Appendix C

Appendix C - Current questionnaires.pdf

Questionnaire for Nominees for the Annual National Clean Water Excellence Awards Program (Renewal)

Appendix C

OMB: 2040-0101

Document [pdf]
Download: pdf | pdf
Appendix C – Current Questionnaires

2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms

PART A

CLEAN WATER ACT RECOGNITION AWARDS

OPERATIONS AND MAINTENANCE EXCELLENCE

EXEMPLARY BIOSOLIDS MANAGEMENT


INSTRUCTIONS, QUESTIONNAIRE FORMAT AND FORMS

APPLICANTS MUST CONTACT THE APPROPRIATE 

REGIONAL AWARDS COORDINATOR FOR SUBMISSION 

DEADLINE DATES BEFORE COMPLETING THE FORMS


A-1


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
BURDEN STATEMENT
Section 501 (e) of the Clean Water Act (CWA), as amended authorizes a program to recognize
municipalities and industries that demonstrate outstanding technological achievements, innovative
processes, devices or other outstanding methods in their waste treatment and pollution abatement
programs. Recognition is made through EPA’s National Clean Water Act recognition awards program.
The program aims to heighten public awareness of the contributions wastewater treatment facilities and
programs make to clean water, and encourages public support for effective wastewater management. The
design, operating and environmental compliance information of the wastewater treatment facility or
pollution abatement programs is needed to complete the questionnaire. Participation in the awards
recognition program is voluntary. No confidential information is involved for this collection activity.
The public reporting burden for this collection of information is estimated to average 8 hours per
respondent annually. For State respondents, the reporting burden is estimated to average 6 hours per
response annually. Burden means the total time, effort, or financial resources expended by persons to
generate, maintain, retain, or disclose or provide information to or for a Federal agency. This includes the
time needed to review instructions; develop, acquire, install, and utilize technology and systems for the
purposes of collecting, validating, and verifying information, processing and maintaining information,
and disclosing and providing information; adjust the existing ways to comply with any previously
applicable instructions and requirements; train personnel to be able to respond to a collection of
information; search data sources; complete and review the collection of information; and transmit or
otherwise disclose the information. An agency may not conduct or sponsor, and a person is not required
to respond to, a collection of information unless it displays a currently valid OMB control number.

A-2


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
OPERATIONS AND MAINTENANCE (O&M) EXCELLENCE AWARDS

EXEMPLARY BIOSOLIDS MANAGEMENT AWARDS

Introduction
The Environmental Protection Agency’s (EPA) Clean Water Act (CWA) Recognition
Awards program is authorized by Section 501(e) of the CWA. A framework to implement the
awards program is found in the Code of Federal Regulations 40 (CFR) part 105. At the
discretion of the EPA Regions, this document may be reformatted to a shorter version for use as
a nomination and/or application package for the regional awards process.
The Operations and Maintenance (O&M) awards category encourages public support for
effective operations and maintenance activities publicly-owned at wastewater treatment facilities.
The awards aim to heighten overall public awareness of the contributions wastewater treatment
facilities, projects and programs make to clean water. Recognition is made to municipalities and
industries for outstanding and innovative technological achievements, methods or devices in
their waste treatment and pollution abatement programs. The O&M category also recognizes the
Most Improved Plant (MIP) which demonstrates the effectiveness of the CWA Section 104(g)
(1) program.
The Exemplary Biosolids Management (Biosolids) awards category recognizes
excellence in all areas of municipal biosolids management, including exemplary operating
projects, research, technological advances, public acceptability, and risk and cost reduction
activities. The current sub-categories and criteria allow for the recognition of a broad spectrum
of programs with sound management, effective communication to stakeholders, and communityfriendly biosolids management practices. Recognition made for this category is consistent with
practices of the National Biosolids Partnership Environmental Management System Program
which EPA encourages all biosolids managers to implement.
Parties interested in applying for an award are required to contact the appropriate EPA
Regional Operation and Maintenance Awards Coordinators (see pages A-20 and A-21,
respectively) for individual submission deadlines for the O&M and Biosolids awards categories
to be assured consideration for an award. States and EPA Regions will also solicit nominees for
participation in the awards process, and make recommendations to Headquarters by the
established deadline date for consideration of a national award.
Stated below are criteria and eligibility requirements for the O&M and Biosolids Awards
program categories, as well as Instructions, Questionnaire Format and Forms used for the
nomination and/or application process. The Applicant Compliance Certification Form (Pages A
7 and A-8) should be completed. Upon recommendation of EPA Regions, applicants for the
O&M awards category should complete Section A-I, Page A-9, Instructions and for the MIP
award, complete pages A-18 and A-19. Section A-II, Page A-23, Instructions should be
completed by applicants for the biosolids awards program category.

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2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
AWARDS CRITERIA
1

States and Tribes should recommend facilities, projects and programs to their EPA
Regional offices for consideration of an award. Nominations for the national awards
should be recommended by EPA Regions to complete the application package for
submission to Headquarters by the June 8, 2007, national deadline.

2. 	

The O&M Awards category eligibility is based on average design capacity and treatment
level. The plant should have been in operation at the same treatment level and design
capacity for at least two years as covered in the two calendar years of data reported in the
compliance section of the form. The biosolids awards category eligibility is based on
production level of dry tons per day, activity type, and public acceptance.

3. 	

Within the last three years, the plant being considered for the O&M Award should not
have been upgraded to meet secondary or advanced limits nor have gone through an
expansion which exceeded the January 1, 2004 average design capacity by 50%.

4. 	

To qualify for the MIP sub-category of the O&M Award, the plant must have an average
design capacity of less than 5.0 mgd and be able to demonstrate that improvements
resulted from a State or Federally managed on-site technical assistance program,
specifically the EPA CWA Section 104(g)(1) On-site Assistance Program for small
communities.

5. 	

To qualify for the non-discharging plant sub-category of the O&M Award, the plant
cannot have an NPDES permit, except if there is a no discharge permit, but can have
State-specific and technology-specific limits for non-surface water related discharges.
Plants with intermittent or seasonal discharges, however, are eligible to be considered for
other awards sub-categories according to plant size and treatment levels.

6.	

Prior to submitting formal nominations to EPA Headquarters, EPA Regions must screen
potential Applicant/Nominee in accordance with the Agency’s policy on Compliance
Screenings for EPA Partnership Programs located at
http://www.epa.gov/partners2/resource/ppsguide.pdf. Screenings should also include the use
of Quarterly Noncompliance Reports (QNCRs), the Permit Compliance System (PCS) data,
the Office of Compliance’s Online Tracking Information System (OTIS) for applying to the
Agency’s Integrated Data for Enforcement Analysis (IDEA) system, and other sources
including institutional knowledge.

7. 	

To be considered for an award, applicant or nominee must be in compliance with all
applicable water quality requirements and otherwise have a satisfactory record with
respect to environmental quality.

8.	

Winners of the EPA’s 2006 national awards should not re-apply in the same award
category until 2009. However, a 2006 national winner may be eligible to apply for an
award this year in any of the other awards program categories. The program currently
has five (5) categories. Nominations must be recommended or supported by the EPA
Region.
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2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
OPERATIONS AND MAINTENANCE AWARDS
Nominations and applications for the O&M awards are considered for the following plant
size based sub-categories and evaluation criteria.
Plant Design Capacity
Treatment Level
Sub-Category

1.0 mgd or less

1.1 to 10.0 mgd

10.1 mgd or more

Secondary
Treatment Plant

Small (S-S)

Medium (M-S)

Large (L-S)

Advanced
Treatment Plant

Small (S-A)

Medium (M-A)

Large (L-A)

NonDischarging
Plant

Small (S-ND)

Large (L-ND)

Large (L-ND)

Eligible if less
than 5.0 mgd

Not eligible

Most Improved
Treatment Plant (MIP)

[Note: There is no Medium Non-discharging Plant sub-category.]
Secondary Treatment - A plant should be included in the secondary treatment plant
category if the plant's effluent is designed and permitted (30 day average) to release up to 30
milligram per liter (mg/l) of both 5 day-biochemical oxygen demand (BOD5) and total
suspended solids (TSS) to the surface waters, and as a minimum, remove 85% of the BOD5 and
TSS from the influent. This definition, however, may not apply in some States (and plants are
still eligible) that allow higher TSS limits when lagoons or trickling filters are used to provide
secondary treatment, in a few States where EPA and States have agreed to a more stringent
definition of secondary treatment, or where a plant has been granted a 301(h) waiver. A lower
percent removal requirement or mass loading limit may be substituted for the percent removal
requirements as authorized by the State (40 CFR Part 133). A plant is not considered a
secondary treatment plant when the effluent requirements include any of the conditions that meet
the definition of advanced treatment as listed in the following paragraph.
Advanced Treatment - A plant should be included in the advanced treatment plant
category if the plant's effluent is designed and permitted (30 day average) to meet any one of the
following conditions: a) release less than 30 milligram per liter (mg/l) of both 5 day-biochemical
oxygen demand (BOD5) and total suspended solids (TSS) to the surface waters, and as a
minimum remove 85% of the BOD5 and TSS from the influent, or (b) remove ammonia,
nitrogen, or phosphorus, or (c) provide additional treatment after a secondary process using
coagulation and filtration. A plant should be considered advanced even if advanced treatment
applies only on a seasonal or periodic basis.

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2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
EXEMPLARY BIOSOLIDS MANAGEMENT AWARDS
For the Biosolids Awards category, it is important to tell the story in a manner that
clearly shows the beneficial uses of biosolids and/or exemplary management of biosolids,
including how the activity reduced public concern. Information provided may be utilized locally
in press releases, brochures and other outreach activities. Nominations will be accepted for
recognition of excellence in a wide range of activities that have stimulated the beneficial uses of
municipal biosolids. Nominations will be evaluated against the following criteria:
Sub-category	
Operating Projects 	

Evaluation Criteria
[Production levels: (1) greater than 5 dry tons per day
{DTPD} and, (2) less than {5 DTPD}] Outstanding, full-scale,
exemplary management technologies. (Note: Categorization is
based upon the actual average daily biosolids production and not
the design capacity.)

Technology/Innovation or Significant technological improvements developed and fully
Development Activities
proven at the operational level. These may be pilot or full-scale
activities.

Research Activities:	

Studies that have substantially contributed to an improved
understanding of biosolids management practices, reduced risks
and costs, improved public acceptance, and/or have advanced the
technology.

Public Acceptance 	

Recognizes: (1) Municipalities and (2) All Others. Significant
local, regional, and national activities that have increased public
acceptance of biosolids management practices.

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2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
ICR No. 1287.07
OMB Control # 2040-0101
OPERATIONS AND MAINTENANCE EXCELLENCE AWARDS

EXEMPLARY BIOSOLIDS MANAGEMENT AWARDS


INSTRUCTIONS, QUESTIONNAIRE FORMAT AND FORMS
I. 	APPLICANT/NOMINEE’S COMPLIANCE CERTIFICATION FORM
A. Official Name of Facility or Project ____________________________________________
(Should be consistent with the NPDES Permit, if applicable, and will be engraved on any awards
material.)

City and State _____________________________________________________________
Name and Type of Ownership ________________________________________________
B. 	Nomination Category (check 1 or 2 below.)
1. O&M Excellence Program or Project: _____. (Complete Section A-I.)
Plant Size or Treatment Level (Select one)
(Based on average design flow: Large Advanced plant, Medium Advanced Plant, Small Advanced
plant, Large Secondary Plant, Medium Secondary Plant, Small Secondary Plant, Large Nondischarging plant; Small Discharging Plant, and Most Improved Plant.)

2. Exemplary Biosolids Management Program or Project: _____ (Complete Section A-II.)
Production size or Activity (Select one)
(Operating Projects (large & small); Technology Development Activities; Research Activities;

Public Acceptance Activities, (municipal & others).
C. 	Previous national Clean Water Act Award winner? _____ If yes, what year?______,
D. 	Application Contact Name __________________________________________________
Address _________________________________________________________________
Phone No.

Fax No. __________________________

E. EPA Regional Awards Manager certifying compliance record
(Please attach copy of NPDES permit or land application authorization, as

Signature
Phone Number

/
Date
Fax Number
A-7


appropriate.)

2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
II. AWARD NOTIFICATION OFFICIAL
A. Elected Administrator (i.e., Mayor, Authority Board President, Commissioner)
Name ____________________________________________________________________
Organization Title __________________________________________________________
Organizational Address ______________________________________________________
III. POLITICAL NOTIFICATION
A.	 U.S. Senators and Representatives Names and Addresses:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
B. State Governor's Name and Address:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

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2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
SECTION A-1 INSTRUCTIONS
TO BE COMPLETED BY O&M AWARD APPLICANTS ONLY
EPA Regional and national nominating committees will consider demonstrated evidence
of and achievements resulting from outstanding, unique and innovative operations and
maintenance projects and programs at wastewater treatment facilities for consideration of an
award. Consideration is also made for continuing high levels of effluent compliance; cost saving
techniques; environmental benefits; and, the level of difficulty to operating and maintaining the
wastewater treatment facility and collection system.
I. WRITTEN NARRATIVE
The Operations and Maintenance (O&M) award applicant should include in the package
a written narrative as documentation to support their outstanding, unique or innovative O&M
program and practices for consideration of an award. The narrative should also describe any
cost, labor, material, environmental benefits, or time savings derived from such practices.
The applicant should select no more than three of the O&M topics listed below and
address the questions specific to those topics in no more than two pages for each topic that
contributed to the plant's success. The narrative should answer the reasons for seeking O&M
improvements through [their chosen topics]. Applicants for the O&M MIP award and NonDischarging plant awards, may confine their narratives to their individually recommended topics.
Select any, and no more than three topics below.
o

Automation: Describe the automation systems, the software and record keeping that the
plant took to improve overall operating efficiencies and management.

o

Biosolids Management: Describe the plant’s short term and long term approach to
managing biosolids.

o

Collection System Controls: Describe the plant's approach to controlling infiltration
and inflow, combined sewer overflows (CSOs) and separate sewer overflows, and how
this has affected plant performance and the surface waters; the before and after rainfalls
and maximum flows to combined sewer outfalls and separate sanitary sewers; the before
and after flows caused by infiltration/inflows; and the before and after percentage (round
to nearest 10%) of the system's sewer collection laterals which are affected by combined
sewers or by excessive Infiltration/Inflow (I/I).

o

Collection System Maintenance Management: Describe the plant's program for pipe
reliability, and maintenance and repairs. Provide data on the average age of the sewers
and how your program has affected the number of sewer breaks and stoppages.

o

Equipment Maintenance Management: Describe the plant's approach and the
significant program features to long term equipment reliability and effective
maintenance/repair management.
A-9

2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
o	

Financial Management: Describe the plant's approach to asset management, financial
management and collections to ensure emergency and planned O&M expenses, as well as
the long-term financial stability and integrity of the POTW and collection system
infrastructure.

o	

Laboratory Management: Describe the improvements that have been made in your
laboratory management which enhance plant operations, process control, field
monitoring, and permit reporting.

o	

Most Improved Plant Nominees (Only): Describe your improved O&M practices; and
cost, labor, material, environmental, or time savings derived from such practices.
Describe before and after improvements in compliance record, staff skills and
achievements, and process control and monitoring. Also explain how the plant achieved
outstanding O&M through Section 104(g) on-site technical assistance, i.e.,
chemical/operational savings, cost-effective practices, or technical/financial/staffing
improvements.

o	

Non-discharging Plant Category Nominees (Only): Note: The plant must not
discharge to surface waters at any time or season (zero discharge). Describe the
management initiatives which have been implemented to ensure that plant effluent does
not have a negative impact on groundwater, air quality, human health, agriculture
products, livestock, etc., and the management approaches to handle unusual periods of
inclement weather.

o	

O&M Reviews and Best Management Practices (BMP): Describe the in-house,
contractual, and state activities which were implemented at the plant to mitigate impacts
from O&M related to groundwater protection, odor control, CSOs, stormwater, public
health, etc.

o	

Plant Staffing and Training: Describe the plant's approach to personnel staffing and
training programs and how it has contributed to long term compliance; the plant's
approach to assessing staffing needs; the managerial, contractual, hiring, and budgetary
controls which ensure that imminent, emergency and staffing shortfalls are timely
resolved; and the number of certified operators, municipal and contract staff, operators
working each shift, staff working almost exclusively on: (a) equipment maintenance, (b)
in the laboratory, and (c) on sewer repair and cleaning.

o	

Pollution Prevention: Describe any self-audits and plant studies to conserve energy and
water use, recycle plant material, and reduce key point and non-point source pollutants at
the wastewater treatment plant, as well as, water conservation and pollution prevention
activities in the community.

o	

Process Control and Field Monitoring: Describe before and after improvements in
your compliance record; the process (i.e. Dissolved Oxygen (D.O.), Mixed Liquor
Suspended Solids (MLSS), etc.) and permit monitoring conducted in-house and under
contract; the operational control and process modification improvements; the influent,
effluent, groundwater, etc., monitoring programs and their use in evaluating and
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2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
modifying management practices; and the software, computers and other automation
systems which improve operational control and monitoring.
o

Public Education: Describe the approach that the plant took to involve the general
public and public officials in the management of your facility, and the public education or
community service activities sponsored by your facility.

o

Safety Education: Describe the improvements to and effectiveness of the safety
program considering the number of lost-time injuries, and the current number and most
days without an accident.

o

Septage Management: Describe the plant's short term and long term approach to
managing septage. Describe the improvements that have been made in the facility’s
septage management program.

o

Stormwater Controls: Describe how the municipality achieved O&M improvements
through stormwater controls, either on a voluntary basis or in response to regulatory or
statutory requirements. Describe how the municipality implemented an innovative
stormwater control program or project to control a new problem or a new approach, such
as a watershed approach, to reducing or eliminating stormwater discharges. Provide
documented environmental benefits, i.e, reopening of shellfish beds, reduced beach
closings, and attainment of water quality standards. Additionally, describe the cost,
labor, material, environmental, or time savings derived from such practices.

o

Toxic Waste Controls: Describe the plant's approach to controlling industrial
dischargers, including pretreatment, or other efficient waste management program for
your community and the environment. Describe the practices which mitigate and ensure
biosolids loadings and toxics that minimally impact operations, biosolids management,
plant safety, or the environment; and describe the practices which identify and enforce
against illegal dumping of septic tank wastes, toxic wastes, and/or household hazardous
waste.

II. ENVIRONMENTAL LIMITS
A. 	Number of reportable NPDES violations
1/1/2005 - 12/31/2005 _________1/1/2006- 12/31/2006 ________
B. 	Date of last reportable NPDES violation ________
C. 	Explain any reportable NPDES violations of 1/05 to 12/06 (i.e. date, type, and causes of
reporting/ effluent violation; plant's action to resolve violations)
___________________________________________________________________________
___________________________________________________________________________

A-11


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
D. 	Attach NPDES/Biosolids permit which indicates the operating constraints of the plant. (See
Applicant or nominee's instructions.) As appropriate, non-dischargers may substitute ground
water permits.
E. Does the Plant have any Consent Orders or Agreements? Is the Plant subject to either
one?
F. 	Complete and Attach the Plant Compliance Forms (one for each calendar year). As
appropriate, similar forms should be devised for biosolids and ground water discharge data.
III. PLANT FLOW INFORMATION (Note: Report B. as the 24 hour maximum yearly flow
and Report C. through E. as the 2005 average monthly composite)
A. Design	 Flow (DF) _________ mgd
B. 	2005 Peak Flow ______ mgd
yearly flow)

_____ % of DF (Report as the 24 hour maximum

C. 	2005 Average Flow (AF) _______ mgd _____ % of DF (Report as the 2004 average
monthly composite)
D. 	2005 Industrial Flow _______ mgd
monthly composite)

_____ % of AF (Report as the 2004 average

E. 	2005 Week-end Flow ______ mgd _____% of AF (Report as the 2004 average
monthly composite).
F. What is
	 the estimated population and size of the plant's service area?

people
square miles 

A. 	Design Flow (DF) _________ mgd
B. 	2006 Peak Flow ______ mgd
yearly flow)

_____ % of DF (Report as the 24 hour maximum

C. 	2006 Average Flow (AF) _______ mgd _____ % of DF (Report as the 2004 average
monthly composite)
D. 	2006 Industrial Flow _______ mgd
monthly composite)

_____ % of AF (Report as the 2004 average

E. 	2006 Week-end Flow ______ mgd _____% of AF (Report as the 2004 average
monthly composite)
F. 	What is the estimated population and size of the plant's service area?

people
square miles

A-12


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
IV. FINANCING INFORMATION
A. List (or highlight an attachment) user charge fees and describe the flow/pollutant
based criteria for charging households, industries, commercial, septage, etc. Estimate the
number of households, small/large industries, etc. in each category.
B. Complete and Attach the Cash Flow Summary
Forms I and II, using the plant's most recent and complete fiscal year. Estimates are acceptable.
This information should only be submitted to the extent needed to support the application.
V. 	INFRASTRUCTURE INFORMATION
A. If known,
	 provide the plant's original design flow _______ mgd, level of
treatment
and year that operations were initiated ______
B. Provide
	 the year and description of any significant plant and sewer upgrades and
expansions. ___________________________________________________________
C. 	Complete and Attach at the end of this questionnaire, a Plant's Layout sketch using
Block Diagrams to identify the plant's liquid waste and biosolids unit processes.
Include a written description of the existing plant treatment processes.
D.	 Complete and Attach at the end of this questionnaire, a Service Area Layout sketch.
The conceptual sketch need not be dimensionally correct nor accurately scaled but
should depict and identify the:
•	
•	
•	
•	
•	
•	
•	

Sewered and unsewered communities which discharge septage to the plant;
Major industrial plants and industrial parks;
Wastewater treatment plant;
Separate and combined sewer outfalls;
Points of the plant's effluent discharges;
Approximate location and routes of the principle river of the drainage basin; and
Effluent and biosolids land application areas.

E. 	Complete the following questions regarding management of Separate Sanitary
Sewers (SSSs) and Infiltration/Inflow (I/I) for your treatment plant:
1.

Budget
	
for SSS inspection/cleaning: $____

2. 	

Budget for SSS maintenance/repair: $____

3.

Approximate
	
length of collection system:_____
Approximate age of the collection system:
% less than 10 years old,
_____% between 10 and 35 years old, ______% greater than 35 years old.

4.

Number
	
of full time SSS maintenance, inspection, cleaning, and repair staff:___.
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2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
5.

Is	there a sewer use/grease trap ordinance in place?

6.

What
	 percentage of the SSSs are inspected each year?

7. 	

What percentage of the SSSs are cleaned each year?

8.

How
	 frequently has your collection system experienced overflows or bypasses in
the last two years?

9.

BOD5
	
concentration in the influent (monthly):
a. Dry (average) weather:
BOD5 ______ mg/l
b. Wet (average) weather:
BOD5 ______ mg/1
c. Peak wet weather month: BOD5 ______ mg/1

10.	

What actions have the treatment system authority taken to control Separate
Sanitary Sewer Overflows (SSOs), bypasses, I/I, and severe sulfide corrosion?
Please include approximate percentage reductions in each problem area
documented as a result of the corrective actions.

If your treatment plant authority has a separate department or other entity responsible for
SSSs and I/I problems, please provide that information.

A-14


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
VI.

PLANT COMPLIANCE FORM I

NPDES PERMIT NO: _______________
PLANT NAME:
Chief Plant Operator: ______________________
Report Parameters as Composite Monthly/Monthly Average (except where noted)

YEAR
2005

FLOW
(MGD)
OUT

BOD
IN
(ppm)

BOD
OUT
(ppm)

TSS
IN
(ppm)

TSS
OUT
(ppm)

pH
OUT
(SU)

FECAL
OUT
(#/100ml)

NH3-N
OUT
(ppm)

PO4-P
OUT
(ppm)

NPDES
PERMIT
LIMITS
JAN.
FEB.
MAR.
APR.
MAY
JUN.
JUL.
AUG.
SEP.
OCT.
NOV.
DEC.
YEARLY
AVE.
YEARLY
MAX.
YEARLY
MIN.

* Attach additional pages, if necessary, for other parameters. (1 ppm is equivalent to 1 mg/l)

A-15


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
PLANT COMPLIANCE FORM II (Continued)
NPDES PERMIT NO: _______________
PLANT NAME:
Chief Plant Operator: _____________________
Report Parameters as Composite Monthly/Monthly Average (except where noted)

YEAR:
2006

FLOW
(MGD)
OUT

BOD
IN
(ppm)

BOD
OUT
(ppm)

TSS
IN
(ppm)

TSS
OUT
(ppm)

pH
OUT
(SU)

FECAL
OUT
(#/100ml)

NH3-N
Out
(ppm)

PO4-P
Out
(ppm)

NPDES
PERMIT
LIMITS
JAN.
FEB.
MAR.
APR.
MAY
JUN.
JUL.
AUG.
SEP.
OCT.
NOV.
DEC.
YEARLY
AVE.
YEARLY
MAX.
YEARLY
MIN.

* Attach additional pages, if necessary, for other parameters. (1 ppm is equivalent to 1 mg/l)

A-16


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
VII.

CASH FLOW SUMMARY FORM (01/ 01 /2005 to 12/31/2006)
(See instructions to determine if this form should be completed.)

WASTEWATER ENTERPRISE FUNDS
_________

BALANCE BEGINNING OF YEAR
REVENUES
User Service Charges (OM&R and Capital)

__________

Overstrength Waste Surcharges

__________

Hookup/Impact/Other Service Fees

__________

Taxes/Special Assessments

__________

Interest Earnings (On Cash & Securities)

__________

Fines/Penalties

__________

Other Revenues (Bond Issuances, Discounts, Refunds, etc.)

__________

TOTAL REVENUES

___________

EXPENSES
Administration/Travel/Training

__________

Wages/Benefits

__________

Contracts Operation Services

__________

Electricity/Utilities/Fuel

__________

Treatment Chemicals

__________

Equipment Replacement/Parts

__________

Purchased Materials/Supplies/
Maintenance and Repair Services

__________

Other Expenses (Insurance, Legal, Consultants)

__________

Debt Principle and Interest Payments

__________

Other Payments (Capital Leases, etc.)

__________

Capital Construction Outlays

__________

Future Construction Utility Transfer Reserves

__________

(Replacement, Bond & Interest, etc.)
TOTAL EXPENSES

__________

TRANSFERS OUT (to general fund etc.)

__________

WASTEWATER ENTERPRISE FUNDS
BALANCE END OF YEAR

_________

A-17


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
ICR No. 1287.07
OMB Control # 2040-0101
OPERATIONS AND MAINTENANCE (O&M) EXCELLENCE AWARDS
MOST IMPROVED PLANT (MIP) QUESTIONNAIRE


Complete this questionnaire only if you are applying or being nominated for the Most Improved
Plant Award, as well as the forms on pages A-7 and A-8 of the O&M award forms.
I. 	APPLICANTS / NOMINEES COMPLIANCE CERTIFICATION FORM
This form should be completed by the Trainer who helped the plant achieve compliance
with water quality-based permit requirements. The operator should review and approve the
information before including it in the application. The name as it is provided below will be
engraved on the Trainer's plaque and the facility recognized for the Section 104(g) MIP award.
A. Official Name of Facility ______________________________________________________
(Should be consistent with the NPDES Permit, if applicable, and will be engraved on any awards material.)
City and State _______________________________________________________________
B. CWA 104(g) Trainer Information
1. 	Name of Primary Section 104(g) Trainer ____________________________________
2. 	Organizational Title ____________________________________________________
3. 	Work Address _________________________________________________________
City and State__________________________________________________________
4. 	Telephone No. (w)____________(fax)_____________
C. 	Project Information
1. 	Dates that CWA Section 104(g) assistance initiated and ended: _______to ________
2.	 Approximate on-site person-days spent by the Trainer ________.

A-18


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
II. TRAINER INSTRUCTIONS
The MIP reviews will consider: demonstrated improvements in effluent quality and
overall operation and maintenance; the complexity of the problems and obstacles overcome in
reaching compliance goals; the apparent foundation for long-term, sustained permit compliance;
and the timely achievements of the improvements. The facility should currently be in
compliance with water quality requirements.
The Trainer should provide a narrative of two pages or less which explains the
approach used to: identify the candidate; develop the diagnostic evaluation; identify the problem;
involve the public official; and train the operator. The Trainers should also explain the
assistance program (i.e., financial management, public utility management, O&M management)
that was developed, the on-site assistance successes and obstacles, the accomplishments, and the
unique approaches to overcome unusual or especially difficult obstacles.
III. APPLICANTS INSTRUCTIONS
The applicants should describe their improved O&M practices, and cost, labor, material,
environmental, or time savings derived from such practices. They should also describe before and after
improvements in compliance record, staff skills and achievements, and process control and monitoring.
They shall explain how the plant achieved outstanding O&M through Section 104(g) on-site technical
assistance and what chemical/operational savings, cost-effective practices, or technical/financial/staffing
improvements resulted from the on-site technical assistance.

A-19


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
EPA REGIONAL OPERATIONS AND MAINTENANCE AWARDS COORDINATORS
Region 1

David Chin, (MC-CMU) 

Office of Ecosystem Protection 

JFK Federal Building, One Congress Street 

Boston MA 02114 

617-918-1764 Fax 617 918-4940 

[email protected]


Region 7

Bruce Suchomel (WWPD/WIMB) 

Water, Wetlands & Pesticides Division 

901 N. 5th Street 

Kansas City, KS 66101 

(913)551-7453 Fax (913) 551-7765 

[email protected]


Region 2

John Mello, Environmental Planning and 

Protection Div. 

290 Broadway


New York, NY 10007-1866 

(212) 637-3836 Fax (212) 637-3887 

[email protected]


Region 8

Anthony DeLoach 

Office of Partnerships & Reg. Asst. 

1595 Wyncoop Street

Denver, CO 80202-1129 

(303) 312-6070 Fax (303) 312-6070 

[email protected]


Region 3

Jim Kern, Water Management Division 

1650 Arch Street, (3WP2) 

Philadelphia, PA 19103-2029 

(215) 814-5788 Fax (215) 814-2302 

[email protected] 


Region 9

Ken Greenberg, Water Division 

75 Hawthorne Street 

San Francisco, CA 94105

(415) 972-3577 Fax (415) 972-1235 

[email protected]


Region 4

Curt Fehn, Water Management Division 

61 Forsyth Street, (CTAS-WMD)

Atlanta, GA 30303-3104 

(615) 687-7065, Fax (404) 562-9224 

[email protected]


Region 10

Bryan Yim, Office of Water 

1200 Sixth Avenue 

Seattle, WA 98101 

(206) 553-0165 Fax (206) 553-0165 

[email protected]


Region 5

Ash Sajjad, Water Division

77 West Jackson Boulevard, (WQ-16J) 

Chicago, IL 60604-3590 

(312) 886-6112 Fax (312) 886-0168 

[email protected]


Headquarters
William Hasselkus 

Office of Wastewater Management 

Municipal Assistance Branch 

1200 Pennsylvania Ave., NW (4204-M) 

Washington, DC, 20460 

(202) 564-0664 Fax (202) 501-2397 

[email protected]


Region 6

Lashunda Brown/ Billy Black

Water Quality Protection Division 

1445 Ross Avenue, Suite 1200, (6WQ-16J) 

Dallas, TX 75202-2733 

(214) 665-6525


Water Environment Federation (WEF)
Attn: Technical Services 

601 Wythe Street 

Alexandria, VA 22314 

(703) 684-2400


(214) 665-7168 Fax (214) 665-6490

[email protected] 

[email protected] 


A-20


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
EPA REGIONAL MANAGEMENT CONTACTS
Region 6

Susan Branning 

Assistance Programs Branch

Fountain Place, 12th Floor, Suite 1200 

1445 Ross Avenue 

Dallas, TX 75202-2733 

(214) 665-8022, 

[email protected]


Region 1

Robert Goetzl
Office of Grants, Tribal, Municipal Branch
JFK Federal Building, One Congress Street
Boston MA 02114
617-918-1671
Goetzl. [email protected]
Region 2

Walter Andrews

Chief, Water Programs Branch. 

290 Broadway


New York, NY 10007-1866 

(212) 637-3880, 

[email protected] 


Region 7

Kelly Beard Tittone 

Wastewater Infrastructure & Management 

Branch 

901 N. 5th Street 

Kansas City, KS 66101 

(913) 551-7455, 

[email protected]


Region 3

Victoria P. Binetti, Associate Director

Office of Municipal Assistance 

1650 Arch Street 

Philadelphia, PA 19103-2029 

(215) 814-5757 

[email protected]


Region 8

Carla Colson 

1595 Wyecoop Street

Denver, CO 80202-1129 

(303) 312-6280 

[email protected]


Region 4

Wayne Aronson 

Permits, Grants, and Technical Assistance Branch 

61 Forsyth Street 

Atlanta, GA 30303-3104 

(404) 562-9335 

[email protected]

Region 5

Linda Holst, Chief 

Water Quality Branch 

77 West Jackson Boulevard 

Chicago, IL 60604-3590 

(312) 886-5758 

[email protected] 


Region 9

Kathi Moore, Chief 

CWA Compliance Office

75 Hawthorne Street 

San Francisco, CA 94105

(415) 972-1235 

[email protected]

Region 10

Paula vanHaagen, Unit Manager 

Grants and Strategic Planning Unit 

1200 Sixth Avenue 

Seattle, WA 98101 

(206) 553-6977 


[email protected] 


A-21 


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
SECTION A-II INSTRUCTIONS
TO BE COMPLETED BY BIOSOLIDS AWARDS APPLICANTS ONLY
The Exemplary Biosolids Management awards category recognizes excellence in all
areas of municipal biosolids management, including outstanding operating projects, research,
technological advances, public acceptability, and risk and cost reduction activities. The current
sub-categories and criteria allow for the recognition of a broad spectrum of programs with sound
management, effective communication to stakeholders, and community-friendly practices. The
very process of preparing a nomination package helps applicants focus on the relevance of their
efforts and facilitates the spread of knowledge about the excellence of nominated activities so
that others might benefit.
I. WRITTEN NARRATIVE.
The applicant should include in the package a written narrative as documentation to
adequately support their outstanding, unique and innovative biosolids management programs
and practices for consideration of an award. The narrative should describe as appropriate, any
cost, labor, material, environmental benefits, or time savings derived from such practices.
Nominations will be accepted for recognition of excellence in a wide range of activities
that have stimulated the management of municipal biosolids and its beneficial uses. The
biosolids award applicant should describe in no more than four pages the outstanding biosolids
management project or activity indicating the award sub-category for which the nomination is
proposed. The applicant should describe how they believe the program meets the evaluation
criteria stated below:
A.	

For Operating Projects: [Production levels (1) greater than 5 dry tons per day
{DTPD} and, (2) less than {5 DTPD}].
Outstanding, full-scale, exemplary management technologies. (Note: Categorization is
based upon the actual average daily biosolids production and not the design capacity.)
• Sustained, full-scale, proven operation over several years.
• Consistent, cost-effective operation.
• Public acceptance.
• Compliant with applicable federal, state, and local regulations.
• Reduced risk.

A-23


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
•	
Conservation of natural resources (e.g., nutrients, organic matter, and energy) and
control of pollutants and nuisances like odor, dust and traffic.
•	

B.	

Excellence in project management, and particularly management that fosters close
communication and coordination among all biosolids stakeholders including the
generator, end-user where applicable, project neighbors, and public.
For Technology/Innovation or Development Activities: Describe the significant
technological improvements that have been developed and fully proven at the pilot or
full-scale operational level.

•	 Sustained excellence in advancing our knowledge of technologies that manage
biosolids (e.g., improved design criteria or operational practice). 





•	 Technology with potential for use elsewhere across the country.
•	 Operational proof of performance.
•	 Resolved previous biosolids management or utilization problems and have helped gain
public acceptance.
C.	 For Research Activities: Describe the studies that have been substantially contributed to
an improved understanding of biosolids management practices, reduced risks and costs,
improved public acceptance, and/or have advanced the technology.
•	 Greatly improved our understanding of the environmental effects associated with 

biosolids management. 

•	 Contributed substantially to development of improved design and operation.
•	 Generated key information for the development of improved biosolids regulations and
guidance.
•	 Provided quality information from well-designed studies with wide applicability and
statistical merit.
D.	 For Public Acceptance: (1) Municipalities (2) All Others. Describe how significant local,
regional, and national activities have improved public acceptance of biosolids management
practices.
•	 Demonstrated improvements in both public acceptance and public demand. The term
"public" is meant to include regulatory agencies, agricultural organizations, water quality
professionals, public health officials, neighboring residents, environmentalists, academic
institutions, and the news media as well as the general public. Indicators of "demand"
include such factors as waiting lists and users paying for biosolids.
A-24


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
•	 Dedicated and successful individual and team efforts.
•	 Demonstrated willingness to share information and approaches for improving practices, 

reducing risks and thereby gaining public acceptance. 

•	 Successful approaches for working with the press and other groups, explaining the 

benefits of the chosen biosolids management activity, cultivating and gaining allies, and 

disproving alarmist rumors that may arise. 

•	 Excellence in local information transfer and training efforts that have made a positive 

local difference, (e.g., on-site demonstrations and collaborative efforts involving 

municipalities, citizens, universities, and others). 

•	 Characterized by managers who work with all stakeholders to identify and utilize critical control
points for ensuring sound management and community-friendly practices.
II. FACILITY ACTIVITY INFORMATION
In addition to the narrative described above, applicants are required to include the
following supporting material as an attachment. (The attachment should include a short cover
index page that lists the various supporting materials and gives about a 4- to 6-line description of
each item.)
•	 The type, quantity (expressed as tonnage of dry solids processed per day, week or year), 

quality (nutrient and pollutant concentrations compared with Part 503 Table 3 pollutant 

concentration limits), processing information, and other details relevant to the 

outstanding management practice or beneficial use activity of these biosolids. Be 

specific regarding the unit processes, including biosolids production and processing 

details. Account for the types and amounts of biosolids going to each beneficial use 

and/or disposal practice. 

•	 Give evidence of the enhanced benefits that have resulted from the activity, such as 

improved public acceptance, reduction in odors, lower energy consumption, in-county 

use of product, enhancement of real-world agronomic rate determinations, better crop 

productivity and quality, soil improvement, lower costs for biosolids management; fewer 

public health and environmental risks; greater national adoption of practice; and, where 

applicable, user payments for biosolids, enhanced plant disease resistance, and increased 

demand for biosolids products. 

•	 Indicate the duration and size of the project or activity; extent of ability to operate at design
level; and cost and effectiveness information.

A-25


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms
•	 Describe the project monitoring program as it determines compliance, keeps the public
informed of biosolids transport, use or disposal, evaluates performance, and helps modify
practices.
•	 Describe the contributions of the cooperating parties to the biosolids management project
or beneficial use activity.
•	 Provide sufficient information, including the NPDES permit number if applicable, so that
the awards judges and EPA compliance assurance staff can determine the compliance of
nominated projects with applicable local, state, and federal regulations.
•	 Describe important project management activities that maintain and promote excellence
and maximize the benefits of sound biosolids management, (e.g., reduce costs; improve
biosolids quality; use a written code of good practice or other means to promote
compliance with rules, manage nutrients and minimize odors and other nuisances; and
promote acceptance via working with allies, press and the public).
•	 Describe training activities that have improved operations, performance, and public 

acceptance. 

•	 Describe the effectiveness of the local pretreatment program that has resulted in better
quality and easier management of biosolids.
•	 Describe special innovative practices or activities.
•	 Discuss how obstacles (technical, political, public acceptance or other) have been 

overcome as a result of the nominated activity. 

•	 Include photographs of the activity. EPA and others would like to use your prints in 

publications that illustrate and provide greater recognition of your activity.

Note: Sheer bulk of information is not necessary or definitive. Be concise and attach items that truly
substantiate the importance and relevance of the beneficial use project or activity.

A-26


2007 Clean Water Act Recognition Awards
Operations and Maintenance (O&M) and Biosolids Excellence Awards,
Instructions, Questionnaire Format, and Forms

EPA REGIONAL BIOSOLIDS AWARDS COORDINATORS

Region 1

Thelma Murphy, Office of Ecosystems Protection 

One Congress Street, Suite 1100 (CMU) 

Boston, MA 02114-2033 

Phone (617) 918-1615 Fax: (617) 918-1505 

[email protected] 

Region 2

Alia Roufaeal

Div. of Enforcement and Compliance Asst. 

290 Broadway, 20th Floor 

New York, NY 10007-1866 

Phone (212) 637-3864 Fax: (212) 637-3953

[email protected] 


Region 7

Berla Jackson-Johnson 

901 North 5th St. (WWPD) 

Kansas City, 66101 

Phone (913) 551-7720 Fax: (913) 551-7765 

[email protected] 

Region 8

Bob Brobst 

Biosolids Mgmt Program

1595 Wyecoop Street (8P-W-P) 

Denver, CO 80202-1129 

Phone (303) 312-6129 Fax: (303) 312-7084 

[email protected]


Region 3

Ann Carkhuff

Water Protection Division 

1650 Arch Street (3WP23) 

Philadelphia, PA 19103-2029 

Phone (215) 814-5735 Fax: (215) 814-2301 

[email protected] 


Region 9

Lauren Fondahl 

EPA Clean Water Act Compliance Office 

75 Hawthorne Street (WTR7) 

San Francisco, CA 94105

Phone (415) 972-3514 Fax: (415) 947-3537 

[email protected] 


Region 4

Jim Adcock 

Water Management Division,

61 Forsyth St., SW

Atlanta, GA 30303-8960 

Phone (404) 562-9248 Fax: (404)562-8692 

[email protected]

Region 10

Dick Hetherington, NPDES Permits Unit, 

1200 Sixth Avenue (OW130) 

Seattle, WA 98101 

Phone (206)553-1941 Fax: (206) 553-0165 

[email protected] 


Region 5

John Colletti

Water Division (WN-16J)

77 West Jackson 

Chicago, IL 60604

Phone (312) 886-6106 Fax: (312) 886-7804 

[email protected] 


Water Environment Federation
Technical & Educational Services 

Eugene Demichele 

601 Wythe Street, Alexandria, VA 22314 

Phone (703) 684-2438 Fax: (703) 684-2492 

[email protected] 


Region 6

Denise K. Hamilton 

Water Quality Protection Div. Permits Branch, 

1445 Ross Avenue (6WQ-PP)


Dallas, TX 75202 

Phone (214) 665-2775 Fax: (214) 665-2191

[email protected] 

A-27


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms

PART B

CLEAN WATER ACT RECOGNITION AWARDS

PRETREATMENT PROGRAM EXCELLENCE

STORMWATER MANAGEMENT EXCELLENCE

COMBINED SEWER OVERFLOW (CSO) CONTROL EXCELLENCE


INSTRUCTIONS, QUESTIONNAIRE FORMAT AND FORMS

APPLICANTS MUST CONTACT THE APPROPRIATE 

REGIONAL AWARDS COORDINATOR FOR APPLICATION 

SUBMISSION DEADLINE DATES BEFORE COMPLETING

THE FORMS


B-1


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms

PRETREATMENT PROGRAM EXCELLENCE AWARDS 

STORMWATER MANAGEMENT EXCELLENCE AWARDS 

COMBINED SEWER OVERFLOW (CSO) CONTROL PROGRAM 

EXCELLENCE AWARDS 

INTRODUCTION
The Environmental Protection Agency’s (EPA) Clean Water Act (CWA) Recognition
Awards program is authorized by Section 501(e) of the CWA. A framework to implement the
awards program is the Code of Federal Regulations 40 (CFR) Part 105. The goals of the national
awards program are the following:
•	 Heighten overall public awareness of the industrial wastewater and wet weather flow
control measures,
•	 Encourage public support of programs that protect the operations of treatment facilities,
the health and safety of municipal employees and the public and,
•	 Protect the water quality of the nation’s receiving waters, the reuse and recycling of the
effluent and sludge.
This package includes nomination and application instructions and forms for three of the
five CWA Awards program categories: Pretreatment Program Excellence, Stormwater
Management Excellence, and Combined Sewer Overflow Control (CSO) Program Excellence.
Nominated projects and programs will be requested to complete the appropriate sections
specified in Part B of Instructions, Questionnaire Format, and Forms. Nominees recommended
by EPA Regions for the national award will be asked to also complete the attached Application
Form.
The Pretreatment Program Excellence awards encourage public support of programs that
protect the operations of treatment facilities, the health and safety of municipal employees and
the public. The applicant/nominee must demonstrate how they implemented all pretreatment
requirements in 40 CFR Part 403, approved pretreatment programs, and all requirements of their
National Pollutant Discharge Elimination System (NPDES) permits.
Stormwater Management Excellence awards recognize outstanding efforts to manage
stormwater, either on a voluntary basis or in response to regulatory or statutory requirements.
The awards increase public awareness of industrial and municipal stormwater impacts and
necessary control measures. Innovative stormwater control programs or projects that are in
compliance with all applicable regulatory requirements, NPDES permits, and site-specific
management plans and programs will be recognized.
The CSO awards recognize projects that are consistent with EPA’s 1994 National CSO
Control Policy. Nominated projects should be cost-effective, show an innovative approach to
planning and, where possible, have documented environmental benefits.

B-2


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
AWARDS CRITERIA
1. 	

States and Tribes should recommend facilities, projects and programs to their EPA
Regional offices for consideration of an award. Nominations for the national awards
should be recommended by EPA Regions to complete the application package for
submission to headquarters by the June 8, 2007, national deadline.

2. 	

Prior to submitting formal nominations to EPA Headquarters, EPA Regions must screen
potential nominees in accordance with the Agency’s policy on Compliance Screenings for
EPA Partnership Programs located at http://www.epa.gov/partners2/resource/ppsguide.pdf.
Screenings should also include the use of Quarterly Noncompliance Reports (QNCRs), the
Permit Compliance System (PCS) or Integrated Compliance Information System-NPDES
data, the Office of Compliance’s Online Tracking Information System (OTIS) to apply the
Agency’s Integrated Data for Enforcement Analysis (IDEA) system, and other sources
including institutional knowledge.

3. 	

For the National Pretreatment Program Excellence Awards, EPA Regions (and States
recommending nominations to Regions) are asked to nominate facilities that warrant
recognition for their operation of exemplary pretreatment programs.
Applicants/Nominees can show environmental gains or surpass the minimum
requirements by conducting extensive outreach, pollution prevention, or training, as
indicated in 40 CFR Part 403.

4.	

Nominees for the National Stormwater Management Excellence Awards should be
implementing innovative stormwater control programs or projects for an industrial
facility or municipality/watershed and be in compliance with all applicable regulatory
requirements, NPDES permits, management plans and programs.

5.	

For the National CSO Control Program Excellence Awards, nominees should be
implementing programs consistent with EPA’s 1994 National CSO Control Policy.
Nominated programs should also be cost-effective, show an innovative approach to
planning and, where possible, have documented environmental benefits.

6.	

Winners of the EPA’s 2006 national awards should not re-apply in the same award
category until 2009. However, a 2006 national winner may be eligible to apply for an
award this year in any of the other awards program categories. The program currently
has five awards program categories.

B-3


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
ICR No. 1287.07, OMB Control # 2040-0101
ICR No. 0002.09, OMB Control No. 2040.0009
PRETREATMENT PROGRAM EXCELLENCE AWARDS 

STORMWATER MANAGEMENT EXCELLENCE AWARDS 

COMBINED SEWER OVERFLOW CONTROL PROGRAM EXCELLENCE

NOMINATION QUESTIONNAIRE, FORMAT AND FORMS
I. APPLICANT/NOMINEE COMPLIANCE CERTIFICATION
A. Official Name of Program or Project ___________________________________________
(Should be consistent with the NPDES Permit, if applicable, and will be engraved on any awards material.)
City and State _____________________________________________________________
B. 	Nomination Category (fill in the line for the category of interest.)
•

Municipal Pretreatment Program: 0-5 *SIUs____; 6-20 SIUs

More than 21 SIUs___.

•	

(a) Municipal/Watershed, or (b) Industrial (circle one) Stormwater Management Program
or Project
.

•	

Municipal CSO Control Program or Project ____________

C. 	Previous national award winner? ____ If yes, provide year and category________________.
D. 	Application Contact Name_____________________________________________________
Address
Phone No. 	
Fax No._________________________________
E. EPA regional representative making the recommendation and certifying compliance record.
(Please attach copy of NPDES permit, **PCS ICIS-NPDES Summary or other documentation.)

____________________________________________________________________________
Signature	
/
Date
Date and results of Regional enforcement screening; or, date of most recent compliance
inspection. (Attach QNCR and PCS ICIS printout.)
________________________________________
* SIUs – Significant Industrial Users
** PCS- Permit Compliance System data/ICIS-Integrated Compliance Information System

B-4


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms

II. AWARD NOTIFICATION OFFICIAL/REPRESENTATIVE
A. Elected Administrator (i.e., Mayor, Authority Board President, Commissioner)
Name ___________________________________________________________________
Organization ______________________________________________________________
Address __________________________________________________________________
III. POLITICAL NOTIFICATION
A. U.S. Senators and Representatives Names and Addresses:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
B. State Governor's Name and Address: ________________________________________
_________________________________________________________________________

B-5


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
INSTRUCTIONS
The section below should be completed by the appropriate EPA Pretreatment, Storm
Water, or CSO Coordinator. Additional questions specifically for the Pretreatment Program
awards are noted.
I. COMPLIANCE: If your answer to questions (a) through (c) is “yes”, please attach an
explanation of why you still wish to nominate this program for an excellence award.
YES

NO
a) During the 12 months prior to the nomination, the nominee may not
appear on the quarterly noncompliance report (QNCR), except when listed
as "resolved." Has the nominated program been in reportable
noncompliance (RNC) or significant noncompliance (SNC) for CWA
requirements at any time since February 2003?
If you answered “yes” to (a) above, please attach a copy of the report on
which the nominated program appeared.
b) Is the program the subject of a pending administrative or judicial CWA
enforcement action at the time of nomination?
c) Has the program significantly violated a milestone in an ongoing
administrative or judicial compliance schedule within two years of its
nomination?

Coordinators should answer Sections (d) through (j) for the Pretreatment Program awards
only. If your answer to (d) through (g), is “no”, please attach an explanation of why you still
wish to nominate this program for an excellence award.

d) Over the past 12 months, have all Significant Industrial Users (SIUs)
discharged to the POTW been operated under current permits (not
expired) or other control mechanisms?
e) Has each SIU been inspected and sampled at least once per year for the
last 3 reporting years?
f) Has the POTW incorporated the definition of (SIU) (40 CFR 403.3(l)
into its legal authority.
g) Has the pretreatment program been incorporated into the POTW’s
NPDES permit?
h) Total Wastewater Flow from all Treatment plants Operated by the

B-6


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
Control Authority.
i) Date of last Pollution Compliance Inspection (PCI)
Date of last Audit
.

__

j) The last PCI or audit DID or DID NOT (Circle one) indicate
deficiencies that were of significant concerns to the EPA Regional
Coordinator nominating the POTW for the award or that otherwise
indicated areas of concern regarding administration, implementing or
enforcement of the approved pretreatment program.
Attach a copy of the latest Audit/PCI (without attachments) and discuss the POTWs response to
the findings.
k) The significant noncompliance (SNC) rate for SIUs for the POTW over
the last 12 months or over the last reporting period:
%.
This represents

SIUs of the total

SIUs permitted by the POTW.

If the SNC rate exceeded 10 percent, the regional program coordinator should provide a written
explanation for continuing the nomination process for the POTW.

B-7


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
REGIONAL PRETREATMENT AWARDS PROGRAM COORDINATORS
Region 1

Justin (Jay) Pimpare 

One Congress Street - Suite 1100-CMU 

Boston, MA 02114-2023 

(617) 918-1531, FAX (617) 918-2064

[email protected] 


Region 7

Paul Marshall, P.E. 

901 N. 5th Street 

Kansas City, KS 66101 

(913) 551-7419, FAX (913) 551-9419

[email protected] 


Region 2

Virginia Wong 

Water Compliance Branch 

290 Broadway - 20th Floor

New York, NY 10007-1866

(212) 637-4241, FAX (212) 637-3953

[email protected] 


Region 8

Curt McCormick 

NPDES Team (8P-W-P) 

1595 Wyncoop Street 

Denver, CO 80202-1129 

(303) 312-6377, FAX (303) 312-6741 

[email protected]


Region 3

John Lovell 

Office of Municipal Assistance (3WP24) 

1650 Arch Street 

Philadelphia, PA 19103-2029 

(215) 814-5790, FAX (215) 814-2318

[email protected] 


Region 9 

Keith Silva 

Clean Water Act Compliance Office (WTR-7) 

75 Hawthorne Street 

San Francisco, CA 94105

(415) 972-3509, FAX (415) 972-3509 

[email protected] 


Region 4

David Phillips 

Water Programs Enforcement Br. (AFC/16th Fl.) 

61 Forsyth Street 

Atlanta, GA 30303-3415 

(404) 562-9773, FAX (404) 562-9728

[email protected] 


Region 10

Michael Le 

NPDES Permits Unit (OW-130) 

1200 Sixth Avenue 

Seattle, WA 98101-1128 

(206)553-0165, FAX (206) 553-0165 

[email protected] 


Region 5

Matthew Gluckman 

Pretreatment Coordinator, (WN-16J) 

77 West Jackson Blvd. 

Chicago, IL 60604-3507 

(312) 886-6089, FAX (312) 886-7804

[email protected] 


Headquarters
Jan Pickrel 

Water Permits Division (4203M) 

Industrial Branch 

EPA East Building, 7th Floor 

1200 Pennsylvania Avenue, NW 

Washington, DC 20460 

202/564-7904

FAX (202) 564-6392 

[email protected] 


Region 6

Lee Bohme, NPDES Permits Branch (6WQ-PO) 

1445 Ross Avenue 

Dallas, TX 75202-2733 

(214) 665-7532, FAX (214) 665-2191/665-6490

B-8


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
REGIONAL STORMWATER MANAGEMENT AWARDS PROGRAM COORDINATORS
Region 1

Thelma Murphy
Office of Ecosystem Protection (CMU)
One Congress Street
Boston, MA 02114
(617) 918-1615, Fax (617) 918-1615 

[email protected] 


Region 6

Brent Larsen

Municipal Permits Section, (6WQ) 

1445 Ross Avenue 

Dallas, TX 75202-2733 

(214) 665-7523, Fax (214) 665-2191

[email protected]


Region 2

Stephen Venezia 

(DEPP/WPB/PPS) 

290 Broadway, 24th Floor 

New York, NY 10007-1866 

(212) 637-3856, Fax (212) 637-3856

[email protected] 


Region 7

Mark Matthews 

NPDES Permitting Branch 

901 N. Fifth Street 

Kansas City, KS 66101 

(913) 551-7635, Fax (913) 551-7765 or 7165 

[email protected] 


Sergio Bosques 

1492 Ponce de León Ave 

Central Europa Building, Suite 417 

San Juan, PR 00907-4127 

(787)977-5838

[email protected] 


Region 8

Greg Davis 

1595 Wyncoop Street 

Denver, Co. 80202-1129 

303-312-6082, Fax 303-312-6955 

[email protected] 


Region 3

Paula Estornell 

1650 Arch Street (3WP00) 

Philadelphia, PA 19103 

(215) 814-5632, Fax (215) 814-2301 

[email protected] 


Region 9

Eugene Bromley

75 Hawthorne Street 

San Francisco, CA 94105

(415) 972-3510, Fax (415) 947-3545 

[email protected] 


Region 4

Mike Mitchell 

Water Mgmt. Div. 

61 Forsyth St SW 

Atlanta, GA 30303-3104 

(404) 562-9303, Fax (404) 562-8692 

[email protected] 


Region 10

Misha Vakoc

1200 Sixth Avenue 

Seattle, WA 98101 

(206) 553-6650 

[email protected] 


Region 5

Brian Bell 

77 W. Jackson Blvd., (WN-16J) 

Chicago, IL 60604-3507

(312) 886-0981, Fax (312-886-0168)
[email protected]

B-9


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms

REGIONAL COMBINED SEWER OVERFLOWS (CSO) AWARD COORDINATORS

Region 1
George Harding
One Congress Street, Suite 1100 (SEW)
Boston, MA 02114-2023
(617) 918-1870, Fax (617) 918-1809
[email protected]

Region 7
Mark Matthews
901 North Fifth Street, Rm. 3268
Kansas City, KS 66101
(913) 551-7453, Fax (913) 554-7765
[email protected]

Region 2
James Olander
290 Broadway, 24th floor
New York, NY 10007-1866
(212) 637-3833, Fax (212) 637-3887
[email protected]

Region 8
Greg Davis, (8EPR-EP)
1595 Wyncoop Street
Denver, Co 80202-1129
(303) 312-6314, Fax (303) 312-6409
[email protected]

Region 3
Renee Searfoss
1650 Arch Street (3WP11)
Philadelphia, PA 19103-2029
(215) 814-2137, Fax (215) 814-2301
[email protected]

Region 9
Eugene Bromley
75 Hawthorne Street (WTR-5)
San Francisco, CA 94105
(415) 972-3510, Fax (415) 947-3545
[email protected]

Region 4
Michael Mitchell
61 Forsyth Street, SW, 15th Floor
Atlanta, GA 30303-8960
(404) 562-9303, Fax (404) 562-8692
[email protected]

Region 10
Susan Poulsom
1200 Sixth Avenue
Seattle, WA 98101
(206) 553-6258, Fax (206) 553-0165
[email protected]

Region 5
Russell Martin, (WN-16J)
77 West Jackson Boulevard, Rm. 16028
Chicago, Illinois 60604-3507
(312) 886-0236, Fax (312) 886-0168
[email protected]

B - 10 


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
REGIONAL COMBINED SEWER OVERFLOWS (CSO) PROGRAM CHIEFS


Region 7

Rao Surampalli (WWPDNFMB) 

901 North Fifth Street, Rm. 3268 

Kansas City, KS 66101 

(913) 551-7453, Fax (913) 554-7765 

[email protected] 


Region 1

One Congress Street, Suite 1100 (SEW)

Boston, MA 02114-2023 

(617) 918-1850, Fax (617) 918-1809 

[email protected]

Region 2

Walter Andrews 

290 Broadway, 24th floor 

New York, NY 10007-1866 

(212) 637-3880, Fax (212) 637-3887 

[email protected] 


Region 8

Sandra Stavnes (8EPR-EP) 

1595 Wyncoop Street

Denver, Co 80202-1129 

(303) 312-6117, Fax (303) 312-6409 

[email protected] 


Region 3

Evelyn MacKnight 

1650 Arch Street (3WP11) 

Philadelphia, PA 19103-2029 

(215) 814-5717, Fax (215) 814-2301 

[email protected] 


Vernon Berry 

999 18th Street, Suite 500 

Denver, Co. 80202-2466 

(303) 312-6234, Fax (303) 312-6071 

[email protected] 


Region 4

Michael Mitchell 

61 Forsyth Street, SW, 15th Floor 

Atlanta, GA 30303-8960 

(404) 562-9303, Fax (404) 562-8692 

[email protected] 


Region 9

Doug Eberhardt 

75 Hawthorne Street (WTR-5) 

San Francisco, CA 94105

(415) 972-3420, Fax (415) 947-3545 

[email protected] 


Region 5

Peter G. Swenson, (WN-16J) 

77 West Jackson Boulevard, Rm. 16028 

Chicago, Illinois 60604-3507

(312) 886-0236, Fax (312) 886-0168 

[email protected] 


Region 10

Mike Lidgard

1200 Sixth Avenue, (W-13)

Seattle, WA 98101 

(206) 553-1755, Fax (206) 553-0175 

[email protected] 


B - 10 


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
INSTRUCTIONS
TO BE COMPLETED BY APPLICANTS OR NOMINEES FOR PRETREATMENT,
STORMWATER AND CSO AWARDS____________________________________________
PART I:
Please complete Questions (1) through (6) in Part I for background information of the application
form. Only nominees for Pretreatment Awards should complete Part I Questions (7), (8), and
(9).
PART II:
For Part II of the application, please complete only those questions that apply to the Excellence
Award for which your facility has been nominated.
•	 Nominees for Pretreatment Awards must answer the 8 questions in Section A pages B
15 and B16.
•	 Nominees for Stormwater Management Awards must answer the 7 questions in Section
B on pages B16 and B-17.
•	 Nominees for CSO Control Awards must answer the 7 questions in Section C on pages
B17 and B18.
These questions should be completed by the person responsible for the nominated program or
project and should be less than twenty (20) double-spaced 8.5" x 11" pages of text and
graphics. All applicable award justification questions should be answered in these 20 pages.
Your responses should be kept as concise as possible. Please provide only essential information
in your response to each of the award justification questions.
For each program for which you have been nominated, please provide clear information
explaining how your facility is implementing an innovative pollution control program that has
produced exceptional results and merits national recognition. Also discuss how your program or
project has gone beyond the basic regulatory or policy requirements, NPDES permit
requirements, and management plans and programs, especially detailing watershed management
and program integration initiatives related to your nominated program.
Please provide up to three photographs of activities, events, or facilities that highlight or
showcase your program. Photographs must be suitable for reproduction and publication in local
press releases, WEF’s Water Environment & Technology publication. Please do not send
negatives, slides, or xerographic copies of photographs. Because your photographs may be
published, you must identify each person in the photographs and provide a brief caption
B - 11 


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
describing the activity pictured. The photographs will not be returned.
Three (3) copies of the completed application materials must be submitted by mail or
courier and one copy electronically no later than June 9, 2007. You may e-mail your
application materials to Patricia Campbell at [email protected], or you may send your
application materials via mail or courier service to:
U.S. Mail deliveries:
U.S. Environmental Protection Agency 

Office of Wastewater Management 

Municipal Assistance Branch 

William Hasselkus, CWA Awards Program Coordinator 

1200 Pennsylvania Avenue, N.W., Mail Code 4204M 

Washington, DC 20460 

Courier deliveries:
U.S. Environmental Protection Agency 

Office of Wastewater Management 

Municipal Assistance Branch 

William Hasselkus, CWA Awards Program Coordinator 

1201 Constitution Avenue, N.W.

EPA East, Room, 7310C

Washington, DC 20004 


B - 12 


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
PART I.

BACKGROUND INFORMATION

(1) 	

Official Facility/Program/Project Name________________________________________
(Name will be engraved on awards material, if award is given.)
City and State ____________________________________________________________

(2) 	

Award Application Category: _______________________________________________
(Insert Pretreatment, Stormwater or CSO Award)

(3) 	

Previous national Clean Water Act Award winner? ________ If yes, what year? _______

(4) 	

Application Contact _______________________________________________________
Title ___________________________________________________________________
Mailing Address _________________________________________________________
________________________________________________________________________
Telephone Number
Fax Number________________
E-Mail Address _________________________________________________________

(5) 	

Award Notification Official:
Elected Administrator, (e.g., Mayor, Authority Board President, Commissioner)
Name __________________________________________________________________
Organizational Title_______________________________________________________
Mailing Address _________________________________________________________

(6) 	

Political Notification:
State Governor's Name________________________________
Mailing Address
________________________________________________________________________
Names of U.S. Senators and Representatives
Mailing Address

B - 13 


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
FOR PRETREATMENT APPLICATIONS ONLY: (Questions 7, 8, and 9)
Question 7
POTW DATA (For all POTW Treatment Plants)
NPDES #s for all
POTW Treatment
Plants

Total Design Flow
Total Actual Flow *
Percent Industrial Flow
(MGD) (Daily Average) (MGD) (Daily Average)
Received

TOTAL
•	 Total actual wastewater flow of all POTW treatment plants operated by the Control
Authority including flows that are contributed by other jurisdictions but are still covered by
the control Authority’s pretreatment program. Flows from jurisdictions covered by another
Control Authority’s pretreatment program should not be included.
Question 8
SIGNIFICANT INDUSTRIAL USER DATA (For all POTW Treatment Plants)
NPDES #s for all
POTW Treatment
Plants

Number of
Categorical
Industrial
Users
(CIUs)

% of CIUs in
Significant
Noncompliance
(SNC)

Number of
Significant
NonCategorical
Industrial
Users (NonCat SIUs)

% of Non- Total
Cat SIUs Number of
in SNC
CIUs +
Non-Cat
SIUs

TOTAL
Question 9.

What type of non-domestic users does the POTW have? Please indicate when a certain type of 

industry or commercial facility represents a substantial portion of the POTW’s influent load. 

B - 14

2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms

II. WRITTEN NARRATIVE
A. 	

The applicant should include in the package a narrative that documents their outstanding,
unique and innovative water quality achievements based on the criteria for the awards
program category. The categories for consideration are Pretreatment Program
Management, Stormwater Management Excellence and Combined Sewer Overflow
Control Program Excellence. The principal reason for the nomination should be
included. The narrative should consist of no more than two pages and be written in a
format that clearly summarizes the achievements addressed in your answers to the
questions in Part III, below.
EPA is placing special emphasis on programs that use a watershed approach and integrate
pretreatment with combined sewer overflow and municipal stormwater control programs
to minimize wet weather impacts.

B.	

Include photographic prints that may be used in publications of EPA’s award recognition
program.

PART III. AWARD JUSTIFICATION QUESTIONS
A.	

PRETREATMENT PROGRAM QUESTIONS

(1) 	

Please attach a copy of the pretreatment section of your NPDES Permit. Also, please
attach a copy of the effluent limits page(s) from your NPDES permit. For pretreatment
programs with more than one POTW, please include the effluent limits page(s) from the
wastewater treatment facility that receives the greatest amount of industrial wastewater.
(These required attachments will not be counted as part of your total 20 page allotment)

For items (2) through (8), describe how your program goes beyond the regulatory minimum
requirements.
(2) 	

How does your pretreatment program identify industrial users and update your list of
industrial users (continuous dischargers, batch dischargers, zero dischargers, waste
haulers, etc.)?

(3) 	

How does your pretreatment program control wastes discharged by non-domestic users
(industrial and commercial) of the POTW’s system? Provide the results of these
procedures (e.g., reduced loadings, increase in number of zero discharge facilities, etc.).

(4) 	

How does your pretreatment program monitor its environmental performance (Industrial
User (IU) self monitoring, POTW monitoring and inspection program, ambient
monitoring, QA/QC programs, data handling and record keeping, and integrating the
pretreatment program with other municipal programs)?

B - 15 


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
(5) 	

How does your pretreatment program derive its technically-based local limits? Discuss
the frequency with which these limits are updated. Provide information concerning
maximum allowable headworks loading (MAHL), maximum allowable industrial loading
(MAIL), and allocation methods. Please use the following table to organize some of the
information:

Pollutant

Limiting
Criterion

MAHL
*

MAIL
**

Allocation
Method

Highest Influent
Monitoring (lbs/day)
(over last 3 years)

* Maximum Allowable Headworks Loading
** Maximum Allowable Industrial Loading
(6) 	

How does your pretreatment program reach out to industries and the public (notification
of requirements, notification of program performance throughout the year, Internet sites,
etc.)?

(7) 	

How does your pretreatment program ensure industrial user compliance?

(8) 	

How is your pretreatment program incorporating pollution prevention program(s) or other
innovative program(s)? Discuss the results of the program(s); specifically how this
program(s) makes the pretreatment program more effective, in terms of both resource
utilization and environmental improvements. Also discuss how the program(s) apply
watershed management initiatives.

B.	

STORMWATER MANAGEMENT PROGRAM QUESTIONS

(1)

	Describe the conditions which existed prior to the development and implementation of
your program/project, including any relevant environmental and ecological factors.
Briefly characterize your pollutants of concern and the potential sources of them. Include
any other pertinent information which provides more clarity on the challenges that had to
be overcome by your program/project (e.g., legal challenges, development pressures,
physical limitations, etc.)

(2) 	

Describe in detail your stormwater program/project. Attach any diagrams, maps, or
similar materials which support your description.

(3) 	

If your program/project is integrated within a more extensive program, describe how the
B - 16 


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
overall program functions and how your part supports the overall goals. In addition,
explain how your program/project addresses any watershed management initiatives.
(4) 	

Explain the factors or circumstances which led to the decision to use your selected
approach. Briefly describe any alternative approaches that were considered and why
alternatives were rejected.

(5) 	

Describe how your program/project achieves its goal or objectives? Have you been able
to document, through monitoring or some other means, the environmental benefits of
your program/project? If yes, please describe. Also provide details about any
unexpected or side benefits or problems from the program/project?

(6) 	

What were the costs for developing and implementing the program/project? How is the
program/project financed? Were any Federal or State funds used in developing and
implementing the program/project? If so, identify the funding source and the amount
contributed by each source.

(7) 	

Has the program/project been cost effective in terms of the benefits achieved? If so,
provide documentation supporting the cost effectiveness.

C.	

CSO CONTROL PROGRAM QUESTIONS

(1)	

Describe in detail the CSO program or project for which you were nominated. Attach
any diagrams, maps, or other similar materials which support your description.

(2) 	

What control measures have you identified for implementation under each of the nine
minimum controls outlined in EPA’s CSO Control Policy? How have you implemented
the nine minimum controls? What is the status of your implementation efforts? When
did you submit your documentation showing this status to the NPDES permitting
authority?

(3) 	

Are you developing (or have you developed) a long-term CSO control plan in accordance
with the recommendation in the CSO control policy? Describe the plan and your efforts
to include the public in the decision-making process. How does or will your long-term
control plan identify any sensitive areas? Which method for showing attainment of
applicable water quality standards have you used or will you use demonstration or
presumption? Show how the cost and performance of the alternative control measures
are or will be considered in developing your long-term control plan. What is your
schedule for implementing the selected long-term CSO control measures?

(4) 	

Explain how you characterized your collection system, CSOs, and the impacts of the
CSOs on the receiving water body. Did you develop a monitoring and modeling plan? If
so, briefly describe its elements, identifying any modeling programs that you used and
describing your use of historical data. Describe how you assess the impacts of CSOs and
the effectiveness of CSO control measures on receiving waters and uses (e.g. beach

B - 17 


2007 Clean Water Act Recognition Awards
Pretreatment, Stormwater Management, Combined Sewer Overflow Control Excellence
Instructions, Questionnaire Format, and Forms
closures, shellfish bed closures).
(5) 	

What are the goals or objectives of your CSO control program? Has the program
achieved these goals and objectives? What environmental benefits have been realized as
a result of your program? Describe any unexpected or side benefits from the program
(new recreational facilities, increased property values, etc.)? What performance
measures or indicators do you or will you use to determine the benefits of the program?

(6) 	

How did you coordinate with other municipalities and point source dischargers to
determine the level of control necessary to achieve applicable water quality standards in
the watershed? How did you evaluate (or do you plan to evaluate) the applicability of the
current water quality standards to wet weather conditions in the watershed? Are you and
other point source dischargers in the watershed planning to do (or have you done) a use
attainability analysis? If so, describe the process and results.

(7) 	

What innovative actions has your control program taken to reduce costs, maximize the
use of existing resources and system capacities, foster public participation, or explore
funding options? Explain how your selected control measures represent innovative
approaches to CSO control using existing technologies. If your program uses any new
technologies, please describe.

B - 18 



File Typeapplication/pdf
File Title2006 Clean Water Act Recognition Awards: Operations and Maintenance (O&M) and Biosolids Excellence Awards: Instructions, Questio
SubjectUSEPA: OWM: 2006 Clean Water Act Recognition Awards: Operations and Maintenance (O&M) and Biosolids Excellence Awards: Instructi
AuthorUSEPA: OWM
File Modified2007-06-20
File Created2007-05-29

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