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Whalebird Kombucha Permit Application
MA 1 1 2021 •� Public Utilities(. 879 Morro Street, San Luis Obispo, CA 93401-2710 — 805.781.7215 BY. -------» 25 Prado Road ■ Mall to: 879 Morro Street ■ San Luis Obispo, CA 93401 ■ (805) 781-7426 ■ Fax: (805) 781-7427 Class I Industrial Wastewater Survey & Permit Application Section 1. REASON FOR APPLYING A. ❑ New or proposed Point of Discharge B. XExisfing, but Unpermitted Point of Discharge C. ❑ New Ownership - Previous Company dba: _ D. ❑ Renewal Section 2. COMPANY INFORMATION A. City of San Luis Obispo Business License No. 110650 B. Legal Business Name: Komplete LLC C. Type of Ownership: ❑ Corporation ❑ Partnership Previous Permit No. LC ❑ Sole Proprietor Mike Durighello, Jacob Pritzlaff, Lee Wilkerson D. Facility Doing Business As (dba): Whalebird Kombucha E. Names and Titles of authorized representatives Corporate Officers/ Partners/other Mike Durighello Jacob Pritzlaff Lee Wilkerson Title CEO CFO Chief Engineer F. Facility Location Address: Address: 3576 Empleo Street San Luis Obispo CA 93401 Facility Contact Person: Jacob Pritzlaff Title: CFO G. Mailing Address: Name: Whalebird Kombucha Phone No. 805-712-8442 Ext Fax No. Address: 3576 Em_pleo Street, unit 1 San Luis Obispo _CA 93401 Attention Name: Jacob Pritzlaff Phone No. 805-712-8442 Ext. H. Billing Address: Name: Whalebird Kombucha Address: 3576 Empleo Street, unit 1 San Luis Obispo CA 93401 Attention Name: Jacob Pritzlaff Phone No. 805-712-8442 Ext I. Property Owner Mailing Address: Name: Jacob Pritzlaff Address: 3576 Empleo Street unit 1 San Luis Obispo CA 93401 Attention Name: Jacob Pritzlaff Phone No. 805-712-8442 Ext. J. Number of Employees: 11 Number of Shifts. Hours of Operation: 12pm am/pm to 6pm am/pm Days Per Week: S M T W Th F S (Circle) K. Average Operational /Production Days Per Year: 365 Average discharge Days Per Year: 365 L. When did Operations Begin (Mo/Day/YYYY)? 2/1/2014 Has there been any construction since the beginning of operations that has modified or replaced the process or production equipment that caused the discharge of pollutants? XNO ❑ YES If YES, Explain. Section 3. FACILITY A. Attach site and/or floor plan of facility showing details of process areas , process plumbing, sewer lines, connections, appurtenances, water treatment or waste treatment processes, floor drains, chemical and waste storage areas. B. Indicate total area of property: 4000 sgJh Total area of buildings: 4000 sq/ft. C. Indicate source of water supply and amount consumed per year. Indicate as Estimated or Measured. Estimated Measured City of San Luis Obispo 76 / year ❑ X Well year ❑ ❑ Private Water System _ year ❑ ❑ D. Does the facility discharge storm water to the City of San Luis Obispo sewer system?XNO ❑ YES Average: Maximum: 2 Section 4. OPERATION(S) A. Provide a brief detailed description of the type of manufacturing, business processes, production, or service activities your firm conducts at this site: Kombucha brewing and manufacture -similar to beer brewing B. List primary products produced at this site: Kombucha Tea C. Standard Industrial Classification Code(s) (SIC) for your facility: 2086 D. Raw materials and process additives used: Tea, Botanicals, Yea basic cleaners E. Types of wastes generated per operational day in Gallons Per Day (GPD). Indicate Estimated (E) or Measured (M): Average Maximum EJM Type of Discharge Ave. Discharge Days Per Flow (GPD) Flow (GPD) (Batch, Continuous, None) Month 1. Domestic wastes, restroom 80 140 E Semi Continious 2400 2. Cooling water, non -contact 0 0 M None 0 3. Boiler/ tower blowdown 0 M None 4. Cooling water, contact 0 0 M None 0 5. Process waste 40 100 M Batch 120 6. Food Processing waste 0 0 M None 0 (Cleaning food) 7. Equipment/facility washdown 5 10 E Batch 150 8. Air pollution control unit 0 0 E None 0 9. Storm water runoff to sewer 0 0 E None 0 10. Water Treatment 3 10 E Batch 30 11.Other I TOTAL WASTES GENERATED 1128 1250 I I Mixed 1 3840 I 3 F. Wastewater discharges in gallons per operational day in Gallons Per Day (GPD). Indicate Estimated (E) or measured (M). �i 1. Sanitary sewer (all wastewater) 2. Stonn drain or channel 3. Street 4. Ground 5. Surface Water 6. Groundwater 7. Wastehauler(s) (grease/oil) 8. Evaporation 9.Other Average Flow (GPD) Maximum Flow (GPD) E/M Type of Discharge (Batch, Continuous, None) Ave. Discharge DaysPer Mont 3900 0 130 300 E Semi Continious None 0 0 M 0 0 M None 0 0 0 M None 0 0 0 M None 0 0 0 M None 0 0 0 M None 0 0 0 M None None 0 0 M 0 TOTAL WASTES DISCHARGED 130 300 E None 0 Section 5. WASTEWATER INFORMATION A. If your facility employs processes in any of the industrial categories or business activities listed below, place a check beside the category or activity. ❑ Adhesives ❑ Aluminum Forming ❑ Anodizing ❑ Automobile Maintenance and Repair ❑ Battery Manufacturing OR Reclaiming ❑ Copper Forming ❑ Dairy Products Processing ❑ Electric/Electronic Components ❑ Electroplating ❑ Fruit or Vegetable Processing ❑ Hospital ❑ Inorganic Chemicals ❑ Iron & Steel ❑ Laundries ❑ Leather Tanning & Finishing ❑ Mechanical Products ❑ Metal Etching/Chemical Milling 4 ❑ Metal Coating (Phosphating, Coloring,) ❑ Nonferrous Materials ❑ Organic Chemicals ❑ Paint & Ink ❑ Petroleum Refining ❑ Pharmaceuticals ❑ Photographic Supplies ❑ Plastic & Synthetic Materials ❑ Plastics Processing ❑ Porcelain Enamel ❑ Printed Circuit Board Manufacturing ❑ Printing & Publishing ❑ Pulp & Paper ❑ Rubber ❑ Soaps & Detergent ❑ Winery B. Individual wastewater flows generated in gallons per operational day in Gallons Per Day(GPD). Indicate Estimated (E) or Measured (M). Process Description List all wastewater generating operations Canning line rinse Dishwashing machine Laundry Average Flow (GPD) 15 5 Maximum Flow (GPD) 30 EJM Type of Discharge (Batch, continuous, none) Continius Ave. Discharge Days Per Month E 450 10 E Batch 150 10 20 E Batch 300 Cleaning Brites 5 30 E Batch 150 Keg Washing 20 300 E Continious 600 Cleaning Equiptment 10 20 E Continious 300 Washing Fermenters 10 30 E Batch 300 TOTAL FLOW 75 1440 JE I Mixed 2250 C. Water conditioning unit(s) (softener or demineralizer) used on site? Xy es ❑ No If yes, # of units: 1 Conditioning unit regenerated on site: © Yes ❑ No 50 gals/month If yes: name chemical(s) and amount used for regenerationSaIt 25 Ibs/month D. Pretreatment devices or processes used for treating wastewater or sludge (check as many as appropriate): ❑ Air flotation ❑ Biological treatment, type ❑ Centrifuge ❑ Chemical precipitation ❑ Chlorination ❑ Clarifier, size ❑ Cyclone 0 Filtration ❑ Flow equalization, capacity ❑ Grease or oil separation, type ❑ Grease trap, size M Grit removal ❑ Ion exchange ❑ Neutralization, pH correction ❑ Ozonation ❑ Rainwater diversion or storage ❑ Reverse osmosis ❑ Screen ❑ Septic tank, size Number of compartments ❑ Solvent separation ❑ Spill protection ❑ Sump, size ❑ Other chemical treatment, type ❑ Other physical treatment, type ❑ Other, type ❑ No pretreatment provided E. List types and quantities of chemicals used or planned use per month (attach additional sheets if necessary). Chemical Quantity (Per month) Phosphoric Acid (Star San) _ 0.5gallons Simple Green _. 3 gallons Citric Acid Trisodium Phosphate Section 6. SPILL PREVENTION 201bs 15lbs A. Do you have chemical storage containers. bins, or ponds at your facility?XYes I k B. Do you have floor drains in your manufacturing or chemical storage area(s )? ❑ YesNo If yes, where do they discharge to? C. If you have chemical storage containers, bins, or ponds in manufacturing area, could an accidental spill lead to a discharge to: (check all that apply): ❑ An onsite disposal system ❑ Public sanitary sewer system (e.g. through a floor dram) T ❑ Storm drain ❑✓ To ground ❑ Other, specify: ❑ Not applicable, no possible discharge to any of the above routes D. Do you have an accidental spill prevention plan (ASPP) to prevent spills of chemicals or slug discharges from entering the Control Authority's collection systems? ❑ Yes (Please enclose a copy with the application) ❑ No 0 N/A, Not applicable since there are no floor drains and/or the facility discharge(s) only domestic wastes Section 7. CERTIFICATION 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 upon 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/or imprisonment for knowing violations. Jacob Pritzlaff Name (Printed) Signature 7 CFO Tile 3/10/2021 Date