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NAME CHANGE AND/OR PERMIT TRANSFER FOR WASTEWATER DISCHARGE PERMIT

For department use only:

Date received:

DROPS entry:

Entered by:

Alaska Department of Environmental Conservation Division of Water

A. ACTION TO BE PERFORMED

☐ Name change / Effective or Scheduled Date: ☐ Transfer of Permit / Schedule Date:

B. PREVIOUS INFORMATIONDEC Permit or Authorization No.:

Previous Business Name:

Facility Physical Address:

Street:

City: State: Zip:

C. NEW INFORMATION

New Business Name:

Responsible Party

Mailing Address:

Street (PO Box):

City: State: Zip:

Phone: Fax (optional): Email:

Facility Contact

Mailing Address:

Street (PO Box):

City: State: Zip:

Phone: Fax (optional): Email:

Billing Contact

Mailing Address:

Street (PO Box):

City: State: Zip:

Phone: Fax (optional): Email:

Will the name change or transfer of ownership result in a change in the character of pollutants being discharged or a new or increased discharge not addressed by current permit conditions?

☐ No

☐ Yes (attach explanation)

D. SIGNATURE REQUIRED FOR NAME CHANGEI hereby authorize the above referenced name change

Name of Responsible Party (Print) Title

Signature of Responsible Party Date

E. SIGNATURES REQUIRED FOR TRANSFER OF PERMITPREVIOUS OWNER: I hereby acknowledge the pending transfer of the above referenced permit.

Name of Responsible Party (Print) Title

Signature of Responsible Party Date

NEW OWNER: I certify under penalty of oath that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of this person or persons who manage the system, or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant penalties for submitting the information, including the possibility of fine and imprisonment for knowing violations.

Name of Responsible Party (Print) Title

Signature of Responsible Party Date

Chris Shaffer Operations Manager

4/27/2020

Use this form to notify DEC of a name change or permit transfer for a wastewater discharge individual permit or authorization under a general permit. This includes domestic (all types) and industrial wastewater discharges.

A. ACTION TO BE PERFORMED

Check the appropriate box to indicate a name change and/or permit transfer.

To transfer a permit to a new owner, provide the date on which you want the transfer to occur. DEC regulations require notice to the Department before transferring a wastewater permit for a facility or activity. [18 AAC 15.100(b)(d), 18 AAC 83.410(c)]

B. PREVIOUS INFORMATION

Enter the previous business name, facility identification number, permit number, and the facility's physical address.

C. NEW INFORMATION

1. Enter the new business name. The name will appear on the permit and must be the active business name registered withthe Alaska Division of Corporations, Business, and Professional Licensing, 907/465-2550,http://commerce.alaska.gov/dnn/cbpl/BusinessLicensing.aspx, unless otherwise exempted by their regulations.

2. Enter the name, telephone number, and email and mailing addresses of the Responsible Party. The Responsible Party is theperson that receives official correspondence from DEC, such as renewal notices or notices of noncompliance, and may becontacted if there are questions about this application.

3. Enter the name, telephone number, and email and mailing addresses of the Facility Contact if different from theResponsible Party. The Facility Contact is the person located at the facility that has the specific knowledge of the facility oractivity under permit (e.g. the treatment plant operator), and may be contacted if there are specific questions about thisapplication.

4. Enter invoicing information for billing purposes if different from the new business name.5. Complete as indicated. Attach an explanation if changes are being made to the discharge regulated by the current permit.

D. SIGNATURE REQUIRED FOR NAME CHANGE

The signature of the Responsible Party or duly authorized representative must be obtained before DEC will change the name of a permittee.

E. SIGNATURES AND INFORMATION REQUIRED FOR PERMIT TRANSFER

A permittee may not transfer a permit for a facility or activity to any person except after notice to DEC. Notice should be provided a minimum of 30 days prior to the proposed transfer date. The signatures of the Responsible Parties for the previous owner and the new owner, or their duly authorized representatives, must be obtained before DEC will transfer a permit. Please provide a written agreement containing a specific date for transfer of permit responsibility, coverage, and liability between the current and new permittee.

IMPORTANT NOTE: Your signature as the Responsible Party for the new owner on this form is required for compliance with DEC regulations. The Responsible Party must be one of the following:

for a corporation, a president, secretary, treasurer, or vice-president, or a manager whose authority is described in 18AAC 83.385 (APDES) or 18 AAC15.030 (other wastewater discharges);

for a partnership or sole proprietorship, the general partner or proprietor;

for a municipality or other public entity, a principal executive officer or ranking elected official with appropriateauthority.

Before submitting this application, please review the conditions of your wastewater permit or authorization to ensure compliance with any additional signature requirements.

Submit to:

Alaska Department of Environmental Conservation Wastewater Discharge Authorization Program 555 Cordova St Anchorage, AK, 99501

For information, call 907-269-6285.

Attachment A-2

Discharge to Excluded Areas Request

Notice of Intent (NOI) – Excluded Areas Request

To be Covered under APDES General Permit AKG523000

Offshore Seafood Processors Wastewater Discharge

Submit with NOI to: Wastewater Discharge Authorization Program

555 Cordova Street Anchorage, Alaska 99501 Telephone (907) 269-6285

DEC.Water.WQPermit@alaska.gov

Submittal of this document constitutes notice that the party identified in Section II intends to be covered by the APDES permit authorizing discharges and obligates the operator to comply with the terms and conditions of the permit and Authorization.

Section I. Permit Information (Part 1.6.1)

Currently Assigned APDES Permit No.(s) or Previous NPDES No.(s):

Section II. Operator / Permittee Information (Part 1.6.2)

Company/Organization Name:

Section III. - Vessel Information (Part 1.6.5)

Vessel Name:

Section IV. – Excluded Area Information (Part 1.6.12)

For each Excluded Area - Fill out the following information.

a.) Excluded Area(s) Name b.) Type of Excluded Area (e.g., Sea Otter CHA, National Park Service, National

Wildlife Refuge, etc.) c.) Distance in nautical miles or feet from Excluded Area d.) Expected dates and amounts of discharge (Attachment A-1) e.) Detailed description of circumstances requiring discharge to the Excluded Area f.) Four year average of annual discharge amounts (lbs)

Excluded Area #1

Map Attached? (required)

☐Y ☐N

a.

b.

c.

d. ☐ Y ☐ N – Information regarding dates and amounts discharge included on Attachment A-1?

e.

f.

New Clipper Seafoods, LLC

AKG523077

Clipper Epic

Goodnews BaySteller's Eider Concentration Area

Inside excluded area

The anchoring location is inside Goodnews bay, a protective area from the weather, tides, strong currents, and a suitable and safe location to do ship to ship transfering of salmon. See attached letter as well.

(A)

No long term plan to operate in this area and no one has discharge in this bay as far as we can tell.

Section IV. – Excluded Area Information (Part 1.6.12) (continued)

Excluded Area #2

Map Attached? (required)

☐Y ☐N

a.

b.

c.

d. ☐ Y ☐ N – Information regarding dates and amounts discharge included on Attachment A-1?

e.

f.

Excluded Area #3

Map Attached? (required)

☐Y ☐N

a.

b.

c.

d. ☐ Y ☐ N – Information regarding dates and amounts discharge included on Attachment A-1?

e.

f.

Excluded Area #4

Map Attached? (required)

☐Y ☐N

a.

b.

c.

d. ☐ Y ☐ N – Information regarding dates and amounts discharge included on Attachment A-1?

e.

f.

Kuskokwim BaySteller's Eider Concentration Area

(B)

0.75 NM

This is a second choice for anchoring, and would likely only be used if location#1 (A) becomes unsafe due to strong easterly weather. This anchoring locationwould offer a little more protection from that weather.

Kuskokwim Bay

Steller's Eider Concentration Area

0.33 NM

(C)

This is a third choice for anchoring, and would likely only be used if location#1 (A) or #2 (B) become unsafe due to strong easterly weather. This anchoring location could potentially offer a little more protection from that weather.

No long term plan to operate in this area and no one has discharge in this bay as far as we can tell.

No long term plan to operate in this area and no one has discharge in this bay as far as we can tell.

AKG523000 FINAL PERMIT ATTACHMENT F-1

BMP/QAPP Certification

Attachment F

BMP/QAPP Certification

Attachment F - BMP/QAPP Certification

AKG523000 FINAL PERMIT ATTACHMENT F-2

Facility Name:_______________________________________________ APDES Permit Number:_______________________

The BMP/QAPP Plan is complete and is available upon request to DEC. The BMP/QAPP Plan is being implemented by trained employees. The BMP/QAPP Plan has been reviewed and endorsed by the facility manager. The individuals responsible for implementation of the BMP/QAPP Plan have been properly trained.

Summary of Revisions “I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.”

Signature: Title/Company:

Print Name: Date:

Clipper Epic

AKG523077

No revisions from previous year

Operations Manager / Bristol Bay AK LL, Co

Chris Shaffer 4/27/2020

New Clipper Seafoods, LLC

Notice of Intent (NOI)To be Covered under

APDES General Permit AKG523000 Offshore Seafood Processors Wastewater

Discharge

Submit NOI to: Wastewater Discharge Authorization Program

555 Cordova Street Anchorage, Alaska 99501 Telephone (907) 269-6285

By Fax: 907-269-4604

DEC.Water.WQPermit@alaska.gov

Submittal of this document constitutes notice that the party identified in Section II intends to be covered by the APDES permit authorizing discharges and obligates the permittee to comply with the terms and conditions of the permit and Authorization.

Section I. Permit Information (Part 1.6.1)

Currently Assigned APDES Permit No.(s) or Previous NPDES No.(s):

DEC Environmental Health processor permit No.:

Section II. Permittee/Operator Information (Part 1.6.2)

Company/Organization Name:

Vessel Contact Person: Title:

Authorized Representative Name and Title:

Mailing Address Street (PO Box):

City: State: Zip:

Phone: Fax (optional):

Email:

Section III. Billing Contact Information (Part 1.6.3)

Company/Organization Name:

Contact Person: Title:

Mailing Address: [ ☐ ] Check if sameas PermitteeInformation.

Street (PO Box):

City: State: Zip:

Phone: Fax (optional):

Email:

Section IV. Owner Information (Part 1.6.4).(Vessel Owner Information)

Company Name:

Contact Person: Title:

Mailing Address: [ ☐ ] Check if sameas PermitteeInformation.

Street (PO Box):

City: State: Zip:

Phone: Fax (optional):

Email:

Section V. Vessel Information (Part 1.6.5)

Vessel Name:

Previous Vessel Name(s):

Coast Guard Vessel Classification:

Coast Guard Vessel Number:

Vessel Length: Vessel Width: Vessel Draft:

Section VI. Seafood Processor Classification (Part 1.6.6 & Part 2.1.3.3)

Indicate the classification below that describes the type of operations for this processor. Check each that applies. If multiple locations are proposed, please clearly indicate on NOI Attachment Form A-1 the type of processing proposed at each location.

Discharges occurring between shore (0.0 nm) to 1.0 nm from shore • Discharges of washed mince effluent and stickwater are prohibited between shore to 1.0 nm from

shore (Permit Part 2.1.3.3.2).• Discharges of by-product effluent are prohibited between shore to 0.5 nm from shore (Permit Part

2.1.3.3.3).

☐Stationary processing vessel discharging seafood processing waste and wastewaters (between shore to 1.0 nm from shore) *see restrictions in Permit Part 2.1.3.3 for discharge requests from shore to 0.25 nm from shore

☐In-transit processing vessel discharging seafood processing waste and wastewaters (0.25 nm to 1.0 nm from shore)

☐ Inland Water Seafood Waste Discharge Vessel discharging seafood processing waste and wastewaters to inland waters while in-transit (0.25 to 1.0 nm from shore)

Discharges occurring 1.0 nm to 3.0 nm from shore

☐ Stationary processing vessel discharging seafood processing waste and wastewaters (1.0 nm to 3.0 nm)

☐ In-transit processing vessel discharging seafood processing waste and wastewaters (1.0 nm to 3.0 nm)

☐ Inland Water Seafood Waste Discharge Vessel discharging seafood processing waste and wastewaters to inland waters while in-transit (1.0 nm to 3.0 nm)

Section VII. Seafood Processing Production Information (Parts 1.6.7-1.6.8) For each Discharge Location or Area-of-Operation fill in Attachment A-1. Identify each type of product line effluent proposed at each Discharge Location or Area-of-Operation, such as:

• Fillet• Steaks• Flash Packing• Washed Mince/Paste Type (e.g., Pollock, Salmon, etc.)• Unwashed Mince Type (e.g., Pollock, Salmon, etc.)• Fish Hydrolysate• Fish Meal• Fish Powder• Fish Oil - Stickwater Produced

Attachment A-1 includes information to be filled in regarding: • Amounts of waste to be discharged,• If effluent is produced - volumes of effluent,• The 24- hour design processing capacity of each product or by-product line,• The estimated 24-hour maximum seafood processing wastewater discharge flow rate and volume, and• The outfall each product line’s effluent is discharged to.

Section VIII. Vessel’s Sanitary Waste & Graywater Discharges (Part 1.6.9-1.6.10)

Sanitary Wastewater (Part 1.6.9)

☐ Yes ☐ No Will sanitary waste be discharged through a Marine Sanitation Device (MSD)?

☐ Yes Is this a Type II MSD? If No, identify type of MSD

Type of MSD Date of USCG approval and certification of the MSD:

Installation Date of MSD: Max and Average Number of People Utilizing the MSD:

MSD Design Capacity (gal/day): Max: Average:

☐ Yes ☐ NoAre any other waste streams combined with MSD effluent prior to discharge? If yes, identify:

Graywater (Part 1.6.10)

☐ Yes ☐ NoAre other waste streams are combined with graywater prior to discharge? If yes, identify:

Estimated average daily volume of graywater discharged (gal/day):

Will graywater be discharged?☐ Yes ☐ No

Section IX. Other Wastewaters (Part 1.6.11)

Other Wastewaters (Check all that apply) contributing volume (gal/day) to discharge

Type of “Other Wastewaters”

Volume (gal/day)

Type of “Other Wastewaters” Volume (gal/day)

Cooling Water Transfer Water

Boiler Water Live Tank Water

Cooking Water (including Retort Water) Air Scrubber Water

Refrigeration Condensate Freshwater Pressure Relief Water

Refrigerated Seawater Drinking Water Backwash

Process Disinfectants Other (Describe)

Section X. Receiving Water Information (Part 1.6.12)

NOI Attachment A-1. For each Discharge Location or Area-of-Operation fill in the further required receiving water information in NOI Attachment A-1. Existing Uses. List existing uses (fresh water withdrawal location(s), set netting, etc.) known to the permittee within a 1.0 nautical mile radius of all proposed discharge locations (Part 1.6.12.7). Receiving water: Use(s): Receiving water: Use(s): Receiving water: Use(s): Receiving water: Use(s): Receiving water: Use(s): Receiving water: Use(s): Receiving water: Use(s): Receiving water: Use(s): Receiving water: Use(s):

Zone of Deposit (ZOD) Request (Part 1.6.12.12) For each stationary discharge location identify “Yes” or “No” in NOI Attachment A-1, column Z, if you will be processing for 7 consecutive days or 168 cumulative hours during the calendar year, or plan to discharge greater than 10 million pounds at the single discharge location.

• If yes, and the depth is less than -120 feet deep, a Zone of Deposit (ZOD) will be issued and a SeafloorSurvey(s) will be required.

Section XI. Refueling Capability and proximity to fueling stations (Part 1.6.13)

Does your processor refuel fishing vessels? ☐ Yes ☐ NoIf yes, what is the capacity of your refueling tanks?

Comments:

Section XII. Submittals with the NOI (Part 1.6.14)

☐ Area Maps and Bathymetric Charts (Part 1.6.14.1) A legible area map and a bathymetric chart of the receiving water(s) within 3.0 nm of the vessel’s discharge location(s) or area(s)-of-operation for each receiving water within 3.0 nm.

☐

Line Drawing (Part 1.6.14.2) Submit line drawings that document the water flow through the seafood processor with a water balance, showing operations contributing wastewater to the effluent (wastewater discharge) and treatment units (such as the grinding system). Similar processes, operations, or production areas may be indicated as a single unit, and labeled to correspond to the more detailed identification under Part 1.6.14.3. The water balance shall show the flow of water through the vessel and treatment system, between units (processing area), including treatment units, and shall include intake and discharge points. If a water balance cannot be determined, the permittee may provide documentation to the Department to support the inability to determine and a pictorial description of the nature and amount of any sources of water and any collection and treatment measures.

☐ Outfall Narrative (Part 1.6.14.3) Description of the production area(s) that contribute wastewater to the effluent for each outfall.

☐ AKG523000 NOI Attachment A-1 (Part 1.6.7–1.6.8. 1.6.12)

☐

QAPP Certification (Part 3.1.2) Certification that the QAPP has been developed, reviewed, and implemented is required to be submitted within 60 days of the effective date of the authorization to discharge, or within 60 days of the QAPP being revised.

☐

BMP Certification (Part 3.2.3) Certification that the BMP Plan has been developed, reviewed and implemented is required to be submitted within 60 days of the effective date of the authorization to discharge, or within 60 days of the BMP being revised.

Excluded Area(s) (Parts 1.4, 1.8)

☐ Yes ☐ No Excluded Area Discharges: Are you proposing to discharge to an ‘Excluded Area’ (as listed in Permit Part 1.4)?

☐Excluded Area - If “Yes”, and your facility is not listed in Permit Appendix D - Provide documentation for each Excluded Area by submittal of Attachment A-2 (See Part 1.8.2.1).

☐Excluded Area – If “Yes”, attach an Area Map (Part 1.6.14.1) of all Excluded Areas located within 3.0 nm of the proposed discharge.

XIII. Certification Information (Part 1.6.15)

I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.

Organization:

Name: Title:

Phone: Fax (optional): Email:

Mailing Address:

☐Check if same asOperator Information

Street (PO Box):

City: State: Zip:

Signature

Date

Signing Authority: Please identify your authority1 to sign APDES permit applications

Notes 1) An Alaska Pollutant Discharge Elimination System (APDES) permit report must be signed by an individual with the

appropriate authority per 18 AAC 83.385. For additional information, please refer to 18 AAC 83.385 at the followinglink: http://dec.alaska.gov/media/1052/18-aac-83.pdf

NOI Preparer (Complete if NOI was prepared by someone other than the certifier.) Organization: Name: Title:

Phone: Fax (optional): Email:

Mailing Address: ☐Check if same asOperator Information

Street (PO Box):

City: State: Zip: