Tceq 10054 Form PDF Details

In navigating the complexities associated with managing domestic wastewater, individuals and entities must familiarize themselves with a myriad of regulatory requirements, one of which is the completion and submission of the TCEQ Form 10054, also known as the Domestic Wastewater Permit Application Domestic Technical Report. This form serves as a comprehensive document required for the application, renewal, and amendment of wastewater permits, calling for detailed descriptions of permitted and/or proposed wastewater flows, treatment units, and pollutant analysis of treated effluent, alongside sludge management and disposal methods. It meticulously outlines the necessity for providing flow diagrams, the startup date of current treatment facilities, and whether plans and specifications for existing or proposed facilities have been approved. Additionally, the form delves into the specifics of facility operation including the requirement for certification numbers for operators, sludge disposal methods, and authorization for land application of sewage sludge for beneficial use. This essential document ensures that all domestic wastewater treatment and disposal practices meet the stringent regulations set forth by the Texas Commission on Environmental Quality (TCEQ), facilitating the protection of public health and the environment.

QuestionAnswer
Form NameTceq 10054 Form
Form Length44 pages
Fillable?No
Fillable fields0
Avg. time to fill out11 min
Other namesform 10054 sewer application tecq, tceq 1054 instructions, TCEQ, tecq 10054 instruction

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TCEQ DOMESTIC WASTEWATER PERMIT APPLICATION

DOMESTIC TECHNICAL REPORT 1.0

THE FOLLOWING IS REQUIRED FOR ALL APPLICATIONS;

RENEWAL, NEW, AND AMENDMENT

1. PERMITTED AND/OR PROPOSED FLOWS (Instructions, Page 39)

 

 

PERM I TTED AN D / OR

 

 

Ex ist ing/ I nt er im I

 

 

I nt er im I I

 

Final Phase

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROPOSED FLOW :

 

 

Phase

 

 

Phase

 

 

 

 

 

Design Flow ( MGD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 - Hr Peak Flow ( MGD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dat e const r uct ion est im at ed t o

 

 

 

 

 

 

 

 

 

 

 

 

 

com m ence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dat e w ast e disposal est im at ed t o

 

 

 

 

 

 

 

 

 

 

 

 

 

com m ence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phase currently in operation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. NAICS and SIC CODE (Instructions, Page 39)

 

 

 

 

 

 

 

 

Provide the appropriate SIC Code:

 

 

 

 

and NAICS code:

 

 

 

 

3.TREATMENT UNITS (Instructions, Page 40)

a.Provide a detailed description of the treatment process. Include the type of treatment plant, mode of operation, and all treatment units. Start with the plant’s head works and finish with the point of discharge. Include all sludge processing and drying units. If more than one phase exists or is proposed in the permit, a description of each phase must be provided.

Port or pipe diameter at the discharge point:

 

inches

b.Provide the startup date of the current treatment facility:

Have plans and specifications been approved for the existing facilities and/or each proposed phase?

Yes No

(If yes, provide the date(s) of approval for each phase) _______________________

TCEQ-10054 (09/01/2010) Domestic Wastewater Permit Application Technical Report

Page 1 of 44

c. For applicants with an existing permit: Check the Other Requirements page(s) of the existing permit and provide information (including dates) on any actions taken to meet an Other Requirement pertaining to the submission of a summary submittal letter if applicable.

d. Have the buffer zone requirements been met?

Yes

No

e. For applicants with an existing permit: Check the Other Requirements page(s) of the existing permit and provide information (including dates) on any actions taken to meet the conditions of an Other Requirement pertaining to the buffer zone if applicable.

f.Provide flow diagrams for the existing facilities and/or each proposed phase of construction. Indicate by a check mark that the required information is included.

g. Provide the type and dimensions (length, width, height) of each treatment unit and for all phases.

TREATMENT UNITS

# OF UNITS

DIMENSIONS (L x W x D)

TCEQ-10054 (09/01/2010) Domestic Wastewater Permit Application Technical Report

Page 2 of 44

4. POLLUTANT ANALYSIS OF TREATED EFFLUENT (Instructions, Page 40)

Provide an analysis of the treated effluent for the following pollutants (data must be taken within 1 year of the date of application submission: (Not required for new permit applications unless the facility is in operation)

For discharges from water treatment plants provide the following pollutant analysis: Total Suspended Solids, Total Dissolved Solids, pH, aluminum, and fluoride instead of the table below.

 

 

 

CO N CEN T RAT I O N

 

 

N U M BER

 

 

 

 

 

SAM PLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF

 

 

P O LLU T AN T

 

 

 

 

 

OF

 

 

 

 

D ATE/

 

 

 

 

 

 

 

 

 

SAM PLE

 

 

 

 

 

 

AV G.

M AX .

 

 

SAM PLES

 

 

 

 

TI M E

 

 

 

 

 

 

 

 

 

 

 

 

( 1)

CBOD5 m g/ l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 2)

Tot al Suspended Solids, m g/ l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 3)

Am m onia- Nit r ogen, m g/ l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 4)

Nit r at e- Nit rogen, m g/ l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 5)

Tot al Kj eldahl Nit rogen, m g/ l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 6)

Sulfat e, m g/ l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 7)

Chlor ide, m g/ l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 8)

Tot al Phosphor us, m g/ l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 9)

pH, st andar d unit s

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 10)

Dissolved Oxygen, m g/ l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 11)

Chlor ine Residual, m g/ l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 12)

E. COLI ( colonies/ 100m l)

 

 

 

 

 

 

 

 

 

 

 

 

 

fr eshw at er dischar ge

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 13)

Ent er ococci ( colonies/ 100m l)

 

 

 

 

 

 

 

 

 

 

 

 

 

salt w at er dischar ge

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 14)

Tot al Dissolved Solids, m g/ l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 15)

Elec. Conduct ivit y, um hos/ cm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 16)

Oil and Gr ease, m g/ l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TCEQ-10054 (09/01/2010) Domestic Wastewater Permit Application Technical Report

Page 3 of 44

5.FACILITY OPERATOR (Instructions, Page 41)

Provide the name and operator certification number for the facility operator:

6.SEWAGE SLUDGE MANAGEMENT AND DISPOSAL (Instruction, Page 41)

a.Please check the current sludge disposal method or methods. More than one method can be checked.

Permitted landfill

Permitted or Registered land application site for beneficial use

Land application for beneficial use authorized in the wastewater permit Marketing and distribution as authorized in the wastewater permit Composting as authorized in the wastewater permit

Permitted surface disposal site (sludge monofill)

Surface disposal site (sludge monofill) authorized in the wastewater permit

Transported to another permitted wastewater treatment plant or permitted sludge processing facility (a current statement or agreement is required, see the item below)

Written statement/contractual agreement from the wastewater treatment plant or permitted sludge processing facility accepting the sludge is attached

Other method (provide description):

b.Provide the following information for the sludge site: Disposal site name:

TCEQ Permit or Registration Number: County where the site is located:

c.Provide the following:

Method of transportation (truck, train, pipe, other): Name of the hauler:

Hauler Registration Number:

Transported in:

liquid

semi-liquid

semi-solid

solid state

Land application for:

Reclamation

Soil Conditioning

 

7.PERMIT AUTHORIZATION FOR SEWAGE SLUDGE DISPOSAL (Instructions, Page 41)

a.Does the existing permit include authorization for land application of sewage sludge for

beneficial use?

Yes

No

If yes, are you requesting to continue this authorization to land apply sewage sludge for

beneficial use:

Yes

No

If yes, is the completed APPLICATION FOR PERMIT FOR BENEFICIAL LAND USE OF SEWAGE SLUDGE (TCEQ Form No. 10451) attached to this permit renewal

application (see the instructions for details):

Yes

No

TCEQ-10054 (09/01/2010) Domestic Wastewater Permit Application Technical Report

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b.Does the existing permit include authorization for any of the following sludge processing, storage or disposal options?

Sludge Composting

 

Yes

No

 

Marketing and Distribution of sludge

Yes

No

 

Sludge Surface Disposal or Sludge Monofill

Yes

No

 

Temporary storage of sludge in sludge lagoons

Yes

No

 

If yes to any of the above sludge options and the applicant is requesting to continue this

 

authorization, is the completed DOMESTIC WASTEWATER PERMIT

 

APPLICATION: SEWAGE SLUDGE TECHNICAL REPORT (TCEQ Form No.

 

10056) attached to this permit renewal application.

Yes

No

 

 

 

8. SEWAGE SLUDGE SOLIDS MANAGEMENT PLAN (Instructions, Page 42)

 

Does the facility discharge in the Lake Houston watershed?

Yes

No

Does the facility accept sludge from other domestic wastewater treatment facilities?

 

Yes

No

 

 

 

If yes to either question, is the required solids management plan attached? Yes

No

9.SEWAGE SLUDGE LAGOONS (Instructions, Page 43) a. Location information

Indicate by a check mark that the following required maps are submitted as part of the application and that they contain the required information?

Original General Highway (County) Map

USDA Natural Resources Conservation Service Soil Map

Federal Emergency Management Map Site map

Indicate by a check mark if any of the following existing within the area used/proposed for the lagoons:

Overlap a designated 100-year frequency flood plain

Soils with flooding classification

Overlap an unstable area

Wetlands

Located less than 60 meters from a fault None of these

If a portion of the lagoon(s) is located within the 100-year frequency flood plain, provide the protective measures to be utilized including type and size of protective structures:

TCEQ-10054 (09/01/2010) Domestic Wastewater Permit Application Technical Report

Page 5 of 44

b.Temporary storage information

Provide the results of the following in addition to the pollutants listed in the Technical Report 1.0

P o ll u t a n t

 

m g / k g

 

Nit r at e Nit r ogen

Tot al Nit r ogen

Phosphor us

Pot assium

pH ( St andar d Unit s)

Am m onia Nit r ogen

Provide the following information:

Volume and frequency of sludge to lagoon(s):

Total dry tons stored in the sludge lagoon(s) per 365-day period:

Total dry tons stored in the sludge lagoon(s) over the life of the unit:

c. Facility information

Does the active/proposed sludge lagoon(s) have a liner with a maximum hydraulic

conductivity of 1x10-7 cm/sec?

Yes

No

If yes, describe the liner: Please note that lining is required.

d.Site Development Plan

Provide a detailed description of the methods used to deposit sludge in the lagoon(s):

In addition to the detailed description, please indicate by a check mark that the following information is provided:

Plan view and cross-section of the sludge lagoon(s)

Copy of the closure plan

Copy of deed recordation for the site

Size of the sludge lagoon(s) in surface acres and capacity if cubic feet and gallons

Description of the method of controlling infiltration of groundwater and surface water from entering the site

Procedures to prevent the occurrence of nuisance conditions

TCEQ-10054 (09/01/2010) Domestic Wastewater Permit Application Technical Report

Page 6 of 44

e. Groundwater Monitoring

Is groundwater monitoring currently conducted at this site, or are any wells available for groundwater monitoring, or are groundwater monitoring data otherwise available for the sludge lagoon(s)?

Yes

No

If groundwater monitoring data are available, provide a copy.

Provide a profile of soil types encountered down to the groundwater table and the depth to the shallowest groundwater as a separate attachment.

10.AUTHORIZATIONS/REQUIREMENTS/COMPLIANCE/ENFORCEMENT (Instructions, Page 44)

a.Does the permittee have additional authorizations for this facility, such as reuse

authorization, sludge permit, etc?

Yes

No

If yes, provide the TCEQ authorization number and description of the authorization:

b. Is the permittee currently under enforcement?

Yes

No

Is the permittee required to meet any implementation schedule for compliance or

enforcement?

Yes

No

If yes to either question for item 10, provide a brief summary of the enforcement and/or implementation schedule, and a status update:

11.UNBUILT PHASES (Instructions, Pages 44)

Is the application for renewal of a permit that contains an unbuilt phase or phases?

Yes

No

If yes, does the existing permit contain a phase that has not been constructed within five

years of being authorized by the TCEQ?

Yes

No

If yes, provide a detailed discussion regarding the continued need for the unbuilt phase. Failure to provide sufficient justification may result in the Executive Director recommending denial of the unbuilt phase or phases.

TCEQ-10054 (09/01/2010) Domestic Wastewater Permit Application Technical Report

Page 7 of 44

12.SITE DRAWING (Instructions, Page 45)

Provide a site drawing for the facility. Indicate by a check mark that it contains the following.

The boundaries of the treatment facility

The boundaries of the area served by the treatment facility

If land disposal of effluent, the boundaries of the disposal site and all storage/holding ponds

If sludge disposal authorized in the permit, the boundaries of the land application or disposal site

Provide the name and description of the area served by the treatment facility.

13. RCRA/CERCLA/OTHER WASTES (Instructions, Page 45)

a.Does the facility receive, will it receive, or has it received RCRA hazardous waste in the past

three years?

Yes

No

b.Does the facility receive, will it receive, or has it received in the past three years, CERCLA

wastewater, RCRA remediation/corrective action wastewater or other remediation activity

wastewater?

Yes

No

c.If yes to either a. or b., is a detailed attachment with information concerning these wastes

provided?

Yes

No

TCEQ-10054 (09/01/2010) Domestic Wastewater Permit Application Technical Report

Page 8 of 44

14. LABORATORY ACCREDITATION:

Effective July 1, 2008, all laboratory tests performed must meet the requirements of 30 TAC Chapter 25, Environmental Testing Laboratory Accreditation and Certification with the following general exemptions:

i.The laboratory is an in-house laboratory and is:

1.periodically inspected by the TCEQ; or

2.located in another state and is accredited or inspected by that state; or

3.performing work for another company with a unit located in the same site;

or

4.performing pro bono work for a governmental agency or charitable organization.

ii.The laboratory is accredited under federal law.

iii.The data are needed for emergency-response activities, and a laboratory accredited under the Texas Laboratory Accreditation Program is not available.

iv.The laboratory supplies data for which the TCEQ does not offer accreditation.

The applicant should review 30 TAC Chapter 25 for specific requirements. The following certification statement shall be signed and submitted with every application. See Instructions, TCEQ Form 10053-inst, Page 30, for a list of designated representatives who may sign the certification.

CERTIFICATION:

I,

Ty p ed or Pr in t ed N a m e

Tit le

certify that all laboratory tests submitted with this application meet the requirements of 30 TAC Chapter 25, Environmental Testing Laboratory Accreditation and Certification.

Sig n a t u r e

Da t e

TCEQ-10054 (09/01/2010) Domestic Wastewater Permit Application Technical Report

Page 9 of 44

DOMESTIC TECHNICAL REPORT 1.1

THE FOLLOWING IS REQUIRED FOR NEW AND AMENDMENT APPLICATIONS

1.PERMITTED AND/OR PROPOSED FLOWS (Instructions, Page 46) a. Complete the following chart.

 

 

 

 

 

 

 

PERMI TTED AND / OR PROPOSED FLOW:

 

I nit ial/ ex ist ing

 

I nt er m ediat e

 

Final

 

 

Phase

 

Phase

 

Phase

Design Flow ( MGD)

 

 

 

 

 

 

 

 

 

 

 

 

 

2 - Hr Peak Flow ( MGD)

 

 

 

 

 

 

 

 

 

 

 

 

 

Const r uct ion est im at ed t o st ar t

 

 

 

 

 

 

 

 

 

 

 

 

 

Dat e w ast e disposal t o st ar t

 

 

 

 

 

 

 

 

 

 

 

 

 

Phase currently in operation:

b.Provide a detailed discussion regarding the need for the proposed permit or proposed phase(s). Failure to provide sufficient justification may result in the Executive Director recommending denial of the proposed phase(s) or permit.

c.Provide the following information concerning regionalization of domestic wastewater treatment facilities:

1. If the applicant is a city, check N/A and proceed to item 2:

N/A

Is any portion of the proposed service area located in an incorporated city?

Yes

No

 

 

If yes, within the city limits of:

 

 

 

If yes, is correspondence from the city is attached:

Yes

No

If consent to provide service is available from the city, is justification for the proposed facility and a cost analysis of expenditures that includes the cost of connecting to the city

versus the cost of the proposed facility or expansion attached?

Yes No

2.Is any portion of the proposed service area located inside another utility’s CCN area?

Yes

No

If yes, check if justification for the proposed facility and a cost analysis of expenditures that includes the cost of connecting to the CCN facilities versus the cost of the proposed facility or expansion is attached.

3.Are there any domestic permitted wastewater treatment facilities and/or collection systems located within a three-mile radius of the proposed facility?

Yes

No

TCEQ-10054 (09/01/2010) Domestic Wastewater Permit Application Technical Report

Page 10 of 44

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