Alaska Department of Environmental Conservation Division of Water

Will you be applying or hiring someone to apply pesticides that will result in a discharge to waters of the U.S. (as defined in Appendix C of the permit)?

Is the pesticide that you will apply a biological pesticide, or a chemical pesticide that will leave a residue?

Will your discharges to waters of the U.S. be solely a result of agricultural stormwater runoff or irrigation return flow?

Will you be applying pesticides in any of these locations:

• Within the Metlakatla Indian Reservation, or
• Within the Denali National Park Preserve.

Will your pesticide application be for one of the following pesticide use patterns? (See Part 1.1.1 of the permit for further detail.)

1. Mosquito and Other Flying Insect Pest Control
2. Weed and Algae Control
3. Animal Pest Control
4. Forest Canopy Pest Control

Will your discharge from the application of pesticides be:

• to waters identified as impaired by a substance which either is an active ingredient in that pesticide or is a degradate of such an active ingredient (Part 1.1.2.1); or
• to a Tier 3 water, unless the purpose is to restore or maintain water quality or protect public health, and the resulting discharge either does not degrade water quality or only degrades water quality on a short-term or temporary basis (Part 1.1.2.2); or
• a discharge that is previously or currently covered by another APDES permit.

Are you a decision-maker or a for-hire applicator? (See Part 1.0 and Appendix C for definitions.)

• Decision Maker: Any entity with control over the decision to perform pesticide applications including the ability to modify those decisions that result in a discharge to waters of the United States.
• Applicator: Any entity who performs the application of a pesticide or who has day-to-day control of the application (i.e., they are authorized to direct workers to carry out those activities) that results in a discharge to waters of the United States.

Will any of your discharges be to waters of the U.S. containing Federally Listed Essential Endangered and Threatened Species or Designated Critical Habitat (Listed)?

Listings of endangered and threatened species and federally-listed critical habitat in Alaska and interactive maps is available at:

• National Oceanic and Atmospheric Administration (NOAA) Fisheries - Alaska Regional Office: //alaskafisheries.noaa.gov/pr/esa-consultations
• Alaska Endangered Species and Critical Habitat Mapper Web Application: //alaskafisheries.noaa.gov/portal/apps/webappviewer/index.html?id=446543503a2e4660b0f5ee55e6407d27
• U.S. Fish and Wildlife Service (USFWS) //ecos.fws.gov/ecp
• Interactive map: //ecos.fws.gov/ipac

Are you a federal or state agency with the responsibility:

1. to control mosquitoes for public health, nuisance control or animal welfare;
2. to control weeds and algae;
3. to control animals for public health, nuisance control or resource management; or
4. to control forest canopy pests?

Are you a:

1. mosquito control district or similar pest control district; or
2. irrigation and weed control district or similar pest control district?

Are you a small entity as defined in Appendix C of the permit?

A small entity is any:

1. private enterprise that does not exceed the Small Business Administration size standard as identified at 13 CFR 121.201, //www.sba.gov/federal-contracting/contracting-guide/size-standards/ , or
2. local government that serves a population of 10,000 or less.

Will you exceed any of these thresholds?:
(For calculating annual treatment area thresholds , see the definition in Appendix C of the permit.) (PDF)

1. adulticiding more than 6,400 acres during a calendar year;
2. weeds or algae pest control with an annual treatment area of more than either 20 linear miles or 80 acres;
3. animal pest control with an annual treatment area of more than either 20 linear miles or 80 acres;
4. treating more than 6,400 acres of forest canopy pests during a calendar year; or
5. treating a Tier 3 water to restore or maintain water quality or to protect public health or the environment that either does not degrade water quality or only degrades water quality on a short-term or temporary basis?

Are you a small entity as defined in Appendix C of the permit?

A small entity is any:

1. private enterprise that does not exceed the Small Business Administration size standard as identified at 13 CFR 121.201, //www.sba.gov/federal-contracting/contracting-guide/size-standards/ , or
2. local government that serves a population of 10,000 or less.

Are you a small entity as defined in Appendix C of the permit?

A small entity is any:

1. private enterprise that does not exceed the Small Business Administration size standard as identified at 13 CFR 121.201,//www.sba.gov/federal-contracting/contracting-guide/size-standards/, or
2. local government that serves a population of 10,000 or less.

You are reminded of the following requirements:

1. Submit a Notice of Intent (NOI) at least 30 days prior to discharge (see Permit Part 1.2.2 and 1.2.3 for more details)
2. Annual permit fee ($250), (see Permit Part 1.2.3
3. Technology-Based Effluent Limitations, Part 2.2: Decision-makers' Responsibilities for all Decision-makers
4. Technology-Based Effluent Limitations, Part 2.2: Decision-makers' Responsibilities for Decision-makers Required to Submit NOIs
5. Water Quality, Part 3
6. Monitoring, Part 4
7. Pesticide Discharge Management Plan (PDMP) , Part 5 (not required for applications made in response to Declared Pest Emergencies)
8. Corrective Action, Part 6
9. Recordkeeping, Parts 7.0, 7.1, 7.4, and 7.5
10. Annual Report , Part 7.6
11. Standard Permit Conditions, Appendix A

For any applications where you self-apply the pesticides, your requirements also include:

1. Technology-Based Effluent Limitations, Part 2.0: Applicators' Responsibilities
2. Monitoring for Applicators, Part 4.1

You are reminded of the following requirements::

1. Submit a Notice of Intent (NOI) at least 30 days prior to discharge (see Permit Part 1.2.2 and 1.2.3 for more details):
   1. For applications that discharge to waters of the U.S. containing Federally Listed Essential Endangered and Threatened Species and Designated Critical Habitat (Listed) (See Permit Part 1.6),
      1. Notify the Service (NMFS or FWS) 60 days prior to initial discharge, and
      2. Provide a copy of the notification and any water quality based recommendations from the Service to DEC when submitting the NOI
2. Annual permit fee ($250), (see Permit Part 1.2.3)
3. Technology-Based Effluent Limitations, Part 2.2: Decision-makers' Responsibilities for all Decision-makers
4. Technology-Based Effluent Limitations, Part 2.2: Decision-makers' Responsibilities for Decision-makers Required to Submit NOIs
5. Water Quality, Part 3
6. Monitoring, Part 4
7. Pesticide Discharge Management Plan (PDMP) , Part 5 (not required for applications made in response to Declared Pest Emergencies)
8. Corrective Action, Part 6
9. Recordkeeping, Parts 7.0, 7.1, 7.4, and 7.5
10. Annual Report , Part 7.6
11. Standard Permit Conditions, Appendix A

For any applications where you self-apply the pesticides, your requirements also include:

1. Technology-Based Effluent Limitations, Part 2.0: Applicators' Responsibilities
2. Monitoring for Applicators, Part 4.1

You are reminded of the following requirements::

1. Submit a Notice of Intent (NOI) at least 30 days prior to discharge (see Permit Part 1.2.2 and 1.2.3 for more details)
2. Annual permit fee ($250), (see Permit Part 1.2.3)
3. Technology-Based Effluent Limitations, Part 2.2: Decision-makers' Responsibilities for all Decision-makers
4. Technology-Based Effluent Limitations, Part 2.2: Decision-makers' Responsibilities for Decision-makers Required to Submit NOIs
5. Water Quality, Part 3
6. Monitoring, Part 4
7. Corrective Action, Part 6
8. Recordkeeping, Parts 7.0, 7.1, 7.3, and 7.5
9. Standard Permit Conditions, Appendix A

For any applications where you self-apply the pesticides, your requirements also include:

1. Technology-Based Effluent Limitations, Part 2.0: Applicators' Responsibilities
2. Monitoring for Applicators, Part 4.1

You are reminded of the following requirements::

1. Submit a Notice of Intent (NOI) at least 30 days prior to discharge (see Permit Part 1.2.2 and 1.2.3 for more details):
   1. For applications that discharge to waters of the U.S. containing Federally Listed Essential Endangered and Threatened Species and Designated Critical Habitat (Listed) (See Permit Part 1.6),
      1. Notify the Service (NMFS or FWS) 60 days prior to initial discharge, and
      2. Provide a copy of the notification and any water quality based recommendations from the Service to DEC when submitting the NOI
2. Annual permit fee ($250), (see Permit Part 1.2.3)
3. Technology-Based Effluent Limitations, Part 2.2: Decision-makers' Responsibilities for all Decision-makers
4. Technology-Based Effluent Limitations, Part 2.2: Decision-makers' Responsibilities for Decision-makers Required to Submit NOIs
5. Water Quality, Part 3
6. Monitoring, Part 4
7. Corrective Action, Part 6
8. Recordkeeping, Parts 7.0, 7.1, 7.3, and 7.5
9. Standard Permit Conditions, Appendix A

For any applications where you self-apply the pesticides, your requirements also include:

1. Technology-Based Effluent Limitations, Part 2.0: Applicators' Responsibilities
2. Monitoring for Applicators, Part 4.1

You are reminded of the following requirements::

1. Technology-Based Effluent Limitations, Part 2.2: Decision-makers' Responsibilities for all Decision-makers
2. Water Quality, Part 3
3. Monitoring, Part 4
4. Corrective Action, Part 6
5. Recordkeeping, Parts 7.1 and 7.5
6. Standard Permit Conditions, Appendix A

If you are self-applying a pesticide, your requirements also include:

1. Technology-Based Effluent Limitations, Part 2.1: Applicators' Responsibilities
2. Monitoring for Applicators, Part 4.1

Your requirements are:

• Technology-Based Effluent Limitations, Part 2.1: Applicators' Responsibilities
• Water Quality, Part 3
• Monitoring, Part 4
• Corrective Action, Part 6
• Recordkeeping, Parts 7.1, 7.2, and 7.5
• Standard Permit Conditions, Appendix A

IMPORTANT: If you are a Decision-Maker any entity with control over the decision to perform pesticide applications including the ability to modify those decisions (as defined in Part 1.0) and your treatment area could potentially overlap with any ESA-listed species or critical habitat (as identified in maps at //alaskafisheries.noaa.gov/portal/apps/webappviewer/index.html?id=446543503a2e4660b0f5ee55e6407d27 and //ecos.fws.gov/ipac ), please consult Part 1.6 and Part 1.2 for your requirements under the PGP.