FACILITY NAME AND PERMIT NUMBER: 

Salmon Creek WWTP WA-002277-2 

c. If the answer lo B.5.b is °Yes; briefly descdbe, Including new maximum daily Ingow rate (if applicable). 

d. Provide dates Imposed by any compliance schedule or any aclual dates of completion for the Implementation steps Ilsted below, as 

applicable. For Improvemenls planned independently of local, State, or Federal agencles, indicate planned or actual completion dates, as 

applicable. Indicate dates as accurately as possible. 

Schedule Actual Completion 

Implementation Stage MM/DDJYYI'Y MM/DD/YYYY 

- Begin Conslruction 

- End Construction 

- Begin Discharge 

-AHain Operational Level 

e. Have appropriate permits/clearances concerning olher Federal/State requtrements been obtained? ❑ Yes ❑ No 

Describe briegy: 

B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY). 

Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the Indicated efnuent 

testing requlred by lhe permllting authority for each oulfall throu h~which effluent is discharaed. Do not include Informatlon on combined sewer 

overtlows in this section. AII information reported must be based on data collected lhrough analysis conducted using 40 CFR Part 136 methods 

(See atlachment A). In addition, this dala must comply vdth QA/QC requlrements of 40 CFR Part 136 and other appropriale QA/QC 

requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum efguent testing data must be based on at 

least three pollutant scans and must be no more than four and on-halfyears old. 

Outfall Number:ONE (Total Residual fram 2010 monthlV DMR's) 

POLLUTANT MAXIMUM AVERAGE DAILY DISCHARGE ANALYTICAL ML/MDL ' 

DAILY METHOD 

DISCHARGE 

Conc. Units Conc: Units Number of 

Samples 

CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS 

AMMONIA (as N) 27.0 mg/I 15.9 mg(I 3 EPA 350.1 0.005 

CHLORINE (TOTAL RESIDUAL, TRC) 0.64 mg/1 0.19 mg/B 365 SM 4500 CLG .02 

DISSOLVED OXYGEN 12.0 mg/I 7.7 mg/I 3 EPA 360.2 1.0 

TOTAL KJELDAHL NITROGEN (TKN) 27.2 Iflg/I mg/I 3 EPA 351.2 0.1 

NITRATE PLUS NITRITE NITROGEN 7.5 mg/I mg/1 3 EPA 353.2 0.01 

OlLandGREASE 3.6 mg/B 

F4.1 

 mg/I 3 EPA1664 1.0 

PHOSPHORUS (Total) 5.73 mg/1 mg/6 3 SM 4500-PE 0.005 

TOTAL DISSOLVED SOLIDS (TDS) 520 mg/I mg/I 3 SM 2540C 1.0 

OTHER 

END OF PART B. ' 

REFER'TO THE APPLICATION`OVERVIEW TO DETERMINE WHICH OTHER PARTS OF FORM ' 

2A YOU MUST COMPLETE 

ECY 070-430 (9-11) Page 8 of 28 
FACILITY NAME AND PERMIT NUMBER: 

Salmon Creek WWTP WA-002277-2 

BASIC APPLICATION INFORMATION 

PART C. CERTIFICATION 

Atl applicants must complete the Certificatton Section. Refer to instructions to determine who is an officer forthe purposes of thts cerlification. AII 

applicants. must complete all applicable sectlons of Form 2A, as : explained in the.Application Overview. Intlicate below.which pads of Form 2A you have ~ 

completed and are submitting. By signing this certirication statement, applicanls confirm that they have reviewed Form 2A and have completed all 

sections lhat apply to the facilfty for which this application Is submitted. 

Indicate which parts of Form 2A you have completed and are submitting: 

® Basic Application Informatlon packel Supplemental Application Information packet: 

® Part D(Expanded Effluent Testing Data) 

® Part E(ToxicHy Testing: Biomonttoring Data) 

® Part F(Industrial User Discharges and RCRAlCERCLA Wastes) 

❑ Part G (Combined Sewer Systems) 

ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION. 

I certify under penally of law lhat this document and all altachments were prepared under my direction or supervision in accordance with a system 

designed to assure that qualified personnel properly gather and evaluate the information submitled. Based on my inquiry of the person or persons vfio 

manage the system or lhose persons directly responsible for gathedng the information, the informatlon Is, to lhe best of my knowledge and bellef, true, 

accurate, and complele. I am aware that lhere are significant penalties for submitling false Information, including the possibility of fine and imprisonment 

for knowing vlolations. 

Name andofficial tige William A. Trac - President Board of Commissioners 

r 

Signature Z"11 _ Z~ ~.u._..r 

Telephone number (206) 244-8575 

Date signed ( C ' 

Upon request of the permilting authorily, you must submtt any other InformaBon necessary to assure wastewater treatment practices at lhe treatment 

works or identify appropdale permitting requirements. 

SEND COMPLETED FORMS TO: 

ECY 070-430 (9-11) Page 9 of 28 
FACILITY NAME AND PERMIT NUMBER: 

Salmon Creek WWTP WA-002277-2 

SUPPLEMENTAL APPLICATION INFORMATION 

PART D. EXPANDED EFFLUENT TESTING DATA 

Refer to the directions on the cover page to determine whether this section applies to the treatment works. 

Effluent Testing: 1.0 mgd and Pretreatment Works. If the treatment works has a design Sow greater lhan or equal to 1.0 mgd or it has (or is 

required to have) a pretreatment program, or is otherwise required by the permilting authority to provide lhe data, lhen provide effluent testing dala for 

the following pollutants. Provide the indicated effluent testing Informalion and any other information required by lhe permilting authority for each outfall 

throuoh which effluent is discharned . Do not include information on combined sewer over8ows in lhis section. AII information repoded must be based 

on data collected through analyses conducted using 40 CFR Part 136 methods. In addition, these data must comply with QA/QC requiremenls of 40 

CFR Part 136 and other appropriate QAIQC requirements for standard methods for analytes not addressed by 40 CFR Part 136. Indicate in the blank 

rows provided below any data you may have on pollutants not specifically listed in this form. At a minimum, effluent testing dala must be based on at 

least three pollutant scans and must be no more than four and one-half years oid. The applicant should also review Attachment A. 

Outfall number: ONE (Complete once for each outfall discharging ef8uent to waters of lhe United States.) 

POLLUTANT 

MAXIMUM DAILY 

DISCHARGE 

AVERAGE DAILY DISCHARGE 

ANALYTICAL 

METHOD 

 Sam les 

MUMDL' Conc. Units Mass Units Conc. Units Mass Units Number 

of 

METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS. 

ANTIMONY 0.55 ug/L 0.45 ug/L 3 EPA 200.8 0.03 

AReENiC 2.37 ug/L 1.76 ug/L 3 EPA 200.8 0,02 

BERYLLIUM <0.03 ug/L <0.03 ug/L 3 EPA 200.8 0.03 

CADMIUM 0,044 ug/L 0.044 ug/L 3 EPA 200.8 0.025 

CHROMIUM 0.53 ug/L tl.52 ug/L 3 EPA 200.8 0.05 

COPPER 11.6 ug/L 8.62 ug/L 3 EPA 200.8 0.1 

LEAD 0.58 ug/L 0.538 ug/L 3 EPA 200.8 0.05 

MERCURY ,00736 ug/L .0064 ug/L 3 EPA 1631E 0.0005 

NICKEL 2.30 ug/L 1.87 uglL 3 EPA 200.8 0.05 

SELENIUM 1.40 ug/L 1.14 ug/L 3 EPA 200.8 0.25 

SILVER 0.24 ug/L 0.17 ug/L 3 EPA 200.8 0.05 

THALLIUM 0.017 ug/L 0.017 ug/L 3 EPA 200.8 0.005 

ZINC 44.2 ug/L 37.7 ug/L 3 EPA 200.8 0.5 

CYANIDE <0.005 ug/L <,005 ug/L 3 EPA 335.4 0.005 

TOTAL PHENOLIC 

COMPOUNDS 0.009 ug/L 0.009 ug/L 3 EPA 420.4 0.01 

HARDNESS(AS 

CaCO3) 

Use this s ace or a se arate sheef to provide Informatlon on other metals re uested by the permit writer 

all pollutants not 

reported resulted in 

values <D.L. See AM 

test reports. 

ECY 070-430 (9-11) Page 10 of 28 
FACILITY NAME AND PERMIT NUMBER: 

Salmon Creek Vr/WTP WA-002277-2 

Outfall number:DDe (Complete once for each oulfall discharging efguent to waters of the United States.) 

MAXIMUM DAILY AVERAGE DAILY DISCHARGE 

POLLUTANT 

DISCHARGE ANALYTICAL 

METHOD MUMDL` Conc. Uoits Mass Units Conc. Units Mass Units Number 

of 

Sam les 

VOLATILE ORGANIC COMPOUNDS 

ACROLEIN 

ACRYLONITRILE 

BENZENE 

BROMOFORM 

CARBON 

TETRACHLORIDE 

CHLORBENZENE 

CHLOROBID9110100- 

METHANE 

CHLOROETHANE 

2-CHLOROETHYLVINYLETHER 

CHOLOROFORM 

DICHLOROBROMOMETHANE 

DICHLOROETHANE 

1,2- 

DICHLOROETHANE 

1,2- 

DICHLOROETHYLE 

NE 

TRANS-1,2- 

DICHLOROETHYLENE 

DICHLOROETHYLE 

NE 

1,2- 

DICHLOROPROPANE 

1,3- 

DICHLOROPROPYLEN 

E 

ETHYLBENZENE 

METHYL BROMIDE 

METHYL 

CHLORIDE 

METHYLENE 

CHLORIDE 

1,1,2,2- 

TETRACHLOROETHANE 

ECY 070-430 (9-11) Page 11 of 28 
FACILITY NAME AND PERMIT NUMBER: 

Saimon Creek WWTP WA-002277-2 

Outfall number: otlB (Complete once for each oulfall dischargtng effluent to waters of the United States.) 

POLLUTANT 

MAXIMUM DAILY 

DISCHARGE 

AVERAGE DAILY DISCHARGE 

ANALYTICAL 

METHOD ML/MDL' Conc. Units Mass , Units Conc. Units Mass Units ' Number 

of , 

 Sam les' ~ TETRACHLOROETHYLENE 

TOLUENE 1.1 ugll 1.1 ugll 3 EPA 624 1.0 

TRICHLOROETHANE 

TRICHLOROETHANE 

TRICH 

LORETHYLENE 

VINYL CHLORIDE 

Use this space (or a separate sheet) to provide information on other metals requested by the permtt writer 

ACID-EXTRACTABLECOMPOUNDS 

P-CHLORO-MCRESOL 

2-CHLOROPHENOL 

2,4- 

DICHLOROPHENOL 

2,4- 

DIMETHYLPHENOL 

4,6-DINITRO-0- 

CRESOL 

2,4- 

DINITROPHENOL 

2-NITROPHENOL 

4-NITROPHENOL 

PENTA 

CHLOROPHENOL 

PHENOL 

2,4,6-TRICHLORO 

PHENOL 

Use this space (or a separate sheet) to provtde informatlon on other metals requested by the permit writer 

BASE-NEUTRAL COMPOUNDS 

ACENAPHTHENE 

ACENAPHTYLENE 

ANTHRACENE 

BENZIDINE 

ECY 070-430 (9-11) Page 12 of 28 
FACILITY NAME AND PERMIT NUMBER: 

Salmon Creek WWTP WA-002277-2 

Outfall number: ®YIt? (Compiete once for each outfall discharging effluent to waters of the Uniled Stales.) 

POLLUTANT 

MAXIMUM DAILY 

DISCHARGE ' 

AVERAGE DAILY DISCHARGE 

ANALYTICAL 

METHOD ML/MDL Conc. Units Mass ' Units Conc. Units Mass Units Number 

of ; 

Sam les ` 

Use lhis space (or a separate sheet) to provide information on other melals requested by the permit wriler 

END OF PART D. 

REFER TO THE APPLICATION OVERVIEW TO DETERMINE WHICH OTHER PARTS OF FORM 

2AYOU MUSTiCOMPLETE 

ECY 070-430 (9-1 t) Page 15 of 28