DEQ Form 2MG58 "Discharge Lagoon General Permit Application" - Oklahoma

What Is DEQ Form 2MG58?

This is a legal form that was released by the Oklahoma Department of Environmental Quality - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2008;
  • The latest edition provided by the Oklahoma Department of Environmental Quality;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of DEQ Form 2MG58 by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Environmental Quality.

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Download DEQ Form 2MG58 "Discharge Lagoon General Permit Application" - Oklahoma

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Return to:
Oklahoma Department of
707 N. Robinson
Revised February 2008
Environmental Quality
P.O. Box 1677
previous editions
Water Quality Division
Oklahoma City, OK 73101-1677
are obsolete
Municipal Permitting Section
Oklahoma DEQ Application for Authorization to Discharge
Municipal/Domestic Wastewater
Form 2MG58 – Discharge Lagoon
PLEASE DETACH THESE INSTRUCTIONS AND RETURN ONLY THE
COMPLETED APPLICATION FORM ITSELF.
This form must be completed by facilities with qualifying minor discharge lagoon
systems applying for an authorization to discharge under general permit OKG58 of
DEQ’s Municipal OPDES Permit Program.
See instructions for the submittal requirements of applications.
Return to:
Oklahoma Department of
707 N. Robinson
Revised February 2008
Environmental Quality
P.O. Box 1677
previous editions
Water Quality Division
Oklahoma City, OK 73101-1677
are obsolete
Municipal Permitting Section
Oklahoma DEQ Application for Authorization to Discharge
Municipal/Domestic Wastewater
Form 2MG58 – Discharge Lagoon
PLEASE DETACH THESE INSTRUCTIONS AND RETURN ONLY THE
COMPLETED APPLICATION FORM ITSELF.
This form must be completed by facilities with qualifying minor discharge lagoon
systems applying for an authorization to discharge under general permit OKG58 of
DEQ’s Municipal OPDES Permit Program.
See instructions for the submittal requirements of applications.
OKLAHOMA DEPARTMENT OF ENVIRONMENTAL QUALITY
INSTRUCTIONS - DEQ FORM 2MG58
APPLICATION FOR AUTHORIZATION FOR COVERAGE
UNDER GENERAL PERMIT OKG58…
FOR MUNICIPAL/DOMESTIC DISCHARGE LAGOONS
Form 2MG58 must be completed by the owner/responsible official of a minor
municipal/domestic wastewater facility that wishes to discharge pollutants to waters of
the State of Oklahoma. Please read the instructions below while completing Form 2MG58
and respond to each item. The Oklahoma Department of Environmental Quality (DEQ)
cannot evaluate an application until it is complete. If a particular item does not apply to
the facility for which the application is being prepared, or if the correct answer is "NA"
(for not applicable) indicate this on the application. If you have questions about any of
the items, please contact DEQ or your local DEQ office for assistance. DO NOT attempt
to complete the application form before reading these instructions.
NOTE: DO NOT write in box marked " FOR DEQ USE ONLY".
SECTION I
1.
Give the legal name of the town, city, public entity or name of the person (if
privately owned) legally responsible for operating and maintaining the facility.
2.
Give the street address, P.O. Box, city, county, state, zip code, telephone number
fax number, and e-mail address if applicable of the main office for the applicant in
Item 1. This may or may not be the same location of the facility.
3.
Give the name of the facility, the street address, telephone number fax number,
and e-mail address if applicable and if it is different from the address in Items 1
and 2.
4.
Give the physical location of the facility – longitude/latitude and legal description
to a 10 acre tract, 1/4,1/4,1/4, Section, Township and Range. Note: This is the
location of the treatment plant and it is not necessarily the same as the point of
discharge (No. 11).
5.
Indicate whether this is a Public, Private, Federal or State owned facility.
6.
Give the name, title, address, and telephone number, cell phone number, fax
number, and e-mail address of a person who is familiar with the facility and
information in the application and who may be contacted concerning the
application.
Form 2MG58 Instructions - Page 2
7.
Below is a list of definitions of the types of treatment listed in Item #7. Check more
than one item if needed.
Lagoon systems:
A.
Total Retention by Evaporation - Wastewater goes to a lagoon or series of
lagoons which have no outlet or any other way to discharge.
Lagoons
cannot be classified total retention if they have any kind of operable outlet
structure, even if it is not used. See DEQ Form 530E for Total Retention
Facilities.
B.
Land Application - Wastewater is given preliminary treatment then applied to
land (example: irrigation) in such a manner to insure that no runoff enters
surface waters.
C.
Discharge to Receiving Water - Wastewater goes to a lagoon or series of
lagoons and then to a receiving water through a designed outlet structure.
Check this box even if the outlet structure is not being used.
8.
If the facility uses chlorine or any other halogen, indicate whether the facility
dechlorinates or dehalogenates before discharging to a receiving water.
If chlorine or any other halogen is used as a disinfecting agent to meet bacteria
limits, or for other purposes, a residual limit of no-measurable value will be
included in the permit. Dechlorination or dehalogenation will be necessary to meet
the limit. Please indicate whether dechlorination or dehalogenation is provided at
your facility.
9.
Design Flow: the quantity of wastewater in million gallons per day (mgd) the
facility was designed to treat in one day. List up to 3 decimal places. Example:
3.120 = 3 million one hundred twenty thousand gallons per day. Design flow has to
be justified by an engineering report.
10.
Enter the number for each discharge point and the average quantity of treated
wastewater discharged each day from each pipe.
11.
Name the body of surface water that receives treated wastewater. If the receiving
stream does not have a name, please indicate what named creek or river
downstream receives the tributary flow, and fill out as "tributary of ________ Creek
or River." If discharge is to a lake do not complete this form. Submit Form 2M2.
Check the item which indicates the frequency of wastewater discharges.
continuous: discharging without interruption
batch:
discharging several times during the day (i.e. from a
sequential batch reactor facility)
intermittent:
sporadic discharges during the year
seasonal:
discharging only during certain periods during the year
Give the location of the point of discharge to the receiving water. This may be
Form 2MG58 Instructions - Page 3
different than the location of the facility. In giving the legal description, provide
both the latitude-longitude and 1/4, 1/4, 1/4, Section, Township and Range. Attach
addition sheets if necessary to describe additional outfalls.
12.
Indicate whether the higher influent flow caused by heavy rains is diverted and
discharged resulting in a bypass of partially or completely treated wastewater or if
it is stored for later treatment (as in a holding basin).
13.
Number 13. A through B of the application concerns the treatment and disposal of
biosolids/sludge.
A.
Common
biosolids/sludge
treatment
processes
are
aeration,
lime
stabilization, heat stabilization etc.
B 1.
Sludge management plan numbers start with SMP and usually have 7
numbers. In giving the land application sites, provide the legal description
1/4, 1/4, 1/4, Section, Township and Range and County.
B 2.
The permittee shall be certain that all landfills used for sewage sludge
disposal comply with the state and federal regulations for landfills and solid
waste disposal.
14.
State if any significant or categorical industrial users in the community discharge
industrial wastewater to the sewer treatment system. Significant industrial users
(SIUs) are defined in 40 CFR 403.3(t). Categorical industrial users (CIUs) are listed
in 40 CFR 122 Appendix A – NPDES Primary Industry Categories (see Attachment
1, Page 5). If the answer to this question is yes, your facility does not qualify for
coverage under the general permit. Please submit Form 2M2.
15.
If the answer to this question is yes a landowner notification form (found at
http://www.deq.state.ok.us/WQDnew/forms/landowner_notification_affidavit.pdf)
must be sent to the landowner and the applicant’s certifying official must initial the
box certifying that this has been done.
16.
All
other
information
regarding
the
facility
having
to
do
with
the
environmental/operational permits including maps, process diagrams, or chemical
analysis should be included with the permit application.
Form 2MG58 Instructions - Page 4
The information provided in the application will be considered in the evaluation and
processing of a discharge permit for the referenced facility.
Be advised that test
procedures used in the analyses of influents, effluents and biosolids/sludge, must
conform to approved EPA methodology or it will not be accepted for the discharge permit
evaluation.
Please note that the application must be signed by the authorized chief elective or
executive officer of the applicant, or by the applicant if an individual. The authorized
signature must be notarized. An example of a common mistake is when a Public Works
Authority Chairman signs the application as - John Doe, Mayor. The Mayor is not the
legal official of the PWA; the chairman is, even if the individual holds both positions.
Please read the certification carefully. There are significant penalties for submitting false
information on this application form.
Please detach these instructions and return only the completed application form itself.
Form 2MG58 Instructions - Page 5
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