Effluent Limitations Guidelines and Standards for the Dental Category, 63257-63286 [2014-24347]
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Vol. 79
Wednesday,
No. 204
October 22, 2014
Part III
Environmental Protection Agency
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40 CFR Parts 403 and 441
Effluent Limitations Guidelines and Standards for the Dental Category;
Proposed Rule
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Federal Register / Vol. 79, No. 204 / Wednesday, October 22, 2014 / Proposed Rules
ENVIRONMENTAL PROTECTION
AGENCY
40 CFR Parts 403 and 441
[EPA–HQ–OW–2014–0693; FRL–9911–63–
OW]
RIN 2040–AF26
Effluent Limitations Guidelines and
Standards for the Dental Category
Environmental Protection
Agency (EPA).
ACTION: Proposed rule.
AGENCY:
EPA is proposing technologybased pretreatment standards under the
Clean Water Act (CWA) for discharges
of pollutants into publicly owned
treatment works (POTWs) from existing
and new dental practices that discharge
dental amalgam. Dental amalgam
contains mercury in a highly
concentrated form that is relatively easy
to collect and recycle. Dental offices are
the main source of mercury discharges
to POTWs. Mercury is a persistent and
bioaccumulative pollutant in the
environment with well-documented
neurotoxic effects on humans. Mercury
pollution is widespread and comes from
many diverse sources such as air
deposition from municipal and
industrial incinerators and combustion
of fossil fuels. Mercury easily becomes
diffuse in the environment and mercury
pollution is a global problem. Removing
mercury from the waste stream when it
is in a concentrated and easy to handle
form like in waste dental amalgam is an
important and commonsense step to
take to prevent that mercury from being
released back into the environment
where it can become diffuse and a
hazard to humans.
The proposal would require dental
practices to comply with requirements
for controlling the discharge of mercury
and other metals in dental amalgam into
POTWs based on the best available
technology or best available
demonstrated control technology.
Specifically, the requirements would be
based on the use of amalgam separators
and best management practices (BMPs).
Amalgam separators are a practical,
affordable and readily available
technology for capturing mercury and
other metals before they are discharged
into sewers and POTWs. EPA is also
proposing to amend selected parts of the
General Pretreatment Regulations to
streamline oversight requirements for
the dental sector. EPA expects
compliance with this proposed rule
would reduce the discharge of metals to
POTWs by at least 8.8 tons per year,
about half of which is mercury. EPA
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SUMMARY:
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estimates the annual cost of the
proposed rule would be $44 to $49
million.
DATES: Comments on this proposed rule
must be received on or before December
22, 2014. Under the Paperwork
Reduction Act (PRA), comments on the
information collection provisions must
be received by the Office of
Management and Budget (OMB) on or
before November 21, 2014. EPA will
conduct a public hearing on November
10, 2014 at 1 p.m. in the William J.
Clinton Building—East Room 1153,
1201 Constitution Avenue NW.,
Washington, DC.
ADDRESSES: Submit your comments,
identified by docket identification (ID)
number EPA–HQ–OW–2014–0693 by
one of the following methods:
• https://www.regulations.gov: Follow
the on-line instructions for submitting
comments.
• Email: OW-Docket@epa.gov,
Attention Docket ID number EPA–HQ–
OW–2014–0693.
• Mail: Water Docket, Environmental
Protection Agency, Mail code: 4203M,
1200 Pennsylvania Ave. NW.,
Washington, DC 20460. Attention
Docket ID number EPA–HQ–OW–2014–
0693. Please include a total of three
copies. In addition, please mail a copy
of your comments on the information
collection provisions to the Office of
Information and Regulatory Affairs,
OMB, Attn: Desk Officer for EPA, 725
17th St. NW., Washington, DC 20503.
• Hand Delivery: Water Docket, EPA
Docket Center, EPA West Building
Room 3334, 1301 Constitution Ave.
NW., Washington, DC, Attention Docket
ID Number EPA–HQ–OW–2014–0693.
Such deliveries are only accepted
during the Docket’s normal hours of
operation, and special arrangements
should be made for deliveries of boxed
information by calling 202–566–2426.
Instructions: Direct your comments to
docket ID number EPA–HQ–OW–2014–
0693. EPA’s policy is that all comments
received will be included in the public
docket without change and may be
made available online at https://
www.regulations.gov, including any
personal information provided, unless
the comment includes information
claimed to be Confidential Business
Information (CBI) or other information
whose disclosure is restricted by statute.
Do not submit information that you
consider to be CBI or otherwise
protected through www.regulations.gov
or email. The https://
www.regulations.gov Web site is an
‘‘anonymous access’’ system, which
means EPA will not know your identity
or contact information unless you
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provide it in the body of your comment.
If you send an email comment directly
to EPA without going through https://
www.regulations.gov your email address
will be automatically captured and
included as part of the comment that is
placed in the public docket and made
available on the Internet. If you submit
an electronic comment, EPA
recommends that you include your
name and other contact information in
the body of your comment and with any
disk or CD–ROM you submit. If EPA
cannot read your comment due to
technical difficulties and cannot contact
you for clarification, EPA may not be
able to consider your comment.
Electronic files should avoid the use of
special characters, any form of
encryption, and be free of any defects or
viruses.
Docket: All documents in the docket
are listed in the https://
www.regulations.gov index. A detailed
record index, organized by subject, is
available on EPA’s Web site at https://
water.epa.gov/scitech/wastetech/guide/
dental/index.cfm. Although listed in the
index, some information is not publicly
available, e.g., CBI or other information
whose disclosure is restricted by statute.
Certain other material, such as
copyrighted material, will be publicly
available only in hard copy. Publicly
available docket materials are available
either electronically in https://
www.regulations.gov or in hard copy at
the Water Docket in the EPA Docket
Center, EPA/DC, EPA West William
Jefferson Clinton Bldg., Room 3334,
1301 Constitution Ave. NW.,
Washington, DC. The Public Reading
Room is open from 8:30 a.m. to 4:30
p.m., Monday through Friday, excluding
legal holidays. The telephone number
for the Public Reading Room is 202–
566–1744, and the telephone number for
the Water Docket is 202–566–2426.
Pretreatment Hearing Information:
EPA will conduct a public hearing on
the proposed pretreatment standards on
November 10, 2014 at 1:00 p.m. in the
William Jefferson Clinton Building EPA
East Building—East Room 1153, 1201
Constitution Avenue NW., Washington,
DC. No registration is required for this
public hearing. During the pretreatment
hearing, the public will have an
opportunity to provide oral comment to
EPA on the proposed pretreatment
standards. EPA will not address any
issues raised during the hearing at that
time but these comments will be
included in the public record for the
rule. For security reasons, we request
that you bring photo identification with
you to the meeting. Also, if you let us
know in advance of your plans to
attend, it will expedite the process of
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signing in. Seating will be provided on
a first-come, first-served basis. Please
note that parking is very limited in
downtown Washington, and use of
public transit is recommended. The EPA
Headquarters complex is located near
the Federal Triangle Metro station.
Upon exiting the Metro station, walk
east to 12th Street. On 12th Street, walk
south to Constitution Avenue. At the
corner, turn right onto Constitution
Avenue and proceed to the EPA East
Building entrance.
FOR FURTHER INFORMATION CONTACT:
Damon Highsmith, Engineering and
Analysis Division (4303T), Office of
Water, Environmental Protection
Agency, 1200 Pennsylvania Ave. NW.,
Washington, DC 20460–0001; telephone:
202–566–2504; email:
highsmith.damon@epa.gov.
SUPPLEMENTARY INFORMATION:
Table of Contents
I. Regulated Entities
II. How To Submit Comments
III. Supporting Documentation
IV. Overview
V. Legal Authority
VI. Purpose and Summary of Proposed Rule
VII. Solicitation of Data and Comments
VIII. Background
IX. Description of the Dental Industry
X. Summary of Data Collection
XI. Wastewater Characteristics, Dental Office
Configurations, and Technology Options
XII. Scope/Applicability
XIII. Subcategorization
XIV. Proposed Regulation
XV. Technology Costs
XVI. Economic Impact Analysis
XVII. Pollutant Reductions to POTWs and
Surface Waters
XVIII. Cost Effectiveness
XIX. Environmental Assessment
XX. Non-Water Quality Environmental
Impacts Associated With the Proposed
Technology Basis
XXI. Implementation and Proposed Changes
to General Pretreatment Regulations in
40 CFR Part 403
XXII. Statutory and Executive Order Reviews
I. Regulated Entities
Entities potentially regulated by this
action include:
North American
Industry
Classification System (NAICS) code
Category
Example of regulated entity
Industry ....................................................
A general dentistry practice or large dental facility where mercury amalgam is
placed or removed.
Where they are the Control Authority 1 ...................................................................
POTWs and other municipally owned facilities that receive pollutants from dental
offices.
States ......................................................
Municipalities ...........................................
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This section is not intended to be
exhaustive, but rather provides a guide
for readers regarding entities likely to be
regulated by this proposed action. Other
types of entities that do not meet the
above criteria could also be regulated.
To determine whether your facility
would be regulated by this proposed
action, you should carefully examine
the applicability criteria listed in
§ 441.10 and the definitions in § 441.20
of this proposed rule and detailed
further in Section XII of this preamble.
If you still have questions regarding the
proposed applicability of this action to
a particular entity, consult the person
listed under FOR FURTHER INFORMATION
CONTACT.
II. How To Submit Comments
The public may submit comments in
written or electronic form. (see
ADDRESSES). Electronic comments must
be identified by the docket ID number
EPA–HQ–OW–2014–0693 and must be
submitted as a WordPerfect, MS Word
or ASCII text file, avoiding the use of
special characters and any form of
encryption. EPA requests that any
graphics included in electronic
comments also be provided in hardcopy form. EPA also will accept
comments and data on disks in the
aforementioned file formats. Electronic
comments received on this document
may be filed online at many Federal
Depository Libraries. No CBI should be
sent by email.
III. Supporting Documentation
The proposed rule is supported by a
number of documents including:
• Technical and Economic
Development Document for Proposed
Effluent Limitations Guidelines and
Standards for the Dental Category
(TEDD), Document No. EPA–821–R–14–
006.
The TEDD summarizes the technical
and economic analysis described in this
document. The TEDD and additional
records are available in the public
record for this proposed rule and on
EPA’s Web site at https://water.epa.gov/
scitech/wastetech/guide/dental/
index.cfm. They are available in hard
copy from the National Service Center
for Environmental Publications
(NSCEP), U.S. EPA/NSCEP, P.O. Box
42419, Cincinnati, Ohio 45242–2419,
telephone 800–490–9198, https://
epa.gov/ncepihom.
IV. Overview
The preamble describes the terms,
acronyms, and abbreviations used in
this document; the background
documents that support these proposed
regulations; the legal authority for the
proposed rules; a summary of the
options considered for the proposal;
background information; and the
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621210
221320
221320
technical and economic methodologies
used by the Agency to develop these
proposed regulations. This preamble
also solicits comment and data on
specific areas of interest.
V. Legal Authority
EPA is proposing this regulation
under the authorities of sections 101,
301, 304, 306, 307, 308, and 501 of the
CWA, 33 U.S.C. 1251, 1311, 1314, 1316,
1317, 1318, 1342 and 1361 and pursuant
to the Pollution Prevention Act of 1990,
42 U.S.C. 13101 et seq.
VI. Purpose and Summary of Proposed
Rule
Across the United States, many states
and POTWs (also referred to as
municipal wastewater treatment plants)
are working toward the goal of reducing
discharges of mercury to POTWs.
Mercury is a persistent and
bioaccumulative pollutant with welldocumented effects on human health.
On November 6, 2013, the United States
joined the Minamata Convention on
Mercury, a new multilateral
environmental agreement not yet in
force that addresses specific human
activities that are contributing to
widespread mercury pollution. The
agreement identifies dental amalgam as
a mercury-added product for which
certain measures should be taken.
Specifically, the Convention lists nine
1 See Section XXI for a definition of Control
Authority.
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measures for phasing down the use of
mercury in dental amalgam, including
promoting the use of best environmental
practices in dental facilities to reduce
releases of mercury and mercury
compounds to water and land. Nations
that are parties to the Convention are
required to implement at least two of
the nine measures to address dental
amalgam.
Many studies have been conducted in
an attempt to identify the sources of
mercury entering POTWs. According to
the 2002 Mercury Source Control and
Pollution Prevention Program Final
Report (DCN DA00006) prepared by the
National Association of Clean Water
Agencies (NACWA), dentists are the
main source of mercury discharges to
POTWs. A study funded by the
American Dental Association (ADA)
published in 2005 estimated that 50% of
mercury entering POTWs was
contributed by dental offices (DCN
DA00163). Mercury is discharged in the
form of dental amalgam when dentists
remove old amalgam fillings from
cavities, and from excess amalgam
removed when a dentist places a new
filling.
EPA estimates that across the United
States 4.4 tons of mercury from waste
dental amalgam are collectively
discharged into POTWs annually.
Mercury at POTWs frequently partitions
to the sludge, the solid material that
remains after wastewater is treated.
Mercury from amalgam can then make
its way into the environment through
the incineration, landfilling, or land
application of sludge or through surface
water discharge. Once deposited, certain
microorganisms can change mercury
into methylmercury, a highly toxic form
of mercury that accumulates in fish,
shellfish, and animals that eat fish. Fish
and shellfish are the main sources of
methylmercury exposure to humans.
Today’s proposed pretreatment
standards would control mercury
discharges to POTWs by requiring
dentists to reduce their discharge of
dental amalgam to a level achievable
through the use of the best available
technology (a combination of amalgam
separators and the use of BMPs. In order
to simplify compliance with, and
enforcement of, the numeric reduction
requirements, the proposed rule would
allow dentists to demonstrate
compliance through the proper use of
amalgam separators rather than through
discharge monitoring. Removing
concentrated sources of mercury waste
opportunistically, such as through lowcost amalgam separators at dental
offices (average annual cost per dental
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office: $700 2), is a common sense
solution to managing mercury where it
is most concentrated within the waste
stream that would otherwise be released
to air, land, and water.
Additionally, EPA is proposing to
amend selected parts of the General
Pretreatment Regulations (40 CFR part
403) in order to streamline permitting
and oversight requirements specific to
the dental sector. The number of dental
offices that would likely be subject to
national pretreatment standards is
approximately ten times the current
number of Categorical Industrial Users
(CIUs). The proposed changes to 40 CFR
part 403 reflect EPA’s recognition that
the current regulatory framework needs
to be adjusted for the effective
implementation and enforcement of
these pretreatment requirements
affecting the dental industry. When
categorical pretreatment requirements
apply to an industry, it creates certain
oversight requirements. While other
industries subject to categorical
pretreatment requirements typically
consist of tens to hundreds of facilities,
the dental industry consists of
approximately 100,000 facilities,
making oversight of this large number of
facilities subject to categorical
pretreatment standards much more
challenging.
VII. Solicitation of Data and Comments
EPA solicits comments on the
proposed rule, including EPA’s
rationale as described in this preamble.
EPA seeks comments on issues
specifically identified in this document
as well as any other issues that are not
specifically addressed in this document.
Comments are most helpful when
accompanied by specific examples and
supporting data. Specifically, EPA
solicits information and data on the
following topics.
1. Data demonstrating the
effectiveness of polishing, or the use of
sorbent columns after solids separation,
in reducing mercury discharges from
dental offices.
2. Data on costs, performance,
affordability and availability of
polishing in combination with amalgam
separators.
3. Ways for dental offices to
demonstrate compliance with this
proposed rule, and how much reporting
should be required.
4. Information on EPA’s approach for
addressing offices where no dental
amalgam is applied or removed, and its
approach for offices that already employ
2 This estimate is based on the average annualized
cost for dentists that do not currently have an
amalgam separator. See DCN DA00145.
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a separator (including cases where the
separator was installed as a result of a
program required by a state or other
locality and where the separator has a
certified removal efficiency that is lower
than 99.0%).
5. Information on the frequency of
emergency removals at dental offices
that do not routinely place or remove
amalgam.
6. EPA seeks comment on its
approach for addressing offices where
no dental amalgam is placed or removed
except in limited emergency
circumstances, and its approach for
offices that have already installed an
amalgam separator.
7. EPA proposes an inspection
frequency of at least once per month to
ensure proper operation and
maintenance of the amalgam separator.
EPA solicits comment on this frequency
as well as others, and justifications for
alternative approaches.
8. Data on the number of dentists in
practices potentially subject to this rule
that do not place or remove dental
amalgam and on the number of dentists
in practices excluded from the proposed
rule such as oral pathology, oral and
maxillofacial radiology, oral and
maxillofacial surgery, orthodontics,
periodontics, and prosthodontics. EPA
also solicits comment on its estimate of
the number of dentists in dental
specialties that are not subject to this
proposed rule.
9. Other technologies not discussed in
this proposed rule that have
demonstrated an ability to reduce
discharges of mercury from dental
offices and their associated costs.
10. Data regarding EPA’s analysis of
clinics and very large facilities.
11. EPA’s proposed revisions to 40
CFR part 403, including revisions to
create the DIU category, and the means
of evaluating ongoing compliance for
the purposes of maintaining the DIU
designation.
12. Information about mobile facilities
used to treat patients. EPA seeks
information on the number, size,
operation and financial characteristics
of mobile facilities that offer dental
treatment.
13. EPA’s estimate of the number of
large institutional practices, including
large facilities operated by the Federal
Government, and the characteristics
(chair size, number of practitioners,
currently employed mercury reduction
approaches, incremental cost of
proposed requirements) of these
facilities.
14. Additional information on
equipment needs and costs for starting
a dental practice including information
on the life of the dental equipment.
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15. Additional information on low
revenue dental offices and if they could
represent baseline closures (see
discussion in Section XVI).
16. Additional information on the
location and characteristics of low
revenue dental offices ((1) single-dentist
and/or part-time businesses that provide
services as a subcontractor on an
independent fee-for-service basis (2)
non-profit groups, or (3) non-viable as
for-profit businesses).
17. Information on requiring an
efficiency that exceeds the ISO
standard.
18. The proposal would greatly
reduce potential requirements that
would otherwise apply to control
authorities with respect to dental
dischargers. EPA solicits comments on
its estimate of burden and costs
associated with these reduced
requirements. In particular, EPA solicits
data from control authorities located in
municipalities or states where similar
mandatory dental amalgam reduction
programs exist.
VIII. Background
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A. Clean Water Act
Congress passed the Federal Water
Pollution Control Act Amendments of
1972, also known as the Clean Water
Act, to ‘‘restore and maintain the
chemical, physical, and biological
integrity of the Nation’s waters.’’ (33
U.S.C. 1251(a)). The CWA establishes a
comprehensive program for protecting
our nation’s waters. Among its core
provisions, the CWA prohibits the
discharge of pollutants from a point
source to waters of the U.S. except as
authorized under the CWA. Under
section 402 of the CWA, EPA authorizes
discharges by a National Pollutant
Discharge Elimination System (NPDES)
permit. The CWA also authorizes EPA
to establish national technology-based
effluent limitations guidelines and
standards (effluent guidelines or ELGs)
for discharges from different categories
of point sources, such as industrial,
commercial, and public sources.
Congress recognized that regulating
only those sources that discharge
effluent directly into the nation’s waters
would not be sufficient to achieve the
CWA’s goals. Consequently, the CWA
requires EPA to promulgate nationallyapplicable pretreatment guidelines and
standards that restrict pollutant
discharges from facilities that discharge
wastewater indirectly through sewers
flowing to POTWs. (see CWA sections
304(g), 307(b) and (c), 33 U.S.C. 1314(g),
and 1317(b) and (c)). National
pretreatment standards are established
for those pollutants in wastewater from
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indirect dischargers that may pass
through, interfere with or are otherwise
incompatible with POTW operations.
Generally, pretreatment standards are
designed to ensure that wastewaters
from direct and indirect industrial
dischargers are subject to similar levels
of treatment. In addition, POTWs are
required to implement local treatment
limits applicable to their industrial
indirect dischargers to satisfy any local
requirements. (see 40 CFR 403.5).
Direct dischargers must comply with
effluent limitations in NPDES permits.
Indirect dischargers, who discharge
through POTWs, must comply with
pretreatment standards. Technologybased effluent limitations in NPDES
permits are derived from effluent
limitations guidelines (CWA sections
301 and 304) and new source
performance standards (CWA section
306) promulgated by EPA, or based on
best professional judgment where EPA
has not promulgated an applicable
effluent guideline or new source
performance standard. Additional
limitations based on water quality
standards (CWA sections 301(b)(1)(C)
and 303) may also be included in the
permit in certain circumstances. The
ELGs are established by regulation for
categories of industrial dischargers and
are based on the degree of control that
can be achieved using various levels of
pollution control technology.
EPA promulgates national effluent
limitations guidelines and standards of
performance for major industrial
categories for three classes of pollutants:
(1) Conventional pollutants (total
suspended solids, oil and grease,
biochemical oxygen demand, fecal
coliform, and pH); (2) toxic pollutants
(e.g., toxic metals such as chromium,
lead, mercury, nickel, and zinc; toxic
organic pollutants such as benzene,
benzo-a-pyrene, phenol, and
naphthalene) as specified in CWA
section 307 and; (3) non-conventional
pollutants, those pollutants that are
neither conventional nor toxic (e.g.,
ammonia-N, formaldehyde, and
phosphorus).
B. Effluent Guidelines and Standards
Program
Effluent limitations guidelines and
standards are technology-based
regulations that are developed by EPA
for a category of dischargers. These
regulations are based on the
performance of control and treatment
technologies. The legislative history of
CWA section 304(b), describes the need
to achieve progressively higher levels of
control through research and
development of new processes,
modifications, replacement of obsolete
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plans and processes, and other
improvements in technology, taking into
account the cost of controls. Congress
also directed that EPA not consider
water quality impacts on individual
water bodies as the guidelines are
developed. See Statement of Senator
Muskie (Oct. 4, 1972), reprinted in
Legislative History of the Water
Pollution Control Act Amendments of
1972, at 170. (U.S. Senate, Committee
on Public Works, Serial No. 93–1,
January 1973.)
There are standards applicable to
direct dischargers (dischargers to
surface waters), and standards
applicable to indirect dischargers
(discharges to publicly owned treatment
works or POTWs). The standards
relevant to this rulemaking are
summarized here.
1. Best Available Technology
Economically Achievable (BAT)
BAT effluent limitations guidelines
apply to direct dischargers of toxic and
nonconventional pollutants. In general,
BAT effluent limitations guidelines
represent the best economically
achievable performance of facilities in
the industrial subcategory or category.
The factors considered in assessing BAT
include the cost of achieving BAT
effluent reductions, the age of
equipment and facilities involved, the
process employed, potential process
changes, and non-water quality
environmental impacts including energy
requirements, and such other factors as
the Administrator deems appropriate.
The Agency has considerable discretion
in assigning the weight to be accorded
these factors. An additional statutory
factor considered in setting BAT is
economic achievability. Generally, EPA
determines economic achievability on
the basis of total costs to the industry
and the effect of compliance with BAT
limitations on overall industry and
subcategory financial conditions. Where
existing performance is uniformly
inadequate, BAT may reflect a higher
level of performance than is currently
being achieved based on technology
transferred from a different subcategory
or category. BAT may be based upon
process changes or internal controls,
even when these technologies are not
common industry practice.
2. New Source Performance Standards
(NSPS)
NSPS reflect effluent reductions that
are achievable based on the best
available demonstrated control
technology. Owners of new facilities
have the opportunity to install the best
and most efficient production processes
and wastewater treatment technologies.
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As a result, NSPS should represent the
most stringent controls attainable
through the application of the best
available demonstrated control
technology for all pollutants (that is,
conventional, nonconventional, and
priority pollutants). In establishing
NSPS, EPA is directed to take into
consideration the cost of achieving the
effluent reduction and any non-water
quality environmental impacts and
energy requirements.
3. Pretreatment Standards for Existing
Sources (PSES)
Pretreatment standards apply to
discharges of pollutants to POTWs
rather than discharges to waters of the
United States. Pretreatment Standards
for Existing Sources are designed to
prevent the discharge of pollutants that
pass through, interfere with, or are
otherwise incompatible with the
operation of POTWs, including sludge
disposal methods of POTWs. Categorical
pretreatment standards for existing
sources are technology-based and are
analogous to BAT effluent limitations
guidelines.
The General Pretreatment
Regulations, which set forth the
framework for the implementation of
categorical pretreatment standards, are
found at 40 CFR part 403.
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4. Pretreatment Standards for New
Sources (PSNS)
Like PSES, PSNS are designed to
prevent the discharges of pollutants that
pass through, interfere with, or are
otherwise incompatible with the
operation of POTWs. New indirect
discharges have the opportunity to
incorporate into their facilities the best
available demonstrated technologies.
The Agency typically considers the
same factors in promulgating PSNS as it
considers in promulgating NSPS.
5. BMPs
Section 304(e) of the CWA authorizes
the Administrator to publish
regulations, in addition to effluent
limitations guidelines and standards for
certain toxic or hazardous pollutants,
‘‘to control plant site runoff, spillage or
leaks, sludge or waste disposal, and
drainage from raw material storage
which the Administrator determines are
associated with or ancillary to the
industrial manufacturing or treatment
process . . . and may contribute
significant amounts of such pollutants
to navigable waters.’’ In addition,
section 304(g), read in concert with
section 501(a), authorizes EPA to
prescribe as wide a range of
pretreatment requirements as the
Administrator deems appropriate in
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order to control and prevent the
discharge into navigable waters either
directly or through POTWs any
pollutant which interferes with, passes
through, or otherwise is incompatible
with such treatment works. (see also
Citizens Coal Council v. U.S. EPA, 447
F3d 879, 895–96 (6th Cir. 2006)
(upholding EPA’s use of non-numeric
effluent limitations and standards);
Waterkeeper Alliance, Inc. v. U.S. EPA,
399 F.3d 486, 496–97, 502 (2d Cir. 2005)
(EPA use of non-numerical effluent
limitations in the form of BMPs are
effluent limitations under the CWA);
and Natural Res. Def. Council, Inc. v.
EPA, 673 F.2d 400, 403 (D.C. Cir. 1982)
(‘‘section 502(11) [of the CWA] defines
‘effluent limitation’ as ‘any restriction’
on the amounts of pollutants
discharged, not just a numerical
restriction.’’)
C. The National Pretreatment Program,
40 CFR Part 403
The General Pretreatment Regulations
of 40 CFR part 403 establish
responsibilities among federal, state,
local government, industry, and the
public to implement pretreatment
standards to control pollutants that pass
through or interfere with the POTW
treatment processes or that can
contaminate sewage sludge. The
regulations, which have been revised
numerous times since originally
published in 1978, consist of 20 sections
and seven appendices. The General
Pretreatment Regulations use two terms
describing oversight responsibilities
under those regulations. One is the term
Control Authority. The ‘‘Control
Authority’’ refers to the POTW if the
POTW has an approved Pretreatment
Program, or the Approval Authority if
the program has not been approved. The
term Approval Authority describes the
party with responsibility to administer
the National Pretreatment Program,
which is either a state with an approved
state Pretreatment Program or, in a state
without an approved Pretreatment
Program, the EPA region for that state
(40 CFR 403.3(f)). An approved
Pretreatment Program is comprised of
legal authorities, procedures, funding,
local limits, enforcement response plan,
and the list of significant industrial
users (SIUs), together which the Control
Authority uses to implement the
General Pretreatment Regulations. The
General Pretreatment Regulations apply
to all nondomestic sources that
introduce pollutants into a POTW.
These sources of indirect discharges are
more commonly referred to as Industrial
Users (IUs). All IUs are subject to
general pretreatment standards (40 CFR
part 403), including a prohibition on
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discharges causing ‘‘pass through’’ or
‘‘interference’’ (i.e., cause the POTW to
violate its permits limits, or interfere
with the operation of the POTW or the
beneficial use of its sewage sludge). All
POTWs with approved Pretreatment
Programs must develop local limits to
implement the general pretreatment
standards. All other POTWs must
develop such local limits where they
have experienced ‘‘pass through’’ or
‘‘interference’’ and such a violation is
likely to recur. There are approximately
1,500 POTWs with approved
Pretreatment Programs and 13,500 small
POTWs that are not required to develop
and implement Pretreatment Programs.
D. State and Local Requirements
Currently, 12 states (Connecticut,
Louisiana, Maine, Massachusetts,
Michigan, New Hampshire, New Jersey,
New York, Oregon, Rhode Island,
Vermont, and Washington) have
implemented mandatory programs to
reduce dental mercury discharges.3
Additionally, at least 19 localities
similarly have mandatory dental
reduction pretreatment programs. These
mandatory programs require the use of
amalgam separators and BMPs. Removal
efficiency requirements for separators in
mandatory program jurisdictions vary
from 95% to 99%. A full list of
jurisdictions with mandatory separator
requirements can be found in the TEDD
for this proposed rulemaking.
Later in this document, EPA estimates
costs and economic impacts for this
proposed rule. In order to do so, EPA
needed to estimate baseline compliance,
or those dental offices that already have
amalgam separators installed, and,
therefore, would incur lower costs and
impacts from the proposed rule. In order
to estimate baseline compliance, EPA
distributed the number of dental offices
shown in Table IX–1 of Section IX by
state,4 based on the 2007 Economic
Census. Because EPA has no data to
indicate otherwise, EPA assumes 100%
compliance in the 12 states that require
amalgam separators. For states without
mandatory programs, EPA assumed that
20% of dentists have voluntarily
installed amalgam separators. As a
result, EPA estimates approximately
40% of dental offices, nationally, have
amalgam separators installed (DCN
DA00146). EPA, however, welcomes
data and comment on this assumption.
3 New Mexico has a similar program that is
scheduled to go into effect in 2015.
4 Puerto Rico, the Virgin Islands, Pacific Islands
and Tribal Nations are not included in this analysis.
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E. 2008 Memorandum of Understanding
on Reducing Mercury Discharges
In December 2008, EPA signed a
Memorandum of Understanding (MOU)
with the ADA and the NACWA to
establish and monitor the effectiveness
of a Voluntary Dental Amalgam
Discharge Reduction Program. The
purpose of the MOU is to encourage
dental offices to voluntarily install and
properly maintain amalgam separators,
and recycle the collected amalgam
waste. Although EPA has not conducted
a formal evaluation of the effectiveness
of the MOU, EPA is proposing National
Pretreatment Standards to accomplish
the goals of the MOU in a more
predictable timeframe than a voluntary
approach.
F. ADA BMPs and Support for a
National Rulemaking
ADA encourages dentists to handle
mercury and mercury amalgam in a
manner that is consistent with ADA’s
‘‘Best Management Practices for
Amalgam Waste.’’ ADA’s BMPs are
designed to reduce the amount of
mercury entering the environment.
Practices encouraged by these BMPs
include reducing the volume of bulk
elemental mercury in dentists’ offices,
encouraging dentists to recycle amalgam
to the greatest extent possible,
preventing mercury from being disposed
of in medical waste bags, and
preventing amalgam from entering the
wastewater stream. In 2007, ADA added
the use of amalgam separators to their
BMPs. See DCN DA00165.
In late 2010, ADA’s Board of Directors
adopted nine principles upon which
ADA supported National Pretreatment
Standards for dental facilities. See DCN
DA00137.
IX. Description of the Dental Industry
The industry category that would be
affected by this proposed rule is Offices
of Dentists (NAICS 621210), which
comprises establishments of health
practitioners primarily engaged in the
independent practice of general or
specialized dentistry, or dental surgery.
These practitioners operate individual
or group practices in their own offices
or in the offices of others, such as
hospitals or health maintenance
organization medical centers. They can
provide either comprehensive
preventive, cosmetic, or emergency care,
or specialize in a single field of
dentistry.
According to the 2007 Economic
Census, there were 127,057 U.S. dental
offices owned or operated by 121,048
dental firms.5 Only 2% of all dental
firms were multi-unit with the vast
majority being single-unit. The growth
of the number of dental offices has
remained steady over the past decade
with an average increase of 1% per year.
The industry includes mostly small
businesses with an estimated 99.8% of
all offices falling below the Small
Business Administration (SBA) size
standard ($7 million in annual revenue).
Average revenues for offices were
estimated at $739,280 per year with an
average of 6.50 employees per
establishment.
According to ADA data,
approximately 80% of the dental
industry engages in general dentistry.
Approximately 20% are specialty
dentists such as periodontics,
orthodontics, radiology, maxillofacial
surgery, endodontists, or prosthodontics
(DCN DA00123).
One way to categorize dental offices is
based on the number of chairs in each
facility. The 2007 Economic Census
does not provide information on the
distribution of dental offices by the
number of chairs in each office.
However, two studies, the ADA
National Study and a Colorado Study,
demonstrate distribution of dentist
offices by number of chairs (DCN
DA00141 and DCN DA00149). EPA used
these two sources of data to correlate the
number of chairs per office to the
revenue range of dental offices. EPA
averaged the correlation of these two
studies. The results are reported in table
IX–1:
TABLE IX–1—NUMBER OF DENTAL OFFICES BY NUMBER OF CHAIRS
Number of offices by chair size
Number of chairs
ADA survey
Total ......................................................................................................................................
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1–2 chairs ....................................................................................................................................
3 chairs ........................................................................................................................................
4 chairs ........................................................................................................................................
5 chairs ........................................................................................................................................
6 chairs ........................................................................................................................................
7+ chairs ......................................................................................................................................
Dentistry may also be performed at
larger institutional dental service
facilities (e.g., clinics or dental schools).
These facilities are not included in the
2007 Economic Census data. EPA
estimates 130 dental institutional
facilities exist nationwide. EPA
recognizes that large facilities also may
exist at installations operated by the
Federal Government, specifically the
Department of Defense. While EPA
intends such facilities would be subject
to today’s proposed rule, EPA does not
have information to estimate the
number of such facilities.
EPA currently lacks a central database
on reported discharges from dental
offices/clinics. Often, EPA looks to
information in the Toxic Release
Inventory (TRI) and Discharge
Monitoring Report (DMR) databases to
gather information on industrial
discharges. However, no dental offices/
clinics (NAICS Code 621210) are
5 A firm is a business organization, such as a sole
proprietorship, partnership, or corporation.
13,694
47,698
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Average
19,079
10,700
27,821
32,102
15,694
9,399
14,143
12,197
25,835
27,976
15,194
12,047
16,611
109,859
109,859
109,859
29,388
6 EPA recognizes that some dental facilities may
discharge to a septic system. This proposed rule
does not apply to such discharges.
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Colorado
survey
required to report releases to TRI. EPA
identified only five dental offices that
have National Pollutant Discharge
Elimination System (NPDES) permit
information. All dental offices were
classified as minor dischargers. EPA has
not found any DMR data indicating that
any significant number of dental offices
discharge directly to waters of the U.S.
Therefore, EPA is not proposing effluent
limits for direct dischargers.6
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Federal Register / Vol. 79, No. 204 / Wednesday, October 22, 2014 / Proposed Rules
X. Summary of Data Collection
In developing this proposed rule, EPA
primarily used data previously collected
for its Health Services Detailed Study
including information submitted in
public comments on the study. EPA also
collected information and data through
outreach to a number of stakeholders.
The following describes EPA’s outreach
and additional data sources for this
proposed rule.
A. Health Services Industry Detailed
Study on Dental Amalgam
In 2008, EPA published its Health
Services Industry Detailed Study on
Dental Amalgam. In the study, EPA
compiled information on mercury
discharges from dental offices, BMPs,
and amalgam separators. For amalgam
separators, EPA examined the frequency
with which they were used; their
effectiveness in reducing discharges to
POTWs; and the capital and annual
costs associated with their installation
and operation. EPA also conducted a
POTW pass-through analysis on
mercury for the industry. This proposed
rule relies heavily on data collected for
the study (including information
submitted in public comments on the
study).
B. Environmental Council of the States
(ECOS)
EPA participated in several meetings
with the Quicksilver Caucus (QSC) of
ECOS. From QSC, EPA collected
information on implementing
mandatory amalgam separator programs
at the state level, mandatory program
language, and information on
compliance reporting and monitoring.
QSC also provided EPA with
information on efficiency standards for
amalgam separators. See DCN DA00158.
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C. Environmental Organizations
EPA met with a coalition of
environmental organizations, led by the
Environmental Law and Policy Center
and the Natural Resources Defense
Council. Meetings between EPA and the
coalition of environmental organizations
focused on identifying impacts of
discharges of dental amalgam to the
environment. In Spring 2011, the
coalition submitted a letter listing its
suggested BMPs for this proposed rule.
See DCN DA00136.
D. ADA
EPA met with the ADA in 2010 and
2011. ADA submitted data to EPA on its
principles for addressing mercury
discharges from dentists, the
proportions of specialties in the
industry, the geographic distribution of
dentists, financial characteristics of the
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industry, and operating characteristics
of the industry. See DCN DA00137.
E. NACWA
EPA met with NACWA in 2010 and
2011 to discuss the impact of
pretreatment standards on POTWs.
NACWA provided EPA information on
its members’ experiences with handling
mercury pollution from dental facilities,
implementing pretreatment programs
for dental facilities, and its experiences
implementing pretreatment standards
for industries with similar
characteristics to the dental sector.
NACWA also provided EPA with
information on the burden to permitting
authorities that would be associated
with implementing a dental amalgam
pretreatment standard under the
existing requirements in 40 CFR part
403. See DCN DA00144.
F. Amalgam Separator Manufacturers
EPA met with, or participated in calls
with, representatives of multiple
amalgam separator manufacturers. The
purpose of the meetings was to
understand how amalgam separators
work, limitations of the technology,
manufacturers’ distribution methods,
installation requirements, capital and
operation and maintenance costs,
operation and maintenance
requirements, effectiveness, equipment
lifetime, amalgam disposal or recycling
practices, manufacturing capacity, and
installation trends.
G. Air Force Study
In anticipation of this proposed rule,
the United States Air Force’s Dental
Evaluation and Consultation Service
compiled a synopsis of commonly used
amalgam separator systems. The
synopsis describes whether or not the
separator is International Organization
for Standardization (ISO) 11143
certified, the installation requirements,
the design capacity, maintenance
requirements for each model, the
availability of recycling services by the
manufacturer, size, price, and warranty
details. EPA incorporated these data
into the technology cost analysis. The
synopsis can be found in the TEDD for
this proposed rule.
XI. Wastewater Characteristics, Dental
Office Configurations, and Technology
Options
A. Wastewater Sources and Wastewater
Characteristics
Dental amalgam consists of
approximately 49% mercury by weight.
Mercury is the only metal that is in its
liquid phase at room temperature, and
it bonds well with powdered alloy. This
contributes to its durability in dental
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amalgam. The other half of dental
amalgam is usually composed of 35%
silver, 9% tin, 6% copper, 1% zinc and
small amounts of indium and palladium
(DCN DA00131). Sources of mercury
discharges generally occur in the course
of two categories of activities. The first
category of discharges may occur in the
course of treating a patient, such as
during the placement or removal of a
filling. When filling a cavity, dentists
overfill the tooth cavity so that the
filling can be carved to the proper
shape. The excess amalgam is typically
rinsed into a chair-side drain, or
suctioned out of the patient’s mouth. In
addition to filling new cavities, dentists
also remove old cavity restorations that
are worn or damaged. Removed
restorations also may be rinsed into the
chair-side drain or suctioned out of the
patient’s mouth. The second category of
mercury discharges occur in the course
of activities not directly involved with
the placement or removal of dental
amalgam. Preparation of dental
amalgam, disposing of excess amalgam,
and flushing vacuum lines with
corrosive chemicals present
opportunities for mercury from dental
amalgam to be discharged.
B. Dental Office Configurations
The typical plumbing configuration in
a dental office consists of a chair-side
trap for each chair, and a central
vacuum pump with a vacuum pump
filter. Chair-side traps and vacuum
pump filters remove approximately 78%
of dental amalgam particles from the
wastewater stream (DCN DA00163).
Offices with multiple chairs typically
share the vacuum lines between chairs.
Accordingly, this limits the locations for
installation of control and treatment
technologies. Controls may be installed:
At or near each individual chair; within
the vacuum system piping; at a central
location upstream of the vacuum pump;
or at the exit of the air/water separator
portion of the vacuum system. Physical
office and building configurations may
pose additional considerations, such as
space limitations, electrical power
accessibility, and existing sewer
connections. In the case of very large
offices, clinics, and medical buildings, it
may be possible to combine waste flows
between offices to share or reduce costs.
C. Control and Treatment Technologies
and Best Management Practices
As described previously, one source
of the discharge of mercury from dental
amalgam occurs when dental amalgam
enters the chair-side drain, or is
suctioned from the patient’s mouth. The
wastewater then travels through the
dental facility’s vacuum system. EPA
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identified two major technologies that
intercept dental amalgam at this point,
before it is discharged from the dental
office and flows to the POTW:
Separators and ion exchange. EPA also
identified several BMPs which, when
employed along with the use of the
technologies discussed below, further
reduce the discharge of dental amalgam
from activities not directly related to the
placement or removal of dental
amalgam.
1. Amalgam Separators
An amalgam separator is a device
designed to remove solids from dental
office wastewater. The amalgam
separator is placed at some point in the
vacuum line, before the vacuum line
intersects with plumbing in other parts
of the building, and separates solids
from wastewater. Most separator designs
rely on the force of the dental facility’s
vacuum to draw wastewater into the
separator. However, the separation of
solids from the wastewater and the exit
of the wastewater from the separator
will vary by design of the separator.
Practically all amalgam separators on
the market today use sedimentation
processes. The high specific gravity of
amalgam allows effective separation of
amalgam from suspension in
wastewater. Baffles or tanks can reduce
the speed of the wastewater flow,
allowing more amalgam particles to
settle out. After the solids settle, the
wastewater is either pumped out,
decanted during servicing, or is pulled
through the separator. Sedimentationbased separators are often used over
other separation technologies for their
operational simplicity.
Some amalgam separators may
combine filtration with separation.
Different types of filtration units can be
employed to remove additional
amalgam particles. The amalgam
separator may also be designed to
operate horizontally where wastewater
is drawn into one side of the separator,
filtered, and then exits the opposite side
of the separator. This type of separator
is designed to be completely replaced
once it reaches its design solids holding
capacity. In addition to combined
separation and filtration units, EPA is
aware of at least one type of separator
that utilizes centrifugation. A
centrifuge-based separator spins the
water so that the heavier amalgam
particles are forced to the sides of the
separator.
A few amalgam separators combine
sedimentation (with or without
filtration) with ion exchange in the same
unit. This type of separator additionally
includes a chelating agent or proprietary
resin. This type of separator often
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requires special cleaning or additives to
maintain efficiency.
The typical amalgam separator will
operate in one of two ways. A twochambered separator is a design
consisting of a base permanently
plumbed into the vacuum line, and a
replaceable filtration cartridge. The
removable cartridge usually attaches to
the bottom of the permanent base. As
wastewater enters the separator from the
top of the unit, gravity separates the
wastewater from the air pulling it
through the vacuum. Air from the
vacuum continues through the system
by exiting a bypass at or near the top of
the base chamber. Wastewater then falls
through the base of the separator and
enters the filtration cartridge. As
additional wastewater enters the
separator, the filtration cartridge will fill
to capacity, and wastewater will begin
to collect at the bottom of the base
chamber. Gravity forces wastewater in
the separator through a filtration device
and out of the separator through a
decanting tube on the side of the
separator. The wastewater, less the
solids retained by the separator, then
continues through the vacuum system
and is eventually discharged from the
dental office and to the sanitary sewer
and the POTW. The second common
separator design consists of a single
chamber that requires wastewater to
travel through a filtration medium
before it is drawn out of the separator.
These separators may be oriented
vertically so that wastewater enters the
top of the unit, remains in the separator
for some time, and allows solids to
settle. For either design, when the
filtration cartridge or the separator itself
reaches the designed solids retention
capacity, it must be replaced.
Manufacturers can include replacement
schedules and capacity levels for
amalgam separators.
The vast majority of amalgam
separators on the market today have
been evaluated for their ability to meet
the International Organization for
Standardization Standard for Dental
Amalgam Separators (https://
www.iso.org/iso/iso_catalogue/
catalogue_tc/catalogue_detail.htm?
csnumber=42288). This voluntary
standard setting organization
established a standard for measuring
amalgam separator efficiency by
evaluating the retention of amalgam
mercury using specified test procedures
in a laboratory setting. It also includes
requirements for instructions for use
and operation and maintenance. In
order to obtain the ISO certification, a
separator must achieve 95% removal or
greater of total mercury. Based on EPA’s
evaluation of a range of amalgam
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63265
separators as described above that meet
the ISO standard and that are currently
on the market, certified separators
obtain a median of 99.0% total mercury
removal efficiency (see Section 7 of the
TEDD). When existing chair side traps
and vacuum pump filters are used
upstream of the amalgam separators, the
combined treatment system can achieve
total mercury removal rates exceeding
99% (DCN DA00008).
EPA is proposing to include certain
operation, maintenance, and inspection
activities that have the greatest impact
on the ability of an amalgam separator
to achieve its performance as certified.
Once the separator reaches solids
retention capacity, vacuum suction will
begin to diminish or, more commonly,
the separator will enter bypass mode.
Wastewater running through a separator
in bypass mode flows through the
separator without being filtered,
rendering the separator ineffective.
Because many separators can enter
bypass mode without any noticeable
effect on vacuum suction, it would be
important that the unit be checked
periodically, and if necessary, serviced.7
Solids collected by the amalgam
separator may be a combination of
dental amalgam, biological material
from patients, and any other solid
material sent down the vacuum line.
Amalgam separator manufacturer
instructions should be followed for
servicing amalgam separators and for
handling separator waste. Some
amalgam separator manufacturers also
offer waste management services.
Examples of services provided include
ensuring that waste collected by the
separator is handled according to state
and local requirements, and providing
necessary compliance documentation
for the facility’s recordkeeping
requirements. In the event that these
services are not employed, the facility
should dispose of amalgam waste in
accordance with state and local
requirements.
Most amalgam separators are
compatible with both wet and dry
vacuum systems, and with both large
and small dental offices.8 As explained
in Section VIII, currently at least 12
states and 19 localities have
implemented mandatory programs to
reduce dental mercury discharges. All of
these programs require the use of
7 There may be separators on the market that do
not notify users when they are in bypass mode or
otherwise require servicing. These separators would
not meet ISO certification standards.
8 This does not mean all types of separators are
compatible at a given dental office. For example, an
amalgam separator that relies on filtration
technology may not be compatible with a dry
vacuum system in place.
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amalgam separators. Further, many
dental offices in states or localities
without mandatory programs have
voluntarily installed dental amalgam
separators, and the ADA recommends
their use as part of its ‘‘Best
Management Practices for Amalgam
Waste’’ (2007). As described in Section
VIII, EPA estimates that 40% of dental
offices currently employ amalgam
separators.
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2. Polishing To Remove Dissolved
Mercury From Wastewater
Mercury in dental amalgam is present
in both the suspended and dissolved
form. The vast majority (>99.6%) is
suspended (DCN DA00018). An
additional process sometimes referred to
as ‘‘polishing’’ uses ion exchange to
remove dissolved mercury. In contrast
to amalgam separators that contain an
ion exchange component in the same
unit, as discussed in the previous
section, ‘‘polishing’’ ion exchange refers
to a separate wastewater treatment
system added after the amalgam
separator for the purpose of removing
dissolved mercury.
Dissolved mercury has a tendency to
bind with other chemicals, resulting in
a charged complex. Ion exchange is the
process that separates these charged
amalgam particles from the wastewater.
Ion exchange does not rely on physical
settling of particles, and can remove
very small amalgam and ionic mercury
particles. This technology may be
preferable over sedimentation (with or
without filtration) alone because
dissolved mercury is removed by this
process. For example, ion exchange
might be useful in municipalities that
have concentration limits on mercury
(McManus, 2003). EPA is not aware of
any state regulations that require ion
exchange.
For ion exchange to be most effective,
the incoming wastewater to be treated
must first have the solids removed.
Then the wastewater needs to be
oxidized in order for the resin or
mercury capturing material to capture
the dissolved mercury. Therefore, ion
exchange will not be effective without
first being preceded by a solids
collector. As a result, EPA concludes
this sequential polishing approach, in
which amalgam separators and ion
exchange are separate units, is more
effective than the single units described
above that combine sedimentation and
ion exchange. Dental offices needing to
employ polishing would likely need to
add a separate ion exchange unit
following the amalgam separator to
remove additional mercury from the
waste stream.
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As explained above, ISO certification
testing is based on an evaluation of the
removal of total mercury in a laboratory
setting and does not differentiate
removal for the suspended and
dissolved forms.9 In order to better
understand the reductions in dissolved
mercury that can be achieved with the
addition of ion exchange as polishing,
EPA reviewed available data on the
performance from actual installations of
ion exchange units in addition to
amalgam separators in dental offices.
EPA found the use of polishing is
limited to just a handful of dental
offices. EPA identified only one study of
polishing systems, and has not
identified any further data pertaining to
the performance of polishing. This one
study evaluated the additional efficacy
associated with polishing at two dental
facilities in response to sanitation
district concerns over mercury
discharges. In both cases, the polishing
systems were installed after the
amalgam separators but prior to
discharge into the treatment plant’s
collection system. While a reduction
was observed in the final effluent
mercury after the polishing system was
installed, preliminary EPA Region 8
audits showed the total additional
mercury reductions were typically on
the order of 0.5% (DCN DA00164). This
is not surprising since, as indicated
above, dissolved mercury contributes
such a small portion to the total amount
of mercury in dental amalgam. It is
unclear whether any solid mercury was
converted to dissolved mercury, and
additional monitoring data are not yet
available.
The capital costs of the polishing
system, as a stand-alone system, are
approximately four times that of the
amalgam separator; the costs for
chemical use, regenerating the resin,
filter replacement, and other operational
costs were not reported. Further, EPA is
uncertain whether typical dental
buildings have adequate space to install
the holding tanks needed to oxidize the
waste before treatment, as well as space
for the polishing equipment itself.
D. Best Management Practices
EPA considered what BMPs reflect
the best available technology
economically achievable or best
available demonstrated control
technology—the standards applicable to
existing and new sources subject to
categorical pretreatment standards.
After this review, EPA proposes to
include certain operation, maintenance,
and inspection practices as part of the
9 In some cases, the ISO testing results include
ranges of dissolved mercury in the effluent.
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technology basis for this proposed rule.
These practices have the greatest impact
on the ability of an amalgam separator
to achieve its performance as certified.
EPA also proposes to require two
BMPs to control mercury discharges that
would not be captured by an amalgam
separator. Bleach and other corrosive
cleaners can solubilize bound mercury.
If corrosive cleaners are used to clean
vacuum lines that lead to an amalgam
separator, the line cleaners may
solubilize any mercury that the
separator has captured, leading to
increased mercury discharges.
Therefore, EPA proposes to require line
cleaners that do not contain bleach, and
are of neutral pH.
Flushing scrap amalgam (contact and
non-contact), including dental amalgam
from chair-side traps, screens, vacuum
pump filters, dental tools, or collection
devices into drains that do not have a
solids collecting device presents
additional opportunities for mercury to
be discharged from the dental office.
Therefore, EPA proposes to include a
BMP that prohibits flushing scrap dental
amalgam into any drain that is not
connected to an amalgam separator.
XII. Scope/Applicability
As mentioned in the previous section,
EPA has not identified dental offices/
clinics discharging directly to waters of
the U.S. Because EPA has very limited
information on any direct discharge of
dental amalgam, EPA is not proposing
effluent limitations guidelines and new
source performance standards for direct
dischargers at this time.
As such, EPA is proposing to apply
this rule to wastewater discharges to
POTWs from offices where the practice
of dentistry is performed, including
institutions, permanent or temporary
offices, clinics, mobile units, home
offices, and facilities, and including
dental facilities owned and operated by
Federal, state, or local governments.
EPA is not proposing to include
wastewater discharges from dental
facilities where the practice of dentistry
consists exclusively of one or more of
the following dental specialties: oral
pathology, oral and maxillofacial
radiology, oral and maxillofacial
surgery, orthodontics, periodontics, or
prosthodontics. As described in the
TEDD, these specialty practices do not
engage in the practice of restorations or
removals, and are not expected to have
any discharges of dental amalgam.
XIII. Subcategorization
In developing effluent limitations
guidelines and pretreatment standards,
EPA may divide an industry category
into groupings called ’’subcategories’’ to
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provide a method for addressing
variations among products, processes,
and other factors, which result in
distinctly different effluent
characteristics. See Texas Oil & Gas
Ass’n. v. U.S. EPA, 161 F.3d 923, 939–
40 (5th Cir. 1998). Regulation of a
category by subcategories provides that
each subcategory has a uniform set of
effluent limitations or pretreatment
standards that take into account
technological achievability, economic
impacts, and non-water quality
environmental impacts unique to that
subcategory. In some cases, effluent
limitations or pretreatment standards
within a subcategory may be different
based on consideration of these same
factors, which are identified in CWA
section 304(b)(2)(B). The CWA requires
EPA, in developing effluent guidelines
and pretreatment standards, to consider
a number of different factors, which are
also relevant for subcategorization. The
CWA also authorizes EPA to take into
account other factors that the
Administrator deems appropriate.
In developing the proposed rule, EPA
considered whether subcategorizing the
dental industry was warranted. EPA
evaluated a number of factors and
potential subcategorization approaches,
including the size of dental office,
specialty practices, and unusual
configurations that may be found at very
large offices such as clinics and
universities. EPA proposes that
establishing formal subcategories is not
appropriate for the Dental Amalgam
category for three reasons. First, the
proposed rule is structured to set
standards only for those facilities that
discharge dental amalgam. Second, the
requirements do not include a size
threshold because the technology is
readily scaled to the size of the dental
office. Finally, those states and localities
that already have regulatory programs
for controlling discharges of dental
amalgam have been largely successful
without subcategorization.
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XIV. Proposed Regulation
A. PSES Options Selection
Section XI discussed the technologies
identified to control amalgam
discharges from dental offices. EPA
identified two basic technologies,
amalgam separators and polishing. EPA
determined separators plus polishing is
not ‘‘available’’ as that term is used in
the CCWA.
EPA identified one technology that is
available and demonstrated—amalgam
separators. EPA further identified BMPs
that would ensure the effectiveness of
the amalgam separator technology and
would reduce discharges of dental
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amalgam not captured by an amalgam
separator. Therefore, EPA developed a
regulatory option based on proper
operation and maintenance of amalgam
separators that achieve a 99.0%
reduction of total mercury from
amalgam process wastewater with
BMPs. Compliance with the numeric
pretreatment standard for new and
existing sources could be met by
installation and proper operation and
maintenance of an amalgam separator
certified to meet at least 99.0%
reduction of total mercury according to
the 2008 ISO 11143 standard.
Compliance with two additional
BMPs—not flushing scrap amalgam
down the drain and cleaning of chair
side traps with non-bleach, nonchlorine cleaners—are necessary to
prevent mercury discharges that would
bypass the separator. EPA finds that the
proposed technology basis is
‘‘available’’ as that term is used in the
CWA because it is readily available and
feasible for all dental offices. ADA
recommends its dentists use the
technology on which this rule is based
(i.e., amalgam separators and BMPs).
Further, EPA estimates that 40% of
dental offices currently use amalgam
separators on a voluntary basis or are in
states with state or local laws requiring
the use of amalgam separators. For those
dental offices that have not yet installed
an amalgam separator, EPA estimates
this is a low cost technology with an
approximate average annual cost of
$700 10 per office. EPA’s economic
analysis analyzes these costs in relation
to the overall income of the regulated
entities and shows that this proposed
rule is economically achievable (see
Section XVI). Finally, EPA also
examined the non-water quality
environmental impacts of the proposed
rule and found them to be acceptable.
See Section XX, ‘‘Non Water Quality
Environmental Impacts.’’
EPA is not proposing to establish
pretreatment standards based on
technologies that remove dissolved
mercury, or polishing. None of the states
with mandated requirements to reduce
dental mercury discharges requires
polishing. EPA also lacks adequate
performance data to truly assess the
efficacy of polishing or its availability of
ion exchange for nationwide use. EPA’s
current information suggests that
polishing only achieves incremental
removals over the BAT selected
technology of less than one half percent
of total mercury. While even very small
amounts of mercury have environmental
10 This estimate is based on the average
annualized cost for dentists that do not currently
have an amalgam separator. See DCN DA00145.
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effects, EPA lacks sufficient data to
conclude that there is a significant
difference in the performance between
the two technologies. EPA estimates that
the capital costs of amalgam separators
and polishing are at least four times that
of amalgam separators alone (see DCN
DA00122). Finally, EPA is uncertain
whether existing dental offices have
adequate space to install polishing
controls. These factors led EPA to find
that polishing is not ‘‘available’’ as that
term is used in the CWA. As a result,
EPA did not select amalgam separators
followed by polishing as the technology
basis for this proposed rule. EPA solicits
data on the costs, performance,
affordability, and availability of
polishing in combination with amalgam
separators.
B. Pollutants of Concern and Pass
Through
Of the dental amalgam constituents,
mercury is of greatest concern to human
health because it is a persistent,
bioaccumulative, toxic chemical and
can bioaccumulate three to ten times
across each trophic level of the food
chain. Mercury from dental amalgam
makes its way into the environment
when it is discharged from the dental
facility to a POTW, where it settles into
sewage sludge, or is discharged to
surface waters. Once discharged, certain
microorganisms change mercury into
methylmercury, a form of mercury that
can be absorbed by fish, shellfish and
animals that eat fish.
EPA finds that the technologies
considered for control of amalgam
solids will be similarly effective on
other metals contained in dental
amalgam because these metals are in a
solids form, and the separation
technology is designed to remove solids.
Therefore any controls established for
the reduction of mercury discharges will
similarly reduce the discharge of other
metals contained in amalgam. As such,
EPA focused its consideration of
regulated pollutants on mercury.
C. POTW Pass Through Analysis
To establish pretreatment standards,
EPA examines whether the pollutants
discharged by the industry ‘‘pass
through’’ a POTW to waters of the U.S.
or interfere with the POTW operation or
sludge disposal practices. EPA’s
consideration of pass through for
national technology based categorical
pretreatment standards differs from that
described in Section VIII for general
pretreatment standards. For categorical
pretreatment standards, EPA’s approach
for pass through satisfies two competing
objectives set by Congress: (1) That
standards for indirect dischargers be
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equivalent to standards for direct
dischargers; and (2) that the treatment
capability and performance of the
POTWs be recognized and taken into
account in regulating the discharge of
pollutants from indirect dischargers.
Generally, in determining whether
pollutants pass through a POTW when
considering the establishment of
categorical pretreatment standards, EPA
compares the percentage of the
pollutant removed by typical POTWs
achieving secondary treatment with the
percentage of the pollutant removed by
facilities meeting BAT effluent
limitations. A pollutant is deemed to
pass through a POTW when the average
percentage removed by a typical POTW
is less than the percentage removed by
direct dischargers complying with
BPT 11/BAT effluent limitations. In this
manner, EPA can ensure that the
combined treatment at indirect
discharging facilities and POTWs is at
least equivalent to that obtained through
treatment by a direct discharger, while
also considering the treatment
capability of the POTW.
In the case of this proposed
rulemaking, where only pretreatment
standards are being developed, EPA
compared the POTW removals with
removals achieved by indirect
dischargers using the candidate
technology that otherwise satisfies the
BAT factors. Historically, EPA’s primary
source of POTW removal data is its 1982
‘‘Fate of Priority Pollutants in Publicly
Owned Treatment Works’’ (also known
as the 50 POTW Study). The 50 POTW
study presents data on the performance
of 50 POTWs achieving secondary
treatment in removing toxic pollutants.
Results of this study demonstrate
POTWs remove 90% of total mercury
found in wastewater. EPA has data from
targeted studies performed by NACWA
and ADA that indicate a POTW can
remove 95% of total mercury. However,
these studies reflect the performance of
best performing POTWs, as opposed to
the 50 POTW Study which reflects
nationwide POTWs. Consequently, for
this proposal, EPA maintains a POTW
percent removal rate of 90% for its
nationwide pass-through analysis. In
comparison, indirect dischargers using
this proposed technology will remove
99.0% or more total mercury prior to
discharge. Therefore, EPA concludes
mercury passes through 12 and is today
11 Best Practicable Control Technology Currently
Available.
12 For all the metals contained in dental amalgam,
EPA’s record demonstrates that these pollutants
would similarly pass through as defined above. See
the Pollutant Reduction Estimates section of the
TEDD for POTW removal estimates for the other
metals.
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proposing requirements to control its
discharge.
D. Requirements
This proposed rule would establish a
pretreatment standard that would
require removal of at least 99.0% of total
mercury from amalgam discharges and
BMPs. One way affected dental offices
would be able to meet the standard
would be to use, and properly operate
and maintain, a dental amalgam
separator certified to achieve at least
99.0% reduction of total mercury
according to the 2008 ISO 11143
standard, to perform certain BMPs, and
to certify to this effect. Another way
affected dental offices would be able to
meet the standard would be to certify
that they do not install or remove
amalgam except in limited emergency
circumstances. Dentists that certify that
they do not install or remove amalgam
will be exempt from any further
requirements of the proposed rule.
While the proposed rule does not
require the use of an amalgam separator
to meet the numeric standard, EPA
expects that most, if not all dentists that
place or remove amalgam would use
this widely available technology to
comply with the proposed numeric
standard. EPA expects dentists will
choose to install and operate an
amalgam separator because of the nature
of dental offices, the variability of the
flows and resulting waste streams, and
the difficulty in obtaining a sample that
represents only dental amalgam
discharges. Moreover, amalgam
separators are an easy to use, low cost
technology. Dental offices that elect to
not use an amalgam separator must meet
the proposed numeric limit and would
be subject to the oversight and
compliance requirements for indirect
discharges subject to national
pretreatment requirements.
In selecting an amalgam separator that
meets the requirements of today’s
proposed pretreatment standards,
dentists would verify that the amalgam
separator is compliant with the 2008
ISO 11143 standard and meets the
design specifications of the proposed
regulation for their configuration. Once
selected and installed, EPA expects
dentists will operate and maintain the
separator following all manufacturer’s
instructions and conduct inspections at
least monthly to ensure all features are
functional.
This proposal would subject all
dentists (except those specialists as
described in Section XII) to categorical
pretreatment requirements. EPA
recognizes that some dentists covered
by this proposal do not apply or remove
dental amalgam except possibly in
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limited emergency circumstances.
However, EPA, in consultation with
pretreatment authorities, has been
unable to identify a publically available
source of information that differentiates
dental offices on the basis of whether or
not dental amalgam may reasonably be
expected to be present. As such, this
proposed rule would apply to such
dischargers and require them to report
baseline information, but it would also
allow them to certify (at any time) that
they do not and will not install or
remove amalgam (not including
infrequent emergency treatment as
discussed below). This would fulfill
their obligations under this proposed
rule. If they subsequently elect to install
or remove amalgam, they would then
need to comply with the proposed
numeric standard (e.g., proper operation
and maintenance of an amalgam
separator) and with the BMPs in this
proposed rule.13
EPA does not want to penalize
existing dental offices or institutional
dental facilities that have already
installed amalgam separators either
voluntarily or to comply with state or
local requirements. EPA recognizes that
these offices may currently have
amalgam separators in place that are
certified to a removal rate slightly less
than this proposed standard. For
example, some states require dental
offices to employ amalgam separators
that are certified to remove 95% total
mercury. EPA does not propose a rule
that would require existing separators
that still have a remaining useful life to
be retrofitted with new separators, both
because of the additional costs incurred
by dental facilities that moved ahead of
EPA’s proposed requirements to install
a treatment technology and because of
the additional solid waste that would be
generated by disposal of the existing
separators. Therefore, EPA is proposing
that, as long as they continue to
properly operate and maintain existing
separators, comply with BMPs, and
comply with recordkeeping
requirements, these facilities would be
considered in compliance with the
numeric standard until ten years from
the effective date of the final rule. EPA
selected ten years because it appears to
be a conservative estimate of the useful
life of the existing equipment. However,
if prior to that time, the currently
installed separator needs to be replaced,
these facilities would need to install and
13 EPA recognizes that dentists, infrequently, may
remove amalgam in the course of emergency
treatment. EPA does not intend for discharges of
dental amalgam, related to only these infrequent
emergency treatments, to preclude such dentists
from certifying.
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operate an amalgam separator that meets
a removal efficiency of 99.0%.
EPA requests comment on this
proposed regulatory scheme. In
particular, EPA seeks comment on its
approach for addressing offices where
no dental amalgam is placed or removed
except in limited emergency
circumstances, and its approach for
offices that have already installed an
amalgam separator.
E. PSNS Option Selection
As previously noted, under section
307(c) of the CWA, new sources of
pollutants into POTWs must comply
with standards which reflect the greatest
degree of effluent reduction achievable
through application of the best available
demonstrated control technologies.
Congress envisioned that new treatment
systems could meet tighter controls than
existing sources because of the
opportunity to incorporate the most
efficient processes and treatment
systems into the facility design. EPA
proposes PSNS that would control the
same pollutants using the same
technologies proposed for control by
PSES. The technologies used to control
pollutants at existing offices, amalgam
separators and BMPs, are fully
applicable to new offices. New dental
offices can incorporate amalgam
separators into the design and
installation of their vacuum system.
Furthermore, EPA has not identified any
technologies that are demonstrated for
new sources that are more effective than
those identified for existing sources.
Finally, EPA determined that the
proposed PSNS present no barrier to
entry. EPA has found that overall
impacts from the proposed standards on
new sources would not be any more
severe than those on existing sources,
since the costs faced by new sources
generally will be the same as or less
than those faced by existing sources.
Therefore, EPA proposes to establish
NSPS that are the same as those
proposed for PSES.
EPA does not propose to establish
more stringent requirements for new
sources based on technologies that
remove dissolved mercury (i.e.,
polishing) for the same reasons stated
above for existing standards.
XV. Technology Costs
This section summarizes EPA’s
approach for estimating compliance
costs, while the TEDD provides detailed
information on the methodology. EPA’s
cost methodology assumes dental offices
would use the required BMPs in
combination with 2008 ISO 11143
amalgam separators on the market today
to comply. See DCN DA00138. EPA
categorized all of the costs as either
capital costs 14 (one-time costs
associated with planning or installation
of technologies), as operation and
maintenance (O&M) costs (costs that
occur on a regular ongoing basis such as
inspection or cleaning of the unit or
annual purchases of amalgam
cartridges), or as reporting costs. All
final cost estimates are expressed in
terms of 2010 dollars.
EPA estimated compliance costs
associated with this proposal using data
collected through EPA’s Health Services
Industry Detailed Study (August 2008)
[EPA–821–R–08–014], a review of the
literature, and information supplied by
vendors. EPA’s cost estimates represent
the incremental costs for a dental office
to comply with this proposed rule. For
costing purposes, EPA differentiated
dental offices by those that already use
amalgam separators and those that do
not.
EPA recognizes that some fraction of
dental offices subject to this proposed
rule may not place or remove amalgam
and proposes to allow them to submit a
one-time baseline monitoring report.
Such dental offices would be exempt
from this rule so long as they do not
place or remove amalgam. Should the
status of the dental office change, the
certification would no longer be valid.
For example, if a dental office so
certifies and is sold, the new owner
must similarly so certify or would need
to comply with the rule. See § 441.10.
EPA estimates the costs associated with
this one-time only certification to be
$22.
In general, one approach that EPA
takes to estimate compliance costs is to
63269
use facility-specific data to determine
what requirements apply to a given
facility and whether that facility would
already meet the proposed
requirements. This approach requires
facility specific technical and financial
data. In this case, EPA would need such
data for approximately 110,000 dental
offices estimated to be subject to this
rule. Such data are not available. An
alternative approach often used by EPA
is to develop a series of model facilities
that exhibit the typical characteristics of
the affected facilities and calculate costs
for each model facility. EPA can then
determine how many of the affected
facilities are represented nationally by
each model facility to represent the full
universe of affected facilities.
A. Methodology for Developing Model
Dental Office Costs
EPA used the model approach to
estimate costs for facilities that place or
remove amalgam for this proposal. The
model facility approach used in this
effort involved calculating compliance
costs for each of the size classes of
dental offices described in Section IX of
this preamble. In other words, EPA
developed compliance costs for six
models based on the number of chairs
in an office. The ranges for each model
are as follows: 1 to 2 chairs, 3 chairs, 4
chairs, 5 chairs, 6 chairs, and 7+ chairs
(average of 10 chairs). In addition to
each of the size class models, EPA
developed a model facility to represent
very large offices such as clinics and
universities. This is discussed
separately in Section XV. B., below.
EPA developed two sets of costs for
each model: one for facilities that do not
use an amalgam separator and one for
facilities that do. For those that do not
use an amalgam separator, EPA
estimated capital costs and operation
and maintenance costs. Capital costs
include purchase of the separator and
installation. Recurring costs include
replacement of the cartridge, and
operation and maintenance costs. A
summary of costs for dental offices that
do not currently use amalgam separators
may be found in Tables XV–1 and
XV–2.
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TABLE XV–1—SUMMARY OF ONE TIME MODEL FACILITY COSTS ($2010) FOR DENTAL OFFICES THAT DO NOT
CURRENTLY USE AMALGAM SEPARATORS
Number of chairs in the model dental office
Cost element
3, 4, or 5 15
1 or 2
Separator Purchase .................................................................................
$502
6
$599
14 See Section XVI and the Economic Section of
the Technical Development Document for
information on how EPA annualized costs.
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$1,058
$1,531
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TABLE XV–1—SUMMARY OF ONE TIME MODEL FACILITY COSTS ($2010) FOR DENTAL OFFICES THAT DO NOT
CURRENTLY USE AMALGAM SEPARATORS—Continued
Number of chairs in the model dental office
Cost element
3, 4, or 5 15
1 or 2
Installation ................................................................................................
250
6
250
7+
250
250
TABLE XV–2—SUMMARY OF ONE TIME MODEL FACILITY COSTS ($2010) FOR DENTAL OFFICES THAT DO NOT
CURRENTLY USE AMALGAM SEPARATORS
Number of chairs in the model dental office
Cost element
3, 4, or 5 16
1 or 2
Replacement Parts ..................................................................................
O&M Including Recycling ........................................................................
$195
216
6
$219
216
7+
$430
216
$647
216
For those facilities that already have
an amalgam separator, EPA calculated
costs for certain additional recurring
operation and maintenance associated
with the amalgam separator compliance
option in this proposal. Recurring costs
include replacement of the cartridge and
operation and maintenance costs. A
summary of these costs may be found in
Table XV–3. This is a conservative
approach to costing, however, because
some of these facilities would
presumably continue to operate and
maintain the separators that they have
already chosen or been required to
install.
TABLE XV–3—SUMMARY OF ANNUAL MODEL FACILITY COSTS ($2010) FOR DENTAL OFFICES THAT CURRENTLY USE
AMALGAM SEPARATORS
Number of chairs in the model dental office
Cost element
3, 4, or 5 17
1 or 2
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Replacement Parts ..................................................................................
O&M including recycling ..........................................................................
$98
116
6
$110
116
7+
$215
116
$324
116
In assessing the long term costs of rule
compliance for these model facilities
(those with and without existing
separators), EPA estimated that
amalgam separators would have a
service life of 10 years, at which time
the amalgam separators would need to
be replaced. For the purposes of cost
estimates for this proposal, EPA
assumed that all offices regardless of the
original technology in-place would
incur the full cost of purchasing
amalgam separators at the time of
reinstallation. However, because various
modifications needed by the office for
initial amalgam separator installation
would have already been completed,
EPA has projected that amalgam
separators replaced beyond year 10
would be installed at one-half of the
cost of the original installation. For
example, EPA assumed plumbing
modifications for initial installation
would cost $250 per office, but that
replaced equipment would cost $125 to
install. EPA assumed that dental offices
would continue to incur recurring
expenses such as O&M in the same way
as described for the initial installation.
Finally, all dental offices subject to
this proposed rule will also have
reporting requirements and BMP
requirements. EPA also included
reporting costs for one-time preparation
of a baseline report and initial
compliance report and recurring costs
associated with preparation of an
annual certification statement. Section
XI describes the BMPs in this proposal.
EPA projects that there will be no
incremental costs associated with these
BMPs, because 1) costs for nonoxidizing, pH neutral line cleaners are
roughly equivalent to other line
cleaners; and 2) dentists will not incur
additional costs by changing the
location for flushing scrap amalgam.
15 EPA assumed the separator can be sized for 3,
4, or 5 chairs, but has kept these three model office
sizes distinct because the economic analysis
evaluates different revenues for each of these sized
offices.
16 EPA assumed the separator can be sized for 3,
4, or 5 chairs, but has kept these three model office
sizes distinct because the economic analysis
evaluates different revenues for each of these sized
offices.
17 EPA assumed the separator can be sized for 3,
4, or 5 chairs, but has kept these three model office
sizes distinct because the economic analysis
evaluates different revenues for each of these sized
offices.
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B. Methodology for Developing Costs for
Institutional Facilities
Institutional dental service facilities
(e.g., clinics or dental schools), have a
larger number of chairs than the typical
dental office. For these institutional
dental facilities, EPA developed a
costing methodology based on the
methodology for offices described
above. For purposes of costs, EPA
assumed the average institutional
facility has 15 chairs. In the
methodology described previously, the
model practice with the largest number
of chairs for which EPA developed cost
information is the 7+ chair model with
an average of 10 chairs. Scaling the
information on costs for the 10 chair
model facility to a 15 chair operation
using a straight ratio yields costs at
these institutional facilities at 1.5 times
the costs estimated for the largest chair
range shown in Table XV–1 and Table
XV–2. These costs are likely overstated
as they do not reflect opportunities the
largest offices may have to share costs,18
and they do not assume any economies
of scale. EPA solicits comment and data
regarding EPA’s analysis of clinics and
institutional facilities.
XVI. Economic Impact Analysis
This section summarizes EPA’s
assessment of the costs and impacts of
the proposed pretreatment standards on
the regulated industry.
A. Social Cost Estimates
As described earlier in Section XIV of
this preamble, EPA proposes PSES and
PSNS based on a widely available
technology, amalgam separator, and
employment of BMPs. Section XV
provides a detailed explanation of how
EPA estimated compliance costs for
model dental offices. As described
there, EPA developed compliance costs
for six models based on the number of
chairs in an office. The ranges for each
model are as follows: 1 to 2 chairs, 3
chairs, 4 chairs, 5 chairs, 6 chairs, and
7+ chairs (average of 10 chairs). In
addition to each of the size class
models, EPA developed a model facility
to represent institutional facilities such
as clinics and universities.
For each model facility, EPA
estimated compliance costs for dental
offices that currently use a separator,
those that do not have a separator in
place, and those that certify that they do
not place or remove amalgam. For those
that do not currently use a separator,
EPA estimated costs as either capital
costs (one-time costs associated with
planning or installation of technologies),
as O&M costs (costs that occur on a
regular ongoing basis such as inspection
or cleaning of the unit, annual
purchases of amalgam cartridges, and
recycling), and as reporting costs. For
those that use a separator
(approximately 40% of dental offices as
reported in Section VIII), EPA estimated
O&M costs and reporting costs only. As
applicable, EPA annualized the capital
costs over a 20-year period at a discount
rate of 3%19 and summed these costs
with the O&M and reporting costs to
determine an annual compliance cost
estimate for each model facility. In order
to develop a national estimate of social
costs 20 based on these model facilities,
EPA estimated the number of dental
offices represented by each model
facility. As explained in Section IX, EPA
estimated the number of dental offices
based on data from the 2007 Economic
Census 21 describing the number of
establishments in the Offices of Dentists
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NAICS (621210), and their annual
revenue. Because reported
establishments were described by their
annual revenue and not number of
chairs (the basis of model compliance
costs), EPA used data from two surveys,
a Colorado survey and an ADA survey,
to correlate the estimated number of
chairs per office to the revenue range of
dental offices. Because EPA used two
different data sources, results are
presented as a range. Details of the
relationship between chairs and revenue
can be found in the TEDD.
To estimate nationwide social costs,
EPA multiplied the estimated total
annualized costs of rule compliance for
each model facility by the estimated
number of dental offices represented by
that model (i.e. with the indicated
number of chairs and with/without
existing amalgam separators). EPA also
accounted for some dental offices that
may not place or remove amalgam and
assigned them costs only for a one-time
baseline monitoring report. EPA then
summed the values for each chair range
over the number of chair ranges to yield
the total estimated compliance cost.
Similarly, EPA calculated costs for
institutional facilities by multiplying
the compliance cost for its model
institutional facility by the number of
estimated institutional facilities
indicated in Section IX. Lastly, EPA
estimated costs for control authorities
for administering the Dental Amalgam
Rule.22 Details of this cost analysis can
be found in the TEDD. See Table XVI–
1 for EPA’s estimate of nationwide
annualized costs for each chair range
represented by EPA’s model facilities as
well as EPA’s estimate of total
nationwide annualized costs for this
proposed rule.
TABLE XVI–1—TOTAL ANNUALIZED SOCIAL COSTS BY NUMBER OF CHAIRS
[Millions of 2010 dollars]
Total annualized costs by chair size 1
Number of chairs
Colorado survey
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1–2 chairs ....................................................................................................................................................
3 chairs ........................................................................................................................................................
4 chairs ........................................................................................................................................................
5 chairs ........................................................................................................................................................
6 chairs ........................................................................................................................................................
7+ chairs ......................................................................................................................................................
Large Dental Facilities .................................................................................................................................
18 For example, multiple offices located in a
single building or complex may be able to share
plumbing, vacuum systems, and may be able to
install a larger separator rather than each office
having its own separator.
19 See the TEDD for the reported analyses using
a 7% discount rate.
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20 Costs of the rule, from the standpoint of cost
to society, include compliance costs and
administrative costs to control authorities. Social
costs would also incorporate any adjustment based
on a quantity demand response to a change in price
driven by a price change due to cost pass-through
to consumers. For this analysis, EPA is not able to
demonstrate an observable change in price for
dental services, therefore no observable change in
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$3.4
9.5
11.0
5.4
4.7
9.5
0.1
ADA Survey
$4.4
16.3
14.8
12.8
0.1
amount of visits (quantity demanded). Therefore
EPA makes no adjustment to social costs based on
a change in quantity.
21 EPA adjusted the 2007 Economic Census
revenue values to reflect 2010 dollars.
22 As a point of clarification, for this proposal,
social costs equal the sum of compliance costs and
administrative costs.
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TABLE XVI–1—TOTAL ANNUALIZED SOCIAL COSTS BY NUMBER OF CHAIRS—Continued
[Millions of 2010 dollars]
Total annualized costs by chair size 1
Number of chairs
Colorado survey
ADA Survey
Cost to Control Authorities ..........................................................................................................................
0.9
0.9
Total Annualized Social Costs .............................................................................................................
44.5
49.4
1 EPA
assumed that initial capital outlays and initial incurrence of ongoing compliance expenses would occur in the third year following rule
promulgation. EPA assumed that the amalgam separator technology would have a service life of 10 years, and used a 20-year analysis period to
allow for one-time replacement of capital equipment 10 years following the initial installation. A 3% discount rate was used for the analysis reported in this table, see the TEDD for the analysis with a 7% discount rate.
tkelley on DSK3SPTVN1PROD with PROPOSALS3
B. Economic Impact Methodologies
EPA devised a set of tests for
analyzing economic achievability. As is
often the practice, EPA conducted a
cost-to-revenue analysis to examine the
relationship between the costs of the
proposed rule to current (or pre-rule)
dental office revenues. In addition, EPA
chose to examine the financial impacts
of the proposed rule using two measures
that utilize the data EPA has on dental
office baseline assets and estimated
replacement capital costs: (1) Ratio of
the Proposed Rule’s Capital Costs to
Total Dental Office Capital Assets and
(2) Ratio of the Proposed Rule’s Capital
Costs to Annual Dental Office Capital
Replacement Costs.
EPA did not conduct a traditional
closure analysis for this proposed rule
because EPA does not have detailed
data on baseline financial conditions of
dental offices. Also, closure analyses
typically rely on accounting measures
such as present value of after-tax cash
flow. However, such accounting
measures are difficult to implement for
businesses that are organized as sole
proprietorships or partnerships, as is the
case in the dental industry. Still, the
2007 Economic Census reports that
approximately 700 offices of the
approximately 110,000 total offices had
revenue of less than $25,000 (2007
dollar basis). In reviewing the implied
operating characteristics of these low
revenue offices, EPA considered
whether these offices should be
excluded from the analyses on any of
the following bases:
• These low revenue offices could be
single-dentist and/or part-time
businesses that provide services as a
subcontractor on an independent feefor-service basis, such as dental hygiene,
in general service dental offices that are
owned and operated by a larger dental
practice. Because these establishments
would not be the primary owner/
operator of the dental offices in which
they provide services, they would not
directly incur the compliance costs of a
Dental Amalgam Rule. If they incurred
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any of these costs, it would be on a
limited fractional share basis, most
likely in proportion to the total value of
their services as a fraction of the total
revenue in the office. On the other hand,
if these operators offer their services in
a competitive market, it may be that
none of the compliance costs are shared
by these subcontractors.
• Another possibility is these very
low revenue offices could be non-profit
groups which provide pay-as-you-can or
free services to a low-income
populations. In this case, these small
businesses may be viable enterprises
because they receive in-kind donations
not counted as revenue, e.g., services of
a practicing dentist.
• Alternatively, these low revenue
offices may be non-viable as for-profit
businesses, if they are attempting to
operate as general service dental
practices. This is based on EPA’s
assessment (see Ratio of Proposed Rule
Capital Costs to Total Dental Office
Capital Replacement Costs, below) that
1–2 chair offices would incur pre-rule
capital replacement costs of
approximately $23,500 per year. This
cost represents all or a substantial
fraction of annual revenue of the
business in the below-$25,000 revenue
range. Accordingly, these businesses
may not be operating viably as for-profit
general service dental offices.
As such, EPA could consider these
offices to be the equivalent of baseline
closures as traditionally accounted for
in cost and economic impact analysis
for effluent guidelines rulemakings. As
a result of the uncertainty here, EPA
analyzed the impacts twice: (1)
Excluding dental offices that could
represent baseline closures and (2)
including all offices in the analysis. EPA
solicits comment for additional
information on these low revenue dental
offices.
1. Cost-to-Revenue Analysis
To provide an assessment of the
impact of the rule on dental offices, EPA
used a cost-to-revenue analysis as is
standard practice for ELGs when
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looking at impacts to small businesses.
The cost-to-revenue analysis compares
the total annualized compliance cost of
each regulatory option with the revenue
of the entities. It is also used under the
Regulatory Flexibility Act (RFA) to
determine if a rule has the potential to
have a significant impact on a
substantial number of small entities.
EPA apportioned all dental offices into
Economic Census revenue ranges. Using
the relationship between revenue and
number-of-chairs previously developed,
each revenue range was assigned to a
number-of-chairs category which
determined its annual costs. EPA looked
at whether all, some, or none of the
offices in each revenue range would
exceed the 1% or 3% threshold (to
signal the potential for significant
impact), and summed across chair-size
categories to assess impact to the
industry. To incorporate the discussion
of low revenue dental offices described
in Section XVI.B above, this analysis is
conducted twice: (1) Excluding dental
offices that could represent baseline
closures and (2) including all offices in
the analysis.
2. Ratio of the Proposed Rule’s Capital
Costs to Total Dental Office Capital
Assets
This ratio examines the initial
spending on capital costs of compliance
in relation to the baseline value of assets
on the balance sheet of dental office
businesses. EPA assumes a low ratio
implies limited impact on dental offices’
ability to finance the initial spending on
capital costs of the proposed rule. A
high ratio may still allow costs to be
financed but could imply a need to
change capital planning and budgeting.
EPA relied on data from Risk
Management Association (RMA) 23 to
estimate the average asset-to-sales ratio
23 Risk Management Association reports financial
statement information received from lending
institutions, for businesses in a wide range of
economic sectors, including Dental Offices. These
data include a wide range of income statement and
balance sheet information as well as financial and
operating ratios.
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in each number-of-chairs category for
the dental office sector. This ratio was
then applied to the revenue range/
number-of-chairs categories to find an
asset value for the minimum (reported
as low in Table XVI–3) and maximum
(reported as high in Table XVI–3)
revenue values for that number-of-chairs
category. EPA used these baseline assets
by number-of-chairs category as the
denominator for the ratio. Total
proposed rule compliance costs, as
described in Section XVI.B above, were
assigned to each number-of-chairs
category as the numerator for the ratio.
To incorporate the discussion of low
revenue dental offices described in
Section XVI.B above, this analysis is
conducted twice: (1) Excluding dental
offices that could represent baseline
closures, and (2) including all offices in
the analysis. This analysis assumes a
minimum revenue value of $5,000 for
the lowest revenue range to prevent
division by zero.
The RMA data contains the limitation
that it may not be fully representative of
all dental offices, because it only
represents dental offices that are
successful borrowers. It is possible that
offices that are not financially healthy
may be underrepresented in the RMA
data. This would tend to understate
EPA’s finding of impacts.
3. Comparison of the Proposed Rule’s
Capital Costs to Annual Dental Office
Capital Replacement Costs
EPA also compared the initial
spending on capital costs of compliance
associated with this proposed rule to the
estimated capital replacement costs for
a dental office business (e.g., computer
systems, chairs, x-ray machines, etc.).
The capital replacement costs represent
a value that dental offices may
reasonably expect to spend in any year
to replace and/or upgrade dental office
capital equipment. EPA assumes a low
ratio implies limited impact on dental
offices’ ability to finance the initial
spending on capital costs of the
proposed rule. A high ratio may still
allow costs to be financed but could
imply a need to change capital planning
and budgeting. However, because EPA
expects that annual dental office capital
replacement would be smaller than total
dental office capital assets, this ratio is
likely to result in a higher value than
the previous ratio. Because this ratio is
based on a different data source, it
provides an independent check that
abstracts from the limitations of the
RMA data.
EPA used data from Safety Net Dental
Clinic Manual, prepared by the National
Maternal & Child Oral Health Resource
Center at Georgetown University (see
DCN DA00143). This study examines
data describing the equipment needs
and costs for starting a dental practice
for a range of different number-of-chairs
including information on the life of the
dental equipment. EPA then used these
data to estimate capital replacement
costs, accounting for the total value of
equipment purchases for different
numbers of chairs, and the composition
of purchases by equipment life category.
EPA used these replacement capital
costs by number-of-chairs as the
denominator for the ratio. Total
proposed rule compliance costs, as
described in Section XVI.B above, were
63273
assigned to each number-of-chairs as the
numerator for the ratio.
Because the data are for starting a
dental clinic instead of a dental
practice, EPA is taking comment to
solicit additional information on
equipment needs and costs for starting
a dental practice, including information
on the life of the dental equipment. See
the TEDD for details on this analysis.
C. Results of Impact Analysis
1. Cost-to-Revenue Analysis Results
Following the methodology outlined
in XVI.B, EPA estimated the occurrence
of annualized compliance costs
exceeding the 1% and 3% of revenue
thresholds for the proposed option
twice: (1) Excluding dental offices that
could represent baseline closures, and
(2) including all offices in the analysis.
Table XVI–2 summarizes the results
from this analysis. As shown there,
under either scenario, over 99% of
dentists would incur annualized
compliance costs of less than 1% of
revenue. With baseline set-asides
excluded from the analysis, 507 offices
(0.5% of offices using dental amalgam
and exceeding the set-aside revenue
threshold) are estimated to incur costs
exceeding 1% of revenue; no offices are
estimated to incur costs exceeding 3%
of revenue. With baseline set-asides
included in the analysis, 965 offices
(0.9% of offices using dental amalgam)
are estimated to incur costs exceeding
1% of revenue; 221 offices (0.2% of
offices using dental amalgam) are
estimated to incur costs exceeding 3%
of revenue.
TABLE XVI–2—COST-TO-REVENUE ANALYSIS IMPACT SUMMARY
Total offices
by chair size
Number of chairs
Costs >1% Revenue
Number
Costs >3% Revenue
Percent
Number
Percent
Excluding Baseline Set-Aside Offices from Analysis
1–2 chairs ............................................................................
3 chairs ................................................................................
4 chairs ................................................................................
5 chairs ................................................................................
6 chairs ................................................................................
7+ chairs ..............................................................................
12,197
25,835
27,976
15,194
12,047
16,611
507
0
0
0
0
0
4.2
0.0
0.0
0.0
0.0
0.0
0
0
0
0
0
0
0.0
0.0
0.0
0.0
0.0
0.0
Total ..............................................................................
109,859
507
0.5
0
0.0
7.9
0.0
0.0
0.0
0.0
0.0
221
0
0
0
0
0
1.8
0.0
0.0
0.0
0.0
0.0
tkelley on DSK3SPTVN1PROD with PROPOSALS3
Including Baseline Set-Aside Offices in Analysis
1–2 chairs ............................................................................
3 chairs ................................................................................
4 chairs ................................................................................
5 chairs ................................................................................
6 chairs ................................................................................
7+ chairs ..............................................................................
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25,835
27,976
15,194
12,047
16,611
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965
0
0
0
0
0
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TABLE XVI–2—COST-TO-REVENUE ANALYSIS IMPACT SUMMARY—Continued
Total offices
by chair size
Number of chairs
Total ..............................................................................
Costs >1% Revenue
Number
109,859
Costs >3% Revenue
Percent
965
Number
0.9
Percent
221
0.2
Source: EPA analysis.
2. Ratio of the Proposed Rule’s Capital
Costs to Total Dental Office Capital
Assets
Table XVI–3 reports the findings from
this analysis, specifically the weighted
average of the initial spending on the
proposed rule’s capital costs divided by
total assets of dental office across the
revenue range/number-of-chairs
analysis combinations. With baseline
set-asides excluded from the analysis,
the resulting initial capital costs to total
capital assets values are low, with an
average value 0.5% to 1.0% for the no
technology in-place case and 0% for the
technology in-place case. With baseline
closures included in the analysis, the
resulting initial capital costs to total
capital assets values are low, with an
average value 0.6% to 1.2% for the no
technology in-place case and 0% for the
technology in-place case.
TABLE XVI–3—INITIAL SPENDING AS PERCENTAGE OF PRE-RULE TOTAL DENTAL OFFICE CAPITAL ASSETS 1
Technology in place
No technology in place
Number of chairs
Low
High
Low
High
Excluding Baseline Set-Aside Establishments from Analysis
1–2 chairs ........................................................................................................................
3 chairs ............................................................................................................................
4 chairs ............................................................................................................................
5 chairs ............................................................................................................................
6 chairs ............................................................................................................................
7+ chairs ..........................................................................................................................
Weighted Average ...........................................................................................................
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.0
0.0
2.7
0.8
0.5
0.3
0.3
0.2
0.7
1.3
0.5
0.3
0.2
0.2
0.2
0.4
0.1
0.0
0.0
0.0
0.0
0.0
0.0
3.7
0.8
0.5
0.3
0.3
0.2
0.8
1.7
0.5
0.3
0.2
0.2
0.2
0.5
Including Baseline Set-Aside Establishments in Analysis
1–2 chairs ........................................................................................................................
3 chairs ............................................................................................................................
4 chairs ............................................................................................................................
5 chairs ............................................................................................................................
6 chairs ............................................................................................................................
7+ chairs ..........................................................................................................................
Weighted Average ...........................................................................................................
0.2
0.0
0.0
0.0
0.0
0.0
0.0
1 EPA used the baseline asset value for the minimum (reported as low) and maximum (reported as high) revenue values by number-of-chairs
category as the denominator for the ratio. Total proposed rule compliance costs, as described in Section XVI.B above, were assigned to each
number-of-chairs category as the numerator for the ratio.
tkelley on DSK3SPTVN1PROD with PROPOSALS3
3. Ratio of the Proposed Rule’s Capital
Costs to Annual Dental Office Capital
Replacement Costs Results
EPA compared the estimated total
initial spending on the proposed rule’s
capital costs to the estimated capital
replacement costs across all chair-sizes.
The resulting values for the proposed
option range from 2.9% to 3.5%, with
a weighted average of 2.9% across all
chair size ranges.
TABLE XVI–4—INITIAL SPENDING AS
PERCENTAGE OF ESTIMATED ANNUAL DENTAL OFFICE CAPITAL REPLACEMENT COSTS 1
Number of chairs
Percent
1–2 chairs .................................
3 chairs .....................................
4 chairs .....................................
5 chairs .....................................
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3.2
2.6
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TABLE XVI–4—INITIAL SPENDING AS D. Economic Achievability
PERCENTAGE OF ESTIMATED ANThe analyses performed above
NUAL DENTAL OFFICE CAPITAL REdemonstrate the impact of this proposed
PLACEMENT COSTS 1—Continued
rule on the dental office sector. In the
Number of chairs
Percent
6 chairs .....................................
7 chairs .....................................
8 chairs .....................................
9 chairs .....................................
Weighted Average ....................
2.9
3.5
3.1
2.9
2.9
Source: EPA Analysis.
1 EPA estimated capital replacement costs,
accounting for the total value of equipment
purchases for different numbers of chairs, and
the composition of purchases by equipment
life category by number-of-chairs as the denominator for the ratio. Total proposed rule
compliance costs, as described in Section
XVI.B, were assigned to each number-ofchairs as the numerator for the ratio.
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cost-to-revenue analysis, EPA found that
no more than 0.2% of offices, mostly in
the lower revenue ranges, would
potentially incur costs in excess of 3%
of revenue. The two financial ratios
reported in Tables XVI–3 and XVI–4
show that the proposed option would
not cause dental offices to encounter
difficulty in financing initial spending
on capital costs of the proposed
regulatory option. Based on the results
of the three analyses above in
combination, and EPA’s inability at this
time to conduct a traditional facility
closure analysis, EPA has determined
that the proposed pretreatment standard
is economically achievable. EPA notes
that, due to a lack of data, the economic
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impact analyses did not include large
institutional facilities. However, the
results of the economic analyses
performed on a range of office sizes
indicate that this proposal is
economically achievable at every level.
Therefore, EPA projects the rule would
similarly be achievable for large
institutional facilities. EPA requests
comment on this projection and data to
perform economic achievability
analyses.
E. Economic Impact for New Sources
EPA determined that this proposed
pretreatment standard for new sources
would not impose a barrier to entry.
EPA relied on data describing the
equipment needs and costs for starting
a dental practice as compiled in Safety
Net Dental Clinic Manual, prepared by
the National Maternal & Child Oral
Health Resource Center at Georgetown
University (see DCN DA00143).
Information from the Georgetown
Manual demonstrates that the amalgam
separator capital costs (based on costs
for existing model facilities as described
in Section XI) comprised 0.3% to 0.4%
of the cost of starting a dental practice
and, therefore, does not pose a barrier to
entry.
TABLE XVI–5—INITIAL SPENDING AS
PERCENTAGE OF ESTIMATED DENTAL
OFFICE START-UP COSTS
Number of chairs
Percent
1–2 chairs .................................
3 chairs .....................................
4 chairs .....................................
5 chairs .....................................
6 chairs .....................................
7 chairs .....................................
8 chairs .....................................
9 chairs .....................................
Weighted Average ....................
0.4
0.4
0.3
0.3
0.3
0.4
0.4
0.3
0.3
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Source: EPA Analysis.
XVII. Pollutant Reductions to POTWs
and Surface Waters
Consistent with its costing
methodology, EPA’s pollutant reduction
methodology assumes 2008 ISO 11143
amalgam separators on the market today
with BMPs, the proposed technology
basis, would be used to comply with
this proposed rule. As was the case for
costing, EPA does not have office
specific discharge data for the
approximately 110,000 dental offices
potentially subject to this proposal.
Instead, EPA has modeled the
discharges of mercury based on
nationwide estimates of amalgam
restorations and removals, and did not
calculate the pollutant reductions on a
per office basis. Rather, EPA calculated
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average mercury loadings by dividing
the total number of annual procedures
by the total number of dentists
performing the procedure.24 This is the
same approach and data that EPA
presented in its Health Services
Industry Detailed Study (EPA 821–R–
08–014). EPA did not receive comments
on this part of the health study that
would cause EPA to reconsider its
approach, and, therefore, EPA did not
change the overall methodology. The
following sections describe the method
in more detail.
A. Nationwide Estimate of Annual
Mercury Discharges From Dental Offices
First, EPA estimated the amount of
mercury potentially discharged
nationwide through amalgam
restorations. EPA’s main source of the
data underlying all of the estimates
related to restorations is Vandeven and
McGinnis, 2005 (DCN 00163). EPA
estimates 71 million restorations occur
at dental offices annually and that these
restorations are performed with one
amalgam capsule per restoration. Each
amalgam capsule contains 450 mg of
mercury and, on average, 75% of the
capsule is used for the filling, with the
remaining 25% remaining in the
capsule. Therefore, 340 mg of mercury
(75% of the capsule) are used per filling.
Further, 9% of the 340 mg of mercury,
or 31 mg, is discharged to the POTW as
carvings and filings or other waste.
Thus, EPA estimates a total of 2.4 tons
of mercury nationwide 25 is discharged
annually to POTWs from restorations.
Second, EPA modeled mercury
discharges from amalgam removals.
Similar to restorations, EPA’s main
source of the data underlying all of the
estimates related to amalgam removals
is Vandeven and McGinnis, 2005. Based
on this information, EPA estimates
approximately 97 million amalgam
removals occur each year. An average of
300 mg mercury is removed from the
filling. Ninety percent of the removed
filling is assumed to be discharged to
wastewater, and the other 10% is
handled as dry waste and/or gray
bagged. Thus, EPA estimates 29 tons of
mercury are discharged to POTWs from
removals each year.
Summing the total mercury
discharged from restorations plus that
associated with filling removals, 31.4
tons of mercury are potentially
discharged annually to POTWs from
dental offices. However, these
calculations do not account for the
24 Because this approach is based on the number
of dentists, it includes those dentists both at offices
and institutional facilities.
25 71 million restorations times 31 mg per
restoration.
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amount of mercury removed at the
dental office and prior to POTW
discharge through existing chair side
traps, vacuum pump filters, and/or
amalgam separators as described below.
B. National Estimate of Annual Baseline
Discharges of Mercury From Dental
Offices to POTWs
As described in Section VIII, EPA
estimates that 40% of dental offices
currently operate dental amalgam
separators. Thus, on a nationwide basis,
approximately 65,000 dental offices
currently do not have separators and
44,000 offices already have separators in
place. Of the offices that do not
currently have separators in place, EPA
assumed that 20% do not install or
remove amalgam, but EPA requests
comment on this assumption. For the
remainder, based on information in its
record, EPA assumes all offices have
chair side traps or a combination of
chair side traps and vacuum filters that
result in 68% and 78% collection of
dental amalgam, respectively (Vandeven
and McGinnis). After accounting for
mercury reductions achieved through
existing chair side traps, vacuum filters,
and separators, as appropriate, EPA
estimates the offices without separators
that place or remove amalgam
collectively discharge a total of 4.4 tons
of mercury to POTWs per year. The
offices with separators collectively
discharge approximately 63 pounds of
mercury to POTWs per year. Thus, EPA
calculates the current nationwide
annual baseline pounds of mercury
discharged to POTWs from dental
offices to be 4.4 tons mercury (out of a
total of the 31.4 tons mercury originally
generated). See Chapter 10 of the TEDD
for more information.
C. National Estimate of Annual Baseline
Discharges of Other Metals Contained in
Amalgam From Dental Offices to
POTWs
Amalgam is comprised of roughly
49% mercury, 35% is silver, 9% tin, 6%
copper and 1% zinc 26 (DCN DA00131).
As explained earlier in Section XI, EPA
concludes the technology basis for this
proposal would be equally effective in
reducing discharges of silver, tin,
copper, and zinc as it is in reducing
mercury. EPA similarly assumes chair
side traps and the combination of chair
side traps and vacuum filters will result
in 68% and 78% collection of these
metals, respectively. Accordingly, after
accounting for existing technologies at
dental offices, EPA estimates that in
26 It also contains small amounts of indium and
palladium. EPA did not estimate discharges of these
two pollutants.
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addition to 4.4 tons of mercury,
approximately 4.6 tons of these
additional metals are discharged to
POTWs annually for a total metal
discharge to POTWs of 9 tons annually.
D. National Estimate of Annual
Pollutant Reductions to POTWs
Associated With This Proposal
1. Mercury
EPA estimates the 52,000 offices that
install separators would obtain an
additional 99.0% removal by amalgam
separator (median removal efficiency of
amalgam separators; see 7.1 of TEDD).
This would result in reduction of total
mercury discharges to POTWs by 4.3
tons. Because dissolved mercury
accounts for much less than 1% of total
mercury (DCN DA00018), and because
amalgam separators are not effective in
removing dissolved mercury, the
dissolved mercury contribution and
associated reduction in loads is
assumed to be negligible. EPA solicits
comment and data on this assumption.
2. Other Metals
As explained earlier in Section XI,
EPA concludes the technology basis for
this proposal would be equally effective
in reducing discharges of silver, tin,
copper, and zinc as it is in reducing
mercury. Accordingly, EPA estimates a
reduction of these metal discharges to
POTWs of approximately 4.5 tons.
3. Total Reductions
EPA estimates this proposal would
annually reduce mercury discharges by
4.3 tons and other metal discharges by
4.5 tons for a total annual reduction to
POTWs of 8.8 tons.
E. National Estimate of Annual
Pollutant Reductions to Surface Waters
Associated With This Proposal
In order to evaluate final discharges of
mercury (and other metals) to waters of
the U.S. by the POTW, EPA used its 50
POTW Study to calculate POTW
removals of each metal. As explained
above, at baseline and prior to
implementation of this proposal, EPA
estimates 4.4 tons of dental mercury is
collectively discharged annually to
POTWs. Based on the 50 POTW Study,
EPA estimates POTWs remove 90% of
the 4.4 tons mercury from the
wastewater. Thus, POTWs collectively
discharge 880 lbs of mercury from
dental amalgam to surface waters
annually. Under this proposed rule,
99.0% of the solid mercury currently
discharged annually to POTWs will be
removed prior to the POTW. The
POTWs then further remove 90% of
total mercury from the wastewater. This
reduces the total amount of dental
mercury discharged from POTWs
nationwide to surface water to 14 lbs of
mercury annually. In other words,
discharges of mercury to waters of the
U.S. are expected to be reduced by 860
pounds per year.27 Similarly, EPA’s 50
POTW Study data shows 79% to 88%
of other metals in the wastewater are
removed by POTWs. As explained
above, EPA estimates 4.6 tons of other
metals are also collectively discharged
annually to POTWs. Thus POTWs
collectively discharge approximately
1,280 lbs of other metals to surface
waters annually. Following compliance
with this proposed rule, the total
amount of other metal discharges from
POTWs nationwide to surface waters
will be approximately 20 lbs or a
reduction of 1,257 lbs. See TEDD for
more details.
XVIII. Cost Effectiveness
EPA also conducted an analysis of the
cost-effectiveness of the proposed
option. For more information about the
methodology, data, and results see the
cost effectiveness section of the TEDD.
The results of this cost-effectiveness
analysis are expressed in terms of the
costs (in 1981 dollars) per poundequivalent removed, where poundsequivalent removed for a particular
pollutant is determined by multiplying
the number of pounds of a pollutant
removed by an option by a toxic
weighting factor (TWF). The toxic
weighting factors account for the
differences in toxicity among pollutants
and are derived using chronic aquatic
life criteria (or toxic effect levels) and
human health criteria (or toxic effect
levels) established for the consumption
of fish. For this proposal, EPA used the
annual pounds removed for mercury,
silver, tin, copper and zinc. The TWF
for these pollutants is shown in Table
XVIII–1.
TABLE XVIII–1—TOXIC WEIGHTING
FACTORS FOR POLLUTANTS IN DENTAL AMALGAM
Total Mercury ................................
Silver .............................................
Tin .................................................
Copper ..........................................
Zinc ...............................................
117.12
16.47
0.30
0.63
0.05
EPA presents cost effectiveness in
1981 dollars as a reporting convention.
This allows EPA to compare the costeffectiveness of various ELGs. EPA
calculates cost-effectiveness as the ratio
of pre-tax annualized costs of an option
to the annual pounds-equivalent
removed by that option, and for this
proposal is expressed as the average
cost-effectiveness for the option.
Average cost-effectiveness can be
thought of as the ‘‘increment’’ between
no regulation and the selected option for
any given rule. The technology basis for
PSES in this proposal has a costeffectiveness ratio of $181–$201/lbequivalent. This cost-effectiveness ratio
falls within industry comparisons of
PSES cost-effectiveness. A review of
approximately 25 of the most recently
promulgated or revised categorical
pretreatment standards demonstrates
that PSES cost effectiveness ranges from
approximately $1/lb-equivalent
(Inorganic Chemicals) to $380/lbequivalent (Transportation Equipment
Cleaning) in 1981 dollars.
TABLE XVIII–2—PSES COST EFFECTIVENESS ANALYSIS
Pre-tax total
annualized costs
($1981 M)
Proposed option
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ADA National Survey .............................................................................................................
Colorado Survey ....................................................................................................................
$23
21
27 Dissolved mercury accounts for a portion of
surface water discharges, because amalgam
separators do not remove dissolved mercury.
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Removals
(lbs-eq)
113,152
113,152
Average cost
effectiveness
$201
181
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XIX. Environmental Assessment
A. Environmental Impacts
EPA conducted a literature review
concerning potential environmental
impacts associated with mercury in
dental amalgam discharged to surface
water by POTWs. See DCN DA00148.
Studies indicate that dental offices are
the largest source of mercury entering
POTWs. The total annual baseline
discharge of dental mercury to POTWs
is approximately 8,800 pounds (4.4
tons): 8,448 pounds are in the form of
solid particles and 352 pounds (4%) are
dissolved in the wastewater. Through
POTW treatment, approximately 90% of
dental mercury is removed from the
wastewater and transferred to sewage
sludge. The 10% of dental mercury not
removed by POTW treatment is
discharged to surface water. EPA
estimates that POTWs annually
discharge approximately 880 pounds of
dental mercury nationwide.
The CWA regulations known as
Standards for Use and Disposal of
Sewage Sludge, 40 CFR part 503, control
the land application, surface disposal,
and incineration of sewage sludge
generated by POTWs. Of the 11.2 billion
dry pounds of sewage sludge generated
annually, about 60%, or 6.7 billion
pounds, are treated to produce biosolids
for beneficial use as a soil amendment
and applied to about 0.1% of
agricultural lands in the United States
(National Research Council, 2002).
Approximately 4,800 pounds per year of
dental mercury are contained in land
applied biosolids.
Approximately 18%, or 2 billion
pounds, of the sewage sludge generated
annually by POTWs are surface
disposed in facilities such as sewage
sludge mono-fills or municipal landfills.
Approximately 1,400 pounds per year of
dental mercury are contained in surface
disposed sewage sludge. Pollutant limits
and monitoring requirements for surface
disposed sewage sludge mono-fills are
set by 40 CFR part 503 and by 40 CFR
part 258 for municipal landfills. There
may be additional state or local
regulations that are more stringent than
the federal biosolids regulations.
The remaining 22%, or 2.5 billion
pounds, of sewage sludge generated
annually by POTWs is disposed of
through incineration. An estimated 35
pounds of dental mercury are emitted to
the atmosphere annually from
incineration of sewage sludge (U.S.
EPA, 2005); about 11.5 pounds of which
are deposited within the conterminous
United States (U.S. EPA, 1997). 40 CFR
part 503, subpart E sets requirements for
the incineration of mercury and other
toxic metals in sludge. For mercury,
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subpart E provides that incineration of
sludge must meet the requirements of
the National Emissions Standards for
Mercury in subpart E of 40 CFR part 61.
Environmental assessment of impacts
associated with POTW discharges of
dental mercury is complicated by
uncertainties about the fate and
transport of mercury in aquatic
environments. The elemental form of
mercury used in dentistry has low water
solubility and is not readily absorbed
when ingested by humans, fish, or
wildlife. However, elemental mercury
may be converted into highly toxic
methylmercury in aquatic environments
by certain forms of anaerobic sulfur
reducing bacteria. Methylmercury is
easily absorbed into muscle and fat
tissues, but it is not readily excreted due
to its low water solubility.
Methylmercury thus has high potential
to become increasingly concentrated up
through aquatic food chains as larger
fish eat smaller fish. Fish commonly
eaten by humans may have
methylmercury levels 100,000 times
that of ambient water. The neurological
effects of consumption of
methylmercury contaminated fish are
well documented. Developmental
effects to fetuses, infants, children, and
women of childbearing age are of
special concern. Neurological effects
from predation of methylmercury
contaminated fish have been
documented to occur in wild
populations of fish, birds, and mammals
in many areas of the United States.
A plausible link has been identified
between anthropogenic sources of
mercury in the United States and
methylmercury in fish. However, fish
methylmercury concentrations also
result from existing background
concentrations of mercury which may
consist of mercury from natural sources,
mercury re-emitted from the oceans or
soils, and mercury deposited in the
United States from sources in other
countries. Given the current scientific
understanding of the environmental fate
and transport of mercury, it is not
possible to quantify how much of the
methylmercury in fish consumed by the
U.S. population is contributed by U.S.
emissions relative to international
mercury sources or natural mercury
sources.
EPA was unable to assess the specific
environmental impacts of dental
mercury discharged by POTWs due to
insufficient data needed to evaluate
several fundamental factors about the
discharge, fate, and transport of dental
mercury in aquatic environments,
including: the degree and geographic
extent of dental mercury methylation in
aquatic environments, the amount of
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methylated dental mercury that is taken
up by fish and wildlife, the human
consumption rates of fish contaminated
with methylated dental mercury, and
the extent and magnitude of naturallyoccurring mercury in aquatic
environments.
B. Environmental Benefits
While EPA did not perform an
environmental benefits analysis of this
proposed rule, due to insufficient data
about the aquatic fate and transport of
dental mercury discharged by POTWs,
EPA was able to assess the qualitative
environmental benefits based on
existing information. For example, EPA
identified studies that show that
decreased point-source discharges of
mercury to surface water result in lower
methylmercury concentrations in fish.
Moreover, several studies quantified
economic benefits from improved
human health and ecological conditions
resulting from lower fish concentrations
of methylmercury. See DCN DA00148.
The proposed pretreatment standards
will produce human health and
ecological benefits by reducing the
estimated annual nationwide POTW
discharge of dental mercury to surface
water from 880 pounds to 14 pounds.
XX. Non-Water Quality Environmental
Impacts Associated With the Proposed
Technology Basis
Eliminating or reducing one form of
pollution may cause other
environmental problems. Sections
304(b) and 306 of the Clean Water Act
require EPA to consider non-water
quality environmental impacts
(including energy requirements)
associated with effluent limitations
guidelines and standards. To comply
with these requirements, EPA
considered the potential impact of the
collection and treatment technologies
on energy consumption, air pollution,
and solid waste generation. EPA
anticipates that the proposed rule would
produce minimal non-water quality
impacts. The Administrator has
determined that these very minimal
impacts are acceptable. For additional
information on the analysis of these
non-water quality impacts, see the
Technical and Economic Development
Document.
A. Energy Requirements
Net energy consumption considers the
incremental electrical requirements
associated with operating and
maintaining dental amalgam separators
used in combination with BMPs that
form the technology basis for the
proposed rule standards. As described
in Section VI, an amalgam separator in
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a dental office is installed between
chairs used for treatment and the
vacuum pump. Amalgam separators use
sedimentation, either alone or in
conjunction with filtration to remove
solids in the waste stream. Most
separators rely on gravity or the suction
of the existing vacuum system to
operate, and do not require an
additional electrical power source. As a
result, EPA expects operation of an
amalgam separator would pose
negligible additional energy
requirements on the existing vacuum
pump.
While the vendor data used to support
this proposed rule have not identified
incremental energy requirements for an
amalgam separator, EPA is aware that
some units described in the literature
may require small pumps to remove
settled effluent from the separator (DCN
00162). EPA found that these pumps are
designed to operate only at the end of
the day or overnight, when the vacuum
system is turned off. Any incremental
energy requirements in those cases
where a small supplemental pump is
installed would be negligible compared
to the energy demands of the vacuum
pump. Based on this evaluation of
energy requirements associated with
this proposed rule, EPA concludes there
will be no significant non-water quality
impacts associated with the energy
requirements of this proposed rule.
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B. Air Emissions
Unbound mercury is highly volatile
and can easily evaporate into the
atmosphere. An estimated 99.6% of
dental mercury discharges are in solid
bound form; i.e. elemental mercury
bound to amalgam particles (DCN
DA00018). Because the majority of
dental mercury is bound to solid
particles, it likely will not volatize to
the atmosphere. Therefore, EPA expects
the proposed PSES and PSNS will not
pose any increases in air pollution. EPA
concludes there will be no significant
non-water quality impacts associated
with air emissions as a result of this
proposed rule.
C. Solid Waste Generation
As explained above in Section XI, in
the absence of amalgam separators, a
portion of the amalgam rinsed into chair
side drains is collected by chair side
traps. The remainder is discharged to
the POTW where the vast majority is
removed from the wastewater and
becomes part of the POTW sludge that
may be land applied, disposed of in
landfills or mono-fills, or incinerated.
This proposed rule is expected to
increase the use of amalgam separators
nationwide by one and a half times,
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since EPA estimates 40% of dental
offices have separators installed, with a
corresponding increase in collection of
used amalgam prior to POTW discharge
and recycling of amalgam via the spent
separator canisters. EPA expects the
operation and maintenance
requirements associated with the
amalgam separator compliance option
included as part of the proposed rule
will further promote recycling as the
primary means of amalgam waste
management. EPA expects this proposed
rule will not create additional solid
waste, but will instead result in a shift
in how dental amalgam is handled.
Nationally, EPA expects less dental
amalgam will partition to the POTW
wastewater sludge leading to reductions
in the amount of mercury currently land
applied, landfilled, or released to the air
during incineration. Instead, it will be
collected in separator canisters and
recycled. Based on this evaluation of
solid waste generation, EPA concludes
there will be a reduction in non-water
quality impacts associated with solid
waste generation as a result of this
proposed rule.
XXI. Implementation and Proposed
Changes to General Pretreatment
Regulations in 40 CFR Part 403
A. Implementation Deadline
1. Existing Sources
For existing sources, EPA proposes a
compliance date of three years after the
effective date of the final rule. Section
307(b)(1) of the CWA provides
categorical pretreatment standards
‘‘shall specify a time for compliance not
to exceed three years from the date of
promulgation.’’ See also 40 CFR
403.6(b). In proposing a compliance
date for existing sources subject to this
proposed rule, EPA considered several
factors. First, EPA considered the
burden on Control Authorities (POTWs
with approved Pretreatment Programs)
of implementing this rule on an
industry consisting of approximately
110,000 dental offices, many of whom
are small businesses. EPA expects that
these POTWs will need to develop and
implement new strategies and programs
for managing the enforcement and
compliance of these pretreatment
standards given that the number of
possibly affected facilities is
approximately 10 times the total
number of dischargers currently
regulated under any categorical
pretreatment standard. EPA expects that
POTWs will need time to conduct
outreach to dental offices subject to this
proposed rule. Moreover, EPA envisions
that dental offices may use the entire
three year period to come into
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compliance with the numeric standard
(presumably using amalgam separators)
and implement the required BMPs.
2. New Sources
For new sources, the compliance
deadline is governed by EPA’s
regulation at 40 CFR 403.6(b), which
provides that
New Sources shall install and have in
operating condition, and shall ‘start-up’ all
pollution control equipment required to meet
applicable Pretreatment Standards before
beginning to Discharge. Within the shortest
feasible time (not to exceed 90 days), new
Sources must meet all applicable
Pretreatment Standards.
B. Upset and Bypass Provisions
A ‘‘bypass’’ is an intentional diversion
of the streams from any portion of a
treatment facility. An ‘‘upset’’ is an
exceptional incident in which there is
unintentional and temporary
noncompliance with technology-based
permit effluent limitations because of
factors beyond the reasonable control of
the permittee. EPA’s regulations for
indirect dischargers concerning
bypasses and upsets are set forth at 40
CFR 403.16 and 403.17.
C. Variances and Modifications
The CWA requires application of
pretreatment standards established
pursuant to sections 304 and 307 for all
indirect dischargers. However, the
statute provides for the modification of
these national requirements in a limited
number of circumstances. Moreover, the
Agency has established administrative
mechanisms to provide an opportunity
for relief from the application of the
national pretreatment standards for
categories of existing sources.
1. Fundamentally Different Factors
Variance
EPA may develop pretreatment
standards different from the otherwise
applicable requirements if an individual
discharger is fundamentally different
with respect to factors considered in
establishing the standards applicable to
the individual discharger. Such a
modification is known as a
‘‘fundamentally different factors’’ (FDF)
variance. See 40 CFR 403.13. EPA, in its
initial implementation of the effluent
guidelines and standards program,
provided for the FDF modifications in
regulations. These were variances from
the BCT effluent limitations, BAT
limitations for toxic and
nonconventional pollutants, and BPT
limitations for conventional pollutants
for direct dischargers. FDF variances for
toxic pollutants were challenged
judicially and ultimately sustained by
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the Supreme Court. (Chemical
Manufacturers Association v. Natural
Resources Defense Council, 479 U.S.C.
116 (1985)).
Subsequently, in the Water Quality
Act of 1987, Congress added new CWA
section 301(n). This provision explicitly
authorizes modifications of the
otherwise applicable BAT effluent
limitations or categorical pretreatment
standards for existing sources if a
discharger is fundamentally different
with respect to the factors specified in
CWA section 304 or 403 (other than
costs) from those considered by EPA in
establishing the effluent limitations or
pretreatment standards. CWA section
301(n) also defined the conditions
under which EPA may establish
alternative requirements. Under section
301(n) of the CWA, an application for
approval of a FDF variance must be
based solely on (1) information
submitted during rulemaking raising the
factors that are fundamentally different
or (2) information the applicant did not
have an opportunity to submit. The
alternate limitation or standard must be
no less stringent than justified by the
difference and must not result in
markedly more adverse non-water
quality environmental impacts than the
national limitation or standard.
EPA regulations at 40 CFR part 403,
authorizing the Regional Administrators
to establish alternative standards,
further detail the substantive criteria
used to evaluate FDF variance requests
for existing dischargers to POTWs.
Thus, 40 CFR 403.13(d) identifies six
factors (e.g., volume of process
wastewater, age and size of a
discharger’s facility) that may be
considered in determining if a
discharger is fundamentally different.
The Agency must determine whether,
based on one or more of these factors,
the discharger in question is
fundamentally different from the
dischargers and factors considered by
EPA in developing the nationally
applicable pretreatment standards. The
regulation also lists four other factors
(e.g., inability to install equipment
within the time allowed or a
discharger’s ability to pay) that may not
provide a basis for an FDF variance. In
addition, under 40 CFR 403.13(c)(2), a
request for standards less stringent than
the national standard may be approved
only if compliance with the
pretreatment standards would result in
either (a) a removal cost wholly out of
proportion to the removal cost
considered during development of the
pretreatment standards, or (b) a nonwater quality environmental impact
(including energy requirements)
fundamentally more adverse than the
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impact considered during development
of the pretreatment standards. The
legislative history of section 301(n) of
the CWA underscores the necessity for
the FDF variance applicant to establish
eligibility for the variance. EPA’s
regulations at 40 CFR 403.13 are explicit
in imposing this burden upon the
applicant. The applicant must show that
the factors relating to the discharge
controlled by the applicant’s permit
which are claimed to be fundamentally
different are, in fact, fundamentally
different from those factors considered
by EPA in establishing the applicable
pretreatment standards. In practice, very
few FDF variances have been granted for
past ELGs. An FDF variance is not
available to a new source subject to
PSNS.
2. Economic Variances
Section 301(c) of the CWA authorizes
a variance from the otherwise applicable
PSES and PSNS for nonconventional
pollutants due to economic factors. As
this rule controls toxic pollutants and
only controls nonconventional
pollutants that are also found in the
same waste stream, this variance would
not be applicable to this particular rule.
D. What are the roles of key entities
involved in implementing the rule and
how are pretreatment standards
implemented?
EPA recognizes the role of many
interested parties in the development of,
and, ultimately, the successful
implementation of pretreatment
standards for dental dischargers. To the
greatest extent possible, EPA has
attempted to strike a reasonable balance
among the many interests. A short
summary of the various roles involved
in implementing categorical
pretreatment standards is provided
below.
1. Control Authorities
The ‘‘Control Authority’’ refers to the
POTW if the POTW has an approved
Pretreatment Program, or the Approval
Authority if it has not been approved,
which may be the state or EPA. A
POTW is a treatment works as defined
by section 212(2) of the CWA, which is
owned by a state or municipality (as
defined in CWA sections 502 (3) and (4),
respectively). (see 40 CFR 403.3(q).)
POTWs collect wastewater from homes,
commercial buildings, and industrial
facilities and typically transport it via a
series of pipes, known as a collection
system, to the treatment plant. Most
POTWs are not designed to treat the
toxics in commercial and industrial
wastes, which can cause pass through,
interfere with, or are otherwise
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incompatible with the operation of
POTWs, including sludge disposal
methods at POTWs. The General
Pretreatment Regulations require
POTWs that meet certain criteria (e.g.
minimum design flow) to develop
Pretreatment Programs to control
industrial Discharges into their sewage
collection systems, unless the state
exercises its option to assume local
responsibilities as provided in EPA’s
regulations at 40 CFR 403.10(e) and (f).
Today there are an estimated 1500
approved POTW Pretreatment Programs.
As required under 40 CFR part 403,
Control Authorities implement and
enforce control mechanisms (e.g.,
permits) to the Industrial Users (IUs)
that discharge to their systems, inspect
and sample, and enforce control
requirements in order to protect the
POTW against discharges which ‘‘pass
through’’ or cause interference’’ with the
POTW (see 40 CFR 403.3(p) and (k)).
2. Approval Authority
The Director in an NPDES state with
an approved state Pretreatment Program
may be authorized to serve as the
Approval Authority for the
implementation of a general
pretreatment program. (40 CFR
403.3(c)). Thirty-six states have such
approved Pretreatment Programs and
are authorized to serve as Approval
Authorities for implementation of the
Pretreatment Program. In a non-NPDES
state or an NPDES state without an
approved state Pretreatment Program,
the EPA Regional Administrator is the
Approval Authority.
3. EPA
EPA establishes and implements
national regulations for Pretreatment
Programs and categorical pretreatment
standards for certain industries such as
the pretreatment standards for dental
amalgam proposed today. EPA also
develops policy and guidance and
provides training and oversight for
Pretreatment Program implementation.
As noted above, EPA’s Regional
Administrator serves as the Approval
Authority for a non-NPDES state or an
NPDES state without an approved state
Pretreatment Program, and as the
Control Authority for POTWs without
an approved Pretreatment Program in
these states.
4. Industrial Dischargers (i.e. Dentists)
IUs of POTWs must comply with
Pretreatment Standards prior to
introducing pollutants into a POTW.
The General Pretreatment Regulations
include general prohibitions that forbid
IUs from causing pass through and
interference (i.e., cause the POTW to
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violate its permits limits, or interfere
with the operation of the POTW or the
beneficial use of its sewage sludge), and
specific prohibitions against the
discharge of pollutants that cause
problems at the POTW such as
corrosion, fire or explosion, and danger
to worker health and safety. As
discussed in this document, EPA may
also develop national categorical
pretreatment standards, including
numeric pollutant limits and BMPs, for
IUs in specific industrial categories. The
General Pretreatment Regulations
include reporting and other
requirements necessary to implement
these categorical standards (e.g., 40 CFR
403.12).
E. What are the Control Authority
requirements under existing General
Pretreatment Regulations?
The current regulations require
certain minimum oversight of IUs by
Control Authorities, which are typically
POTWs with Approved Pretreatment
Programs but could be states or EPA
acting as Pretreatment Control
Authorities. The required minimum
oversight includes receipt and analysis
of reports and other notices submitted
by IUs, randomly sampling and
analyzing effluent from IUs, and
conducting surveillance activities to
identify occasional and continuing noncompliance with pretreatment
standards. In addition, for IUs
designated as significant industrial
users (SIUs), per 40 CFR 403.3(v),
Control Authorities must inspect and
sample the SIU effluent annually,
review the need for a slug control plan,
and issue a Permit or equivalent control
mechanism with a duration not to
exceed five years (40 CFR 403.8(f)(1)(iii)
and 403.8(f)(2)(v), 403.10(e) and
403.10(f)(2)(i)). Control authorities may
determine that an industrial user is a
non-significant categorical industrial
user or that an industrial user is not an
SIU (see 40 CFR 403.3(v)(2) and (v)(3)).
Facilities that are subject to
categorical pretreatment standards
contained in regulations in 40 CFR
Chapter I, subchapter N are referred to
as Categorical Industrial Users (CIUs).
The regulations related to SIU at 40 CFR
403.3(v) define SIU to include CIUs, but
also provide that a Control Authority
may determine that a CIU may be a NonSignificant Categorical Industrial User
(NSCIU) if certain conditions are met.
(see 403.3(v)(1) and (v)(2)). State
Approval Authorities and POTW
Control Authorities who have the legal
authority to implement the NSCIU
classification may find some of their
CIUs satisfy the qualifying conditions of
NSCIU at 40 CFR 403.3(v)(2). Upon such
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finding, the Control Authority may
exclude facilities meeting the NSCIU
criteria from the SIU definition and its
minimum oversight requirements. A
Control Authority may not exclude CIUs
from the requirements of the categorical
pretreatment standards.
F. Why is EPA revising the existing
General Pretreatment Regulations?
EPA proposes to amend selected parts
of the General Pretreatment Regulations
in order to simplify oversight
requirements for the approximately
110,000 dental offices subject to this
proposed rule. As mentioned in
paragraph E. of this section, when EPA
promulgates categorical industrial
pretreatment standards, as defined in 40
CFR part 403, affected dischargers are
referred to as Categorical Industrial
Users (CIUs). The number of dental
offices that would be subject to this
proposed rule is approximately ten
times the current number of Categorical
Industrial Users. EPA recognizes
regulatory oversight of this increased
number of CIUs would need to be very
different from regulating the current
number of CIUs. Using the existing
regulatory framework, enforcement of
categorical pretreatment regulation on
this industry would require an increase
in local, state and federal resources
whereas EPA does not expect such
efforts to result in greater environmental
benefit. EPA is focused on providing
technical means to reduce
administrative burden to dentists and
Control Authorities, while still
providing a clear understanding of who
is affected and what they are expected
to do, as well as achieving the projected
pollutant reductions. EPA estimates that
these changes to the Existing General
Pretreatment Standards would reduce
costs to POTWs to implement and
enforce this proposed rule by $47
million annually (see TEDD).
G. What changes is EPA proposing to
the General Pretreatment Standards?
EPA proposes a new classification of
CIU specifically tailored to the Dental
Office Effluent Limitations Guidelines
and Standards rule, ‘‘Dental Industrial
User’’ (DIU). EPA proposes that such
Users not be subject to the oversight
requirements for SIUs (i.e., control
mechanism issuance requirement,
annual inspection and sampling
requirements). Rather, EPA proposes to
allow Control Authorities to focus their
oversight efforts on those dental office
facilities that fail to meet the
compliance requirements of the DIU.
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H. When is a dental office a DIU?
Under the proposed rule, a dental
discharger is given the option of
complying with monitoring and
reporting requirements in 40 CFR
441.60, which are tailored for dental
dischargers, in lieu of the otherwise
applicable monitoring and reporting
requirements in 40 CFR part 403. If a
dental discharger complies with (1) the
special monitoring and reporting
requirements in 40 CFR 441.60, (2) the
remaining 40 CFR part 403
requirements, and the applicable
pretreatment standards (PSES or PSNS),
then the Control Authority may treat the
dental discharger as a DIU. The DIU
must maintain compliance in order to
retain its DIU status.
I. When is a dental office not a DIU?
If the dental office does not meet the
requirements to be treated as a DIU,
under this proposal the Control
Authority must treat the dental
discharger as a Significant Industrial
User as defined in 40 CFR 403.3(v). As
a Significant Industrial User, the POTW
Control Authority would be required to
conduct the oversight duties applicable
to SIUs as described in 40 CFR 403.8(f).
J. What oversight responsibilities for
DIUs is EPA proposing for Control
Authorities?
This proposal would require that a
Control Authority evaluate, at least once
per year, whether an IU previously
determined to be a DIU still meets the
criteria for treatment as a DIU under 40
CFR 441.60. EPA anticipates that this
evaluation will primarily involve the
Control Authority’s verification that the
certification has been submitted by the
dental office documenting continued
eligibility for DIU status. In accordance
with 40 CFR 403.8(f)(2)(viii)(F), a dental
discharger would be in significant
noncompliance if it fails to provide any
required report within 45 days of the
due date or if the Control Authority
elects to inspect the facility and finds
the facility is not in compliance with 40
CFR 441.60. Upon discovery that a
dental office is not in compliance with
regulations at 40 CFR 441.60 (either
reporting requirements, 403, or 441
PSES/PSNS requirements), the Control
Authority must initiate enforcement in
accordance with its approved
Pretreatment Program to return the
dental discharger into compliance. In
order for the Control Authority to
continue to treat the dentist as a DIU,
the Control Authority would need to
verify and find, through an inspection,
that the dental discharger has returned
to full compliance with the criteria in 40
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CFR 441.60. If, within 90 days, the
Control Authority inspects, verifies, and
finds that the dental discharger has
returned to full compliance with 40 CFR
441.60, then the dental discharger
would remain a DIU. The 90 day
compliance deadline is consistent with
other portions of 40 CFR part 403 (e.g.,
significant noncompliance compliance
report deadlines, 90 day report after
effective dates of categorical standards),
and provides both the dental discharger
and Control Authority with an incentive
to provide a timely return to
compliance. If the dental discharger has
not returned to compliance within 90
days of the initial noncompliance, the
Control Authority could no longer treat
the dental discharger as a DIU and the
dental discharger would become a
Significant Industrial User. Control
Authorities are required to provide
oversight of SIUs which includes
inspection and sampling of each SIU
annually, reviewing the need for a slug
control plan, and issuing a Permit or
equivalent control mechanism with a
duration not to exceed five years (40
CFR 403.8(f)(1)(iii) and (f)(2)(v) and
403.10(f)(2)(i)).
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K. Can a dental office DIU be a NonSignificant Industrial User (NSCIU)?
EPA does not propose to prohibit a
Control Authority from finding that a
dental office may qualify as an NSCIU
on an individual basis. State Approval
Authorities and POTW Control
Authorities who have the legal authority
to implement the NSCIU classification
may find that one or more of their
dental office CIUs may qualify as
NSCIUs. However, since its
promulgation in 2005, many state
Approval Authorities and POTW
Control Authorities have not adopted
regulations to implement the NSCIU
classification. EPA believes that the DIU
classification, tailored for this single
categorical pretreatment standard, while
comparable to the NSCIU classification,
would be preferable, because it would
significantly reduce the Control
Authority’s burden in complying with
the oversight requirements that would
otherwise apply.
L. Can Dental Industrial Users be
covered under a general permit?
Although this proposed rule does not
require a Control Authority to regulate
DIUs as SIUs thereby requiring the
Control Authority to issue a control
mechanism, designation of a dental
office subject to 40 CFR part 441 as a
DIU does not preclude a Control
Authority’s option to regulate the dental
office under a general control
mechanism, 40 CFR 403.8(f)(1)(iii)(A), if
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that legal authority is adopted. The
General Pretreatment Regulations
describe conditions which must be met
in order for the Control Authority to use
a general control mechanism in lieu of
an individual permit or control
mechanism. Provided that the Control
Authority adopted the necessary legal
authority and modified its Pretreatment
Program to incorporate such authority
and procedures, the Control Authority
may use a general control mechanism or
‘‘general permit’’ for facilities that meet
certain minimum criteria for being
considered substantially similar. The
use of general control mechanisms
allows the permitting authority to
allocate resources in a more efficient
manner and to provide timelier permit
coverage, particularly in the
circumstances of covering large
numbers of similar facilities under a
single mechanism. EPA considers that
most dental offices generally will
conform to these requirements and
could appropriately be covered by a
general control mechanism issued by a
Control Authority. The use of a general
control mechanism also ensures
consistency of permit conditions for
similar facilities. Additional
information on the use of general
control mechanisms may be found in
the Federal Register of October 14, 2005
(70 FR 60143).
M. Would any POTW with a dentist
office in its service area be required to
develop a Pretreatment Program?
In accordance with 40 CFR 403.8(a),
POTWs (or combination of POTWs
operated by the same authority) with a
total design flow greater than 5 million
gallons per day and receiving pollutants
from IUs which pass through or
interfere with the operation of the
POTW or are otherwise subject to
Pretreatment Standards are required to
establish a POTW Pretreatment Program
unless the state with an approved
Pretreatment Program exercises its
option to assume local responsibilities
as provided for in 40 CFR 403.10(e). For
smaller POTWs, POTWs that have a
design flow of 5 million gallons per day
or less, the Regional Administrator or
state Director may require the POTW to
develop a local Pretreatment Program if
the nature or volume of the industrial
influent, treatment process upsets,
violations of POTW effluent limitations,
contamination of municipal sludge, or
other circumstances warrant such
development in order to prevent
interference or pass through.
Interference and pass through are
defined at 40 CFR 403.3(k) and (p),
respectively. As noted above, a state
with an Approved state Pretreatment
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63281
Program may instead assume local
responsibilities as provided in 40 CFR
403.10(e). EPA anticipates that the
approved states will choose to carry out
the oversight activities themselves
rather than requiring a POTW to
develop a full Pretreatment Program
solely to regulate its dental dischargers.
N. Would states or municipalities that
already implement Dental Amalgam
Control Programs need to modify their
regulations?
The proposed rulemaking would not
affect existing state and local
requirements that control discharges of
dental amalgam. However, states with
approved state programs and POTWs
with approved Pretreatment Programs
would need to enforce the federal
requirements at a minimum. The new
federal requirements include removal of
at least 99.0% of total mercury from
amalgam discharges which can be
accomplished through proper use of a
2008 ISO 11143 certified amalgam
separator with a removal efficiency of at
least 99.0%. The proposal at part
441.40(d) would allow dentists
currently operating amalgam separators
no less efficient than 95% to continue
to operate their separators for ten years
before they would be required to meet
the 99% removal standard. Where
ongoing state or POTW Control
Authority programs require additional
information or implementation
requirements, the Control Authority
must implement and enforce both
program requirements and, for
overlapping requirements, the more
stringent of the two programmatic
requirements.
O. Will states or municipalities that
already implement Dental Amalgam
Control Programs need to issue control
mechanisms or permits to impose
requirements that are more stringent
than the federal requirements?
The legal authority requirements for a
POTW Pretreatment program only
require issuance of an individual or
general control mechanism to SIUs, 40
CFR 403.8(f)(2)(1)(iii)(A). The proposed
regulation modification in the General
Pretreatment Regulations is to establish
a new DIU classification of Industrial
User. The proposal indicates that a DIU
will not be a Significant Industrial User.
Where the state or POTW existing
dental amalgam control programs are
equal to or less stringent than this
proposal, and the state or Control
Authority adopt and have their
Pretreatment Programs appropriately
approved to incorporate EPA’s DIU
provisions, dental offices compliant
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with the DIU classification will not need
to be issued a control mechanism.
P. What reports would dental
dischargers be required to submit?
Existing and new dental dischargers
could comply with the special reporting
requirements in 40 CFR part 441 in lieu
of the otherwise applicable reporting
requirements in 40 CFR part 403 by
submitting the Baseline Report (40 CFR
441.60(a)(1)) and the 90 Day
Compliance Report (40 CFR
441.60(a)(2)) and Periodic Monitoring
reports (40 CFR 441.60(a)(3)).
Submission of these reports would
satisfy the reporting requirements in 40
CFR parts 403 and 441. Dental
dischargers who do not submit reports
consistent with the requirements in 40
CFR 441.60 would be required to submit
the reports described in 40 CFR
403.12(b), (d), and (e).
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Q. Can the DIU designate a contractor
or contract vendor to submit
Compliance Reports to the Control
Authority or EPA?
In accordance with 40 CFR 403.12(l),
Baseline Monitoring Reports, 90-day
Compliance Reports, and Periodic
monitoring reports (40 CFR 403.12(b),
(d), and (e), respectively) must be signed
by (1) a responsible corporate officer of
the IU if it is a corporation; (2) a general
partner or proprietor if the IU is a
partnership or sole proprietorship; or (3)
a duly authorized representative of the
responsible corporate officer, general
partner, or proprietor if the
authorization specifies either an
individual or a position having
responsibility for the overall operation
of the facility from which the industrial
discharge originates, such as the
position of plant manager or a position
of equivalent responsibility for
environmental matters for the company
and the written authorization is
submitted to the Control Authority.28
This does not preclude a third-party
from submitting the reports as long as
the submission includes the proper
signature from the DIU.
R. Would Control Authorities need to
modify their Sewer Use Ordinance and
state regulations, respectively, to
incorporate these changes to 40 CFR
part 403?
The proposed changes to 40 CFR part
403 to create the DIU classification are
changes that the Control Authority may
adopt at its discretion. The changes to
40 CFR part 403 provide program
28 Today’s proposal does not apply to third-party
vendors because they are not dental dischargers,
and therefore, as such, EPA cannot compel a thirdparty vendor to meet any reporting requirements.
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flexibility and are not required to be
incorporated into the state or POTW’s
Pretreatment Program. However, for
Control Authorities to designate dental
offices as DIUs, the state and POTW
Pretreatment program would need to
incorporate these changes into their
legal authority under 40 CFR 403.8(f)(l).
XXII. Statutory and Executive Order
Reviews
A. Executive Order 12866: Regulatory
Planning and Review and Executive
Order 13563: Improving Regulation and
Regulatory Review
Under Executive Order 12866 (58 FR
51735, October 4, 1993), this action is a
‘‘significant regulatory action.’’
Accordingly, EPA submitted this action
to the OMB for review under Executive
Orders 12866 and 13563 (76 FR 3821,
January 21, 2011) and any changes made
in response to OMB recommendations
have been documented in the docket for
this action.
B. Paperwork Reduction Act
The information collection
requirements in this proposed rule have
been submitted for approval to the OMB
under the Paperwork Reduction Act, 44
U.S.C. 3501 et seq. The Information
Collection Request (ICR) document
prepared by EPA has been assigned EPA
ICR number 2514.01. To reduce the
overall costs associated with this rule,
in lieu of discharge monitoring,
proposed 40 CFR 441.60 allows dentists
to certify compliance with requirements
for amalgam capture and certain BMPs.
For purposes of this estimate, EPA
assumed all affected dentists would
elect to comply with this proposal
through certification rather than
discharge monitoring. EPA estimates it
would take a total annual average of
153,000 hours 29 and $2.5 million for
affected dental offices to collect and
report the information required for
certification in the proposed rule. This
estimate includes effort for each dental
office associated with completing the
baseline monitoring report, a one-time
compliance report and an annual
compliance certification for each year of
a three year ICR. This estimate is based
on average labor rates from the Bureau
of Labor Statistics for the dental office
personnel involved in collecting and
reporting the information required. EPA
estimates it would take a total annual
average of 17,400 hours and $960,000
for control authorities to review the
information submitted by dentists that
certify they meet the requirements in
29 This estimate reflects approximately three
hours per office in the first year and one hour each
subsequent year.
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the proposed rule. EPA estimates that
there would be no start-up or capital
costs associated with the information
described above. Burden is defined at 5
CFR 1320(b).
An agency may not conduct or
sponsor, and a person is not required to
respond to, a collection of information
unless it displays a currently valid OMB
control number. The OMB control
numbers for EPA’s regulations in 40
CFR are listed in 40 CFR part 9.
To comment on the Agency’s need for
this information, the accuracy of the
provided burden estimates, and any
suggested methods for minimizing
respondent burden, EPA has established
a public docket for this proposed rule,
which includes this ICR, under Docket
identification ID number EPA–HQ–OW–
2014–0693. Submit any comments
related to the ICR to EPA and OMB. See
ADDRESSES section in this document for
where to submit comments to EPA.
Since OMB is required to make a
decision concerning the ICR between 30
and 60 days after October 22, 2014, a
comment to OMB is best assured of
having its full effect if OMB receives it
by November 21, 2014. The final rule
will respond to any OMB or public
comments on the information collection
requirements contained in this proposal.
C. Regulatory Flexibility Act
The Regulatory Flexibility Act (RFA)
generally requires an agency to prepare
a regulatory flexibility analysis of any
rule subject to notice and comment
rulemaking requirements under the
Administrative Procedure Act or any
other statute unless the agency certifies
that the rule will not have a significant
economic impact on a substantial
number of small entities. Small entities
include small businesses, small
organizations, and small governmental
jurisdictions.
For purposes of assessing the impacts
of this proposed rule on small entities,
small entity is defined as: (1) A small
business in the Dental Office sector
(NAICS 621210) with annual receipts of
7 million dollars or less (based on SBA
size standards); (2) a small
governmental jurisdiction that is a
government of a city, county, town,
school district or special district with a
population of less than 50,000; and (3)
a small organization that is any not-forprofit enterprise which is independently
owned and operated and is not
dominant in its field.
EPA estimates that 109,600 dental
offices out of 109,859 dental offices
potentially subject to this proposal meet
the small business definition. EPA’s
analysis of projected impacts on small
dental offices is described in detail in
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Section XVI. EPA projects less than 1%
of 109,859 affected dental offices would
incur compliance costs exceeding 1% of
revenue and no more than 0.2% would
incur compliance costs exceeding 3% of
revenue. After considering the economic
impact of this proposed rule on small
entities, I certify that this action will not
have a significant economic impact on
a substantial number of small entities.
Although this proposed rule will not
have a significant economic impact on
a substantial number of small entities,
EPA nonetheless has tried to reduce the
impact of this proposed rule on small
entities. First, while some amalgam
separators currently used at some
dentists are certified to meet slightly
less mercury removal than required in
this proposed rule (e.g., they are
certified to remove 95% total mercury),
this proposal would allow dentists with
existing separators to satisfy the
requirements for a period of up to 10
years. See Section XIV. In addition, this
proposed rule includes a compliance
option that would allow dental offices
subject to the rule to certify proper
operation of a widely available,
inexpensive technology that meets
certain requirements in combination
with BMPs in lieu of conducting more
onerous discharge monitoring
requirements that would otherwise be
associated with pretreatment standards.
Finally, EPA has tried to minimize
impacts to small governments
responsible for Pretreatment Programs
by proposing to amend the General
Pretreatment Regulations to create the
DIU classification. The DIU
classification reduces oversight
responsibilities for Control Authorities
from the current regulatory scheme,
while at the same time achieving the
projected pollutant reductions. We
continue to be interested in the
potential impacts of the proposed rule
on small entities and welcome
comments on issues related to such
impacts.
D. Unfunded Mandates Reform Act
(UMRA)
This proposed rule does not contain
a Federal mandate that may result in
expenditures of $100 million or more
for state, local, and tribal governments,
in the aggregate, or the private sector in
any 1 year. As explained in Section XVI,
the annual cost of the proposed rule is
$44–$49 million. Thus, this proposed
rule is not subject to the requirements
of sections 202 or 205 of UMRA.
The proposal is also not subject to the
requirements of section 203 of UMRA,
because it contains no regulatory
requirements that may significantly or
uniquely affect small governments. EPA
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has not identified any dental offices that
are owned by small governments. While
this proposal would impact government
entities required to administer the
proposed pretreatment standards, EPA
does not expect that this would include
any small governments. By statute, a
small government jurisdiction is defined
as a government of a city, county, town,
school district or special district with a
population of less than 50,000 (5 U.S.C.
601). As explained in Section XXI,
control authorities are responsible for
oversight and administration associated
with this proposal. To qualify as a
Control Authority, a POTW must have
a flow of at least 5 million gallons per
day. The average water use per person
is 100 gallons per day so a POTW with
a population less than 50,000 would
likely have a flow less than 5 MGD.
Therefore, EPA does not expect small
government owned POTWs would meet
the definition of a Control Authority.
E. Executive Order 13132: Federalism
This proposed rule would not have
federalism implications. It would not
have substantial direct effects on the
states, on the relationship between the
national government and the states, or
on the distribution of power and
responsibilities among the various
levels of government, as specified in
Executive Order 13132. The proposed
rule would not alter the basic statefederal scheme established in the CWA
under which EPA authorizes states to
carry out the NPDES permit program.
EPA expects the proposed rule would
have little effect on the relationship
between, or the distribution of power
and responsibilities among, the federal
and state governments. Thus, Executive
Order 13132 does not apply to this
proposed rule.
EPA coordinated closely with states,
via ECOS and local governments and
with NACWA, throughout the
development of this proposed rule. In
the spirit of Executive Order 13132, and
consistent with EPA policy to promote
communications between EPA and state
and local governments, EPA specifically
solicits comment on this proposed rule
from state and local officials.
F. Executive Order 13175: Consultation
and Coordination With Indian Tribal
Governments
This proposed rule does not have
tribal implications, as specified in
Executive Order 13175 (65 FR 67249,
November 6, 2000). It would not have
substantial direct effects on Tribal
governments, on the relationship
between the Federal government and
Indian Tribes, or on the distribution of
power and responsibilities between the
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63283
Federal government and Indian Tribes.
This proposed rule contains no Federal
mandates for Tribal governments and
does not impose any enforceable duties
on Tribal governments. Thus, Executive
Order 13175 does not apply to this rule.
EPA specifically solicits additional
comment on this proposed action from
Tribal officials.
G. Executive Order 13045: Protection of
Children From Environmental Health
and Safety Risks
Executive Order 13045 (62 FR 19885,
April 23, 1997) applies to rules that are
economically significant according to
Executive Order 12866 and involve a
health or safety risk that may
disproportionately affect children. This
action is not subject to Executive Order
13045 because it is estimated to cost less
than $100 million and does not involve
a safety or health risk that may have
disproportionately negative effects on
children. The proposed rule will reduce
the amount of mercury from dental
amalgam entering POTW’s and
eventually the nation’s waters, which
will reduce impacts to the neurological
development of children.
H. Executive Order 13211: Energy
Effects
This proposed rule is not a
‘‘significant energy action’’ as defined in
Executive Order 13211, ‘‘Actions
Concerning Regulations That
Significantly Affect Energy Supply,
Distribution, or Use’’ (66 FR 28355, May
22, 2001) because it is not likely to have
a significant adverse effect on the
supply, distribution, or use of energy, as
described in Section XX of this
proposal. EPA determined that any
additional energy usage would be
insignificant to the total energy usage of
Dental Offices and total annual U.S.
energy consumption.
I. National Technology Transfer
Advancement Act
Section 12(d) of the National
Technology Transfer and Advancement
Act (NTTAA) of 1995, (Pub. L. 104–113;
15 U.S.C. 272 note) directs EPA to use
voluntary consensus standards in its
regulatory activities unless to do so
would be inconsistent with applicable
law or otherwise impractical. Voluntary
consensus standards are technical
standards (e.g., materials specifications,
test methods, sampling procedures, and
business practices) that are developed or
adopted by voluntary consensus
standard bodies. The NTTAA directs
EPA to provide Congress, through OMB,
explanations when the Agency decides
not to use available and applicable
voluntary consensus standards.
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This proposed rulemaking involves
technical standards. The International
Organization for Standardization (ISO)
developed efficiency standards for
amalgam separators (ISO 11143) in 1999
and updated these standards in 2008.
EPA proposes to use ISO 11143 2008.
This voluntary standard setting
organization established a standard for
measuring amalgam separator efficiency
by evaluating the retention of amalgam
mercury using specified test procedures
in a laboratory setting. It also includes
requirements for instructions for use
and operation and maintenance.
EPA welcomes comments on this
aspect of the proposed rulemaking and,
specifically, invites the public to
identify potentially-applicable
voluntary consensus standards and to
explain why such standards should be
used in this regulation.
J. Executive Order 12898: Federal
Actions To Address Environmental
Justice in Minority Populations and
Low-Income Populations
Executive Order 12898 (59 FR 7629,
Feb. 16, 1994) establishes federal
executive policy on environmental
justice. Its main provision directs
federal agencies, to the greatest extent
practicable and permitted by law, to
make environmental justice part of their
mission by identifying and addressing,
as appropriate, disproportionately high
and adverse human health or
environmental effects of their programs,
policies, and activities on minority
populations and low-income
populations in the United States.
EPA has determined that this
proposed rule will not have
disproportionately high and adverse
human health or environmental effects
on minority or low-income populations.
While EPA was unable to perform a
detailed environmental justice analysis
because it lacks data on the location of
POTWs to which dental discharges
currently occur, the proposal would
increase the level of environmental
protection for all affected populations
without having any disproportionately
high and adverse human health or
environmental effects on any
population, including any minority or
low-income population. The proposed
rule will reduce the amount of mercury
from dental amalgam entering POTW’s
and eventually the nation’s waters, to
benefit all of society, including minority
communities.
EPA welcomes comments on this
aspect of the proposed rulemaking and,
specifically, invites the public to
identify potential environmental justice
considerations associated with this
proposed regulation.
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List of Subjects in 40 CFR Parts 403 and
441
Environmental protection, Dental,
Dental office, Dentist, Mercury,
Pretreatment, Waste treatment and
disposal, Water pollution control.
Dated: September 23, 2014.
Gina McCarthy,
Administrator.
Therefore, it is proposed that 40 CFR
parts 403 and 441 be amended as
follows:
PART 403—GENERAL
PRETREATMENT REGULATIONS FOR
EXISTING AND NEW SOURCES OF
POLLUTION
1. The authority citation for part 403
continues to read as follows:
■
Authority: 33 U.S.C. 1251, 1311, 1314,
1316, 1317, 1318, 1342, and 1361.
2. In § 403.3, add paragraph (v)(4) to
read as follows:
■
§ 403.3
Definitions.
*
*
*
*
*
(v) * * *
(4) An industrial user subject to
categorical Pretreatment Standards
under 40 CFR part 441 is designated a
Dental Industrial User (DIU) rather than
a Significant Industrial User (SIU) if the
Industrial User (IU) has complied with
40 CFR part 403, the applicable
pretreatment standards for existing
sources (PSES) or pretreatment
standards for new sources (PSNS) and
the monitoring and reporting
requirements of 40 CFR 441.60. If a DIU
has not complied with these
requirements and standards, such IU
will be considered a SIU until the
Control Authority evaluates the IU as
specified in § 403.8(f)(2)(v)(D).
*
*
*
*
*
■ 3. In § 403.8, add paragraph
(f)(2)(v)(D) to read as follows:
§ 403.8 Pretreatment Program
Requirements: Development and
Implementation by POTW.
*
*
*
*
*
(f) * * *
(2) * * *
(v) * * *
(D) Where the publicly owned
treatment works (POTW) finds that an
Industrial User (IU) meets the criteria
for classification as a Dental Industrial
User (DIU), the POTW must evaluate, at
least once per year, whether the IU
meets the criteria in § 403.3(v)(4). In the
event that the POTW determines that a
DIU does not meet the criteria in
§ 403.3(v)(4), the POTW must
immediately begin enforcement in
accordance with its enforcement
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response plan. If the dental discharger
has not returned to compliance within
90 days of the initial noncompliance,
the POTW may no longer treat the
dental discharger as a DIU and must
treat the dental discharger as a SIU.
Upon verification by the POTW through
an inspection and a finding that the
dental discharger has complied with all
of the applicable requirements in
§ 403.3(v)(4), the dental discharger may
be considered a DIU.
*
*
*
*
*
■ 4. Add part 441 to read as follows:
PART 441—DENTAL OFFICE
(MERCURY AMALGAM) POINT
SOURCE CATEGORY
Sec.
441.10 Applicability.
441.20 General definitions.
441.30 General pretreatment requirements.
441.40 Pretreatment standards for existing
sources (PSES).
441.50 Pretreatment standards for new
sources (PSNS).
441.60 Discharge monitoring, reporting, and
recordkeeping requirements.
Authority: 33 U.S.C. 1251, 1311, 1314,
1316, 1317, 1318, 1342, and 1361. 42 U.S.C.
13101 et seq.
§ 441.10
Applicability.
(a) Except as provided in paragraphs
(b) and (c) of this section, the provisions
of this part are applicable to discharges
of wastewater to publicly owned
treatment works from facilities where
the practice of dentistry is performed
(‘‘dental dischargers’’), including but
not limited to institutions, permanent or
temporary offices, clinics, mobile units,
home offices, and facilities, and
including dental facilities owned and
operated by Federal, state, or local
governments.
(b) The provisions of this part do not
apply to process wastewater discharges
from dental dischargers which
exclusively practice one or more of the
following dental specialties: oral
pathology, oral and maxillofacial
radiology, oral and maxillofacial
surgery, orthodontics, periodontics, or
prosthodontics;
(c) Dental Dischargers will be exempt
from any further requirements of this
rule so long as they:
(1) Do not place or remove amalgam
except in limited emergency
circumstances
(2) Certify to the Control Authority
that that they do not and will not use
or remove amalgam, including the
following information:
(i) The facility name, address, contact
information.
(ii) The dental license number of all
practicing dentists at the location.
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(3) Notify the Control Authority of
any changes to information required
under paragraphs (c)(2)(i) and (ii) of this
section.
(4) Information provided to comply
with paragraphs (c)(2)(i) and (ii) of this
section must be signed by the
responsible corporate officer as defined
in § 403.12(l).
§ 441.20
General definitions.
For purposes of this part:
Amalgam process wastewater means
any wastewater generated and
discharged by a dental discharger
through the practice of dentistry that
may contain dental amalgam.
Amalgam separator means a
collection device designed to capture
and remove dental amalgam from the
amalgam process wastewater of a dental
facility.
Control Authority is defined in 40
CFR 403.3(f).
Dental amalgam means an alloy of
elemental mercury and other metals that
is used in the practice of dentistry.
Dental Discharger means a source of
wastewater to a publicly owned
treatment works from a facility where
the practice of dentistry is performed as
described in 40 CFR 441.10.
Dental Industrial User (DIU) means a
dental discharger as described in
§ 441.10(a) that meets the requirements
of 40 CFR 441.60.
§ 441.30 General pretreatment
requirements.
(a) Any source subject to this part that
introduces process wastewater
pollutants into a publicly owned
treatment works (POTW) must comply
with 40 CFR part 403.
(b) [Reserved]
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§ 441.40 Pretreatment standards for
existing sources (PSES).
Except as provided in 40 CFR 403.7
(removal credits) and 403.13
(fundamentally different factors) and no
later than [DATE 3 YEARS AFTER
EFFECTIVE DATE OF THE FINAL
RULE IN THE FEDERAL REGISTER],
any existing source subject to this part
must achieve the following pretreatment
standards:
(a) Removal of at least 99.0% of total
mercury from amalgam process
wastewater and
(b) Incorporation of the following best
management practices:
(1) Scrap amalgam (contact and noncontact), including but not limited to
dental amalgam from chair-side traps,
screens, vacuum pump filters, dental
tools, or collection devices may not be
flushed down the drain.
(2) Chair-side traps that may drain to
a sewer must be cleaned with non-
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bleach, non-chlorine containing
cleaners that have a pH of 6 to 8. Such
cleaning must be conducted at least
weekly.
(3) Certification that the BMPs
specified in paragraphs (b)(1) and (2) of
this section are being followed is
deemed to meet these requirements.
(c) The requirements of paragraph (a)
of this section may be met by
installation and operation of at least one
2008 ISO 11143 certified amalgam
separator that:
(1) Is certified to meet a removal
efficiency of no less than 99.0%;
(2) Receives all amalgam process
wastewater;
(3) Is sized to incorporate all
wastewater that may pass through it;
(4) Is inspected at least once per
month to ensure proper operation and
maintenance of the separator, including
confirmation that amalgam process
wastewater is flowing through the
retaining cartridge, separator canister, or
amalgam separating portion of the
amalgam separator (preventing bypass);
(5) In the event that the separator is
found to not be functioning properly, is
repaired or replaced according to
manufacturer instructions; and
(6) Is regularly maintained by
replacing the amalgam retaining
cartridge(s), separator canister(s), or
separator unit(s) whenever the
collection of retained solids reaches the
manufacturer’s stated design capacity or
annually, whichever comes first.
(d) Dental Dischargers that operate an
amalgam separator certified under the
1999 or 2008 ISO 11143 standard
installed at a dental facility prior to
October 22, 2014, satisfy the
requirements of paragraph (a) of this
section until [DATE 10 YEARS AFTER
EFFECTIVE DATE OF THE FINAL
RULE IN THE FEDERAL REGISTER] if
the existing amalgam separator:
(1) Receives all amalgam process
wastewater;
(2) Is sized to incorporate all amalgam
process wastewater that may pass
through it;
(3) Is inspected at least once per
month to ensure proper operation and
maintenance of the separator, including
confirmation that wastewater is flowing
through the retaining cartridge,
separator canister, or amalgam
separating portion of the amalgam
separator (preventing bypass); and
(4) Is regularly maintained by
replacing the amalgam retaining
cartridge(s), separator canister(s), or
separator unit(s) whenever the
collection of retained solids reaches the
manufacturer’s rated design capacity or
annually, whichever comes first.
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63285
§ 441.50 Pretreatment standards for new
sources (PSNS).
Except as provided in 40 CFR 403.7
(removal credits) and 40 CFR 403.13
(fundamentally different factors), any
new source subject to this part must
achieve PSNS as follows:
(a) Removal of at least 99.0% of total
mercury from amalgam process
wastewater and
(b) Incorporation of the following best
management practices (BMPs):
(1) Scrap amalgam (contact and noncontact), including but not limited to
dental amalgam from chair-side traps,
screens, vacuum pump filters, dental
tools, or collection devices may not be
flushed down the drain.
(2) Chair-side traps that may drain to
a sewer must be cleaned with nonbleach, non-chlorine containing
cleaners that have a pH of 6 to 8. Such
cleaning must be conducted at least
weekly.
(3) Certification that the BMPs
specified in (1) and (2) of this subpart
are being followed is deemed to meet
these requirements.
(c) The requirements of paragraph (a)
of this section may be met by
installation and operation of at least one
2008 ISO 11143 certified amalgam
separator that:
(1) Is certified to meet a removal
efficiency of no less than 99.0%;
(2) Captures all amalgam process
wastewater;
(3) Is sized to incorporate all amalgam
process wastewater that may pass
through it;
(4) Is inspected at least once per
month to ensure proper operation and
maintenance of the separator, including
confirmation that amalgam process
wastewater is flowing through the
retaining cartridge, separator canister, or
amalgam separating portion of the
amalgam separator (preventing bypass);
(5) In the event that the separator is
found to not be functioning properly, is
repaired or replaced according to
manufacturer instructions; and
(6) Is regularly maintained by
replacing the amalgam retaining
cartridge(s), separator canister(s), or
separator unit(s) whenever the
collection of retained solids reaches the
manufacturer’s stated design capacity or
annually, whichever comes first.
§ 441.60 Discharge monitoring, reporting,
and recordkeeping requirements.
(a) Dental dischargers may comply
with the following monitoring and
reporting requirements in lieu of the
otherwise applicable requirements in
§ 403.12(b), (d), and (e).
(1) Baseline report. For existing
sources, a baseline report must be
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submitted within 180 days of the
effective date of this rule. For new
sources, a baseline report must be
submitted at least 90 days prior to
commencement of discharge. It must
include:
(i) The facility name, address, and
contact information as well as the dental
license number of all practicing dentists
at the location.
(ii) A description of the operation at
the dental discharger including:
(A) The total number of chairs,
(B) The total number of chairs at
which dental amalgam may be present
in the resulting wastewater;
(C) For existing sources, a description
of any existing amalgam separators
currently operated to include, at a
minimum, the make, model, and
manufacturers recommended frequency
of container change. If no separators are
currently employed, indicate none. For
new sources, a description of any
planned amalgam separators to include,
at a minimum, the make, model, and
manufacturers recommended frequency
of container change.
(iii) For existing sources, statement of
whether or not the facility currently
employs the best management practices
(BMPs) specified in § 441.40(b).
(2) 90-day compliance report. For
existing sources, a compliance report
must be submitted within [90 days after
the final compliance date of this rule].
For new sources, a compliance report
must be submitted within 90 days
following commencement of the
introduction of wastewater into the
publicly owned treatment works
(POTW). The report must include:
(i) The facility name, address, and
contact information as well as the dental
license number of all practicing dentists
at the location.
(ii) A description of the operation at
the dental office including:
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(A) The total number of chairs, and
(B) The total number of chairs at
which dental amalgam may be present
in the resulting wastewater.
(C) A description of any existing
amalgam separators currently operated
to include, at a minimum, the make,
model, and manufacturers
recommended frequency of container
change.
(iii) Certification that the design and
operation of separators meet the
requirements specified in § 441.40 or
§ 441.50, as applicable.
(iv) Certification that the facility is
employing BMPs specified in
§ 441.40(b) or § 441.50(b), as applicable.
(3) Periodic monitoring report. A
periodic report of ongoing compliance
must be submitted annually. The reports
must include:
(i) The facility name, address, and
contact information as well as the dental
license number of all practicing dentists
at the location;
(ii) If no changes have occurred since
submission of the most recent
compliance submission (e.g. 90-day
compliance report or periodic
monitoring report);
(iii) Certification that the design and
operation of the separators meets the
requirements specified in § 441.40 or
§ 441.50, as applicable and that the
facility is employing the BMPs specified
in § 441.40(b) or § 441.50(b), as
applicable;
(iv) If changes have occurred since
submission of the most recent
compliance submission (e.g. 90-day
compliance report or periodic
monitoring report), you must submit the
updated information required for the 90day compliance report as specified in
§ 441.60(a)(2).
(b) If the dental discharger complies
with the applicable requirements in 40
CFR part 403 and the monitoring and
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reporting requirements described in
paragraphs (a)(1) through (3) of this
section, in addition to the applicable
pretreatment standards for existing
sources (PSES) or pretreatment
standards for new sources (PSNS) in
§ 441.40 or § 441.50, the dental
discharger may be considered a Dental
Industrial User (DIU) by the Control
Authority; otherwise the Control
Authority must treat the dental
discharger as a Significant Industrial
User (SIU) as defined in 40 CFR
403.3(v). Reports submitted to comply
with this section must be signed by the
responsible corporate officer as defined
in 40 CFR 403.12(l).
(c) Dental dischargers must maintain
on site and available for inspection (in
either physical or electronic form) the
following records for a period of three
years from the date they are created:
(1) The baseline report required in
paragraph (a)(1) of this section;
(2) The 90-day compliance report
required in paragraph (a)(2) of this
section;
(3) The periodic monitoring report
required paragraph (a)(3) of this section;
(4) Documentation including the date
of each visual inspection of the
amalgam separator(s) as specified in
§ 441.40(c)(4) or § 441.50(c)(4),
including records of visual inspections
of the amalgam separator to ensure that
the device is not in bypass mode;
(5) Documentation specifying the date
of amalgam retaining cartridge
replacement in accordance with
§ 441.40(c)(5) or § 441.50(c)(5); and
(6) Records indicating the date of
amalgam retaining cartridges are sent off
site for proper disposal and the shipping
address of the facility to which amalgam
retaining cartridges are sent.
[FR Doc. 2014–24347 Filed 10–21–14; 8:45 am]
BILLING CODE 6560–50–P
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Agencies
[Federal Register Volume 79, Number 204 (Wednesday, October 22, 2014)]
[Proposed Rules]
[Pages 63257-63286]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-24347]
[[Page 63257]]
Vol. 79
Wednesday,
No. 204
October 22, 2014
Part III
Environmental Protection Agency
-----------------------------------------------------------------------
40 CFR Parts 403 and 441
Effluent Limitations Guidelines and Standards for the Dental Category;
Proposed Rule
Federal Register / Vol. 79 , No. 204 / Wednesday, October 22, 2014 /
Proposed Rules
[[Page 63258]]
-----------------------------------------------------------------------
ENVIRONMENTAL PROTECTION AGENCY
40 CFR Parts 403 and 441
[EPA-HQ-OW-2014-0693; FRL-9911-63-OW]
RIN 2040-AF26
Effluent Limitations Guidelines and Standards for the Dental
Category
AGENCY: Environmental Protection Agency (EPA).
ACTION: Proposed rule.
-----------------------------------------------------------------------
SUMMARY: EPA is proposing technology-based pretreatment standards under
the Clean Water Act (CWA) for discharges of pollutants into publicly
owned treatment works (POTWs) from existing and new dental practices
that discharge dental amalgam. Dental amalgam contains mercury in a
highly concentrated form that is relatively easy to collect and
recycle. Dental offices are the main source of mercury discharges to
POTWs. Mercury is a persistent and bioaccumulative pollutant in the
environment with well-documented neurotoxic effects on humans. Mercury
pollution is widespread and comes from many diverse sources such as air
deposition from municipal and industrial incinerators and combustion of
fossil fuels. Mercury easily becomes diffuse in the environment and
mercury pollution is a global problem. Removing mercury from the waste
stream when it is in a concentrated and easy to handle form like in
waste dental amalgam is an important and commonsense step to take to
prevent that mercury from being released back into the environment
where it can become diffuse and a hazard to humans.
The proposal would require dental practices to comply with
requirements for controlling the discharge of mercury and other metals
in dental amalgam into POTWs based on the best available technology or
best available demonstrated control technology. Specifically, the
requirements would be based on the use of amalgam separators and best
management practices (BMPs). Amalgam separators are a practical,
affordable and readily available technology for capturing mercury and
other metals before they are discharged into sewers and POTWs. EPA is
also proposing to amend selected parts of the General Pretreatment
Regulations to streamline oversight requirements for the dental sector.
EPA expects compliance with this proposed rule would reduce the
discharge of metals to POTWs by at least 8.8 tons per year, about half
of which is mercury. EPA estimates the annual cost of the proposed rule
would be $44 to $49 million.
DATES: Comments on this proposed rule must be received on or before
December 22, 2014. Under the Paperwork Reduction Act (PRA), comments on
the information collection provisions must be received by the Office of
Management and Budget (OMB) on or before November 21, 2014. EPA will
conduct a public hearing on November 10, 2014 at 1 p.m. in the William
J. Clinton Building--East Room 1153, 1201 Constitution Avenue NW.,
Washington, DC.
ADDRESSES: Submit your comments, identified by docket identification
(ID) number EPA-HQ-OW-2014-0693 by one of the following methods:
https://www.regulations.gov: Follow the on-line
instructions for submitting comments.
Email: OW-Docket@epa.gov, Attention Docket ID number EPA-
HQ-OW-2014-0693.
Mail: Water Docket, Environmental Protection Agency, Mail
code: 4203M, 1200 Pennsylvania Ave. NW., Washington, DC 20460.
Attention Docket ID number EPA-HQ-OW-2014-0693. Please include a total
of three copies. In addition, please mail a copy of your comments on
the information collection provisions to the Office of Information and
Regulatory Affairs, OMB, Attn: Desk Officer for EPA, 725 17th St. NW.,
Washington, DC 20503.
Hand Delivery: Water Docket, EPA Docket Center, EPA West
Building Room 3334, 1301 Constitution Ave. NW., Washington, DC,
Attention Docket ID Number EPA-HQ-OW-2014-0693. Such deliveries are
only accepted during the Docket's normal hours of operation, and
special arrangements should be made for deliveries of boxed information
by calling 202-566-2426.
Instructions: Direct your comments to docket ID number EPA-HQ-OW-
2014-0693. EPA's policy is that all comments received will be included
in the public docket without change and may be made available online at
https://www.regulations.gov, including any personal information
provided, unless the comment includes information claimed to be
Confidential Business Information (CBI) or other information whose
disclosure is restricted by statute. Do not submit information that you
consider to be CBI or otherwise protected through www.regulations.gov
or email. The https://www.regulations.gov Web site is an ``anonymous
access'' system, which means EPA will not know your identity or contact
information unless you provide it in the body of your comment. If you
send an email comment directly to EPA without going through https://www.regulations.gov your email address will be automatically captured
and included as part of the comment that is placed in the public docket
and made available on the Internet. If you submit an electronic
comment, EPA recommends that you include your name and other contact
information in the body of your comment and with any disk or CD-ROM you
submit. If EPA cannot read your comment due to technical difficulties
and cannot contact you for clarification, EPA may not be able to
consider your comment. Electronic files should avoid the use of special
characters, any form of encryption, and be free of any defects or
viruses.
Docket: All documents in the docket are listed in the https://www.regulations.gov index. A detailed record index, organized by
subject, is available on EPA's Web site at https://water.epa.gov/scitech/wastetech/guide/dental/index.cfm. Although listed in the index,
some information is not publicly available, e.g., CBI or other
information whose disclosure is restricted by statute. Certain other
material, such as copyrighted material, will be publicly available only
in hard copy. Publicly available docket materials are available either
electronically in https://www.regulations.gov or in hard copy at the
Water Docket in the EPA Docket Center, EPA/DC, EPA West William
Jefferson Clinton Bldg., Room 3334, 1301 Constitution Ave. NW.,
Washington, DC. The Public Reading Room is open from 8:30 a.m. to 4:30
p.m., Monday through Friday, excluding legal holidays. The telephone
number for the Public Reading Room is 202-566-1744, and the telephone
number for the Water Docket is 202-566-2426.
Pretreatment Hearing Information: EPA will conduct a public hearing
on the proposed pretreatment standards on November 10, 2014 at 1:00
p.m. in the William Jefferson Clinton Building EPA East Building--East
Room 1153, 1201 Constitution Avenue NW., Washington, DC. No
registration is required for this public hearing. During the
pretreatment hearing, the public will have an opportunity to provide
oral comment to EPA on the proposed pretreatment standards. EPA will
not address any issues raised during the hearing at that time but these
comments will be included in the public record for the rule. For
security reasons, we request that you bring photo identification with
you to the meeting. Also, if you let us know in advance of your plans
to attend, it will expedite the process of
[[Page 63259]]
signing in. Seating will be provided on a first-come, first-served
basis. Please note that parking is very limited in downtown Washington,
and use of public transit is recommended. The EPA Headquarters complex
is located near the Federal Triangle Metro station. Upon exiting the
Metro station, walk east to 12th Street. On 12th Street, walk south to
Constitution Avenue. At the corner, turn right onto Constitution Avenue
and proceed to the EPA East Building entrance.
FOR FURTHER INFORMATION CONTACT: Damon Highsmith, Engineering and
Analysis Division (4303T), Office of Water, Environmental Protection
Agency, 1200 Pennsylvania Ave. NW., Washington, DC 20460-0001;
telephone: 202-566-2504; email: highsmith.damon@epa.gov.
SUPPLEMENTARY INFORMATION:
Table of Contents
I. Regulated Entities
II. How To Submit Comments
III. Supporting Documentation
IV. Overview
V. Legal Authority
VI. Purpose and Summary of Proposed Rule
VII. Solicitation of Data and Comments
VIII. Background
IX. Description of the Dental Industry
X. Summary of Data Collection
XI. Wastewater Characteristics, Dental Office Configurations, and
Technology Options
XII. Scope/Applicability
XIII. Subcategorization
XIV. Proposed Regulation
XV. Technology Costs
XVI. Economic Impact Analysis
XVII. Pollutant Reductions to POTWs and Surface Waters
XVIII. Cost Effectiveness
XIX. Environmental Assessment
XX. Non-Water Quality Environmental Impacts Associated With the
Proposed Technology Basis
XXI. Implementation and Proposed Changes to General Pretreatment
Regulations in 40 CFR Part 403
XXII. Statutory and Executive Order Reviews
I. Regulated Entities
Entities potentially regulated by this action include:
---------------------------------------------------------------------------
\1\ See Section XXI for a definition of Control Authority.
------------------------------------------------------------------------
North American
Industry
Category Example of regulated Classification
entity System (NAICS)
code
------------------------------------------------------------------------
Industry...................... A general dentistry 621210
practice or large
dental facility
where mercury
amalgam is placed or
removed.
States........................ Where they are the 221320
Control Authority
\1\.
Municipalities................ POTWs and other 221320
municipally owned
facilities that
receive pollutants
from dental offices.
------------------------------------------------------------------------
This section is not intended to be exhaustive, but rather provides
a guide for readers regarding entities likely to be regulated by this
proposed action. Other types of entities that do not meet the above
criteria could also be regulated. To determine whether your facility
would be regulated by this proposed action, you should carefully
examine the applicability criteria listed in Sec. 441.10 and the
definitions in Sec. 441.20 of this proposed rule and detailed further
in Section XII of this preamble. If you still have questions regarding
the proposed applicability of this action to a particular entity,
consult the person listed under FOR FURTHER INFORMATION CONTACT.
II. How To Submit Comments
The public may submit comments in written or electronic form. (see
ADDRESSES). Electronic comments must be identified by the docket ID
number EPA-HQ-OW-2014-0693 and must be submitted as a WordPerfect, MS
Word or ASCII text file, avoiding the use of special characters and any
form of encryption. EPA requests that any graphics included in
electronic comments also be provided in hard-copy form. EPA also will
accept comments and data on disks in the aforementioned file formats.
Electronic comments received on this document may be filed online at
many Federal Depository Libraries. No CBI should be sent by email.
III. Supporting Documentation
The proposed rule is supported by a number of documents including:
Technical and Economic Development Document for Proposed
Effluent Limitations Guidelines and Standards for the Dental Category
(TEDD), Document No. EPA-821-R-14-006.
The TEDD summarizes the technical and economic analysis described
in this document. The TEDD and additional records are available in the
public record for this proposed rule and on EPA's Web site at https://water.epa.gov/scitech/wastetech/guide/dental/index.cfm. They are
available in hard copy from the National Service Center for
Environmental Publications (NSCEP), U.S. EPA/NSCEP, P.O. Box 42419,
Cincinnati, Ohio 45242-2419, telephone 800-490-9198, https://epa.gov/ncepihom.
IV. Overview
The preamble describes the terms, acronyms, and abbreviations used
in this document; the background documents that support these proposed
regulations; the legal authority for the proposed rules; a summary of
the options considered for the proposal; background information; and
the technical and economic methodologies used by the Agency to develop
these proposed regulations. This preamble also solicits comment and
data on specific areas of interest.
V. Legal Authority
EPA is proposing this regulation under the authorities of sections
101, 301, 304, 306, 307, 308, and 501 of the CWA, 33 U.S.C. 1251, 1311,
1314, 1316, 1317, 1318, 1342 and 1361 and pursuant to the Pollution
Prevention Act of 1990, 42 U.S.C. 13101 et seq.
VI. Purpose and Summary of Proposed Rule
Across the United States, many states and POTWs (also referred to
as municipal wastewater treatment plants) are working toward the goal
of reducing discharges of mercury to POTWs. Mercury is a persistent and
bioaccumulative pollutant with well-documented effects on human health.
On November 6, 2013, the United States joined the Minamata Convention
on Mercury, a new multilateral environmental agreement not yet in force
that addresses specific human activities that are contributing to
widespread mercury pollution. The agreement identifies dental amalgam
as a mercury-added product for which certain measures should be taken.
Specifically, the Convention lists nine
[[Page 63260]]
measures for phasing down the use of mercury in dental amalgam,
including promoting the use of best environmental practices in dental
facilities to reduce releases of mercury and mercury compounds to water
and land. Nations that are parties to the Convention are required to
implement at least two of the nine measures to address dental amalgam.
Many studies have been conducted in an attempt to identify the
sources of mercury entering POTWs. According to the 2002 Mercury Source
Control and Pollution Prevention Program Final Report (DCN DA00006)
prepared by the National Association of Clean Water Agencies (NACWA),
dentists are the main source of mercury discharges to POTWs. A study
funded by the American Dental Association (ADA) published in 2005
estimated that 50% of mercury entering POTWs was contributed by dental
offices (DCN DA00163). Mercury is discharged in the form of dental
amalgam when dentists remove old amalgam fillings from cavities, and
from excess amalgam removed when a dentist places a new filling.
EPA estimates that across the United States 4.4 tons of mercury
from waste dental amalgam are collectively discharged into POTWs
annually. Mercury at POTWs frequently partitions to the sludge, the
solid material that remains after wastewater is treated. Mercury from
amalgam can then make its way into the environment through the
incineration, landfilling, or land application of sludge or through
surface water discharge. Once deposited, certain microorganisms can
change mercury into methylmercury, a highly toxic form of mercury that
accumulates in fish, shellfish, and animals that eat fish. Fish and
shellfish are the main sources of methylmercury exposure to humans.
Today's proposed pretreatment standards would control mercury
discharges to POTWs by requiring dentists to reduce their discharge of
dental amalgam to a level achievable through the use of the best
available technology (a combination of amalgam separators and the use
of BMPs. In order to simplify compliance with, and enforcement of, the
numeric reduction requirements, the proposed rule would allow dentists
to demonstrate compliance through the proper use of amalgam separators
rather than through discharge monitoring. Removing concentrated sources
of mercury waste opportunistically, such as through low-cost amalgam
separators at dental offices (average annual cost per dental office:
$700 \2\), is a common sense solution to managing mercury where it is
most concentrated within the waste stream that would otherwise be
released to air, land, and water.
---------------------------------------------------------------------------
\2\ This estimate is based on the average annualized cost for
dentists that do not currently have an amalgam separator. See DCN
DA00145.
---------------------------------------------------------------------------
Additionally, EPA is proposing to amend selected parts of the
General Pretreatment Regulations (40 CFR part 403) in order to
streamline permitting and oversight requirements specific to the dental
sector. The number of dental offices that would likely be subject to
national pretreatment standards is approximately ten times the current
number of Categorical Industrial Users (CIUs). The proposed changes to
40 CFR part 403 reflect EPA's recognition that the current regulatory
framework needs to be adjusted for the effective implementation and
enforcement of these pretreatment requirements affecting the dental
industry. When categorical pretreatment requirements apply to an
industry, it creates certain oversight requirements. While other
industries subject to categorical pretreatment requirements typically
consist of tens to hundreds of facilities, the dental industry consists
of approximately 100,000 facilities, making oversight of this large
number of facilities subject to categorical pretreatment standards much
more challenging.
VII. Solicitation of Data and Comments
EPA solicits comments on the proposed rule, including EPA's
rationale as described in this preamble. EPA seeks comments on issues
specifically identified in this document as well as any other issues
that are not specifically addressed in this document. Comments are most
helpful when accompanied by specific examples and supporting data.
Specifically, EPA solicits information and data on the following
topics.
1. Data demonstrating the effectiveness of polishing, or the use of
sorbent columns after solids separation, in reducing mercury discharges
from dental offices.
2. Data on costs, performance, affordability and availability of
polishing in combination with amalgam separators.
3. Ways for dental offices to demonstrate compliance with this
proposed rule, and how much reporting should be required.
4. Information on EPA's approach for addressing offices where no
dental amalgam is applied or removed, and its approach for offices that
already employ a separator (including cases where the separator was
installed as a result of a program required by a state or other
locality and where the separator has a certified removal efficiency
that is lower than 99.0%).
5. Information on the frequency of emergency removals at dental
offices that do not routinely place or remove amalgam.
6. EPA seeks comment on its approach for addressing offices where
no dental amalgam is placed or removed except in limited emergency
circumstances, and its approach for offices that have already installed
an amalgam separator.
7. EPA proposes an inspection frequency of at least once per month
to ensure proper operation and maintenance of the amalgam separator.
EPA solicits comment on this frequency as well as others, and
justifications for alternative approaches.
8. Data on the number of dentists in practices potentially subject
to this rule that do not place or remove dental amalgam and on the
number of dentists in practices excluded from the proposed rule such as
oral pathology, oral and maxillofacial radiology, oral and
maxillofacial surgery, orthodontics, periodontics, and prosthodontics.
EPA also solicits comment on its estimate of the number of dentists in
dental specialties that are not subject to this proposed rule.
9. Other technologies not discussed in this proposed rule that have
demonstrated an ability to reduce discharges of mercury from dental
offices and their associated costs.
10. Data regarding EPA's analysis of clinics and very large
facilities.
11. EPA's proposed revisions to 40 CFR part 403, including
revisions to create the DIU category, and the means of evaluating
ongoing compliance for the purposes of maintaining the DIU designation.
12. Information about mobile facilities used to treat patients. EPA
seeks information on the number, size, operation and financial
characteristics of mobile facilities that offer dental treatment.
13. EPA's estimate of the number of large institutional practices,
including large facilities operated by the Federal Government, and the
characteristics (chair size, number of practitioners, currently
employed mercury reduction approaches, incremental cost of proposed
requirements) of these facilities.
14. Additional information on equipment needs and costs for
starting a dental practice including information on the life of the
dental equipment.
[[Page 63261]]
15. Additional information on low revenue dental offices and if
they could represent baseline closures (see discussion in Section XVI).
16. Additional information on the location and characteristics of
low revenue dental offices ((1) single-dentist and/or part-time
businesses that provide services as a subcontractor on an independent
fee-for-service basis (2) non-profit groups, or (3) non-viable as for-
profit businesses).
17. Information on requiring an efficiency that exceeds the ISO
standard.
18. The proposal would greatly reduce potential requirements that
would otherwise apply to control authorities with respect to dental
dischargers. EPA solicits comments on its estimate of burden and costs
associated with these reduced requirements. In particular, EPA solicits
data from control authorities located in municipalities or states where
similar mandatory dental amalgam reduction programs exist.
VIII. Background
A. Clean Water Act
Congress passed the Federal Water Pollution Control Act Amendments
of 1972, also known as the Clean Water Act, to ``restore and maintain
the chemical, physical, and biological integrity of the Nation's
waters.'' (33 U.S.C. 1251(a)). The CWA establishes a comprehensive
program for protecting our nation's waters. Among its core provisions,
the CWA prohibits the discharge of pollutants from a point source to
waters of the U.S. except as authorized under the CWA. Under section
402 of the CWA, EPA authorizes discharges by a National Pollutant
Discharge Elimination System (NPDES) permit. The CWA also authorizes
EPA to establish national technology-based effluent limitations
guidelines and standards (effluent guidelines or ELGs) for discharges
from different categories of point sources, such as industrial,
commercial, and public sources.
Congress recognized that regulating only those sources that
discharge effluent directly into the nation's waters would not be
sufficient to achieve the CWA's goals. Consequently, the CWA requires
EPA to promulgate nationally-applicable pretreatment guidelines and
standards that restrict pollutant discharges from facilities that
discharge wastewater indirectly through sewers flowing to POTWs. (see
CWA sections 304(g), 307(b) and (c), 33 U.S.C. 1314(g), and 1317(b) and
(c)). National pretreatment standards are established for those
pollutants in wastewater from indirect dischargers that may pass
through, interfere with or are otherwise incompatible with POTW
operations. Generally, pretreatment standards are designed to ensure
that wastewaters from direct and indirect industrial dischargers are
subject to similar levels of treatment. In addition, POTWs are required
to implement local treatment limits applicable to their industrial
indirect dischargers to satisfy any local requirements. (see 40 CFR
403.5).
Direct dischargers must comply with effluent limitations in NPDES
permits. Indirect dischargers, who discharge through POTWs, must comply
with pretreatment standards. Technology-based effluent limitations in
NPDES permits are derived from effluent limitations guidelines (CWA
sections 301 and 304) and new source performance standards (CWA section
306) promulgated by EPA, or based on best professional judgment where
EPA has not promulgated an applicable effluent guideline or new source
performance standard. Additional limitations based on water quality
standards (CWA sections 301(b)(1)(C) and 303) may also be included in
the permit in certain circumstances. The ELGs are established by
regulation for categories of industrial dischargers and are based on
the degree of control that can be achieved using various levels of
pollution control technology.
EPA promulgates national effluent limitations guidelines and
standards of performance for major industrial categories for three
classes of pollutants: (1) Conventional pollutants (total suspended
solids, oil and grease, biochemical oxygen demand, fecal coliform, and
pH); (2) toxic pollutants (e.g., toxic metals such as chromium, lead,
mercury, nickel, and zinc; toxic organic pollutants such as benzene,
benzo-a-pyrene, phenol, and naphthalene) as specified in CWA section
307 and; (3) non-conventional pollutants, those pollutants that are
neither conventional nor toxic (e.g., ammonia-N, formaldehyde, and
phosphorus).
B. Effluent Guidelines and Standards Program
Effluent limitations guidelines and standards are technology-based
regulations that are developed by EPA for a category of dischargers.
These regulations are based on the performance of control and treatment
technologies. The legislative history of CWA section 304(b), describes
the need to achieve progressively higher levels of control through
research and development of new processes, modifications, replacement
of obsolete plans and processes, and other improvements in technology,
taking into account the cost of controls. Congress also directed that
EPA not consider water quality impacts on individual water bodies as
the guidelines are developed. See Statement of Senator Muskie (Oct. 4,
1972), reprinted in Legislative History of the Water Pollution Control
Act Amendments of 1972, at 170. (U.S. Senate, Committee on Public
Works, Serial No. 93-1, January 1973.)
There are standards applicable to direct dischargers (dischargers
to surface waters), and standards applicable to indirect dischargers
(discharges to publicly owned treatment works or POTWs). The standards
relevant to this rulemaking are summarized here.
1. Best Available Technology Economically Achievable (BAT)
BAT effluent limitations guidelines apply to direct dischargers of
toxic and nonconventional pollutants. In general, BAT effluent
limitations guidelines represent the best economically achievable
performance of facilities in the industrial subcategory or category.
The factors considered in assessing BAT include the cost of achieving
BAT effluent reductions, the age of equipment and facilities involved,
the process employed, potential process changes, and non-water quality
environmental impacts including energy requirements, and such other
factors as the Administrator deems appropriate. The Agency has
considerable discretion in assigning the weight to be accorded these
factors. An additional statutory factor considered in setting BAT is
economic achievability. Generally, EPA determines economic
achievability on the basis of total costs to the industry and the
effect of compliance with BAT limitations on overall industry and
subcategory financial conditions. Where existing performance is
uniformly inadequate, BAT may reflect a higher level of performance
than is currently being achieved based on technology transferred from a
different subcategory or category. BAT may be based upon process
changes or internal controls, even when these technologies are not
common industry practice.
2. New Source Performance Standards (NSPS)
NSPS reflect effluent reductions that are achievable based on the
best available demonstrated control technology. Owners of new
facilities have the opportunity to install the best and most efficient
production processes and wastewater treatment technologies.
[[Page 63262]]
As a result, NSPS should represent the most stringent controls
attainable through the application of the best available demonstrated
control technology for all pollutants (that is, conventional,
nonconventional, and priority pollutants). In establishing NSPS, EPA is
directed to take into consideration the cost of achieving the effluent
reduction and any non-water quality environmental impacts and energy
requirements.
3. Pretreatment Standards for Existing Sources (PSES)
Pretreatment standards apply to discharges of pollutants to POTWs
rather than discharges to waters of the United States. Pretreatment
Standards for Existing Sources are designed to prevent the discharge of
pollutants that pass through, interfere with, or are otherwise
incompatible with the operation of POTWs, including sludge disposal
methods of POTWs. Categorical pretreatment standards for existing
sources are technology-based and are analogous to BAT effluent
limitations guidelines.
The General Pretreatment Regulations, which set forth the framework
for the implementation of categorical pretreatment standards, are found
at 40 CFR part 403.
4. Pretreatment Standards for New Sources (PSNS)
Like PSES, PSNS are designed to prevent the discharges of
pollutants that pass through, interfere with, or are otherwise
incompatible with the operation of POTWs. New indirect discharges have
the opportunity to incorporate into their facilities the best available
demonstrated technologies. The Agency typically considers the same
factors in promulgating PSNS as it considers in promulgating NSPS.
5. BMPs
Section 304(e) of the CWA authorizes the Administrator to publish
regulations, in addition to effluent limitations guidelines and
standards for certain toxic or hazardous pollutants, ``to control plant
site runoff, spillage or leaks, sludge or waste disposal, and drainage
from raw material storage which the Administrator determines are
associated with or ancillary to the industrial manufacturing or
treatment process . . . and may contribute significant amounts of such
pollutants to navigable waters.'' In addition, section 304(g), read in
concert with section 501(a), authorizes EPA to prescribe as wide a
range of pretreatment requirements as the Administrator deems
appropriate in order to control and prevent the discharge into
navigable waters either directly or through POTWs any pollutant which
interferes with, passes through, or otherwise is incompatible with such
treatment works. (see also Citizens Coal Council v. U.S. EPA, 447 F3d
879, 895-96 (6th Cir. 2006) (upholding EPA's use of non-numeric
effluent limitations and standards); Waterkeeper Alliance, Inc. v. U.S.
EPA, 399 F.3d 486, 496-97, 502 (2d Cir. 2005) (EPA use of non-numerical
effluent limitations in the form of BMPs are effluent limitations under
the CWA); and Natural Res. Def. Council, Inc. v. EPA, 673 F.2d 400, 403
(D.C. Cir. 1982) (``section 502(11) [of the CWA] defines `effluent
limitation' as `any restriction' on the amounts of pollutants
discharged, not just a numerical restriction.'')
C. The National Pretreatment Program, 40 CFR Part 403
The General Pretreatment Regulations of 40 CFR part 403 establish
responsibilities among federal, state, local government, industry, and
the public to implement pretreatment standards to control pollutants
that pass through or interfere with the POTW treatment processes or
that can contaminate sewage sludge. The regulations, which have been
revised numerous times since originally published in 1978, consist of
20 sections and seven appendices. The General Pretreatment Regulations
use two terms describing oversight responsibilities under those
regulations. One is the term Control Authority. The ``Control
Authority'' refers to the POTW if the POTW has an approved Pretreatment
Program, or the Approval Authority if the program has not been
approved. The term Approval Authority describes the party with
responsibility to administer the National Pretreatment Program, which
is either a state with an approved state Pretreatment Program or, in a
state without an approved Pretreatment Program, the EPA region for that
state (40 CFR 403.3(f)). An approved Pretreatment Program is comprised
of legal authorities, procedures, funding, local limits, enforcement
response plan, and the list of significant industrial users (SIUs),
together which the Control Authority uses to implement the General
Pretreatment Regulations. The General Pretreatment Regulations apply to
all nondomestic sources that introduce pollutants into a POTW. These
sources of indirect discharges are more commonly referred to as
Industrial Users (IUs). All IUs are subject to general pretreatment
standards (40 CFR part 403), including a prohibition on discharges
causing ``pass through'' or ``interference'' (i.e., cause the POTW to
violate its permits limits, or interfere with the operation of the POTW
or the beneficial use of its sewage sludge). All POTWs with approved
Pretreatment Programs must develop local limits to implement the
general pretreatment standards. All other POTWs must develop such local
limits where they have experienced ``pass through'' or ``interference''
and such a violation is likely to recur. There are approximately 1,500
POTWs with approved Pretreatment Programs and 13,500 small POTWs that
are not required to develop and implement Pretreatment Programs.
D. State and Local Requirements
Currently, 12 states (Connecticut, Louisiana, Maine, Massachusetts,
Michigan, New Hampshire, New Jersey, New York, Oregon, Rhode Island,
Vermont, and Washington) have implemented mandatory programs to reduce
dental mercury discharges.\3\ Additionally, at least 19 localities
similarly have mandatory dental reduction pretreatment programs. These
mandatory programs require the use of amalgam separators and BMPs.
Removal efficiency requirements for separators in mandatory program
jurisdictions vary from 95% to 99%. A full list of jurisdictions with
mandatory separator requirements can be found in the TEDD for this
proposed rulemaking.
---------------------------------------------------------------------------
\3\ New Mexico has a similar program that is scheduled to go
into effect in 2015.
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Later in this document, EPA estimates costs and economic impacts
for this proposed rule. In order to do so, EPA needed to estimate
baseline compliance, or those dental offices that already have amalgam
separators installed, and, therefore, would incur lower costs and
impacts from the proposed rule. In order to estimate baseline
compliance, EPA distributed the number of dental offices shown in Table
IX-1 of Section IX by state,\4\ based on the 2007 Economic Census.
Because EPA has no data to indicate otherwise, EPA assumes 100%
compliance in the 12 states that require amalgam separators. For states
without mandatory programs, EPA assumed that 20% of dentists have
voluntarily installed amalgam separators. As a result, EPA estimates
approximately 40% of dental offices, nationally, have amalgam
separators installed (DCN DA00146). EPA, however, welcomes data and
comment on this assumption.
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\4\ Puerto Rico, the Virgin Islands, Pacific Islands and Tribal
Nations are not included in this analysis.
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[[Page 63263]]
E. 2008 Memorandum of Understanding on Reducing Mercury Discharges
In December 2008, EPA signed a Memorandum of Understanding (MOU)
with the ADA and the NACWA to establish and monitor the effectiveness
of a Voluntary Dental Amalgam Discharge Reduction Program. The purpose
of the MOU is to encourage dental offices to voluntarily install and
properly maintain amalgam separators, and recycle the collected amalgam
waste. Although EPA has not conducted a formal evaluation of the
effectiveness of the MOU, EPA is proposing National Pretreatment
Standards to accomplish the goals of the MOU in a more predictable
timeframe than a voluntary approach.
F. ADA BMPs and Support for a National Rulemaking
ADA encourages dentists to handle mercury and mercury amalgam in a
manner that is consistent with ADA's ``Best Management Practices for
Amalgam Waste.'' ADA's BMPs are designed to reduce the amount of
mercury entering the environment. Practices encouraged by these BMPs
include reducing the volume of bulk elemental mercury in dentists'
offices, encouraging dentists to recycle amalgam to the greatest extent
possible, preventing mercury from being disposed of in medical waste
bags, and preventing amalgam from entering the wastewater stream. In
2007, ADA added the use of amalgam separators to their BMPs. See DCN
DA00165.
In late 2010, ADA's Board of Directors adopted nine principles upon
which ADA supported National Pretreatment Standards for dental
facilities. See DCN DA00137.
IX. Description of the Dental Industry
The industry category that would be affected by this proposed rule
is Offices of Dentists (NAICS 621210), which comprises establishments
of health practitioners primarily engaged in the independent practice
of general or specialized dentistry, or dental surgery. These
practitioners operate individual or group practices in their own
offices or in the offices of others, such as hospitals or health
maintenance organization medical centers. They can provide either
comprehensive preventive, cosmetic, or emergency care, or specialize in
a single field of dentistry.
According to the 2007 Economic Census, there were 127,057 U.S.
dental offices owned or operated by 121,048 dental firms.\5\ Only 2% of
all dental firms were multi-unit with the vast majority being single-
unit. The growth of the number of dental offices has remained steady
over the past decade with an average increase of 1% per year.
---------------------------------------------------------------------------
\5\ A firm is a business organization, such as a sole
proprietorship, partnership, or corporation.
---------------------------------------------------------------------------
The industry includes mostly small businesses with an estimated
99.8% of all offices falling below the Small Business Administration
(SBA) size standard ($7 million in annual revenue). Average revenues
for offices were estimated at $739,280 per year with an average of 6.50
employees per establishment.
According to ADA data, approximately 80% of the dental industry
engages in general dentistry. Approximately 20% are specialty dentists
such as periodontics, orthodontics, radiology, maxillofacial surgery,
endodontists, or prosthodontics (DCN DA00123).
One way to categorize dental offices is based on the number of
chairs in each facility. The 2007 Economic Census does not provide
information on the distribution of dental offices by the number of
chairs in each office. However, two studies, the ADA National Study and
a Colorado Study, demonstrate distribution of dentist offices by number
of chairs (DCN DA00141 and DCN DA00149). EPA used these two sources of
data to correlate the number of chairs per office to the revenue range
of dental offices. EPA averaged the correlation of these two studies.
The results are reported in table IX-1:
Table IX-1--Number of Dental Offices by Number of Chairs
----------------------------------------------------------------------------------------------------------------
Number of offices by chair size
-----------------------------------------------
Number of chairs Colorado
ADA survey survey Average
----------------------------------------------------------------------------------------------------------------
1-2 chairs...................................................... 13,694 10,700 12,197
3 chairs........................................................ 47,698 27,821 25,835
4 chairs........................................................ 32,102 27,976
5 chairs........................................................ 29,388 15,694 15,194
6 chairs........................................................ 9,399 12,047
7+ chairs....................................................... 19,079 14,143 16,611
-----------------------------------------------
Total....................................................... 109,859 109,859 109,859
----------------------------------------------------------------------------------------------------------------
Dentistry may also be performed at larger institutional dental
service facilities (e.g., clinics or dental schools). These facilities
are not included in the 2007 Economic Census data. EPA estimates 130
dental institutional facilities exist nationwide. EPA recognizes that
large facilities also may exist at installations operated by the
Federal Government, specifically the Department of Defense. While EPA
intends such facilities would be subject to today's proposed rule, EPA
does not have information to estimate the number of such facilities.
EPA currently lacks a central database on reported discharges from
dental offices/clinics. Often, EPA looks to information in the Toxic
Release Inventory (TRI) and Discharge Monitoring Report (DMR) databases
to gather information on industrial discharges. However, no dental
offices/clinics (NAICS Code 621210) are required to report releases to
TRI. EPA identified only five dental offices that have National
Pollutant Discharge Elimination System (NPDES) permit information. All
dental offices were classified as minor dischargers. EPA has not found
any DMR data indicating that any significant number of dental offices
discharge directly to waters of the U.S. Therefore, EPA is not
proposing effluent limits for direct dischargers.\6\
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\6\ EPA recognizes that some dental facilities may discharge to
a septic system. This proposed rule does not apply to such
discharges.
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[[Page 63264]]
X. Summary of Data Collection
In developing this proposed rule, EPA primarily used data
previously collected for its Health Services Detailed Study including
information submitted in public comments on the study. EPA also
collected information and data through outreach to a number of
stakeholders. The following describes EPA's outreach and additional
data sources for this proposed rule.
A. Health Services Industry Detailed Study on Dental Amalgam
In 2008, EPA published its Health Services Industry Detailed Study
on Dental Amalgam. In the study, EPA compiled information on mercury
discharges from dental offices, BMPs, and amalgam separators. For
amalgam separators, EPA examined the frequency with which they were
used; their effectiveness in reducing discharges to POTWs; and the
capital and annual costs associated with their installation and
operation. EPA also conducted a POTW pass-through analysis on mercury
for the industry. This proposed rule relies heavily on data collected
for the study (including information submitted in public comments on
the study).
B. Environmental Council of the States (ECOS)
EPA participated in several meetings with the Quicksilver Caucus
(QSC) of ECOS. From QSC, EPA collected information on implementing
mandatory amalgam separator programs at the state level, mandatory
program language, and information on compliance reporting and
monitoring. QSC also provided EPA with information on efficiency
standards for amalgam separators. See DCN DA00158.
C. Environmental Organizations
EPA met with a coalition of environmental organizations, led by the
Environmental Law and Policy Center and the Natural Resources Defense
Council. Meetings between EPA and the coalition of environmental
organizations focused on identifying impacts of discharges of dental
amalgam to the environment. In Spring 2011, the coalition submitted a
letter listing its suggested BMPs for this proposed rule. See DCN
DA00136.
D. ADA
EPA met with the ADA in 2010 and 2011. ADA submitted data to EPA on
its principles for addressing mercury discharges from dentists, the
proportions of specialties in the industry, the geographic distribution
of dentists, financial characteristics of the industry, and operating
characteristics of the industry. See DCN DA00137.
E. NACWA
EPA met with NACWA in 2010 and 2011 to discuss the impact of
pretreatment standards on POTWs. NACWA provided EPA information on its
members' experiences with handling mercury pollution from dental
facilities, implementing pretreatment programs for dental facilities,
and its experiences implementing pretreatment standards for industries
with similar characteristics to the dental sector. NACWA also provided
EPA with information on the burden to permitting authorities that would
be associated with implementing a dental amalgam pretreatment standard
under the existing requirements in 40 CFR part 403. See DCN DA00144.
F. Amalgam Separator Manufacturers
EPA met with, or participated in calls with, representatives of
multiple amalgam separator manufacturers. The purpose of the meetings
was to understand how amalgam separators work, limitations of the
technology, manufacturers' distribution methods, installation
requirements, capital and operation and maintenance costs, operation
and maintenance requirements, effectiveness, equipment lifetime,
amalgam disposal or recycling practices, manufacturing capacity, and
installation trends.
G. Air Force Study
In anticipation of this proposed rule, the United States Air
Force's Dental Evaluation and Consultation Service compiled a synopsis
of commonly used amalgam separator systems. The synopsis describes
whether or not the separator is International Organization for
Standardization (ISO) 11143 certified, the installation requirements,
the design capacity, maintenance requirements for each model, the
availability of recycling services by the manufacturer, size, price,
and warranty details. EPA incorporated these data into the technology
cost analysis. The synopsis can be found in the TEDD for this proposed
rule.
XI. Wastewater Characteristics, Dental Office Configurations, and
Technology Options
A. Wastewater Sources and Wastewater Characteristics
Dental amalgam consists of approximately 49% mercury by weight.
Mercury is the only metal that is in its liquid phase at room
temperature, and it bonds well with powdered alloy. This contributes to
its durability in dental amalgam. The other half of dental amalgam is
usually composed of 35% silver, 9% tin, 6% copper, 1% zinc and small
amounts of indium and palladium (DCN DA00131). Sources of mercury
discharges generally occur in the course of two categories of
activities. The first category of discharges may occur in the course of
treating a patient, such as during the placement or removal of a
filling. When filling a cavity, dentists overfill the tooth cavity so
that the filling can be carved to the proper shape. The excess amalgam
is typically rinsed into a chair-side drain, or suctioned out of the
patient's mouth. In addition to filling new cavities, dentists also
remove old cavity restorations that are worn or damaged. Removed
restorations also may be rinsed into the chair-side drain or suctioned
out of the patient's mouth. The second category of mercury discharges
occur in the course of activities not directly involved with the
placement or removal of dental amalgam. Preparation of dental amalgam,
disposing of excess amalgam, and flushing vacuum lines with corrosive
chemicals present opportunities for mercury from dental amalgam to be
discharged.
B. Dental Office Configurations
The typical plumbing configuration in a dental office consists of a
chair-side trap for each chair, and a central vacuum pump with a vacuum
pump filter. Chair-side traps and vacuum pump filters remove
approximately 78% of dental amalgam particles from the wastewater
stream (DCN DA00163). Offices with multiple chairs typically share the
vacuum lines between chairs. Accordingly, this limits the locations for
installation of control and treatment technologies. Controls may be
installed: At or near each individual chair; within the vacuum system
piping; at a central location upstream of the vacuum pump; or at the
exit of the air/water separator portion of the vacuum system. Physical
office and building configurations may pose additional considerations,
such as space limitations, electrical power accessibility, and existing
sewer connections. In the case of very large offices, clinics, and
medical buildings, it may be possible to combine waste flows between
offices to share or reduce costs.
C. Control and Treatment Technologies and Best Management Practices
As described previously, one source of the discharge of mercury
from dental amalgam occurs when dental amalgam enters the chair-side
drain, or is suctioned from the patient's mouth. The wastewater then
travels through the dental facility's vacuum system. EPA
[[Page 63265]]
identified two major technologies that intercept dental amalgam at this
point, before it is discharged from the dental office and flows to the
POTW: Separators and ion exchange. EPA also identified several BMPs
which, when employed along with the use of the technologies discussed
below, further reduce the discharge of dental amalgam from activities
not directly related to the placement or removal of dental amalgam.
1. Amalgam Separators
An amalgam separator is a device designed to remove solids from
dental office wastewater. The amalgam separator is placed at some point
in the vacuum line, before the vacuum line intersects with plumbing in
other parts of the building, and separates solids from wastewater. Most
separator designs rely on the force of the dental facility's vacuum to
draw wastewater into the separator. However, the separation of solids
from the wastewater and the exit of the wastewater from the separator
will vary by design of the separator.
Practically all amalgam separators on the market today use
sedimentation processes. The high specific gravity of amalgam allows
effective separation of amalgam from suspension in wastewater. Baffles
or tanks can reduce the speed of the wastewater flow, allowing more
amalgam particles to settle out. After the solids settle, the
wastewater is either pumped out, decanted during servicing, or is
pulled through the separator. Sedimentation-based separators are often
used over other separation technologies for their operational
simplicity.
Some amalgam separators may combine filtration with separation.
Different types of filtration units can be employed to remove
additional amalgam particles. The amalgam separator may also be
designed to operate horizontally where wastewater is drawn into one
side of the separator, filtered, and then exits the opposite side of
the separator. This type of separator is designed to be completely
replaced once it reaches its design solids holding capacity. In
addition to combined separation and filtration units, EPA is aware of
at least one type of separator that utilizes centrifugation. A
centrifuge-based separator spins the water so that the heavier amalgam
particles are forced to the sides of the separator.
A few amalgam separators combine sedimentation (with or without
filtration) with ion exchange in the same unit. This type of separator
additionally includes a chelating agent or proprietary resin. This type
of separator often requires special cleaning or additives to maintain
efficiency.
The typical amalgam separator will operate in one of two ways. A
two-chambered separator is a design consisting of a base permanently
plumbed into the vacuum line, and a replaceable filtration cartridge.
The removable cartridge usually attaches to the bottom of the permanent
base. As wastewater enters the separator from the top of the unit,
gravity separates the wastewater from the air pulling it through the
vacuum. Air from the vacuum continues through the system by exiting a
bypass at or near the top of the base chamber. Wastewater then falls
through the base of the separator and enters the filtration cartridge.
As additional wastewater enters the separator, the filtration cartridge
will fill to capacity, and wastewater will begin to collect at the
bottom of the base chamber. Gravity forces wastewater in the separator
through a filtration device and out of the separator through a
decanting tube on the side of the separator. The wastewater, less the
solids retained by the separator, then continues through the vacuum
system and is eventually discharged from the dental office and to the
sanitary sewer and the POTW. The second common separator design
consists of a single chamber that requires wastewater to travel through
a filtration medium before it is drawn out of the separator. These
separators may be oriented vertically so that wastewater enters the top
of the unit, remains in the separator for some time, and allows solids
to settle. For either design, when the filtration cartridge or the
separator itself reaches the designed solids retention capacity, it
must be replaced. Manufacturers can include replacement schedules and
capacity levels for amalgam separators.
The vast majority of amalgam separators on the market today have
been evaluated for their ability to meet the International Organization
for Standardization Standard for Dental Amalgam Separators (https://www.iso.org/iso/iso_catalogue/catalogue_tc/catalogue_detail.htm?csnumber=42288). This voluntary standard setting
organization established a standard for measuring amalgam separator
efficiency by evaluating the retention of amalgam mercury using
specified test procedures in a laboratory setting. It also includes
requirements for instructions for use and operation and maintenance. In
order to obtain the ISO certification, a separator must achieve 95%
removal or greater of total mercury. Based on EPA's evaluation of a
range of amalgam separators as described above that meet the ISO
standard and that are currently on the market, certified separators
obtain a median of 99.0% total mercury removal efficiency (see Section
7 of the TEDD). When existing chair side traps and vacuum pump filters
are used upstream of the amalgam separators, the combined treatment
system can achieve total mercury removal rates exceeding 99% (DCN
DA00008).
EPA is proposing to include certain operation, maintenance, and
inspection activities that have the greatest impact on the ability of
an amalgam separator to achieve its performance as certified. Once the
separator reaches solids retention capacity, vacuum suction will begin
to diminish or, more commonly, the separator will enter bypass mode.
Wastewater running through a separator in bypass mode flows through the
separator without being filtered, rendering the separator ineffective.
Because many separators can enter bypass mode without any noticeable
effect on vacuum suction, it would be important that the unit be
checked periodically, and if necessary, serviced.\7\
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\7\ There may be separators on the market that do not notify
users when they are in bypass mode or otherwise require servicing.
These separators would not meet ISO certification standards.
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Solids collected by the amalgam separator may be a combination of
dental amalgam, biological material from patients, and any other solid
material sent down the vacuum line. Amalgam separator manufacturer
instructions should be followed for servicing amalgam separators and
for handling separator waste. Some amalgam separator manufacturers also
offer waste management services. Examples of services provided include
ensuring that waste collected by the separator is handled according to
state and local requirements, and providing necessary compliance
documentation for the facility's recordkeeping requirements. In the
event that these services are not employed, the facility should dispose
of amalgam waste in accordance with state and local requirements.
Most amalgam separators are compatible with both wet and dry vacuum
systems, and with both large and small dental offices.\8\ As explained
in Section VIII, currently at least 12 states and 19 localities have
implemented mandatory programs to reduce dental mercury discharges. All
of these programs require the use of
[[Page 63266]]
amalgam separators. Further, many dental offices in states or
localities without mandatory programs have voluntarily installed dental
amalgam separators, and the ADA recommends their use as part of its
``Best Management Practices for Amalgam Waste'' (2007). As described in
Section VIII, EPA estimates that 40% of dental offices currently employ
amalgam separators.
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\8\ This does not mean all types of separators are compatible at
a given dental office. For example, an amalgam separator that relies
on filtration technology may not be compatible with a dry vacuum
system in place.
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2. Polishing To Remove Dissolved Mercury From Wastewater
Mercury in dental amalgam is present in both the suspended and
dissolved form. The vast majority (>99.6%) is suspended (DCN DA00018).
An additional process sometimes referred to as ``polishing'' uses ion
exchange to remove dissolved mercury. In contrast to amalgam separators
that contain an ion exchange component in the same unit, as discussed
in the previous section, ``polishing'' ion exchange refers to a
separate wastewater treatment system added after the amalgam separator
for the purpose of removing dissolved mercury.
Dissolved mercury has a tendency to bind with other chemicals,
resulting in a charged complex. Ion exchange is the process that
separates these charged amalgam particles from the wastewater. Ion
exchange does not rely on physical settling of particles, and can
remove very small amalgam and ionic mercury particles. This technology
may be preferable over sedimentation (with or without filtration) alone
because dissolved mercury is removed by this process. For example, ion
exchange might be useful in municipalities that have concentration
limits on mercury (McManus, 2003). EPA is not aware of any state
regulations that require ion exchange.
For ion exchange to be most effective, the incoming wastewater to
be treated must first have the solids removed. Then the wastewater
needs to be oxidized in order for the resin or mercury capturing
material to capture the dissolved mercury. Therefore, ion exchange will
not be effective without first being preceded by a solids collector. As
a result, EPA concludes this sequential polishing approach, in which
amalgam separators and ion exchange are separate units, is more
effective than the single units described above that combine
sedimentation and ion exchange. Dental offices needing to employ
polishing would likely need to add a separate ion exchange unit
following the amalgam separator to remove additional mercury from the
waste stream.
As explained above, ISO certification testing is based on an
evaluation of the removal of total mercury in a laboratory setting and
does not differentiate removal for the suspended and dissolved
forms.\9\ In order to better understand the reductions in dissolved
mercury that can be achieved with the addition of ion exchange as
polishing, EPA reviewed available data on the performance from actual
installations of ion exchange units in addition to amalgam separators
in dental offices. EPA found the use of polishing is limited to just a
handful of dental offices. EPA identified only one study of polishing
systems, and has not identified any further data pertaining to the
performance of polishing. This one study evaluated the additional
efficacy associated with polishing at two dental facilities in response
to sanitation district concerns over mercury discharges. In both cases,
the polishing systems were installed after the amalgam separators but
prior to discharge into the treatment plant's collection system. While
a reduction was observed in the final effluent mercury after the
polishing system was installed, preliminary EPA Region 8 audits showed
the total additional mercury reductions were typically on the order of
0.5% (DCN DA00164). This is not surprising since, as indicated above,
dissolved mercury contributes such a small portion to the total amount
of mercury in dental amalgam. It is unclear whether any solid mercury
was converted to dissolved mercury, and additional monitoring data are
not yet available.
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\9\ In some cases, the ISO testing results include ranges of
dissolved mercury in the effluent.
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The capital costs of the polishing system, as a stand-alone system,
are approximately four times that of the amalgam separator; the costs
for chemical use, regenerating the resin, filter replacement, and other
operational costs were not reported. Further, EPA is uncertain whether
typical dental buildings have adequate space to install the holding
tanks needed to oxidize the waste before treatment, as well as space
for the polishing equipment itself.
D. Best Management Practices
EPA considered what BMPs reflect the best available technology
economically achievable or best available demonstrated control
technology--the standards applicable to existing and new sources
subject to categorical pretreatment standards. After this review, EPA
proposes to include certain operation, maintenance, and inspection
practices as part of the technology basis for this proposed rule. These
practices have the greatest impact on the ability of an amalgam
separator to achieve its performance as certified.
EPA also proposes to require two BMPs to control mercury discharges
that would not be captured by an amalgam separator. Bleach and other
corrosive cleaners can solubilize bound mercury. If corrosive cleaners
are used to clean vacuum lines that lead to an amalgam separator, the
line cleaners may solubilize any mercury that the separator has
captured, leading to increased mercury discharges. Therefore, EPA
proposes to require line cleaners that do not contain bleach, and are
of neutral pH.
Flushing scrap amalgam (contact and non-contact), including dental
amalgam from chair-side traps, screens, vacuum pump filters, dental
tools, or collection devices into drains that do not have a solids
collecting device presents additional opportunities for mercury to be
discharged from the dental office. Therefore, EPA proposes to include a
BMP that prohibits flushing scrap dental amalgam into any drain that is
not connected to an amalgam separator.
XII. Scope/Applicability
As mentioned in the previous section, EPA has not identified dental
offices/clinics discharging directly to waters of the U.S. Because EPA
has very limited information on any direct discharge of dental amalgam,
EPA is not proposing effluent limitations guidelines and new source
performance standards for direct dischargers at this time.
As such, EPA is proposing to apply this rule to wastewater
discharges to POTWs from offices where the practice of dentistry is
performed, including institutions, permanent or temporary offices,
clinics, mobile units, home offices, and facilities, and including
dental facilities owned and operated by Federal, state, or local
governments. EPA is not proposing to include wastewater discharges from
dental facilities where the practice of dentistry consists exclusively
of one or more of the following dental specialties: oral pathology,
oral and maxillofacial radiology, oral and maxillofacial surgery,
orthodontics, periodontics, or prosthodontics. As described in the
TEDD, these specialty practices do not engage in the practice of
restorations or removals, and are not expected to have any discharges
of dental amalgam.
XIII. Subcategorization
In developing effluent limitations guidelines and pretreatment
standards, EPA may divide an industry category into groupings called
''subcategories'' to
[[Page 63267]]
provide a method for addressing variations among products, processes,
and other factors, which result in distinctly different effluent
characteristics. See Texas Oil & Gas Ass'n. v. U.S. EPA, 161 F.3d 923,
939-40 (5th Cir. 1998). Regulation of a category by subcategories
provides that each subcategory has a uniform set of effluent
limitations or pretreatment standards that take into account
technological achievability, economic impacts, and non-water quality
environmental impacts unique to that subcategory. In some cases,
effluent limitations or pretreatment standards within a subcategory may
be different based on consideration of these same factors, which are
identified in CWA section 304(b)(2)(B). The CWA requires EPA, in
developing effluent guidelines and pretreatment standards, to consider
a number of different factors, which are also relevant for
subcategorization. The CWA also authorizes EPA to take into account
other factors that the Administrator deems appropriate.
In developing the proposed rule, EPA considered whether
subcategorizing the dental industry was warranted. EPA evaluated a
number of factors and potential subcategorization approaches, including
the size of dental office, specialty practices, and unusual
configurations that may be found at very large offices such as clinics
and universities. EPA proposes that establishing formal subcategories
is not appropriate for the Dental Amalgam category for three reasons.
First, the proposed rule is structured to set standards only for those
facilities that discharge dental amalgam. Second, the requirements do
not include a size threshold because the technology is readily scaled
to the size of the dental office. Finally, those states and localities
that already have regulatory programs for controlling discharges of
dental amalgam have been largely successful without subcategorization.
XIV. Proposed Regulation
A. PSES Options Selection
Section XI discussed the technologies identified to control amalgam
discharges from dental offices. EPA identified two basic technologies,
amalgam separators and polishing. EPA determined separators plus
polishing is not ``available'' as that term is used in the CCWA.
EPA identified one technology that is available and demonstrated--
amalgam separators. EPA further identified BMPs that would ensure the
effectiveness of the amalgam separator technology and would reduce
discharges of dental amalgam not captured by an amalgam separator.
Therefore, EPA developed a regulatory option based on proper operation
and maintenance of amalgam separators that achieve a 99.0% reduction of
total mercury from amalgam process wastewater with BMPs. Compliance
with the numeric pretreatment standard for new and existing sources
could be met by installation and proper operation and maintenance of an
amalgam separator certified to meet at least 99.0% reduction of total
mercury according to the 2008 ISO 11143 standard. Compliance with two
additional BMPs--not flushing scrap amalgam down the drain and cleaning
of chair side traps with non-bleach, non-chlorine cleaners--are
necessary to prevent mercury discharges that would bypass the
separator. EPA finds that the proposed technology basis is
``available'' as that term is used in the CWA because it is readily
available and feasible for all dental offices. ADA recommends its
dentists use the technology on which this rule is based (i.e., amalgam
separators and BMPs). Further, EPA estimates that 40% of dental offices
currently use amalgam separators on a voluntary basis or are in states
with state or local laws requiring the use of amalgam separators. For
those dental offices that have not yet installed an amalgam separator,
EPA estimates this is a low cost technology with an approximate average
annual cost of $700 \10\ per office. EPA's economic analysis analyzes
these costs in relation to the overall income of the regulated entities
and shows that this proposed rule is economically achievable (see
Section XVI). Finally, EPA also examined the non-water quality
environmental impacts of the proposed rule and found them to be
acceptable. See Section XX, ``Non Water Quality Environmental
Impacts.''
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\10\ This estimate is based on the average annualized cost for
dentists that do not currently have an amalgam separator. See DCN
DA00145.
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EPA is not proposing to establish pretreatment standards based on
technologies that remove dissolved mercury, or polishing. None of the
states with mandated requirements to reduce dental mercury discharges
requires polishing. EPA also lacks adequate performance data to truly
assess the efficacy of polishing or its availability of ion exchange
for nationwide use. EPA's current information suggests that polishing
only achieves incremental removals over the BAT selected technology of
less than one half percent of total mercury. While even very small
amounts of mercury have environmental effects, EPA lacks sufficient
data to conclude that there is a significant difference in the
performance between the two technologies. EPA estimates that the
capital costs of amalgam separators and polishing are at least four
times that of amalgam separators alone (see DCN DA00122). Finally, EPA
is uncertain whether existing dental offices have adequate space to
install polishing controls. These factors led EPA to find that
polishing is not ``available'' as that term is used in the CWA. As a
result, EPA did not select amalgam separators followed by polishing as
the technology basis for this proposed rule. EPA solicits data on the
costs, performance, affordability, and availability of polishing in
combination with amalgam separators.
B. Pollutants of Concern and Pass Through
Of the dental amalgam constituents, mercury is of greatest concern
to human health because it is a persistent, bioaccumulative, toxic
chemical and can bioaccumulate three to ten times across each trophic
level of the food chain. Mercury from dental amalgam makes its way into
the environment when it is discharged from the dental facility to a
POTW, where it settles into sewage sludge, or is discharged to surface
waters. Once discharged, certain microorganisms change mercury into
methylmercury, a form of mercury that can be absorbed by fish,
shellfish and animals that eat fish.
EPA finds that the technologies considered for control of amalgam
solids will be similarly effective on other metals contained in dental
amalgam because these metals are in a solids form, and the separation
technology is designed to remove solids. Therefore any controls
established for the reduction of mercury discharges will similarly
reduce the discharge of other metals contained in amalgam. As such, EPA
focused its consideration of regulated pollutants on mercury.
C. POTW Pass Through Analysis
To establish pretreatment standards, EPA examines whether the
pollutants discharged by the industry ``pass through'' a POTW to waters
of the U.S. or interfere with the POTW operation or sludge disposal
practices. EPA's consideration of pass through for national technology
based categorical pretreatment standards differs from that described in
Section VIII for general pretreatment standards. For categorical
pretreatment standards, EPA's approach for pass through satisfies two
competing objectives set by Congress: (1) That standards for indirect
dischargers be
[[Page 63268]]
equivalent to standards for direct dischargers; and (2) that the
treatment capability and performance of the POTWs be recognized and
taken into account in regulating the discharge of pollutants from
indirect dischargers.
Generally, in determining whether pollutants pass through a POTW
when considering the establishment of categorical pretreatment
standards, EPA compares the percentage of the pollutant removed by
typical POTWs achieving secondary treatment with the percentage of the
pollutant removed by facilities meeting BAT effluent limitations. A
pollutant is deemed to pass through a POTW when the average percentage
removed by a typical POTW is less than the percentage removed by direct
dischargers complying with BPT \11\/BAT effluent limitations. In this
manner, EPA can ensure that the combined treatment at indirect
discharging facilities and POTWs is at least equivalent to that
obtained through treatment by a direct discharger, while also
considering the treatment capability of the POTW.
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\11\ Best Practicable Control Technology Currently Available.
---------------------------------------------------------------------------
In the case of this proposed rulemaking, where only pretreatment
standards are being developed, EPA compared the POTW removals with
removals achieved by indirect dischargers using the candidate
technology that otherwise satisfies the BAT factors. Historically,
EPA's primary source of POTW removal data is its 1982 ``Fate of
Priority Pollutants in Publicly Owned Treatment Works'' (also known as
the 50 POTW Study). The 50 POTW study presents data on the performance
of 50 POTWs achieving secondary treatment in removing toxic pollutants.
Results of this study demonstrate POTWs remove 90% of total mercury
found in wastewater. EPA has data from targeted studies performed by
NACWA and ADA that indicate a POTW can remove 95% of total mercury.
However, these studies reflect the performance of best performing
POTWs, as opposed to the 50 POTW Study which reflects nationwide POTWs.
Consequently, for this proposal, EPA maintains a POTW percent removal
rate of 90% for its nationwide pass-through analysis. In comparison,
indirect dischargers using this proposed technology will remove 99.0%
or more total mercury prior to discharge. Therefore, EPA concludes
mercury passes through \12\ and is today proposing requirements to
control its discharge.
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\12\ For all the metals contained in dental amalgam, EPA's
record demonstrates that these pollutants would similarly pass
through as defined above. See the Pollutant Reduction Estimates
section of the TEDD for POTW removal estimates for the other metals.
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D. Requirements
This proposed rule would establish a pretreatment standard that
would require removal of at least 99.0% of total mercury from amalgam
discharges and BMPs. One way affected dental offices would be able to
meet the standard would be to use, and properly operate and maintain, a
dental amalgam separator certified to achieve at least 99.0% reduction
of total mercury according to the 2008 ISO 11143 standard, to perform
certain BMPs, and to certify to this effect. Another way affected
dental offices would be able to meet the standard would be to certify
that they do not install or remove amalgam except in limited emergency
circumstances. Dentists that certify that they do not install or remove
amalgam will be exempt from any further requirements of the proposed
rule.
While the proposed rule does not require the use of an amalgam
separator to meet the numeric standard, EPA expects that most, if not
all dentists that place or remove amalgam would use this widely
available technology to comply with the proposed numeric standard. EPA
expects dentists will choose to install and operate an amalgam
separator because of the nature of dental offices, the variability of
the flows and resulting waste streams, and the difficulty in obtaining
a sample that represents only dental amalgam discharges. Moreover,
amalgam separators are an easy to use, low cost technology. Dental
offices that elect to not use an amalgam separator must meet the
proposed numeric limit and would be subject to the oversight and
compliance requirements for indirect discharges subject to national
pretreatment requirements.
In selecting an amalgam separator that meets the requirements of
today's proposed pretreatment standards, dentists would verify that the
amalgam separator is compliant with the 2008 ISO 11143 standard and
meets the design specifications of the proposed regulation for their
configuration. Once selected and installed, EPA expects dentists will
operate and maintain the separator following all manufacturer's
instructions and conduct inspections at least monthly to ensure all
features are functional.
This proposal would subject all dentists (except those specialists
as described in Section XII) to categorical pretreatment requirements.
EPA recognizes that some dentists covered by this proposal do not apply
or remove dental amalgam except possibly in limited emergency
circumstances. However, EPA, in consultation with pretreatment
authorities, has been unable to identify a publically available source
of information that differentiates dental offices on the basis of
whether or not dental amalgam may reasonably be expected to be present.
As such, this proposed rule would apply to such dischargers and require
them to report baseline information, but it would also allow them to
certify (at any time) that they do not and will not install or remove
amalgam (not including infrequent emergency treatment as discussed
below). This would fulfill their obligations under this proposed rule.
If they subsequently elect to install or remove amalgam, they would
then need to comply with the proposed numeric standard (e.g., proper
operation and maintenance of an amalgam separator) and with the BMPs in
this proposed rule.\13\
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\13\ EPA recognizes that dentists, infrequently, may remove
amalgam in the course of emergency treatment. EPA does not intend
for discharges of dental amalgam, related to only these infrequent
emergency treatments, to preclude such dentists from certifying.
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EPA does not want to penalize existing dental offices or
institutional dental facilities that have already installed amalgam
separators either voluntarily or to comply with state or local
requirements. EPA recognizes that these offices may currently have
amalgam separators in place that are certified to a removal rate
slightly less than this proposed standard. For example, some states
require dental offices to employ amalgam separators that are certified
to remove 95% total mercury. EPA does not propose a rule that would
require existing separators that still have a remaining useful life to
be retrofitted with new separators, both because of the additional
costs incurred by dental facilities that moved ahead of EPA's proposed
requirements to install a treatment technology and because of the
additional solid waste that would be generated by disposal of the
existing separators. Therefore, EPA is proposing that, as long as they
continue to properly operate and maintain existing separators, comply
with BMPs, and comply with recordkeeping requirements, these facilities
would be considered in compliance with the numeric standard until ten
years from the effective date of the final rule. EPA selected ten years
because it appears to be a conservative estimate of the useful life of
the existing equipment. However, if prior to that time, the currently
installed separator needs to be replaced, these facilities would need
to install and
[[Page 63269]]
operate an amalgam separator that meets a removal efficiency of 99.0%.
EPA requests comment on this proposed regulatory scheme. In
particular, EPA seeks comment on its approach for addressing offices
where no dental amalgam is placed or removed except in limited
emergency circumstances, and its approach for offices that have already
installed an amalgam separator.
E. PSNS Option Selection
As previously noted, under section 307(c) of the CWA, new sources
of pollutants into POTWs must comply with standards which reflect the
greatest degree of effluent reduction achievable through application of
the best available demonstrated control technologies. Congress
envisioned that new treatment systems could meet tighter controls than
existing sources because of the opportunity to incorporate the most
efficient processes and treatment systems into the facility design. EPA
proposes PSNS that would control the same pollutants using the same
technologies proposed for control by PSES. The technologies used to
control pollutants at existing offices, amalgam separators and BMPs,
are fully applicable to new offices. New dental offices can incorporate
amalgam separators into the design and installation of their vacuum
system. Furthermore, EPA has not identified any technologies that are
demonstrated for new sources that are more effective than those
identified for existing sources. Finally, EPA determined that the
proposed PSNS present no barrier to entry. EPA has found that overall
impacts from the proposed standards on new sources would not be any
more severe than those on existing sources, since the costs faced by
new sources generally will be the same as or less than those faced by
existing sources. Therefore, EPA proposes to establish NSPS that are
the same as those proposed for PSES.
EPA does not propose to establish more stringent requirements for
new sources based on technologies that remove dissolved mercury (i.e.,
polishing) for the same reasons stated above for existing standards.
XV. Technology Costs
This section summarizes EPA's approach for estimating compliance
costs, while the TEDD provides detailed information on the methodology.
EPA's cost methodology assumes dental offices would use the required
BMPs in combination with 2008 ISO 11143 amalgam separators on the
market today to comply. See DCN DA00138. EPA categorized all of the
costs as either capital costs \14\ (one-time costs associated with
planning or installation of technologies), as operation and maintenance
(O&M) costs (costs that occur on a regular ongoing basis such as
inspection or cleaning of the unit or annual purchases of amalgam
cartridges), or as reporting costs. All final cost estimates are
expressed in terms of 2010 dollars.
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\14\ See Section XVI and the Economic Section of the Technical
Development Document for information on how EPA annualized costs.
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EPA estimated compliance costs associated with this proposal using
data collected through EPA's Health Services Industry Detailed Study
(August 2008) [EPA-821-R-08-014], a review of the literature, and
information supplied by vendors. EPA's cost estimates represent the
incremental costs for a dental office to comply with this proposed
rule. For costing purposes, EPA differentiated dental offices by those
that already use amalgam separators and those that do not.
EPA recognizes that some fraction of dental offices subject to this
proposed rule may not place or remove amalgam and proposes to allow
them to submit a one-time baseline monitoring report. Such dental
offices would be exempt from this rule so long as they do not place or
remove amalgam. Should the status of the dental office change, the
certification would no longer be valid. For example, if a dental office
so certifies and is sold, the new owner must similarly so certify or
would need to comply with the rule. See Sec. 441.10. EPA estimates the
costs associated with this one-time only certification to be $22.
In general, one approach that EPA takes to estimate compliance
costs is to use facility-specific data to determine what requirements
apply to a given facility and whether that facility would already meet
the proposed requirements. This approach requires facility specific
technical and financial data. In this case, EPA would need such data
for approximately 110,000 dental offices estimated to be subject to
this rule. Such data are not available. An alternative approach often
used by EPA is to develop a series of model facilities that exhibit the
typical characteristics of the affected facilities and calculate costs
for each model facility. EPA can then determine how many of the
affected facilities are represented nationally by each model facility
to represent the full universe of affected facilities.
A. Methodology for Developing Model Dental Office Costs
EPA used the model approach to estimate costs for facilities that
place or remove amalgam for this proposal. The model facility approach
used in this effort involved calculating compliance costs for each of
the size classes of dental offices described in Section IX of this
preamble. In other words, EPA developed compliance costs for six models
based on the number of chairs in an office. The ranges for each model
are as follows: 1 to 2 chairs, 3 chairs, 4 chairs, 5 chairs, 6 chairs,
and 7+ chairs (average of 10 chairs). In addition to each of the size
class models, EPA developed a model facility to represent very large
offices such as clinics and universities. This is discussed separately
in Section XV. B., below.
EPA developed two sets of costs for each model: one for facilities
that do not use an amalgam separator and one for facilities that do.
For those that do not use an amalgam separator, EPA estimated capital
costs and operation and maintenance costs. Capital costs include
purchase of the separator and installation. Recurring costs include
replacement of the cartridge, and operation and maintenance costs. A
summary of costs for dental offices that do not currently use amalgam
separators may be found in Tables XV-1 and XV-2.
Table XV-1--Summary of One Time Model Facility Costs ($2010) for Dental Offices That Do Not Currently Use
Amalgam Separators
----------------------------------------------------------------------------------------------------------------
Number of chairs in the model dental office
Cost element -------------------------------------------------------------------
1 or 2 3, 4, or 5 \15\ 6 7+
----------------------------------------------------------------------------------------------------------------
Separator Purchase.......................... $502 $599 $1,058 $1,531
[[Page 63270]]
Installation................................ 250 250 250 250
----------------------------------------------------------------------------------------------------------------
Table XV-2--Summary of One Time Model Facility Costs ($2010) for Dental Offices That Do Not Currently Use
Amalgam Separators
----------------------------------------------------------------------------------------------------------------
Number of chairs in the model dental office
Cost element -------------------------------------------------------------------
1 or 2 3, 4, or 5 \16\ 6 7+
----------------------------------------------------------------------------------------------------------------
Replacement Parts........................... $195 $219 $430 $647
O&M Including Recycling..................... 216 216 216 216
----------------------------------------------------------------------------------------------------------------
For those facilities that already have an amalgam separator, EPA
calculated costs for certain additional recurring operation and
maintenance associated with the amalgam separator compliance option in
this proposal. Recurring costs include replacement of the cartridge and
operation and maintenance costs. A summary of these costs may be found
in Table XV-3. This is a conservative approach to costing, however,
because some of these facilities would presumably continue to operate
and maintain the separators that they have already chosen or been
required to install.
---------------------------------------------------------------------------
\15\ EPA assumed the separator can be sized for 3, 4, or 5
chairs, but has kept these three model office sizes distinct because
the economic analysis evaluates different revenues for each of these
sized offices.
\16\ EPA assumed the separator can be sized for 3, 4, or 5
chairs, but has kept these three model office sizes distinct because
the economic analysis evaluates different revenues for each of these
sized offices.
Table XV-3--Summary of Annual Model Facility Costs ($2010) for Dental Offices That Currently Use Amalgam
Separators
----------------------------------------------------------------------------------------------------------------
Number of chairs in the model dental office
Cost element -------------------------------------------------------------------
1 or 2 3, 4, or 5 \17\ 6 7+
----------------------------------------------------------------------------------------------------------------
Replacement Parts........................... $98 $110 $215 $324
O&M including recycling..................... 116 116 116 116
----------------------------------------------------------------------------------------------------------------
In assessing the long term costs of rule compliance for these
model facilities (those with and without existing separators), EPA
estimated that amalgam separators would have a service life of 10
years, at which time the amalgam separators would need to be replaced.
For the purposes of cost estimates for this proposal, EPA assumed that
all offices regardless of the original technology in-place would incur
the full cost of purchasing amalgam separators at the time of
reinstallation. However, because various modifications needed by the
office for initial amalgam separator installation would have already
been completed, EPA has projected that amalgam separators replaced
beyond year 10 would be installed at one-half of the cost of the
original installation. For example, EPA assumed plumbing modifications
for initial installation would cost $250 per office, but that replaced
equipment would cost $125 to install. EPA assumed that dental offices
would continue to incur recurring expenses such as O&M in the same way
as described for the initial installation.
---------------------------------------------------------------------------
\17\ EPA assumed the separator can be sized for 3, 4, or 5
chairs, but has kept these three model office sizes distinct because
the economic analysis evaluates different revenues for each of these
sized offices.
---------------------------------------------------------------------------
Finally, all dental offices subject to this proposed rule will also
have reporting requirements and BMP requirements. EPA also included
reporting costs for one-time preparation of a baseline report and
initial compliance report and recurring costs associated with
preparation of an annual certification statement. Section XI describes
the BMPs in this proposal. EPA projects that there will be no
incremental costs associated with these BMPs, because 1) costs for non-
oxidizing, pH neutral line cleaners are roughly equivalent to other
line cleaners; and 2) dentists will not incur additional costs by
changing the location for flushing scrap amalgam.
[[Page 63271]]
B. Methodology for Developing Costs for Institutional Facilities
Institutional dental service facilities (e.g., clinics or dental
schools), have a larger number of chairs than the typical dental
office. For these institutional dental facilities, EPA developed a
costing methodology based on the methodology for offices described
above. For purposes of costs, EPA assumed the average institutional
facility has 15 chairs. In the methodology described previously, the
model practice with the largest number of chairs for which EPA
developed cost information is the 7+ chair model with an average of 10
chairs. Scaling the information on costs for the 10 chair model
facility to a 15 chair operation using a straight ratio yields costs at
these institutional facilities at 1.5 times the costs estimated for the
largest chair range shown in Table XV-1 and Table XV-2. These costs are
likely overstated as they do not reflect opportunities the largest
offices may have to share costs,\18\ and they do not assume any
economies of scale. EPA solicits comment and data regarding EPA's
analysis of clinics and institutional facilities.
---------------------------------------------------------------------------
\18\ For example, multiple offices located in a single building
or complex may be able to share plumbing, vacuum systems, and may be
able to install a larger separator rather than each office having
its own separator.
---------------------------------------------------------------------------
XVI. Economic Impact Analysis
This section summarizes EPA's assessment of the costs and impacts
of the proposed pretreatment standards on the regulated industry.
A. Social Cost Estimates
As described earlier in Section XIV of this preamble, EPA proposes
PSES and PSNS based on a widely available technology, amalgam
separator, and employment of BMPs. Section XV provides a detailed
explanation of how EPA estimated compliance costs for model dental
offices. As described there, EPA developed compliance costs for six
models based on the number of chairs in an office. The ranges for each
model are as follows: 1 to 2 chairs, 3 chairs, 4 chairs, 5 chairs, 6
chairs, and 7+ chairs (average of 10 chairs). In addition to each of
the size class models, EPA developed a model facility to represent
institutional facilities such as clinics and universities.
For each model facility, EPA estimated compliance costs for dental
offices that currently use a separator, those that do not have a
separator in place, and those that certify that they do not place or
remove amalgam. For those that do not currently use a separator, EPA
estimated costs as either capital costs (one-time costs associated with
planning or installation of technologies), as O&M costs (costs that
occur on a regular ongoing basis such as inspection or cleaning of the
unit, annual purchases of amalgam cartridges, and recycling), and as
reporting costs. For those that use a separator (approximately 40% of
dental offices as reported in Section VIII), EPA estimated O&M costs
and reporting costs only. As applicable, EPA annualized the capital
costs over a 20-year period at a discount rate of 3%\19\ and summed
these costs with the O&M and reporting costs to determine an annual
compliance cost estimate for each model facility. In order to develop a
national estimate of social costs \20\ based on these model facilities,
EPA estimated the number of dental offices represented by each model
facility. As explained in Section IX, EPA estimated the number of
dental offices based on data from the 2007 Economic Census \21\
describing the number of establishments in the Offices of Dentists
NAICS (621210), and their annual revenue. Because reported
establishments were described by their annual revenue and not number of
chairs (the basis of model compliance costs), EPA used data from two
surveys, a Colorado survey and an ADA survey, to correlate the
estimated number of chairs per office to the revenue range of dental
offices. Because EPA used two different data sources, results are
presented as a range. Details of the relationship between chairs and
revenue can be found in the TEDD.
---------------------------------------------------------------------------
\19\ See the TEDD for the reported analyses using a 7% discount
rate.
\20\ Costs of the rule, from the standpoint of cost to society,
include compliance costs and administrative costs to control
authorities. Social costs would also incorporate any adjustment
based on a quantity demand response to a change in price driven by a
price change due to cost pass-through to consumers. For this
analysis, EPA is not able to demonstrate an observable change in
price for dental services, therefore no observable change in amount
of visits (quantity demanded). Therefore EPA makes no adjustment to
social costs based on a change in quantity.
\21\ EPA adjusted the 2007 Economic Census revenue values to
reflect 2010 dollars.
---------------------------------------------------------------------------
To estimate nationwide social costs, EPA multiplied the estimated
total annualized costs of rule compliance for each model facility by
the estimated number of dental offices represented by that model (i.e.
with the indicated number of chairs and with/without existing amalgam
separators). EPA also accounted for some dental offices that may not
place or remove amalgam and assigned them costs only for a one-time
baseline monitoring report. EPA then summed the values for each chair
range over the number of chair ranges to yield the total estimated
compliance cost.
Similarly, EPA calculated costs for institutional facilities by
multiplying the compliance cost for its model institutional facility by
the number of estimated institutional facilities indicated in Section
IX. Lastly, EPA estimated costs for control authorities for
administering the Dental Amalgam Rule.\22\ Details of this cost
analysis can be found in the TEDD. See Table XVI-1 for EPA's estimate
of nationwide annualized costs for each chair range represented by
EPA's model facilities as well as EPA's estimate of total nationwide
annualized costs for this proposed rule.
---------------------------------------------------------------------------
\22\ As a point of clarification, for this proposal, social
costs equal the sum of compliance costs and administrative costs.
Table XVI-1--Total Annualized Social Costs by Number of Chairs
[Millions of 2010 dollars]
------------------------------------------------------------------------
Total annualized costs by chair size
\1\
Number of chairs -------------------------------------
Colorado survey ADA Survey
------------------------------------------------------------------------
1-2 chairs........................ $3.4 $4.4
3 chairs.......................... 9.5 16.3
4 chairs.......................... 11.0
5 chairs.......................... 5.4 14.8
6 chairs.......................... 4.7
7+ chairs......................... 9.5 12.8
Large Dental Facilities........... 0.1 0.1
[[Page 63272]]
Cost to Control Authorities....... 0.9 0.9
-------------------------------------
Total Annualized Social Costs. 44.5 49.4
------------------------------------------------------------------------
\1\ EPA assumed that initial capital outlays and initial incurrence of
ongoing compliance expenses would occur in the third year following
rule promulgation. EPA assumed that the amalgam separator technology
would have a service life of 10 years, and used a 20-year analysis
period to allow for one-time replacement of capital equipment 10 years
following the initial installation. A 3% discount rate was used for
the analysis reported in this table, see the TEDD for the analysis
with a 7% discount rate.
B. Economic Impact Methodologies
EPA devised a set of tests for analyzing economic achievability. As
is often the practice, EPA conducted a cost-to-revenue analysis to
examine the relationship between the costs of the proposed rule to
current (or pre-rule) dental office revenues. In addition, EPA chose to
examine the financial impacts of the proposed rule using two measures
that utilize the data EPA has on dental office baseline assets and
estimated replacement capital costs: (1) Ratio of the Proposed Rule's
Capital Costs to Total Dental Office Capital Assets and (2) Ratio of
the Proposed Rule's Capital Costs to Annual Dental Office Capital
Replacement Costs.
EPA did not conduct a traditional closure analysis for this
proposed rule because EPA does not have detailed data on baseline
financial conditions of dental offices. Also, closure analyses
typically rely on accounting measures such as present value of after-
tax cash flow. However, such accounting measures are difficult to
implement for businesses that are organized as sole proprietorships or
partnerships, as is the case in the dental industry. Still, the 2007
Economic Census reports that approximately 700 offices of the
approximately 110,000 total offices had revenue of less than $25,000
(2007 dollar basis). In reviewing the implied operating characteristics
of these low revenue offices, EPA considered whether these offices
should be excluded from the analyses on any of the following bases:
These low revenue offices could be single-dentist and/or
part-time businesses that provide services as a subcontractor on an
independent fee-for-service basis, such as dental hygiene, in general
service dental offices that are owned and operated by a larger dental
practice. Because these establishments would not be the primary owner/
operator of the dental offices in which they provide services, they
would not directly incur the compliance costs of a Dental Amalgam Rule.
If they incurred any of these costs, it would be on a limited
fractional share basis, most likely in proportion to the total value of
their services as a fraction of the total revenue in the office. On the
other hand, if these operators offer their services in a competitive
market, it may be that none of the compliance costs are shared by these
subcontractors.
Another possibility is these very low revenue offices
could be non-profit groups which provide pay-as-you-can or free
services to a low-income populations. In this case, these small
businesses may be viable enterprises because they receive in-kind
donations not counted as revenue, e.g., services of a practicing
dentist.
Alternatively, these low revenue offices may be non-viable
as for-profit businesses, if they are attempting to operate as general
service dental practices. This is based on EPA's assessment (see Ratio
of Proposed Rule Capital Costs to Total Dental Office Capital
Replacement Costs, below) that 1-2 chair offices would incur pre-rule
capital replacement costs of approximately $23,500 per year. This cost
represents all or a substantial fraction of annual revenue of the
business in the below-$25,000 revenue range. Accordingly, these
businesses may not be operating viably as for-profit general service
dental offices.
As such, EPA could consider these offices to be the equivalent of
baseline closures as traditionally accounted for in cost and economic
impact analysis for effluent guidelines rulemakings. As a result of the
uncertainty here, EPA analyzed the impacts twice: (1) Excluding dental
offices that could represent baseline closures and (2) including all
offices in the analysis. EPA solicits comment for additional
information on these low revenue dental offices.
1. Cost-to-Revenue Analysis
To provide an assessment of the impact of the rule on dental
offices, EPA used a cost-to-revenue analysis as is standard practice
for ELGs when looking at impacts to small businesses. The cost-to-
revenue analysis compares the total annualized compliance cost of each
regulatory option with the revenue of the entities. It is also used
under the Regulatory Flexibility Act (RFA) to determine if a rule has
the potential to have a significant impact on a substantial number of
small entities. EPA apportioned all dental offices into Economic Census
revenue ranges. Using the relationship between revenue and number-of-
chairs previously developed, each revenue range was assigned to a
number-of-chairs category which determined its annual costs. EPA looked
at whether all, some, or none of the offices in each revenue range
would exceed the 1% or 3% threshold (to signal the potential for
significant impact), and summed across chair-size categories to assess
impact to the industry. To incorporate the discussion of low revenue
dental offices described in Section XVI.B above, this analysis is
conducted twice: (1) Excluding dental offices that could represent
baseline closures and (2) including all offices in the analysis.
2. Ratio of the Proposed Rule's Capital Costs to Total Dental Office
Capital Assets
This ratio examines the initial spending on capital costs of
compliance in relation to the baseline value of assets on the balance
sheet of dental office businesses. EPA assumes a low ratio implies
limited impact on dental offices' ability to finance the initial
spending on capital costs of the proposed rule. A high ratio may still
allow costs to be financed but could imply a need to change capital
planning and budgeting. EPA relied on data from Risk Management
Association (RMA) \23\ to estimate the average asset-to-sales ratio
[[Page 63273]]
in each number-of-chairs category for the dental office sector. This
ratio was then applied to the revenue range/number-of-chairs categories
to find an asset value for the minimum (reported as low in Table XVI-3)
and maximum (reported as high in Table XVI-3) revenue values for that
number-of-chairs category. EPA used these baseline assets by number-of-
chairs category as the denominator for the ratio. Total proposed rule
compliance costs, as described in Section XVI.B above, were assigned to
each number-of-chairs category as the numerator for the ratio. To
incorporate the discussion of low revenue dental offices described in
Section XVI.B above, this analysis is conducted twice: (1) Excluding
dental offices that could represent baseline closures, and (2)
including all offices in the analysis. This analysis assumes a minimum
revenue value of $5,000 for the lowest revenue range to prevent
division by zero.
---------------------------------------------------------------------------
\23\ Risk Management Association reports financial statement
information received from lending institutions, for businesses in a
wide range of economic sectors, including Dental Offices. These data
include a wide range of income statement and balance sheet
information as well as financial and operating ratios.
---------------------------------------------------------------------------
The RMA data contains the limitation that it may not be fully
representative of all dental offices, because it only represents dental
offices that are successful borrowers. It is possible that offices that
are not financially healthy may be underrepresented in the RMA data.
This would tend to understate EPA's finding of impacts.
3. Comparison of the Proposed Rule's Capital Costs to Annual Dental
Office Capital Replacement Costs
EPA also compared the initial spending on capital costs of
compliance associated with this proposed rule to the estimated capital
replacement costs for a dental office business (e.g., computer systems,
chairs, x-ray machines, etc.). The capital replacement costs represent
a value that dental offices may reasonably expect to spend in any year
to replace and/or upgrade dental office capital equipment. EPA assumes
a low ratio implies limited impact on dental offices' ability to
finance the initial spending on capital costs of the proposed rule. A
high ratio may still allow costs to be financed but could imply a need
to change capital planning and budgeting. However, because EPA expects
that annual dental office capital replacement would be smaller than
total dental office capital assets, this ratio is likely to result in a
higher value than the previous ratio. Because this ratio is based on a
different data source, it provides an independent check that abstracts
from the limitations of the RMA data.
EPA used data from Safety Net Dental Clinic Manual, prepared by the
National Maternal & Child Oral Health Resource Center at Georgetown
University (see DCN DA00143). This study examines data describing the
equipment needs and costs for starting a dental practice for a range of
different number-of-chairs including information on the life of the
dental equipment. EPA then used these data to estimate capital
replacement costs, accounting for the total value of equipment
purchases for different numbers of chairs, and the composition of
purchases by equipment life category. EPA used these replacement
capital costs by number-of-chairs as the denominator for the ratio.
Total proposed rule compliance costs, as described in Section XVI.B
above, were assigned to each number-of-chairs as the numerator for the
ratio.
Because the data are for starting a dental clinic instead of a
dental practice, EPA is taking comment to solicit additional
information on equipment needs and costs for starting a dental
practice, including information on the life of the dental equipment.
See the TEDD for details on this analysis.
C. Results of Impact Analysis
1. Cost-to-Revenue Analysis Results
Following the methodology outlined in XVI.B, EPA estimated the
occurrence of annualized compliance costs exceeding the 1% and 3% of
revenue thresholds for the proposed option twice: (1) Excluding dental
offices that could represent baseline closures, and (2) including all
offices in the analysis.
Table XVI-2 summarizes the results from this analysis. As shown
there, under either scenario, over 99% of dentists would incur
annualized compliance costs of less than 1% of revenue. With baseline
set-asides excluded from the analysis, 507 offices (0.5% of offices
using dental amalgam and exceeding the set-aside revenue threshold) are
estimated to incur costs exceeding 1% of revenue; no offices are
estimated to incur costs exceeding 3% of revenue. With baseline set-
asides included in the analysis, 965 offices (0.9% of offices using
dental amalgam) are estimated to incur costs exceeding 1% of revenue;
221 offices (0.2% of offices using dental amalgam) are estimated to
incur costs exceeding 3% of revenue.
Table XVI-2--Cost-to-Revenue Analysis Impact Summary
----------------------------------------------------------------------------------------------------------------
Costs >1% Revenue Costs >3% Revenue
Number of chairs Total offices ---------------------------------------------------------------
by chair size Number Percent Number Percent
----------------------------------------------------------------------------------------------------------------
Excluding Baseline Set-Aside Offices from Analysis
----------------------------------------------------------------------------------------------------------------
1-2 chairs...................... 12,197 507 4.2 0 0.0
3 chairs........................ 25,835 0 0.0 0 0.0
4 chairs........................ 27,976 0 0.0 0 0.0
5 chairs........................ 15,194 0 0.0 0 0.0
6 chairs........................ 12,047 0 0.0 0 0.0
7+ chairs....................... 16,611 0 0.0 0 0.0
-------------------------------------------------------------------------------
Total....................... 109,859 507 0.5 0 0.0
----------------------------------------------------------------------------------------------------------------
Including Baseline Set-Aside Offices in Analysis
----------------------------------------------------------------------------------------------------------------
1-2 chairs...................... 12,197 965 7.9 221 1.8
3 chairs........................ 25,835 0 0.0 0 0.0
4 chairs........................ 27,976 0 0.0 0 0.0
5 chairs........................ 15,194 0 0.0 0 0.0
6 chairs........................ 12,047 0 0.0 0 0.0
7+ chairs....................... 16,611 0 0.0 0 0.0
-------------------------------------------------------------------------------
[[Page 63274]]
Total....................... 109,859 965 0.9 221 0.2
----------------------------------------------------------------------------------------------------------------
Source: EPA analysis.
2. Ratio of the Proposed Rule's Capital Costs to Total Dental Office
Capital Assets
Table XVI-3 reports the findings from this analysis, specifically
the weighted average of the initial spending on the proposed rule's
capital costs divided by total assets of dental office across the
revenue range/number-of-chairs analysis combinations. With baseline
set-asides excluded from the analysis, the resulting initial capital
costs to total capital assets values are low, with an average value
0.5% to 1.0% for the no technology in-place case and 0% for the
technology in-place case. With baseline closures included in the
analysis, the resulting initial capital costs to total capital assets
values are low, with an average value 0.6% to 1.2% for the no
technology in-place case and 0% for the technology in-place case.
Table XVI-3--Initial Spending as Percentage of Pre-Rule Total Dental Office Capital Assets \1\
----------------------------------------------------------------------------------------------------------------
Technology in place No technology in place
Number of chairs ---------------------------------------------------
Low High Low High
----------------------------------------------------------------------------------------------------------------
Excluding Baseline Set-Aside Establishments from Analysis
----------------------------------------------------------------------------------------------------------------
1-2 chairs.................................................. 0.1 0.1 2.7 1.3
3 chairs.................................................... 0.0 0.0 0.8 0.5
4 chairs.................................................... 0.0 0.0 0.5 0.3
5 chairs.................................................... 0.0 0.0 0.3 0.2
6 chairs.................................................... 0.0 0.0 0.3 0.2
7+ chairs................................................... 0.0 0.0 0.2 0.2
Weighted Average............................................ 0.0 0.0 0.7 0.4
----------------------------------------------------------------------------------------------------------------
Including Baseline Set-Aside Establishments in Analysis
----------------------------------------------------------------------------------------------------------------
1-2 chairs.................................................. 0.2 0.1 3.7 1.7
3 chairs.................................................... 0.0 0.0 0.8 0.5
4 chairs.................................................... 0.0 0.0 0.5 0.3
5 chairs.................................................... 0.0 0.0 0.3 0.2
6 chairs.................................................... 0.0 0.0 0.3 0.2
7+ chairs................................................... 0.0 0.0 0.2 0.2
Weighted Average............................................ 0.0 0.0 0.8 0.5
----------------------------------------------------------------------------------------------------------------
\1\ EPA used the baseline asset value for the minimum (reported as low) and maximum (reported as high) revenue
values by number-of-chairs category as the denominator for the ratio. Total proposed rule compliance costs, as
described in Section XVI.B above, were assigned to each number-of-chairs category as the numerator for the
ratio.
3. Ratio of the Proposed Rule's Capital Costs to Annual Dental Office
Capital Replacement Costs Results
EPA compared the estimated total initial spending on the proposed
rule's capital costs to the estimated capital replacement costs across
all chair-sizes. The resulting values for the proposed option range
from 2.9% to 3.5%, with a weighted average of 2.9% across all chair
size ranges.
Table XVI-4--Initial Spending as Percentage of Estimated Annual Dental
Office Capital Replacement Costs \1\
------------------------------------------------------------------------
Number of chairs Percent
------------------------------------------------------------------------
1-2 chairs................................................. 3.4
3 chairs................................................... 3.2
4 chairs................................................... 2.6
5 chairs................................................... 2.2
6 chairs................................................... 2.9
7 chairs................................................... 3.5
8 chairs................................................... 3.1
9 chairs................................................... 2.9
Weighted Average........................................... 2.9
------------------------------------------------------------------------
Source: EPA Analysis.
\1\ EPA estimated capital replacement costs, accounting for the total
value of equipment purchases for different numbers of chairs, and the
composition of purchases by equipment life category by number-of-
chairs as the denominator for the ratio. Total proposed rule
compliance costs, as described in Section XVI.B, were assigned to each
number-of-chairs as the numerator for the ratio.
D. Economic Achievability
The analyses performed above demonstrate the impact of this
proposed rule on the dental office sector. In the cost-to-revenue
analysis, EPA found that no more than 0.2% of offices, mostly in the
lower revenue ranges, would potentially incur costs in excess of 3% of
revenue. The two financial ratios reported in Tables XVI-3 and XVI-4
show that the proposed option would not cause dental offices to
encounter difficulty in financing initial spending on capital costs of
the proposed regulatory option. Based on the results of the three
analyses above in combination, and EPA's inability at this time to
conduct a traditional facility closure analysis, EPA has determined
that the proposed pretreatment standard is economically achievable. EPA
notes that, due to a lack of data, the economic
[[Page 63275]]
impact analyses did not include large institutional facilities.
However, the results of the economic analyses performed on a range of
office sizes indicate that this proposal is economically achievable at
every level. Therefore, EPA projects the rule would similarly be
achievable for large institutional facilities. EPA requests comment on
this projection and data to perform economic achievability analyses.
E. Economic Impact for New Sources
EPA determined that this proposed pretreatment standard for new
sources would not impose a barrier to entry. EPA relied on data
describing the equipment needs and costs for starting a dental practice
as compiled in Safety Net Dental Clinic Manual, prepared by the
National Maternal & Child Oral Health Resource Center at Georgetown
University (see DCN DA00143). Information from the Georgetown Manual
demonstrates that the amalgam separator capital costs (based on costs
for existing model facilities as described in Section XI) comprised
0.3% to 0.4% of the cost of starting a dental practice and, therefore,
does not pose a barrier to entry.
Table XVI-5--Initial Spending as Percentage of Estimated Dental Office
Start-Up Costs
------------------------------------------------------------------------
Number of chairs Percent
------------------------------------------------------------------------
1-2 chairs................................................. 0.4
3 chairs................................................... 0.4
4 chairs................................................... 0.3
5 chairs................................................... 0.3
6 chairs................................................... 0.3
7 chairs................................................... 0.4
8 chairs................................................... 0.4
9 chairs................................................... 0.3
Weighted Average........................................... 0.3
------------------------------------------------------------------------
Source: EPA Analysis.
XVII. Pollutant Reductions to POTWs and Surface Waters
Consistent with its costing methodology, EPA's pollutant reduction
methodology assumes 2008 ISO 11143 amalgam separators on the market
today with BMPs, the proposed technology basis, would be used to comply
with this proposed rule. As was the case for costing, EPA does not have
office specific discharge data for the approximately 110,000 dental
offices potentially subject to this proposal. Instead, EPA has modeled
the discharges of mercury based on nationwide estimates of amalgam
restorations and removals, and did not calculate the pollutant
reductions on a per office basis. Rather, EPA calculated average
mercury loadings by dividing the total number of annual procedures by
the total number of dentists performing the procedure.\24\ This is the
same approach and data that EPA presented in its Health Services
Industry Detailed Study (EPA 821-R-08-014). EPA did not receive
comments on this part of the health study that would cause EPA to
reconsider its approach, and, therefore, EPA did not change the overall
methodology. The following sections describe the method in more detail.
---------------------------------------------------------------------------
\24\ Because this approach is based on the number of dentists,
it includes those dentists both at offices and institutional
facilities.
---------------------------------------------------------------------------
A. Nationwide Estimate of Annual Mercury Discharges From Dental Offices
First, EPA estimated the amount of mercury potentially discharged
nationwide through amalgam restorations. EPA's main source of the data
underlying all of the estimates related to restorations is Vandeven and
McGinnis, 2005 (DCN 00163). EPA estimates 71 million restorations occur
at dental offices annually and that these restorations are performed
with one amalgam capsule per restoration. Each amalgam capsule contains
450 mg of mercury and, on average, 75% of the capsule is used for the
filling, with the remaining 25% remaining in the capsule. Therefore,
340 mg of mercury (75% of the capsule) are used per filling. Further,
9% of the 340 mg of mercury, or 31 mg, is discharged to the POTW as
carvings and filings or other waste. Thus, EPA estimates a total of 2.4
tons of mercury nationwide \25\ is discharged annually to POTWs from
restorations.
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\25\ 71 million restorations times 31 mg per restoration.
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Second, EPA modeled mercury discharges from amalgam removals.
Similar to restorations, EPA's main source of the data underlying all
of the estimates related to amalgam removals is Vandeven and McGinnis,
2005. Based on this information, EPA estimates approximately 97 million
amalgam removals occur each year. An average of 300 mg mercury is
removed from the filling. Ninety percent of the removed filling is
assumed to be discharged to wastewater, and the other 10% is handled as
dry waste and/or gray bagged. Thus, EPA estimates 29 tons of mercury
are discharged to POTWs from removals each year.
Summing the total mercury discharged from restorations plus that
associated with filling removals, 31.4 tons of mercury are potentially
discharged annually to POTWs from dental offices. However, these
calculations do not account for the amount of mercury removed at the
dental office and prior to POTW discharge through existing chair side
traps, vacuum pump filters, and/or amalgam separators as described
below.
B. National Estimate of Annual Baseline Discharges of Mercury From
Dental Offices to POTWs
As described in Section VIII, EPA estimates that 40% of dental
offices currently operate dental amalgam separators. Thus, on a
nationwide basis, approximately 65,000 dental offices currently do not
have separators and 44,000 offices already have separators in place. Of
the offices that do not currently have separators in place, EPA assumed
that 20% do not install or remove amalgam, but EPA requests comment on
this assumption. For the remainder, based on information in its record,
EPA assumes all offices have chair side traps or a combination of chair
side traps and vacuum filters that result in 68% and 78% collection of
dental amalgam, respectively (Vandeven and McGinnis). After accounting
for mercury reductions achieved through existing chair side traps,
vacuum filters, and separators, as appropriate, EPA estimates the
offices without separators that place or remove amalgam collectively
discharge a total of 4.4 tons of mercury to POTWs per year. The offices
with separators collectively discharge approximately 63 pounds of
mercury to POTWs per year. Thus, EPA calculates the current nationwide
annual baseline pounds of mercury discharged to POTWs from dental
offices to be 4.4 tons mercury (out of a total of the 31.4 tons mercury
originally generated). See Chapter 10 of the TEDD for more information.
C. National Estimate of Annual Baseline Discharges of Other Metals
Contained in Amalgam From Dental Offices to POTWs
Amalgam is comprised of roughly 49% mercury, 35% is silver, 9% tin,
6% copper and 1% zinc \26\ (DCN DA00131). As explained earlier in
Section XI, EPA concludes the technology basis for this proposal would
be equally effective in reducing discharges of silver, tin, copper, and
zinc as it is in reducing mercury. EPA similarly assumes chair side
traps and the combination of chair side traps and vacuum filters will
result in 68% and 78% collection of these metals, respectively.
Accordingly, after accounting for existing technologies at dental
offices, EPA estimates that in
[[Page 63276]]
addition to 4.4 tons of mercury, approximately 4.6 tons of these
additional metals are discharged to POTWs annually for a total metal
discharge to POTWs of 9 tons annually.
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\26\ It also contains small amounts of indium and palladium. EPA
did not estimate discharges of these two pollutants.
---------------------------------------------------------------------------
D. National Estimate of Annual Pollutant Reductions to POTWs Associated
With This Proposal
1. Mercury
EPA estimates the 52,000 offices that install separators would
obtain an additional 99.0% removal by amalgam separator (median removal
efficiency of amalgam separators; see 7.1 of TEDD). This would result
in reduction of total mercury discharges to POTWs by 4.3 tons. Because
dissolved mercury accounts for much less than 1% of total mercury (DCN
DA00018), and because amalgam separators are not effective in removing
dissolved mercury, the dissolved mercury contribution and associated
reduction in loads is assumed to be negligible. EPA solicits comment
and data on this assumption.
2. Other Metals
As explained earlier in Section XI, EPA concludes the technology
basis for this proposal would be equally effective in reducing
discharges of silver, tin, copper, and zinc as it is in reducing
mercury. Accordingly, EPA estimates a reduction of these metal
discharges to POTWs of approximately 4.5 tons.
3. Total Reductions
EPA estimates this proposal would annually reduce mercury
discharges by 4.3 tons and other metal discharges by 4.5 tons for a
total annual reduction to POTWs of 8.8 tons.
E. National Estimate of Annual Pollutant Reductions to Surface Waters
Associated With This Proposal
In order to evaluate final discharges of mercury (and other metals)
to waters of the U.S. by the POTW, EPA used its 50 POTW Study to
calculate POTW removals of each metal. As explained above, at baseline
and prior to implementation of this proposal, EPA estimates 4.4 tons of
dental mercury is collectively discharged annually to POTWs. Based on
the 50 POTW Study, EPA estimates POTWs remove 90% of the 4.4 tons
mercury from the wastewater. Thus, POTWs collectively discharge 880 lbs
of mercury from dental amalgam to surface waters annually. Under this
proposed rule, 99.0% of the solid mercury currently discharged annually
to POTWs will be removed prior to the POTW. The POTWs then further
remove 90% of total mercury from the wastewater. This reduces the total
amount of dental mercury discharged from POTWs nationwide to surface
water to 14 lbs of mercury annually. In other words, discharges of
mercury to waters of the U.S. are expected to be reduced by 860 pounds
per year.\27\ Similarly, EPA's 50 POTW Study data shows 79% to 88% of
other metals in the wastewater are removed by POTWs. As explained
above, EPA estimates 4.6 tons of other metals are also collectively
discharged annually to POTWs. Thus POTWs collectively discharge
approximately 1,280 lbs of other metals to surface waters annually.
Following compliance with this proposed rule, the total amount of other
metal discharges from POTWs nationwide to surface waters will be
approximately 20 lbs or a reduction of 1,257 lbs. See TEDD for more
details.
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\27\ Dissolved mercury accounts for a portion of surface water
discharges, because amalgam separators do not remove dissolved
mercury.
---------------------------------------------------------------------------
XVIII. Cost Effectiveness
EPA also conducted an analysis of the cost-effectiveness of the
proposed option. For more information about the methodology, data, and
results see the cost effectiveness section of the TEDD. The results of
this cost-effectiveness analysis are expressed in terms of the costs
(in 1981 dollars) per pound-equivalent removed, where pounds-equivalent
removed for a particular pollutant is determined by multiplying the
number of pounds of a pollutant removed by an option by a toxic
weighting factor (TWF). The toxic weighting factors account for the
differences in toxicity among pollutants and are derived using chronic
aquatic life criteria (or toxic effect levels) and human health
criteria (or toxic effect levels) established for the consumption of
fish. For this proposal, EPA used the annual pounds removed for
mercury, silver, tin, copper and zinc. The TWF for these pollutants is
shown in Table XVIII-1.
Table XVIII-1--Toxic Weighting Factors for Pollutants in Dental Amalgam
------------------------------------------------------------------------
------------------------------------------------------------------------
Total Mercury................................................ 117.12
Silver....................................................... 16.47
Tin.......................................................... 0.30
Copper....................................................... 0.63
Zinc......................................................... 0.05
------------------------------------------------------------------------
EPA presents cost effectiveness in 1981 dollars as a reporting
convention. This allows EPA to compare the cost-effectiveness of
various ELGs. EPA calculates cost-effectiveness as the ratio of pre-tax
annualized costs of an option to the annual pounds-equivalent removed
by that option, and for this proposal is expressed as the average cost-
effectiveness for the option. Average cost-effectiveness can be thought
of as the ``increment'' between no regulation and the selected option
for any given rule. The technology basis for PSES in this proposal has
a cost-effectiveness ratio of $181-$201/lb-equivalent. This cost-
effectiveness ratio falls within industry comparisons of PSES cost-
effectiveness. A review of approximately 25 of the most recently
promulgated or revised categorical pretreatment standards demonstrates
that PSES cost effectiveness ranges from approximately $1/lb-equivalent
(Inorganic Chemicals) to $380/lb-equivalent (Transportation Equipment
Cleaning) in 1981 dollars.
Table XVIII-2--PSES Cost Effectiveness Analysis
----------------------------------------------------------------------------------------------------------------
Pre-tax total
Proposed option annualized Removals (lbs- Average cost
costs ($1981 M) eq) effectiveness
----------------------------------------------------------------------------------------------------------------
ADA National Survey.......................................... $23 113,152 $201
Colorado Survey.............................................. 21 113,152 181
----------------------------------------------------------------------------------------------------------------
[[Page 63277]]
XIX. Environmental Assessment
A. Environmental Impacts
EPA conducted a literature review concerning potential
environmental impacts associated with mercury in dental amalgam
discharged to surface water by POTWs. See DCN DA00148. Studies indicate
that dental offices are the largest source of mercury entering POTWs.
The total annual baseline discharge of dental mercury to POTWs is
approximately 8,800 pounds (4.4 tons): 8,448 pounds are in the form of
solid particles and 352 pounds (4%) are dissolved in the wastewater.
Through POTW treatment, approximately 90% of dental mercury is removed
from the wastewater and transferred to sewage sludge. The 10% of dental
mercury not removed by POTW treatment is discharged to surface water.
EPA estimates that POTWs annually discharge approximately 880 pounds of
dental mercury nationwide.
The CWA regulations known as Standards for Use and Disposal of
Sewage Sludge, 40 CFR part 503, control the land application, surface
disposal, and incineration of sewage sludge generated by POTWs. Of the
11.2 billion dry pounds of sewage sludge generated annually, about 60%,
or 6.7 billion pounds, are treated to produce biosolids for beneficial
use as a soil amendment and applied to about 0.1% of agricultural lands
in the United States (National Research Council, 2002). Approximately
4,800 pounds per year of dental mercury are contained in land applied
biosolids.
Approximately 18%, or 2 billion pounds, of the sewage sludge
generated annually by POTWs are surface disposed in facilities such as
sewage sludge mono-fills or municipal landfills. Approximately 1,400
pounds per year of dental mercury are contained in surface disposed
sewage sludge. Pollutant limits and monitoring requirements for surface
disposed sewage sludge mono-fills are set by 40 CFR part 503 and by 40
CFR part 258 for municipal landfills. There may be additional state or
local regulations that are more stringent than the federal biosolids
regulations.
The remaining 22%, or 2.5 billion pounds, of sewage sludge
generated annually by POTWs is disposed of through incineration. An
estimated 35 pounds of dental mercury are emitted to the atmosphere
annually from incineration of sewage sludge (U.S. EPA, 2005); about
11.5 pounds of which are deposited within the conterminous United
States (U.S. EPA, 1997). 40 CFR part 503, subpart E sets requirements
for the incineration of mercury and other toxic metals in sludge. For
mercury, subpart E provides that incineration of sludge must meet the
requirements of the National Emissions Standards for Mercury in subpart
E of 40 CFR part 61.
Environmental assessment of impacts associated with POTW discharges
of dental mercury is complicated by uncertainties about the fate and
transport of mercury in aquatic environments. The elemental form of
mercury used in dentistry has low water solubility and is not readily
absorbed when ingested by humans, fish, or wildlife. However, elemental
mercury may be converted into highly toxic methylmercury in aquatic
environments by certain forms of anaerobic sulfur reducing bacteria.
Methylmercury is easily absorbed into muscle and fat tissues, but it is
not readily excreted due to its low water solubility. Methylmercury
thus has high potential to become increasingly concentrated up through
aquatic food chains as larger fish eat smaller fish. Fish commonly
eaten by humans may have methylmercury levels 100,000 times that of
ambient water. The neurological effects of consumption of methylmercury
contaminated fish are well documented. Developmental effects to
fetuses, infants, children, and women of childbearing age are of
special concern. Neurological effects from predation of methylmercury
contaminated fish have been documented to occur in wild populations of
fish, birds, and mammals in many areas of the United States. A
plausible link has been identified between anthropogenic sources of
mercury in the United States and methylmercury in fish. However, fish
methylmercury concentrations also result from existing background
concentrations of mercury which may consist of mercury from natural
sources, mercury re-emitted from the oceans or soils, and mercury
deposited in the United States from sources in other countries. Given
the current scientific understanding of the environmental fate and
transport of mercury, it is not possible to quantify how much of the
methylmercury in fish consumed by the U.S. population is contributed by
U.S. emissions relative to international mercury sources or natural
mercury sources.
EPA was unable to assess the specific environmental impacts of
dental mercury discharged by POTWs due to insufficient data needed to
evaluate several fundamental factors about the discharge, fate, and
transport of dental mercury in aquatic environments, including: the
degree and geographic extent of dental mercury methylation in aquatic
environments, the amount of methylated dental mercury that is taken up
by fish and wildlife, the human consumption rates of fish contaminated
with methylated dental mercury, and the extent and magnitude of
naturally-occurring mercury in aquatic environments.
B. Environmental Benefits
While EPA did not perform an environmental benefits analysis of
this proposed rule, due to insufficient data about the aquatic fate and
transport of dental mercury discharged by POTWs, EPA was able to assess
the qualitative environmental benefits based on existing information.
For example, EPA identified studies that show that decreased point-
source discharges of mercury to surface water result in lower
methylmercury concentrations in fish. Moreover, several studies
quantified economic benefits from improved human health and ecological
conditions resulting from lower fish concentrations of methylmercury.
See DCN DA00148. The proposed pretreatment standards will produce human
health and ecological benefits by reducing the estimated annual
nationwide POTW discharge of dental mercury to surface water from 880
pounds to 14 pounds.
XX. Non-Water Quality Environmental Impacts Associated With the
Proposed Technology Basis
Eliminating or reducing one form of pollution may cause other
environmental problems. Sections 304(b) and 306 of the Clean Water Act
require EPA to consider non-water quality environmental impacts
(including energy requirements) associated with effluent limitations
guidelines and standards. To comply with these requirements, EPA
considered the potential impact of the collection and treatment
technologies on energy consumption, air pollution, and solid waste
generation. EPA anticipates that the proposed rule would produce
minimal non-water quality impacts. The Administrator has determined
that these very minimal impacts are acceptable. For additional
information on the analysis of these non-water quality impacts, see the
Technical and Economic Development Document.
A. Energy Requirements
Net energy consumption considers the incremental electrical
requirements associated with operating and maintaining dental amalgam
separators used in combination with BMPs that form the technology basis
for the proposed rule standards. As described in Section VI, an amalgam
separator in
[[Page 63278]]
a dental office is installed between chairs used for treatment and the
vacuum pump. Amalgam separators use sedimentation, either alone or in
conjunction with filtration to remove solids in the waste stream. Most
separators rely on gravity or the suction of the existing vacuum system
to operate, and do not require an additional electrical power source.
As a result, EPA expects operation of an amalgam separator would pose
negligible additional energy requirements on the existing vacuum pump.
While the vendor data used to support this proposed rule have not
identified incremental energy requirements for an amalgam separator,
EPA is aware that some units described in the literature may require
small pumps to remove settled effluent from the separator (DCN 00162).
EPA found that these pumps are designed to operate only at the end of
the day or overnight, when the vacuum system is turned off. Any
incremental energy requirements in those cases where a small
supplemental pump is installed would be negligible compared to the
energy demands of the vacuum pump. Based on this evaluation of energy
requirements associated with this proposed rule, EPA concludes there
will be no significant non-water quality impacts associated with the
energy requirements of this proposed rule.
B. Air Emissions
Unbound mercury is highly volatile and can easily evaporate into
the atmosphere. An estimated 99.6% of dental mercury discharges are in
solid bound form; i.e. elemental mercury bound to amalgam particles
(DCN DA00018). Because the majority of dental mercury is bound to solid
particles, it likely will not volatize to the atmosphere. Therefore,
EPA expects the proposed PSES and PSNS will not pose any increases in
air pollution. EPA concludes there will be no significant non-water
quality impacts associated with air emissions as a result of this
proposed rule.
C. Solid Waste Generation
As explained above in Section XI, in the absence of amalgam
separators, a portion of the amalgam rinsed into chair side drains is
collected by chair side traps. The remainder is discharged to the POTW
where the vast majority is removed from the wastewater and becomes part
of the POTW sludge that may be land applied, disposed of in landfills
or mono-fills, or incinerated. This proposed rule is expected to
increase the use of amalgam separators nationwide by one and a half
times, since EPA estimates 40% of dental offices have separators
installed, with a corresponding increase in collection of used amalgam
prior to POTW discharge and recycling of amalgam via the spent
separator canisters. EPA expects the operation and maintenance
requirements associated with the amalgam separator compliance option
included as part of the proposed rule will further promote recycling as
the primary means of amalgam waste management. EPA expects this
proposed rule will not create additional solid waste, but will instead
result in a shift in how dental amalgam is handled. Nationally, EPA
expects less dental amalgam will partition to the POTW wastewater
sludge leading to reductions in the amount of mercury currently land
applied, landfilled, or released to the air during incineration.
Instead, it will be collected in separator canisters and recycled.
Based on this evaluation of solid waste generation, EPA concludes there
will be a reduction in non-water quality impacts associated with solid
waste generation as a result of this proposed rule.
XXI. Implementation and Proposed Changes to General Pretreatment
Regulations in 40 CFR Part 403
A. Implementation Deadline
1. Existing Sources
For existing sources, EPA proposes a compliance date of three years
after the effective date of the final rule. Section 307(b)(1) of the
CWA provides categorical pretreatment standards ``shall specify a time
for compliance not to exceed three years from the date of
promulgation.'' See also 40 CFR 403.6(b). In proposing a compliance
date for existing sources subject to this proposed rule, EPA considered
several factors. First, EPA considered the burden on Control
Authorities (POTWs with approved Pretreatment Programs) of implementing
this rule on an industry consisting of approximately 110,000 dental
offices, many of whom are small businesses. EPA expects that these
POTWs will need to develop and implement new strategies and programs
for managing the enforcement and compliance of these pretreatment
standards given that the number of possibly affected facilities is
approximately 10 times the total number of dischargers currently
regulated under any categorical pretreatment standard. EPA expects that
POTWs will need time to conduct outreach to dental offices subject to
this proposed rule. Moreover, EPA envisions that dental offices may use
the entire three year period to come into compliance with the numeric
standard (presumably using amalgam separators) and implement the
required BMPs.
2. New Sources
For new sources, the compliance deadline is governed by EPA's
regulation at 40 CFR 403.6(b), which provides that
New Sources shall install and have in operating condition, and
shall `start-up' all pollution control equipment required to meet
applicable Pretreatment Standards before beginning to Discharge.
Within the shortest feasible time (not to exceed 90 days), new
Sources must meet all applicable Pretreatment Standards.
B. Upset and Bypass Provisions
A ``bypass'' is an intentional diversion of the streams from any
portion of a treatment facility. An ``upset'' is an exceptional
incident in which there is unintentional and temporary noncompliance
with technology-based permit effluent limitations because of factors
beyond the reasonable control of the permittee. EPA's regulations for
indirect dischargers concerning bypasses and upsets are set forth at 40
CFR 403.16 and 403.17.
C. Variances and Modifications
The CWA requires application of pretreatment standards established
pursuant to sections 304 and 307 for all indirect dischargers. However,
the statute provides for the modification of these national
requirements in a limited number of circumstances. Moreover, the Agency
has established administrative mechanisms to provide an opportunity for
relief from the application of the national pretreatment standards for
categories of existing sources.
1. Fundamentally Different Factors Variance
EPA may develop pretreatment standards different from the otherwise
applicable requirements if an individual discharger is fundamentally
different with respect to factors considered in establishing the
standards applicable to the individual discharger. Such a modification
is known as a ``fundamentally different factors'' (FDF) variance. See
40 CFR 403.13. EPA, in its initial implementation of the effluent
guidelines and standards program, provided for the FDF modifications in
regulations. These were variances from the BCT effluent limitations,
BAT limitations for toxic and nonconventional pollutants, and BPT
limitations for conventional pollutants for direct dischargers. FDF
variances for toxic pollutants were challenged judicially and
ultimately sustained by
[[Page 63279]]
the Supreme Court. (Chemical Manufacturers Association v. Natural
Resources Defense Council, 479 U.S.C. 116 (1985)).
Subsequently, in the Water Quality Act of 1987, Congress added new
CWA section 301(n). This provision explicitly authorizes modifications
of the otherwise applicable BAT effluent limitations or categorical
pretreatment standards for existing sources if a discharger is
fundamentally different with respect to the factors specified in CWA
section 304 or 403 (other than costs) from those considered by EPA in
establishing the effluent limitations or pretreatment standards. CWA
section 301(n) also defined the conditions under which EPA may
establish alternative requirements. Under section 301(n) of the CWA, an
application for approval of a FDF variance must be based solely on (1)
information submitted during rulemaking raising the factors that are
fundamentally different or (2) information the applicant did not have
an opportunity to submit. The alternate limitation or standard must be
no less stringent than justified by the difference and must not result
in markedly more adverse non-water quality environmental impacts than
the national limitation or standard.
EPA regulations at 40 CFR part 403, authorizing the Regional
Administrators to establish alternative standards, further detail the
substantive criteria used to evaluate FDF variance requests for
existing dischargers to POTWs. Thus, 40 CFR 403.13(d) identifies six
factors (e.g., volume of process wastewater, age and size of a
discharger's facility) that may be considered in determining if a
discharger is fundamentally different. The Agency must determine
whether, based on one or more of these factors, the discharger in
question is fundamentally different from the dischargers and factors
considered by EPA in developing the nationally applicable pretreatment
standards. The regulation also lists four other factors (e.g.,
inability to install equipment within the time allowed or a
discharger's ability to pay) that may not provide a basis for an FDF
variance. In addition, under 40 CFR 403.13(c)(2), a request for
standards less stringent than the national standard may be approved
only if compliance with the pretreatment standards would result in
either (a) a removal cost wholly out of proportion to the removal cost
considered during development of the pretreatment standards, or (b) a
non-water quality environmental impact (including energy requirements)
fundamentally more adverse than the impact considered during
development of the pretreatment standards. The legislative history of
section 301(n) of the CWA underscores the necessity for the FDF
variance applicant to establish eligibility for the variance. EPA's
regulations at 40 CFR 403.13 are explicit in imposing this burden upon
the applicant. The applicant must show that the factors relating to the
discharge controlled by the applicant's permit which are claimed to be
fundamentally different are, in fact, fundamentally different from
those factors considered by EPA in establishing the applicable
pretreatment standards. In practice, very few FDF variances have been
granted for past ELGs. An FDF variance is not available to a new source
subject to PSNS.
2. Economic Variances
Section 301(c) of the CWA authorizes a variance from the otherwise
applicable PSES and PSNS for nonconventional pollutants due to economic
factors. As this rule controls toxic pollutants and only controls
nonconventional pollutants that are also found in the same waste
stream, this variance would not be applicable to this particular rule.
D. What are the roles of key entities involved in implementing the rule
and how are pretreatment standards implemented?
EPA recognizes the role of many interested parties in the
development of, and, ultimately, the successful implementation of
pretreatment standards for dental dischargers. To the greatest extent
possible, EPA has attempted to strike a reasonable balance among the
many interests. A short summary of the various roles involved in
implementing categorical pretreatment standards is provided below.
1. Control Authorities
The ``Control Authority'' refers to the POTW if the POTW has an
approved Pretreatment Program, or the Approval Authority if it has not
been approved, which may be the state or EPA. A POTW is a treatment
works as defined by section 212(2) of the CWA, which is owned by a
state or municipality (as defined in CWA sections 502 (3) and (4),
respectively). (see 40 CFR 403.3(q).) POTWs collect wastewater from
homes, commercial buildings, and industrial facilities and typically
transport it via a series of pipes, known as a collection system, to
the treatment plant. Most POTWs are not designed to treat the toxics in
commercial and industrial wastes, which can cause pass through,
interfere with, or are otherwise incompatible with the operation of
POTWs, including sludge disposal methods at POTWs. The General
Pretreatment Regulations require POTWs that meet certain criteria (e.g.
minimum design flow) to develop Pretreatment Programs to control
industrial Discharges into their sewage collection systems, unless the
state exercises its option to assume local responsibilities as provided
in EPA's regulations at 40 CFR 403.10(e) and (f). Today there are an
estimated 1500 approved POTW Pretreatment Programs. As required under
40 CFR part 403, Control Authorities implement and enforce control
mechanisms (e.g., permits) to the Industrial Users (IUs) that discharge
to their systems, inspect and sample, and enforce control requirements
in order to protect the POTW against discharges which ``pass through''
or cause interference'' with the POTW (see 40 CFR 403.3(p) and (k)).
2. Approval Authority
The Director in an NPDES state with an approved state Pretreatment
Program may be authorized to serve as the Approval Authority for the
implementation of a general pretreatment program. (40 CFR 403.3(c)).
Thirty-six states have such approved Pretreatment Programs and are
authorized to serve as Approval Authorities for implementation of the
Pretreatment Program. In a non-NPDES state or an NPDES state without an
approved state Pretreatment Program, the EPA Regional Administrator is
the Approval Authority.
3. EPA
EPA establishes and implements national regulations for
Pretreatment Programs and categorical pretreatment standards for
certain industries such as the pretreatment standards for dental
amalgam proposed today. EPA also develops policy and guidance and
provides training and oversight for Pretreatment Program
implementation. As noted above, EPA's Regional Administrator serves as
the Approval Authority for a non-NPDES state or an NPDES state without
an approved state Pretreatment Program, and as the Control Authority
for POTWs without an approved Pretreatment Program in these states.
4. Industrial Dischargers (i.e. Dentists)
IUs of POTWs must comply with Pretreatment Standards prior to
introducing pollutants into a POTW. The General Pretreatment
Regulations include general prohibitions that forbid IUs from causing
pass through and interference (i.e., cause the POTW to
[[Page 63280]]
violate its permits limits, or interfere with the operation of the POTW
or the beneficial use of its sewage sludge), and specific prohibitions
against the discharge of pollutants that cause problems at the POTW
such as corrosion, fire or explosion, and danger to worker health and
safety. As discussed in this document, EPA may also develop national
categorical pretreatment standards, including numeric pollutant limits
and BMPs, for IUs in specific industrial categories. The General
Pretreatment Regulations include reporting and other requirements
necessary to implement these categorical standards (e.g., 40 CFR
403.12).
E. What are the Control Authority requirements under existing General
Pretreatment Regulations?
The current regulations require certain minimum oversight of IUs by
Control Authorities, which are typically POTWs with Approved
Pretreatment Programs but could be states or EPA acting as Pretreatment
Control Authorities. The required minimum oversight includes receipt
and analysis of reports and other notices submitted by IUs, randomly
sampling and analyzing effluent from IUs, and conducting surveillance
activities to identify occasional and continuing non-compliance with
pretreatment standards. In addition, for IUs designated as significant
industrial users (SIUs), per 40 CFR 403.3(v), Control Authorities must
inspect and sample the SIU effluent annually, review the need for a
slug control plan, and issue a Permit or equivalent control mechanism
with a duration not to exceed five years (40 CFR 403.8(f)(1)(iii) and
403.8(f)(2)(v), 403.10(e) and 403.10(f)(2)(i)). Control authorities may
determine that an industrial user is a non-significant categorical
industrial user or that an industrial user is not an SIU (see 40 CFR
403.3(v)(2) and (v)(3)).
Facilities that are subject to categorical pretreatment standards
contained in regulations in 40 CFR Chapter I, subchapter N are referred
to as Categorical Industrial Users (CIUs). The regulations related to
SIU at 40 CFR 403.3(v) define SIU to include CIUs, but also provide
that a Control Authority may determine that a CIU may be a Non-
Significant Categorical Industrial User (NSCIU) if certain conditions
are met. (see 403.3(v)(1) and (v)(2)). State Approval Authorities and
POTW Control Authorities who have the legal authority to implement the
NSCIU classification may find some of their CIUs satisfy the qualifying
conditions of NSCIU at 40 CFR 403.3(v)(2). Upon such finding, the
Control Authority may exclude facilities meeting the NSCIU criteria
from the SIU definition and its minimum oversight requirements. A
Control Authority may not exclude CIUs from the requirements of the
categorical pretreatment standards.
F. Why is EPA revising the existing General Pretreatment Regulations?
EPA proposes to amend selected parts of the General Pretreatment
Regulations in order to simplify oversight requirements for the
approximately 110,000 dental offices subject to this proposed rule. As
mentioned in paragraph E. of this section, when EPA promulgates
categorical industrial pretreatment standards, as defined in 40 CFR
part 403, affected dischargers are referred to as Categorical
Industrial Users (CIUs). The number of dental offices that would be
subject to this proposed rule is approximately ten times the current
number of Categorical Industrial Users. EPA recognizes regulatory
oversight of this increased number of CIUs would need to be very
different from regulating the current number of CIUs. Using the
existing regulatory framework, enforcement of categorical pretreatment
regulation on this industry would require an increase in local, state
and federal resources whereas EPA does not expect such efforts to
result in greater environmental benefit. EPA is focused on providing
technical means to reduce administrative burden to dentists and Control
Authorities, while still providing a clear understanding of who is
affected and what they are expected to do, as well as achieving the
projected pollutant reductions. EPA estimates that these changes to the
Existing General Pretreatment Standards would reduce costs to POTWs to
implement and enforce this proposed rule by $47 million annually (see
TEDD).
G. What changes is EPA proposing to the General Pretreatment Standards?
EPA proposes a new classification of CIU specifically tailored to
the Dental Office Effluent Limitations Guidelines and Standards rule,
``Dental Industrial User'' (DIU). EPA proposes that such Users not be
subject to the oversight requirements for SIUs (i.e., control mechanism
issuance requirement, annual inspection and sampling requirements).
Rather, EPA proposes to allow Control Authorities to focus their
oversight efforts on those dental office facilities that fail to meet
the compliance requirements of the DIU.
H. When is a dental office a DIU?
Under the proposed rule, a dental discharger is given the option of
complying with monitoring and reporting requirements in 40 CFR 441.60,
which are tailored for dental dischargers, in lieu of the otherwise
applicable monitoring and reporting requirements in 40 CFR part 403. If
a dental discharger complies with (1) the special monitoring and
reporting requirements in 40 CFR 441.60, (2) the remaining 40 CFR part
403 requirements, and the applicable pretreatment standards (PSES or
PSNS), then the Control Authority may treat the dental discharger as a
DIU. The DIU must maintain compliance in order to retain its DIU
status.
I. When is a dental office not a DIU?
If the dental office does not meet the requirements to be treated
as a DIU, under this proposal the Control Authority must treat the
dental discharger as a Significant Industrial User as defined in 40 CFR
403.3(v). As a Significant Industrial User, the POTW Control Authority
would be required to conduct the oversight duties applicable to SIUs as
described in 40 CFR 403.8(f).
J. What oversight responsibilities for DIUs is EPA proposing for
Control Authorities?
This proposal would require that a Control Authority evaluate, at
least once per year, whether an IU previously determined to be a DIU
still meets the criteria for treatment as a DIU under 40 CFR 441.60.
EPA anticipates that this evaluation will primarily involve the Control
Authority's verification that the certification has been submitted by
the dental office documenting continued eligibility for DIU status. In
accordance with 40 CFR 403.8(f)(2)(viii)(F), a dental discharger would
be in significant noncompliance if it fails to provide any required
report within 45 days of the due date or if the Control Authority
elects to inspect the facility and finds the facility is not in
compliance with 40 CFR 441.60. Upon discovery that a dental office is
not in compliance with regulations at 40 CFR 441.60 (either reporting
requirements, 403, or 441 PSES/PSNS requirements), the Control
Authority must initiate enforcement in accordance with its approved
Pretreatment Program to return the dental discharger into compliance.
In order for the Control Authority to continue to treat the dentist as
a DIU, the Control Authority would need to verify and find, through an
inspection, that the dental discharger has returned to full compliance
with the criteria in 40
[[Page 63281]]
CFR 441.60. If, within 90 days, the Control Authority inspects,
verifies, and finds that the dental discharger has returned to full
compliance with 40 CFR 441.60, then the dental discharger would remain
a DIU. The 90 day compliance deadline is consistent with other portions
of 40 CFR part 403 (e.g., significant noncompliance compliance report
deadlines, 90 day report after effective dates of categorical
standards), and provides both the dental discharger and Control
Authority with an incentive to provide a timely return to compliance.
If the dental discharger has not returned to compliance within 90 days
of the initial noncompliance, the Control Authority could no longer
treat the dental discharger as a DIU and the dental discharger would
become a Significant Industrial User. Control Authorities are required
to provide oversight of SIUs which includes inspection and sampling of
each SIU annually, reviewing the need for a slug control plan, and
issuing a Permit or equivalent control mechanism with a duration not to
exceed five years (40 CFR 403.8(f)(1)(iii) and (f)(2)(v) and
403.10(f)(2)(i)).
K. Can a dental office DIU be a Non-Significant Industrial User
(NSCIU)?
EPA does not propose to prohibit a Control Authority from finding
that a dental office may qualify as an NSCIU on an individual basis.
State Approval Authorities and POTW Control Authorities who have the
legal authority to implement the NSCIU classification may find that one
or more of their dental office CIUs may qualify as NSCIUs. However,
since its promulgation in 2005, many state Approval Authorities and
POTW Control Authorities have not adopted regulations to implement the
NSCIU classification. EPA believes that the DIU classification,
tailored for this single categorical pretreatment standard, while
comparable to the NSCIU classification, would be preferable, because it
would significantly reduce the Control Authority's burden in complying
with the oversight requirements that would otherwise apply.
L. Can Dental Industrial Users be covered under a general permit?
Although this proposed rule does not require a Control Authority to
regulate DIUs as SIUs thereby requiring the Control Authority to issue
a control mechanism, designation of a dental office subject to 40 CFR
part 441 as a DIU does not preclude a Control Authority's option to
regulate the dental office under a general control mechanism, 40 CFR
403.8(f)(1)(iii)(A), if that legal authority is adopted. The General
Pretreatment Regulations describe conditions which must be met in order
for the Control Authority to use a general control mechanism in lieu of
an individual permit or control mechanism. Provided that the Control
Authority adopted the necessary legal authority and modified its
Pretreatment Program to incorporate such authority and procedures, the
Control Authority may use a general control mechanism or ``general
permit'' for facilities that meet certain minimum criteria for being
considered substantially similar. The use of general control mechanisms
allows the permitting authority to allocate resources in a more
efficient manner and to provide timelier permit coverage, particularly
in the circumstances of covering large numbers of similar facilities
under a single mechanism. EPA considers that most dental offices
generally will conform to these requirements and could appropriately be
covered by a general control mechanism issued by a Control Authority.
The use of a general control mechanism also ensures consistency of
permit conditions for similar facilities. Additional information on the
use of general control mechanisms may be found in the Federal Register
of October 14, 2005 (70 FR 60143).
M. Would any POTW with a dentist office in its service area be required
to develop a Pretreatment Program?
In accordance with 40 CFR 403.8(a), POTWs (or combination of POTWs
operated by the same authority) with a total design flow greater than 5
million gallons per day and receiving pollutants from IUs which pass
through or interfere with the operation of the POTW or are otherwise
subject to Pretreatment Standards are required to establish a POTW
Pretreatment Program unless the state with an approved Pretreatment
Program exercises its option to assume local responsibilities as
provided for in 40 CFR 403.10(e). For smaller POTWs, POTWs that have a
design flow of 5 million gallons per day or less, the Regional
Administrator or state Director may require the POTW to develop a local
Pretreatment Program if the nature or volume of the industrial
influent, treatment process upsets, violations of POTW effluent
limitations, contamination of municipal sludge, or other circumstances
warrant such development in order to prevent interference or pass
through. Interference and pass through are defined at 40 CFR 403.3(k)
and (p), respectively. As noted above, a state with an Approved state
Pretreatment Program may instead assume local responsibilities as
provided in 40 CFR 403.10(e). EPA anticipates that the approved states
will choose to carry out the oversight activities themselves rather
than requiring a POTW to develop a full Pretreatment Program solely to
regulate its dental dischargers.
N. Would states or municipalities that already implement Dental Amalgam
Control Programs need to modify their regulations?
The proposed rulemaking would not affect existing state and local
requirements that control discharges of dental amalgam. However, states
with approved state programs and POTWs with approved Pretreatment
Programs would need to enforce the federal requirements at a minimum.
The new federal requirements include removal of at least 99.0% of total
mercury from amalgam discharges which can be accomplished through
proper use of a 2008 ISO 11143 certified amalgam separator with a
removal efficiency of at least 99.0%. The proposal at part 441.40(d)
would allow dentists currently operating amalgam separators no less
efficient than 95% to continue to operate their separators for ten
years before they would be required to meet the 99% removal standard.
Where ongoing state or POTW Control Authority programs require
additional information or implementation requirements, the Control
Authority must implement and enforce both program requirements and, for
overlapping requirements, the more stringent of the two programmatic
requirements.
O. Will states or municipalities that already implement Dental Amalgam
Control Programs need to issue control mechanisms or permits to impose
requirements that are more stringent than the federal requirements?
The legal authority requirements for a POTW Pretreatment program
only require issuance of an individual or general control mechanism to
SIUs, 40 CFR 403.8(f)(2)(1)(iii)(A). The proposed regulation
modification in the General Pretreatment Regulations is to establish a
new DIU classification of Industrial User. The proposal indicates that
a DIU will not be a Significant Industrial User. Where the state or
POTW existing dental amalgam control programs are equal to or less
stringent than this proposal, and the state or Control Authority adopt
and have their Pretreatment Programs appropriately approved to
incorporate EPA's DIU provisions, dental offices compliant
[[Page 63282]]
with the DIU classification will not need to be issued a control
mechanism.
P. What reports would dental dischargers be required to submit?
Existing and new dental dischargers could comply with the special
reporting requirements in 40 CFR part 441 in lieu of the otherwise
applicable reporting requirements in 40 CFR part 403 by submitting the
Baseline Report (40 CFR 441.60(a)(1)) and the 90 Day Compliance Report
(40 CFR 441.60(a)(2)) and Periodic Monitoring reports (40 CFR
441.60(a)(3)). Submission of these reports would satisfy the reporting
requirements in 40 CFR parts 403 and 441. Dental dischargers who do not
submit reports consistent with the requirements in 40 CFR 441.60 would
be required to submit the reports described in 40 CFR 403.12(b), (d),
and (e).
Q. Can the DIU designate a contractor or contract vendor to submit
Compliance Reports to the Control Authority or EPA?
In accordance with 40 CFR 403.12(l), Baseline Monitoring Reports,
90-day Compliance Reports, and Periodic monitoring reports (40 CFR
403.12(b), (d), and (e), respectively) must be signed by (1) a
responsible corporate officer of the IU if it is a corporation; (2) a
general partner or proprietor if the IU is a partnership or sole
proprietorship; or (3) a duly authorized representative of the
responsible corporate officer, general partner, or proprietor if the
authorization specifies either an individual or a position having
responsibility for the overall operation of the facility from which the
industrial discharge originates, such as the position of plant manager
or a position of equivalent responsibility for environmental matters
for the company and the written authorization is submitted to the
Control Authority.\28\ This does not preclude a third-party from
submitting the reports as long as the submission includes the proper
signature from the DIU.
---------------------------------------------------------------------------
\28\ Today's proposal does not apply to third-party vendors
because they are not dental dischargers, and therefore, as such, EPA
cannot compel a third-party vendor to meet any reporting
requirements.
---------------------------------------------------------------------------
R. Would Control Authorities need to modify their Sewer Use Ordinance
and state regulations, respectively, to incorporate these changes to 40
CFR part 403?
The proposed changes to 40 CFR part 403 to create the DIU
classification are changes that the Control Authority may adopt at its
discretion. The changes to 40 CFR part 403 provide program flexibility
and are not required to be incorporated into the state or POTW's
Pretreatment Program. However, for Control Authorities to designate
dental offices as DIUs, the state and POTW Pretreatment program would
need to incorporate these changes into their legal authority under 40
CFR 403.8(f)(l).
XXII. Statutory and Executive Order Reviews
A. Executive Order 12866: Regulatory Planning and Review and Executive
Order 13563: Improving Regulation and Regulatory Review
Under Executive Order 12866 (58 FR 51735, October 4, 1993), this
action is a ``significant regulatory action.'' Accordingly, EPA
submitted this action to the OMB for review under Executive Orders
12866 and 13563 (76 FR 3821, January 21, 2011) and any changes made in
response to OMB recommendations have been documented in the docket for
this action.
B. Paperwork Reduction Act
The information collection requirements in this proposed rule have
been submitted for approval to the OMB under the Paperwork Reduction
Act, 44 U.S.C. 3501 et seq. The Information Collection Request (ICR)
document prepared by EPA has been assigned EPA ICR number 2514.01. To
reduce the overall costs associated with this rule, in lieu of
discharge monitoring, proposed 40 CFR 441.60 allows dentists to certify
compliance with requirements for amalgam capture and certain BMPs.
For purposes of this estimate, EPA assumed all affected dentists
would elect to comply with this proposal through certification rather
than discharge monitoring. EPA estimates it would take a total annual
average of 153,000 hours \29\ and $2.5 million for affected dental
offices to collect and report the information required for
certification in the proposed rule. This estimate includes effort for
each dental office associated with completing the baseline monitoring
report, a one-time compliance report and an annual compliance
certification for each year of a three year ICR. This estimate is based
on average labor rates from the Bureau of Labor Statistics for the
dental office personnel involved in collecting and reporting the
information required. EPA estimates it would take a total annual
average of 17,400 hours and $960,000 for control authorities to review
the information submitted by dentists that certify they meet the
requirements in the proposed rule. EPA estimates that there would be no
start-up or capital costs associated with the information described
above. Burden is defined at 5 CFR 1320(b).
---------------------------------------------------------------------------
\29\ This estimate reflects approximately three hours per office
in the first year and one hour each subsequent year.
---------------------------------------------------------------------------
An agency may not conduct or sponsor, and a person is not required
to respond to, a collection of information unless it displays a
currently valid OMB control number. The OMB control numbers for EPA's
regulations in 40 CFR are listed in 40 CFR part 9.
To comment on the Agency's need for this information, the accuracy
of the provided burden estimates, and any suggested methods for
minimizing respondent burden, EPA has established a public docket for
this proposed rule, which includes this ICR, under Docket
identification ID number EPA-HQ-OW-2014-0693. Submit any comments
related to the ICR to EPA and OMB. See ADDRESSES section in this
document for where to submit comments to EPA. Since OMB is required to
make a decision concerning the ICR between 30 and 60 days after October
22, 2014, a comment to OMB is best assured of having its full effect if
OMB receives it by November 21, 2014. The final rule will respond to
any OMB or public comments on the information collection requirements
contained in this proposal.
C. Regulatory Flexibility Act
The Regulatory Flexibility Act (RFA) generally requires an agency
to prepare a regulatory flexibility analysis of any rule subject to
notice and comment rulemaking requirements under the Administrative
Procedure Act or any other statute unless the agency certifies that the
rule will not have a significant economic impact on a substantial
number of small entities. Small entities include small businesses,
small organizations, and small governmental jurisdictions.
For purposes of assessing the impacts of this proposed rule on
small entities, small entity is defined as: (1) A small business in the
Dental Office sector (NAICS 621210) with annual receipts of 7 million
dollars or less (based on SBA size standards); (2) a small governmental
jurisdiction that is a government of a city, county, town, school
district or special district with a population of less than 50,000; and
(3) a small organization that is any not-for-profit enterprise which is
independently owned and operated and is not dominant in its field.
EPA estimates that 109,600 dental offices out of 109,859 dental
offices potentially subject to this proposal meet the small business
definition. EPA's analysis of projected impacts on small dental offices
is described in detail in
[[Page 63283]]
Section XVI. EPA projects less than 1% of 109,859 affected dental
offices would incur compliance costs exceeding 1% of revenue and no
more than 0.2% would incur compliance costs exceeding 3% of revenue.
After considering the economic impact of this proposed rule on small
entities, I certify that this action will not have a significant
economic impact on a substantial number of small entities.
Although this proposed rule will not have a significant economic
impact on a substantial number of small entities, EPA nonetheless has
tried to reduce the impact of this proposed rule on small entities.
First, while some amalgam separators currently used at some dentists
are certified to meet slightly less mercury removal than required in
this proposed rule (e.g., they are certified to remove 95% total
mercury), this proposal would allow dentists with existing separators
to satisfy the requirements for a period of up to 10 years. See Section
XIV. In addition, this proposed rule includes a compliance option that
would allow dental offices subject to the rule to certify proper
operation of a widely available, inexpensive technology that meets
certain requirements in combination with BMPs in lieu of conducting
more onerous discharge monitoring requirements that would otherwise be
associated with pretreatment standards. Finally, EPA has tried to
minimize impacts to small governments responsible for Pretreatment
Programs by proposing to amend the General Pretreatment Regulations to
create the DIU classification. The DIU classification reduces oversight
responsibilities for Control Authorities from the current regulatory
scheme, while at the same time achieving the projected pollutant
reductions. We continue to be interested in the potential impacts of
the proposed rule on small entities and welcome comments on issues
related to such impacts.
D. Unfunded Mandates Reform Act (UMRA)
This proposed rule does not contain a Federal mandate that may
result in expenditures of $100 million or more for state, local, and
tribal governments, in the aggregate, or the private sector in any 1
year. As explained in Section XVI, the annual cost of the proposed rule
is $44-$49 million. Thus, this proposed rule is not subject to the
requirements of sections 202 or 205 of UMRA.
The proposal is also not subject to the requirements of section 203
of UMRA, because it contains no regulatory requirements that may
significantly or uniquely affect small governments. EPA has not
identified any dental offices that are owned by small governments.
While this proposal would impact government entities required to
administer the proposed pretreatment standards, EPA does not expect
that this would include any small governments. By statute, a small
government jurisdiction is defined as a government of a city, county,
town, school district or special district with a population of less
than 50,000 (5 U.S.C. 601). As explained in Section XXI, control
authorities are responsible for oversight and administration associated
with this proposal. To qualify as a Control Authority, a POTW must have
a flow of at least 5 million gallons per day. The average water use per
person is 100 gallons per day so a POTW with a population less than
50,000 would likely have a flow less than 5 MGD. Therefore, EPA does
not expect small government owned POTWs would meet the definition of a
Control Authority.
E. Executive Order 13132: Federalism
This proposed rule would not have federalism implications. It would
not have substantial direct effects on the states, on the relationship
between the national government and the states, or on the distribution
of power and responsibilities among the various levels of government,
as specified in Executive Order 13132. The proposed rule would not
alter the basic state-federal scheme established in the CWA under which
EPA authorizes states to carry out the NPDES permit program. EPA
expects the proposed rule would have little effect on the relationship
between, or the distribution of power and responsibilities among, the
federal and state governments. Thus, Executive Order 13132 does not
apply to this proposed rule.
EPA coordinated closely with states, via ECOS and local governments
and with NACWA, throughout the development of this proposed rule. In
the spirit of Executive Order 13132, and consistent with EPA policy to
promote communications between EPA and state and local governments, EPA
specifically solicits comment on this proposed rule from state and
local officials.
F. Executive Order 13175: Consultation and Coordination With Indian
Tribal Governments
This proposed rule does not have tribal implications, as specified
in Executive Order 13175 (65 FR 67249, November 6, 2000). It would not
have substantial direct effects on Tribal governments, on the
relationship between the Federal government and Indian Tribes, or on
the distribution of power and responsibilities between the Federal
government and Indian Tribes. This proposed rule contains no Federal
mandates for Tribal governments and does not impose any enforceable
duties on Tribal governments. Thus, Executive Order 13175 does not
apply to this rule. EPA specifically solicits additional comment on
this proposed action from Tribal officials.
G. Executive Order 13045: Protection of Children From Environmental
Health and Safety Risks
Executive Order 13045 (62 FR 19885, April 23, 1997) applies to
rules that are economically significant according to Executive Order
12866 and involve a health or safety risk that may disproportionately
affect children. This action is not subject to Executive Order 13045
because it is estimated to cost less than $100 million and does not
involve a safety or health risk that may have disproportionately
negative effects on children. The proposed rule will reduce the amount
of mercury from dental amalgam entering POTW's and eventually the
nation's waters, which will reduce impacts to the neurological
development of children.
H. Executive Order 13211: Energy Effects
This proposed rule is not a ``significant energy action'' as
defined in Executive Order 13211, ``Actions Concerning Regulations That
Significantly Affect Energy Supply, Distribution, or Use'' (66 FR
28355, May 22, 2001) because it is not likely to have a significant
adverse effect on the supply, distribution, or use of energy, as
described in Section XX of this proposal. EPA determined that any
additional energy usage would be insignificant to the total energy
usage of Dental Offices and total annual U.S. energy consumption.
I. National Technology Transfer Advancement Act
Section 12(d) of the National Technology Transfer and Advancement
Act (NTTAA) of 1995, (Pub. L. 104-113; 15 U.S.C. 272 note) directs EPA
to use voluntary consensus standards in its regulatory activities
unless to do so would be inconsistent with applicable law or otherwise
impractical. Voluntary consensus standards are technical standards
(e.g., materials specifications, test methods, sampling procedures, and
business practices) that are developed or adopted by voluntary
consensus standard bodies. The NTTAA directs EPA to provide Congress,
through OMB, explanations when the Agency decides not to use available
and applicable voluntary consensus standards.
[[Page 63284]]
This proposed rulemaking involves technical standards. The
International Organization for Standardization (ISO) developed
efficiency standards for amalgam separators (ISO 11143) in 1999 and
updated these standards in 2008. EPA proposes to use ISO 11143 2008.
This voluntary standard setting organization established a standard for
measuring amalgam separator efficiency by evaluating the retention of
amalgam mercury using specified test procedures in a laboratory
setting. It also includes requirements for instructions for use and
operation and maintenance.
EPA welcomes comments on this aspect of the proposed rulemaking
and, specifically, invites the public to identify potentially-
applicable voluntary consensus standards and to explain why such
standards should be used in this regulation.
J. Executive Order 12898: Federal Actions To Address Environmental
Justice in Minority Populations and Low-Income Populations
Executive Order 12898 (59 FR 7629, Feb. 16, 1994) establishes
federal executive policy on environmental justice. Its main provision
directs federal agencies, to the greatest extent practicable and
permitted by law, to make environmental justice part of their mission
by identifying and addressing, as appropriate, disproportionately high
and adverse human health or environmental effects of their programs,
policies, and activities on minority populations and low-income
populations in the United States.
EPA has determined that this proposed rule will not have
disproportionately high and adverse human health or environmental
effects on minority or low-income populations. While EPA was unable to
perform a detailed environmental justice analysis because it lacks data
on the location of POTWs to which dental discharges currently occur,
the proposal would increase the level of environmental protection for
all affected populations without having any disproportionately high and
adverse human health or environmental effects on any population,
including any minority or low-income population. The proposed rule will
reduce the amount of mercury from dental amalgam entering POTW's and
eventually the nation's waters, to benefit all of society, including
minority communities.
EPA welcomes comments on this aspect of the proposed rulemaking
and, specifically, invites the public to identify potential
environmental justice considerations associated with this proposed
regulation.
List of Subjects in 40 CFR Parts 403 and 441
Environmental protection, Dental, Dental office, Dentist, Mercury,
Pretreatment, Waste treatment and disposal, Water pollution control.
Dated: September 23, 2014.
Gina McCarthy,
Administrator.
Therefore, it is proposed that 40 CFR parts 403 and 441 be amended
as follows:
PART 403--GENERAL PRETREATMENT REGULATIONS FOR EXISTING AND NEW
SOURCES OF POLLUTION
0
1. The authority citation for part 403 continues to read as follows:
Authority: 33 U.S.C. 1251, 1311, 1314, 1316, 1317, 1318, 1342,
and 1361.
0
2. In Sec. 403.3, add paragraph (v)(4) to read as follows:
Sec. 403.3 Definitions.
* * * * *
(v) * * *
(4) An industrial user subject to categorical Pretreatment
Standards under 40 CFR part 441 is designated a Dental Industrial User
(DIU) rather than a Significant Industrial User (SIU) if the Industrial
User (IU) has complied with 40 CFR part 403, the applicable
pretreatment standards for existing sources (PSES) or pretreatment
standards for new sources (PSNS) and the monitoring and reporting
requirements of 40 CFR 441.60. If a DIU has not complied with these
requirements and standards, such IU will be considered a SIU until the
Control Authority evaluates the IU as specified in Sec.
403.8(f)(2)(v)(D).
* * * * *
0
3. In Sec. 403.8, add paragraph (f)(2)(v)(D) to read as follows:
Sec. 403.8 Pretreatment Program Requirements: Development and
Implementation by POTW.
* * * * *
(f) * * *
(2) * * *
(v) * * *
(D) Where the publicly owned treatment works (POTW) finds that an
Industrial User (IU) meets the criteria for classification as a Dental
Industrial User (DIU), the POTW must evaluate, at least once per year,
whether the IU meets the criteria in Sec. 403.3(v)(4). In the event
that the POTW determines that a DIU does not meet the criteria in Sec.
403.3(v)(4), the POTW must immediately begin enforcement in accordance
with its enforcement response plan. If the dental discharger has not
returned to compliance within 90 days of the initial noncompliance, the
POTW may no longer treat the dental discharger as a DIU and must treat
the dental discharger as a SIU. Upon verification by the POTW through
an inspection and a finding that the dental discharger has complied
with all of the applicable requirements in Sec. 403.3(v)(4), the
dental discharger may be considered a DIU.
* * * * *
0
4. Add part 441 to read as follows:
PART 441--DENTAL OFFICE (MERCURY AMALGAM) POINT SOURCE CATEGORY
Sec.
441.10 Applicability.
441.20 General definitions.
441.30 General pretreatment requirements.
441.40 Pretreatment standards for existing sources (PSES).
441.50 Pretreatment standards for new sources (PSNS).
441.60 Discharge monitoring, reporting, and recordkeeping
requirements.
Authority: 33 U.S.C. 1251, 1311, 1314, 1316, 1317, 1318, 1342,
and 1361. 42 U.S.C. 13101 et seq.
Sec. 441.10 Applicability.
(a) Except as provided in paragraphs (b) and (c) of this section,
the provisions of this part are applicable to discharges of wastewater
to publicly owned treatment works from facilities where the practice of
dentistry is performed (``dental dischargers''), including but not
limited to institutions, permanent or temporary offices, clinics,
mobile units, home offices, and facilities, and including dental
facilities owned and operated by Federal, state, or local governments.
(b) The provisions of this part do not apply to process wastewater
discharges from dental dischargers which exclusively practice one or
more of the following dental specialties: oral pathology, oral and
maxillofacial radiology, oral and maxillofacial surgery, orthodontics,
periodontics, or prosthodontics;
(c) Dental Dischargers will be exempt from any further requirements
of this rule so long as they:
(1) Do not place or remove amalgam except in limited emergency
circumstances
(2) Certify to the Control Authority that that they do not and will
not use or remove amalgam, including the following information:
(i) The facility name, address, contact information.
(ii) The dental license number of all practicing dentists at the
location.
[[Page 63285]]
(3) Notify the Control Authority of any changes to information
required under paragraphs (c)(2)(i) and (ii) of this section.
(4) Information provided to comply with paragraphs (c)(2)(i) and
(ii) of this section must be signed by the responsible corporate
officer as defined in Sec. 403.12(l).
Sec. 441.20 General definitions.
For purposes of this part:
Amalgam process wastewater means any wastewater generated and
discharged by a dental discharger through the practice of dentistry
that may contain dental amalgam.
Amalgam separator means a collection device designed to capture and
remove dental amalgam from the amalgam process wastewater of a dental
facility.
Control Authority is defined in 40 CFR 403.3(f).
Dental amalgam means an alloy of elemental mercury and other metals
that is used in the practice of dentistry.
Dental Discharger means a source of wastewater to a publicly owned
treatment works from a facility where the practice of dentistry is
performed as described in 40 CFR 441.10.
Dental Industrial User (DIU) means a dental discharger as described
in Sec. 441.10(a) that meets the requirements of 40 CFR 441.60.
Sec. 441.30 General pretreatment requirements.
(a) Any source subject to this part that introduces process
wastewater pollutants into a publicly owned treatment works (POTW) must
comply with 40 CFR part 403.
(b) [Reserved]
Sec. 441.40 Pretreatment standards for existing sources (PSES).
Except as provided in 40 CFR 403.7 (removal credits) and 403.13
(fundamentally different factors) and no later than [DATE 3 YEARS AFTER
EFFECTIVE DATE OF THE FINAL RULE IN THE FEDERAL REGISTER], any existing
source subject to this part must achieve the following pretreatment
standards:
(a) Removal of at least 99.0% of total mercury from amalgam process
wastewater and
(b) Incorporation of the following best management practices:
(1) Scrap amalgam (contact and non-contact), including but not
limited to dental amalgam from chair-side traps, screens, vacuum pump
filters, dental tools, or collection devices may not be flushed down
the drain.
(2) Chair-side traps that may drain to a sewer must be cleaned with
non-bleach, non-chlorine containing cleaners that have a pH of 6 to 8.
Such cleaning must be conducted at least weekly.
(3) Certification that the BMPs specified in paragraphs (b)(1) and
(2) of this section are being followed is deemed to meet these
requirements.
(c) The requirements of paragraph (a) of this section may be met by
installation and operation of at least one 2008 ISO 11143 certified
amalgam separator that:
(1) Is certified to meet a removal efficiency of no less than
99.0%;
(2) Receives all amalgam process wastewater;
(3) Is sized to incorporate all wastewater that may pass through
it;
(4) Is inspected at least once per month to ensure proper operation
and maintenance of the separator, including confirmation that amalgam
process wastewater is flowing through the retaining cartridge,
separator canister, or amalgam separating portion of the amalgam
separator (preventing bypass);
(5) In the event that the separator is found to not be functioning
properly, is repaired or replaced according to manufacturer
instructions; and
(6) Is regularly maintained by replacing the amalgam retaining
cartridge(s), separator canister(s), or separator unit(s) whenever the
collection of retained solids reaches the manufacturer's stated design
capacity or annually, whichever comes first.
(d) Dental Dischargers that operate an amalgam separator certified
under the 1999 or 2008 ISO 11143 standard installed at a dental
facility prior to October 22, 2014, satisfy the requirements of
paragraph (a) of this section until [DATE 10 YEARS AFTER EFFECTIVE DATE
OF THE FINAL RULE IN THE FEDERAL REGISTER] if the existing amalgam
separator:
(1) Receives all amalgam process wastewater;
(2) Is sized to incorporate all amalgam process wastewater that may
pass through it;
(3) Is inspected at least once per month to ensure proper operation
and maintenance of the separator, including confirmation that
wastewater is flowing through the retaining cartridge, separator
canister, or amalgam separating portion of the amalgam separator
(preventing bypass); and
(4) Is regularly maintained by replacing the amalgam retaining
cartridge(s), separator canister(s), or separator unit(s) whenever the
collection of retained solids reaches the manufacturer's rated design
capacity or annually, whichever comes first.
Sec. 441.50 Pretreatment standards for new sources (PSNS).
Except as provided in 40 CFR 403.7 (removal credits) and 40 CFR
403.13 (fundamentally different factors), any new source subject to
this part must achieve PSNS as follows:
(a) Removal of at least 99.0% of total mercury from amalgam process
wastewater and
(b) Incorporation of the following best management practices
(BMPs):
(1) Scrap amalgam (contact and non-contact), including but not
limited to dental amalgam from chair-side traps, screens, vacuum pump
filters, dental tools, or collection devices may not be flushed down
the drain.
(2) Chair-side traps that may drain to a sewer must be cleaned with
non-bleach, non-chlorine containing cleaners that have a pH of 6 to 8.
Such cleaning must be conducted at least weekly.
(3) Certification that the BMPs specified in (1) and (2) of this
subpart are being followed is deemed to meet these requirements.
(c) The requirements of paragraph (a) of this section may be met by
installation and operation of at least one 2008 ISO 11143 certified
amalgam separator that:
(1) Is certified to meet a removal efficiency of no less than
99.0%;
(2) Captures all amalgam process wastewater;
(3) Is sized to incorporate all amalgam process wastewater that may
pass through it;
(4) Is inspected at least once per month to ensure proper operation
and maintenance of the separator, including confirmation that amalgam
process wastewater is flowing through the retaining cartridge,
separator canister, or amalgam separating portion of the amalgam
separator (preventing bypass);
(5) In the event that the separator is found to not be functioning
properly, is repaired or replaced according to manufacturer
instructions; and
(6) Is regularly maintained by replacing the amalgam retaining
cartridge(s), separator canister(s), or separator unit(s) whenever the
collection of retained solids reaches the manufacturer's stated design
capacity or annually, whichever comes first.
Sec. 441.60 Discharge monitoring, reporting, and recordkeeping
requirements.
(a) Dental dischargers may comply with the following monitoring and
reporting requirements in lieu of the otherwise applicable requirements
in Sec. 403.12(b), (d), and (e).
(1) Baseline report. For existing sources, a baseline report must
be
[[Page 63286]]
submitted within 180 days of the effective date of this rule. For new
sources, a baseline report must be submitted at least 90 days prior to
commencement of discharge. It must include:
(i) The facility name, address, and contact information as well as
the dental license number of all practicing dentists at the location.
(ii) A description of the operation at the dental discharger
including:
(A) The total number of chairs,
(B) The total number of chairs at which dental amalgam may be
present in the resulting wastewater;
(C) For existing sources, a description of any existing amalgam
separators currently operated to include, at a minimum, the make,
model, and manufacturers recommended frequency of container change. If
no separators are currently employed, indicate none. For new sources, a
description of any planned amalgam separators to include, at a minimum,
the make, model, and manufacturers recommended frequency of container
change.
(iii) For existing sources, statement of whether or not the
facility currently employs the best management practices (BMPs)
specified in Sec. 441.40(b).
(2) 90-day compliance report. For existing sources, a compliance
report must be submitted within [90 days after the final compliance
date of this rule]. For new sources, a compliance report must be
submitted within 90 days following commencement of the introduction of
wastewater into the publicly owned treatment works (POTW). The report
must include:
(i) The facility name, address, and contact information as well as
the dental license number of all practicing dentists at the location.
(ii) A description of the operation at the dental office including:
(A) The total number of chairs, and
(B) The total number of chairs at which dental amalgam may be
present in the resulting wastewater.
(C) A description of any existing amalgam separators currently
operated to include, at a minimum, the make, model, and manufacturers
recommended frequency of container change.
(iii) Certification that the design and operation of separators
meet the requirements specified in Sec. 441.40 or Sec. 441.50, as
applicable.
(iv) Certification that the facility is employing BMPs specified in
Sec. 441.40(b) or Sec. 441.50(b), as applicable.
(3) Periodic monitoring report. A periodic report of ongoing
compliance must be submitted annually. The reports must include:
(i) The facility name, address, and contact information as well as
the dental license number of all practicing dentists at the location;
(ii) If no changes have occurred since submission of the most
recent compliance submission (e.g. 90-day compliance report or periodic
monitoring report);
(iii) Certification that the design and operation of the separators
meets the requirements specified in Sec. 441.40 or Sec. 441.50, as
applicable and that the facility is employing the BMPs specified in
Sec. 441.40(b) or Sec. 441.50(b), as applicable;
(iv) If changes have occurred since submission of the most recent
compliance submission (e.g. 90-day compliance report or periodic
monitoring report), you must submit the updated information required
for the 90-day compliance report as specified in Sec. 441.60(a)(2).
(b) If the dental discharger complies with the applicable
requirements in 40 CFR part 403 and the monitoring and reporting
requirements described in paragraphs (a)(1) through (3) of this
section, in addition to the applicable pretreatment standards for
existing sources (PSES) or pretreatment standards for new sources
(PSNS) in Sec. 441.40 or Sec. 441.50, the dental discharger may be
considered a Dental Industrial User (DIU) by the Control Authority;
otherwise the Control Authority must treat the dental discharger as a
Significant Industrial User (SIU) as defined in 40 CFR 403.3(v).
Reports submitted to comply with this section must be signed by the
responsible corporate officer as defined in 40 CFR 403.12(l).
(c) Dental dischargers must maintain on site and available for
inspection (in either physical or electronic form) the following
records for a period of three years from the date they are created:
(1) The baseline report required in paragraph (a)(1) of this
section;
(2) The 90-day compliance report required in paragraph (a)(2) of
this section;
(3) The periodic monitoring report required paragraph (a)(3) of
this section;
(4) Documentation including the date of each visual inspection of
the amalgam separator(s) as specified in Sec. 441.40(c)(4) or Sec.
441.50(c)(4), including records of visual inspections of the amalgam
separator to ensure that the device is not in bypass mode;
(5) Documentation specifying the date of amalgam retaining
cartridge replacement in accordance with Sec. 441.40(c)(5) or Sec.
441.50(c)(5); and
(6) Records indicating the date of amalgam retaining cartridges are
sent off site for proper disposal and the shipping address of the
facility to which amalgam retaining cartridges are sent.
[FR Doc. 2014-24347 Filed 10-21-14; 8:45 am]
BILLING CODE 6560-50-P