Form 2F (DNR Form 542-1380) "Npdes Permit Application Form for Industrial Facilities That Discharge Stormwater Associated With Industrial Activity" - Iowa

What Is Form 2F (DNR Form 542-1380)?

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

Form Details:

  • Released on May 1, 2019;
  • The latest edition provided by the Iowa Department of Natural Resources;
  • 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 fillable version of Form 2F (DNR Form 542-1380) by clicking the link below or browse more documents and templates provided by the Iowa Department of Natural Resources.

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Download Form 2F (DNR Form 542-1380) "Npdes Permit Application Form for Industrial Facilities That Discharge Stormwater Associated With Industrial Activity" - Iowa

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Form 2F
IOWA DNR: NPDES FORM 2F FOR INDUSTRIAL FACILITIES
FACILITIES THAT DISCHARGE STORMWATER ASSOCIATED WITH INDUSTRIAL ACTIVITY
Permit Number
Facility Name
See page 1 of the instructions for the applicability of this form.
1. Outfall Locations
For each outfall that discharges stormwater associated with industrial activity, list its latitude and longitude and the
route of flow to the first named stream.
Outfall
Latitude
Longitude
Route of Flow
No.
Deg.
Min.
Sec.
Deg.
Min.
Sec.
2. Site Drainage Map
Attach a site drainage map depicting the facility and its outfalls. The map must include:
Topography (or indicating the outline of drainage areas served by the outfalls);
Each of the facility's intake and discharge structures (outfalls);
Paved areas and buildings within the drainage area of each stormwater outfall;
Each known past or present area used for outdoor storage or disposal of significant materials;
Each existing structural control measure to reduce pollutants in stormwater runoff;
Materials loading and access areas;
Areas where pesticides, herbicides, soil conditioners and fertilizers are applied;
Each hazardous waste treatment, storage, or disposal unit;
Each well where fluids are injected underground; and
Springs and other surface water bodies that receive stormwater discharges from the facility.
3. Description of Pollutant Sources
3.A. For each outfall listed in Item 1, provide an estimate of the area of impervious surfaces drained to the outfall, and
an estimate of the total surface area drained by the outfall.
Area of Impervious Surface
Total Area Drained
Outfall No.
(include units)
(include units)
5/2019 jmf
Form 2F – Page 1 of 8
DNR Form 542-1380
Form 2F
IOWA DNR: NPDES FORM 2F FOR INDUSTRIAL FACILITIES
FACILITIES THAT DISCHARGE STORMWATER ASSOCIATED WITH INDUSTRIAL ACTIVITY
Permit Number
Facility Name
See page 1 of the instructions for the applicability of this form.
1. Outfall Locations
For each outfall that discharges stormwater associated with industrial activity, list its latitude and longitude and the
route of flow to the first named stream.
Outfall
Latitude
Longitude
Route of Flow
No.
Deg.
Min.
Sec.
Deg.
Min.
Sec.
2. Site Drainage Map
Attach a site drainage map depicting the facility and its outfalls. The map must include:
Topography (or indicating the outline of drainage areas served by the outfalls);
Each of the facility's intake and discharge structures (outfalls);
Paved areas and buildings within the drainage area of each stormwater outfall;
Each known past or present area used for outdoor storage or disposal of significant materials;
Each existing structural control measure to reduce pollutants in stormwater runoff;
Materials loading and access areas;
Areas where pesticides, herbicides, soil conditioners and fertilizers are applied;
Each hazardous waste treatment, storage, or disposal unit;
Each well where fluids are injected underground; and
Springs and other surface water bodies that receive stormwater discharges from the facility.
3. Description of Pollutant Sources
3.A. For each outfall listed in Item 1, provide an estimate of the area of impervious surfaces drained to the outfall, and
an estimate of the total surface area drained by the outfall.
Area of Impervious Surface
Total Area Drained
Outfall No.
(include units)
(include units)
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Form 2F – Page 1 of 8
DNR Form 542-1380
Form 2F
3.B. Provide a narrative description of significant materials that are or have in the past three years been treated, stored,
or disposed in a manner to allow exposure to stormwater. Attach additional sheets if necessary. Include:
Method of treatment, storage, or disposal;
Materials management practices employed in the last three years to minimize contact by these materials with
stormwater runoff;
Materials loading and access areas;
The outfalls affected; and
The location, manner, and frequency in which pesticides, herbicides, soil conditioners, and fertilizers are applied.
3.C. For each outfall listed in Item 1, provide the location and a description of existing structural and nonstructural
control measures to reduce pollutants in stormwater runoff. Attach additional sheets if necessary.
Outfall No.
Control Measures/Treatment
4. Non-stormwater Discharges
All outfalls that contain stormwater discharges associated with industrial activity must be tested or evaluated for the
presence of non-stormwater discharges that are not covered by an NPDES permit. All non-stormwater discharges must
be identified in a Form 2, 3, or 4, which must accompany this application. Below, provide a description of the testing or
evaluation method used, the date of any testing, and the onsite draining points that were directly observed during a
test. Attach additional sheets if necessary.
5. Significant Leaks or Spills
Provide existing information regarding any significant leaks or spills of toxic or hazardous pollutants at the facility in the
last three years. Include the approximate date and location of the spill or leak and the type and amount of material
released.
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Form 2F – Page 2 of 8
DNR Form 542-1380
Form 2F
Outfall Number:
6. Discharge Information
6.A (Common Pollutants) You must provide sampling results for every pollutant in this table. Sampling must occur during a qualifying storm event. Complete
one table for each outfall listed in Item 1.
Maximum Values
Average Values
Number of
(include units)
(include units)
Certified
Storm
Pollutant
Grab Sample
Grab Sample
Source of Pollutants
Laboratory
Flow-weighted
Flow-weighted
Events
Taken During
Taken During
Number
Composite
Composite
Sampled
st
st
1
30 Minutes
1
30 Minutes
Oil and Grease
Biochemical Oxygen
Demand (BOD
)
5
Chemical Oxygen
Demand (COD)
Total Suspended
Solids (TSS)
Total Kjeldahl
Nitrogen (TKN)
Nitrate plus Nitrite
Nitrogen
Total Phosphorus
You must also provide data for pH at each outfall.
Number of Storm events
pH
Minimum
Maximum
sampled
st
Grab Sample Taken During 1
30 Minutes
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Form 2F – Page 3 of 8
DNR Form 542-1380
Form 2F
Outfall Number:
6.B (Effluent Guidelines and NPDES Permit)
List and provide results for each pollutant that is limited in an effluent guideline which the facility is subject to or any pollutant listed in the facility's NPDES
permit for its process wastewater. Complete one table for each outfall listed in Item 1. Provide quantitative data from a qualifying storm event for all pollutants
that you list. Attach additional sheets as necessary.
Maximum Values
Average Values
Number of
(include units)
(include units)
Pollutant
Certified
Storm
and CAS Number
Grab Sample
Grab Sample
Source of Pollutants
Laboratory
Flow-weighted
Flow-weighted
Events
(if available)
Taken During
Taken During
Number
Composite
Composite
Sampled
st
st
1
30 Minutes
1
30 Minutes
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Form 2F – Page 4 of 8
DNR Form 542-1380
Form 2F
Outfall Number:
6.C (Refer to Table 1 of the instructions)
For each pollutant in Table 1 that you know or have reason to believe is present in your discharge, list the pollutant and its source. If any existing quantitative
data from a qualifying storm event are available, provide the data. If no quantitative data are available, provide the source of the pollutants. Complete one table
for each outfall listed in Item 1.
Maximum Values
Average Values
Number of
(include units)
(include units)
Pollutant
Certified
Storm
and CAS Number
Grab Sample
Grab Sample
Source of Pollutants
Laboratory
Flow-weighted
Flow-weighted
Events
(if available)
Taken During
Taken During
Number
Composite
Composite
Sampled
st
st
1
30 Minutes
1
30 Minutes
5/2019 jmf
Form 2F – Page 5 of 8
DNR Form 542-1380
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