater
oSTR
~EST
oLKE
oOCE
oWEL
oOTH
DEG,
2-MIN.
42 MIN.
44 SEC
~SEC
2.8-
~
DEG,
11-1
This section contains 8 pa~es,
6, Dlschal1le Receiving Water Name
Name the waterway at the point of
dlscharge.lsee Instructions)
If the discharge Is through an out-
fall that extends beyond the shoreline
or Is below the mean low water line,
complete I tern 7,
7. Offshore Discharge
a. Discharge Distance from Shore
b. Dischal1le Depth Below Water
Su rface
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001
DISCHARGE SERIAL NUMBER
Tampa Bay
725
feet
For Agency Use
liffffi . ,.'"
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............-........
.....,..,....,.'.'".,..........,......
............ .
................................,......
:...;............,....:.:.......,......
....:....;...,.;.;.,.:...:...;.,.-.:.:.
..-..,.-.:-:-..............'.....:...
5
feet below mean tide level - USC&GS
o Ves ~NO
o Yes IX No
---O--times per year
---D-times per year
-'>--hours
-'>--hours
o
o
thousand gallons per Incident
thousand gallons per Incident
NA
DYes
~NO
If discharge is from a bypass or an overflow point or Is a seasonal discharge from a lagoon, holding pond, etc., complete Items 8,9 or 10,
as applicable, and continue with Item 11.
8, Bypass Discharge lsee instructions)
a. Bypass Occurrence
Check when bypass occurs
Wet weather
Dry weather
b. Bypass Frequency Give th4;
actual or approximate number
of bypass incidents per year.
Wet Weather
Dry weather
c. ' Bypass Duration Give the
average bypass duration In hours.
Wet weather
Dry weather
d. Bypass Volume Give the
average volume per bypass Incident,
In thousand gallons.
Wet weather
Dry weather
e. Bypass Reasons Give reasons
why bypass occurs.
Proceed'to Item 11.
9. Overflow Dlschal1le lsee instructions)
a. Overflow Occurrence Check
when overflow occurs,
Wet weather
Dry weather
b. Overflow Frequency Give the
actual or approximate Incidents
per year.
Wet weather
Dry weather'
EPA Form 7550-22 (7-73)
DYes
O{NO
...D--tlmes per year
~tlmes per year
11-2
Co Overflow Duration Give the
average overflow duration In
hours.
Wet weather
Dry weather
d, Overflow -Volume Give the
average volume per overflow
Incident In thousand gallons,
Wet weather
Dry weather
Proceed to Item 11
10. SeasonaVPeriodic Discharges
a. Seasonal/Periodic Discharge
Frequency If discharge 15 inter.
mlttent from a holding pond,
lagoon, etc., give the actual or
approximate number of times
this discharge occurs per year.
b. Seasonal/Periodic Discharge
Volume Give the average
volume per discharge occurrence
In thousand gallons,
c. Seasonal/Periodic Discharge
Duration Give the average dura-
tion of each discharge occurrence
In days,
d. Seasonal/Periodic Discharge
Occurrence-Months Check the
months during the year when
the discharge normally occurs,
11. Discharge Treatment
a. Discharge Treatment Description
Describe waste abatement prac-
tices used on this discharge with
a brief narrative. (See I nstruc-
tlons)
EPA Form 7550-22 (7-73)
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FORM APPROVED
OMB No. 158-R0100
DISCHARGE SERIAL NUMBER
FOR AGENCV USE
001
.-O-hours
~Hours
o
o
thousand gallons per Incident
thousand gallons per Incident
-D-times per year
o
thousand gallons per discharge occurrence
-D-days
OJAN OFEB OMAR
OAPR 0 MAY OJUN
OJUL 0 AUG OSEP
OOCT 0 NOV ODEC
NA
Treatment consists of comminution. grit removal and primary
sedimentation followed by conventional activated sl udge
secondary treatment. Effluent passes through a chlorine
detention tank where it is disinfected prior to discharge.
Sludge is treated by anaerobic or aerobic diQestion and
disposed of by land spreading.
11-3
b. Discharge Treatment Codes
Using the codes listed In Table I
of the Instruction Booklet,
describe the waste abatement
processes applied to this dis-
charge In the order In which
they occur, If possible.
Separate all codes with commas
except where slashes are used
to designate parallel operations,
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DISCHARGE SERIAL NUMBER
001
se, GAle, e, e, e, e, e, e, e, e,' e/
ASN,ASN.ASN.ASN,ASN,ASN,
ASN,ASN,ASN,ASN,ASN,ASN,
ASN,ASN,ASN,ASN/N,N,N,N,N,
N, N, N, N, N,/PG
IDA. DA, DA. DA. DN.. DN/xN
If this discharge is from a municipal waste
treatment plant (not an overflow or
bypass), complete Items 12 and 13
12, Plant Design and Operation Manuals
Check which of the following are
currently available
a, Engineering Design Report 0
b. Operation and Maintenance ~
Manual
13. Plant Design Data (see Instructions)
a. Plant Design Flow ( mgd:) 5.0 mgd
b. Plant Design BOO Removal (%) 90 %
c. Plant Design N Removal (%) 0 %
d. Plant Design P Removal (%) 0 %
e. Plant Deslgn SS Removal (%) 90 %
f, Plant Began Operation (year) 60
9- Plant ust Major Revision (year) 1973
EPA Form 7550_22 (7-73)
11-4
FOR AGENCV USE
. FORM APPIWVED
DISCHARGE SERIAL NUMBER J OMB No. I,Hl-R0100
I
001
FOR AGENCV USE
. .
14, De.crlptlon of Influent and Effluent (588 Instructions)
Innuent Efnuent
&'0 ~ >.
&'0 ... -5 t) :s I) ... I)
e .. c ~ c ~ 0 Q,
Parameter and Code t) t) oal oal >. ... ?:
~ > ~> X> 0
< .. :l
i:#.JiJ _ t) c: .!! ..
al I) ;;; t) -:;; :0 .. tall t) .. t) .. t)
t) ... t) ... ~ >. .0>> Q.
~ '~ ~ ~ ~ ~ .c .. C'0l Eal e
20l 20l tall I) U c ~ c
o > .- > ...
<> <> ..J< ::t:< ~< z< Ci)
(1) (2) (3) (4) (5) (6) (7)
Flow
Million gallons per day 5.2 5.2 4.5 6.0 7/7 Cant NA.
50050
pH
Units 6.8 7.2 7/7 365 G
00400
Temperature (winter)
OF 750 -Not 7/7 365 G
74028
Temperature (summer)
OF 820 Avail b1e - 7/7 365 G
74027
Fecal Streptococci Bacteria
Number/I 00 m1 Available
74054 Not
(provide if available)
Fecal Coliform Bacteria
Number/I 00 ml 11 1/7 52 G
74055
(provide if available)
Total Coliform Bacteria
Number/I 00 m1
74056 10; 15SO 1/7 52 G
(provide if available)
BOD 5-day
mg/1 208 19 10 37 , 7/7 365 24
00310
Chemical Oxygen Demand (COD)
mg/1
00340 Not Availab
(pre-vide if available)
OR
Total Organic Carbon (TOC) Not Availab
mg/l
00680
(provide if available)
(Either analysis is acceptable)
Chlorine- Total Residual
mg/I NA. 1.0 0.7 1.4 7/7 365 G
50060
EPA Form 7550_22 (7_73) II-S
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DISCHARGE SERIAL NUMBER
FOR AGENCY use
001
14. Oucrlptlon of Influent and Effluent (see Instructions) (Contlnuec1)
Influent Effluent
I> >. >.
~ ~ :s I> :s I> ...
c: :::I c: :::I 0 II>
Parameter and Code .. o Oil !;:
~ I> o Oil >. ...
:-~t.!~ -< ;:l;> ;:l;> u 0 ....
< ~ ~ _ II> c: ,~ ~ ~
Oil I> Oil I> '" aD '" .. II>
'" .. II> .. :::I >. .0>. Q,
:::I :::I :::I :::I ~ ~ ~~ ~a ~a ~
2. 2 Oil o > ,- > tt<
<> <> ....:1< ::c< z< U)
(1) (2) (3) (4) (5) (6) (7)
Total Solids ,
mg/l 909 591 505 672 7/7 365 24
00500
Total Di~lved Solids *
mgJl 623 569 495 630 7/7 365 24
70300
Total Suspended Solids -
mg/l 286 22 10 42 7/7 365 24
00530
Settleable MaUer (Residue)
ml/l- ' 18.7 0.1 0.1 0.4 7/7 365 G
00545
Ammonia (as N)
mg/l
00610 21.2 15.8 5.5 28.8 1/7 52 24
(provide if available)
Kjeldahl Nitrogen **
my I
00625 29.8 19.5 7.8 32.6 1/7 52 24
(provide if available)
Nitrate (as N)
my I 0.17 0.04 - ._- ---- , .
00620 0.37 0.52 1/7 52 24
(provide: if available)
Nitrite (as N)
ms/I 0.11 0.24 0.04 1.16 1/7 52 24
00615
(provide if available)
Phosphorus Total (as P)
msfl
00665 10.2 7.8 5.0 10.4 1/7 52 24
(provide if available)
Dissolved OX)'IeD (DO) [X
, mg/l
00300 5.7 4.9 6.3 7/7 365 G
*Ca1culated by subtraction average 5.5. from T.S..
**TKN by addition of m:mthly averages for ammonia and organic N.
fPA '04. 7550-22 (7-73)
ll-6
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FORM APPROVED
OMB No. 158-ROJOO
DISCHARGE SERIAL NUMBER
FOR AGENCY USE
001
Not Available
15. Additional Wastewater Characterl5t1cl
Check the box next to each parameter If It Is present In the effluent, (see Instructions)
c: ... Parameter -
Parameter Parameter c c
Q,) Q,) Q,)
(215) '" (215) '" (115) '"
Q,) Q,) Q,)
- ... ... ...
!:l.. !:l.. !:l..
Bromide Cobalt Thallium
71870 OJ037 01059
Chloride Chromium Titanium
00940 01034 01152
Cyanide Copper Tin
00720 01042 011 02
Fluoride Iron Zinc
00951 01045 01092
Sulfide Lead Algicides.
00745 01051 74051
Aluminum Manganese Chlorinated organic compounds.
OlIOS 01055 74052
Antimony Mercury Oil and grease
01097 71900 - 00550
Arsenic Molybdenum Pesticides.
01002 01062 74053 -
Beryllium Nickel Phenols
OJ012 01067 32730
Barium Selenium Surfactants
01007 01147 38260
Boron Silver Radioactivity.
o J022 o J077 74050
Cadmium
01027
.Provide specific compound and/or element in l1em 17, if known.
Pesticides Onsecticides, fungicides, and rodenticides) must be reported in terms of the acceptable common names specified in Acceptable Com-
mon Names and Olemical Names for the Ingredient Statement on Pesticide Labels. 2nd Edition, Em,uonmental Protection Agency, Washington,
D.C. 20250, June 1972, as required by Subsection 162.7(b) of the Regulations for the Enforcemenl of the Federal Insecticide, Fungicide, and
Rodenticide Act.
EPA Form 7550-22 (7-73)
11-7
DISCHARGE SERIAL NUMBER
"
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001
FOR ACENCY USE
, I. PI.nt Controls Check If the follow-
Inll plant controls are avallabl.
for this dlsCharll8
Allernate power source for major
pumping facility Includlnll those
for collection system 11ft stations
Alarm for power or equipment
fallur.
17. Addilfonal Information
:~x~
lIem
Number
Item 2.b.
EPA Form 7550-22 (7-73)
~APS
OALM
Information
The ori inal NPDES Permit was based on secondar effluent from the East Plant
bein d to a new re ional facilit to be constructed in the northeast area
of Clearwater for advanced wastewater treatment in accordance with the Water
Qualit Mana ement Plan for the Tam a Be
Re ional Plannin Council. The secondar treatment
Re ional Treatment Plant is now under construction. A Ste I Plannin Grant
has been received b the Cit of Clearwater to determine the feasibilit of dee
well in'ection of secondar effluent as an alternative to advanced wastewater
treatment. It is not antici ted that the construction and eval uation of the
inOection well will be com lete before March, 1978. If dee well inOection of
the effl uent roves to be feasible and more cost effective than advanced wastewater
treatment effluent from both the Clearwater East and Northeast Plants will be
d' II i 0
In addition Pinellas Count has a lied for federal grant assistance to re are a
201 Facilities Plan for the Central Pinellas Area which includes the City of
CI earwater .
Tentative Com liance Schedule attached. (Attachment No. 1)
11-8
<bU. s. GOVER1'\MENT PRIJ'"TING OFFICE: 1973 0 - 508-432
.
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I STANDARD FORM A-MUNICIPAL 1
FORM APPROVED
OMB No. 158-ROI00
FOR AGENCY USfl
SECTlON m SCHEDULED IMPROVEMENTS AND SCHEDULES OF IMPLEMENTATION
NOT APPLICABLE
This section requires Information on any uncompleted Implementation schedule which has been Imposed for construction of waste treatment
facilities, Requirement schedules may have been established by local, State,or Federal agencies or by court action, IF YOU ARE SUBJECT TO
SEVERAL DIFFERENT IMPLEMENTATION SCHEDULES, EITHER BECAUSE OF DIFFERENT LEVELS OF AUTHORITY IMPOSING
DIFFERENT SCHEDULES (ITEM lb) AND/OR STAGED CONSTRUCTION OF SEPARATE OPERATIONAL UNITS (ITEM IC), SUBMIT A
SEPARATE SECTION III FOR EACH ONE.
1. I mprovements Required
a. Discharge Serial Numben
Affected List the discharge
serial numbers, assigned In Sec-
tion II, that are covered by this
implementation schedule
b, Authority Imposing Requirement
Check the appropriate Item IndI-
cating the authority for the Im-
plementation schedule If the
Identical Implementation sched-
ule has been ordered by more
than one authority, check the
appropriate Items. (see In-
structions)
Locally developed plan
Areawide Plan
Basin Plan
State approved Implementation
schedule
Federal approved water quality
standards implementation plan
Federal enforcement procedure
or action
State court order
Federal court order
---t-'-'-'-
DLOC
DARE
DBAS
DSQS
DwQS
DENF
DCRT
DFED
Co I mprovement Description Specify the 3-character code for the
General Action Description in Table II that best describes the
improvements required by the implementation schedule. If more
than one schedule applies to the facility because of a staged con-
struction schedule, state the stage Of construction being described
here with the approprIate general action code. submit a separate
Section III for each stage of construction planned. Also, list all
the 3-character (Specific Action) codes which describe in more
detail the pollution abatement practices that the implementation
schedule requires.
3-character general action
description
3-character speCific action
descriptions
-1-1-1-1
2. Implementation Schedule and 3. Actual Completion Dates
Provide dates Imposed by schedule and any actual dates of completion for Implementation steps
listed below, Indicate dates as accurately as possible, (see Instructions)
Implementation Steps
a. Preliminary plan complete
b, Final plan complete
c. Financing complete & contract
awarded
d, Site acquired
e. Begin construction
f. E.,... construction
9. Begin Discharge
h, Operational level attained
EPA Form 7550-22 (7_73)
GP 0 865.707
:;::::::j:::::~:::~~"
2. Schedule (Yr /Mo IDay)
-1-1-
3'c~~,~.~al Completion (Yr IMo IDay)
Ill: -1-1-
.:.:.:.;.:.::~::::~::~:::
;111)1
\$~~){t~
:::::~:~;;::::;:::~::::
~$.i -1-1-
.:;;::l
-1-1-
'sa.f
-1-1-
303/;(
iiii
-1-1-
'303if
:.;.~;::.:.'. ..
III
~I;
~.::-::-::::::;
~s~;.
::m:::;~~:::;::~::~:J
-1-1-
-1-1-
-1-1-
I~~-.
-1-1-
-1-1-
-1-1-
-1-1-
-1-1-
-1-1-
-1-1-
This section contains 1 page.
I
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FORM APPROVED
OMB No. 158-ROJOO
.
FOR AGENCY USE
STANDARD FORM A-MUNICIPAL
SECTION nT, INDUSTRIAL WASTE CONTRIBUTION TO MUNICIPAL SYSTEM
NOT APPLICABLE
Submit a description of each major Industrial facility discharging to the municipal system, using a separate Section IV for each facility descrip-
tion. Indicate the 4 digit Standard I ndustrial Classification (SIC) Code for the Industry, the major product or raw material, the flow (In thou-
sand gallons per day), and the characteristics of the wastewater discharged from the Industrial facility Into the municipal system, Consult Table
III for standard measures of products or raw materials. (see Instructions)
1. Major Contributing Facility
(see Instructions)
Name
401a
Number& Street 401b
City 401c
County 401d
State 401e
Zip Code 40H
2, Primary Standard Industrial 402
Classification Code (see
instructions)
Units (See
3. Principal Product or Raw Quantity Table III)
Material (see Instructions)
Product 403a
Raw Material
403b
4, Flow Indicate the volume of water
discharged Into the municipal sys-
tem In thousand gallons per day
and whether this discharge Is inter-
mittent or continuous.
404a
thousand gallons per day
404b
o Intermittent (int) DContinuous(con)
5, Pretreatment Provided I ndicate If
pretreatment is provided prior to
entering the municipal system
405
Dyes
DNo
6, Characteristics of Wastewater
. (see instructions)
Parameter
Name
Parameter
Number
Value
EPA Form 7550-22 (7-73)
GP 0 865-706
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This section contain~. 1 page.
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A TTACHMENT NO.1
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City of Clearwater - East Wastewater Treatment Plant
'COMPLlANCE SCHEDULE
Cornpletion of 201 Facilities Plan
Cornpletionof Deep Well Injection Feasibility Study
.
Approva I of Effluent Disposa I Plan
Start of Design
Cornpl eti on of Design
Approval by DER and EPA
Receipt of Grant Offer
Start of Construction
Cornpletion of Construction
Dec. 1977
March 1978
May 1978
June 1978
Feb. 1 979
"" Apri I 1979
N\ay 1979
July 1979
July 1980
BRILEY, WILD & ASSOCIA'ES
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Schematic of Wastewater Flow
'; Clea'iwater East Pollution Control Focilily
~. Clearv...ater, Florida
Discharge Serial No. 001
December 3, 1973 p. 1 of 1
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