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 F 4.1 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 28FACILITY 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"1 1

_ 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 28FACILITY 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 28FACILITY 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 Stat 

### es.) 

### 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 CHLOROETHANE2-CHLOROETHYLVINYLETHER CHOLOROFORMDICHLOROBROMOMETHANE

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-EXTRACTABLECOMPOUNDSP-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