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United States Environmental Protection Agency, Region 9 “unt {GROUND INJECTION CONTROL (UIC) INDIVIDUAL PERMIT. (Class V Injection Permit No. NV504000001 Issued to: Leon Mark Kizer (Allotment CC 234 Owner) ‘lo Bureau of Indian Affairs - Western Nevada Agency 311 East Washington Steet Carson City, NV 89701, and TP, Incorporated (Operator) P.O. Box 188 Minden, NV 89423 PARTI. PARTI. ‘TABLE OF CONTENTS JURISDICTION AND AUTHORIZATION TO OPERATE, ‘SPECIFIC PERMIT CONDITIONS DEFINITIONS. 1, Injection Well 2. Injection Line 3. Underground Source of Drinking Water 4 Sanitary Waste LOCATION OF EXISTING AND PROPOSED INJECTION WELLS. ‘A. Existing Injection Well Locations B. Proposed Injection Well Locations WELL CONSTRUCTION AND RELATED CONDITIONS... 1. New Injection Wells and Modifications to Existing Injection Wells 2 Monitoring Wells 3. Monitoring Devices 3. Emergency Repairs WELL OPERATION. A. Well Integrity B. Upset Conditions CC. njection Volume Limitation 1D. Injectate Fluid Restnction WELL MAINTENANCE ‘A. Develop Maintenance Plan B._Perform Maintenance ©. Perform Annual Maintenance Inspection MONITORING... ‘A. Develop Sampling Plan B. Monthly Injection Well Monitoring €. Monthly Ground Water Sampling D. Monitoring Results and Upset Conditions REPORTING. 1. Reporting Frequency FINANCIAL RESPONSIBILITY. PART IML PARTI. (GENERAL PERMIT CONDITIONS EFFECT OF PERMIT, PERMIT ACTIONS, 1, Modification, Revocation, Reissuance, and Termination 2. Transfer of Permit SEVERABILITY = (CONFIDENTIALITY. GENERAL DUTIES AND REQUIREMENTS, 1 DuytoComply 2 Duyto Reapply 3. Need to Halt or Reduce Activity Nota Defense 4. Dutyto Mitigate 5. Proper Operation and Maintenance 6 Permit Actions 7. Property Rights 8. Duty to Provide Information 9. Inspection and Entry 10. Monitoring and Record Keeping 11. Signatory Requirement 12. Reporting Requirements 13. Notification Pio to Conversion or Abandonment 18. Abandonment Plan 1S, Abandonment Report APPENDICES Injection Well Schematics Fecility Map Pineview Subdivision Class V UIC Permit Compliance Summary Table “ PARTI. JURISDICTION AND AUTHORIZATION TO OPERATE, ‘The United States Environmental Protection Agency (EPA) issues this Underground Injection Control (UIC) Permit pursuant ois authority under the Safe Drinking Water Act (SDWA) and ‘implementing regulations at Title 40 of the Code of Federal Regulations. Parts 124. 144, 146, and 148, . ‘The EPA hereby authorizes Leon Mark Kizer (Alloument CC 234 Owner) clo Bureau of Indian Affairs - Wester Nevada Agency ‘311 East Washington Steet Carson City, NV 89701 and, TP, Incorporated (Operator) P.O. Box 188 Minden, NV 89423 (hereafter collectively efered to asthe "Permittees" to operate two (2) existing Class V injection wells known as: EPA Injection WellInveniory Number _Inlestlon Well Name (as named by Permiues) NV-WAS-SW32.001 Disposal Field A [NV-WAS-5W32.002 Disposal Field B located atthe Pineview Subdivision on 149 N, Highway 395, Gardnerville, NV 89410, Allotment [Number CC 234, and having the specifications listed in Appendix A (Injection Well Schematics) to inject solely sanitary waste produced within the Pineview Subdivision delineated in Appendix BB (Facility Map) in accordance with all conditions set forth in Parts I I, and TV ofthis permit EPA authorizes the operation ofthe two (2) existing Class V injection wells, and the constuction tnd operation of up t two (2) new Class V injection wells contingent upon meeting the ‘conditions of this permit. As specified in Part If this permit, the location of any new injetion ‘wells shall be included in Appendix B (Facility Map), when this information is provided by the Permitees, and shall be subject o public review and comment All conditions set fort in this permit are based on Title 40, Parts 124, 144, 146, and 148 ofthe ‘Code of Federal Regulations (CFR). This permit consists of 19 pages in adition to appendices ‘nd includes all tems listed in the Table of Contents. Further, this permit is based upon information submited by the Permittees with the permit application and en other information ‘contained inthe administrative record. tis the responsibility of the Permittes to read, understand, and fully comply with ll conditions ofthis permit “This permits issued by EPA for a period of five (5) years unless terminated under the conditions set fo i Part I, Section B ofthis permit “This permit is isued on Z Sey: 22 24 and becomes effective on 7 Apt O74 ek. Saco Alexis Strauss, Director ‘Water Division United States Environmental Protection Agency, Region IX PARTI SPECIFIC PERMIT CONDITIONS A. DEFINITIONS 1. Injestion Well Within sis permit, he term “injotion well” refers to subsurface fluid distribution system UGesigned to jet treated wastewater below the ground surface. Subsurface uid distibuion Systems (commonly known as drinfelds) that have the capacity to injet the sanitary waste of 20 ‘emore persons a day are Class V injection wells pursuant to CFR $144.81 2 Injection Line ‘Within this permit, the term “injection line” refers to all conveyances and components from Ne Jehu tanks a each residence though the injection wll ha ulimately receives the eatedsepe servcinuent, As delineated in Appendix A (Injection Well Schematics), the injection line includes: * each individual home's septic tank, 1 GRecollection tines and lift stations between the septic tanks and the wastewater treatment system's equalization tank, «the distribution box between the equalization tank and the wastewater treatment + the wastewater treatment units, ‘Line dstabution box between the wastewater treatment units and the dosing siphons, + the dosing siphons, and the injection wel after the dosing siphons. a ou is pw) “Within his permit, the tem “Underground Source of Drinking Water (USDW)" refers 1 a0 Sauer that curendy supplies drinking water for human consumption, or contains ewer han 11000 mtligrams per Hter foal dissolved solids and snot an exempted aquifer Sanitary Waste ‘Under CFR $1463, “sanitary wate” is lguid or solid waste originating solely rom humans and Thamar getivtes, suchas wastes collected from toilets, showers, wash basins, sinks used for Teaming domestic aes, sinks used for food preparation clothes washing operations and sinks Stag machines where food and beverage serving dishes, gasses, and utensil are cleaned LOCATION OF EXISTING AND PROPOSED INJECTION WELLS 1 ng Injection Well Ls 4, Pineview Subdivision 149 N, Highway 395 Gardnerville, NV 89410 Alloument CC 234 Latitude: 38 degrees 51°03" N Longitude: 119 degrees 38°52" W_ Section; 5, Township: 11, Range: 21 East b. A-complete site map depicting property boundaries, facility locations anda clear representation of all connections to each injection wel i included in Appendix B. 2 Injection Well Locations ‘a, EPA authorizes the Permittes to operate two (2) existing injection wells, and to Construct two (2) new injection wells (if needed), contingent upon meeting all conditions tihis permit, Any new wells must be located within the property boundary delineated in ‘Appendix B, i. Reserve areas forthe construction of new injection wells (described in Part TLB.2 {this page) that may be required under this permit are found in Appencix B. +b. Atleast thirty (30) days prior to any proposed injection well construction, EPA shall receive from the Permittes: i. _‘Theelevation, latitude, and longitude ofthe proposed well location; and ii, A-complete site map with the proposed well location included ina form similar to “Appendix B, C._ WELL CONSTRUCTION AND RELATED CONDITIONS 1. NewInjection Ws ations to Exist io “This section excludes construction in response to Emergency Repairs (Part ILC.4 [page 7) oF Upset Conaitions (Part ILD.2 [page 7). “The Permittes shall give EPA atleast thy (30) days advance writen noice jor to constuction of new injection well, or ateration of any portion ofan extn rection ine. Any existing ijeton Line aleration will require prior approval of Ne ea uea either « major or minor permit modification under the requirements of 40 CFR {9514439 and 144.61. This written notice shall include: i. _Amexplanation of the need for new well construction: ii, The latitude and longitude ofthe proposed well area: fii Complete well design plans, including: percolation testing results, loading rate ‘calculations and trench type, depth and length; iv. Acdetailed map similar othe one found in Appendix B, with the location ofthe ‘Proposed well area anda clear depiction of al injectate sources: vy. Awell abandonment plan. Anew injection well (including reconstruction ofa failed well) may not ‘commence injection until: i. consiruction is complete and the Permittees have submited a ntice of completion ‘feonstruction to EPA through certified mail: and . si. EPA has received and reviewed the well information in Part 1.C..2 this page) eet uetermined thatthe wel isin compliance with the conditions ofthis permit. injection ino new wells probibite unl the Permites demonstrate ro EPA aaer 80 CER $144.12 thatthe injection activity will wot endanger an vngerpround sources of dking water or otherwise aversly affect public heath “Any changes tothe construction plan during consrvetion mast ceive prior waten Shoroval from EPA and comply with 40 CFR Pans144 and 146, public access shall be restricted othe equalization tank, wastewater treatment units and Gosing sipions ofthe injection line by fencing, signs, and/or other acceptable alternatives ach inetion wel drain lateral shall be constrted with at least ene (1) montonng port allow for proper maintenance nd inspection ‘All collection piping on the injection line shll have access for observation and cleanout every 200 feet at minimum. 2. Monitoring Wells Pursuant to 40 CFR §§144.51(h) and 144.52(a)(9), inorder to protect public health and adequately characterize the impact of the injection wells on ground water quality, and to ascertain ‘ow direction, the Permitees shall design, consruct (contingent upon EPA approval) and ‘maintain in good operating condition, at last four (4) ground water monitoring wells foreach Injection well. If further information is needed to determine the impact ofthe injection wells on Public health and ground water quality, EPA may require the construction of additional ‘monitoring wells. Atleast fourteen (14) days prior to construction, the Permittee shall submit the following to EPA for approval: Location ofeach proposed monitoring well ona map that includes the proposed injection wells (dranfelds); b. Design plans for each monitoring wel, including: ground water elevation at ground water monitoring well sit, casing type, screen interval and material used forthe filter pack, seal, and surface completion; {A statement explaining the rationale for ground water monitoring well locations and depth ofsereen intervals 3. Monitoring Devices Pursuant to 40 CFR §§144.51(h) and 144.52(a)(9), inorder to prevent the migration of injected ‘uis into an underground source of drinking water and to adequately characterize the injectate, the Permitlees shall construct and maintain in accurate and good operating condition, the following 8 One (1) sampling port on the injection line before the advanced treatment units to monitor the untreated influent; One (1) sampling port on the injection ine between the advanced treatment unis andthe

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