Fact Pattern 18-2 Eldercare Hospital Has Acquired Twenty Acres of Land in South

Fact Pattern 18-2
Eldercare Hospital has acquired twenty acres of land in south Dallas, the poor side of the city, to build a facility that will provide care primarily for the elderly residents of that part of the city. The land had been used for various industrial purposes, including an oil transfer station, but had been abandoned for over thirty years. Dallas is a city that is always on the margin of violating the air quality standards that apply to it.
-Refer to Fact Pattern 18-2. Eldercare will, of course, have sewage that will leave the facility. Because of this:

A) it may need a discharge permit under the Clean Water Act.
B) as a large facility, it will be required to build its own sewage treatment plant.
C) it will have to provide for disposal of the sludge from its treatment plant.
D) a and b.
E) a, b and c.