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# NOTICE OF INTENT

# L~_ 19**'~~':'-** 

# TO BE COVERED UNDER NPDES GENERAL PERMIT

# AK-G52-dtioclt:9~" SEAFOOD PROCESSORS IN ALASKA , 

### (See Part IV.C. of the Permit) I


### Submittal of this document constitutes notice that the party identified in Section I intends to be covered by the NPDES general permit authorizing discharges from seafood processing activities in Alaska and obligates the permittee to comply with the terms and conditions of the**~erm;t.** 

### Please fill in all information. SECTION 1 • PERMIT INFORMATION NPDES PERMIT NO. 

## AK-GS2
- 030S ADEC Number 

# p....."-. Lt-lo

. Lcurrentlv or previously assigned) SeafOOd Processor License 

### SECTION 2 - OPERATOR INFORMATION (Part IV.C.2 )**Compan~** Name 

# :Lc:..\o C--

......

### ~**~ A.FC>C:;:l>~** **.::r~** 

# . OWner/Operator**S"~i:** Address

### ?O.~x 

## '"l"**OO~** Telephone 

# (2.0<0)2."3'2-

- 

# 0, "ZS'g. Citv/StatelZip 

### St;A-'t'rL£. • 

# W 1\ 

# 4cg l\.' FAX 

# (ZO(p\ Z**~** 

# '2- "1 'Z.:l... 

## L Representative

## ~\'\**~ W~t:.""**  F'F**,,~** email '\ 0 

# h """ v.J 

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### c:.J. Q

## ·~.fec:J. ";;> •

## ~**~** ....... '


# - SECTION 3 - OWNER or MANAGING COMPANY INFORMATION (Part IV.C.3) Owner or Managing Company Address Telephone City/State/Zip FAX Representative email 

### SECTION 4 - FACILITY or VESSEL INFORMATION (Part IV.CA)**Facili~Name**

## -::p~,,":> 

## 13 '-'\**~** <=. 

## :F,**-:::>~\** €"":> 

# :::INc..... FQ

..... 

### ..JOGt> Date of Purchase ,"i, 

# r....< Address

## ?O.~bX.**l\~l**

# Tele~hone**~01)** 

# 111- ''f2! City/State/Zip 

# ¥"C,...**t-..~** "':> 

### 'B\A. 

### itc. 

# A..tL t::t4'**1>~ ~**  FAX 

# (jl>11111...

__ Lf<.t'72 

# a S b f**u~** Latitude and Longitude for shore based and nearshore) 

### lQ**""\~** 02., 

### 13Z.

... 

## S'1'l,L,W Number of annual employees 

# La) Number of seasonal employees 

# "550 Vessel name USCG number Date of purchase Type of vessel (factory trawler, processor, crabber, etc.) Length of vessel Previous facility/vessel name{sl 

### SECTION 5 - FACILITY CLASSIFICATION (Part IV.C.5}JCheckeach that apply) Offshore seafood processor: operating and discharging more than one (1) nautical mile from shore at MLLW Nearshore seafood processor: operating and discharging from one (1) to one half 

### (0.5) nautical mile from shore at MLLW 

# ./ Shore-based seafood processor: operating and discharging less than one half 

### (0.5) nautical mile from shore at MLLW



### . 

### . ThiS form IS provided under the State of Alaska Certification of NPDES Permit No. AK-GS2-0000

. .. .. Page 1 of 3

### SECTION 6 • PROJECTED PRODUCTION INFORMATION (Part IV.C.G) Cured. salted. smoked 

# I Gutted. Head & Gutted Mince: wet 

### dry (circle one)

## ~ Whole 

# II 

# v1 Roe 

# I Crab: whole. pieces 

# / Fillets 

# I Canned Other Surimi. fish paste 

# I Fish meal Shelled: shrimjJ, scallops, clams. oysters. snails. urchins, cucumbers (circle appropriate Item(s)) Raw Product Finished Product 24·hour Design Location
- water Anticipated Processing
-- Number of da s per month {by species, e.g .• (by type. e.g
.. fillets. Capacity in Ibs of body name bottom fish. salmon)

. surimi. canned) processing raw product Latitude/Longitude Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 

### .c:;b. .A

### ~"'

### .Q~\,)~ 

## \ 2-cJ:) OQ:::)

## \~OA."'.;u**N~** t..:lo.l

## t~ 

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# t\4:c:" ,.,..00 '000 

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## 1..40oon 

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# 3\ 3,\ 

# 3G 15 

# {**~A..r\L ~.** 

## ~\;.~**~O.QOn** l' 

# \$ 3c) 

# 3\ 130

# I~\ 3\ 3() 

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# \"5"**~o ~\**  

# 130 3\ 3>\**~** 

# 3\**\~ Qg~**  

# Wh,,\t. .£-

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# 3\ 2."b 3\**~** 

# :,\ 3' 30**~\**

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## ~\**~o** 

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# 30 3\**~o** 

# 3>\**~0 .~**  ... 110.

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# .!>o COL") \l

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# 75,**O~()** Ii 

# IS I' 

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.**SE~TION** 

### 7· RECEIVING WATER INFORMATION (Part IV.C.7)

Name(s) of**~rterbodY(ieS)** receiving discharges of the facility

### L..lf!~t-_C 

## 1**..J~fC~""'.>** Name of any larger, adjacent receiving waterbody 

# (
Any areas within three (3) nautical miles which are excluded from coverage under the General Permit (National Parks, Preserves, Wildlife Refuges; State Game Sanctuaries, State Game Refuges, State Critical Habitat areas) 

## Not--lE Discharge is to marine waters 

# L Discharge is to fresh waters Discharge to tidal tributary 

## Nearshore and Shofe-based Processors submit a bathymetric map of the receiving water within one (1) 

## nautical mile of the discharge showing discharge point(s)

. Page 

### 2 of 3



# ...i.**~** 

## ." , 

# - 'SECTION 8· DESCRIPTION of 

### DISCHARGES (Part IV.C.S) Sanitary Wastes**nQ':;:'CI~'"** Treatment Plant or on-site septic system (circle) Size: CJ'lII"",,,ih (f'",Ic./rb.,\, 

# .--' 

# I Municipal System

# t~J**o~ 7~?** **~'\** 1

# ~"'- Community Septic system '-' USCG Approved System (MSD) MSD: Date when USCG approved/certified: Type: Capacity (gals/day): When installed: No of people using: Seafood Process Wastes

# ~**D~lanc.** of outfall from shore al MlLW: 

# Ltott.**Uls~,** I discha1ge depth: 

# 2D ft. Grinder
- Tr"'IAI"

... ", Grinds seafood wastes to 

# '12- inch Other Wastewaters jQIleck which apply) 

# ..; Process disinfectants 

# / Transfer water 

# I Cooling water 

# / Gray water 

# .; Boiler water 

# I Live tank water 

# I' Cooking water 

# / Freshwater pressure relief water 

# I**~"'''** 

### 11c4<>,ci:iv" condensate Other Projected Maximum Quantity in Ibs of Process Waste Solids which are discharged Specific Species Processed TOTAL DAILY Amount of Solids Discharged TOTAL ANNUAL Amount of Solids Discharged

# ~A.I .t-"\ 

### a

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# exn 1&**~:J~** AJl:J 

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# ,0 -,rx"" 

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## , SECTION 9· FUELING CAPABILITY and PROXIMITY TO FUELING STATIONS (Part VI.C.9) Does your'· ."'

.. •• has refueling "''''f")ability? Yes No How close to the**;::;;'~"Q'lI"** is the nearest fueling station? ft. 

# "7i 

# = 10- SUBMITTALS (10 

### be attached 10 

### Ihis NOI) (Part IV.C.t 0) Waiver Request (for seafloor survey,**dischargirl~** to

.. yl'IIIA

.... 1 areas (Part IIIARC\ 10 m Ibs/yr) 

# / Location Map (e.g. street map) also

..........**,,~** outfall'V<..icitivlI 

# / BQ.., 

### ,y""'"

..... Map of

.... Water within one nautical mile of 

### '::i"'

... IIQ'!!IQ "!lV""'!,! discharge point(s) 

# .; Best Managerm;"it**Prarti"".~** Plan Certification or Recertification 

### SECTION 11· SIGNATURE and CERTIFICATION (Part IV.C.11)

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 proper1y gather and eval.uate the information submitted. Based on my inquiry of the person or persons**'f1~** manage the system or those persons directly responsible for gathering, the Information, the information submitted is, to the best of my**~,. ~** **~d** beliet true, accurate, and complete. I am aware that there are significant penalties for submitting false I the ' of fine and for k owinQ

# ~'.l'~IQ'UI"or partnX'\

# V~ Title/Company 

# V**~ ~**  lu..**~\**

# k~,-,-£ 

# SrJ.

Print Name

# 6oh~1.**WOC~hS£:** Date 

# {IS/Db
This form is**!",lvv::,~~~llhe** State of Alaska Cel\l,,"

.... VII of NPDES Permit No.

. Page30f3 Please submit**Io~v"** 10, NPDES Compliance Unit. OW-133, 1200 Sixth'Ave., Seattle, WA 98101 and a copy to ADEC Attn: Air and Water Quality DiviSion, 555 Cordova Sireel, Anchorage, AK 99501