Contains Nonbinding Recommendations

Draft Application Forms – Not for Implementation

United States 

Environmental Protection Agency 

Office of Water 

Washington, D.C. 

EPA Form 3510-2B 

Revised <INSERT DATE> 

Water Permits Division 

Application Form 2B 

Concentrated Animal Feeding 

Operations and Concentrated 

Aquatic Animal Production 

Facilities 

NPDES Permitting Program 

NPDES Proposed Application Forms for Public Docket ID No. EPA-HQ-OW-2016-

0145 & Docket ID No. EPA-HQ-OW-2016-0146. 

This document is being distributed for comment purposes only. Comments and 

suggestions regarding this draft document should be submitted through electronic 

comments to http://www.regulations.gov.

Note: Complete this form and Form 1 if your facility is a new or existing concentrated animal feeding 

operation or concentrated aquatic animal production facility. 

For Comment Only
Contains Nonbinding Recommendations

Draft Application Forms – Not for Implementation

Paperwork Reduction Act Notice 

The U.S. Environmental Protection Agency (EPA) estimates the average burden for concentrated animal 

feeding operation (CAFO) respondents to collect information and complete Form 2B to be 9.5 hours 

(9 hours to complete and submit the application and 0.5 hours to complete and submit a nutrient 

management plan). EPA estimates the average burden for concentrated aquatic animal production 

(CAAP) respondents to collect information and complete Form 2B to be 6 hours. These estimates 

include time for reviewing instructions, searching existing data sources, gathering and maintaining the 

needed data, and completing and reviewing the collection of information. Send comments regarding the 

burden estimates or any other aspect of this collection of information to the Chief, Information Policy 

Branch (PM-223), U.S. Environmental Protection Agency, 1200 Pennsylvania Avenue, NW, 

Washington, DC 20460 and to the Office of Information and Regulatory Affairs, Office of Management 

and Budget, 725 17th Street, NW, Washington, DC 20503, marked “Attention: Desk Officer for EPA.”

For Comment Only
2B-1 

Contains Nonbinding Recommendations

Draft Application Forms – Not for Implementation

FORM 2B—INSTRUCTIONS 

General Instructions 

Who Must Complete Form 2B? 

Applicants who answered “yes” to Item 1.2.1 on Form 1 are 

required to complete Form 2B. This means that you are either a 

concentrated animal feeding operation (CAFO) or a concentrated 

aquatic animal production (CAAP) facility. 

Where to File Your Completed Form 

Submit your completed application package (Forms 1 and 2B) to 

your National Pollutant Discharge Elimination System (NPDES) 

permitting authority. Consult Exhibit 1–1 of the “General 

Instructions” of Form 1 to determine your NPDES permitting 

authority. 

Public Availability of Submitted Information 

The U.S. Environmental Protection Agency (EPA) will make 

information provided on the various NPDES permit application 

forms available to the public for inspection and copying upon 

request. No information on Form 2B (or related attachments) may 

be claimed as confidential. 

You may make a claim of confidentiality for any information that you 

submit to EPA that goes beyond the information required by Form 

2B. Note that NPDES authorities will deny claims for treating any 

effluent data as confidential. If you do not assert a claim of 

confidentiality at the time you submit your information to the 

NPDES permitting authority, EPA may make the information 

available to the public without further notice to you. EPA will handle 

claims of confidentiality in accordance with the Agency’s business 

confidentiality regulations at Part 2 of Title 40 of the Code of 

Federal Regulations (CFR). 

Completion of Forms 

Print or type in the specified areas only. If you do not have enough 

space on the form to answer a question, you may continue on 

additional sheets, as necessary, using a format consistent with the 

form. 

Provide your EPA Identification Number from the Federal Registry 

Service, NPDES Permit Number, and facility name at the top of 

each page of Form 2B and any attachments. If your facility is new 

(i.e., not yet constructed), write or type “New Facility”. If you do not 

know your EPA Identification Number, contact your NPDES 

permitting authority. See Exhibit 1–1 of the “General Instructions” of 

Form 1 for contact information. 

Do not leave any response areas blank unless the form directs you 

to skip the item. If the form directs you to respond to an item that 

does not apply to your facility or activity, enter “NA” for “not 

applicable” to show that you considered the item and determined a 

response was not necessary for your facility. 

The NPDES permitting authority will consider your application 

complete when it and any supplementary material are received and 

completed according to the authority’s satisfaction. The NPDES 

permitting authority will judge the completeness of any application 

independently of the status of any other permit application or permit 

for the same facility or activity. 

Definitions 

Definitions of all significant terms used in these Instructions and 

Form 2B are in the “Glossary,” which follows the “General 

Instructions” in Form 1. 

Line-By-Line Instructions 

Section 1. General Information 

Item 1.1. Mark whether your facility/business type is a CAFO or a 

CAAP facility. 

 If your facility/business type is a CAFO, you must complete 

Sections 1 through 6 and Section 8 of Form 2B. 

 If your facility/business type is a CAAP, you must complete 

Sections 1, 7, and 8 of Form 2B. 

Item 1.2. Indicate whether your facility is an existing or proposed 

facility. Mark “proposed” if your facility is presently not in operation 

or is expanding to meet the definition of a CAFO in accordance with 

the regulations at 40 CFR 122.23. 

Section 2. CAFO Owner/Operator Contact Information

Provide the name, complete mailing address, telephone number, 

and electronic mail (email) address (if available) of the 

owner/operator of the facility/business. 

Section 3. CAFO Location and Contact Information

Item 3.1. Provide the legal name and location (complete mailing 

address) of the facility. Also indicate who the NPDES permitting 

authority should contact regarding the application, including a 

telephone number and email address (if available). 

Item 3.2. Provide the latitude and longitude to the nearest second 

of the entrance to the production area (i.e., the part of the animal 

feeding operation that includes the animal confinement area, the 

manure storage area, the raw materials storage area, and the 

waste containment areas). Provide the associated collection 

method information, including the following: (a) horizontal collection 

method, which is the type of method/device used to identify the 

coordinates (e.g., global positioning system or GPS device, census 

block centroid, an address, State Plane Coordinate System or 

SPCS, etc.); (b) the scale of your source map or photo if applicable 

(e.g., the proportional distance on the ground for one unit of 

measure typically expressed in ratio form such as 1:24,000); and 

(c) the horizontal reference datum (i.e., the coordinate reference 

system) to which your coordinates relate. 

GPS devices are commonly used to electronically record the 

latitude and longitude coordinates of a property. It is also possible 

to use geographic information systems (e.g., ArcView), online 

sources (e.g., U.S. Geological Survey or USGS) to identify 

coordinates. The online services require that you enter a property 

address, the nearest intersection, or zip code. The system then 

generates the coordinates. The horizontal collection method for 

such sources is “Interpolation—Satellite.” You would not report a 

source map scale if you used a GPS device or one of the online 

systems. For the horizontal reference datum, you would report one 

of the following three options: 

For Comment Only
2B-2 

Contains Nonbinding Recommendations

Draft Application Forms – Not for Implementation

FORM 2B—INSTRUCTIONS CONTINUED

1. North American Datum of 1927 (NAD27): This datum was 

based on the ground survey in Europe and North America in the 

19th century. NAD27 was the standard for many years because 

the USGS published its topographic maps in this datum. If you 

are reporting a location using a USGS 7.5-minute map, NAD27 

is your default datum. 

2. North American Datum of 1983 (NAD83): NAD83 updated 

NAD27 with current measurements using radio astronomy and 

satellite observations. When the USGS began publishing digital 

data, the NAD83 was used, which provided a more accurate 

representation of the earth’s shape and a more accurate 

depiction of the location of objects on the earth. 

3. World Geodetic System of 1984 (WGS84): This datum was 

developed from the measurements calculated in NAD83. If you 

used a GPS to calculate your latitude/longitude coordinates, 

WGS84 is the default datum. 

If you need further guidance in responding to Item 3.2, refer to 

http://www.epa.gov/geospatial/latitudelongitude-data-standard. 

Item 3.3. If the facility uses a contract grower, provide the name 

and complete mailing address of the integrator. 

Section 4. CAFO Topographic Map

Item 4.1. Provide a topographic map of the geographic area in 

which the facility is located, showing the specific location of the 

production area(s). You are not required to provide the topographic 

map required by Section 7 of Form 1. 

On each map, include the map scale, a meridian arrow showing 

north, and latitude and longitude to the nearest second. 

On all maps of rivers, show the direction of the current. In tidal 

waters, show the directions of ebb and flow tides. 

You may develop your map by going to the United States 

Geological Survey’s (USGS’s) National Map website at 

http://nationalmap.gov/. Use the traditional 7.5-minute quadrangle 

format. If none is available, you may use a USGS 15 minute series 

map. You may also use a plat or other appropriate map. Briefly 

describe land uses in the map area (e.g., residential, commercial, 

etc.). 

Section 5. CAFO Characteristics

Supply all information in Section 5 if you checked “Existing Facility” 

in response to Item 1.2. 

Item 5.1. Provide the maximum number of each type of animal in 

open confinement or housed under roof (either partially or totally) 

that are held at your facility for a total of 45 days or more in any 12-

month period. Provide the total number of animals confined at the 

facility. 

Item 5.2. Identify the applicable types of containment and storage 

for manure, litter, and process wastewater at the facility and 

indicate the capacity of storage in days and gallons or tons. 

Item 5.3. Indicate the total number of acres that are drained and 

collected in the containment and storage structure(s). 

Item 5.4. Specify the tons of manure or litter and the gallons of 

process wastewater generated at the facility on an annual basis. 

Item 5.5. Indicate whether the manure, litter, and/or process 

wastewater is land applied. If “yes”, continue to Item 5.6. If “no”, 

skip to Item 5.8. 

Item 5.6. Indicate the number of acres of land under the control of 

the applicant that are available for application of the manure, litter, 

or process wastewater. 

Item 5.7. Check any of the identified best management practices 

that are being implemented at the facility to control runoff and 

protect water quality. 

Item 5.8. Indicate if the manure, litter, and/or process wastewater is 

transferred to any other persons. If “yes”, continue to Item 5.9. If 

“no”, skip to Item 5.10. 

Item 5.9. Specify the tons of manure or litter or the gallons of 

process wastewater transferred annually to other people. 

Item 5.10. Describe any alternative uses of manure, litter, or 

process wastewater, if any (e.g., composting, pelletizing, energy 

generation, etc.). 

Section 6. CAFO Nutrient Management Plans

Item 6.1. Indicate if you have submitted a nutrient management 

plan that satisfies the requirements at 40 CFR 122.42(e) and, if 

applicable, the requirements at 40 CFR 412.4(c). 

Item 6.2. If you have not yet submitted a nutrient management 

plan, provide an explanation for why not. 

Item 6.3. Indicate if a nutrient management plan is being 

implemented at the CAFO. If not land applying, describe the 

alternative uses of the manure, litter, and wastewater (e.g., 

composting, pelletizing, energy generation, etc.). 

Item 6.4. Indicate the date of the last review or revision of the 

nutrient management plan. 

Note: A permit application is not complete until a nutrient 

management plan is submitted to the NPDES permitting authority. 

Section 7. CAAP Facility Characteristics 

Item 7.1. Indicate if the CAAP facility is located on land. If the 

CAAP facility is located in water (e.g., a net pen or submerged cage 

system), check “no” and skip to Item 7.3. If “yes”, continue to Item 

7.2. 

Item 7.2. Outfalls should be numbered to correspond with the map 

and receiving waters submitted in Section 7 of Form 1. 

Values given for flow should be representative of your normal 

operation. The maximum daily flow is the maximum measured flow 

occurring over a calendar day. The maximum average monthly flow 

is the average of measured daily flow over the calendar month of 

highest flow. 

For Comment Only
2B-3 

Contains Nonbinding Recommendations

Draft Application Forms – Not for Implementation

FORM 2B—INSTRUCTIONS CONTINUED

Item 7.3. Indicate the number of ponds, raceways, net pens, 

submerged cages, or similar structures at your facility that result in 

discharges to waters of the United States. Describe each type and 

provide the name of the associated receiving water and intake 

water source. 

Item 7.4. List the species of fish or aquatic animals held and fed at 

your facility. Distinguish between those that are cold water versus 

warm water species. The names of fish species should be proper, 

common, or scientific names as given in special Publication No. 6 

of the American Fisheries Society, “A List of Common and Scientific 

Names of Fishes from the United States and Canada.” 

For each species, provide the total harvestable weight in pounds 

(lbs.) for a typical calendar year. Also indicate the maximum weight 

present at any one time at your facility. 

Item 7.5. Indicate the maximum monthly pounds of food given at 

your facility. Also indicate the month given. The amounts should be 

representative of your normal operations. 

Section 8. Certification Statement 

The Clean Water Act provides for severe penalties for submitting 

false information on this application form. CWA Section 309(c)(2) 

provides that, “Any person who knowingly makes any false 

statement, representation, or certification in any application, ...shall 

upon conviction, be punished by a fine of no more than $10,000 or 

by imprisonment for not more than six months, or both.” 

FEDERAL REGULATIONS AT 40 CFR 122.22 REQUIRE THIS 

APPLICATION TO BE SIGNED AS FOLLOWS: 

A. By a responsible corporate officer. For the purpose of this 

section, a responsible corporate officer means: (i) A president, 

secretary, treasurer, or vice-president of the corporation in 

charge of a principal business function, or any other person who 

performs similar policy- or decision-making functions for the 

corporation, or (ii) the manager of one or more manufacturing, 

production, or operating facilities, provided, the manager is 

authorized to make management decisions which govern the 

operation of the regulated facility including having the explicit or 

implicit duty of making major capital investment 

recommendations, and initiating and directing other 

comprehensive measures to assure long term environmental 

compliance with environmental laws and regulations; the 

manager can ensure that the necessary systems are 

established or actions taken to gather complete and accurate 

information for permit application requirements; and where 

authority to sign documents has been assigned or delegated to 

the manager in accordance with corporate procedures. 

B. For partnership or sole proprietorship, by a general partner or 

the proprietor, respectively. 

C. For a municipality, State, Federal, or other public facility, By 

either a principal executive officer or ranking elected official. For 

purposes of this section, a principal executive officer of a 

Federal agency includes: (i) The chief executive officer of the 

agency, or (ii) a senior executive officer having responsibility for 

the overall operations of a principal geographic unit of the 

agency (e.g., Regional Administrators of EPA).

For Comment Only
Contains Nonbinding Recommendations

Draft Application Forms – Not for Implementation

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For Comment Only
EPA Form 3510-2B (revised <INSERT DATE>) Page 1 

EPA Identification Number NPDES Permit Number Facility Name Form Approved

OMB No. <INSERT NO.> 

Form Expires <INSERT DATE> 

Contains Nonbinding Recommendations

Draft Application Forms – Not for Implementation

Form 

2B 

NPDES 

U.S. Environmental Protection Agency 

Application for NPDES Permit to Discharge Wastewater 

CONCENTRATED ANIMAL FEEDING OPERATIONS and 

CONCENTRATED AQUATIC ANIMAL PRODUCTION FACILITIES

SECTION 1. GENERAL INFORMATION (40 CFR 122.21(I)(1)) General Information 

1.1 Indicate the facility/business type. (Check only one response.) 

 CAFO  Complete Sections 1 through 6 and Section 8. 

 CAAP  Complete Sections 1, 7, and 8. 

1.2 Indicate the operational status of the facility. (Check one.) 

 Existing Facility  Proposed Facility 

SECTION 2. CAFO OWNER/OPERATOR CONTACT INFORMATION (40 CFR 122.21(i)(1)(i)) CAFO Owner/Operator Contact Information 

2.1 Owner/Operator Contact 

 Name (first and last) Title 

 

 Phone Number Email Address 

 

2.2 Owner/Operator Mailing Address

 Street or P.O. Box 

 City or Town State Zip Code 

 

SECTION 3. CAFO LOCATION AND CONTACT INFORMATION (40 CFR 122.21(i)(1)(ii and iii)) CAFO Location and Contact Information 

3.1 CAFO Location and Contact 

 Name 

 Address (Street, Route Number, or other Specific Identifier) County 

 

 City or Town State Zip Code 

 

 Facility Contact Name Phone Number Email Address 

3.2 Latitude/Longitude of Entrance to Production Area (See Instructions.)

Latitude Longitude 

Degrees Minutes Seconds Degrees Minutes Seconds 

 

Collection Method Information 

Horizontal Collection Method (Type 

of method/device used to identify the 

coordinates)

Scale (Proportional distance on the ground 

for one unit of measure) Not Applicable

Horizontal Reference Datum

(Coordinate reference system)

 NAD 27  NAD 83  WGS85  Other (specify) 

For Comment Only
EPA Form 3510-2B (revised <INSERT DATE>) Page 2 

EPA Identification Number NPDES Permit Number Facility Name Form Approved

OMB No. <INSERT NO.> 

Form Expires <INSERT DATE> 

Contains Nonbinding Recommendations

Draft Application Forms – Not for Implementation

CAFO Location and Contact 

Information Continued 

3.3 Integrator Name and Address 

Name 

Street Address 

City or Town State Zip Code 

 

SECTION 4. CAFO TOPOGRAPHIC MAP (40 CFR 122.21(i)(1)(iv)) CAFO Topographic Map 

4.1 Have you attached a topographic map containing all required information to this application? (See Instructions for 

specific requirements.) 

 Yes  SKIP to Section 5.  No 

SECTION 5. CAFO CHARACTERISTICS (40 CFR 122.21(i)(1)(v-ix)) CAFO Characteristics 

5.1 Provide information on the type and number of animals in the table below. 

Animal Type Number in Open 

Confinement 

Number

Housed 

Under Roof 

Animal Type Number in Open 

Confinement 

Number

Housed 

Under Roof 

 Mature Dairy 

Cows  Sheep or Lambs 

 Dairy Heifers  Chickens 

(broilers) 

 Veal Calves  Chickens 

(layers) 

 Cattle (not dairy 

or veal calves)  Ducks 

 Swine 

(55 lbs. or more)  Other 

(specify) 

 Swine 

(under 55 lbs.) 

Other 

(specify) 

 Horses 

Other 

(specify) 

 Turkeys Total Animals

5.2 Indicate the type of containment and storage, total number of days, and total capacity for manure, litter, and process 

wastewater storage in the table below. 

Type of Containment 

and Storage 

Total Number of 

Days 

Total 

Capacity 

(specify gallons 

or tons) 

Type of 

Containment and 

Storage 

Total Number of 

Days 

Total 

Capacity 

(specify gallons 

or tons) 

 Anaerobic Lagoon  Belowground 

Storage Tanks 

 Evaporation  Roofed 

Storage Shed 

 Aboveground 

Storage Tanks  Concrete Pad 

 Storage Pond  Impervious 

Soil Pad 

 Underfloor Pit  Other (specify) 

5.3 Indicate the total number of acres drained and collected in the containment and storage structure(s) reported under 

Item 5.2. 

____________ acres 

For Comment Only
EPA Form 3510-2B (revised <INSERT DATE>) Page 3 

EPA Identification Number NPDES Permit Number Facility Name Form Approved

OMB No. <INSERT NO.> 

Form Expires <INSERT DATE> 

Contains Nonbinding Recommendations

Draft Application Forms – Not for Implementation

CAFO Characteristics Continued 

Manure, Litter, and/or Process Wastewater Production and Use

5.4 How many tons of manure or litter and gallons of process wastewater are generated annually at the CAFO? 

Manure tons 

Litter tons 

Process Wastewater gallons 

5.5 Is manure, litter, and/or process wastewater generated at the CAFO land applied? 

 Yes  No  SKIP to Item 5.8. 

5.6 How many acres of land under the control of the applicant are available for applying the CAFO’s manure, litter, or 

process wastewater? 

______________ acres 

5.7 Check all land application best management practices that apply. 

 Buffers  Infiltration field 

 Setbacks  Grass filter 

 Conservation tillage  Terrace 

 Constructed wetlands  Other (specify) 

5.8 Is manure, litter, and/or process wastewater transferred to any other persons? 

 Yes  No  SKIP to Item 5.10. 

5.9 How many tons of manure or litter and gallons of process wastewater, produced by the CAFO, are transferred 

annually to other people? 

Manure tons 

Litter tons 

Process Wastewater gallons 

5.10 Describe alternative use(s) of manure, litter, or process wastewater, if any. 

SECTION 6. CAFO NUTRIENT MANAGEMENT PLANS (40 CFR 122.21(i)(1)(x)) CAFO Nutrient Management Plans 

6.1 Has the applicant attached a nutrient management plan that satisfies the requirements at 40 CFR 122.42(e) and, 

if applicable, the requirements at 40 CFR 412.4(c)? Note: A permit application is not complete until a nutrient 

management plan is submitted to the NPDES permitting authority. 

 Yes  SKIP to Item 6.3.  No 

6.2 Explain why a nutrient management plan is not attached to the application. 

6.3 Is a nutrient management plan being implemented at the CAFO? 

 Yes  No 

6.4 What was the date of the last review or 

revision of the nutrient management 

plan? 

Date_________________________________ 

For Comment Only
EPA Form 3510-2B (revised <INSERT DATE>) Page 4 

EPA Identification Number NPDES Permit Number Facility Name Form Approved

OMB No. <INSERT NO.> 

Form Expires <INSERT DATE> 

Contains Nonbinding Recommendations

Draft Application Forms – Not for Implementation

SECTION 7. CAAP FACILITY CHARACTERISTICS (40 CFR 122.21(i)(2)) CAAP Facility Characteristics 

7.1 Is the CAAP facility located on land? 

 Yes  No  SKIP to Item 7.3. 

7.2 Provide the maximum daily and maximum average monthly discharge at CAAP by outfall. 

Outfall 

Number

Discharge

Maximum Daily Discharge Maximum Average Monthly Discharge

gpd gpd 

gpd gpd 

gpd gpd 

7.3 Indicate the type and number of discharge structures at the CAAP. Provide a brief description of each structure. 

Also note the name of the receiving water and the source of the intake water for each structure. 

Structure Type Number of Each Description Receiving Water 

Name

Source of Intake 

Water

Ponds 

Raceways 

Net Pens Not Applicable 

Submerged 

Cages 

 Not Applicable 

Similar 

Structures 

(specify) 

 

7.4 List the cold water and/or warm water aquatic species raised/produced in the table below. For each species listed, 

indicate the total yearly and maximum harvestable weight (in pounds). 

Cold Water Species Warm Water Species

Species Harvestable Weight Species Harvestable Weight

Total Yearly Maximum Total Yearly Maximum

 

lbs. lbs. lbs. lbs. 

 

lbs. lbs. lbs. lbs. 

 

lbs. lbs. lbs. lbs. 

 

lbs. lbs. lbs. lbs. 

7.5 Indicate the calendar month of maximum feeding and the total mass of food fed (in pounds) during that month. 

Month of Maximum Feeding Total Mass of Food Fed 

lbs. 

For Comment Only
EPA Form 3510-2B (revised <INSERT DATE>) Page 5 

EPA Identification Number NPDES Permit Number Facility Name Form Approved

OMB No. <INSERT NO.> 

Form Expires <INSERT DATE> 

Contains Nonbinding Recommendations

Draft Application Forms – Not for Implementation

SECTION 8. CERTIFICATION STATEMENT (40 CFR 122.22(a)) Certification Statement 

I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in 

accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. 

Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the 

information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware 

that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for 

knowing violations.

Name (first and last) Official Title 

 

Signature Date Signed 

 

For Comment Only