1. PAG-15
      2. NOTICE OF INTENT (NOI) INSTRUCTIONS
      3. PAG-15
      4. OF THE COMMONWEALTH OF PENNSYLVANIA FROM
      5. THE APPLICATION OF PESTICIDES
      6. NOTICE OF INTENT (NOI)
      7. PAG-15
      8. COMMONWEALTH OF PENNSYLVANIA FROM THE
      9. APPLICATION OF PESTICIDES
      10. NOTICE OF INTENT (NOI)
      11. PAG-15
      12. AUTHORIZATION FOR COVERAGE UNDER THE
      13. COMMONWEALTH OF PENNSYLVANIA FROM THE
      14. APPLICATION OF PESTICIDES
      15. NPDES PERMIT NO:
      16. PAG-15
      17. COMMONWEALTH OF PENNSYLVANIA FROM THE
      18. APPLICATION OF PESTICIDES
      19. NOTICE OF TERMINATION OF COVERAGE FORM
    1. ANNUAL PESTICIDES APPLICATION REPORT
      1. PAG-15
      2. FACT SHEET
      3. AUTHORIZATION TO DISCHARGE UNDER THE
      4. COMMONWEALTH OF PENNSYLVANIA FROM THE
      5. APPLICATION OF PESTICIDES

3800-PM-BPNPSM0345a Rev. 11/2012
Instructions NOI
- 1 -
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF POINT AND NON-POINT SOURCE MANAGEMENT
PAG-15
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
GENERAL PERMIT FOR POINT SOURCE DISCHARGES TO WATERS OF THE
COMMONWEALTH OF PENNSYLVANIA FROM THE APPLICATION OF PESTICIDES
NOTICE OF INTENT (NOI) INSTRUCTIONS
In order to be covered under the General Permit, an Operator may not discharge to High Quality (HQ) or
Exceptional Value (EV) waters. Refer to 25 Pa. Code Chapter 93 for stream classifications.
GENERAL INFORMATION
NOTE: FAILURE TO COMPLY WITH THESE INSTRUCTIONS AND SUBMIT ALL REQUIRED INFORMATION
MAY RESULT IN DENIAL OF THE NOI.
To Obtain DEP Application Packages.
To expedite the processing of the applicant's request, the Department of
Environmental Protection (DEP) asks that the most up-to-date NOI package available be used. The most recent
version of this package can be obtained by contacting the appropriate DEP regional office or through the DEP
website. This package, as well as other DEP-wide and/or program-specific permit packages, is available in
Microsoft Word format at this same web location. Applicants can download the appropriate form to a personal
computer, complete the form electronically and print the document for submittal to DEP using the following steps:
Type in DEP's website address: www.dep.state.pa.us
Select: Licensing, Permits & Certification
Select: Program-Specific Permit/Authorization Packages
Select: W
ater Management
Select: NPDES
Select: General Permits
Select: PAG-15
The General Information Form (GIF) is required for all new NOIs for coverage under the General Permit.
The GIF form can be obtained as follows:
Go to DEP's website: www.dep.state.pa.us
Select: Licensing, Permits and Certification
Select: Department-Wide Permit/Authorization Packages
Select: General Information Form (GIF)
FOLLOWING SUBMISSION OF YOUR NOI, CHECK DEP’s WEBSITE TO MONITOR THE STATUS OF YOUR
NOI.
In general, DEP will not notify you if the NOI is considered complete and technically adequate. You may view
the status of your NOI as follows:
Go to DEP's website: www.dep.state.pa.us
Select: Tools
Select: eFACTS
Select: Authorization Search and search for the record using the permit number. If unknown, you will need
to search using other criteria.
If necessary, contact DEP‟s HelpDesk for assistance at
717.705.3768.

3800-PM-BPNPSM0345a Rev. 11/2012
Instructions NOI
- 2 -
General Instructions.
This package is designed to assist the applicant in completing the NOI form identified
above. Type or print clearly when completing the form. If the information requires more than the space allows,
attach additional sheets as necessary. If a question is not applicable to the project, write NA in the appropriate box.
The scope of the Pesticides General Permit is limited to application of pesticides which results in a discharge to
waters of the Commonwealth which are eligible for coverage under the terms and conditions of the General Permit.
Who may use this NOI?
This form may be used by eligible Operators (Decision-Makers) seeking coverage under
the Pesticides General Permit. For purposes of this permit, all Operators are defined as either an Applicator or a
Decision-Maker or both an Applicator and a Decision-Maker.
When an Operator is both an Applicator and a Decision-Maker, the Operator must comply with all applicable
requirements imposed on both Applicators and Decision-Makers. When the permit references “All Operators,” both
Applicators and Decision-Makers must comply.
The Decision-Maker who is required to submit an NOI (see Table 1) should file an administratively complete,
acceptable NOI with DEP at least 30 days prior to commencing any biological and chemical pesticide application
(see dates in Table 2) for the following use categories:
Pesticide Use Patterns
Mosquito and Other Flying Insect Pest Control
– to control public health/nuisance and other flying insect pests
that develop or are present during a portion of their life cycle in or above standing or flowing water. Public
health/nuisance and other flying insect pests in this use category include mosquitoes and black flies.
Weeds and Algae Pest Control
– to control weeds, algae, and pathogens that are pests in water and at water's
edge, including ditches, canals, and/or right-of-ways.
Animal Pest Control
– to control animals pests in water and at wAniatemal pers‟ts s in edthis geuse . category
include fish, lampreys, insects, mollusks, and pathogens.

3800-PM-BPNPSM0345a Rev. 11/2012
Instructions NOI
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Forest Canopy Pest Control
– application of a pesticide to a forest canopy to control the population of a pest
species (e.g., insect or pathogen) where, to target the pests effectively, a portion of the pesticide unavoidably will be
applied over and deposited to water.
Table 1. Decision-Makers Required to Submit NOIs
Pesticide Use
Decision-Makers Who Must Submit NOIs
Annual Treatment Area
Threshold
1
Mosquitoes and
Other Flying Insect
Pests
Federal and State agencies with a responsibility
to control mosquitoes for public health, nuisance
control, and animal welfare
All
Mosquito control districts, or similar pest control
districts
All
Other entities that exceed the annual treatment
area threshold identified here
Decision to treat with adulticide
during a calendar year more than
6,400 acres
2
Weed and Algae
Pests Control
Federal and State agencies with a responsibility
to control weeds and algae
All
Irrigation and weed control districts, or similar
pest control districts
All
Other entities that exceed the annual treatment
area threshold identified here
Decision to treat during a calendar
year more than either: 20 linear
miles OR
80 acres of water (i.e., surface
area)
3
Animal Pest
Control
Federal and State agencies with a responsibility
to control animals for public health, nuisance, or
resource management
All
Other entities that exceed the annual treatment
area threshold identified here
Decision to treat during a calendar
year more than either: 20 linear
miles OR
80 acres of water (i.e., surface
area)
4
Forest Canopy
Pest Control
Federal and State agencies with a responsibility
to control forest canopy pests
All
Other entities that exceed the annual treatment
area threshold identified here
Decision to treat with adulticide
during a calendar year more than
6,400 acres
Note – If your discharge is from use of an Algicide, Herbicide or Fish Control Chemical in waters of the
Commonwealth then you must obtain a joint approval from PFBC (Pennsylvania Fish and Boat Commission) and
DEP under 25 Pa. Code § 91.38(2).

3800-PM-BPNPSM0345a Rev. 11/2012
Instructions NOI
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Table 2. Discharge Authorization Dates
1
Category
NOI Submittal Deadline
Discharge Authorization Date
Operators not required* to submit an
NOI.
Not applicable.
Immediately*.
Decision-Makers who meet the
criteria requiring submission of an
NOI that they will exceed an annual
treatment area threshold identified in
Table 1 for that year.
At least 30 days before
exceeding an Annual
treatment area threshold.
Immediately* upon beginning to discharge,
until the discharge exceeds an annual
treatment area threshold. The Decision-
Maker is authorized to exceed an annual
treatment area threshold upon DEP‟s
confirmation of the receipt of a complete and
accurate NOI.
Decision-Makers discharging in
response to a declared pest
emergency situation as defined in
Part A II of the General Permit.
No later than 30 days after
commencement of
discharge
1
.
Immediately for activities conducted in
response to a declared pest emergency
situation.
* Operators who use an Algicide, Herbicide or Fish Control Chemical in waters of the Commonwealth must obtain
joint approval from PFBC and DEP under 25 Pa. Code Chapter 91.38(2).
1
In the event that a discharge occurs prior to your submitting an NOI (in the case of a declared pest emergency situation as defined in the
General Permit), you must comply with all other requirements of this permit immediately.

3800-PM-BPNPSM0345a Rev. 11/2012
Instructions NOI
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Who is not eligible to apply for the General Permit?
Discharges of Pesticide are
NOT
covered by the General
Permit when one or more of the following conditions exist:
1. The discharge is to waters classified as HQ or EV under 25 Pa. Code Chapter 93;
2. The discharge is to Impaired Waters with a cause or source related to the pesticide application. Discharges
from pesticide applications to waters of the Commonwealth are not eligible for coverage under this permit if the
water is identified as impaired by that pesticide or its degradates;
3. The discharges are covered by another NPDES permit, or the discharges were included in a permit that within
the last five years has been or is in the process of being denied, terminated, or revoked by DEP (this does not
apply to the routine reissuance of permits every five years);
4. The discharge contains any toxic or hazardous pollutant or any other substance which, because of its quantity,
concentration, or physical, chemical or infectious characteristics, may cause or contribute to an increase in
mortality or morbidity in either an individual or the total population, or pose a substantial present or future hazard
to human health or the environment when discharged into surface waters of the Commonwealth;
5. The discharge, either individually or cumulatively, has the potential to cause significant adverse environmental
impact, including those discharges which would create a public health hazard or nuisance;
6. The discharge is not, or will not be, in compliance with any of the terms or conditions of this General Permit;
7. The applicant has failed and continues to fail to comply or has shown a lack of ability or intention to comply with
a regulation, permit, schedule of compliance or order issued by DEP;
8. The discharge is not, or will not, result in compliance with applicable effluent limitations or water quality
standards;
9. The discharge is determined by DEP to require an individual NPDES permit to ensure compliance with the
federal Clean W ater Act, PennsylvCleaann Sitra‟eams s Law, or rules and regulations promulgated thereto; or
where a change has occurred in the availability of demonstrated technology or practices for the control or
abatement of pollutants applicable to the point source;
10. The discharge is subject to a categorical point source effluent limitation;
11. The discharge is associated with an activity that is subject to an existing NPDES individual or General Permit,
except as allowed herein; or is from a residence where an NPDES permit has been terminated or denied;
12. The discharge would adversely affect a state or federal listed endangered or threatened species or its critical
habitat; and
13. The discharge would interfere with a downstream riparian landowner's reasonable use of surface waters,
property rights, or otherwise cause a private or public nuisance.

3800-PM-BPNPSM0345a Rev. 11/2012
Instructions NOI
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Requirement to Obtain an Individual Permit
DEP may amend, revoke, suspend or terminate previously issued coverage under the General Permit and require
the discharger to obtain an individual NPDES permit for any of the reasons above. In addition, any interested
person may petition DEP to take this action. If the discharge is to a water body affected by an approved TMDL,
DEP will require an individual permit for the discharge if DEP determines that coverage under the General Permit
will not be consistent with the TMDL. DEP may require any discharger authorized to discharge under the General
Permit to apply for an individual NPDES permit, but only if the owner or operator has been notified in writing that an
individual permit application is required. This notice shall include the following:
1. a brief statement of the reasons for this decision;
2. an application form;
3. a statement setting a deadline for the person to file the application; and
4. a statement that on the effective date of the individual NPDES permit, coverage under the General Permit shall
automatically terminate.
The applicant shall submit the individual permit application within 90 days of receipt of the notice. DEP may grant
additional time to submit the application for an individual permit upon written request from the applicant. If the
person fails to submit a permit application within the time allowed, coverage under the General Permit is
automatically terminated at the end of the day specified for individual permit application submittal.
Where to file the NOI.
Three (3) copies of the NOI should be submitted to the appropriate DEP regional office
serving the county in which the facility is located.
When to file the NOI.
Persons seeking coverage under the Pesticide General Permit must submit an
administratively complete and acceptable NOI, along with required documentation, 30 days prior to commencing any
discharge under the General Permit.
NOI Filing Fee.
The required application fee of $250.00, payable to “Commonwealth of Pennsylvania”, must
accompany the application. The check should not be more than 10 days old. The application fee is not required for
federal or state agencies that meet the requirements of 25 Pa. Code 92a.26(i).
DEFINITIONS
To provide the applicant with a better understanding of terminology, DEP has included the following definitions.
Annual Treatment Area Threshold
An area (in acres) or linear distance (in miles) in a calendar year to which a
Decision-Maker is authorizing and/or performing pesticide applications in that area for activities covered under this
permit.
For calculating annual treatment areas for Mosquitoes and Other Flying Insect Pest Control and Forest Canopy Pest
for comparing with any threshold in Table 1, count each pesticide application activity to a treatment area (i.e., that
area where a pesticide application is intended to provide pesticidal benefits within the pest management area) as a
separate area treated. For example, applying pesticides three times a year to the same 3,000 acre site should be
counted as 9,000 acres of treatment area for purposes of determining if such an application exceeds an Annual
Treatment Area Threshold. The treatment area for these two pesticide use patterns is additive over the calendar
year.
Authorization –
Any DEP approval. For example: permits, plans, approvals, licenses, registrations, certifications,
etc. Authorization information is documented and assigned an internal DEP Auth ID# for tracking purposes.
Client (Responsible Party)
A client (also referred to as applicant or permittee) is a person or organization that
requests approval from DEP to perform a regulated activity. Client information is documented and assigned an
internal DEP Client ID# for tracking purposes.
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 Commonwealth.
eFACTS (Environment, Facility, Application, Compliance Tracking System)
DEP's electronic application
system to document and maintain client, site data for purposes of authorizing regulated activities and tracking
compliance.

3800-PM-BPNPSM0345a Rev. 11/2012
Instructions NOI
- 7 -
Site –
A site is a physical location of importance to DEP. A site may include locations where a regulated activity
occurs that has the potential to impact the health and safety of the citizens and/or the natural resources of this
Commonwealth. A site is not solely defined by geographical location (can span several municipalities and even
counties in some cases) but rather by the client/applicant's purpose of doing business. All DEP programs'
involvement at a physical location of importance to DEP is grouped under one – “senite. tiThis tyholi”stic view of
site will promote an understanding of the interrelationships of facilities to support pollution prevention, multi-media
inspections, a DEP-wide view of compliance, and public understanding and access of information. Site information
is documented and assigned an internal DEP Site ID# for tracking purposes.
CLIENT/OPERATOR INFORMATION
DEP Client ID#.
DEP-wide unique identification number assigned by DEP to the client after client information is
entered into DEP's computer system. This one number identifies the client regardless of the program with which the
client is working. When replying to DEP, inclusion of this number will make it easier to process the request in a
timely manner. If known, enter the Client ID#. Otherwise skip to the next request for information.
Client Type/Code.
Enter the code that represents the type of client acting as the responsible authority for the
permitted activity.
Government
Non-Government
Individual
AUTH
Authority
ASSOR
Association/Organization
INDIV
Individual
CNTY
County
LLC
Ltd. Liability Company
FED
Federal Agency
LLP
Ltd. Liability Partnership
MUNI
Municipality
NPACO
Non-Pennsylvania Corporation
NONPG
Non-PA Govt
OTHER
Other (Non-Govt)
OTHG
Other (Govt)
PACOR
Pennsylvania Corporation
SCHDI
School District
PARTG
Partnership-General
STATE
State Agency
PARTL
Partnership-Limited
SOLEP
Sole Proprietorship
Note:
If two individuals' names are listed as the NOI's clients, the Client Type Code of “Partnership-General” should
be used.
Organization Name or Registered Fictitious Name.
Clients other than individuals must provide the name under
which the activity or business is conducted for which the permit or other authorization will be issued.
Individuals should complete the “Organization Name” only if they conduct their business or activity under a name
other than their own (for example, “Jones Construction Company,” rather than “Mary Jones”).
For partnerships, list the business name of the partnership as it appears on the legal partnership papers.
If the applicant is an individual or partnership, also provide the appropriate information on the individual name lines.
Employer ID#.
Also referred to as “Federal Tax ID#.” The Employer ID# (EIN) aids DEP in identifying the
organization and prevents duplicate data entry from occurring. This information is required.
Dun & Bradstreet ID#.
(Optional) If known, supply the applicant's Dun & Bradstreet Identification Number.
Individual Last Name, First Name, MI, Suffix, Social Security Number.
This information, with the exception of
the SSN, must be provided for applicants who are individuals or partnerships. The SSN aids DEP in identifying the
individual and prevents duplicate data entry, although it is optional. This information is not accessible by the public
or other government agencies.
Additional Individual Last Name, First Name, MI, Suffix, Social Security Number.
This information, with the
exception of the SSN, must be provided for additional applicants who are individuals or partnerships. The SSN aids
DEP in identifying the individual and prevents duplicate data entry, although it is optional. This information is not
accessible by the public or other government agencies.
Mailing Address.
The mailing address of the client identified above (this should
not
include locational data that is
not appropriate for a mail piece). In addition to the street number and name, PO Box#, RR#, Box#, or Highway
Contract# designations, use any appropriate designation and number to further define the mailing address of the
applicant.

3800-PM-BPNPSM0345a Rev. 11/2012
Instructions NOI
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City, State, ZIP+4, Country.
Enter an appropriate city, borough or town designation (do not enter a township
designation in this area). Do
not
use abbreviations for the city name. Use the two-character abbreviation for the
state. Include the four-digit extension to the ZIP code. If other than USA, provide country.
Client Contact Information.
Clients that are organizations must provide the name of the person representing the
client (organization). This client contact must be an employee of the organization and must be located at the mailing
address of the client and able to receive correspondence on behalf of the client. Include the individual's name, title,
daytime phone number and e-mail address. DEP will use this contact information for maintaining client data. This
individual should be a high-level employee such as CEO, VP, Operations Manager, etc. or someone capable of
answering informational questions regarding the organization such as EIN, fictitious name ownership, address data,
related organizations, corporate changes, etc. Project contact information should be entered in the Site Contact
found in the Site Information section.
Person or Organization conducting treatment.
Certified applicators must provide their PA Department of
Agriculture pesticide certification number and business license number, mailing address and contact details.
SITE INFORMATION
DEP Site ID#.
DEP-wide unique identification number assigned to the site after site information is entered into
DEP's computer system. This one number identifies the site regardless of the program with which the applicant is
working. When replying to DEP, inclusion of this number will make it easier to process the NOI in a timely manner.
If known, enter the Site ID#. Otherwise skip to the next request for information.
Site Name.
The name of the site at the specific physical location. Do not use abbreviations or acronyms.
Estimated Number of Employees to be Present at Site.
To assist with future Pollution Prevention and
Compliance Assistance initiatives, please include the estimated number of employees to be present at the site once
it is active.
Description of Site.
Provide a written description of the proposed treatment site (e.g., water, forest, etc.).
County, Municipality, State.
Indicate the county and municipality in which the site is located. Check the
appropriate box to identify the type of municipality.
Site Location.
Provide the physical address of the location where the permitted activities will occur. No PO Box
Numbers will be accepted for site location information. Provide the City (or Municipality), State and the ZIP+4. If you
have multiple sites, please check the box and attach details along with your NOI.
Detailed Written Directions to Site.
When providing written directions, do not use PO Box address data. Include
landmarks and
approximate distances from
the nearest highway.
Site Contact Information.
Provide the name of the person having overall responsibility for environmental matters
at the site. Include the individual's name, title, firm, mailing address, daytime phone number and e-mail address
(optional).
NAICS Codes.
Clients applying for an authorization from DEP need to provide the appropriate North American
Industry Classification System (NAICS) code(s) at the Sector
level (at a minimum). The list of NAICS Sector and
Subsector level codes can be found by referencing „GIF NAICS Codes‟. This document can be found on the DEP
website with this GIF package or by contacting a DEP office identified at the end of this instructions document.
Site-to-Client Relationship.
Enter the relationship code that best describes how the client is related to the activity
or operation at the site for which the permit is being sought.
Code
Type
Code
Type
OWN
Owner
LESOP
Lessee/Operator
AGENT
Agent for the Owner or Operator
CONTR
Contractor for the Owner or Operator
OWNOP
Owner/Operator
OPR
Operator
LESSE
Lessee
OTHER
Other (Explain)

3800-PM-BPNPSM0345a Rev. 11/2012
Instructions NOI
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TREATMENT AREA INFORMATION
Existing Permits.
List all permits that have been issued or applied for on behalf of this Operator by DEP. Include
any NPDES and WQM permits, Earth Disturbance permits and any other environmental quality permits. Provide the
issued permit number and the date issued or applied for.
If Treatment Is To a Water Body
Confirm whether or not the water body is stocked by the Fish and Boat Commission.
Does the water body overflow at least part of the year? If overflow occurs, indicate the time of year in the space
provided. This will help us determine the effectiveness of the pesticide proposed in your water body, as well as
potential impact on aquatic life downstream. Name the receiving stream if overflow ever occurs. If the stream is
unnamed, indicate “Unnamed tributary to
Creek” (next stream with a name).
This will help DEP
determine the characteristics of the aquatic community in the receiving waters.
Treatment Area Location & Drainage Map.
Attach the USGS topographical map showing the discharge area and
location. A good quality 8½ x 11 inch copy of the portion of the topographic map locations is acceptable. Provide
the name of the 1:24,000 scale USGS 7.5-minute series quadrangle map. Submit a copy of the map(s) with the
NOI. Provide the total surface area in acres. This is a critical measurement that has a direct bearing on the amount
of pesticide to properly use. Note: 43,560 sq. feet = 1 acre. If the treatment area is a pond, determine the shape of
the pond and use one of the following area formulas: Area of circle = 3.14 (radius)
2
, Area of rectangle = Length x
Width, Area of triangle = 0.5 x base x height (base is usually the distance across the dam, height is typically the
pond length).
Latitude/Longitude.
Latitude and longitude measures aid in providing the physical location of the discharge point.
Indicate appropriate degrees, minutes and seconds for the project.
Additional Locational Data Information.
This information is being requested in order to determine the method,
accuracy and description of the latitude and longitude information that is being provided with the application. If
known, please provide this information for the locational data. The list of locational data codes and descriptions can
be found electronically on DEP's website under “Permit and Authorization Packages.”
CHAPTER 93 CLASSIFICATION, IMPAIRMENT AND TMDL STATUS
Provide
ALL
requested information in this area. Provide the receiving water classification listed in Chapter 93
regulations for the proposed application activities discharging to waters of the Commonwealth. Information on
receiving water classifications can be obtained from 25 Pa. Code Chapter 93 of DEP‟s regulations available
electronically at http://www.pacode.com or by calling or writing to the appropriate DEP regional office. Document
the “impairment status” of the receiving water by listing either “Attaining Water Quality Standards” or “Impaired”.
This information can be“ eMapacqu” oniline
rsed
ystem
usor iby ng
reviewDEing Pthe
‟s latest Integrated W ater
Quality Monitoring and Assessment Report on DEP‟s website. In addition, document whether a TMDL has been
approved for the receiving water, no TMDL has been developed, or not applicable (if the water is not impaired).
This
information
can
be
acquired
through
DEP‟s
website
(see
http://www.dep.state.pa.us/watermanagement_apps/tmdl/
).
Once the NOI has been submitted, the discharger may assume that the classification of the receiving waters will not
change for the length of the permit term unless notified by DEP to the contrary. If the existing use of receiving water
is determined to be HQ or EV, the applicant will be required to submit an individual NPDES permit application.

3800-PM-BPNPSM0345a Rev. 11/2012
Instructions NOI
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PESTICIDES USE PATTERNS
Use Patterns and Location.
Operators should provide a map
2
with the location(s) of pesticide applications and a
description of the location(s) of pesticide applications for all four pesticide use patterns.
Information Regarding Receiving Waters.
Indicate whether or not pesticide applications will be over or near all
waters identified in the map by selecting one of three options.
The Pennsylvania Natural Diversity Inventory (check one):
Confirm whether or not coverage requested will
overlap with the distribution map locations of any Species or Habitat by selecting one of two options. In case of
overlap, inform whether or not you have consulted with the Department of Conservation and Natural Resources, the
Pennsylvania Game Commission, the Pennsylvania Fish and Boat Commission, and the U.S. Fish and Wildlife
Service under PNDI (The Pennsylvania Natural Diversity Inventory). Also, in case of overlap with the distribution of
any Species or Habitat. Please search and list all Species or Habitat identified within the area for which coverage is
requested (http://www.naturalheritage.state.pa.us/Species.aspx) for abbreviation details select Rank and Status
(http://www.naturalheritage.state.pa.us/RankStatusDef.aspx).
PROPOSED TREATMENT DOSAGE INFORMATION
(for multiple treatment areas, a GIS file can be submitted electronically)
For each pesticide proposed for use, provide the following information. Pesticides must, by federal law, be used as
specified in their product label.
Pesticide name.
Record the name of the product to be utilized (e.g., for “Reward”, do not list the active ingredient,
diquat dibromide). The product proposed for use must be registered with the U.S. EPA, labeled for aquatic use and
listed with the PA Department of Agriculture. Product labels containing dosage information must be attached with
the NOI.
Manufacturer.
The company that produces the pesticide proposed for use.
Registration Number.
The U.S. EPA registration number for the product proposed for use.
Treatment area.
Area to be treated, in acres or linear miles (indicate units with value).
Dose.
The proposed dose (dosage rate) for the product. Also indicate the units associated with the dosage rate.
The dose listed must be within the dose range on the product label. Dose for products labeled to treat area is
usually pounds or gallons per surface acre. Dose for products used to treat water volume is usually expressed as
pounds or gallons per acre-foot. One acre-foot is one acre of water one foot deep. The pond or pond section
volume is calculated by multiplying the area in acres times the average depth in feet.
Amount of pesticides/biocides used for treatment.
Amount of pesticide to be used for a single treatment.
Number of treatments proposed for the year.
Target.
Target plant(s) and/or species to be controlled by the pesticide. List all you expect to be controlled by the
product.
Treatment date.
Proposed treatment dates. This can be a range of time in which multiple treatments are to be
made.
Additional information.
Additional information or comments can be provided for the reviewer. Examples are
“Higher algaecide dose is to control Pithophora, resistant algae” or “Overflow will be stopped for 48 hours following
treatment”.
2
Attach an 8.5” x 11” photocopy of a topographic-abol
dy manad/p
or tthe o aresa hto obw
e trteahtee
d. locThis maap tcion
an be of the water
printed from a website such as
http://itouchmap.com/latlong.html
or can be a photocopy of a 7.5 minute USGS topographical quadrangle. The
application area should be clearly identified. Provide the name of the 1:24,000 scale USGS 7.5-minute series quadrangle map which shows
the application area. This information will be used to compare the proximity of the treated body of water to receiving streams, other permitted
treatment areas and other water users such as public water supplies.

3800-PM-BPNPSM0345a Rev. 11/2012
Instructions NOI
- 11 -
NOTIFICATION
If potential users of treated water may possibly be affected by treatment, notification at least 24 hours in advance is
required. Recognize that products applied to water can drift to non-target areas or be discharged downstream.
Indicate whether or not notification has occurred by the time the application is submitted or will occur prior to
treatment. Indicate if you are aware of any objections to treatment from potential users of treated water. If you are
aware of objections, describe them in the space provided or on a page attached to the application.
COMPLIANCE HISTORY REVIEW
Check the appropriate box to indicate if the facility owner or operator is in violation of any DEP regulation, permit,
order or schedule of compliance at this or any other facility. If the answer is “NO,” no further information is needed
in this area. If “YES,” list each permit, order or schedule of compliance and provide compliance status of the
permitted facility or operation. If needed, use additional sheets to provide information on ALL permits.
CERTIFICATION
The applicant must certify that the information contained in the NOI is true, accurate and complete and agree to
abide by the terms and conditions of the General Permit. In addition, the responsible official's signature also
certifies that the facility is eligible for coverage under the General Permit and ensures that water quality standards
and effluent limits are attained.
The NOI shall be signed as follows:
For individually owned operations
- the owner of the facility must sign the NOI.
For a Corporation
- by a responsible corporate officer. For purposes of this section, a responsible corporate officer
means a principal executive officer of at least the level of vice president or an authorized representative, if the
representative is responsible for the overall operation of the facility from which the discharge described in the NOI
originates.
For a Partnership or Sole Proprietorship
- by a general partner or the proprietor, respectively.
For a Municipality, State, Federal or other public agency
- by either a principal executive officer, ranking elected
official or other authorized employee. For purposes of this NOI, a principal executive officer of a federal agency
includes:
a. The chief executive officer of the agency, or
b. A senior executive officer having responsibility for the overall operations of a principal geographic unit of the
agency.

3800-PM-BPNPSM0345b 8/2012
Applicant Name:
NOI
- 1 -
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF POINT AND NON-POINT SOURCE MANAGEMENT
PAG-15
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
GENERAL PERMIT FOR POINT SOURCE DISCHARGES TO WATERS
OF THE COMMONWEALTH OF PENNSYLVANIA FROM
THE APPLICATION OF PESTICIDES
NOTICE OF INTENT (NOI)
Before completing this form, read the step-by-step instructions provided in this NOI package.
Related ID#s (If Known)
DEP USE ONLY
Client ID#
APS ID#
Date Received & General Notes
Site ID#
Auth ID#
PAG-15
BASIC INFORMATION
Indicate whether the application is for new permit coverage, renewal of permit coverage already approved by DEP, or
an amendment to a previously submitted NOI. If the NOI is for a renewal or amendment, supply the NPDES permit
number.
New Permit
Permit Renewal
Permit Amendment
NPDES Permit No.
Is the receiving water classification either an HQ or EV water or impaired for
pesticides?
YES
NO
NOTE: If the operator discharges to an HQ or EV water, or if a pesticide discharge is to a water body impaired
by that particular pesticide or its degradates, coverage under the General Permit cannot be approved.
CLIENT / OPERATOR INFORMATION
DEP Client ID#
Client Type/Code
Organization Name or Registered Fictitious Name
Employer ID# (EIN)
Dun & Bradstreet ID#
Operator/ Individual Last Name
First Name
MI
Suffix
SSN
Additional Operator / Individual
Last Name
First Name
MI
Suffix
SSN
Mailing Address Line 1
Mailing Address Line 2
Address Last Line – City
State
ZIP+4
Country
+
Client Contact Last Name
First Name
MI
Suffix
Client Contact Title
Phone
Ext

3800-PM-BPNPSM0345b 8/2012
Applicant Name:
NOI
- 2 -
E-mail Address
FAX
Person or organization conducting treatment
(if other than applicant)
PA Dept. of Agriculture’s Applicator Certification #
Business License #
Daytime Phone:
-
-
Address - Street:
Fax Number:
-
-
City:
State:
Zip code:
-
SITE INFORMATION
DEP Site ID#
Site Name
Estimated Number of Employees to be Present at Site
Description of Site
County Name
Municipality
State
City
Boro
Twp
Site Location Line 1
Site Location Line 2
Have Multiple Site
Attach details separately
Site Location Last Line – City
State
ZIP+4
Detailed Written Directions to Site
Site Contact Last Name
First Name
MI
Suffix
Site Contact Title
Site Contact Firm
Mailing Address Line 1
Mailing Address Line 2
Address Last Line – City
State
ZIP+4
Phone
Ext
FAX
E-mail Address
NAICS Codes (Two- & Three-Digit Codes – List All That Apply)
6-Digit Code (Optional)
Site-to-Client Relationship

3800-PM-BPNPSM0345b 8/2012
Applicant Name:
NOI
- 3 -
TREATMENT AREA INFORMATION
Existing Permits. Identify all environmental quality permits (earth disturbance, NPDES, etc.) issued or applied for
on behalf.
Permit Type
Permit#
Date Issued/Applied For
Stocked by PFBC? (Check one)
Yes or
No
Does the water body have an overflow of water? (Check one)
Yes or
No
If yes, indicate time of year:
Name and list all receiving streams:
(If unnamed, indicate “un
insert
n
na
am
me
ed
Crtribeek”)utary to
Water body characteristics:
Total area: acres
Average depth: feet
Treatment area location and map are attached
1
YES
NO
USGS Quadrangle Name
Latitude/Longitude of Discharge
Point
Latitude
Longitude
Degrees
Minutes
Seconds
Degrees
Minutes
Seconds
Horizontal Accuracy Measure
Feet
--or--
Meters
Horizontal Reference Datum Code
North American Datum of 1983
World Geodetic System of
1984
Reference Point Code
Altitude
Feet
--or--
Meters
Altitude Datum Name
The North American Vertical Datum of 1988 (NAVD88)
Altitude (Vertical) Location Datum Collection Method Code
Geometric Type Code
Data Collection Date
Source Map Scale Number
Inch(es)
=
Feet
--or--
Centimeter(s)
=
Meters
CHAPTER 93 CLASSIFICATION, IMPAIRMENT AND TMDL STATUS
Provide ALL requested information in this area. For point sources discharging to waters of the Commonwealth,
indicate the receiving water classification(s) and water uses protected in the Chapter 93 regulations. If any
receiving water is designated as an HQ or EV water or impaired by a particular pesticide or its degradates for
which authorization is being asked, an individual permit application for discharges to that water must be filed.
Receiving Water(s)
Impairment Status
Status of TMDL
1
Attach an 8.5” xp y 11o” f pa htopootgraopchicoal map to show the location of the water body and the area to be treated. This map should be a
photocopy of a 7.5 minute USGS topographical quadrangle. The application area should be clearly identified. Provide the name of the 1:24,000
scale USGS 7.5-minute series quadrangle map which shows the application area. This information will be used to compare the proximity of the
treated body of water to receiving streams, other permitted treatment areas and other water users such as public water supplies.

3800-PM-BPNPSM0345b 8/2012
Applicant Name:
NOI
- 4 -
(Attaining Water Quality Standards or
Impaired)
(Approved, Not Developed or
N/A)
PESTICIDE USE PATTERNS (check all that apply):
a. Mosquitoes and Other Flying Insect Pest Control
b. Weeds and Algae Pest Control
c. Animals Pest Control
d. Forest Canopy Pest Control
For use patterns checked above, provide the following:
Receiving Waters (check one):
Coverage requested for all waters within locations identified above
Coverage requested for all waters within locations identified above except for:
Coverage requested specifically for the following waters within locations identified above:
PNDI - Listed Threatened or Endangered Species in Pennsylvania(i.e., “Species):
Pesticide application activities for which permit coverage is being requested will not overlap with the distribution
map locations of any Species or Habitat.
Pesticide application activities for which permit coverage is being requested will overlap with the distribution of any
Species or Habitat but the Pennsylvania Department of Conservation and Natural Resources, the Pennsylvania
Game Commission, the Pennsylvania Fish and Boat Commission, and the U.S. Fish and Wildlife Service have
been consulted for all these activities for which you are requesting coverage under this permit.
Pesticide application activities for which permit coverage is being requested will overlap with the distribution of any
Species or Habitat. Please list all Species or Habitat identified within the area for which permit coverage is being
requested.
PROPOSED TREATMENT DOSAGE INFORMATION
Proposed Treatment
Pesticide*
Dose
(gal or
lbs)
Treatment
Area
(acres or
linear mi)
Treatment
Depth
(feet)
Amount Each
Treatment
(gal or lbs)
No. of
Treatments
Target
1.
Manufacturer
EPA Reg. #
2.
Manufacturer
EPA Reg. #
3.
Manufacturer
EPA Reg. #
4.
Manufacturer
EPA Reg. #
5.
Manufacturer
EPA Reg. #
* Attach the product label containing dosage information with the Notice of Intent (NOI).

3800-PM-BPNPSM0345b 8/2012
Applicant Name:
NOI
- 5 -
Proposed date(s) of treatment:
Additional information for reviewer consideration:
NOTIFICATION
Notification of potential users of treated water:
Has occurred or
Will occur prior to treatment.
(Note: Potential users of treated water must be notified at least 24 hours in advance of treatment).
Are you aware of any objections to treatment from potential users of treated water?
Yes or
No
COMPLIANCE HISTORY REVIEW
Is the facility owner or operator in violation of any DEP regulation, permit, order or
schedule of compliance at this or any other facility?
YES
NO
If "YES," list each permit, order and schedule of compliance and provide compliance status. Use additional
sheets to provide information on all permits.
Permit Program
Permit No.
Brief Description of Noncompliance
Steps Taken or to be Taken to Achieve Compliance
Date(s) Compliance Achieved
Current Compliance Status
In Compliance
In Noncompliance
PESTICIDE DISCHARGE MANAGEMENT PLAN
If required (see 3800-PM-BPNPSM0345a, NOI Instructions (page 11) and Appendix D of the General Permit), attach a
Pesticide Discharge Management Plan (PDMP).
CERTIFICATION
I certify under penalty of law and subject to the penalties of 18 Pa. C.S. Section 4904 (relating to unsworn falsification to
authorities) 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 gathered and evaluated 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 further
acknowledge that the facility, treatment area and operator described herein are eligible for coverage under DEP’s General
Permit. I am aware that there are significant penalties for submitting false information, including the possibility of fine and
imprisonment for knowing violations.
Name
(type or print legibly)
Official Title
Signature
Date
If yes, describe:

3800-PM-BPNPSM0345c 8/2012
COMMONWEALTH OF PENNSYLVANIA
Checklist
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF POINT AND NON-POINT SOURCE MANAGEMENT
PAG-15
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
GENERAL PERMIT FOR POINT SOURCE DISCHARGES TO WATERS OF THE
COMMONWEALTH OF PENNSYLVANIA FROM THE
APPLICATION OF PESTICIDES
NOTICE OF INTENT (NOI)
APPLICANT'S
CHECKLIST
APPLICANT NAME
Check the following list to make sure you have included all the required information. Place a checkmark in
the box provided for all items completed and/or provided. Failure to provide all of the requested information
will delay the processing of the NOI.
ENCLOSE THIS CHECKLIST WITH YOUR COMPLETED NOI.
REQUIREMENTS FOR ALL DISCHARGES
Check
If
Included
DEP Use
Only
1.
Three (3) copies of the completed, signed NOI (3800-PM-WSFR0345b)
2.
NOI filing fee ($250) made payable to “Commonwealth of Pennsylvania”
3.
Treatment Area with Topographic Map
4.
Pesticide Discharge Management Plan (see Appendix D of General Permit)

3800-PM-BPNPSM0345d 9/2012
Permit Number:
Permit
- 1 -
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF POINT AND NON-POINT SOURCE MANAGEMENT
PAG-15
AUTHORIZATION FOR COVERAGE UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
GENERAL PERMIT FOR POINT SOURCE DISCHARGES TO WATERS OF THE
COMMONWEALTH OF PENNSYLVANIA FROM THE
APPLICATION OF PESTICIDES
NPDES PERMIT NO:
In compliance with the provisions of the Clean Water Act, 33 U.S.C. Section 1251
et seq.
("the Act") and
Pennsylvania's Clean Streams Law, as amended, 35 P.S. Section 691.1
et seq
.,
is authorized to discharge as a result of pesticides application(s) located in
,
to
, which is listed in
Watershed
, in accordance with effluent limitations, monitoring requirements and other conditions set forth in
Parts A, B and C herein.
The authority granted by this General Permit is subject to the following further qualifications:
1. Any owner or operator authorized to discharge by this General Permit may request to be excluded from the
coverage of this General Permit by applying for an individual permit. In such cases, the owner or operator
shall submit an individual NPDES permit application form to the Department of Environmental Protection
(DEP), with reasons supporting the request.
2. If there is a conflict between the Notice of Intent (NOI), its supporting documents and/or amendments and
the terms and conditions of this General Permit, the terms and conditions of this General Permit shall
apply.
3. Failure to comply with the terms, conditions, or effluent limitations of this General Permit is grounds for
enforcement action; for permit termination, revocation and reissuance; or for denial of a permit renewal
application.
APPROVAL FOR COVERAGE TO DISCHARGE UNDER THIS GENERAL NPDES PERMIT SHALL COMMENCE
, AND SHALL EXPIRE AT MIDNIGHT
, UNLESS EXTENDED IN
WRITING BY DEP.
The aforementioned approval is authorized by:
Clean Water Program Manager
Regional Office
Department of Environmental Protection

3800-PM-BPNPSM0345d 9/2012
Permit Number:
Permit
- 2 -
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
PAG-15
AUTHORIZATION TO DISCHARGE UNDER THE PESTICIDES GENERAL PERMIT (PGP)
This General Permit authorizes an Operator of a point source discharge of pollutants (discharge) associated with the
application of pesticides to discharge in accordance with the requirements of this General Permit.
Coverage under this General Permit applies to any Operator that meets the eligibility requirements identified in
Paragraph I below and if so required, submits a Notice of Intent (NOI) in accordance with the Annual Treatment Area
Thresholds in Table 1. An Operator, defined in Part A II, is the entity associated with the application of pesticides
that results in a discharge to waters of the Commonwealth of Pennsylvania (Commonwealth) and that meets either of
the following two criteria: (1) An entity who performs the application of a pesticide or who has day-to-day control of
the application (i.e., authorized to direct workers to carry out those activities); or (2) an entity with control over the
decision to perform pesticide applications, including the ability to modify those decisions, which results in a discharge
to waters of the Commonwealth and are necessary to ensure compliance with the permit. Operators identified by
criterion (1) above are referred in this permit as Applicators, while Operators identified by criterion (2) above are
referred to in this permit as Decision-Makers. As defined, more than one Operator may be responsible for complying
with this General Permit for any single discharge from the application of pesticides.
For the purpose of this General Permit, all Operators are defined as either an Applicator or a Decision-Maker or both
an Applicator and a Decision-Maker.
DEP may deny coverage under this General Permit and require submittal of an application for an individual NPDES
permit based on a review of the NOI or other information.
I. ELIGIBLE PESTICIDES USE PATTERNS
This General Permit is available to Operators who discharge to waters of the Commonwealth from the application
of (1) biological pesticides or (2) chemical pesticides that leave a residue (collectively called pesticides), when
the pesticide application is for one of the following pesticide use patterns:
1.
Mosquito and Other Flying Insect Pest Control
to control public health/nuisance and other flying insect
pests that develop or are present during a portion of their life cycle in or above standing or flowing water.
Public health/nuisance and other flying insect pests in this use category include mosquitoes and black flies.
2.
Weed and Algae Pest Control
to control weeds, algae, and pathogens that are pests in water and at
water's edge, including ditches, canals, and/or right-of-ways (ROWs).
3.
Animal Pest Control
to control animals pests in . wateAnimal per sts aind
n this at
use water‟s edge
category include fish, lampreys, insects, mollusks, and pathogens.
4.
Forest Canopy Pest Control
-
application of a pesticide to a forest canopy to control the population of a
pest species (e.g., insect or pathogen) where, to target the pests effectively, a portion of the pesticide
unavoidably will be applied over and deposited to water.
II. NOI REQUIREMENTS
To obtain authorization under this General Permit, an Operator must meet the eligibility requirements identified in
Paragraph I and submit a complete and accurate Notice of Intent (NOI).
Operators meeting the eligibility provisions outlined in Paragraph I and whose discharges are not subject to the
requirement to submit an NOI, as outlined in Paragraph III, are automatically authorized to discharge beginning
October 29, 2011, in compliance with the requirements of this General Permit without the submission of an NOI.
However, if applications are below the thresholds listed in Table 1, Operators intending to use an Algicide,
Herbicide or Fish Control Chemical in waters of the Commonwealth must still obtain joint approval from
Pennsylvania Fish and Boat Commission (PFBC) and DEP under 25 Pa. Code § 91.38(2).

3800-PM-BPNPSM0345d 9/2012
Permit Number:
Permit
- 3 -
An NOI provides notice of an Operators‟ intent for dischargeacs tivfitires oto m be its pesticide application
covered under this General Permit. Coverage is for the applicant who filed the NOI, including its employees,
contractors, subcontractors, and other agents, for all activities identified on the NOI for the duration of this
General Permit unless coverage is terminated pursuant to Part B III.F. If an NOI is not submitted in a timely,
accurate, or complete manner, then any employee, contractor, subcontractor or other entity that discharges
without the required NOI is not covered by this permit.
III. OPERATORS WHO ARE REQUIRED TO SUBMIT A NOTICE OF INTENT (NOI)
Decision-Makers intending to perform pest control activities that will result in a discharge and know or reasonably
should have known that those activities will exceed one or more of the Annual (i.e., calendar year) Treatment
Area Thresholds listed in Table 1 below, as defined in Part A II, are required to submit an NOI to obtain coverage
under this General Permit for discharges to waters of the Commonwealth resulting from the application of
pesticides. Federal and state agencies and pest control districts must submit an NOI regardless of the Annual
Treatment Area Threshold.
Table 1: Decision-Makers Required to Submit NOIs*
Pesticide Use
Decision-Makers Who Must Submit NOIs
Annual Treatment Area Threshold
1
Mosquitoes and
Other Flying
Insect Pests
Federal and State agencies with a
responsibility to control mosquitoes for public
health, nuisance control, and animal welfare
All
Mosquito control districts, or similar pest control
districts
All
Other entities that exceed the Annual
Treatment Area Threshold identified here
Decision to treat with adulticide
during a calendar year more than
6,400 acres
2
Weed and Algae
Pest Control
Federal and State agencies with a
responsibility to control weeds and algae
All
Irrigation and weed control districts, or similar
pest control districts
All
Other entities that exceed the Annual
Treatment Area Threshold identified here
Decision to treat during a calendar
year more than either: 20 linear miles
OR
80 acres of water (i.e., surface area)
3
Animal Pest
Control
Federal and State agencies with a
responsibility to control animals for public
health, nuisance, or resource management
All
Other entities that exceed the Annual
Treatment Area Threshold identified here
Decision to treat during a calendar
year more than either: 20 linear miles
OR
80 acres of water (i.e., surface area)
4
Forest Canopy
Pest Control
Federal and State agencies with a
responsibility to control forest canopy pests
All
Other entities that exceed the Annual
Treatment Area Threshold identified here
Decision to treat with adulticide
during a calendar year more than
6,400 acres
* Operators who intend to use an Algicide, Herbicide or Fish Control Chemical in waters of the Commonwealth
must obtain joint approval from Pennsylvania Fish and Boat Commission (PFBC) and DEP under 25 Pa. Code §
91.38(2).
Applicators who are not also Decision-Makers do not need to submit an NOI.

3800-PM-BPNPSM0345d 9/2012
Permit Number:
Permit
- 4 -
IV. CONTENTS OF THE NOI
The NOI shall be signed in accordance with the signatory requirements of this General Permit (Part B II.B) and
shall include the NOI information identified on the NOI form (3800-PM-BPNPSM0345b) as specified in the
instructions (3800-PM-BPNPSM0345a) for completing the form.
V. WHERE TO SUBMIT
Each NOI and/or Notice of Termination must be submitted to the appropriate DEP regional office.
VI. NOTICE OF INTENT FILING FEE.
Unless the applicant is exempt from fees in accordance with 25 Pa. Code
Chapter 92a.26(i), a check for $250.00 must be included with the NOI. The check should be made payable to
the
"Commonwealth of Pennsylvania"
. It is to be dated within 10 days of the NOI submittal date.
VII. DEADLINES FOR NOl AND ASSOCIATED DOCUMENTS SUBMITTAL FOR COVERAGE
Beginning October 29, 2011, discharges to waters of the Commonwealth as a result of pesticides applications
must be authorized under an NPDES permit. The timing for NOI submittal and Discharge Authorization dates for
Decision-Makers eligible for coverage (Paragraph I) and required to submit an NOI (Table 1) are listed in Table
2.
Based on a review of the NOI or other information, DEP may delay your authorization for further review, or may
determine that additional technology-based and/or water quality-based effluent limitations are necessary, or may
deny coverage under this permit and require submission of an application for an individual NPDES permit.
Table 2. Discharge Authorization Dates
1
Category
NOI Submittal
Deadline
Discharge Authorization Date
Operators not required* to submit
an NOI.
Not applicable.
Immediately*.
Decision-Makers required to submit
an NOI
At least 30 days
before exceeding an
Annual Treatment
Area Threshold.
Immediately* upon beginning to
discharge, until the discharge exceeds
an Annual Treatment Area Threshold.
The Decision-Maker is authorized to
exceed an Annual Treatment Area
Threshold upon DEP‟s confirmation of
the receipt of a complete and accurate
NOI.
Decision-Makers discharging in
response to a declared pest
emergency situation as defined in
Part A II of this General Permit.
No later than 30 days
after commencement
of discharge
1
Immediately, for activities conducted in
response to a declared pest emergency
situation.
* Except for the Operators who use an Algicide, Herbicide or Fish Control Chemical in waters of the
Commonwealth, who must obtain joint approval from PFBC and DEP.
VIII. DISCHARGES NOT AUTHORIZED BY THIS GENERAL PERMIT
Discharge is
NOT
covered by this General Permit when one or more of the following conditions exist:
1. The discharge is to waters classified as HQ or EV under 25 Pa. Code Chapter 93;
2. The discharge is to Impaired Waters with a cause or source related to the pesticide application. Discharges
from pesticide applications to waters of the Commonwealth are not eligible for coverage under this permit if
the water is identified as impaired by that pesticide or its degradates;
1
In the event that a discharge occurs prior to submission of an NOI (i.e., if there is a declared pest emergency situation as
defined in Part A II of the General Permit), you must comply with all other requirements of this permit immediately.

3800-PM-BPNPSM0345d 9/2012
Permit Number:
Permit
- 5 -
3. The discharges are covered by another NPDES permit, or the discharges were included in a permit that
within the last five years has been or is in the process of being denied, terminated, or revoked by DEP (this
does not apply to the routine reissuance of permits every five years).
4. The discharge contains any toxic or hazardous pollutant or any other substance which, because of its
quantity, concentration, or physical, chemical or infectious characteristics, may cause or contribute to an
increase in mortality or morbidity in either an individual or the total population, or pose a substantial present
or future hazard to human health or the environment when discharged into surface waters of the
Commonwealth;
5. The discharge, either individually or cumulatively, has the potential to cause significant adverse
environmental impact, including those discharges which would create a public health hazard or nuisance;
6. The discharge is not, or will not be, in compliance with any of the terms or conditions of this General Permit;
7. The applicant has failed and continues to fail to comply or has shown a lack of ability or intention to comply
with a regulation, permit, schedule of compliance or order issued by DEP;
8. The discharge is not, or will not, result in compliance with applicable effluent limitations or water quality
standards;
9. The discharge is determined by DEP to require an individual NPDES permit to ensure compliance with the
federal Clean W ater Act, PennsylClveanan Sitraea‟ms s Law, or rules and regulations promulgated thereto;
or where a change has occurred in the availability of demonstrated technology or practices for the control or
abatement of pollutants applicable to the point source;
10. The discharge is subject to a categorical point source effluent limitation;
11. The discharge is associated with an activity that is subject to an existing NPDES individual or General
Permit, except as allowed herein; or is from a residence where an NPDES permit has been terminated or
denied;
12. The discharge would adversely affect a state or federal listed endangered or threatened species or its critical
habitat; and
13. The discharge would interfere with a downstream riparian landowner's reasonable use of surface waters,
property rights, or otherwise cause a private or public nuisance.
IX. REQUIRING AN INDIVIDUAL PERMIT OR ALTERNATIVE GENERAL PERMIT
DEP may amend, revoke, suspend or terminate previously issued coverage under the General Permit and
require the discharger to obtain an individual NPDES permit or an alternative NPDES General Permit in
accordance with 40 CFR §§ 122.64 and 124.5 for any of the reasons above. In addition, any interested person
may petition DEP to take this action. If the discharge is to a water body affected by an approved TMDL, DEP will
require an individual permit for the discharge if DEP determines that coverage under this General Permit will not
be consistent with the TMDL. DEP may require any discharger authorized to discharge under this General
Permit to apply for an individual NPDES permit, but only if the owner or operator has been notified in writing that
an individual permit application is required. This notice shall include the following:
1. a brief statement of the reasons for this decision;
2. an application form;
3. a statement setting a deadline for the person to file the application; and
4. a statement that on the effective date of the individual NPDES permit, coverage under this General Permit
shall automatically terminate.
The applicant shall submit the individual permit application within 90 days of receipt of the notice. DEP may
grant additional time to submit the application for an individual permit upon written request from the applicant. If
the person fails to submit a permit application within the time allowed, coverage under this General Permit is
automatically terminated at the end of the day specified for individual permit application submittal.

3800-PM-BPNPSM0345d 9/2012
Permit Number:
Permit
- 6 -
X. TERMINATION OF COVERAGE
Operators covered under this General Permit that are not required to submit an NOI are terminated from permit
coverage when they no longer have a discharge from the application of pesticides or their discharges are
covered under an NPDES individual permit or alternative NPDES General Permit.
A Decision-Maker who is required to submit an NOI as identified in Paragraph III must submit a complete and
accurate Notice of Termination (3800-PM-BPNPSM0345e). Authorization to discharge under this General Permit
terminates immediately upon issuance of a termination letter by DEP, after receipt of the complete Notice of
Termination. A Notice of Termination may not be valid without meeting one or more of the conditions identified in
Part C of the Notice of Termination. You are responsible for complying with the terms of this permit until the
authorization is terminated by the DEP. If a Decision-Maker who is required to submit an NOI ever met the
Annual Treatment Area Threshold for having to submit Annual Reports pursuant to Part A III.F, the Decision-
Maker who is required to submit an NOI must file an Annual Report for the portion of the year up through the
date of the termination. The Annual Report is due no later than 45 days after your termination date.
XI. THE AUTHORITY GRANTED BY THIS GENERAL PERMIT IS SUBJECT TO THE FOLLOWING
CONDITIONS:
1. Any applicant authorized to discharge under this General Permit may request to be excluded from coverage
by applying for an individual permit. That applicant shall submit an approved Pennsylvania individual
NPDES application form, with reasons supporting the request to DEP. The request shall be granted by
issuance of an individual permit if the reasons cited by the applicant are adequate to support the request.
2. When an individual NPDES permit is issued to an applicant otherwise authorized to discharge under this
General Permit, the applicability of this General Permit is automatically terminated on the effective date of
the individual permit. When an individual NPDES permit is denied to an applicant authorized to discharge
under this General Permit, the applicant can continue discharging if all eligibility requirements under this
General Permit are met. If the applicant does not meet the eligibility requirements of this General Permit, or
is otherwise prohibited from this General Permit coverage, coverage under this General Permit is
automatically terminated on the date of such denial, unless otherwise specified by DEP.
3. An application for renewal of coverage under this General Permit must be submitted to DEP at least
180 days prior to the expiration date of coverage indicated on the approval for coverage form (unless
permission has been granted by DEP for submission at a later date). A request for renewal of coverage is to
be made using the latest PAG-15 Notice of Intent (NOI) form.
In the event that a timely and complete application for renewal has been submitted and DEP is unable,
through no fault of the permittee, to reissue the permit or approval for coverage before its current coverage
expiration date, the terms and conditions of the approved coverage will automatically continue and will
remain fully effective and enforceable pending the issuance or denial of the renewal of permit coverage,
provided the permittee is, and has been, operating in compliance with the terms and conditions of the
previously issued General Permit.
4. Issuance, reissuance, or amendments of the General Permit - Unless extended by DEP by reissuance, this
General Permit will expire 5 years from the date of its final issuance and availability. DEP will publish a
notice in the
Pennsylvania Bulletin
of the draft, renewed, reissued or any amendments to this General
Permit, and after a comment period, notice of the final, renewed, reissued or amended General Permit will be
published in the
Pennsylvania Bulletin
.
5. Coverage under this General Permit shall be revoked by DEP if monitoring data indicates that toxic
pollutant(s) are, or are expected to be, discharged in toxic amounts. If there is evidence indicating potential
or actual adverse impacts on water quality due to the discharge, the permittee may be required to obtain an
individual NPDES permit.
6. No condition of this General Permit shall release the permittee from any responsibility or requirement under
any other Federal or Pennsylvania environmental statute or regulation or any local ordinances.

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Permit Number:
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- 7 -
PAG-15 Pesticide General Permit
By
Director
Bureau of Point and Non-Point Source Management
Issuance Date
October 29, 2011
Amended Date
September 7, 2012
Expiration Date
October 28, 2016

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PART A
EFFLUENT LIMITATIONS, DEFINITIONS, MONITORING, RECORDKEEPING AND REPORTING
REQUIREMENTS
I. EFFLUENT LIMITATIONS
This General Permit establishes technology-based and water quality-based effluent limitations along with site
specific control measures that minimize discharge of pesticides to waters of the Commonwealth of Pennsylvania.
A. Technology-Based Effluent Limitations
To meet the effluent limitations in this section, All Operators with discharge(s) authorized under this General
Permit must implement site-specific control measures that minimize the discharges of pesticides to waters of
the Commonwealth. The term “minimis idezfie”
ned in Part A II.
1. Applicator’s Respo-
To m
n
ee
s
t
ibili
the effluent
ties
limitations of this permit, all Applicators must
implement the requirements in a. through c. below to minimize the discharge of pesticides to waters of
the Commonwealth from the application of pesticides, through the use of Pest Management Measures
(see Appendix A), as defined in Part A II of this General Permit.
a. Use only the amount of pesticide and frequency of pesticide applications necessary to control the
target pest, using equipment and procedures appropriate for this task.
b. Maintain pesticide application equipment in proper operating condition, including required calibration,
cleaning, and repair of equipment. In addition, caution must be used to prevent leaks, spills or other
unintended discharges.
c. Assess weather conditions (i.e., temperature, precipitation and wind speed) in the treatment area to
ensure the application is consistent with all applicable federal requirements.
2. Decision-Makers Responsibilities: For all Decision-Makers
All Decision-Makers must minimize the discharge of pesticides into the waters of the Commonwealth
from the application of pesticides, through the use of Pest Management Measures (see Appendix A), as
defined in Part A II of this General Permit.
To the extent the Decision-Maker determines the amount of pesticide or frequency of pesticide
application, the Decision-Maker must use only the amount of pesticide and frequency of pesticide
application necessary to control the target pest.
3. Decision-Maker’s Responsibilities: For Decision-Makers Required to Submit NOIs
To meet the effluent limitations of this permit, prior to pesticide application, all Decision-Makers who are
required to submit an NOI as required in Table 1 must also implement Pest Management options as
detailed in Appendix A to minimize the discharge of pesticides to waters of the Commonwealth from the
application of pesticides, through the use of Pesticide Management Measures, as defined in Part A II and
Appendix A.
B. Water Quality-Based Effluent Limitations
All Operators must control discharges as necessary to meet applicable numeric and narrative state water
quality standards, for any discharges authorized under this General Permit, with compliance required upon
commencing such discharges.
If at any time an Operator becomes aware (i.e., through self-monitoring or notification from DEP) or DEP
determines that the Operator‟s discharge causes or contributes to an excursion of applicable water quality
standards, operators must take corrective action (see Appendix C).

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C. Pesticide Discharge Management Plan (PDMP)
Except for any application made in response to a declared pest emergency situation as defined in Part A II of
this General Permit, a Pesticide Discharge Management Plan (PDMP) is required of any Decision-Maker who
must submit an NOI (Table 1) and is either a Large Entity (defined in Part A II) or other entity discharge
exceeding the Annual Treatment Area Thresholds. The PDMP will require input from the pesticide applicator.
The PDMP must be consistent with the deadlines identified in Table 3 below. For detailed contents of the
PDMP see Appendix D.
Table 3. Pesticide Discharge Management Plan Deadline
Category
PDMP Deadline
Operators not required to submit an NOI.
Not applicable
Operators who know or should have reasonably
known, prior to commencement of discharge, that
they will exceed an Annual Treatment Area
Threshold identified in Table 1 for that year.
Prior to first pesticide application
covered under this permit.
Operators who do not know or would reasonably
not know until after commencement of discharge,
that they will exceed an Annual Treatment Area
Threshold identified in Table 1 for that year.
Prior to exceeding an Annual
Treatment Area Threshold.
Operators commencing discharge in response to
a declared pest emergency situation as defined in
Part A II of the General Permit that will cause the
operator to exceed an Annual Treatment Area
Threshold.
No later than 90 days after
responding to declared pest
emergency situation.
D. Corrective Action
Corrective action is applicable to all Operators; requirements are specified in Appendix C.
E. Adverse Incident Documentation and Reporting
Adverse incident documentation and reporting is applicable to all Operators; requirements are specified in
Appendix C.
F. Reportable Spills and Leaks
Reportable spills and leaks are applicable to all Operators; requirements are specified in Appendix C.
G. Notice of Termination.
Operators covered under this General Permit who are not required to submit an NOI are
terminated from permit coverage when they no longer have a discharge from the application of pesticides or their
discharges are covered under an NPDES individual permit or an alternative NPDES General Permit.
Operators who are required to submit an NOI as identified in Table 1 must submit a Notice of Termination within
30 days after one or more of the following conditions have been met:
1. A new operator has taken over responsibility of the pest control activities covered under an existing NOI;
2. All discharges from the application of pesticides for which permit coverage was obtained have ceased,
and there is no expectation to continue to discharge during the remainder of the permit term for any of
the use patterns identified in Paragraph I; or
3. Coverage under an individual permit or an alternative General Permit has been obtained for all
discharges required to be covered by an NPDES permit; if the Operator obtains coverage consistent with
Paragraph X, coverage under this permit will terminate automatically.

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II. DEFINITIONS
Action Threshold –
the point at which pest populations or environmental conditions cannot be tolerated
necessitating that pest control action be taken based on economic, human health, aesthetic, or other effects.
An action threshold may be based on current and/or past environmental factors that are or have been
demonstrated to be conducive to pest emergence and/or growth, as well as past and/or current pest presence.
Action thresholds are those conditions that indicate both the need for control actions and the proper timing of
such actions.
Active Ingredient –
any substance (or group of structurally similar substances if specified by the permitting
authority) that will prevent, destroy, repel or mitigate any pest, or that functions as a plant regulator, desiccant,
or defoliant within the meaning of the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) Sec. 2(a).
Active ingredient also means a pesticidal substance that is intended to be produced and used in a living plant,
or in the produce thereof, and the genetic material necessary for the production of such a pesticidal substance.
40 CFR 152.3 and 40 CFR 174.3
Adverse Incident –
means an unusual or unexpected incident that an Operator has observed upon inspection or
of which the Operator otherwise become aware, in which
:
(1) There is evidence that a person or non-target organism has likely been exposed to a pesticide residue, and
(2) The person or non-target organism suffered a toxic or adverse effect.
The phrase “toxadversie c effor
ect” includes
thaeft occfur ecwithits
n waters of the Commonwealth on non-
target plants, fish or wildlife that are unusual or unexpected (e.g., effects are to organisms not otherwise
described on the pesticide product label or otherwise not expected to be present) as a result of exposure to a
pesticide residue, and may include:
Distressed or dead juvenile and small fishes;
Washed up or floating fish;
Fish swimming abnormally or erratically;
Fish lying lethargically at water surface or in shallow water;
Fish that are listless or nonresponsive to disturbance;
Stunting, wilting, or desiccation of non-target submerged or emergent aquatic plants; and
Other dead or visibly distressed non-target aquatic organisms (amphibians, turtles, invertebrates, etc.)
The phrase “toxic or ”a aldvserso ie
ncanefy laudfdvecersese teffects to humans (e.g., skin rashes) or
domesticated animals that occur either directly or indirectly from a direct contact with or a secondary effect from
a discharge (e.g., sickness from consumption of plants or animals containing pesticides) to waters of the
Commonwealth that are temporally and spatially related to exposure to a pesticide residue (e.g., vomiting,
lethargy).
Annual Treatment Area Threshold
– an area (in acres) or linear distance (in miles) in a calendar year to which a
Decision-Maker is authorizing and/or performing pesticide applications in that area for activities covered under
this permit.
For calculating annual treatment areas for Mosquitoes and Other Flying Insect Pest Control and Forest Canopy
Pest for comparing with any threshold in Table 1, count each pesticide application activity to a treatment area
(i.e., that area where a pesticide application is intended to provide pesticidal benefits within the pest
management area) as a separate area treated. For example, applying pesticides three times a year to the
same 3,000 acre site should be counted as 9,000 acres of treatment area for purposes of determining if such an
application exceeds an Annual Treatment Area Threshold. The treatment area for these two pesticide use
patterns is additive over the calendar year.

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For calculating annual treatment areas for Weed and Algae Control and Animal Pest Control for comparing with
any threshold in Table 1, calculations should include either the linear extent of or the surface area of waters for
applications made to waters of the Commonwealth or at water‟s edge adjacComenmont weato
lth. waters of the
For calculating the annual treatment area, count each treatment area only once, regardless of the number of
pesticide application activities performed on that area in a given year. Also, for linear features (e.g., a canal or
ditch), use the length of the linear feature whether treating in or adjacent to the feature, regardless of the
number of applications made to that feature during the calendar year. For example, whether treating the bank
on one side of a ten-mile long ditch, banks on both sides of the ditch, and/or water in that ditch, the total
treatment area is ten miles for purposes of determining if an NOI is required to be submitted. Additionally, if the
same 10 mile area is treated more than once in a calendar year, the total area treated is still 10 miles for
purposes of comparing with any threshold in Table 1. The treatment area for these two pesticide use patterns is
not additive over the calendar year.
Applicator – any entity who performs the application of a pesticide or who has day-to-day control of the
application (i.e., authorized to direct workers to carry out those activities) that results in a discharge to waters of
the Commonwealth.
Best Management Practices (BMPs) –
control measures that may be implemented to meet effluent limitations.
These include schedules of activities, prohibitions of practices, maintenance procedures, and other
management practices to minimize the discharge of pollutants to waters of the Commonwealth. BMPs also
include treatment requirements, operating procedures, and practices to control spillage or leaks, waste disposal,
or drainage from raw material storage. (40 CFR 122.2)
Biological Control Agents –
organisms that can be introduced to Operator sites, such as herbivores, predators,
parasites, and hyperparasites (see US FWS IPM Guidance, 2004).
Biological Pesticides (also called biopesticides) -
include microbial pesticides, biochemical pesticides and plant-
incorporated protectants (PIP). Microbial pesticide means a microbial agent intended for preventing, destroying,
repelling, or mitigating any pest, or intended for use as a plant regulator, defoliant, or desiccant, that (1) is a
eukaryotic microorganism including, but not limited to, protozoa, algae, and fungi; (2) is a prokaryotic
microorganism, including, but not limited to, Eubacteria and Archaebacteria; or (3) is a parasitically replicating
microscopic element, including but not limited to, viruses (40 CFR 158.2100(b)). Biochemical pesticide means a
pesticide that (1) is a naturally-occurring substance or structurally similar and functionally identical to a naturally-
occurring substance; (2) has a history of exposure to humans and the environment demonstrating minimal
toxicity, or in the case of a synthetically-derived biochemical pesticide, is equivalent to a naturally-occurring
substance that has such a history; and (3) has a non-toxic mode of action to the target pest(s) (40 CFR
158.2000(a)(1)). Plant-incorporated protectant means a pesticidal substance that is intended to be produced
and used in a living plant, or in the produce thereof, and the genetic material necessary for production of such a
pesticidal substance. It also includes any inert ingredient contained in the plant, or produce thereof. (40 CFR
158.2100(b), 40 CFR 158.2000(a)(1) and 40 CFR 174.3)
Chemical Pesticides –
all pesticides not otherwise classified as biological pesticides.
Cultural Methods -
manipulation of the habitat to increase pest mortality by making the habitat less suitable to
the pest.
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 Commonwealth.
Declared Pest Emergency Situation –
An event defined by a public declaration by a federal agency, state, or
local government of a pest problem determined to require control through application of a pesticide beginning
less than ten days after identification of the need for pest control. This public declaration may be based on
(40 CFR 166):
(1) Significant risk to human health;
(2) Significant economic loss; or

3800-PM-BPNPSM0345d 9/2012
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(3) Significant risk to:
(i) Endangered species,
(ii) Threatened species,
(iii) Beneficial organisms, or
(iv) The environment.
Director –
a Regional Administrator of the Environmental Protection Agency or an authorized representative.
(40 CFR 122.2)
Discharge –
when used without qualification, mea(40 CFns
R 12th2.2e
) "discharge of a pollutant.”
Discharge of a pollutant –
any addition of anr comy bi“napoltion lof utapollutnt”
ants to owaters of the
Commonwealth from any “point source,” or
pollutaannt yor adcomdbinaititon
ion
of polof
lutants anto ythe
water of the “contiguous zone” or the ocean from any point source other than a vessel or other floating craft that
is being used as a means of transportation. This includes additions of pollutants into waters of the
Commonwealth from surface runoff that is collected or channeled by man and discharges through pipes,
sewers, or other conveyances leading into privately owned treatment works. (40 CFR 122.2)
EPA Approved or Established Total Maximum Daily Loads (TMDLs) –
“EPA Approved TthoMDLsse that ” are
are developed by a state and approved by EPA. “EPA Established TMDLs” are those that are issued by EPA.
Facility or Activity
– any NPDES “point source” (including land or to
appurtenances thereto) that is subject
regulation under the NPDES program. (40 CFR 122.2)
Federal Facility –
any building, installation, structure, land, public works, equipment, aircraft, vessel, or other
vehicle or property owned, operated, or leased by, or constructed or manufactured for the purpose of leasing to,
the federal government.
For-Hire Applicator -
Includes persons who make contractual pesticide applications for which they or their
employer receives compensation (e.g., lawn care firms, pest control companies).
Impaired Waters (or “Water Quality s”Io mpr “aWiateredr WQateualrity Li–
A
mi
wate
t
r
ed
is impa
S
i
e
red
gment”)
for purposes of this permit if it has been identified by DEP pursuant to Section 303(d) of the Clean Water Act as
not meeting applicable State water quality standards (these waters are called “water quality limited segments”
under 40 CFR § 130.2(j)). Impaired waters include both waters with approved or established TMDLs, and those
for which a TMDL has not yet been approved or established.
Inert Ingredient -
any substance (or group of structurally similar substances if designated by the permitting
authority), other than an active ingredient, that is intentionally included in a pesticide product. Inert ingredient
also means any substance, such as a selectable marker, other than the active ingredient, where the substance
is used to confirm or ensure the presence of the active ingredient, and includes the genetic material necessary
for the production of the substance, provided that genetic material is intentionally introduced into a living plant in
addition to the active ingredient. (40 CFR 152.3 and 40 CFR 174.3)
Large Entity -
any (1) public entity that serves a population greater than 10,000 or (2) private enterprise that
exceeds the Small Business Administration size standard as identified at 13 CFR § 121.201.
Mechanical/Physical Methods -
mechanical tools or physical alterations of the environment, for pest prevention
or removal.
Minimize -
to reduce and/or eliminate pesticide discharges to waters of the Commonwealth through the use of
“Pest Management Measures” to the extent technologically available and economically practicable and
achievable.
NOI
- Notice of Intent for coverage under this General Permit.

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Non-Target Organisms –
includes the plant and animal hosts of the target species, the natural enemies of the
target species living in the community, and other plants and animals, including vertebrates, living in or near the
community that are not the target of the pesticide.
Operator –
any entity associated with the application of pesticides which results in a discharge to waters of the
Commonwealth that meets either of the following criteria:
a. Any entity who performs the application of a pesticide or who has day-to-day control of the application (i.e.,
authorized to direct workers to carry out those activities); or
b. Any entity with control over the decision to perform pesticide applications including the ability to modify those
decisions.
Person –
an individual, association, partnership, corporation, municipality, State or Federal agency, or an agent
or employee thereof.
Pest –
Consistent with 40 CFR § 152.5, any organism under circumstances that make it deleterious to man or
the environment, if it is:
(a) Any vertebrate animal other than man;
(b) Any invertebrate animal, including but not limited to, any insect, other arthropod, nematode, or mollusk
such as a slug and snail, but excluding any internal parasite of living man or other living animals;
(c) Any plant growing where not wanted, including any moss, alga, liverwort, or other plant of any higher
order, and any plant part such as a root; or
(d) Any fungus, bacterium, virus, or other microorganism, except for those on or in living man or other living
animals and those on or in processed food or processed animal feed, beverages, drugs (as defined in
FFDCA sec. 201(g)(1)) and cosmetics (as defined in the Federal Food, Drug and Cosmetic Act (FFDCA)
sec. 201(i)).
Pest Management Area –
The area of land, including any water, for which an operator has responsibility for and
is authorized to conduct pest management activities as covered by this General Permit (e.g., for an Operator
who is a mosquito control district, the pest management area is the total area of the district).
Pest Management Measure
– any practice used to meet the effluent limitations that comply with manufacturer
specifications, industry standards and recommended industry practices related to the application of pesticides,
relevant legal requirements and other provisions that a prudent Operator would implement to reduce and/or
eliminate pesticide discharges to waters of the Commonwealth.
Pesticide –
means (1) any substance or mixture of substances intended for preventing, destroying, repelling, or
mitigating any pest, (2) any substance or mixture of substances intended for use as a plant regulator, defoliant,
or desiccant, and (3) any nitrogen stabilizer, except that the term „„pesticide‟‟ shall not include any article that is
a “new animal drug” within the meaning ofod , sDrecug, tiand on
Cosm20eti1(c wA) ct of the Federal Fo
(21 U.S.C. 321(w)), that has been determined by the U.S. Secretary of Health and Human Services not to be a
new animal drug by a regulation establishing conditions of use for the article, or that is an animal feed within the
meaning of section 201(x) of such Act (21 U.S.C. 321(x)) bearing or containing a new animal drug. The term
“pesticide” does not include liquid chemical sterilant products (including any sterilant or subordinate disinfectant
claims on such products) for use on a critical or semi-critical device, as defined in section 201 of the Federal
Food, Drug, and Cosmetic Act (21 U.S.C. 321). For purposes of the preceding sentence, the term “critical
device” includes any device that introd, either
ucinted
o or diin conrectact twilth yt he into the human body
bloodstream or normally sterile areas- critiof
calthe
debovidcy ean‟‟ id ncthe
ludeterm
s an„„y
semdeivice that
contacts intact mucous membranes but which does not ordinarily penetrate the blood barrier or otherwise enter
normally sterile areas of the body. (FIFRA Section 2(u))
The term “pesticide” applies to insecticides, herbicides, fungicides, rodenticides, and various other substances
used to control pests. The definition encompasses all uses of pesticides authorized under FIFRA including uses

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authorized under sections 3 (registration), 5 (experimental use permits), 18 (emergency exemptions), 24(c)
(special local needs registrations), and 25(b) (exemptions from FIFRA).
Note: drugs used to control diseases of humans or animals (such as livestock and pets) are not considered
pesticides; such drugs are regulated by the Food and Drug Administration. Fertilizers, nutrients, and other
substances used to promote plant survival and health are not considered plant growth regulators and thus are
not pesticides. Biological control agents, except for certain microorganisms, are exempted from regulation
under FIFRA. (Biological control agents include beneficial predators such as birds or ladybugs that eat insect
pests, parasitic wasps, fish, etc).
This permit uses the term “pesticide” when referring to the “pesticide, as applied.” When referring to the
chemical in the pesticide product with pesticidal qualities, the permit uses the term “active ingredient.”
Pesticide Product –
a pesticide in the particular form (including composition, packaging, and labeling) in which
the pesticide is, or is intended to be, distributed or sold. The term includes any physical apparatus used to
deliver or apply the pesticide if distributed or sold with the pesticide.
Pesticide Research and Development –
Activities undertaken on a systematic basis to gain new knowledge
(research) and/or the application of research findings or other scientific knowledge for the creation of new or
significantly improved products or processes (experimental development).
Pesticide Residue –
includes that portion of a pesticide application that is discharged from a point source to
waters of the Commonwealth and no longer provides pesticidal benefits. It also includes any degradates of the
pesticide.
Point source –
any discernible, confined, and discrete conveyance, including but not limited to any pipe, ditch,
channel, tunnel, conduit, well, discrete fissure, container, rolling stock, concentrated animal feeding operation,
landfill leachate collection system, vessel, or other floating craft from which pollutants are or may be discharged.
This term does not include return flows from irrigated agriculture or agricultural stormwater runoff.
(40 CFR 122.2)
Pollutant –
dredged spoil, solid waste, incinerator residue, filter backwash, sewage, garbage, sewage sludge,
munitions, chemical wastes, biological materials, heat, wrecked or discarded equipment, rock, sand, cellar dirt,
and industrial, municipal, and agricultural waste discharged into water. For purposes of this definition, a
“biological pesticide” is considered a “biological material,” and any “pesticide residue” resulting from use of a
“chemical pesticide” is cons(40
iCFdeR r122e.d
2) a “chemical waste.”
Small Entity –
any (1) public entity that serves a population of 10,000 or less or (2) private enterprise that does
not exceed the Small Business Administration size standard as identified at 13 CFR 121.201.
Target Pest –
the organism(s) toward which pest management measures are being directed.
Total Maximum Daily Load (TMDL)
– the maximum amount of a pollutant that a water body can receive and still
meet water quality standards, and an allocation of that amount to the pollutant's sources. A TMDL includes
wasteload allocations (WLAs) for point source discharges; load allocations (LAs) for nonpoint sources and/or
natural background, and must include a margin of safety (MOS) and account for seasonal variations. (Section
303(d) of the CWA and 40 CFR 130.2 and 130.7)
Treatment Area –
The “treatment area” includes the entire area, whether over land or water, where the pesticide
application is intended to provide pesticidal benefits within the pest management area. In some instances, the
treatment area will be larger than the area where pesticides are actually applied. For example, the treatment
area for a stationary drip treatment into a canal includes the entire width and length of the canal over which the
pesticide is intended to control weeds. Similarly, the treatment area for a lake or marine area is the water
surface area where the application is intended to provide pesticidal benefits.
Toxic Pollutant –
means those pollutants, or combinations of pollutants, including disease-causing agents,
which after discharge and upon exposure, ingestion, inhalation or assimilation into any organism, either directly
from the environment or indirectly by ingestion through food chains, may, on the basis of information available to

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DEP cause death, disease, behavioral abnormalities, cancer, genetic mutations, physiological malfunctions,
including malfunctions in reproduction, or physical deformations in these organisms or their offspring.
(25 Pa. Code 92a.1)
Upset –
means an exceptional incident in which there is unintentional and temporary noncompliance with
technology based permit effluent limitations because of factors beyond your reasonable control. An upset does
not include non-compliance to the extent caused by operational error, improperly designed treatment facilities,
inadequate treatment facilities, lack of preventive maintenance, or careless or improper operation.
(40 CFR 122.41(n)(1))
Waters of the Commonwealth –
any and all rivers, streams, creeks, rivulets, impoundments, ditches, water
courses, storm sewers, lakes, dammed water, ponds, springs and all other bodies or channels of conveyance of
surface water, or parts thereof, including wetlands, whether natural or artificial, within or on the boundaries of
this Commonwealth.
Water Quality Impaired –
See „ImpaW ateirrs‟ed
.
Water Quality Standards –
water quality goals for a water body, or portion thereof, established by designating
the use or uses to be made of the water and by setting criteria necessary to protect the uses. Water quality
standards also include an anti-degradation policy and implementation procedures. States, Territories, Tribes
and EPA adopt water quality standards to protect public health or welfare, enhance the quality of water and
serve the purposes of the Clean Water Act (See CWA sections 101(a) and 303(c)).
Wetlands -
means those areas that are inundated or saturated by surface or groundwater at a frequency and
duration sufficient to support, and that under normal circumstances do support, a prevalence of vegetation
typically adapted for life in saturated soil conditions. Wetlands generally include swamps, marshes, bogs, and
similar areas. (40 CFR 122.2)
III. SELF-MONITORING, REPORTING AND RECORDS KEEPING
A. Monitoring Requirements for Pesticide Applicators.
Operators must monitor the amount of pesticide
applied to ensure that the lowest amount to effectively control the pest is used, consistent with reducing the
potential for development of pest resistance. Operators must also monitor pesticide application activities to
ensure regular maintenance activities are performed and to ensure that application equipment is in proper
operating condition to reduce the potential for leaks, spills, or other unintended discharge of pesticides to
waters of the Commonwealth. Additionally, Operators must monitor pesticide application activities to ensure
that the application equipment is in proper operating condition by adhering to any manufacturer‟s
recommendations and industry practices, and by calibrating, cleaning, and repairing equipment on a regular
basis.
B. Visual Monitoring Requirements for all Operators.
All operators covered under this General Permit must
conduct spot checks in the area to and around where pesticides are applied for possible and observable
adverse incidents, as defined in Part A II, caused by application of pesticides, including but not limited to the
unanticipated death or distress of non-target organisms and disruption of wildlife habitat, recreational or
municipal water use. Visual assessments of the application site must be performed:
1. During any post-application surveillance or efficacy check that you conduct, if surveillance or an efficacy
check is conducted.
2. During any pesticide application, when considerations for safety and feasibility allow.
C. Representative Sampling
1. Visual Monitoring shall be representative of the monitored activity.
2. Records Retention - All records of monitoring activities and results (including all original strip chart
recordings for continuous monitoring instrumentation and calibration and maintenance records), copies
of all reports required by this General Permit, and records of all data used to complete the application
(Notice of Intent) for this General Permit shall be retained by the permittee for 3 years from the date of
the visual monitoring, report or application. The 3-year period shall be extended as requested by DEP.

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3. For each monitoring activity pursuant to the requirements of this General Permit, the Permittee shall
record the following information:
a. The exact place, date and time of monitoring activity;
b. The person(s) who performed the monitoring activity;
c. The date(s) the analysis were performed;
d. The person(s) who performed the analysis;
e. The results of such analysis.
4. The Clean Water Act provides that any person who falsifies, tampers with, or knowingly renders
inaccurate any monitoring device or method required to be maintained under this permit shall, upon
conviction, be punished by a fine of not more than $10,000, or by imprisonment for not more than 2
years, or both. If a conviction of a person is for a violation committed after a first conviction of such
person under this paragraph, punishment is a fine of not more than $20,000 per day of violation, or by
imprisonment of not more than 4 years, or both.
D
.
Reporting of Monitoring Results
1. The permittee shall effectively monitor the operation and efficiency of equipment and the quantity and
quality of the discharge(s) as specified in this General Permit.
2.
Annual Report
: If you are required to submit an NOI, as identified in Table 1, you must submit an
Annual Report to DEP and, if applicable, other agencies, using form 3800-PM-BPNPSM0345f (Annual
Pesticides Application Report). Once you meet the obligation to submit an Annual Report, you must
submit an Annual Report each calendar year thereafter for the duration of coverage under this General
Permit, whether or not you have discharges from the application of pesticides in any subsequent
calendar year. You must submit the Annual Report to DEP and other related agencies no later than
January 28 of the following year (and retain a copy for your records) for all pesticide activities covered
under this permit occurring during the previous calendar year.
See Appendix B for detailed
requirements.
The Annual Report must include information for the calendar year, with the first Annual Report required
to include activities for the portion of the calendar year after the effective date of the NOI. If the effective
date is between December 1 - 31, you are not required to submit an Annual Report for that first partial
year but must submit Annual Reports thereafter, with the first Annual Report submitted also including
information from the first partial year. When you terminate permit coverage, as specified in Paragraph X,
you must submit an Annual Report for the portion of the year up through the date of your termination.
The Annual Report (3800-PM-BPNPSM0345f) is due no later than 45 days after your termination date, or
January 28 of the following year, whichever is earlier.
3. All NOIs, reports, certifications or information submitted to DEP by the permittee that is required by this
General Permit shall be signed as per Part B II.B.
E
.
Other Reporting Requirements
1. Anticipated Non-Compliance:
The permittee shall give advance notice to DEP of any planned changes in the permitted facility or
activity that may result in non-compliance with permit requirements. 40 CFR 122.41(l)(2).
2. Pesticide Monitoring Reports. This permit does not require operators to report monitoring results on a
routine basis; however, DEP may, pursuant to Paragraph VII, require certain operators to monitor and
report such results.
3. Compliance schedules. Reports of compliance or non-compliance with, or any progress reports on,
interim and final requirements contained in any compliance schedule of this permit must be submitted no
later than 14 days following each schedule date.
4. Unanticipated Non-Compliance or Potential Pollution Reporting
a. Immediate Reporting - The permittee shall immediately report any incident causing or threatening
pollution in accordance with the requirements of 25 Pa. Code §§ 91.33 and 92a.41(b).

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i. If, because of an accident, other activity or incident a toxic substance or another substance
which would endanger users downstream from the discharge, or would otherwise result in
pollution or create a danger of pollution or would damage property, the permittee shall
immediately notify DEP by telephone of the location and nature of the danger. Oral notification
to the Department is required as soon as possible, but no later than 4 hours after the permittee
becomes aware of the incident causing or threatening pollution.
ii. If reasonably possible to do so, the permittee shall immediately notify downstream users of the
waters of the Commonwealth to which the substance was discharged. Such notice shall include
the location and nature of the danger.
iii. The permittee shall immediately take or cause to be taken steps necessary to prevent injury to
property and downstream users of the waters from pollution or a danger of pollution and, in
addition, within 15 days from the incident, shall remove the residual substances contained
thereon or therein from the ground and from the affected waters of the Commonwealth to the
extent required by applicable law.
b. The permittee shall report any non-compliance which may endanger health or the environment in
accordance with the requirements of 40 CFR § 122.41(l)(6). These requirements include the
following obligations:
i. 24-Hour Oral Reporting - the permittee shall give at least a 24-hour advanced notice to DEP of
any planned changes to the permitted activity or facility that may result in non-compliance with
permit requirements. The permittee shall also report non-compliance with any term or condition
of this General Permit, and any statute, rule or regulation, to DEP within 24 hours of becoming
aware of the non-compliance.
ii. Follow-up Written Reporting - where the permittee orally reports the non-compliance information,
a written report outlining the same information must be completed, kept on file and submitted to
DEP upon request.
5. Upset
a.
Effect of an upset. An upset constitutes an affirmative defense to an action brought for non-
compliance with technology-based permit effluent limitations if the requirements of Part A III.E.5.b
are met. No determination made during administrative review of claims that non-compliance was
caused by upset, and before an action for non-compliance, is final administrative action subject to
judicial review. See 40 CFR § 122.41(n)(2).
b.
Conditions necessary for a demonstration of upset. See 40 CFR § 122.41(n)(3). An operator who
wishes to establish the affirmative defense of upset must demonstrate, through properly signed,
contemporaneous operating logs, or other relevant evidence that:
i. An upset occurred and that you can identify the cause(s) of the upset;
ii. The permitted activity was at the time being properly operated; and
iii. The permittee provided notice of the upset as required in Part A III.E.4.
iv. The permittee complied with any remedial measures required under Part B I.G.
c. Burden of proof. In any enforcement proceeding, the permittee, as the one seeking to establish the
occurrence of an upset, has the burden of proof. See 40 CFR § 122.41(n)(4).The permittee shall
report all instances of non-compliance not reported under paragraph C.3.a. of this section, at the
time of annual reporting. The reports shall contain the information listed in paragraph E.4. of this
section.
6. Other Non-Compliance
The permittee shall report all instances of non-compliance not reported under paragraph E.5. of this
section, at the time of annual reporting. The reports shall contain the information listed in paragraph E.4
of this section.

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F. Recordkeeping Requirements
This recordkeeping and annual reporting requirement vary depending on the type of Operator and whether a
Decision-Maker is a Small or Large Entity. Table 4 references applicable requirements for the range of
Operators covered under the General Permit. For details see Appendix B.
Table 4: Applicable Recordkeeping and Annual Reporting Requirements for Operators.
Appendix B
Part
Applicable Type of Operator
1
All Operators
2
All Operators who are For-Hire Applicators, as defined in Part A II
3
Any Decision-Maker required to submit an NOI and who is a
Small Entity
1
4
Any Decision-Maker required to submit an NOI and who is a
Large Entity
2
5
All Operators
6
Any Decision-Maker required to submit an NOI and who is a
Large Entity
2
1. Small Entity - As defined in Part A II, is any (1) public entity that serves a population of 10,000 or less
or (2) private enterprise that does not exceed the Small Business Administration size standard as
identified at:
www.sba.gov/contractingopportunities/officials/size/table/index.html
.
2. Large Entity - As defined in Part A II, is any (1) public entity that serves a population greater than
10,000 or (2) private enterprise that exceeds the Small Business Administration size standard as
identified at:
www.sba.gov/contractingopportunities/officials/size/table/index.html
.

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PART B
STANDARD CONDITIONS
I. MANAGEMENT REQUIREMENTS
A. Duty to Comply.
You must comply with all conditions of this permit. Any permit non-compliance constitutes a violation of the
federal Clean Water Act and is grounds for enforcement action; for permit termination, revocation and
reissuance, or modification; or for denial of a permit renewal application.
B. Duty to Reapply
DEP will publish a notice in the
Pennsylvania Bulletin
of the draft renewed or reissued General Permit or of
any amendments to this General Permit. After a comment period, notice of the final renewed, reissued or
amended General Permit will be published in the
Pennsylvania Bulletin
.
C. Compliance Schedules
1. The permittee shall achieve compliance with the terms and conditions of this General Permit within the
time frames specified in this General Permit.
2. The permittee shall submit reports of compliance or non-compliance, or progress reports as applicable,
for any interim and final requirements contained in this General Permit. Such reports shall be submitted
no later than 14 days following the applicable schedule date or compliance deadline.
D. Permit Modification, Termination, or Revocation and Reissuance
1. DEP may amend, revoke, suspend or terminate previously issued coverage under this General Permit
and require the discharger to apply for and obtain an individual NPDES permit in accordance with 25 Pa.
Code § 92a.54(f).
2. The filing of a request by the permittee for a permit revocation and reissuance, or termination, or a
notification of planned changes or anticipated non-compliance, does not stay any permit condition.
E. Duty to Provide Information
1. The permittee shall furnish to DEP, within a reasonable time, any information which DEP may request to
determine whether cause exists for modifying, revoking and reissuing, or terminating this General Permit,
or to determine compliance with this General Permit.
2. The permittee shall furnish copies of records required to be kept by this General Permit to DEP upon
request.
3. Other Information - Where the permittee becomes aware that it failed to submit any relevant facts in a
Notice of Intent (NOI), or submitted incorrect information in a NOI or in any report to DEP, it shall
promptly submit the correct and complete facts or information.
F. Proper Operation and Maintenance
The permittee shall at all times properly operate and maintain all facilities and systems of treatment and
control (and related appurtenances) which are installed or used by the permittee to achieve compliance with
the terms and conditions of this General Permit. Proper operation and maintenance includes, but is not
limited to, adequate laboratory controls including appropriate quality assurance procedures. This provision
also includes the operation of backup or auxiliary facilities or similar systems that are installed by the
permittee, only when necessary to achieve compliance with the terms and conditions of this General Permit.
G. Duty to Mitigate
The permittee shall take all reasonable steps to minimize or prevent any discharge, or disposal in violation of
this General Permit that has a reasonable likelihood of adversely affecting human health or the environment.
(40 CFR 122.41(d))

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II. PENALTIES AND LIABILITY
A. Violations of Permit Conditions
1. Any person violating Sections 301, 302, 306, 307, 308, 318 or 405 of the Clean Water Act or any permit
condition or limitation implementing such sections in a permit issued under Section 402 of the Act is
subject to civil, administrative and/or criminal penalties as set forth in 40 CFR §122.41(a)(2).
2. Any person or municipality who violates any provision of this General Permit, any rule, regulation, or
order of DEP, or any condition or limitation of any permit issued pursuant to the Clean Streams Law, is
subject to criminal and/or civil penalties as set forth in Sections 602, 603 and 605 of the Clean Streams
Law.
B. Signatory Requirements.
1. All applications, reports, and certifications, including NOIs, must be signed as follows:
a.
For a corporation:
By a responsible corporate officer. For the purpose of this subsection, a
responsible corporate officer means: (i) a president, secretary, treasurer, or vice-president of the
corporation in charge of a principal business function, or any other person who performs similar
policy- or decision-making functions for the corporation, or (ii) the manager of one or more
manufacturing, production, or operating facilities, provided, the manager is authorized to make
management decisions which govern the operation of the regulated activity including having the
explicit or implicit duty of making major capital investment recommendations, and initiating and
directing other comprehensive measures to assure long term environmental compliance with
environmental laws and regulations; the manager can ensure that the necessary systems are
established or actions taken to gather complete and accurate information for permit application
requirements; and where authority to sign documents has been assigned or delegated to the
manager in accordance with corporate procedures.
b.
For a partnership or sole proprietorship:
By a general partner or the proprietor, respectively; or
c.
For a municipality, state, federal, or other public agency:
By either a principal executive officer or
ranking elected official. For purposes of this subsection, a principal executive officer of a federal
agency includes (i) the chief executive officer of the agency, or (ii) a senior executive officer having
responsibility for the overall operations of a principal geographic unit or the agency.
2. Pesticide Discharge Management Plan (PDMP), including changes to the PDMP to document any
corrective actions taken as required by Part A I.D, and all reports submitted to DEP, must be signed by a
person described in Part B II.B or by a duly authorized representative of that person. A person is a duly
authorized representative only if:
a. The authorization is made in writing by a person described in Part B II.B;
b. The authorization specifies either an individual or a position having responsibility for the overall
operation of the regulated activity such as the position of superintendent, position of equivalent
responsibility, or an individual or position having overall responsibility for environmental matters for
the company. (A duly authorized representative may thus be either a named individual or any
individual occupying a named position); and
c. The signed and dated written authorization is included in the PDMP. A copy must be submitted to
DEP, if requested.
d. All other changes to your PDMP, and other compliance documentation required under this permit,
must be signed and dated by the person preparing the change or documentation.
If signed by a person other than the above, written notification of delegation of Annual Report signatory
authority must be submitted to DEP in advance of or along with the relevant Annual Report form.
3. Changes to Authorization. If an authorization under Part B II.B is no longer accurate because the
application activities have been purchased by a different entity, a new NOI satisfying the requirements of
Part B II.B or a transfer application in accordance with Part B III.B must be submitted to DEP. However,
if the only change that is occurring is a change in contact information or a change in the operator‟s
address, the operator need only make a modification to the existing NOI submitted for authorization.

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4. Any person signing documents in accordance with Part B II.B must include the following certification:
“I certify under anped subnajeclt to
tythe of
penallties
awof 18 Pa. C.S. Section 4904 (relating to
unsworn falsification to authorities) 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
gathered and evaluated 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
contained is, to the best of my knowledge and belief, true, accurate, and complete. I further
acknowledge that the facility, treatment area and operator described herein is eligible for coverage under
the DEP‟s General. I am Pawermare thaitt there are significant penalties for submitting false
information, including the possibility of fine and imprisonment for knowing violations.”
C. Falsifying Information
The Clean Water Act provides that any person who does any of the following:
1. Falsifies, tampers with or knowingly renders inaccurate any monitoring device or method required to be
maintained under this General Permit, or
2. Knowingly makes any false statement, representation or certification in any record or other document
submitted or required to be maintained under this General Permit (including monitoring reports or reports
of compliance or noncompliance),
shall, upon conviction, be punished by a fine and/or imprisonment as set forth in Section 309 of the Clean
Water Act. In addition, criminal sanctions are set forth for false swearing and unsworn falsification at 18 Pa.
C.S. §§ 4903-4904.
D. Liability
Nothing in this General Permit shall be construed to relieve the permittee from civil or criminal penalties for
noncompliance pursuant to Section 309 of the Clean Water Act or Sections 602, 603 or 605 of the Clean
Streams Law.
Nothing in this General Permit shall be construed to preclude the institution of any legal action or to relieve
the permittee from any responsibilities, liabilities or penalties to which the permittee is or may be subject to
under the Clean Water Act and the Clean Streams Law.
E. Severability
Invalidation of a portion of this permit does not render the whole permit invalid; in the event that any part of
this permit is invalidated, the remaining parts of the permit will remain in effect.
F. Need To Halt Or Reduce Activity Not A Defense
It shall not be a defense for the permittee in an enforcement action that it would have been necessary to halt
or reduce the permitted activity in order to maintain compliance with the conditions of this General Permit.
III. OTHER RESPONSIBILITIES
A. Right of Entry
Pursuant to Sections 5(b) and 305 of Pennsylvania's Clean Streams Law, 25 Pa. Code Chapter 92a and
40 CFR § 122.41(i), the permittee shall allow authorized representatives of DEP and EPA, upon the
presentation of credentials and other documents as may be required by law:
1. To enter upon the permittee's premises where a regulated facility or activity is located or conducted, or
where records must be kept under the conditions of this General Permit;
2. To have access to and copy, at reasonable times, any records that must be kept under the conditions of
this General Permit;
3. To inspect at reasonable times any facilities, equipment (including monitoring and control equipment),
practices or operations regulated or required under this General Permit; and
4. To sample or monitor at reasonable times, for the purposes of assuring permit compliance or as
otherwise authorized by the Clean Water Act or the Clean Streams Law, any substances or parameters
at any location.

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B. Transfer of Coverage under General Permit
1. Approval of coverage under this General Permit may be automatically transferred to a new permittee if
the requirements of paragraphs a., b., and c. below are met. If all conditions are met, the transfer is
effective on the date specified on the transfer application.
a. The current permittee notifies DEP at least 30 days in advance of the proposed transfer date in
paragraph b. of this section;
b. The notice includes the appropriate DEP transfer application form signed by the existing and new
permittees with a specific date for transfer of permit responsibility, coverage and liability between
them; and
c. DEP does not notify the existing permittee and the proposed new permittee of the intent to modify or
revoke and reissue this General Permit.
2. In the event DEP does not approve transfer of this General Permit, the new owner or controller must
submit a new permit application.
C. Notification
If potential users of treated water may possibly be affected by treatment, notification at least 24 hours in
advance is required to such users. Recognize that products applied to water can drift to non-target areas or
be discharged downstream.
D. Property Rights
The issuance of this General Permit does not convey any property rights of any sort, or any exclusive
privilege.
E. Other Laws
The issuance of this General Permit does not authorize any injury to persons or property or invasion of other
private rights, or any infringement of state or local law or regulations.
F. Termination of Coverage
Notice of Termination. If all pesticide discharges authorized by this General Permit are eliminated or will no
longer occur, the permittee may submit a completed Notice of Termination form that is signed in accordance
with Part B II.B of this General Permit certifying that:
"Under penalty of law, I hereby certify that all pesticide discharges authorized by NPDES
General Permit (PAG-15) have ceased or have been eliminated. I understand that by
submitting this notice of termination, that I am no longer authorized to discharge under the
General Permit, and that discharging pollutants to waters of the Commonwealth is unlawful
under the Clean Water Act and the Clean Streams Law where the discharge is not authorized
by an NPDES permit."
All letters certifying discharge termination are to be sent to the appropriate DEP regional office.

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APPENDIX A
PEST MANAGEMENT MEASURES
1. Mosquito and Other Flying Insect Pest Control
This section applies to discharges from the application of pesticides for mosquito and other flying insect pest
control.
A. Identify the Problem
. Prior to the first pesticide application covered under the General Permit that will
result in a discharge to waters of the Commonwealth, and at least once each calendar year thereafter
prior to the first pesticide application for that calendar year, Decision-Makers required to submit NOIs
must do the following for each pest management area, as defined in Part A II of the General Permit:
1. Establish densities for larval and adult mosquito or flying insect pest populations or identify
environmental condition(s), either current or based on historical data, to serve as action threshold(s)
for implementing Pest Management Measures;
2. Identify target pest to develop Pest Management Measures based on developmental and behavioral
considerations for each pests;
3. Identify known breeding sites for source reduction, larval control program, and habitat management;
4. Analyze existing surveillance data to identify new or unidentified sources of mosquito or flying insect
pest problems as well as sites that have recurring pest problems; and
5. In the event there are no data for the pest management area in the past calendar year, use other
available data as appropriate to meet permit conditions in Part 1.A of this section.
B. Pest Management Options
. Prior to the first pesticide application covered under this General Permit
that will result in a discharge to waters of the Commonwealth, and at least once each calendar year
thereafter prior to the first pesticide application for that calendar year, Decision-Makers required to
submit NOIs must select and implement efficient and effective means of Pest Management Measures
that minimize discharges resulting from application of pesticides to control mosquitoes or other flying
insect pests. In developing these Pest Management Measures in each pest management area, the
Decision-Maker must evaluate the following management options, including a combination of these
management options, considering impact to water quality, impact to non-target organisms, feasibility,
and cost effectiveness:
1. No action
2. Prevention
3. Mechanical or physical methods
4. Cultural methods
5. Biological control agents
6. Pesticides

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C. Pesticide Use.
If a pesticide is selected to manage mosquitoes or flying insect pests and application of
the pesticide will result in a discharge to a waters of the Commonwealth, Decision-Makers required to
submit NOIs must:
1. Conduct larval and/or adult surveillance in an area that is representative of the pest problem or
evaluate existing larval surveillance data, environmental conditions, or data from adjacent area prior
to prior to each pesticide application to assess the pest management area and to determine when
the action threshold(s) is met;
2. Reduce the impact on the environment and on non-target organisms by applying the pesticide only
when the action threshold(s) has been met;
3. In situations or locations where practicable and feasible for efficacious control, use larvicides as a
preferred pesticide for mosquito or flying insect pest control when larval action thresholds have been
met; and
4. In situations or locations where larvicide use is not practicable or feasible for efficacious control, use
adulticides for mosquito or flying insect pest control when adult action threshold(s) has been met.
2. Weed and Algae Pest Control
This part applies to discharges from the application of pesticides for weed and algae pest control.
A. Identify the Problem.
Prior to the first pesticide application covered under this General Permit that will
result in a discharge to waters of the Commonwealth, and at least once each calendar year thereafter
prior to the first pesticide application for that calendar year, Decision-Makers required to submit NOIs
must do the following for each pest management area, as defined in Part A II of the General Permit:
1. Identify areas with pest problems and characterize the extent of the problems, including, for
example, water use goals not attained (e.g. wildlife habitat, fisheries, vegetation, and recreation);
2. Identify target pest(s);
3. Identify possible factors causing or contributing to the pest problem (e.g., nutrients, invasive species,
etc);
4. Establish any pest and site specific action threshold(s) as defined in Part A II of the General Permit
for implementing Part 2.B of this section; and
5. In the event there are no data for your pest management area in the past calendar year, use other
available data as appropriate to meet permit conditions in Part 2.A of this section.
B. Pest Management Options.
Prior to the first pesticide application covered under this General Permit
that will result in a discharge to waters of the Commonwealth, and at least once each calendar year
thereafter prior to the first pesticide application for that calendar year, Decision-Makers required to
submit NOIs must select and implement efficient and effective means of Pest Management Measures
that minimize discharges resulting from application of pesticides to control pests. In developing these
Pest Management Measures for each pest management area, the Decision-Makers required to submit
NOIs must evaluate the following management options, including a combination of these management
options, considering impact to water quality, impact to non-target organisms,
feasibility, and cost
effectiveness:
1. No action
2. Prevention
3. Mechanical or physical methods

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4. Cultural methods
5. Biological control agents
6. Pesticides
C. Pesticide Use.
If a pesticide is selected to manage pests, and application of the pesticide will result in a
discharge to waters of the Commonwealth, Decision-Makers that are required to submit NOIs must:
1. Conduct surveillance in an area that is representative of the pest problem prior to each pesticide
application to assess the pest management area and to determine when the action threshold(s) is
met; and
2. Reduce the impact on the environment and non-target organisms by applying the pesticide only
when the action threshold has been met.
3. Animal Pest Control
This section applies to discharges from the application of pesticides for control of animal pests.
A. Identify the Problem.
Prior to the first pesticide application covered under this General Permit that will
result in a discharge to waters of the Commonwealth, and at least once each calendar year thereafter
prior to the first pesticide application for that calendar year, Decision-Makers required to submit NOIs
must do the following for each pest management area, as defined in Part A II of the General Permit:
1. Identify areas with pest problems and characterize the extent of the problems, including, for
example, water use goals not attained (e.g. wildlife habitat, fisheries, vegetation, and recreation);
2. Identify target pest;
3. Identify possible factors causing or contributing to the problem (e.g., nutrients, invasive species);
4. Establish any pest and site specific as action threshold(s) as defined in Part A II of the General
Permit for implementing Part 3.B of this section; and
5. In the event there are no data for the pest management area in the past calendar year, use other
data available as appropriate to meet the permit conditions in Part 3.A of this section.
B. Pest Management Options.
Prior to the first pesticide application covered under this General Permit
that will result in a discharge to waters of the Commonwealth, and at least once each year thereafter
prior to the first pesticide application during that calendar year, Decision-Makers required to submit NOIs
must select and implement efficient and effective means of Pest Management that Measures that
minimize discharges resulting from application of pesticides to control pests. In developing these Pest
Management Measures for each pest management area the Decision-Maker required to submit NOIs
must evaluate the following management options, including a combination of these management options,
considering impact to water quality, impact to non-target organisms, feasibility, and cost effectiveness:
1. No action
2. Prevention
3. Mechanical or physical methods
4. Biological control agents
5. Pesticides

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C. Pesticide Use.
If a pesticide is selected to manage pests, and application of the pesticide will result in a
discharge to waters of the Commonwealth, Decision-Makers required to submit NOIs must:
1. Conduct surveillance in the area that is representative of the pest problem prior to each application
to assess the pest management area and to determine when the action threshold(s) is met; and
2. Reduce the impact on the environment and non-target organisms by evaluating site restrictions,
application timing, and application method in addition to applying the pesticide only when the action
threshold(s) has been met.
4. Forest Canopy Pest Control
This part applies to discharges from the application of pesticides for forest canopy pest control.
A. Identify the Problem
. Prior to the first pesticide application covered under this General Permit that will
result in a discharge to waters of the Commonwealth, and at least once each calendar year thereafter
prior to the first pesticide application in that calendar year, Decision-Makers required to submit NOIs
must do the following for each pest management area, as defined in Part A II of the General Permit:
1. Establish any pest and site-specific action threshold(s) as defined in Part A II of the General Permit
for implementing Part 4.B of this section;
2. Identify target pest(s) to develop Pest Management Measures based on developmental and
behavioral considerations for each pest;
3. Identify current distribution of the target pest and assess potential distribution in the absence of Pest
Management Measures; and
4. In the event there are no data for the pest management area in the past calendar year, use other
available data as appropriate to meet the permit conditions Part 4.A of this section.
B. Pest Management Options.
Prior to the first pesticide application covered under this General Permit
that will result in a discharge to waters of the Commonwealth, and at least once each calendar year
thereafter prior to the first pesticide application for that calendar year, Decision-Makers required to
submit NOIs must select and implement efficient and effective means of Pest Management Measures
that minimize discharges resulting from application of pesticides to control pests. In developing these
Pest Management Measures for each pest management area, the Decision-Makers required to submit
NOIs must evaluate the following management options, including a combination of these management
options, considering impact to water quality, impact to non-target organisms, feasibility, and cost
effectiveness:
1. No action
2. Prevention
3. Mechanical/physical methods
4. Cultural methods
5. Biological control agents
6. Pesticides
C. Pesticide Use.
If a pesticide is selected to manage forestry pests and application of the pesticide will
result in a discharge to waters of the Commonwealth, Decision-Makers required to submit NOIs must:
1. Conduct surveillance in an Area that is representative of the pest problems prior to each application
to assess the pest management area and to determine when the pest action threshold(s) is met;

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2. Reduce the impact on the environment and non-target organisms by evaluating the restrictions,
application timing, and application methods in addition to applying the pesticide only when the action
threshold(s) has been met; and
3. Evaluate using pesticides against the most susceptible developmental stage.

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APPENDIX B
RECORDKEEPING & ANNUAL REPORTING REQUIREMENTS
Operators must keep written records as required in the General Permit for all discharges covered under the General
Permit. These records must be accurate and complete to demonstrate Operators‟ compliance with the conditions of
the General Permit. Operators may rely on records and documents developed for other obligations, such as
requirements under Federal Insecticide, Fungicide, Rodenticide Act (FIFRA), and state or local pesticide programs,
provided all requirements of the General Permit are satisfied.
DEP recommends that all Decision-Makers, who are or may be required to submit an NOI based on their annual
treatment area, keep records of acres or linear miles treated for all applicable use patterns covered under the
General Permit. The records should be kept up-to-date to help Decision-Makers determine if the Annual Treatment
Area Threshold is met during any calendar year, as identified in Table 1.
1. Recordkeeping for all Operators - All operators must keep the following records:
a. A copy of any Adverse Incident Reports (see Appendix C 2.C);
b. Rationale for any determination that reporting of an identified adverse incident is not required consistent with
allowances identified in Appendix C 2.B;
c. A copy of any corrective action documentation (Appendix C 3.C); and
d. A copy of any spill and leak or other unpermitted discharge documentation (Appendix C 3.B).
2. Recordkeeping for all Operators who are For-Hire Applicators – Any Operator who is a For-Hire Applicator, as
defined in Part A II of the General Permit, must retain the following records:
a. Documentation of equipment calibration; and
b. Information on each treatment area to which pesticides are discharged, including:
1. Description of each treatment area, location and size (acres or linear feet) of treatment area and
identification of any waters of the Commonwealth, either by name or by location, to which pesticide(s)
are discharged;
2. Pesticide use pattern(s) (i.e., mosquito and other flying insects, weed and algae, animal pest, or forest
canopy);
3. Target pest(s);
4. Name of each pesticide product used including the EPA registration number;
5. Quantity of each pesticide product applied to each treatment area;
6. Pesticide application date(s); and
7. Whether or not visual monitoring was conducted during pesticide application and/or post-application and
if not, why not and whether monitoring identified any possible or observable adverse incidents caused by
application of pesticides.

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3. Recordkeeping for Any Decision-Maker required to submit an NOI and who is a Small Entity – Any Decision-
Maker required to submit an NOI that is defined as a small entity, must retain the following records at the address
provided on the NOI:
a. Copy of the NOI submitted to DEP, any correspondence exchanged between the Decision-Maker and DEP
specific to coverage under this General Permit, and a copy of the DEP acknowledgment letter with the
assigned permit tracking number;
b. Documentation of equipment calibration (only if Decision-Maker is also the Applicator);
c. Information on each treatment area to which pesticides are discharged, including:
1.
Description of treatment area, location and size (acres or linear feet) of treatment area and
identification of any waters of the Commonwealth, either by name or by location, to which pesticide(s)
are discharged;
2.
Pesticide use pattern(s) (i.e., mosquito and other flying insects, weed and algae, animal pest, or forest
canopy);
3.
Target pest(s) and explanation of need for pest control;
4.
Description of pest management measure(s) implemented prior to the first pesticide application;
5.
Company name and contact information for pesticide applicator;
6.
Name of each pesticide product used including the EPA registration number;
7.
Quantity of each pesticide product applied to each treatment area;
8.
Pesticides Application Start Date;
9.
Pesticides Application End Date; and
10.
Whether or not visual monitoring was conducted during pesticides application and/or post application
and if not, why not and whether monitoring identified any possible or observable adverse incident
caused by application of pesticides.
4. Recordkeeping for any Decision-Maker required to submit an NOI and who is a Large Entity – Records listed
below are required to be kept at the address provided on the NOI.
a. A copy of the NOI submitted to DEP, any correspondence exchanged between the Decision-Maker and
DEP specific to coverage under the General Permit, and a copy of the DEP acknowledgment letter with the
assigned permit tracking number;
b. A copy of the PDMP, including any modifications made to the PDMP during the terms of this General Permit;
c. Copies of Annual Reports submitted to DEP;
d. Documentation of any equipment cleaning, calibration, and repair (only if the Decision-Maker is also the
applicator);

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e. Information on each treatment area to which pesticides are discharged, including:
1. Description of each treatment area, location and size (acres or linear feet) of treatment area and
identification of any waters of the Commonwealth, either by name or by location, to which pesticide(s)
are discharged;
2. Pesticide use pattern(s) (i.e., mosquito and other flying insects, weed and algae, animal pest, or forest
canopy);
3. Target pest(s) and explanation of need for pest control;
4. Action Thresholds;
5. Method and/or data used to determine that action threshold(s) has been met;
6. Description of pest management measure(s) implemented prior to the first pesticide application;
7. Company name and contact information for pesticide applicator;
8. Name of each pesticide product used including the EPA registration number;
9. Quantity of each pesticide product applied to each treatment area;
10. Pesticides application Start Date;
11. Pesticides application End Date; and
12. Whether or not visual monitoring was conducted during pesticide application and/or post-application and
if not, why not and whether monitoring identified any possible or observable adverse incidents caused by
application of pesticides.
5. Additional Recordkeeping Requirements for all Operators – All required records must be documented as soon as
possible but no later than 14 days following completion of each pesticide application. Operators must retain any
records required under this General Permit for at least 3 years from the date that the Operator‟s coverage under
this General Permit expires or is terminated. Operators must make available to DEP, including an authorized
representative of DEP, all records kept under this General Permit and provide copies of such records, upon
request.
6. Annual Reporting for any Decision-Maker required to submit an NOI due to overage in Annual Treatment Area
Threshold or who is a Large Entity – Decision-Makers who are required to submit an NOI due to overage in
Annual Treatment Area Threshold or are defined as a Large Entity in Part A II, must submit an Annual Report to
DEP using form 3800-PM-WSFR0345f (Annual Pesticides Application Report). Once a Decision-Maker meets
the obligation to submit an Annual Report, the Decision-Maker must submit the Annual Report each calendar
year thereafter for the duration of coverage under this General Permit, whether or not the Decision-Maker has
discharges from the application of pesticides in any subsequent calendar year. Decision-Makers must submit the
Annual Report on paper to the DEP regional office that issued coverage under this General Permit or
electronically
through
DEP‟s electronic
Discharge
Monitoring
Report
(eDMR)
system
(see
www.dep.state.pa.us/edmr), if available. The Annual Report must be received by DEP no later than January 28
of the following year for all pesticide activities covered under this General Permit occurring during the previous
calendar year. Annual reporting requirements begin with those discharges occurring during calendar year 2012.
Decision-Makers who are required to submit an NOI based on an Annual Treatment Area Threshold must include
information for the calendar year, with the first Annual Report required to include activities for the portion of the
calendar year after the point at which Decision-Makers exceeded the Annual Treatment Area Threshold. If the
Decision-Maker first exceeds an Annual Treatment Area Threshold between December 1 – 31, an Annual Report

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is not required for that first partial year but an Annual Report is required thereafter, with the first Annual Report
submitted also including information from the first partial year.
When Decision-Makers terminate permit coverage an Annual Report must be submitted for the portion of the
year up through the date of termination. The Annual Report is due no later than January 28 of the next year.
The Annual Report must contain the following information:
a. The name of the Operator (permittee);
b. NPDES permit number;
c. Contact person name, title, address, e-mail address, and phone number; and
d. For each treatment area, report the following information:
1. Description of treatment area, including location and size (acres or linear feet) of treatment area and
identification of any waters of the Commonwealth, either by name or by location, to which pesticide(s)
are discharged;
2. Pesticide use pattern(s) (i.e., mosquito and other flying insects, weed and algae, animal pest, or forest
canopy) and target pest(s);
3. Company name(s) and contact information for pesticide applicator(s), if different from the Operator;
4. Name of each pesticide product and total amount of each pesticide product applied for the reporting year
by the EPA registration number(s) and by application method (e.g., aerially by fixed-wing or rotary
aircraft, broadcast spray, etc.);
5. Whether this pest control activity was addressed in the PDMP prior to pesticide application;
6. A summary of any adverse incidents as a result of these treatment(s) as described in Appendix C 2.A
and B; and
7. A description of any corrective action(s), including spill responses, resulting from pesticide application
activities and the rationale for such action(s).

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APPENDIX C
CORRECTIVE ACTION DOCUMENTATION AND REPORTING
1.
Corrective Action –
All Operators must comply with the provisions in this appendix for any discharges
authorized under this General Permit, with compliance required upon beginning such discharges.
A. Situations requiring revision of Control Measures. If any of the following situations occur, Operators must
review and, as necessary, revise the evaluation and selection of Pest Management Measures to ensure that
the situation is eliminated and will not be repeated in the future:
a. An unauthorized release or discharge associated with the application of pesticides (e.g., spill, leak, or
discharge not authorized by this or another NPDES permit) occurs.
b. Operators become aware, or DEP concludes, that Pest Management Measures are not adequate or
sufficient for the discharge to meet applicable water quality standards.
c. Any monitoring activities indicate failure to meet applicable technology-based effluent limitations of this
General Permit that Operators failed to implement.
d. An inspection or evaluation of your activities by DEP reveals that modifications to the Pest Management
Measures are necessary to meet the effluent limitations in the General Permit.
e. An Operator observes, or is otherwise made aware of an adverse incident, as defined in Part A II of the
General Permit.
B. Corrective Action Deadlines. If an Operator determines that changes to Pest Management Measures are
necessary to eliminate any situation identified in Part 1 A of this appendix, such changes must be made
before the next pesticide application that results in a discharge if practicable, or if not, as soon as possible
thereafter.
C. Effect of Corrective Action. The occurrence of a situation identified in Part 1 A of this appendix may
constitute a violation of the permit. Correcting the situation according to Part 1 A of this appendix does not
absolve Operators of liability for any original violation. However, failure to comply with Part 1 B of this
appendix constitutes an additional permit violation. DEP will consider the appropriateness and promptness
of corrective action in determining enforcement responses to permit violations.
DEP may impose additional requirements and schedules of compliance, including requirements to submit
additional information concerning the condition(s) triggering corrective action or schedules and requirements
more stringent than specified in this permit. Those requirements and schedules will supersede those of Part
1 A and Part 1 B of the appendix if such requirements conflict.
2.
Adverse Incident
A. Twenty-Four (24)-Hour Adverse Incident Notification. Adverse Incident Notification Required
a. Except as provided for in Part 2 E of this appendix, if an Operator observes or is otherwise made aware
of an adverse incident, as defined in Part A II of the General Permit, which may have resulted from a
discharge from a pesticide application, the Operator must immediately notify the appropriate EPA
Incident Reporting Contact, as identified at www.epa.gov/npdes/pesticides. This notification must be
made by telephone within 24 hours of the Operator becoming aware of the adverse incident and must
include at least the following information:
1. The caller‟s name and telephone number;

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2. Operator name and mailing address;
3. If covered under an NOI, the NOI NPDES permit number assigned by DEP;
4. The name and telephone number of a contact person, if different than the person providing the
24-hour notice;
5. How and when the Operator became aware of the adverse incident;
6. Description of the location of the adverse incident;
7. Description of the adverse incident identified and the pesticide product, including EPA pesticide
registration number, for each product applied in the area of the adverse incident;
8. Description of any steps the Operator has taken or will take to correct, repair, remedy, clean up, or
otherwise address any adverse effects; and
9. If known, the identity of any other Operators authorized for coverage under this permit for discharges
from the pesticide application activities that resulted in the adverse incident.
b. If an Operator is unable to notify DEP within 24 hours, the Operator must do so as soon as possible and
also provide an appropriate rationale for why the Operator was unable to provide such notification within
24 hours. DEP‟s contact information fenor
ts
repcanorti
be nfg ouand
dversby e
viisncitiidng DEP‟s
website
(
www.dep.state.pa.us
) and clicking on “Report an Incident”.
c. The adverse incident notification and reporting requirements are in addition to what the registrant is
required to submit under the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) section 6(a)(2)
and its implementing regulations at 40 CFR Part 159.
B. Adverse Incident Notification Not Required
Reporting of adverse incidents is not required under this permit in the following situations:
a. An Operator is aware of facts that indicate that the adverse incident was not related to toxic effects or
exposure from the pesticide application;
b. An Operator has been notified by DEP, and retains such notification, that the reporting requirement has
been waived for this incident or category of incidents;
c. An Operator receives information of an adverse incident, but that information is clearly erroneous; or
d. An adverse incident occurs to pests that are similar in kind to potential target pests identified on the
FIFRA label.
C. Thirty (30)-Day Adverse Incident Written Report
Except as provided for in Part 2 E of this appendix, within 30 days of a reportable adverse incident pursuant
to Part 2 A of this appendix, Operators must provide a written report of the adverse incident to the
appropriate DEP Regional office and to the state lead agency for pesticide regulation (see
http://npic.orst.edu/
). The adverse incident report must include at least the following information:
a. Information required to be provided in Part 2 A and 2 B of this appendix;
b. Date and time the Operator contacted DEP notifying the Agency of the adverse incident, who the
Operator spoke with at DEP, and any instructions received from DEP;
c. Location of incident, including the names of any waters affected and appearance of those waters (sheen,
color, clarity, etc);

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d. A description of the circumstances of the adverse incident including species affected, estimated number
of individual and approximate size of dead or distressed organisms;
e. Magnitude and scope of the affected area (e.g., aquatic square area or total stream distance affected);
f. Pesticide application rate; intended use site (e.g., on the bank, above waters, or directly to water);
method of application; and the name of pesticide product and EPA registration number;
g. Description of the habitat and the circumstances under which the adverse incident occurred (including
any available ambient water data for pesticides applied);
h. If laboratory tests were performed, an indication of which test(s) were performed, and when; additionally,
a summary of the test results must be provided within 5 days after they become available if not available
at the time of submission of the 30-day report;
i. Description of actions to be taken to prevent recurrence of adverse incidents; and
j. Signature, date, and certification in accordance with Part B II.B of the General Permit.
D. Adverse Incident to Threatened or Endangered Species or Critical Habitat
Notwithstanding any of the other adverse incident notification requirements of this section, if an Operator
becomes aware of an adverse incident affecting a Pennsylvania Natural Diversity Inventory (PNDI) listed
threatened or endangered species or its federally designated critical habitat which may have resulted from a
discharge from the Operator‟s pesticide application, the Operator must immediately notify the PA Department
of Conservation and Natural Resources, Pennsylvania Department of Agriculture, Bureaus of Forestry and
Topographic and Geologic Survey, PA Fish and Boat Commission, PA Game Commission, and U.S. Fish
and Wildlife Service as listed in Appendix B of the Department‟s Policy for Pennsylvania Natural Diversity
Inventory (PNDI) Coordination during Permit Review and Evaluation (Document Identification
#400-0200-001). This notification must be made by telephone, to the contacts listed on EPA‟s website at
www.epa.gov/npdes/pesticides, immediately upon the Operator becoming aware of the adverse incident, and
must include at least the following information:
a. The caller‟s name and telephone number;
b. Operator name and mailing address;
c. The name of the affected species;
d. How and when the Operator became aware of the adverse incident;
e. Description of the location of the adverse incident;
f. Description of the adverse incident and the pesticide product, including the EPA pesticide registration
number, for each product applied in the area of the adverse incident; and
g. Description of any steps the Operator has taken or will take to alleviate the adverse impact to the
species.

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E. Notification and Reporting for Adverse Incidents Involving Multiple Operators
Where multiple Operators are authorized for a discharge that results in an adverse incident, notification and
reporting by any one of the Operators constitutes compliance for all of the Operators, provided a copy of the
written report required in Part 2 C of this appendix is also provided to all of the other authorized Operators
within 30 days of the reportable adverse incident.
3.
Reportable Spills and Leaks
A. Spill, Leak, or Other Unpermitted Discharge Notification
Where a leak, spill, or other release into waters of the Commonwealth containing a hazardous substance or
oil in an amount equal to or in excess of a reportable quantity established under either 40 CFR Part 110,
40 CFR Part 117, or 40 CFR Part 302 occurs in any 24-hour period, an Operator must notify the National
Response Center immediately at (800) 424-8802 as soon as the Operator has knowledge of the release.
Contact information must be in locations that are readily accessible and available in the area where the spill,
leak, or other unpermitted discharge may occur.
State or local requirements may necessitate also reporting spills or leaks to local emergency response,
public health, or drinking water supply agencies.
B. Thirty-Day Spill, Leak, or Other Unpermitted Discharge Documentation
If an Operator becomes aware of a spill, leak, or other unpermitted discharge which triggers the notification
in Part 3 A of this appendix and results in an adverse incident, then the Operator must report the incident per
the guidelines in Part 2 A and 2 B of this appendix. If the spill, leak, or other unpermitted discharge triggers
the notification in Part 3 A of this appendix, but does not result in an adverse incident, then the Operator
must document and retain the following information within 30 days of becoming aware of the situation:
a. Information required to be provided in Part 3 A;
b. Summary of corrective action taken or to be taken including date initiated and date completed or
expected to be completed; and
c. Any measures to prevent recurrence of such a spill or leak or other discharge, including notice of
whether PDMP modifications are required as a result of the spill or leak.
C. Other Corrective Action Documentation
For situations identified in Part 1 A of this appendix, other than for adverse incidents (addressed in Part 2 of
this appendix), or reportable spills or leaks (addressed in Part 3 of this appendix), Operators must document
the situation triggering corrective action and planned corrective action within 30 days of becoming aware of
that situation, and retain a copy of this documentation. This documentation must include the following
information:
a. Identification of the condition triggering the need for corrective action review, including any ambient water
quality monitoring that assisted in determining that discharges did not meet water quality standards;
b. Brief description of the situation;
c. Date the problem was identified;
d. Brief description of how the problem was identified, how the Operator learned of the situation, and date
the Operator learned of the situation;
e. Summary of corrective action taken or to be taken, including date initiated and date completed or
expected to be completed; and

3800-PM-BPNPSM0345d 9/2012
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f. Any measures to prevent reoccurrence of such an incident, including notice of whether PDMP
modifications are required as a result of the incident.

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APPENDIX D
PESTICIDES DISCHARGE MANAGEMENT PLAN (PDMP)
A Pesticides Discharge Management Plan (PDMP) applies to any Decision-Maker who is required to submit an NOI,
and is a Large Entity, as defined in Part A II of the General Permit. Except for any application made in response to a
declared pest emergency situation, as defined in Part A II, a Decision-Maker who is required to submit an NOI, and is
a Large Entity, must prepare a PDMP and submit it with the NOI
.
Some sections of the Pesticide Discharge
Management Plan (PDMP) will require input from the pesticide applicator.
The PDMP documents how Decision-Makers will implement the Technology based and water quality based effluent
limitations of the General Permit, including the evaluation and selection of Pest Management Measures to meet
those effluent limitations in order to minimize discharges. In the PDMP, Decision-Makers may incorporate by
reference any procedures or plans in other documents that meet the requirements of this permit. If Decision-Makers
rely upon other documents to comply with the effluent limitations in this permit, such as a preexisting pest
management plan, the Decision-Maker must attach to the PDMP a copy of any portions of any documents that are
used to document the implementation of the effluent limitations.
1. Contents of the Pesticide Discharge Management Plan
The PDMP must include the following elements:
a. Pesticide Discharge Management Team
b. Problem Identification
c. Pest Management Options Evaluation
d. Response Procedures
i.
Spill Response Procedures
ii.
Adverse Incident Response Procedures
e. Documentation to support eligibility considerations under other state and federal laws
f. Signature Requirements.
A. PDMP Team.
Decision-Maker must identify all the persons (by name and contact information) that compose
the team as well as each persons, i‟ncs ludiingnd: ividual responsibilitie
1. Person(s) responsible for managing pests in relation to the pest management area
2. Person(s) responsible for developing and revising the PDMP; and
3. Person(s) responsible for developing, revising, and implementing corrective actions and other effluent
limitation requirements.
B. Problem Identification.
Decision-Makers must document the following:

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a. Pest problem description. Document a description of the pest problem at the pest management
area, including identification of the target pest(s), source(s) of the pest problem, and source of data
used to identify the problem in Parts 1, 2, 3, and 4 of Pest Management Measures (Appendix A);
b. Action Threshold(s). Describe the action threshold(s) for the pest management area, including data
used in developing the action threshold(s) and method(s) to determine when the action threshold(s)
has been met;
c. General location map. In the plan, include a general location map (e.g., USGS quadrangle map, a
portion of a city or county map, or other map) that identifies the geographic boundaries of the area to
which the plan applies and location of the waters of the Commonwealth; and
d. Water quality standards. Document any Special Protection water (High Quality and Exceptional
Value Waters) and any water(s) identified as impaired by a substance which either is an active
ingredient or a degradate of such an active ingredient.
C. Pest Management Options Evaluation
Decision-Makers must document the evaluation of the pest management options, including combination of
the pest management options, to control the target pest(s). Pest management options include the following:
No action, prevention, mechanical/physical methods, cultural methods, biological control agents, and
pesticides. In the evaluation, Decision-Makers must consider the impact to water quality, impact to non-
target organisms, feasibility, cost effectiveness, and any relevant previous Pest Management Measures.
D. Response Procedures.
Decision-Makers must document the following procedures in the PDMP:
a. Spill Response Procedures – At a minimum Decision-Maker must have:
i. Procedures for expeditiously stopping, containing, and cleaning up leaks, spills, and other
releases. Employees who may cause, detect, or respond to a spill or leak must be trained in
these procedures and have necessary spill response equipment available. If possible, one of
these individuals should be a member of your PDMP team.
ii. Procedures for notification of appropriate facility personnel, emergency response agencies, and
regulatory agencies.
b. Adverse Incident Response Procedures – At a minimum Decision-Makers must have:
i. Procedures for responding to any adverse incident resulting from pesticide applications;
ii. Procedures for notification of the adverse incident, both internal to Decision-Makers
agency/organization and external. Contact information for state/federal permitting agency,
nearest emergency medical facility, and nearest hazardous chemical responder must be in
locations that are readily accessible and available.
E. Signature Requirements.
Decision-Maker must sign, date and certify the PDMP in accordance with Part B
II.B the General Permit. This requirement is consistent with standard NPDES permit conditions described in
40 CFR 122.22 and is intended to ensure that the operator understands his/her responsibility to create and
maintain a complete and accurate PDMP. The signature requirement includes an acknowledgment that
there are significant penalties for submitting false information.
F. Documentation to Support Eligibility Considerations under Other Federal Laws
[reserved]
G. Pesticide Discharge Management Plan Modifications.
A Decision-Maker required to submit an NOI and
is a Large Entity must modify the PDMP whenever necessary to address any of the triggering conditions for
corrective action in Part A I.D of the General Permit or when a change in pest control activities significantly
changes the type or quantity of pollutants discharged. Changes to the PDMP must be made before the next
pesticide application that results in a discharge, if practicable, or if not, no later than 90 days after any

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change in pesticides application activities. The revised PDMP must be signed and dated in accordance with
Part 1 E
of this section.
H. Pesticide Discharge Management Plan Availability.
A Decision-Maker required to submit an NOI and is a
Large Entity must retain a copy of the current PDMP, along with all supporting maps and documents, at the
address provided in Section II of the NOI. The PDMP and all supporting documents must be readily
available, upon request, and copies of any of these documents provided, upon request, to DEP. DEP may
provide copies of the PDMP or other information related to this General Permit that is in its possession to
members of the public. Any Confidential Business Information (CBI), as defined in 40 CFR Part 2, may be
withheld from the public provided that a claim of confidentiality is properly asserted and documented in
accordance with 40 CFR Part 2. However, the CBI must be submitted to DEP, if requested, for CBI review.

3800-PM-BPNPSM0345e 8/2012
Applicant Name:
Notice of Termination
Permit No.:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF POINT AND NON-POINT SOURCE MANAGEMENT
PAG-15
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
GENERAL PERMIT FOR POINT SOURCE DISCHARGES TO WATERS OF THE
COMMONWEALTH OF PENNSYLVANIA FROM THE
APPLICATION OF PESTICIDES
NOTICE OF TERMINATION OF COVERAGE FORM
A.
NPDES Permit Number:
B.
Operator Information:
Name:
Mailing Address:
Street Address:
City:
County:
State:
Zip Code:
Contact Person:
Title:
Telephone:
Email:
C.
Basis for Termination
(check one only)
A new Operator (Decision-Maker) has taken over responsibility for the pest treatment.
You have ceased aquatic pesticide application for which you obtained permit coverage or there will no longer
be a pesticide discharge.
Permit coverage has been obtained under an individual or alternative General Permit for all pesticide
discharges requiring NPDES permit coverage either because DEP required such coverage or you petitioned
DEP requesting coverage under an individual or alternative permit.
D.
Certification:
I certify under penalty of law and subject to the penalties of 18 Pa. C.S. Section 4904 (relating to unsworn
falsification to authorities) 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 gathered and
evaluated 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 further acknowledge that the facility, treatment area and
operator described herein is eligible for
I am
covaware
erage
that there uare
nder DEP’s General Permit.
significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing
violations. Additionally, I understand that the submittal of this Notice of Termination does not release a pesticide
applicator from liability for any violations of the Clean Water Act and the Clean Streams Law.
Signature/Responsible Official:
Date:
Title:
Printed Name:

3800-PM-BPNPSM0345f 8/2012
Annual Report
Permit Number:
- 1 -
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF POINT AND NON-POINT SOURCE MANAGEMENT
ANNUAL PESTICIDES APPLICATION REPORT
Reporting Period: January 1 – December 31,
Operator Name:
Permit Number:
Contact Person Name:
Title:
Address:
Phone: (
)
Zip:
-
Email:
(Information that exceeds the available space on this form should be attached or otherwise supplied electronically)
1. Treatment Area Details:
Pesticides Treatment Area Name or
Location:
Area
Size
Units
(acres
or
feet)
Waterbody
(Name and
Location)
Municipality
County
1
2
3
4
5
Completion, submittal and receipt of this report by January 28 of following year is a requirement of this permit.
Unless DEP’s eDMR syepsorts
teare
m to
is
be usmaileedd to , the
r DEP regional office that issued your permit
and to the municipality in which the project is located.
2. Pesticides Use Pattern(s)
(i.e. mosquito or other flying pests, weeds and algae, animal pests or forest canopy)
for locations identified in table above
:
Location #:
Use Pattern:
Target Pest:
Company or Applicator(s) Name (if different than above):
Address:
Phone: (
)-
-
Location #:
Use Pattern:
Target Pest:
Company or Applicator(s) Name (if different than above):
Address:
Phone: (
)-
-

3800-PM-BPNPSM0345f 8/2012
Annual Report
Permit Number:
- 2 -
Location #:
Use Pattern:
Target Pest:
Company or Applicator(s) Name (if different than above):
Address:
Phone: (
)-
-
Location #:
Use Pattern:
Target Pest:
Company or Applicator(s) Name (if different than above):
Address:
Phone: (
)-
-
Location #:
Use Pattern:
Target Pest:
Company or Applicator(s) Name (if different than above):
Address:
Phone: (
)-
-
3. Applied Pesticides Details:
Location
Name of Pesticide
Amount
and Units
EPA
Registration
#
Application
Method
Addressed in
PDMP Prior to
Application?
1
Yes
No
2
Yes
No
3
Yes
No
4
Yes
No
5
Yes
No

3800-PM-BPNPSM0345f 8/2012
Annual Report
Permit Number:
- 3 -
4. Adverse incident(s) as a result of pesticide applications:
Location
Details of adverse incident (as described in adverse
incident notification*) or noticeable observation due to
pesticides applications
Description of corrective actions including
spill responses, if any, resulting from
pesticides activities and the rationale for
such action
1
2
3
4
5
* All adverse incident reports must be sent within 30 days of the date the Operator became aware of the adverse
incident to DEP and other related state agencies.
I certify under penalty of law and subject to the penalties of 18 Pa. C.S. Section 4904 (relating to unsworn falsification
to authorities) 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 gathered and evaluated 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 further acknowledge that the facility, treatment area and operator described herein is
eligible for coverage undI er
am awDEare Ptha’s t theGenre are
erasignil
ficanPt ermpenaltiies t.
for submitting false
information, including the possibility of fine and imprisonment for knowing violations.
Signature of Permittee
Date

3800-PM-BPNPSM0345g 8/2012
Fact Sheet
- 1 -
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION (DEP)
BUREAU OF POINT AND NON-POINT SOURCE MANAGEMENT
PAG-15
FACT SHEET
AUTHORIZATION TO DISCHARGE UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
GENERAL PERMIT FOR POINT SOURCE DISCHARGES TO WATERS OF THE
COMMONWEALTH OF PENNSYLVANIA FROM THE
APPLICATION OF PESTICIDES
DEP's regulations at 25 Pa. Code §92a.54 provide for the issuance of a General Permit. The Department may issue
a General Permit, in lieu of issuing individual permits, for a clearly and specifically described category of point source
discharges, if the point sources meet the following conditions:
Involve the same, or substantially similar, types of operations.
Discharge the same types of wastes.
Require the same effluent limitations or operating conditions, or both.
Require the same or similar monitoring.
Do not discharge toxic or hazardous pollutants as defined in sections 307 and 311 of the Federal Act (33
U.S.C.A. §§1317 and 1321) or any other substance that— because of its quantity; concentration; or physical,
chemical or infectious characteristics— may cause or contribute to an increase in mortality or morbidity in
either an individual or the total population, or pose a substantial present or future hazard to human health or
the environment when discharged into surface waters.
Are more appropriately controlled under a General Permit than under individual permits, in the opinion of the
Department.
Individually and cumulatively do not have the potential to cause or contribute to a violation of an applicable
water quality standard established under 25 Pa. Code Chapter 93 (relating to water quality standards) or
cause significant adverse environmental impact.
Do not discharge to a surface water classified as a High Quality Water (HQ) or an Exceptional Value Water
(EV) under 25 Pa. Code Chapter 93 (relating to water quality standards).
1. ACTIVITIES COVERED UNDER THE GENERAL PERMIT –
The General Permit is available to operators (as
defined in Attachment A of this fact sheet) who discharge to waters of the Commonwealth of Pennsylvania
(Commonwealth) from the application of (1) biological pesticides or (2) chemical pesticides that leave a residue
(collectively called Pesticides), when the pesticide application is for one of the following pesticide use patterns:
A.
Mosquito and Other Flying Insect Pest Control
to control public health/nuisance and other flying insect
pests that develop or are present during a portion of their life cycle in or above standing or flowing water.
Public health/nuisance and other flying insect pests in this use category include mosquitoes and black flies.
B.
Weed and Algae Pest Control
to control weeds, algae, and pathogens that are pests in water and at
water's edge, including ditches, canals, and/or right-of-ways.
C.
Animal Pest Control
to control animals pests in water and at wAnatimal er‘s
pests in edthis geuse .
category include fish, lampreys, insects, mollusks, and pathogens.
D.
Forest Canopy Pest Control
application of a pesticide to a forest canopy to control the population of a
pest species (e.g., insect or pathogen) where, to target the pests effectively, a portion of the pesticide
unavoidably will be applied over and deposited to water.

3800-PM-BPNPSM0345g 8/2012
Fact Sheet
- 2 -
2. AUTHORIZATION TO DISCHARGE UNDER THE GENERAL PERMIT WITHOUT SUBMITTING A NOTICE OF
INTENT (NOI)
Under 40 CFR Part 122.28 (b)(2)(v), Some pesticides application operators may, at the discretion of the Director,
―be authorized to discharge under a General PermNOI) iwt
herwie the thout submitting a notice of intent (
Department finds that the NOI requirement would be inappropriate‖.
Operators who meet the eligibility provisions outlined on Part 1 of the Fact Sheet and whose discharges are
under the annual threshold level as identified in Table 1, are automatically authorized to discharge beginning
October 29, 2011, in compliance with the requirements of the General Permit without submission of an NOI. If
the Operator intends to use an Algaecide, Herbicide or Fish Control Chemical in waters of the Commonwealth
then joint approval from Pennsylvania Fish and Boat Commission (PFBC) and Department‘s Water Supply
Management Program must be obtained, even if the discharge(s) would be under the threshold areas in Table 1.
3. SUBMISSION OF NOI IS REQUIRED FOR COVERAGE UNDER THE GENERAL PERMIT
If you are a Decision-Maker and know or reasonably should have known that your pesticides application will
exceed Annual (i.e., calendar year) Treatment Area Thresholds listed in Table 1 for any one or more of the
pesticide use type you must submit a complete and accurate Notice of Intent (NOI) Form
(3800-PM-BPNPSM0345b) to DEP. Federal and State agencies and pest control districts must submit an NOI
regardless of the Annual Treatment Threshold Area. If the NOI is accepted, DEP will formally notify the
discharger of the coverage by transmitting a copy of the General Permit bearing an individual identification
number. Notice of each NOI approval will be published by DEP in the
Pennsylvania Bulletin
.
An NOI provides notice of a Decision-Maker‘s intent for discharges from its pesticide application activities to be
covered under the General Permit. Coverage is for the operator who filed the NOI, including its employees,
contractors, subcontractors, and other agents, for all activities identified on the NOI for the duration of the
General Permit unless coverage is terminated by submitting Notice of Termination Form
(3800-PM-BPNPSM0345e).
Operators can download the appropriate form to a personal computer, complete the form electronically and print
the document for submittal to DEP using the following steps:
Type in DEP's elibrary website address: http://www.elibrary.dep.state.pa.us/dsweb/HomePage
Select: Permit and Authorization Packages
Select: Water Management
Select: NPDES (National Pollutant Discharge Elimination System)
Select: General Permits
Select: PAG-15
If a submitted NOI is not timely, accurate, or complete, then any employee, contractor, subcontractor or other
entity that discharges without the required NOI is not covered by the General Permit.

3800-PM-BPNPSM0345g 8/2012
Fact Sheet
- 3 -
Table 1. Decision Makers Required to Submit NOIs*
Pesticide Use
Decision Makers Who Must Submit NOIs
Annual Treatment Area Threshold
1
Mosquitoes and
Other Flying
Insect Pests
Federal and State agencies with a responsibility to
control mosquitoes for public health, nuisance
control, and animal welfare
All
Mosquito control districts, or similar pest control
districts
All
Other entities that exceed the Annual Treatment
Area Threshold identified here
Decision to treat with adulticide during
a calendar year more than 6,400
acres
2
Weed and Algae
Pests Control:
Federal and State agencies with a responsibility to
control weeds and algae
All
Irrigation and weed control districts, or similar pest
control districts
All
Other entities that exceed the Annual Treatment
Area Threshold identified here
Decision to treat during a calendar
year more than either: 20 linear miles
OR
80 acres of water (i.e., surface area)
3
Animal Pest
Control:
Federal and State agencies with a responsibility to
control animals for public health, nuisance, or
resource management
All
Other entities that exceed the Annual Treatment
Area Threshold identified here
Decision to treat during a calendar
year more than either: 20 linear miles
OR
80 acres of water (i.e., surface area)
4
Forest Canopy
Pest Control
Federal and State agencies with a responsibility to
control forest canopy pests
All
Other entities that exceed the Annual Treatment
Area Threshold identified here
Decision to treat with adulticide during
a calendar year more than 6,400
acres
*Operators who intend to use an Algicide, Herbicide or Fish Control Chemical in waters of the Commonwealth must
obtain joint approval from Pennsylvania Fish and Boat Commission (PFBC) and DEP under 25 Pa. Code § 91.38(2).
4. DISCHARGE IS NOT COVERED BY THE GENERAL PERMIT WHEN ONE OR MORE OF THE FOLLOWING
CONDITIONS EXIST:
A.
The discharge is to waters classified as HQ or EV under 25 Pa. Code Chapter 93;
B.
Discharges are not eligible for coverage under the General Permit from a pesticide application to waters of
the Commonwealth if the water is identified as impaired by that pesticide or its degradates;
C.
The discharges are covered by another NPDES permit, or the discharges were included in a permit that
within the last five years has been or is in the process of being denied, terminated, or revoked by DEP (this
does not apply to the routine reissuance of permits every five years);
D.
The discharge contains any toxic or hazardous pollutant or any other substance which - because of its
quantity; concentration; or physical, chemical or infectious characteristics - may cause or contribute to an
increase in mortality or morbidity in either an individual or the total population, or pose a substantial present
or future hazard to human health or the environment when discharged into surface waters of the
Commonwealth;
E.
The discharge, either individually or cumulatively, has the potential to cause significant adverse
environmental impact, including those discharges which would create a public health hazard or nuisance;
F.
The discharge is not, or will not be, in compliance with any of the terms or conditions of this General Permit;
G.
The applicant has failed and continues to fail to comply or has shown a lack of ability or intention to comply
with a regulation, permit, schedule of compliance or order issued by DEP;

3800-PM-BPNPSM0345g 8/2012
Fact Sheet
- 4 -
H.
The discharge is not, or will not, result in compliance with applicable effluent limitations or water quality
standards;
I.
The discharge is determined by DEP to require an individual NPDES permit to ensure compliance with the
federal Clean Water Act, Pennsylvania‘s Clean Streams Law, or rules and regulations promulgated thereto;
or where a change has occurred in the availability of demonstrated technology or practices for the control or
abatement of pollutants applicable to the point source;
J.
The discharge is subject to a categorical point source effluent limitation;
K.
The discharge is associated with an activity that is subject to an existing NPDES individual or General
Permit, except as allowed herein; or is from a residence where an NPDES permit has been terminated or
denied;
L.
The discharge would adversely affect a state or federal listed endangered or threatened species or its critical
habitat; and
The discharge would interfere with a downstream riparian landowner's reasonable use of surface waters, property
rights, or otherwise cause a private or public nuisance.
5. REQUIRING AN INDIVIDUAL PERMIT OR ALTERNATIVE GENERAL PERMIT
DEP may amend, revoke, suspend or terminate previously issued coverage under the General Permit and
require the discharger to obtain an individual NPDES permit or an alternative NPDES General Permit in
accordance with 40 CFR §122.64 and §124.5 for any of the reasons above. In addition, any interested person
may petition DEP to take this action. If the discharge is to a water body with an approved TMDL, DEP will
require an individual permit for the discharge if DEP deems coverage under the General Permit is inconsistent
with the TMDL.
If DEP requires a discharger to obtain an individual NPDES permit, the discharger must submit a complete
NPDES application within 90 days of receipt of the notification. Failure to submit the application within 90 days
shall result in automatic termination of coverage under the General Permit. Timely submission of a complete
application shall result in continuation of coverage under the General Permit, until such time as DEP takes final
action on the pending permit application.
When an individual NPDES permit is issued for a discharge covered by the General Permit, the applicability of
the General Permit to that point source is automatically terminated on the effective date of the individual permit.
A discharger excluded from coverage under the General Permit solely because it already has an individual
permit may submit an NOI for coverage under the General Permit. If the NOI is accepted, DEP will revoke the
individual permit and notify the discharger of the facility coverage under the General Permit.
As in the case of individual NPDES permits, General Permits may be issued, amended, suspended, revoked,
reissued or terminated in accordance with Title 25 Pa. Code Chapter 92a.
6. PUBLIC NOTICE OF GENERAL PERMIT AND PUBLIC HEARING
DEP will publish a notice in the Pennsylvania Bulletin of the draft, renewed, reissued or any amendments to the
General Permit in accordance to 25 Pa. Code §92a.84, and after a comment period (normally 30 days), notice of
the final, renewed, reissued or amended General Permit will be published in the Pennsylvania Bulletin.
There will be a 30-day period following publication of notice during which written comments may be submitted by
interested persons before the Department makes its final determinations. Written comments submitted during
the 30-day comment period will be retained by the Department and considered in making the final
determinations. The period for comment may be extended at the discretion of the Department for one additional
15-day period. The Department will provide an opportunity for any interested person or group of persons, any
affected State, any affected interstate agency, the Administrator or any interested agency, to request or petition
for a public hearing with respect to the proposed general permit. The request or petition for public hearing, which
must be filed within the 30-day period allowed for filing of written comments, shall indicate the interest of the
party filing the request and the reasons why a hearing is warranted. A hearing will be held if there is a significant
public interest, including the filing of requests or petitions for the hearing.

3800-PM-BPNPSM0345g 8/2012
Fact Sheet
- 5 -
7. TYPE OF OPERATION AND AREA OF APPLICABILITY
The PAG-15 General Permit applies to eligible discharge applications of pesticides meeting the requirements of
the General Permit. Discharges to HQ or EV waters are excluded from coverage under the General Permit.
8. EFFLUENT LIMITATIONS AND COMPLIANCE WITH WATER QUALITY STANDARDS
The General Permit establishes effluent limitations in the form of continued implementation of the technology-
based and water quality based effluent limitations along with site specific control measures that minimize
discharge of pesticides to waters of the Commonwealth.
A. Technology-Based Effluent Limitations
Implementation of site-specific control measures that minimize discharges of pesticides to waters of the
Commonwealth would be required to meet the effluent limitations in this section.
1.
Applicator’s Respo:
To m
n
ee
s
t
ibili
the effluent
ties
limitations of this permit, all Applicators must
implement Part 8 A.1 to minimize the discharge of pesticides to waters of the Commonwealth from the
application of pesticides, through the use of Pest Management Measures as defined in Appendix A of the
General Permit.
a. To the extent not determined by the Decision-Maker, use only the amount of pesticide and frequency
of pesticide applications necessary to control the target pest, using equipment and procedures
appropriate for this task.
b. Maintain pesticide application equipment in proper operating condition including requirement to
calibrate, clean and repair such equipment and prevent leaks, spills or other unintended discharges.
c. Assess weather conditions (e.g. temperature, precipitation and wind speed) in the treatment area to
ensure the application is consistent with all applicable federal requirements.
2.
Decision-Maker’s Responsibilities:
For All Decision-Makers
To meet the effluent limitations in Part 8 A.2, all Decision-Makers must minimize the discharge of
pesticides to waters of the Commonwealth from the application of pesticides, through the use of Pest
Management Measures, as defined in Appendix A of the General Permit.
To the extent the Decision-Maker determines the amount of pesticide or frequency of pesticide
application, the Decision-Maker must use only the amount of pesticide and frequency of pesticide
application necessary to control the target pest.
Decision-Maker’s Responsibilities: For Decision-Makers Required to Submit NOIs
To meet the effluent limitations of this permit, prior to pesticide application, all Decision-Makers who are
required to submit an NOI as required in Part 1 and Table 1 must also implement Pest Management
measures as detailed in Attachment B of this fact sheet to minimize the discharge of pesticides to waters
of the Commonwealth from the application of pesticides, through the use of Pesticide Management
Measures, as defined in Attachments A and B of this fact sheet.
B. Water Quality-Based Effluent Limitations
All Operators must control discharges as necessary to meet applicable numeric and narrative state water
quality standards, for any discharges authorized under this General Permit, with compliance required upon
beginning such discharges.
If at any time an Operator become aware (e.g. through self-monitoring or notification from DEP) or DEP
determines that the Operatdischaor‘s
rge causes or contributes to an excursion of applicable water quality
standards, operators must take corrective action as required in Part 12 of the Fact Sheet.
9. MONITORING, REPORTING, RECORD KEEPING AND OTHER REQUIREMENTS
A. Representative Sampling
1. Samples and measurements taken for the purpose of monitoring shall be representative of the monitored
activity.

3800-PM-BPNPSM0345g 8/2012
Fact Sheet
- 6 -
2. Records Retention - Operators must retain records of all monitoring information, including all calibration
and maintenance records and all original strip chart recordings for continuous monitoring
instrumentation, for a period of at least 3 years from the date the permit expires or the date the
Operator‘s authorizTathis peion
riod miay s be teermxtendeid naby reqteduest . of DEP at any time.
3. Recording of Results
For each measurement or sample taken pursuant to the requirements of the General Permit, the
permittee shall record the following information:
a. The exact place, date and time of sampling or measurements;
b. The person(s) who performed the sampling or measurements;
c. The date(s) the analysis was performed;
d. The person(s) who performed the analysis;
e. The analytical techniques or methods used and the associated detection level; and,
f. The results of such analysis.
B. Recordkeeping Requirements
This part applies to all Operators (Applicator and Decision-Makers); for details see Attachment D of the fact
sheet.
C. Visual Monitoring Requirements for Pesticide Applicators.
During any pesticide application with
discharges authorized under this permit, all Applicators must, when considerations for safety and feasibility
allow, visually assess the area to and around where pesticides are applied for possible and observable
adverse incidents, as defined in Attachment A, caused by application of pesticides, including the
unanticipated death or distress of non-target organisms and disruption of wildlife habitat, recreational or
municipal water use.
D. Visual Monitoring Requirements for all Operators.
During any Operator post-application surveillance of
any pesticide application with discharges authorized under this permit, all Operators must visually assess the
area to and around where pesticides were applied for possible and observable adverse incidents, as defined
in Attachment A, caused by application of pesticides, including the unanticipated death or distress of non-
target organisms and disruption of wildlife habitat, recreational or municipal water use.
E. Reporting of Monitoring Results
1. The permittee shall effectively monitor the operation and efficiency of equipment and the quantity and
quality of the discharge(s) as specified in this General Permit.
2. Annual Report: Decision-Makers who are required to submit an NOI due to overage in Annual
Treatment Area Threshold or are defined as a Large Entity in Attachment A of the fact sheet must submit
an annual report to DEP using form 3800-PM-BPNPSM0345f. Once the Decision-Maker meets the
obligation to submit an annual report, the Decision-Maker must submit an annual report each calendar
year thereafter for the duration of coverage under the General Permit, whether or not the Decision-Maker
has discharges from the application of pesticides in any subsequent calendar year. Decision-Makers
can submit the annual report electronically using DEP‘eDMR
s
(electronic Discharge Monitoring Report)
system. Decision-Makers must submit the annual report to DEP no later than January 28 of the following
year (and retain a copy for records) for all pesticide activities covered under this General Permit
occurring during the previous calendar year. Annual reporting requirements begin with those discharges
occurring during calendar year 2012.
The annual report (3800-PM-BPNPSM0345f) must include information for the calendar year, with the first
annual report required to include activities for the portion of the calendar year after the effective date of
the NOI. If the effective date is after December 1, the Decision-Makers are not required to submit an
annual report for that first partial year but must submit annual reports thereafter, with the first annual
report submitted also including information from the first partial year.
When the Decision-Makers terminate permit coverage, an annual report must be submitted for the
portion of the year up through the date of termination. The annual report is due no later than 45 days
after your termination date.

3800-PM-BPNPSM0345g 8/2012
Fact Sheet
- 7 -
3. Compliance schedules. Reports of compliance or noncompliance with, or any progress reports on,
interim and final requirements contained in any compliance schedule of this permit must be submitted no
later than 14 days following each schedule date.
F. Signatory Requirements.
All NOIs, reports, certifications or information either submitted to DEP or that the
General Permit requires be maintained by the permittee shall be signed by the following applicable person,
as defined in 40 CFR §122.22(a) or by that person's duly authorized representative, as defined in 40 CFR
§122.22(b):
1. For a corporation - by a principal executive officer of at least the level of vice president, or an authorized
representative, if the representative is responsible for the overall operation of the facility from which the
discharge described in the NPDES form originates.
2. For a partnership - by a general partner.
3. For a sole proprietorship - by the proprietor.
4. For a municipality, state, federal or other public agency - by a principal executive officer or ranking
elected official or other authorized employee.
G. Other Reporting Requirements
1. Anticipated Non-Compliance:
The permittee shall give advance notice to DEP of any planned changes in the permitted facility or
activity that may result in non-compliance with permit requirements. 40 CFR § 122.41(l)(2).
2. Pesticide Monitoring Reports. This permit does not require operators to report monitoring results on a
routine basis; however, DEP may require certain operators to monitor and report such results.
3. Compliance schedules. Reports of compliance or non-compliance with, or any progress reports on,
interim and final requirements contained in any compliance schedule of this permit must be submitted no
later than 14 days following each schedule date.
4. Unanticipated Non-Compliance or Potential Pollution Reporting
a. Immediate Reporting
The permittee shall immediately report any incident causing or threatening
pollution in accordance with the requirements of 25 Pa. Code §§ 91.33 and 92a.41(b).
i. If, because of an accident, other activity or incident a toxic substance or another substance
which would endanger users downstream from the discharge, or would otherwise result in
pollution or create a danger of pollution or would damage property, the permittee shall
immediately notify DEP by telephone of the location and nature of the danger. Oral notification
to the Department is required as soon as possible, but no later than 4 hours after the permittee
becomes aware of the incident causing or threatening pollution.
ii. If reasonably possible to do so, the permittee shall immediately notify downstream users of the
waters of the Commonwealth to which the substance was discharged. Such notice shall include
the location and nature of the danger.
iii. The permittee shall immediately take or cause to be taken steps necessary to prevent injury to
property and downstream users of the waters from pollution or a danger of pollution and, in
addition, within 15 days from the incident, shall remove the residual substances contained
thereon or therein from the ground and from the affected waters of the Commonwealth to the
extent required by applicable law.

3800-PM-BPNPSM0345g 8/2012
Fact Sheet
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b. The permittee shall report any non-compliance which may endanger health or the environment in
accordance with the requirements of 40 CFR §122.41(l)(6). These requirements include the
following obligations:
i. 24-Hour Oral Reporting - the permittee shall give at least a 24-hour advanced notice to DEP of
any planned changes to the permitted activity or facility that may result in non-compliance with
permit requirements. The permittee shall also report non-compliance with any term or condition
of this General Permit, and any statute, rule or regulation, to DEP within 24 hours of becoming
aware of the non-compliance.
ii. Follow-up Written Reporting - where the permittee orally reports the non-compliance information,
a written report outlining the same information must be completed, kept on file and submitted to
DEP upon request.
5. Upset
a.
Effect of an upset. An upset constitutes an affirmative defense to an action brought for non-
compliance with technology-based permit effluent limitations if the requirements of Part A III.E.3
are met. No determination made during administrative review of claims that non-compliance was
caused by upset, and before an action for non-compliance, is final administrative action subject to
judicial review. See 40 CFR §122.41(n)(2).
b.
Conditions necessary for a demonstration of upset. See 40 CFR §122.41(n)(3). An operator who
wishes to establish the affirmative defense of upset must demonstrate, through properly signed,
contemporaneous operating logs, or other relevant evidence that:
i. An upset occurred and that you can identify the cause(s) of the upset;
ii. The permitted activity was at the time being properly operated; and
iii. The permittee provided notice of the upset as required in Part A III.E.3.
iv. The permittee complied with any remedial measures required under Part B I.G.
c. Burden of proof. In any enforcement proceeding, the permittee, as the one seeking to establish the
occurrence of an upset, has the burden of proof. See 40 CFR §122.41(n)(4).The permittee shall
report all instances of non-compliance not reported under paragraph G.4.b. of this section, at the
time of annual reporting. The reports shall contain the information in paragraph G.4. of this section.
6. Other Non-Compliance
The permittee shall report all instances of non-compliance not reported under paragraph G.5 of this
section, at the time of annual reporting. The reports shall contain the information listed in paragraph G.4
of this section.
10. RENEWAL OF COVERAGE
The General Permit will expire 5 years from the date of its issuance. DEP will publish a notice in the
Pennsylvania Bulletin of the draft, renewed, or reissued General Permit or of any amendments to this General
Permit, and after a comment period notice of the final, renewed, reissued or amended General Permit will be
published in the Pennsylvania Bulletin. Any person with an unexpired approval of coverage under the General
Permit shall be responsible for complying with the final renewed, reissued or amended General Permit. Such
persons will be covered by the General Permit even if the discharger has not submitted a separate notice of
intent to be covered by such final, renewed, reissued or amended General Permit. Such person may request
coverage under an individual permit. See 40 CFR §122.28(b)(vi); 25 Pa. Code §92a.54(c) and (d).
11. PESTICIDE DISCHARGE MANAGEMENT PLAN (PDMP)
This Part applies to Decision-Makers required to submit NOIs and are Large Entities. The requirements for
PDMPs are presented in Attachment C.
12. CORRECTIVE ACTION
This part applies to all Operators. See Attachment E for details.

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13. PENALTIES
A. Violations of Permit Conditions
Any person violating Sections 301, 302, 306, 307, 308, 318, or 405 of the Clean Water Act or any permit
condition or limitation implementing such sections in a permit issued under Section 402 of the Act is subject
to civil, administrative, and/or criminal penalties as set forth in 40 CFR §122.41(a)(2).
Any person or municipality, who violates any provision of this permit; any rule, regulation, or order of DEP; or
any condition or limitation of any permit issued pursuant to the Clean Streams Law, is subject to criminal
and/or civil penalties as set forth in Sections 602, 603, and 605 of the Clean Streams Law.
B. Falsifying Information
Any person who does any of the following:
-
Falsifies, tampers with, or knowingly renders inaccurate any monitoring device or method required to be
maintained under this permit, or
-
Knowingly makes any false statement, representation, or certification in any record or other document
submitted or required to be maintained under this permit (including monitoring reports or reports of
compliance or noncompliance), shall, upon conviction, be punished by a fine and/or imprisonment as set
forth in Section 309 of the Clean Water Act. In addition, criminal sanctions are set forth for false
swearing and unsworn falsification at 18 Pa. C.S. §§4903-4904.
14. COVERAGE UNDER GENERAL PERMIT
As NOIs are received, they will be reviewed to see if coverage under the General Permit is appropriate. DEP will
notify the applicant of its findings either in the form of a General Permit coverage letter and copy of the General
Permit with a unique NPDES Permit number or a letter stating denial of General Permit coverage.

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ATTACHMENT A
DEFINITIONS
Action Threshold
– the point at which pest populations or environmental conditions cannot be tolerated necessitating
that pest control action be taken based on economic, human health, aesthetic, or other effects. An action threshold
may be based on current and/or past environmental factors that are or have been demonstrated to be conducive to
pest emergence and/or growth, as well as past and/or current pest presence. Action thresholds are those conditions
that indicate both the need for control actions and the proper timing of such actions.
Active Ingredient
– any substance (or group of structurally similar substances if specified by the permitting authority)
that will prevent, destroy, repel or mitigate any pest, or that functions as a plant regulator, desiccant, or defoliant
within the meaning of the Federal Insecticide, Fungicide and Rodenticide Act (FIFRA) Sec. 2(a). Active ingredient
also means a pesticidal substance that is intended to be produced and used in a living plant, or in the produce
thereof, and the genetic material necessary for the production of such a pesticidal substance. 40 CFR §152.3 and 40
CFR §174.3
Adverse Incident
– means an unusual or unexpected incident that an Operator has observed upon inspection or of
which the Operator otherwise become aware, in which
:
(1) There is evidence that a person or non-target organism has likely been exposed to a pesticide residue, and
(2) The person or non-target organism suffered a toxic or adverse effect.
The phrase ―toxic or adverse effect‖ includes effectsno ntha-target t occur within waters of the Commonwealth on
plants, fish or wildlife that are unusual or unexpected (e.g., effects are to organisms not otherwise described on the
pesticide product label or otherwise not expected to be present) as a result of exposure to a pesticide residue, and
may include:
Distressed or dead juvenile and small fishes;
Washed up or floating fish;
Fish swimming abnormally or erratically;
Fish lying lethargically at water surface or in shallow water;
Fish that are listless or nonresponsive to disturbance;
Stunting, wilting, or desiccation of non-target submerged or emergent aquatic plants; and
Other dead or visibly distressed non-target aquatic organisms (amphibians, turtles, invertebrates, etc.)
The phrase ―toxic or adversany e
advefferse efecfects
t‖ to alhumsano
s (ie.gnc., sklin udrasheess) or domesticated
animals that occur either directly or indirectly from a direct contact with or a secondary effect from a discharge (e.g.,
sickness from consumption of plants or animals containing pesticides) to waters of the Commonwealth that are
temporally and spatially related to exposure to a pesticide residue (e.g., vomiting, lethargy).
Annual Treatment Area Threshold
– an area (in acres) or linear distance (in miles) in a calendar year to which a
Decision-Maker is authorizing and/or performing pesticide applications in that area for activities covered under this
permit.
For calculating annual treatment areas for Mosquitoes and Other Flying Insect Pest Control and Forest Canopy Pest
for comparing with any threshold in Table 1, count each pesticide application activity to a treatment area (i.e., that
area where a pesticide application is intended to provide pesticidal benefits within the pest management area) as a
separate area treated. For example, applying pesticides three times a year to the same 3,000 acre site should be
counted as 9,000 acres of treatment area for purposes of determining if such an application exceeds an Annual
Treatment Area Threshold. The treatment area for these two pesticide use patterns is additive over the calendar
year.
For calculating annual treatment areas for Weed and Algae Control and Animal Pest Control for comparing with any
threshold in Table 1, calculations should include either the linear extent of or the surface area of waters for
applications made to waters of the Commonwealth or at water‘s edFor ge adjacent to waters of the Commonwealth.
calculating the annual treatment area, count each treatment area only once, regardless of the number of pesticide
application activities performed on that area in a given year. Also, for linear features (e.g., a canal or ditch), use the
length of the linear feature whether treating in or adjacent to the feature, regardless of the number of applications
made to that feature during the calendar year. For example, whether treating the bank on one side of a ten-mile long

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ditch, banks on both sides of the ditch, and/or water in that ditch, the total treatment area is ten miles for purposes of
determining if an NOI is required to be submitted. Additionally, if the same 10 mile area is treated more than once in
a calendar year, the total area treated is still 10 miles for purposes of comparing with any threshold in Table 1. The
treatment area for these two pesticide use patterns is not additive over the calendar year.
Applicator – any entity who performs the application of a pesticide or who has day-to-day control of the application
(i.e., authorized to direct workers to carry out those activities) that results in a discharge to waters of the
Commonwealth.
Best Management Practices (BMPs)
– control measures that may be implemented to meet effluent limitations.
These include schedules of activities, prohibitions of practices, maintenance procedures, and other management
practices to minimize the discharge of pollutants to waters of the Commonwealth. BMPs also include treatment
requirements, operating procedures, and practices to control spillage or leaks, waste disposal, or drainage from raw
material storage. (40 CFR §122.2)
Biological Control Agents
– organisms that can be introduced to Operator sites, such as herbivores, predators,
parasites, and hyperparasites (see US FWS IPM Guidance, 2004).
Biological Pesticides (also called biopesticides)
– include microbial pesticides, biochemical pesticides and plant-
incorporated protectants (PIP). Microbial pesticide means a microbial agent intended for preventing, destroying,
repelling, or mitigating any pest, or intended for use as a plant regulator, defoliant, or desiccant, that (1) is a
eukaryotic microorganism including, but not limited to, protozoa, algae, and fungi; (2) is a prokaryotic microorganism,
including, but not limited to, Eubacteria and Archaebacteria; or (3) is a parasitically replicating microscopic element,
including but not limited to, viruses (40 CFR § 158.2100(b)). Biochemical pesticide means a pesticide that (1) is a
naturally-occurring substance or structurally similar and functionally identical to a naturally-occurring substance; (2)
has a history of exposure to humans and the environment demonstrating minimal toxicity, or in the case of a
synthetically-derived biochemical pesticide, is equivalent to a naturally-occurring substance that has such a history;
and (3) has a non-toxic mode of action to the target pest(s) (40 CFR 158.2000(a)(1)). Plant-incorporated protectant
means a pesticidal substance that is intended to be produced and used in a living plant, or in the produce thereof,
and the genetic material necessary for production of such a pesticidal substance. It also includes any inert ingredient
contained in the plant, or produce thereof. (40 CFR §158.2100(b), 40 CFR §158.2000(a)(1) and 40 CFR §174.3)
Chemical Pesticides
– all pesticides not otherwise classified as biological pesticides.
Cultural Methods
– manipulation of the habitat to increase pest mortality by making the habitat less suitable to the
pest.
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 Commonwealth.
Declared Pest Emergency Situation
– An event defined by a public declaration by a federal agency, state, or local
government of a pest problem determined to require control through application of a pesticide beginning less than ten
days after identification of the need for pest control. This public declaration may be based on (40 CFR Part 166):
(1) Significant risk to human health;
(2) Significant economic loss; or
(3) Significant risk to:
(i) Endangered species,
(ii) Threatened species,
(iii) Beneficial organisms, or
(iv) The environment.
Director
– a Regional Administrator of the Environmental Protection Agency or an authorized representative.
(40 CFR §122.2)
Discharge
– when used without qualification, means the "discharge of a pollutant.40 CF‖ (R §122.2)
Discharge of a pollutant
– any addition of any ―pollutant‖ or combination of pollutants to waters of the Commonwealth
from any ―point source,‖ or any addition of any pollutant ouor
s combination of pollutants to the water of the ―contigu
zone‖ or the ocean from any point source other than a vessel or other floating craft that is being used as a means of
transportation. This includes additions of pollutants into waters of the Commonwealth from surface runoff that is

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collected or channeled by man and discharges through pipes, sewers, or other conveyances leading into privately
owned treatment works. (40 CFR §122.2)
EPA Approved or Established Total Maximum Daily Loads (TMDLs)
– ―EPA Approved TthoMDLsse tha‖ t are
are
developed by a state and approved by EPA. ―EPA Established TMDLs‖ are those that are issued by EPA.
Facility or Activity
– any NPDES ―point source‖ (including land or appurtenances thereto) that is subject to regulation
under the NPDES program. (40 CFR §122.2)
Federal Facility
– any building, installation, structure, land, public works, equipment, aircraft, vessel, or other vehicle
or property owned, operated, or leased by, or constructed or manufactured for the purpose of leasing to, the federal
government.
For-Hire Applicator
– Includes persons who make contractual pesticide applications for which they or their employer
receives compensation (e.g., lawn care firms, pest control companies).
Impaired Waters (or “Water Quality Impairede ntWate
A
)
wate
rs
r i
s
or
impai
r
W
ed
ate
for
r Quality Limited Segm
purposes of this permit if it has been identified by DEP pursuant to Section 303(d) of the Clean Water Act as not
meeting applicable State water quality standards (theser e 40 waters are called ―water quality limited segments‖ und
CFR 130.2(j)). Impaired waters include both waters with approved or established TMDLs, and those for which a
TMDL has not yet been approved or established.
Inert Ingredient
– any substance (or group of structurally similar substances if designated by the permitting authority),
other than an active ingredient, that is intentionally included in a pesticide product. Inert ingredient also means any
substance, such as a selectable marker, other than the active ingredient, where the substance is used to confirm or
ensure the presence of the active ingredient, and includes the genetic material necessary for the production of the
substance, provided that genetic material is intentionally introduced into a living plant in addition to the active
ingredient. (40 CFR §152.3 and 40 CFR §174.3)
Large Entity
– any (1) public entity that serves a population greater than 10,000 or (2) private enterprise that exceeds
the Small Business Administration size standard as identified at 13 CFR §121.201.
Mechanical/Physical Methods
– mechanical tools or physical alterations of the environment, for pest prevention or
removal.
Minimize
– to reduce and/or eliminate pesticide discharges to waters of the Commonwealth through the use of ―Pest
Management Measures‖noto
logicthe
ally avaexilablte enand et cotnoecmicalhly practicable and achievable.
NOI
– Notice of Intent for coverage under this General Permit.
Non-Target Organisms
– includes the plant and animal hosts of the target species, the natural enemies of the target
species living in the community, and other plants and animals, including vertebrates, living in or near the community
that are not the target of the pesticide.
Operator
– any entity associated with the application of pesticides which results in a discharge to waters of the
Commonwealth that meets either of the following criteria:
a. Any entity who performs the application of a pesticide or who has day-to-day control of the application (i.e.,
authorized to direct workers to carry out those activities); or
b. Any entity with control over the decision to perform pesticide applications including the ability to modify those
decisions.
Person
– an individual, association, partnership, corporation, municipality, State or Federal agency, or an agent or
employee thereof.
Pest
– Consistent with 40 CFR §152.5, any organism under circumstances that make it deleterious to man or the
environment, if it is:
(a) Any vertebrate animal other than man;
(b) Any invertebrate animal, including but not limited to, any insect, other arthropod, nematode, or mollusk
such as a slug and snail, but excluding any internal parasite of living man or other living animals;
(c) Any plant growing where not wanted, including any moss, alga, liverwort, or other plant of any higher
order, and any plant part such as a root; or

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(d) Any fungus, bacterium, virus, or other microorganism, except for those on or in living man or other living
animals and those on or in processed food or processed animal feed, beverages, drugs (as defined in
the Federal Food, Drug and Cosmetic Act (FFDCA) sec. 201(g)(1)) and cosmetics (as defined in FFDCA
sec. 201(i)).
Pest Management Area
– The area of land, including any water, for which an operator has responsibility for and is
authorized to conduct pest management activities as covered by this General Permit (e.g., for an Operator who is a
mosquito control district, the pest management area is the total area of the district).
Pest Management Measure
– any practice used to meet the effluent limitations that comply with manufacturer
specifications, industry standards and recommended industry practices related to the application of pesticides,
relevant legal requirements and other provisions that a prudent Operator would implement to reduce and/or eliminate
pesticide discharges to waters of the Commonwealth.
Pesticide
– means (1) any substance or mixture of substances intended for preventing, destroying, repelling, or
mitigating any pest, (2) any substance or mixture of substances intended for use as a plant regulator, defoliant, or
desiccant, and (3) any nitrogen stabilizer, except that the term ‗‗pesticide‘‘ shall not include any article that is a ―new
animal drug‖ within the meaning of section 201(w) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 321(w)),
that has been determined by the Secretary of Health and Human Services not to be a new animal drug by a
regulation establishing conditions of use for the article, or that is an animal feed within the meaning of section 201(x)
of such Act (21 U.S.C. 321(x)) bearing or containing a new animal drug. The term ―pesticide‖ does not include liquid
chemical sterilant products (including any sterilant or subordinate disinfectant claims on such products) for use on a
critical or semi-critical device, as defined in section 201 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.
321). For purposes of the preceding sentence, the term ―critical device‖ includes any device that introduced directly
into the human body, either into or in contact with the bloodstream or normally sterile areas of the body and the term
‗‗sem-ciritical device‘‘ includes any device that contacts intact mucous membranes but which does not ordinarily
penetrate the blood barrier or otherwise enter normally sterile areas of the body. (FIFRA Section 2(u))
The teresm ti―pcide‖ applies to insecticides, herbicides, fungicides, rodenticides, and various other substances used
to control pests. The definition encompasses all uses of pesticides authorized under FIFRA including uses
authorized under sections 3 (registration), 5 (experimental use permits), 18 (emergency exemptions), 24(c) (special
local needs registrations), and 25(b) (exemptions from FIFRA).
Note: drugs used to control diseases of humans or animals (such as livestock and pets) are not considered
pesticides; such drugs are regulated by the Food and Drug Administration. Fertilizers, nutrients, and other
substances used to promote plant survival and health are not considered plant growth regulators and thus are not
pesticides. Biological control agents, except for certain microorganisms, are exempted from regulation under FIFRA.
(Biological control agents include beneficial predators such as birds or ladybugs that eat insect pests, parasitic
wasps, fish, etc).
This permit uses the term
in“peg tso
tithe
cide“pes” whtien
cirdeefe, asr rapplied.” When referring to the chemical in
the pesticide product with pesticidal qualities, the permit uses the term “active ingredient.”
Pesticide Product
– a pesticide in the particular form (including composition, packaging, and labeling) in which the
pesticide is, or is intended to be, distributed or sold. The term includes any physical apparatus used to deliver or
apply the pesticide if distributed or sold with the pesticide.
Pesticide Research and Development
– Activities undertaken on a systematic basis to gain new knowledge
(research) and/or the application of research findings or other scientific knowledge for the creation of new or
significantly improved products or processes (experimental development).
Pesticide Residue
– includes that portion of a pesticide application that is discharged from a point source to waters of
the Commonwealth and no longer provides pesticidal benefits. It also includes any degradates of the pesticide.
Point source
– any discernible, confined, and discrete conveyance, including but not limited to any pipe, ditch,
channel, tunnel, conduit, well, discrete fissure, container, rolling stock, concentrated animal feeding operation, landfill
leachate collection system, vessel, or other floating craft from which pollutants are or may be discharged. This term
does not include return flows from irrigated agriculture or agricultural stormwater runoff. (40 CFR §122.2)
Pollutant
– dredged spoil, solid waste, incinerator residue, filter backwash, sewage, garbage, sewage sludge,
munitions, chemical wastes, biological materials, heat, wrecked or discarded equipment, rock, sand, cellar dirt, and
industrial, municipal, and agricultural waste discharggiced
al
into water. For purposes of this definition, a ―biolo
pesticide‖ is considered a ―biological material,‖ and any ―pesticide residue‖ resulting from use of a ―chemical
pesticide‖ is consider40
ed
CFa
R §―12che2.2) mical waste.‖ (

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Small Entity
– any (1) public entity that serves a population of 10,000 or less or (2) private enterprise that does not
exceed the Small Business Administration size standard as identified at 13 CFR §121.201.
Target Pest
– the organism(s) toward which pest management measures are being directed.
Total Maximum Daily Load (TMDL)
– the maximum amount of a pollutant that a water body can receive and still meet
water quality standards, and an allocation of that amount to the pollutant's sources. A TMDL includes wasteload
allocations (WLAs) for point source discharges; load allocations (LAs) for nonpoint sources and/or natural
background, and must include a margin of safety (MOS) and account for seasonal variations. (Section 303(d) of the
CWA and 40 CFR §130.2 and §130.7)
Treatment Area
– The ―treatment area‖ incluethdeer sov er the
land or enwattier, rwhee re area,
the pesticwhide
application is intended to provide pesticidal benefits within the pest management area. In some instances, the
treatment area will be larger than the area where pesticides are actually applied. For example, the treatment area for
a stationary drip treatment into a canal includes the entire width and length of the canal over which the pesticide is
intended to control weeds. Similarly, the treatment area for a lake or marine area is the water surface area where the
application is intended to provide pesticidal benefits.
Toxic Pollutant
– means those pollutants, or combinations of pollutants, including disease-causing agents, which
after discharge and upon exposure, ingestion, inhalation or assimilation into any organism, either directly from the
environment or indirectly by ingestion through food chains, may, on the basis of information available to DEP cause
death, disease, behavioral abnormalities, cancer, genetic mutations, physiological malfunctions, including
malfunctions in reproduction, or physical deformations in these organisms or their offspring. (25 Pa. Code §92a.1)
Upset
– means an exceptional incident in which there is unintentional and temporary noncompliance with technology
based permit effluent limitations because of factors beyond your reasonable control. An upset does not include non-
compliance to the extent caused by operational error, improperly designed treatment facilities, inadequate treatment
facilities, lack of preventive maintenance, or careless or improper operation. (40 CFR §122.41(n)(1))
Waters of the Commonwealth
– any and all rivers, streams, creeks, rivulets, impoundments, ditches, water courses,
storm sewers, lakes, dammed water, ponds, springs and all other bodies or channels of conveyance of surface
water, or parts thereof, including wetlands, whether natural or artificial, within or on the boundaries of this
Commonwealth.
Water Quality Impaired
– See ‗Impaired Waters‘.
Water Quality Standards
– water quality goals for a water body, or portion thereof, established by designating the use
or uses to be made of the water and by setting criteria necessary to protect the uses. Water quality standards also
include an anti-degradation policy and implementation procedures. States, Territories, Tribes and EPA adopt water
quality standards to protect public health or welfare, enhance the quality of water and serve the purposes of the
Clean Water Act (See CWA sections 101(a)2 and 303(c)).
Wetlands
– means those areas that are inundated or saturated by surface or groundwater at a frequency and
duration sufficient to support, and that under normal circumstances do support, a prevalence of vegetation typically
adapted for life in saturated soil conditions. Wetlands generally include swamps, marshes, bogs, and similar areas.
(40 CFR §122.2)

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ATTACHMENT B
PEST MANAGEMENT MEASURES
Pest Management Measures for Different Pesticides Use Patterns
1. Mosquito and Other Flying Insect Pest Control
This part applies to discharges from the application of pesticides for mosquito and other flying insect pest
control.
A. Identify the Problem
. Prior to the first pesticide application covered under the General Permit that will
result in a discharge to waters of the Commonwealth, and at least once each calendar year thereafter
prior to the first pesticide application for that calendar year, Decision-Makers required to submit NOIs
must do the following for each pest management area, as defined in Attachment A of the fact sheet:
1. Establish densities for larval and adult mosquito or flying insect pest populations or identify
environmental condition(s), either current or based on historical data, to serve as action threshold(s)
for implementing Pest Management Measures;
2. Identify target pest to develop Pest Management Measures based on developmental and behavioral
considerations for each pests;
3. Identify known breeding sites for source reduction, larval control program, and habitat management;
4. Analyze existing surveillance data to identify new or unidentified sources of mosquito or flying insect
pest problems as well as sites that have recurring pest problems; and
5. In the event there are no data for the pest management area in the past calendar year, use other
available data as appropriate to meet permit conditions in Part 1.A of this section.
B. Pest Management Options
. Prior to the first pesticide application covered under this General Permit
that will result in a discharge to waters of the Commonwealth, and at least once each calendar year
thereafter prior to the first pesticide application for that calendar year, Decision-Makers required to
submit NOIs must select and implement efficient and effective means of Pest Management Measures
that minimize discharges resulting from application of pesticides to control mosquitoes or other flying
insect pests. In developing these Pest Management Measures in each pest management area, the
Decision-Maker, must evaluate the following management options, including a combination of these
management options, considering impact to water quality, impact to non-target organisms, feasibility,
and cost effectiveness:
1. No action
2. Prevention
3. Mechanical or physical methods
4. Cultural methods
5. Biological control agents
6. Pesticides
C. Pesticide Use.
If a pesticide is selected to manage mosquitoes or flying insect pests and application of
the pesticide will result in a discharge to a water of the Commonwealth, Decision-Makers required to
submit NOIs must:
1. Conduct larval and/or adult surveillance in an area that is representative of the pest problem or
evaluate existing larval surveillance data, environmental conditions, or data from adjacent area prior
to prior to each pesticide application to assess the pest management area and to determine when
the action threshold(s) is met;
2. Reduce the impact on the environment and on non-target organisms by applying the pesticide only
when the action threshold(s) has been met;

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3. In situations or locations where practicable and feasible for efficacious control, use larvicides as a
preferred pesticide for mosquito or flying insect pest control when larval action thresholds have been
met; and
4. In situations or locations where larvicide use is not practicable or feasible for efficacious control, use
adulticides for mosquito or flying insect pest control when adult action threshold(s) has been met.
2. Weed and Algae Pest Control
This part applies to discharges from the application of pesticides for weed and algae pest control.
A. Identify the Problem.
Prior to the first pesticide application covered under this General Permit that will
result in a discharge to waters of the Commonwealth, and at least once each calendar year thereafter
prior to the first pesticide application for that calendar year, Decision-Makers required to submit NOIs
must do the following for each pest management area, as defined in Attachment A of the fact sheet:
1. Identify areas with pest problems and characterize the extent of the problems, including, for
example, water use goals not attained (e.g. wildlife habitat, fisheries, vegetation, and recreation);
2. Identify target pest(s);
3. Identify possible factors causing or contributing to the pest problem (e.g., nutrients, invasive species,
etc);
4. Establish any pest and site specific action threshold(s) as defined in Appendix A of the fact sheet for
implementing Part 2.B of this section; and
5. In the event there are no data for your pest management area in the past calendar year, use other
available data as appropriate to meet permit conditions in Part 2.A of this section.
B. Pest Management Options.
Prior to the first pesticide application covered under this General Permit
that will result in a discharge to waters of the Commonwealth, and at least once each calendar year
thereafter prior to the first pesticide application for that calendar year, Decision-Makers required to
submit NOIs must select and implement efficient and effective means of Pest Management Measures
that minimize discharges resulting from application of pesticides to control pests. In developing these
Pest Management Measures for each pest management area, the Decision-Makers required to submit
NOIs must evaluate the following management options, including a combination of these management
options, considering impact to water quality, impact to non-target organisms,
feasibility, and cost
effectiveness:
1. No action
2. Prevention
3. Mechanical or physical methods
4. Cultural methods
5. Biological control agents
6. Pesticides
C. Pesticide Use.
If a pesticide is selected to manage pest, and application of the pesticide will result in a
discharge to waters of the Commonwealth, Decision-Makers that are required to submit NOIs must:
1. Conduct surveillance in an area that is representative of the pest problem prior to each pesticide
application to assess the pest management area and to determine when the action threshold(s) is
met; and
2. Reduce the impact on the environment and non-target organisms by applying the pesticide only
when the action threshold has been met.

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3. Animal Pest Control
This part applies to discharges from the application of pesticides for control of animal pest.
A. Identify the Problem.
Prior to the first pesticide application covered under this General Permit that will
result in a discharge to waters of the Commonwealth, and at least once each calendar year thereafter
prior to the first pesticide application for that calendar year, Decision-Makers required to submit NOIs
must do the following for each pest management area, as defined in Attachment A of the fact sheet:
1. Identify areas with pest problems and characterize the extent of the problems, including, for
example, water use goals not attained (e.g. wildlife habitat, fisheries, vegetation, and recreation);
2. Identify target pest;
3. Identify possible factors causing or contributing to the problem (e.g., nutrients, invasive species);
4. Establish any pest and site specific as action threshold(s) as defined in Appendix A of the fact sheet
for implementing Part 3.B of this section; and
5. In the event there are no data for the pest management area in the past calendar year, use other
data available as appropriate to meet the permit conditions in Part 3.A of this section.
B. Pest Management Options.
Prior to the first pesticide application covered under this General Permit
that will result in a discharge to waters of the Commonwealth, and at least once each year thereafter
prior to the first pesticide application during that calendar year, Decision-Makers required to submit NOIs
must select and implement efficient and effective means of Pest Management that Measures that
minimize discharges resulting from application of pesticides to control pests. In developing these Pest
Management Measures for each pest management area the Decision-Maker required to submit NOIs
must evaluate the following management options, including a combination of these management options,
considering impact to water quality, impact to non-target organisms, feasibility, and cost effectiveness:
1. No action
2. Prevention
3. Mechanical or physical methods
4. Biological control agents
5. Pesticides
C. Pesticide Use.
If a pesticide is selected to manage pest, and application of the pesticide will result in a
discharge to waters of the Commonwealth, Decision-Makers required to submit NOIs must:
1. Conduct surveillance in the area that is representative of the pest problem prior to each application
to assess the pest management area and to determine when the action threshold(s) is met; and
2. Reduce the impact on the environment and non-target organisms by evaluating site restrictions,
application timing, and application method in addition to applying the pesticide only when the action
threshold(s) has been met.
4. Forest Canopy Pest Control
This part applies to discharges from the application of pesticides for forest canopy pest control.
A. Identify the Problem.
Prior to the first pesticide application covered under this General Permit that will
result in a discharge to waters of the Commonwealth, and at least once each calendar year thereafter
prior to the first pesticide application in that calendar year, Decision-Makers required to submit NOIs
must do the following for each pest management area, as defined in Attachment A of the fact sheet:
1. Establish any pest and site-specific action threshold(s) as defined in Appendix A of the fact sheet for
implementing Part 4.B of this section;
2. Identify target pest(s) to develop Pest Management Measures based on developmental and
behavioral considerations for each pest;
3. Identify current distribution of the target pest and assess potential distribution in the absence of Pest
Management Measures; and

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4. In the event there are no data for the pest management area in the past calendar year, use other
available data as appropriate to meet the permit conditions Part 4. A of this section.
B. Pest Management Options.
Prior to the first pesticide application covered under this General Permit
that will result in a discharge to waters of the Commonwealth, and at least once each calendar year
thereafter prior to the first pesticide application for that calendar year, Decision-Makers required to
submit NOIs must select and implement efficient and effective means of Pest Management Measures
that minimize discharges resulting from application of pesticides to control pests. In developing these
Pest Management Measures for each pest management area, the Decision-Makers required to submit
NOIs must evaluate the following management options, including a combination of these management
options, considering impact to water quality, impact to non-target organisms, feasibility, and cost
effectiveness:
1. No action
2. Prevention
3. Mechanical/physical methods
4. Cultural methods
5. Biological control agents
6. Pesticides
C. Pesticide Use.
If a pesticide is selected to manage forestry pests and application of the pesticide will
result in a discharge to waters of the Commonwealth, Decision-Makers required to submit NOIs must:
1. Conduct surveillance in an Area that is representative of the pest problems prior to each application
to assess the pest management area and to determine when the pest action threshold(s) is met;
2. Reduce the impact on the environment and non-target organisms by evaluating the restrictions,
application timing, and application methods in addition to applying the pesticide only when the action
threshold(s) has been met; and
3. Evaluate using pesticides against the most susceptible developmental stage.

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ATTACHMENT C
PESTICIDES DISCHARGE MANAGEMENT PLAN (PDMP)
A Pesticides Discharge Management Plan (PDMP) applies to any Decision-Maker who is required to submit an NOI,
and is a Large Entity, as defined in Part A II of the General Permit. Except for any application made in response to a
declared pest emergency situation, as defined in Part A II, a Decision-Maker who is required to submit an NOI, and is
a Large Entity, must prepare a PDMP and submit it with the NOI
.
Some sections of the Pesticide Discharge
Management Plan (PDMP) will require input from the pesticide applicator.
The PDMP documents how Decision-Makers will implement the Technology based and water quality based effluent
limitations of the General Permit, including the evaluation and selection of Pest Management Measures to meet
those effluent limitations in order to minimize discharges. In the PDMP, Decision-Makers may incorporate by
reference any procedures or plans in other documents that meet the requirements of this permit. If Decision-Makers
rely upon other documents to comply with the effluent limitations in this permit, such as a preexisting pest
management plan, the Decision-Maker must attach to the PDMP a copy of any portions of any documents that are
used to document the implementation of the effluent limitations.
Contents of the Pesticide Discharge Management Plan
The PDMP must include the following elements:
1. Pesticide Discharge Management Team
2. Problem Identification
3. Pest Management Options Evaluation
4. Response Procedures (Spill Response Procedures & Adverse Incident Response Procedures)
5. Documentation to support eligibility considerations under other state and federal laws
6. Signature Requirements
A. PDMP Team.
Decision-Makers must identify all the persons (by name and contact information) that compose
the team as well as eaindivciduh al presersponsibionlities‘s
, including:
1. Person(s) responsible for managing pests in relation to the pest management area;
2. Person(s) responsible for developing and revising the PDMP; and
3. Person(s) responsible for developing, revising, and implementing corrective actions and other effluent
limitation requirements.
B. Problem Identification.
Decision-Makers must document the following:
1. Pest problem description. Document a description of the pest problem at the pest management area,
including identification of the target pest(s), source(s) of the pest problem, and source of data used to identify
the problem in Parts 1, 2, 3, and 4 of Pest Management Measures;
2. Action Threshold(s). Describe the action threshold(s) for the pest management area, including data used in
developing the action threshold(s) and method(s) to determine when the action threshold(s) has been met;
3. General location map. In the plan, include a general location map (e.g., USGS quadrangle map, a portion of
a city or county map, or other map) that identifies the geographic boundaries of the area to which the plan
applies and location of the waters of the Commonwealth; and
4. Water quality standards. Document any Special Protection water (High Quality and Exceptional Value
Waters) and any water(s) identified as impaired by a substance which either is an active ingredient or a
degradate of such an active ingredient.

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C. Pest Management Options Evaluation.
Decision-Makers must document the evaluation of the pest management options, including combination of the
pest management options, to control the target pest(s). Pest management options include the following: No
action, prevention, mechanical/physical methods, cultural methods, biological control agents, and pesticides. In
the evaluation, Decision-Makers must consider the impact to water quality, impact to non-target organisms,
feasibility, cost effectiveness, and any relevant previous Pest Management Measures.
D. Response Procedures.
Decision-Makers must document the following procedures in the PDMP:
1. Spill Response Procedures – At a minimum Decision-Maker must have:
a. Procedures for expeditiously stopping, containing, and cleaning up leaks, spills, and other releases.
Employees who may cause, detect, or respond to a spill or leak must be trained in these procedures and
have necessary spill response equipment available. If possible, one of these individuals should be a
member of your PDMP team.
b. Procedures for notification of appropriate facility personnel, emergency response agencies, and
regulatory agencies.
2. Adverse Incident Response Procedures – At a minimum Decision-Makers must have:
a. Procedures for responding to any adverse incident resulting from pesticide applications;
b. Procedures for notification of the adverse incident, both internal to Decision-Makers agency/organization
and external. Contact information for state/federal permitting agency, nearest emergency medical
facility, and nearest hazardous chemical responder must be in locations that are readily accessible and
available.
E. Signature Requirements.
Decision-Maker must sign, date and certify the PDMP in accordance with Part B II.B
the General Permit. This requirement is consistent with standard NPDES permit conditions described in 40 CFR
122.22 and is intended to ensure that the operator understands his/her responsibility to create and maintain a
complete and accurate PDMP. The signature requirement includes an acknowledgment that there are significant
penalties for submitting false information.
F. Documentation to Support Eligibility Considerations under Other Federal Laws
[reserved]
G. Pesticide Discharge Management Plan Modifications.
A Decision-Maker required to submit an NOI and is a
Large Entity must modify the PDMP whenever necessary to address any of the triggering conditions for
corrective action in Part A I.D of the General Permit or when a change in pest control activities significantly
changes the type or quantity of pollutants discharged. Changes to the PDMP must be made before the next
pesticide application that results in a discharge, if practicable, or if not, no later than 90 days after any change in
pesticides application activities. The revised PDMP must be signed and dated in accordance with
Part 1 E
of this
section.
H. Pesticide Discharge Management Plan Availability.
A Decision-Maker required to submit an NOI and is a
Large Entity must retain a copy of the current PDMP, along with all supporting maps and documents, at the
address provided in Section II of the NOI. The PDMP and all supporting documents must be readily available,
upon request, and copies of any of these documents provided, upon request, to DEP. DEP may provide copies
of the PDMP or other information related to this General Permit that is in its possession to members of the public.
Any Confidential Business Information (CBI), as defined in 40 CFR Part 2, may be withheld from the public
provided that a claim of confidentiality is properly asserted and documented in accordance with 40 CFR Part 2.
However, the CBI must be submitted to DEP, if requested, for CBI review.

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ATTACHMENT D
RECORDKEEPING & ANNUAL REPORTING REQUIREMENTS
Operators must keep written records as required in the General Permit for all discharges covered under the General
Permit. These records must be accurate and complete to demonstrate Operators‘ compliance with the conditions of
the General Permit. Operators may rely on records and documents developed for other obligations, such as
requirements under Federal Insecticide, Fungicide, Rodenticide Act (FIFRA), and state or local pesticide programs,
provided all requirements of the General Permit are satisfied.
DEP recommends that all Decision-Makers, who are or may be required to submit an NOI based on their annual
treatment area, keep records of acres or linear miles treated for all applicable use patterns covered under the
General Permit. The records should be kept up-to-date to help Decision-Makers determine if the Annual Treatment
Area Threshold is met during any calendar year, as identified in Part 1, Table 1 of the Fact Sheet.
1. Recordkeeping for all Operators – All operators must keep the following records:
a. A copy of any Adverse Incident Reports;
b. Rationale for any determination that reporting of an identified adverse incident is not required consistent with
allowances identified in Attachment E.2.B of the Fact Sheet;
c. A copy of any corrective action documentation; and
d. A copy of any spill and leak or other unpermitted discharge documentation.
2. Recordkeeping for all Operators who are For-Hire Applicators – Any Operator who is a For-Hire Applicator, as
defined in Attachment A of the Fact Sheet, must retain the following records:
a. Documentation of equipment calibration; and
b. Information on each treatment area to which pesticides are discharged, including:
1. Description of each treatment area, location and size (acres or linear feet) of treatment area and
identification of any waters of the Commonwealth, either by name or by location, to which pesticide(s)
are discharged;
2. Pesticide use pattern(s) (i.e., mosquito and other flying insects, weed and algae, animal pest, or forest
canopy);
3. Target pest(s);
4. Name of each pesticide product used including the EPA registration number;
5. Quantity of each pesticide product applied to each treatment area;
6. Pesticide application date(s); and
7. Whether or not visual monitoring was conducted during pesticide application and/or post-application and
if not, why not and whether monitoring identified any possible or observable adverse incidents caused by
application of pesticides.
3. Recordkeeping for Any Decision-Maker required to submit an NOI and who is a Small Entity – Any Decision-
Maker required to submit an NOI that is defined as a small entity, must retain the following records at the address
provided on the NOI:
a. Copy of the NOI submitted to DEP, any correspondence exchanged between the Decision-Maker and DEP
specific to coverage under this General Permit, and a copy of the DEP acknowledgment letter with the
assigned permit tracking number;
b. Documentation of equipment calibration (only if Decision-Maker is also the Applicator);

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c. Information on each treatment area to which pesticides are discharged, including:
1.
Description of treatment area, location and size (acres or linear feet) of treatment area and
identification of any waters of the Commonwealth, either by name or by location, to which pesticide(s)
are discharged;
2.
Pesticide use pattern(s) (i.e., mosquito and other flying insects, weed and algae, animal pest, or forest
canopy);
3.
Target pest(s) and explanation of need for pest control;
4.
Description of pest management measure(s) implemented prior to the first pesticide application;
5.
Company name and contact information for pesticide applicator;
6.
Name of each pesticide product used including the EPA registration number;
7.
Quantity of each pesticide product applied to each treatment area;
8.
Pesticides Application Start Date;
9.
Pesticides Application End Date; and
10.
Whether or not visual monitoring was conducted during pesticides application and/or post application
and if not, why not and whether monitoring identified any possible or observable adverse incident
caused by application of pesticides.
4. Recordkeeping for any Decision-Maker required to submit an NOI and who is a Large Entity – Records listed
below are required to be kept at the address provided on the NOI.
a. A copy of the NOI submitted to DEP, any correspondence exchanged between the Decision-Maker and DEP
specific to coverage under the General Permit, and a copy of the DEP acknowledgment letter with the
assigned permit tracking number;
b. A copy of the PDMP, including any modifications made to the PDMP during the terms of this General Permit;
c. Copies of Annual Reports submitted to DEP;
d. Documentation of any equipment cleaning, calibration, and repair (only if the Decision-Maker is also the
applicator);
e. Information on each treatment area to which pesticides are discharged, including:
1. Description of each treatment area, location and size (acres or linear feet) of treatment area and
identification of any waters of the Commonwealth, either by name or by location, to which pesticide(s)
are discharged;
2. Pesticide use pattern(s) (i.e., mosquito and other flying insects, weed and algae, animal pest, or forest
canopy);
3. Target pest(s) and explanation of need for pest control;
4. Action Thresholds;
5. Method and/or data used to determine that action threshold(s) has been met;
6. Description of pest management measure(s) implemented prior to the first pesticide application;
7. Company name and contact information for pesticide applicator;
8. Name of each pesticide product used including the EPA registration number;
9. Quantity of each pesticide product applied to each treatment area;
10. Pesticides application Start Date;
11. Pesticides application End Date; and
12. Whether or not visual monitoring was conducted during pesticide application and/or post-application and
if not, why not and whether monitoring identified any possible or observable adverse incidents caused by
application of pesticides.

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5. Additional Recordkeeping Requirements for all Operators – All required records must be documented as soon as
possible but no later than 14 days following completion of each pesticide application. Operators must retain any
records required under this General Permit for at least 3 years from the date that the Operator‘s coverage under
this General Permit expires or is terminated. Operators must make available to DEP, including an authorized
representative of DEP, all records kept under this General Permit and provide copies of such records, upon
request.
6. Annual Reporting for any Decision-Maker required to submit an NOI due to overage in Annual Treatment Area
Threshold or who is a Large Entity – Decision-Makers who are required to submit an NOI due to overage in
Annual Treatment Area Threshold or are defined as a Large Entity in Part A II, must submit an Annual Report to
DEP using form 3800-PM-BPNPSM0345f (Annual Pesticides Application Report). Once a Decision-Maker meets
the obligation to submit an Annual Report, the Decision-Maker must submit the Annual Report each calendar
year thereafter for the duration of coverage under this General Permit, whether or not the Decision-Maker has
discharges from the application of pesticides in any subsequent calendar year. Decision-Makers must submit the
Annual Report on paper to the DEP regional office that issued coverage under this General Permit or
electronically
through
DEP‘s
elect
ronic
Discharge
Monitoring
Report
(eDMR)
system
(see
www.dep.state.pa.us/edmr), if available. The Annual Report must be received by DEP no later than January 28
of the following year for all pesticide activities covered under this General Permit occurring during the previous
calendar year. Annual reporting requirements begin with those discharges occurring during calendar year 2012.
Decision-Makers who are required to submit an NOI based on an Annual Treatment Area Threshold must include
information for the calendar year, with the first Annual Report required to include activities for the portion of the
calendar year after the point at which Decision-Makers exceeded the Annual Treatment Area Threshold. If the
Decision-Maker first exceeds an Annual Treatment Area Threshold between December 1 – 31, an Annual Report
is not required for that first partial year but an Annual Report is required thereafter, with the first Annual Report
submitted also including information from the first partial year.
When Decision-Makers terminate permit coverage an Annual Report must be submitted for the portion of the
year up through the date of termination. The Annual Report is due no later than January 28 of the next year.
The Annual Report must contain the following information:
a. The name of the Operator (permittee);
b. NPDES permit number;
c. Contact person name, title, address, e-mail address, and phone number; and
d. For each treatment area, report the following information:
1. Description of treatment area, including location and size (acres or linear feet) of treatment area and
identification of any waters of the Commonwealth, either by name or by location, to which pesticide(s)
are discharged;
2. Pesticide use pattern(s) (i.e., mosquito and other flying insects, weed and algae, animal pest, or forest
canopy) and target pest(s);
3. Company name(s) and contact information for pesticide applicator(s), if different from the Operator;
4. Name of each pesticide product and total amount of each pesticide product applied for the reporting year
by the EPA registration number(s) and by application method (e.g., aerially by fixed-wing or rotary
aircraft, broadcast spray, etc.);
5. Whether this pest control activity was addressed in the PDMP prior to pesticide application;
6. A summary of any adverse incidents as a result of these treatment(s) as described in Appendix E 2.A
and B of the permit; and
7. A description of any corrective action(s), including spill responses, resulting from pesticide application
activities and the rationale for such action(s).

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ATTACHMENT E
CORRECTIVE ACTION DOCUMENTATION AND REPORTING
1. Corrective Action –
All Operators must comply with the provisions in this attachment for any discharges
authorized under this General Permit, with compliance required upon beginning such discharges.
A.
Situations requiring revision of Control Measures. If any of the following situations occur, Operators must
review and, as necessary, revise the evaluation and selection of Pest Management Measures to ensure that
the situation is eliminated and will not be repeated in the future:
a. An unauthorized release or discharge associated with the application of pesticides (e.g., spill, leak, or
discharge not authorized by this or another NPDES permit) occurs;
b. Operators become aware, or DEP concludes, that Pest Management Measures are not adequate or
sufficient for the discharge to meet applicable water quality standards;
c. Any monitoring activities indicate failure to meet applicable technology-based effluent limitations of this
General Permit that Operators failed to implement;
d. An inspection or evaluation of your activities by DEP reveals that modifications to the Pest Management
Measures are necessary to meet the effluent limitations in the General Permit; and
e. An Operator observes, or is otherwise made aware of an adverse incident, as defined in Part A II of the
General Permit.
B.
Corrective Action Deadlines. If an Operator determines that changes to Pest Management Measures are
necessary to eliminate any situation identified in Part 1 A of this attachment, such changes must be made
before the next pesticide application that results in a discharge if practicable, or if not, as soon as possible
thereafter.
C.
Effect of Corrective Action. The occurrence of a situation identified in Part 1 A of this attachment may
constitute a violation of the permit. Correcting the situation according to Part 1 A of this attachment does not
absolve Operators of liability for any original violation. However, failure to comply with Part 1 B of this
attachment constitutes an additional permit violation. DEP will consider the appropriateness and promptness
of corrective action in determining enforcement responses to permit violations.
DEP may impose additional requirements and schedules of compliance, including requirements to submit
additional information concerning the condition(s) triggering corrective action or schedules and requirements
more stringent than specified in this permit. Those requirements and schedules will supersede those of Part
1 A and Part 1 B of the attachment if such requirements conflict.
2. Adverse Incident
A.
Twenty-Four (24)-Hour Adverse Incident Notification. Adverse Incident Notification Required.
a. Except as provided for in Part 2 E of this attachment, if an Operator observes or is otherwise made
aware of an adverse incident, as defined in Part A II of the General Permit (also Attachment A of the
Fact Sheet), which may have resulted from a discharge from a pesticide application, the Operator must
immediately notify the appropriate EPA Incident Reporting Contact, as identified at
www.epa.gov/npdes/pesticides. This notification must be made by telephone within 24 hours of the
Operator becoming aware of the adverse incident and must include at least the following information:
1. The caller‘s name and telephone number;
2. Operator name and mailing address;
3. If covered under an NOI, the NOI NPDES permit number assigned by DEP;
4. The name and telephone number of a contact person, if different than the person providing the
24-hour notice;
5. How and when the Operator became aware of the adverse incident;
6. Description of the location of the adverse incident;

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7. Description of the adverse incident identified and the pesticide product, including EPA pesticide
registration number, for each product applied in the area of the adverse incident;
8. Description of any steps the Operator has taken or will take to correct, repair, remedy, clean up, or
otherwise address any adverse effects; and
9. If known, the identity of any other Operators authorized for coverage under this permit for discharges
from the pesticide application activities that resulted in the adverse incident.
b. If an Operator is unable to notify DEP within 24 hours, the Operator must do so as soon as possible and
also provide an appropriate rationale for why the Operator was unable to provide such notification within
24 hours. DEP contact information for reporting Adverse Incident can be found by using DEP website
(
www.dep.state.pa.us
) and clicking on ―Report an Incident‖.
c. The adverse incident notification and reporting requirements are in addition to what the registrant is
required to submit under FIFRA section 6(a)(2) and its implementing regulations at 40 CFR Part 159.
B.
Adverse Incident Notification Not Required.
Reporting of adverse incidents is not required under this permit in the following situations:
a. An Operator is aware of facts that indicate that the adverse incident was not related to toxic effects or
exposure from the pesticide application;
b. An Operator has been notified by DEP, and retains such notification, that the reporting requirement has
been waived for this incident or category of incidents;
c. An Operator receives information of an adverse incident, but that information is clearly erroneous; or
d. An adverse incident occurs to pests that are similar in kind to potential target pests identified on the
FIFRA label.
C.
Thirty (30)-Day Adverse Incident Written Report.
Except as provided for in Part 2 E of this attachment, within 30 days of a reportable adverse incident
pursuant to Part 2 A of this attachment, Operators must provide a written report of the adverse incident to the
appropriate DEP Regional office and to the state lead agency for pesticide regulation (see
http://npic.orst.edu/). The adverse incident report must include at least the following information:
a. Information required to be provided in Part 2 A and B of this attachment;
b. Date and time the Operator contacted DEP notifying the Agency of the adverse incident, who the
Operator spoke with at DEP, and any instructions received from DEP;
c. Location of incident, including the names of any waters affected and appearance of those waters (sheen,
color, clarity, etc);
d. A description of the circumstances of the adverse incident including species affected, estimated number
of individual and approximate size of dead or distressed organisms;
e. Magnitude and scope of the affected area (e.g., aquatic square area or total stream distance affected);
f. Pesticide application rate; intended use site (e.g., on the bank, above waters, or directly to water);
method of application; and the name of pesticide product and EPA registration number;
g. Description of the habitat and the circumstances under which the adverse incident occurred (including
any available ambient water data for pesticides applied);
h. If laboratory tests were performed, an indication of which test(s) were performed, and when; additionally,
a summary of the test results must be provided within 5 days after they become available if not available
at the time of submission of the 30-day report;
i. Description of actions to be taken to prevent recurrence of adverse incidents; and
j. Signature, date, and certification in accordance with Part B II.B of the General Permit.

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D.
Adverse Incident to Threatened or Endangered Species or Critical Habitat.
Notwithstanding any of the other adverse incident notification requirements of this section, if an Operator
becomes aware of an adverse incident affecting a Pennsylvania Natural Diversity Inventory (PNDI) listed
threatened or endangered species or its federally designated critical habitat which may have resulted from a
discharge from the Operator‘s pesticide application, the Operator must immediately notify the PA Department
of Conservation and Natural Resources, Pennsylvania Department of Agriculture, Bureaus of Forestry and
Topographic and Geologic Survey, PA Fish and Boat Commission, PA Game Commission, and U.S. Fish
and Wildlife Service as listed in Appendix B of the Department‘s Policy for Pennsylvania Natural Diversity
Inventory (PNDI) Coordination during Permit Review and Evaluation (Document Identification
#400-0200-001). This notification must be made by telephone, to the contacts listed on EPA‘s website at
www.epa.gov/npdes/pesticides, immediately upon the Operator becoming aware of the adverse incident, and
must include at least the following information:
a. The caller‘s name and telephone number;
b. Operator name and mailing address;
c. The name of the affected species;
d. How and when the Operator became aware of the adverse incident;
e. Description of the location of the adverse incident;
f. Description of the adverse incident and the pesticide product, including the EPA pesticide registration
number, for each product applied in the area of the adverse incident; and
g. Description of any steps the Operator has taken or will take to alleviate the adverse impact to the
species.
E.
Notification and Reporting for Adverse Incidents Involving Multiple Operators.
Where multiple Operators are authorized for a discharge that results in an adverse incident, notification and
reporting by any one of the Operators constitutes compliance for all of the Operators, provided a copy of the
written report required in Part 2 C of this attachment is also provided to all of the other authorized Operators
within 30 days of the reportable adverse incident.
3. Reportable Spills and Leaks
A.
Spill, Leak, or Other Unpermitted Discharge Notification.
Where a leak, spill, or other release into waters of the Commonwealth containing a hazardous substance or
oil in an amount equal to or in excess of a reportable quantity established under either 40 CFR Part 110,
40 CFR Part 117, or 40 CFR Part 302 occurs in any 24-hour period, an Operator must notify the National
Response Center immediately at (800) 424-8802 as soon as the Operator has knowledge of the release.
Contact information must be in locations that are readily accessible and available in the area where the spill,
leak, or other unpermitted discharge may occur.
State or local requirements may necessitate also reporting spills or leaks to local emergency response,
public health, or drinking water supply agencies.
B.
Thirty-Day Spill, Leak, or Other Unpermitted Discharge Documentation.
If an Operator becomes aware of a spill, leak, or other unpermitted discharge which triggers the notification
in Part 3 A of this appendix and results in an adverse incident, then the Operator must report the incident per
the guidelines in Part 2 A and 2 B of this appendix. If the spill, leak, or other unpermitted discharge triggers
the notification in Part 3 A of this appendix, but does not result in an adverse incident, then the Operator
must document and retain the following information within 30 days of becoming aware of the situation:
a. Information required to be provided in Part 3 A;
b. Summary of corrective action taken or to be taken including date initiated and date completed or
expected to be completed; and
c. Any measures to prevent recurrence of such a spill or leak or other discharge, including notice of
whether PDMP modifications are required as a result of the spill or leak.

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C.
Other Corrective Action Documentation.
For situations identified in Part 1 A of this appendix, other than for adverse incidents (addressed in Part 2 of
this appendix), or reportable spills or leaks (addressed in Part 3 of this appendix), Operators must document
the situation triggering corrective action and planned corrective action within 30 days of becoming aware of
that situation, and retain a copy of this documentation. This documentation must include the following
information:
a. Identification of the condition triggering the need for corrective action review, including any ambient water
quality monitoring that assisted in determining that discharges did not meet water quality standards;
b. Brief description of the situation;
c. Date the problem was identified;
d. Brief description of how the problem was identified, how the Operator learned of the situation, and date
the Operator learned of the situation;
e. Summary of corrective action taken or to be taken, including date initiated and date completed or
expected to be completed; and
Any measures to prevent reoccurrence of such an incident, including notice of whether PDMP modifications are
required as a result of the incident.

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