Document ID: EPA-HQ-OW-2003-0064-0025
Agency: epa
Document Type: Supporting & Related Material
Title: 
Posted Date: 2010-07-13T04:00Z

Sustainable Water Leadership Program

Application: Recognition of Sustainable Water Systems

Purpose of the Sustainable Water Leadership Program

This application is for recognition and is open to those entities
described in the ‘Eligibility’ section below.  EPA is implementing
this program to recognize applicants that have made a commitment to
sustainable management approaches that promote resource efficiency and
protection. Organizations applying for recognition will be evaluated on
the basis of the criteria described in this application but will not
compete directly with other applicants for recognition.

The public reporting and recordkeeping burden for this collection of
information is estimated to average 20 hours per response.  Send
comments on the Agency's need for this information, the accuracy of the
provided burden estimates, and any suggested methods for minimizing
respondent burden, including through the use of automated collection
techniques to the Director, Collection Strategies Division, U.S.
Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW,
Washington, D.C. 20460.  Include the OMB control number in any
correspondence.  Do not send the completed application to this address.

I.	Eligibility	

Applicants are limited to: publicly or privately owned wastewater
treatment plants or systems, community drinking water systems, managed
decentralized treatment systems (public or private), and
municipally-owned stormwater systems

Applicants must be in compliance with applicable Federal, State, Tribal
and local water quality requirements for one year and have a
satisfactory record with respect to environmental quality. 

 

Indicate the type of facility (check all that apply):

Publicly or privately owned wastewater treatment plant or system 

Community drinking water system

Municipally-owned stormwater system

Managed decentralized treatment system 

Indicate the organization size:

Large (wastewater utility designed to discharge 1 million gallons per
day (MGD) or more;  drinking water utility designed to serve at least
10,000 people; and municipally-owned storm sewer system designed to
serve 100,000 people or more)

Small (wastewater utility designed to discharge less than 1 MGD;
drinking water utility designed to serve fewer than 10,000 people;
municipally-owned storm sewer system designed to serve less than 100,000
people; and managed decentralized system)

Note: Combined systems meeting either of the criteria for “Large”
systems above will be considered large systems for the purposes of this
recognition program.

II.	Application Requirements

All applicants must submit a written narrative of the activities the
organization (or other entity described in the Eligibility section) is
implementing.  Applicant may describe past activities, but the written
narrative must illustrate how those activities impact current
accomplishments (within the past 12 months). The narrative must not
exceed 5000 words (approximately 10 pages of single-spaced, 12-point
text). 

This application consists of two sections; Effective Utility Management,
and Resource Efficiency and Protection. (IV - sections A & B)  For your
application to be complete, both sections must be addressed according to
the section specific directions.  Please read each section carefully to
ensure all requirements are fully understood.  For questions or
assistance with the application, please visit the SWLP program website
for helpful resources.    HYPERLINK
"http://www.epa.gov/owm/mtb/intnet.htm" 
http://www.epa.gov/owm/mtb/intnet.htm 

III	Contact Information

A. 	Applicant Information

Organization Name: 	

City: _________________________________________________ State: 	

National Pollutant Discharge Elimination System (NPDES) Permit or Public
Water Supply Identification Number(s) (as applicable): 	

	

Facility Manager Name and Title:	

Mailing Address: 	

City: ___________________________________State: _______ZIP: 	

Phone: ____________________________ Fax: 	

E-mail: 	

Secondary Contact Name: 	

Phone and E-mail: 	

B	Project Partner Information (Optional)

You may wish to list your project partner organizations whose help and
assistance may have been important to the success of your programs or
activities cited in your application. However, this list of project
partners will not increase your eligibility nor will it be used in the
actual evaluation of your application.  

	

_______________________________________________________________________

IV.        Recognition Application Sections

A.	Effective Utility Management

Prepare a written narrative of the types of management practices the
applicant conducts or has conducted that demonstrate Effective Utility
Management (EUM) based on the 10 Attributes of Effectively Managed
Utilities. (May 2007)  Background information on the attributes,
including the Keys to Management Success and a list of potential
performance measures is found in the EUM Primer, Appendix C.  The Primer
provides guidance on assessment processes and a list of potential
performance measures related to each of the Attributes.  Applicants may
use the performance measures contained in the Primer as a useful
reference point for consideration. The Primer also describes a process
that applicants can use to assess their existing programs and how well
they address the 10 attributes.  To view the Primer or learn more about
EUM please visit:    HYPERLINK
"http://www.epa.gov/waterinfrastructure/pdfs/tools_si_watereum_primerfor
effectiveutilities.pdf" 
http://www.epa.gov/waterinfrastructure/pdfs/tools_si_watereum_primerfore
ffectiveutilities.pdf .

In developing the narrative under this category, describe the following:
(1) How the applicant’s current management program addresses the
selected attributes and how the applicant assessed its operations before
selecting these attributes; (2) the specific performance measures the
applicant is using to track improvements in the selected attribute
areas; (3) how the applicant evaluates performance based on these
measures and makes any necessary changes based on this evaluation; and
(4) subsequent changes or improvements to the operation that increases
current or future performance.  

Drinking water facilities may be more familiar with the Capacity
Development Program based on 1996 Safe Drinking Water Act (SDWA)
Amendments than the EUM.  These organizations are strongly encouraged to
apply and will be equally eligible for recognition.  While some
differences in terminology exist, the technical, managerial, and
financial (TMF) elements of Capacity Development correspond very closely
to the attributes of EUM.  Applicants may refer to TMF elements in their
narrative statements, but must refer back to the corresponding EUM
category for review purposes.  Please visit the SWLP website for helpful
resources to assist in matching the elements of TMF and the attributes
of EUM. If TMF elements are utilized, the response requirements of the
application do not change. For more information on the Capacity
Development Program, please visit   HYPERLINK
"http://www.epa.gov/safewater/smallsystems/basicinformation.html" 
http://www.epa.gov/safewater/smallsystems/basicinformation.html .

Requirements for large organizations:

Demonstrate 6 of the 10 Attributes of Effectively Managed Utilities
under the Effective Utility Management category.

Requirements for small organizations:

Demonstrate 4 of the 10 Attributes of Effectively Managed Utilities
under the Effective Utility Management category.

The applicant should select attributes that their organization can most
effectively demonstrate.  Please only address the number of attributes
required even if your organization is able to demonstrate more.

Effective Utility Management 

Entity is managing its operation and infrastructure based on the
Attributes of Effectively Managed Utilities, Keys to Management Success,
and Utility Performance measures endorsed by EPA and six major water and
wastewater associations.  

Descriptions of the Attributes are below.  Please check which attributes
you are describing.  

Product Quality: Produces potable water, treated effluent, and process
residuals in full compliance with regulatory and reliability
requirements and consistent with customer, public health, and ecological
needs.

Customer Satisfaction: Provides reliable, responsive, and affordable
services in line with explicit, customer-accepted service levels.
Receives timely customer feedback to maintain responsiveness to customer
needs and emergencies.

Employee and Leadership Development: Recruits and retains a workforce
that is competent, motivated, adaptive, and safe-working. Establishes a
participatory, collaborative organization dedicated to continual
learning and improvement. Ensures employee institutional knowledge is
retained and improved upon over time. Provides a focus on and emphasizes
opportunities for professional and leadership development and strives to
create an integrated and well-coordinated senior leadership team.

Operational Optimization: Ensures ongoing, timely, cost-effective,
reliable, and sustainable performance improvements in all facets of its
operations. Minimizes resource use, loss, and impacts from day-to-day
operations. Maintains awareness of information and operational
technology developments to anticipate and support timely adoption of
improvements.

Financial Viability: Understands the full life-cycle cost of the utility
and establishes and maintains an effective balance between long-term
debt, asset values, operations and maintenance expenditures, and
operating revenues. Establishes predictable rates— consistent with
community expectations and acceptability—adequate to recover costs,
provide for reserves, maintain support from bond rating agencies, and
plan and invest for future needs.

Infrastructure Stability: Understands the condition of and costs
associated with critical infrastructure assets. Maintains and enhances
the condition of all assets over the long-term at the lowest possible
life-cycle cost and acceptable risk consistent with customer, community,
and regulator-supported service levels, and consistent with anticipated
growth and system reliability goals. Assures asset repair,
rehabilitation, and replacement efforts are coordinated within the
community to minimize disruptions and other negative consequences.

Operational Resiliency: Ensures utility leadership and staff work
together to anticipate and avoid problems. Proactively identifies,
assesses, establishes tolerance levels for, and effectively manages a
full range of business risks (including legal, regulatory, financial,
environmental, safety, security, and natural disaster-related) in a
proactive way consistent with industry trends and system reliability
goals.  For additional information, see EPA’s “10 Features of an
Active and Effective Protective Program” located at:   HYPERLINK
"http://cfpub.epa.gov/safewater/watersecurity/features.cfm" 
http://cfpub.epa.gov/safewater/watersecurity/features.cfm .

Community Sustainability: Is explicitly cognizant of and attentive to
the impacts its decisions have on current and long-term future community
and watershed health and welfare.  Manages operations, infrastructure,
and investments to protect, restore, and enhance the natural
environment; efficiently use water and energy resources; promote
economic vitality; and engender overall community improvement.
Explicitly considers a variety of pollution prevention, watershed, and
source water protection approaches as part of an overall strategy to
maintain and enhance ecological and community sustainability. 

Water Resource Adequacy: Ensures water availability consistent with
current and future customer needs through long-term resource supply and
demand analysis, conservation, and public education. Explicitly
considers its role in water availability and manages operations to
provide for long-term aquifer and surface water sustainability and
replenishment.

Stakeholder Understanding and Support: Engenders understanding and
support from oversight bodies, community and watershed interests, and
regulatory bodies for service levels, rate structures, operating
budgets, capital improvement programs, and risk management decisions.
Actively involves stakeholders in the decisions that will affect them.

B.		Resource Efficiency and Protection

To be recognized, the applicant must demonstrate implementation of
activities in the appropriate number of categories below.  Where
appropriate, identify changes or improvements to the operation that
increases current or future performance. Place an X in the appropriate
box(s) to indicate the applicant’s selection for the other activities
of choice.  The applicant should select the box(s) for the area in which
the organization can demonstrate the greatest success.

Large organizations: demonstrate activities in 3 boxes in this category 

Small organizations: demonstrate activities in 2 boxes in this category

Note: Because of the breadth of activities under the category of Ground
Water and Surface Water Protection on a Watershed Basis this box counts
as two boxes.  For example, to complete this section (B), a small
organization would not need to demonstrate additional activities, and a
large organization would only need to demonstrate one additional
selection. 

Water Efficiency

The organization has adopted and is implementing a Water
Efficiency/Water Conservation Program or a Stormwater Program that has
at least three of the following elements in place (for additional detail
see EPA’s Water Conservation Plan Guidelines, EPA-832-D-98-001,
August, 1998; online at   HYPERLINK
"http://www.epa.gov/watersense/pubs/guide.htm" 
http://www.epa.gov/watersense/pubs/guide.htm ):

Joining, and actively participating in EPA’s WaterSense Program as a
Promotional Partner

Water metering measures including, but not limited to: source-water
metering, service connection metering and reading, public use metering
(e.g., parks), meter accuracy analyses, and meter repair/replacement

Active water system audit program(s). Activities may include: analysis
of impervious surface; leak detection and repair; loss-prevention
program; large-volume user and landscape audits; and/or analysis of
non-accounted for water (e.g. using the IWA/AWWA water audit method at  
HYPERLINK
"http://www.awwa.org/Resources/WaterLossControl.cfm?ItemNumber=48055" 
www.awwa.org/Resources/WaterLossControl.cfm?ItemNumber=48055 ); 

The entity has conservation rate structures in place.

Active outreach program such as: understandable and informative utility
bills, prompt public violation notifications, school activities, public
education/workshops, “downspout disconnect” programs, or
establishment of advisory committees

Promoting new technologies and implementing rebate/voucher/incentive
programs

Retrofit program(s) and kits are available and are being targeted and
distributed

The entity has active conservation programs for commercial, industrial,
and institutional facilities (e.g. a rewards program for users that
significantly conserve or reuse water or reduce runoff)

Active and successful water recycling, reuse, or reclamation operations
that treat wastewater or divert runoff to be used for beneficial
purposes (e.g. agricultural and landscape irrigation, industrial
processes, toilet flushing, and/or ground water basin replenishment;
refer to “Guidelines for Water Reuse, EPA-625-R-04-108, September
2004; online at   HYPERLINK
"http://www.epa.gov/nrmrl/pubs/625r04108/625r04108.pdf" 
http://www.epa.gov/nrmrl/pubs/625r04108/625r04108.pdf ).

Pretreatment

Facility has adopted and is implementing an approved Pretreatment
Program Plan, as described in 40 CFR 403.  An applicant under this
category should include at least two of the following achievements.

Pretreatment programs or pollutant strategies in place that address
existing and emerging pollutants or sources with demonstrated
environmental and/or staff resource benefits.  (Examples could include:
fats, oils, and greases (FOG) programs with food services industries
that demonstrate decreases in sanitary sewer overflows and reductions in
staff response resources; dental amalgam separation programs; or expired
pharmaceutical collection programs with health services industries.)

Production of high quality biosolids meeting limits in Tables 1 and 3 of
40 CFR 503.13 attributable to pollutant control programs with industrial
users.

Participation in state or local incentive or recognition programs to
encourage zero discharge for categorical industrial users (CIUs) and
non-categorical significant industrial users (SIUs)

Decentralized Systems

Organization has an actively managed decentralized treatment system in
place that is implementing at least six of the following activities (for
additional detail see EPA’s Voluntary National Guidelines for
Management of Onsite and Clustered (Decentralized) Wastewater Treatment
Systems, EPA 832-B-03-001, March 2003; online at   HYPERLINK
"http://www.epa.gov/owm/septic/pubs/septic_guidelines.pdf" 
http://www.epa.gov/owm/septic/pubs/septic_guidelines.pdf ):

Maintain an inventory of all systems within the service area

Conduct public education efforts to inform owners of plans and actions
to be taken

Employ trained and certified system installers, operators and haulers 

Employ subsurface treatment options based on a soil evaluation by a
licensed soil evaluator

Conduct regular inspections and/or monitoring

Dispose of residuals in accordance with regulatory requirements

Utilize specific and measurable performance requirements along with
compliance monitoring

Require system inspection prior to sale of property

Send maintenance reminders to owners at regular intervals

Utilize a responsible management entity (RME) with legal authority to
implement its management practices

Biosolids / Septage / Residuals Management

Facility has a certified environmental management system (EMS) under the
National Biosolids Partnership (NBP) (  HYPERLINK
"http://www.biosolids.org"  www.biosolids.org ) or has undertaken
significant activities to address biosolids/septage/residuals management
utilizing the principles and practices described in the NBP EMS Program
Manual of Good Practice at:

	www.biosolids.org/ems_main.asp?sectionid=48&pageid=189&pagename=Manual%
20of%20Good%20Practice in two or more of the following areas:

Innovative reuse activities focused on soil improvement and productivity
 (e.g., revegetating/restoring/reclaiming mine sites and spoils piles,
construction sites, and other highly disturbed or contaminated areas,
including industrial Superfund and Brownfields sites)

Conversion to high value products (e.g., Class A/EQ-quality soil
amendments or fertilizers, fuel sources comparable to powdered coal or
low grade oil, etc.)

Effective management of treatment operations leading to overcoming
serious odors/acceptance problems, significant energy production,
recovery of useful products, etc.  

Effective and open communication with and involvement of stakeholders
and active dialog with the public on issues of concern regarding
biosolids/septage/residuals management.

Energy Management

Facility has conducted an energy audit and is implementing changes in
process(s), procedures and/or equipment to reduce energy consumption by
at least 20%, or produce 50% or more of its energy needs by sustainable
power either onsite (e.g., by CHP using biogas from anaerobic digestion,
etc.) or by alternatives energy production technologies (e.g., solar,
wind, geothermal) to decrease purchase and use of energy derived from
non-renewable fossil fuels, consistent with the steps described in EPA's
Energy Management Guidelines for Wastewater and Water Utilities, located
at   HYPERLINK
"http://www.epa.gov/waterinfrastructure/bettermanagement_energy.html" 
http://www.epa.gov/waterinfrastructure/bettermanagement_energy.html ,
including the use of EPA's Energy Benchmarking tool located at  
HYPERLINK "http://www.energystar.gov/benchmark" 
www.energystar.gov/benchmark .  Other resource documents include: 

“Opportunities for and Benefits of Combined Heat and Power at
Wastewater Treatment Facilities” (EPA-430-R-07-003; April 2007) at: 
www.epa.gov/chp/documents/chp_wwtf_opportunities.pdf

"Water and Energy: Leveraging Voluntary Programs to Save Both Water and
Energy” (March 2008) at:   HYPERLINK
"http://www.energystar.gov/ia/partners/publications/pubdocs/Final%20Repo
rt%20Mar%202008.pdf" 
www.energystar.gov/ia/partners/publications/pubdocs/Final%20Report%20Mar
%202008.pdf  

”Water and Wastewater Energy Best Practice Guidebook” (2006) at: 
www.werf.org/AM/Template.cfm?Section=Home&TEMPLATE=/CM/ContentDisplay.cf
m&CONTENTID=10245

Climate Change Adaptation or Mitigation

Facility is actively adapting to the effects of climate change or taking
actions to mitigate these effects.  For example:

Entity has assessed the organization’s vulnerability to impacts of
climate change in order to plan for needed adaptation.  For additional
information, see Feature 4 of EPA’s “10 Features of an Active and
Effective Protective Program” located at:   HYPERLINK
"http://cfpub.epa.gov/safewater/watersecurity/features.cfm" 
http://cfpub.epa.gov/safewater/watersecurity/features.cfm .

A drought management plan, including a water  efficiency program as
described under the water efficiency section above  has been developed
and includes 50-year sustainable yield and demand analyses

The implementation of adaptation strategies into capital planning and
budgeting processes (e.g., relocation or hardening of facility,
redesigning systems, and adopting stormwater strategies that include
green infrastructure solutions and account for more extreme fluctuations
in precipitation)

Entity is collecting gases as an energy source for either the facility
and/or local community (e.g., capturing methane from a bioreactive
landfill; or scrubbing and converting anaerobic digester biogas to fuel
local city transit fleet)

Entity has enacted community outreach information programs to address:
water supply issues; climate change; and/or linking water use to energy
use and greenhouse gas emissions.  See   HYPERLINK
"http://www.epa.gov/ow/climatechange" 
http://www.epa.gov/ow/climatechange .

Entity has adopted Water Environment Research Foundation’s (WERF’s)
Roadmap to Sustainability, with goals and milestones for 100% energy
self-sustainability by 2040 (final document in development; reference to
be provided).

Ground Water and Surface Water Protection on a Watershed Basis (counts
as 2 boxes under section B.  All four components must be addressed)

Engage With Local or Regional Partners 

Facility has engaged local or regional partners to jointly take action
to protect source water/watershed.   

Examples include:

Applicant participates in or manages a committee made up of key
stakeholders in land use decisions in the delineated area (watershed or
wellhead protection area). 

The committee engages with local officials on land-use planning and
land-use management, environmental regulations, review of site designs
for residential, commercial, and industrial development within source
water/watershed areas, works with relevant Federal and state government
program managers.

Meetings are held several times a year and recommendations are made to
key decision makers who have jurisdictional authority over source
water/watershed areas.

Characterize the Watershed

Facility has in place goals, priorities and strategies based on an
analysis of the watershed.  Describe how data analysis is conducted and
documented to identify current and future infrastructure, watershed,
water quality, and water quantity issues.    

Examples include:

Uses the state-developed or locally modified source water assessments as
a basis for analyzing prevalence of current drinking water contaminants
of concern and/or prevalence of current sources of those contaminants.

Uses data, mapping and surveying to evaluate the hydrologic system and
to evaluate water and wastewater infrastructure needs, including, for
example, “build-out” analyses showing effects of long-term
development trends; has determined susceptibility of waters to pollution
from point and nonpoint sources of contamination; has projected changes
in hydrologic cycles due to climate change, etc.

Has undertaken an integrated evaluation or analysis of wet weather
problems tied to receiving water integrity

Evaluates multimedia effects of industrial sites within a municipality
(pretreatment, stormwater, and air emissions from industrial
facilities).

Identifies goals, strategies and, where possible, measurable objectives
as a result of analysis.  Examples of metrics include:

Reducing flow rates in existing storm sewer systems by 50% by 2015,
resulting in decreased sedimentation and improved aquatic habitat.

Removal of 50 acres of asphalt and replacing it with pervious surface by
2015, and in increments thereafter, to achieve at least 90% effective
permeability in the plan area.

All new construction will conform to LID principles by 2012 and will
retain and filter a rainfall volume equal to a 10-year storm frequency
event without discharge to the municipal storm sewer system.

Substantially reduce the risk of drinking water contaminants from
identified sources (e.g. on-site decentralized systems) in drinking
water source areas thereby decreasing the need for utilities to invest
in treatment technologies.

Actively Implement the Watershed Plan

Describe the institutional frameworks that are in place and how the
watershed plan is being implemented by the applicant.

Examples include:

Riparian reforestation to enhance pollutant mitigation functions.

Stream channel restoration for increased hydrologic stability.

Critical land acquisitions (e.g., conservation easements, purchases).

Formal and informal agreements that include sources and leveraging of
funding.

A holistic, integrated protection approach implemented to manage
significant potential sources of contaminants in the watershed that
covers both ground water and surface water sources of drinking water and
avoids transferring pollutants from one resource to another.

Community has developed an integrated program to address wet weather
issues, including such sources as: regulated stormwater, unregulated
runoff (nonpoint sources), CSOs, SSOs, peak flow at POTWs, source water
protection.

Codes and ordinances with green infrastructure performance standards
have been adopted (e.g., infiltration, evapotranspiration, capture and
reuse of stormwater); a site plan review process is active; inspection,
tracking and enforcement procedure are in place.

Ordinances are protective of public drinking water supplies and source
water protection areas.

Prioritization of cost-effective activities which support source water
protection.

Applicant is implementing a watershed-based permit under a watershed
permitting strategy, where applicable.

Active nutrient water quality trading is being implemented under a
watershed-based permit.

Use an Adaptive Management Process to Document Results

Progress is monitored and environmental improvements are documented, and
data supports a formal adaptive management process.  Document and
summarize your analytical approach to evaluating the effectiveness of
actions. Describe, as applicable, how results are being monitored; time
frames for re-evaluation and adjustment; uncertainties and research
needs, and how the project contributes to filling those needs; how data
has been collected and used to modify plans; quality standards for
applying new information; and/or process to ensure transparency to
stakeholders and the public.

Examples include:

Sustainable infrastructure measures that are used to document project
benefits, such as anticipated or actual capital cost-avoidance.

An evaluation strategy is in place that uses environmental metrics
demonstrating environmental improvement or protection to determine
whether the land-use policies/watershed plan is effective in reducing
the risks to the source water/watershed. 

Has established a process for reviewing the results of the evaluation
strategy, for communicating these results to local officials, and for
adjusting source water/watershed protection measures as needed to better
meet program goals.

Provides examples of how the program has adapted to information from the
evaluation program.

Documents improvements based on established targets and goals.



V.	Certification Statement

I certify 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 gathered and evaluated the information
submitted. Based upon my inquiry of the person or persons directly
involved in gathering and evaluating the information, the information
submitted is to the best of my knowledge and belief true, accurate and
complete.  I further certify that the applicant organization is in
compliance with applicable Federal, State, Tribal, and local water
quality requirements, has been for the past 12 months and has a
satisfactory record with respect to environmental quality.

Print Name: 	

Title: 	

___________________________________________________ /	

Signature of Facility Management Representative 			Date

VI.	Application Submittal Instructions

EPA requests that all completed applications be electronically submitted
and must be completely filled out.  These applications must be submitted
using only one submission method, and must be sent in its entirety. 
Multiple submissions or sections of the application received piece meal
will not be reviewed.  

In addition to the written narrative, applicants may also submit up to
three electronic photos (in jpg format) with descriptive captions of
activities or facilities related to the main achievements of the
application.  These photos may be used for publicizing recognition
winners.  

Note: photos will not be reviewed for purposes of determining whether
criteria have been met – only the written narrative will be reviewed. 
If you plan to include pictures but are not submitting your application
electronically, please include the pictures along with your mailed
application. 

Applicants that are unable to submit electronically, may produce the
application on double-sided recycled paper, and submit the complete
application to the Sustainable Water Leadership Program Coordinator by
[date pending]:

Sustainable Water Leadership Program

United States Environmental Protection Agency

Office of Water

MC 4204M

1200 Pennsylvania Avenue NW 

Washington, DC 20460

(202) 564 1997

  HYPERLINK "mailto:SWLP@epa.gov"  SWLP@epa.gov 

                                                                        
                                             OMB Control Number
2040-0101

                                                                        
                                             Expiration Date - 

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