Text

NPDES Discharge Monitoring Rept for Dec 1996
	ML20138J016
Person / Time
Site:	Beaver Valley
Issue date:	12/31/1996
From:	Legrand R, Orndorf D; DUQUESNE LIGHT CO.
To:	; NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
	NPD3VPO:0588, NPD3VPO:588, NUDOCS 9702040046
	Download: ML20138J016 (63)
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%t Telephone (412) 393-6000 P!'s;??","

Shippingport PA 15077-0004 January 27, 1997 NPD3VPO:

0588 Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555 NPDES Monthly Report. EPA Permit No. PA0025615 j

SUBJECT:

Beaver Valley Power Station, Unit No. 1 and No. 2 BV-1 Docket No. 50-334, License No. DPR-66 BV-2 Docket No. 50-412, License No. NPF-73

Dear Sir:

I Enclosed is a

copy of the NPDES Monthly Report as submitted 1

to the Pennsylvania Department of Environmental Protection.

Sincerely, coa

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Ronald LeGrand Division Vice President Nuclear Operations SLV/tra cc:

D. A. Orndorf-J. A. Cool R. K. Brosi Central File 9702040046 961231

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DR ADOCK 0500 4

I (9] The Nuclear Professionals

'Af Te:ephone (412) 393 6000 Nuclear Group P O. Son 4 Shippingport, PA 15077-0004 January 27, 1997 NPD3VPO:

0589 United States Environmental Protection Agency Region III, Pennsylvania (3WM53)

Water Permits Branch Water Management Division 841 Chestnut Street Philadelphia, PA 19107 NPDES Monthly ReDort. EPA Permit No. PA0025615

Dear Sir:

This letter forwards a

copy cf our NPDES Monthly Report as submitted to the Pennsylvania Department of Environmental Resources, Bureau of Water Quality Managenent Sincerely,

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Ronald LeGrand Division Vice President Nuclear Operations SLV/trs Attachment cc:

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Orndorf J. A. Cool R.

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Brosi Central File The Nuclear Professionals

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Telephone 1412) 393-6000 0 bom 4

$n ppmgport. PA 15077-0004 January 27, 1997 NPD3VPO:

0590 United States Environmental Protection Agency Region III, Pennsylvania (3WM52)

Water Permits Branch Water Management Division 841 Chestnut Street Philadelphia, PA 19107 EPA Permit No. PA0025625 Reoortable Occurrences

Dear Sir:

As required by the EPA Permit No. PA0025625, the following information is provided in regard to reportable occurrences at Betver Valley Power Station.

NPDES Discharge Monitoring Point

203, the Unit 1 Sewage Treatment

Facility, exceeded the monthly average total suspended solids specification and the pH minimum specification during the month of December.

Two total suspended solids samples were obtained on the 3rd and 17th of the month measuring 38.9 mg per liter and 56.4 mg per j

liter.

Although neither of these values exceeds the daily maximum specification of 100 mg per

liter, they' result in a monthly average of 47.7 mg per liter, which exceeds the maximum i

allowable monthly average of 30 mg per liter.

This upset l

condition was the result of increased loading on the facility due to the outage of the Unit 2 Sewage Treatment Facility for extensive maintenance activities.

The Unit 2

facility was l

returned to service in early January and the loading on the Unit 1 facility has returned to normal.

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The Nuclear Professionals a

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1 January 27, 1997 i

NPD3VPO: 0590 Page 2

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On

Monday, December 2,

the pH of

.the plant affluent was measured at 5.92, exceeding the minimum specification of 6.00.

An addition of sodium bicarbonate was made to the system and the J

pH. returned to acceptable levels.

In addition, Duquesne Light.

i has retained the services of a technical. consultant to assist in evaluating the cause of the upset condition.

Their investigation determined that the presence of nitrifying bacteria was causing the normal alkalinity to be stripped from the plant.

Accordingly, the use of sodium bicarbonate is the appropriate I

action to correct the situation.

Sodium Bicarbonate additions have corrected the problem and will continue to be used to control system pH.

J If-you' have any questions concerning this report, please do l

not hesitate to contact David A. Orndorf.

l J

Sincerely, i

.s,, y, c,

a Ronald LeGrand 1

Division Vice President Nuclear Operations SLV/tra cc:

D. A. Orndorf J. K.

Cool R. K. Brosi Central File - Keywords:

NPDES Reportable Occurrence

- 1

'Af Telephone (412) 393-6000 Nuclear Group P O Bon 4 Shippingport, PA 15077-0004 January 27, 1997 NPD3VPO:

0587 Attention:

"DMR Clerk" Department of Environmental Protection Bureau of Water Quality Management 400 Waterfront Drive Pittsburgh, PA 15222 NPDES Monthly Report, EPA Permit Number PA0025615 Gentlemen:

NPDES Monthly Report for Duquesne Light

Company, Beaver Valley Power Station for December 1996 is submitted for your consideration.

Sincerely,

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a Ronald LeGrand Division Vice President Nuclear Operations SLV/trs Enclosure cc:

D. A. Orndorf J. A.

Cool R. K. Brosi Central File The Nuclear Professionals

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n. viewing the coi!ccti,n ci information. Send conunent:s regarding the burden estimate or any other aspect of

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-this collection of infonnat on, including suggestions for reducirig this burden, to Chief, Inforrnatsa Policy Branch, pW223, U.S Envnonmet tal Protection Agency 401 M Street, SW Washington, DC_20460; and to the Office of Information v d Regulatory Affairs, Office of Management and Budget, Washington, DC 20503.

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General Instructions

' J. If form has been putiidly completed by preprinting, disregard instructions directed at entry of that information l

already preprinted.

i 2.. Enter " Permittee WmAfailing Address (and facility namc/ location, if different)," " Permit Number," and "Diu harge Nwnte ' where indicated ( A separate form is required for each discharge.)

3. Enter dates begou.ing and ending "Ahwrtonng Period" covered by form where indicated.

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'4, Enter cach "Parm : <er" as speufied in monitoring requirements of permit.

I 6 Enter "Nample At t arment' data for each parameter under "(hont ty" and "Guality" in units specFied in pernut.

"A u rap is ocnMy nthmrtic average (geometric aserage for bacterial parameters) of all samp!c measurements for each paramet cbtained during "Alonaanny renw/"; "Afarsmum" and "Almimum" are norma!!y extreme high and Imv measurants obtained during "3t6rntonn : Penod " (Note to municipals with secondary treatment g

reqmrement: EnN r % Jay ascrage of emip!c measmements under " Average," and enter maximum 7-day average of sample meamraat uts obtained during mcnitoring period under "Atarimum.")

6. Enter "Pernut Re parwant" fer ench parameter under "Guantity" and "Guality" as specified in permit.

7. Under "No Er* cer number of sampic rucasurments during monitoring period that exceed maximum (and/or muumum cr%d.e acege as appropriate) permit requirement for each parameter. If none, enter *0".-

3. Enter "Frnjuency Cralpu" both as " Sam;>le Atc.nurmert" (actual frequency of sampling and analysis used 1dcring monitoring period) and as "Pernut Rcquirement" cpecified in permit. (c g., Enter "ront," for continuous momtaring, "h7 for ere day per week, "l/30" for one day per month, "b'90" for one day per quarter, etc.)

9. En:er " Sample 7rit ' both as "Sumple Alcawrement" (actual sample type used during monitoring period) and as "Permu Requircunwt * (e g., Enter "Grah" for indi5idual r. ample, "At/IC" for 24-hour composite, "N/A" for continuous monitwing, etc.)

10. Where violations of pennit requirements are reported, attach a brief explanation to describe cause and corrective actions taken. and reference cach violation by date.

11. If"no discharge" eccurs danng monitoring period, enter "No Discharge" across form in place of data entry.

12. Enter "Name?Dile of Principal Execunvc OJpccr" uith *Signan.re of Principal Erecutive Ofcer ofAuthortred Agent," 'Teirphone Number

and "Date" at bottom _of form

13. Mail signed Report to OfTice(s) by date(s) specified in permit. Retain copy for your records.

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14. More detiiled instructions for use of this Discharge Afrmitoring Report (D3fR) form may be obtained from Office (s) specified in pennit.

Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can l

result in civil penalties not to exceed $10,000 per day of violation; or m criminal penalties not to exceed $25,000 per day I

of violation, or by impnsonment for not more than one year, or by both.

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'Ofthe of Information ud Regulatory Affairs, Office of Management und Budget, Washington, DC 20503, l

i General Instructions

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l'. Jf. form has been pitially completed by preprinting, disregard instructions directed at entry of that information t

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2. Enter "Perrm uce Vamed/m/mg !deirrss (and facility name/kration, if different)," " Permit Number," and

" Discharge Number

where indicated. (A separate form is required for cach discharge )

3. Etiter dates beginmng :md endmg "Afomformy Period" covered by form where indicated

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5. Enitt hp!< Af, necmcnt data for each parameter under "(?uantity" and *Guality" in imits specified in permit.

"ch cryc" is nenu Uy mthmetic average (geometric merage for bacterial parameters) of all sample measurements i

i for each piramet r aumed dunng "A!cwtonrrg Permd"; "Afaximum" and "Alinimum" are normally extreme high and low measunu :nh obtamed during "Alomroring Period? (Note to municipals with secondary treatment reqmremem: Enc Wday aurage of sample measurements under " Average," and enter maximum 7-day average of sampic measats ents obtained during monitosing period under " Alarm:um.")

6. Enter "Pcenut Re !wrement" fer cach parameter under *guantity" and "Guality" as speci6cd in permit.

7 Und:r "Nu Er" euer numb:r er unple measurments <!uring monitoring period that exceed maximum (and/or minimum or 7-dm werage as ::p;ropnate) permit requirement for each parameter. If none, enter "0".-

l S. Enter "Frequero tf Analysi3" both as "Sairyde Afeaturment" (actual frequency of sampling tmd analysis used dcring mcnitonnn period) and as " Permit Rcqwrement" specified in pennit. (c g, Enter "Ctmt " for continuous i

monitoting "1/7" for one day per weck. "1/30" for one day per month, "//90" for one day per quarter lcte.)

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9. Enter "Sm+iple 7)pe" both as " Sample 3/casurement" (actual sample type used during monitoring period) and as

" Permit. Requirr mert " (e g., Enter "Grah" for individual samplc "NHC" for 24-hour compostic, "N/A" for COnlirulous momloring, cic.)

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10. Where violations of permit requirements are reported, attach a brief explanation to describe cause and corrective I

actions taken, and reference each violation by date.

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11. If "no discharge" acms during monitoring period, enter "No Discharge" across form in place of data entry.

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12'. Enter "Namemtle of Principal Executive Officer" with

Signature of Principal Executive OJJicer ofAuthors:ed Agent," " Telephone Number," and "Date" at bottom of fann.

13. Mail signed Report to Omce(s) by date(s) specined in permit. Retain copy for your records _

14. More detailed instructions for use of this Discharge Alumformg Report (DAIR) form may be obtained from Omcc(s)

I specified in pennit.

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%is 15 port is required by law (33 U.S C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation, or by imprimnment for not more than one year, or by both.

1 EPA form 3320-1 (Rev. 0&95)

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SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT NAME/ TITLE PRINCIPAL EXECUTIVE OFFICER a CtRTIFY UNDER PEN ALTY OF LAW THAT t HAVE PERSONALLY EXAMtNED AND

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TELEPHONE DATE AM FAMfUAF. WITN THE INFORM ATION SUBMITTED MERUN; AND BASED ON f

MY TNQUsRY OF THOSE INDIVIDUALS fMMEDIATELY RESPONSIBLE FOR

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OBTAINING THE INFORMATION, I BEL EVE THE SUBMITTED INTOstMATICN IS s an

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T, RUE,.,, CANT PENALTtEs FOR suButTf1NG FALSE INFORMATION ACCURATE AND COMPL ET E.

t AM AWARE THAT THERE ARE THE POSSiBiuTY OF FINE AND iMPRiscNuENT. sEE 18 u.S.C. 91001 AND 33 I

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'I M.. I I 3 37 h1 7

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u.s.C. e tale. rmen m. anNr tw iMeum mer ic4ans naen.e se i70,000 SiONATURE OF PRINCIPAL EXECUTIVE s

g TYPED OR PRINTED sad er==e4==n :. 1 a erm;e mamas sas s venras OFFICER OR AUTHORIZED AGEffT CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference e# strechmem treret f& h,. < L EPA Form 3320-1 106-96) Previous editions may be used.

IREPLACES EPA FORM T-40 WHICH MAY NOT BE USED.)

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L Paperwork Reduction Act Notice Pubhc reporting burden for this collecthm of infonnation is esurna:c

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aurage per response for some minor facilities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average per rev.nindukg tir ifor nnewing I

with a weighted average far rMor and minor facihties of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per respon.w, d

A comp'eting and I

instructions, searching existing data sources, gathenng and rmuntaming the data n l

'this collection of information, includmg wggestions for reducing this burden, to Clicf, reviewmg the colintion of infortwdion.

d to the j

Branch, PM-223, U.S. Environmental Protection Agency,401 M 5f reet, SW Washingtoa, DC i

Of fice of Infornution and Regulatory Af fairs, Office of Management and Budget, Washi

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General Instructions if u

1. If form has been partially completed by preprintmg disregard mstructions directed a already preprinted.

"Pcnrit Number," and (and facility name/ location, if different),"

2 Enter "Permitter Name Mailmg Address "Docharge Number" where indicated ( A separate form is required for each d2scluure.)

3. Enter dates beginning and endmg " Monitoring Permd" cosered by form where indicated

4. Enter each " Parameter" as specified in rnonitoring requirements of permit.spe:-ified in putnt.

5. Enter "Samp!r Meanrement* data for cach parameter under "petety" and *(hmlity* in un t

%rrage' as nonnally anthmetic average (geometrie :ncrape for br'cnal param tero of nli high for exh parameter obtamed during "Momtormg Perimr. "Marunum" and "MannmW ;ue n and low measurements obtained during "Momformy Permd"Entci 30-day average o of hample mC35urCmentS obtainCd during m0mlormg pCDDd undCI *MatU.Wm )

requirement:

" as speofied in permit

6. Enter "Pernns Rcquiremenr' for each parameter under Tuantity" and *(bdity (a net'or

7. Under "No h* cnter number of sample measunncats during momtoring penod that exece Nr.

mmimum or 7-day average as apprepnatc) permit requiremem for caci parameter. If rane, excr both as "Samp!c Measurment" (actad frequency of cunph:7 aad an$ns use (e g, Enter "I hnt." for continuous

8. Enter "Frequemy of Analysit" daring monitoring p<r od) and as *Pernnt Frywrement" speaf;cd in pernu i

tc )

i period) and as

9. Enter " Sample 7)pe* both as "Samp!c Mcomrement" (actual sample type used dunng

Permit Requiren.cnt " (e g., Enter "Gra continuous monitoring, ele )

b d conecthe

10. Where violations of permit requirements are reponed. mtach a brief explanation to desco adions taken, and reference cach violation by date.

i l f data entry.

I1. If"no discharge" occurs dunng momtoring period, enter "No D!.scharge" across form n p ace o Olncer of Authori:cd

12. Enter "Name/Dile of Prmcopal Decutne OHicer" wnh " Signature of Prmap,d Decutne Agent," " Telephone Number,' and "Date' at tettom of form

13. Mail signed Report to Office (s) by date(s) specified in permit Retam copy for your records d from Officcu)

14. More detailed instructions for use of this Dncharge Momtoring Report (DMR) fann may specified in permit.

~

Legal Notice bfully can This report is required by law (33 U.S.C,1318; 40 C.F.R.125.27). Failure to report or f lties not to emed $25,000 per day l

result in civil penalties not to exceed $10.000 per day of violation; or in cnmma pena of violation, or by impnsonment for not more than one year, or by both.

I

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EPA Forre 3320-1 (Rev. 08-95)

PERMITTEE NAME/lDORE03mF.,e,N.wt n (Iv-.w) a;ATIONAL POLLUTANT D'SCHARGE RmemADON SYST98 (/W'OfSI FOtm Approved. _

NAME DeSCHARGE MONITORING REPORT (DMRI

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197-191

% !! f o l 4 T R Y ? SCC"CM WW pm m

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1-t3 TO aS i1 M0 la C ISC:Ia FG r. j l

H.6 5 -

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,u.n99e (2G2tp (22-23J (24-251 126-271 (28-29/ (30'31/

NOTE: Reed instruedens before comp oeng Weis foepi.

l PARAMETER 13 Cent On41 QUANTITY OR LOADING I4 Cent on&J QUANTITY OR CONCENTRAN wo, mEcuencV i SAMPLE (46-53) 154-611 (30-45) 146-531 (54-679 OF (32-37; EX TYPE %

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SAMPLE MEASUREMENT PERMIT REQUIREMENT NAME/ TITLE PNAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND

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TELEPHONE DATE AM FAMsUAR WITM THE INFORMATION SUmemTTED MEREIN AND BASED 04 g

MY INOuPRY OF THOSE INDIVIDUALS IMMEDIATRY RESPONSIBLE FOR j

i OSTAiNING THE INFORMATION. I SELIEVE THE sueulTTED INFORMATION IS l.

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David o.rndorf

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TRuE. ACCURATE AND ccMetETE.

I AM AWARE TWAT TnERE ARE

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SIGNIFICANT PENALTIES FOR SUBMtTTING FALSE INFORMATION, INCLUDIsfG

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Cheniatry Manager TsE FOsSiesuTY OF FINE AND iMeniSONMENT. sEE is u.S.c. s tooi AND ss S408sATURE OF PRINCFNL EXECUTWE U.S.c. e isis. amisseee aanw ewap seenmee awr.bienase swe se se sto. coo AREA TYPED OR PRINTED NUMBER jYEAR MO DAY sad er menennen:.-

.: er serwasa a meree ier s yeero OFFICER OR AUTHORIZED AGENT CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference s# ettschments here/

e EPA Form 3320-1108-96) Previous editions may be used.

IREPLACES EPA FORM T-40 WHICH MAY NOT BE USED.)

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Paperwork Reduction Act Noticci 1'

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,.i Pubk regerting Imrda for this collution of informMion is estimated to vary from a range of 10 hours1.157407e-4 days 0.00278 hours 1.653439e-5 weeks 3.805e-6 months as an 0

s scrage pes respoese f..r reme minue facdities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average per response for sor6e major facilities, M.

{

yth 2 sul;hted averns h r major :md minor facilities of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per response, including ~ time for reviewing

-I iingructions, tearchinp eri:tmg data' sources, gathering and maintaining the data needed, and completing and i

raiewing ths col!cctiun cf infornatien_ Send comments regarding the burden cstimate or any other aspect of l'

(t% c'llection of informat en, including suggestions for reducing this burden, to Chief, Information Policy e

i I

l

' B&nch, PM-223, 0.5. Fmironmental Protection Agency,401 M Street, SW Washiagton, DC;2M60; and to the J

Office ofInformation ed Regulatory Affairs, Office of Management and Budget, Washington, DC 20503.

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' General Instructions

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I'l. fit form has been putially completed by preprinting, disregard instructions directed at entry of that information

{already preprinted.

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2? Enter " Permittee NamaA! ailing Address (and facility namc/ location, if different),*

Permit Number " and 1" Discharge Number" M ere indicated (A separate fonn is required for cach discharge.)

-l

d. Enter dates begimdng and ending PAlcmitoeing Period

cm ered by form where indicated.

I

4. Enter cach "Paramirr" as specified in monitoring requirements of permit.

l 5.- Ents "Nample Atwrcment' data for each parametcr under "Guannty" and "Guality" in units spebied in permit.

" 1wrnge* is nennW arithmetic as crage (geometric average for bacterial parameters) of a!! samp!c measurements

- fer each paramcta obtained during "A/omformg Permdi "Alarimum" and "Alinimum" are normally extreme high and low measuraxnts obtamed daring "Attmitoring Period." (Note to municipals with secondary treatment.

requirement: Enw % day average of sampic measurements under "Accrage," and enter maximum 7. day average -

of sampic measurcants obtained during monitoring period under "Afarimum.").

6. Enter "Permet Re.prement" foi cach parameter under "Guantity" and "Guality" as specified in permit..

4 7.c Under "No &" emcr rumber of sampic measurments during monitoring period that exceed maximum (and/or minimum or 7-da e.crage as ap-spriate) permit requirement for cach parameicr. If none, enter ?u".

)

8. Enter "Frequena rf Aralysis" both as " Sam;de A/easurment" (actual frequency of sampling and analysis used i

1dming mordtoring period) and as " Permit Requirement" specified in permit. (e.g., Enter " Cont " for continuous i

monitoring, "1/7" int one day per n eck. "/60" for one day per month, "l/90" for one day per quarter, etc.)

9. Euler "Sanp/c /)p" both as " Sample A/cosurement" (actual sample type used during monitoring period) and as

. " Permit Requirewnt," (e g., Enter "Grah" for individual sample, "2IHC" for 24-hour composite, "N/A" for continuous monitoring, etc.)

10.;Where violations of permit requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference each siolation by date.

i i1. If 'no discharge" occurs during monitoring period. enter "No Discharge" across fann in place of data entry.

12. Enter.."Name/7itle of Principal Erecutive Oficer* witil " Signature ofPrincipal Executive Oficer ofAuthorired Agent," " Telephone Number," and *Date" at bottom of fann.

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33. Mad signed Report to Office (s) by date(s) specified m pernut. Retain copy for your records..

.c J14. More detailed instructions for use of this Discharge Afonitoring Report (DAIR) fann may be obtained from Office (s) specified in pennit.

Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Faihtre to report or failure to report truthfully can result;in civil penalties not to exceed $10,000 per day of viohtion; or in criminal penalties not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both.

4 -y EPA Form 3320-1 (Rev. 08-95) p 1P' 8

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PERETTEE NAME/ ADDRESS (F=nhdrFarshyNeue'ImesNeseffNIhrow)

NATIONAL POLLUTANT OtSCHARGE EUMfNATIOed SY"YEM (NPDES /

Form Approved.

l NAME DISCHARGE MONITORING REPORT (DMR/

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w PARAMETER (3 Cerd on#y/ QUANTITY OR t.OADING I4 Cerd OWrf QUANTITY OR CMCENTRATIM NO.

FREcufMCY' SAMPLE 148-531 (54-619 1384 61 146-53)

(54-619 OF (32-371 EX TYPE %

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AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS

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,,j SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT NAME/ TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I MAVE PERSONALLY EXAMINED AND i

TELEPHONE DATE AM FAMtUAR WITH THE INFORMATION SUSMITTED MEREIN; AND BASED ON e

4, MY INQUIRY OF THOSE INOtvlDUALS 1MMEDIATELY RESPONSi8tE FOR

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k' OSTAINING THE INFORMATION, f GEUEVE THE SUBMITTED INFORMATION IS 6];,h1 h

DOvid Orndorf muf, e CURATE AND COM M I AM AWARE NAT NERE ARE SIGNIFIC#NT PENALTIES FOR SUBMtTTING FALSE INFORMATION, INCLUDING

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t,-..

THE POSSIBlUTY OF FINE AND IMPRIS.ONMENT. SEE 18 U.S.C 91001 AND 33 f

.!3 0388h3 N7 ih[

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u.s.C. s 131e. m e,M r ee. een,es may w m, e s70,000 SNATURE OF PRNGCIPAL EXECUTIVE m TYPED OR PRINTED W ormartmeC -

et eerween 5 memns w s yearms OmCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATIOrs OF ANY VIOLATIONS (Reference s# ettechments here/

&n bs - # EPA Form 3320-1 (08-951 Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) 3 PAGE OF ),., n.,, / 3 r u O ~..*A- 's..u y

d o'-i f p' p4'.b 86 a 3 1 s % Z L__.. s -~ ,m.- ._1 LPaperwork Reduction Act Notice f L 'Public reporting burden for this collection of information is estimated to vary from a sange off l0 houg as an ' average per response for some minor facilities. to !10 hours as an average per response for sonenojor facilities, i with a weighted average for major. and minor facilities of JS hours per response. includicg tir6for reviewing 3 . instructions, searching existing data sources, gathering and maintaining the data necdad, and completing and i reviewing 'the collection of information.. Send comments regarding the burden estimate er rny.uthen aspe(t of (thir, collection of information, including suggestions for reducing this burden, to_ Chief, Infonnation Policy

B' ranch, PM-223, U.S. Environmental Protection Agency,401 M Street, SW Wehingtoa, DC 7G4f20; and to the: Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503.

e ..m I f General Instructions i

1. lf form has been partially completed by preprinting, disregard instructions directed at er ry'of triat ihformation already preprinted.

2. Enter " Permittee NametMailing Address (and facility namellocation, if ditTerent)," " Permit Number ", and

' Discharge Number" where indicated. (A separate form is required for each discharge.)

3. Enter dates beginning and ending "Momformg Peread" covered by form where indicated.

4 Enter each " Parameter" as specified in monitoring requirements of permit.

5. Ente'r " Sample Measurement" data for each pararneter under "Guantity* and *Guahty" in uningpecified in permit.i "Arcrage" is normally arithmetic average (geometric average for bacterial parameters) of all ramph maamrements for each parameter obtained during " Monitoring Period"; " Maximum" and "Mmimum" are normally extreme high and low measurements obtained during "Manitoring Period * (Note to municipah with secoadary treattnent

} requirement: Enter 30-day average of sample measurements under " Average," and enter maximwn 7-day average of sample measurements obtained during monitoring period under "Narimum.") j i i

6. Enter " Permit!(equirement" for each parameter under "Guantity" and *Gaality" as specified in permit i

7. Under "No &" enter number of sample measurments during momtorirg period thm exceed muimum (and/or j

minimum or 7-day average as appropriate) permit requirement for each parameter. If none, enter "0"'

8. Enter' _" Frequency of Analysis" both as " Sample Measurment" (actual frequency of sampling and analysis used i

during monitoring pcriod) and as " Permit Requirement" specified in pernut. (e.g,, Enter " Cont," for continuous monitoring, "u7" for one day per week, "160" for one day per month, "l/90" for one day per quarter, etc.)

9. Enter " Sample 7)pe" both as " Sample Measurement" (aced sample type used during monitoring period) and as z

" Permit Requirement " (e.g., Enter " Grab" for individual sample, "NHC" for 24-hour composite, "N/A" for continuous monitoring, etc.)

10. Where violations of permit requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference cach violation by date.

i

11. It'"no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry.

12' Enter "Namerfille of Principal Executwe ODicer" with

Signature of Prmcipal Executive OBicer of Authori:ed Agent," " Telephone Number," and "Date" at bottom of form.

I

13. Mail sig'ned Report to Office (s) by date(s) specified in permit. Retain copy for your records.

j i ,14, More detailed instructions for use of this Discharge Monitoring Report (DMR) form may be obtained from Office (r) l specified in permit. ~- ~ cegal Notice ~t This report is reeguired by law (33 U.S.C.13u; 40 C.F.R.125.27). Failure to report or failure to report truthfully can result in civil penshies not to execed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both. t EPA Form 3320-1 (Rev. 08-95) e [

r PEnterTTEE NA8dE/ ADORES S #admidoree Namsbremen grDeprows tsATKNeat pottutaseT orScManor suasseatices SYSTEhe (RPDFS) FOem Appegwed. [ psAnEE DISCHARGE MONITOR 30G IEPORT N1 1F4VCE'7)LLET P0 d 9 UATIJ1 (?- 19 ff7-tsi 19K.I's?AkT S OPU R Oh6 80s-paa Mad 1 ADOREES p. J. _ 3 ) g 1 "4G<'C '*r ($'J9R 05) rrs; navI? aireoyr PERMIT NUMBER orScHanet etuasoEn gg p l 3 P 1 N [ r; "; r 3 a f 3 ft 15 0 M MOfMTORUGG PERIOD ~5EO# t f M F !! 7 C 7 7iLL$f PQWP9 3 A TDF YEAR MO DAY YEAR i MO DAY 10 c t S c ;t g M r. r.. ., e LOCATION FROM -; t 17

t TO

s ; t/

sI cu NOTE R*** IR*'N***** &) ~ l Mt i t n -+ u. nstry i nayn v * ' 1202ri 422 23) 424-25) t20-211 126-291 130u291 '

'I' f*'F-PARAMETER f3 M W ONW M L MNN M

NO. Na sAppLE 2 146-5M 154-691 t30-451 146-65 154-619 or (32-37j EX TYPE % ,,,gy,,, AVERAGE MAXIMUM UMTS MINIMUM AVERAGE MAXIMUM ~ UNITS sruse ,gg yg, SAMPLE MEASUREMENT O, CO A bob y3) oeee3 egene ee3% l![ ($i La>, I i. - N y I r % . N UI ?fiEAT E NT Plast ,3 n '? O ] 3 p PERMIT

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.nm g%g c c g _ p gg s g gg REQUIREMENT -e ev. y n - ~g3mq y g tyy r ,, 3 ,g y,77,.qg yg. SAMPLE i MEASUREMENT PER;AIT i REQUIREMENT I l SAMPLE MEASUREMENT 4 PERMIT REQUIREMENT s SAMPLE MEASUREMENT I ~ PERMIT REOutREMENT i SAMPLE i MEASUREMENT [ ' PERMIT ' x f REQUIREMENT SAMPLE i MEASUREMENT ) PERMIT. 4 REQUIREMENT v SAMPLE l MEASUREMENT i PERMIT REQUIREMENT . i 6 PNAR. EXECUTR/E m e centiFv unoen passatTv or taw THAT e Havr enveSossatty exmaasseen asso / TELEP N DATE I Aas FanseUAn visTM THE IIeFOsasATIOst SugestTTED MEftEsse: Afeo BASEo 000 l [ /q Rev teeOUHty OF THOSE IIsorViouAtt InsanEDIATEtv nESPOpfSISLE FOn 2W J.J# f A a OWTAftessee THE sePolupATIOpe, I BEufvE THE SUBamTTED pleFonhAAT100s et l/ YM I David Orndorf Taue. accunate ano comenteTs. I ans amane Tuav THEne ane SpoletFICApeT PEgeALTIES Fon SutamTTueG FALSE popofesaTIOce. NectuomeG 4p* 393-5113 97 011 27 Chemintry Manager Twe possestrty or rNec .U S.c. e iste. nnema.asso marveSomanenT. s,ee is u.s.c. i,soci ano s seOseATURE OF PRNOCIPAL E18ECUTIVE www misse sesene m. aireman rme e se sto.seo 3,,, NUGABER YEAR MO DAY TYPED OR PRWTED e er - _ eramenen a menem min s peeral OFFICER OR AUD00RREED AGE 85T CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a6 errechmener heref L EPA Form 3320-1 108-96) Previous ed6tione may be used. IREPLACES EPA FORM T-40 WNBCN MAY NOT SE USED l PAGE OF 3M' 5/ MI C13-% 33 1 [ 4 . -- -:a-.-

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(... 3 r l,s Paperwork Reduction Act Notice: {" m }, iPybik reponing burdm fa this cot!ection of informadon is ' estimated to vary from a range of I0 hours as an ~ i i shrage pr retponse fx kme minor facilitics, to l10 hours as an average per response for son'io major, facilities, ] , Qvith itwij hted averappt major and.ndoor facilitids of 18 hours per response,' including 1lme for reviewing 4 g t nstmctinus, marchinr exi: ting data sources, gathering and maintaining the data needed. and' completing and ] i f 4 . seviewing the culfecti.m of infon:stion. Send comments regarding the burden estinute or aliy other, aspect of j this sitection of infanint;on, including suggestions for reducing this burden, to Chief, Information, Policy -{ ~ Branch ' PM-223, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC:20460; and to the' =i Office of thformation zd Regulatorp Affais, Omee of Management and Budget, Washington, DC 20503, i f ..h-,-_..._.-._.e...w.-... ..m. l General Instructions t $J1f form has been prtially completed by preprinting, disregard instructions directed at entry o'f that informa M! ready preprinted. j ..? Enter *Perunttee Mmeafading Address (and facility namcilocation, if ditTcrent),"

Permit Number: and.

. Dischrge Numbre" where indicawd. (A sepamte form is required for cach discharge.) t A Enter dates begim;ing and ending %mformg Period" covered by form where indicated.

4. Enter each "Pararmu" as specified in monitoring requirements of permit.

5. Enter "Sanp/c Mm wrmnr' data fer each parameter under "(Juantity" and "Guahty" in units spccified in pennit.

%erage' is ncrm@ arithmetic average tgeometric average for bacterial parameters) of all samp!c measurements fer exh paramet a obtamed during "Momfaring Periv1'; "Mamnum" and " Minimum" are normally extreme high s nod low meawramts obtained during " Monitoring Period" (Note to municipals with sendary treatment requitement: Entr '0-day ave: age of samp!c me.asurements under " Average? and enter maximum % day average 6 ~ ^ of sampi measusenants obtained during moidoring period under "Manmmn.")

16. Enter " Permit Reymrement" for cach parameter urider " Quantity" and "Guahty" as specified in permits i

i 4

7. sunder "No n" ever number ol' sample measunucols during monitoring period that exceed maximum (andor minimum or 7-da3 merage as appropriate) pennit requirement for cach parameter. If none, enteri"0".

8. Enter "Frcquency of Analysir both as "S.unple E amnnent" (actual frequency of sampling and analysis used -

tring morutoring paiad) and as " Permit Requirement" specified in permit. (e g., Enter " Cont," for continuous 1 nionitoring. "//P tot one day per ucek. "180" for onc day per month, "l/90" for one day per quarter, etc.) i'

9. Enter "Samp/c hee" both as "Sompte Measurement" (actual sample type used during monitoring period) and as "Permet Mequiremmt " (e.g., Enter " Grab" for individual sample, "RRC" for 24-hout composite, "N/A" for continuous monitenng, etc.)

~10f Where Tiolations of pennit requirements are reported, attach a brief explanation to describe cause and corective actions taken, and reference each violation by date. I!. If"no discharge" occurs during monitonng penod, ente; "No Discharge" across form in place of data entry.

12. Butcr' 'Namenitle of Prmapal Decutive Officer" with " Signature of Principal Secutive Oficer ofAuthorized Agent " " Telephone Number," and "Datc* at bottom of form.
13. Mpl signed Report to Omce(s) by date(s) specified m penmt. Retain copy for your records "14. More detailed instructions for use of this Discharge Monitoring Report (DMR) form may be obtained from Omce(s) specified in permit.

k. Legal Notice This leport is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can resul.t in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day ~ of Violation, or by imprisonment for not more than one year, or by both. t, EPA Form 3320-1 (Rew 08-95) 4 .-.y y

PERETTEE NAME/ADORESS(7=MrFarebyNeevleestw(D@way NATIONAL POLLUTANT OtSCHARGE Et fMtNADON SYSTEM (NPDES / Form Approved. NAME DISCHARGE MONITORING REPORT (OMR/ OMB No 20404004 "av - 7ALLE* F9'r 74"I1i (2-7 61 (7 7-ist 4"g, [ c T A_ 4 [ '; y c ? R N App og O MM ADDRC3_,,3, ,,;y y "en97 rie

7 (7;y a y 3 $ i, g

PERMtT NUMBER DrSCMmot NuMsER v, ,p 7 y 3 g t"'e* .? ! 7 T 9 7 > $ D 0 ". T & ] i . 7 ' MONITORING PERIOD 9UP

I y a [ m 1 ;' ' o I FACILITY

"? 7ie 7 ', L L '. f 739i'- 3 T1T i i YEAR MO DAY YEAR MO DAY C0$ LOCATION FROM ? ' ? f' ^- N r.! l 7 ' " 3 * " I; E ]Ml TO

s t

3 -,,. e 3... n 3 - e (2G271 (22-23/ (2*257 r26-211 (28-291 (3&3f/ NOTE: Reed instructione leefore completing this fo,m. r PARAMETER (3 Cerd Orefri QUANTITY OR LOADING (4 Cerd Oa/rf QUANTITY OR CONCENTRATION N O. FREQUENCY' gg. (46-531 (5

6 11 M4SI

~46-531 (5

6 91 OF (32-37s EX TYPE AnAtys,s AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ms,

fgggg,

,gg.m SAMPLE ., ~ u - e r ..~ m ~ e s mg,, { t3g MEASUREMENT n~ t PERMIT oeer Sn

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,,e p.y o r; w g,n g g g Ty,pgg REQUIREMENT y..,2 3 3,, yy, 7 qy z y7yp .,,.. r ,s ,7 SAMPLE ,, tg e 3 c e..:: t esee; ++e2c< ~ [, ' (.h,,. 7 MEASUREMENT g,, Q, 3 3 <m a t 3 PERMIT 9qqr rronor o *: e c o ;- e rre c e 9 vec;ce

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m Ly 77g1 t REQUIREMENT ,r 17 p,,7, ,, 7 yee ,.), ,-,s ;y yye7 SAMPLE s 3.: ^ > ene3~- >>-ca ( tg) MEASUREMENT a PERMIT ^^3-s^ a-t o e S O S

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S A 3 + f- ^a ?,c 3,25 T Q;I,Y pf1 REQUIREMENT 3, e on ,y. 7yyy .q 3 y .-fg 1, 3, 47 3 s v, p: SAMPLE yy^se- -eeeyy

+ > n u e '

( } 4) r-MEASUREMENT !.3.. ) PERMIT .ectie Sn^*+c e c e *: $ o c 7,' 7,5 g !; a, t y agg , s REQUIREMENT p,,,3 .y& g y 3 y g r;. g;gynq, ,;fg SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERM 3T REQUIREMENT NAME/TTTLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT WAVE PEMSONMLY EX AMWED AND -']' }'/[n J TELEPHONE DATE r AM FAMtUAR WITH THE INFORMATION SUBMITTED MEREN: AND SASED ON / MY INQUIRY OF THOSE tNDMOUALS FMMEDIATELY RESPONSP81.E FOR . J TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE '//V'/ 087AmmG THE INFORMATION. I BEUEVE Thf SUBMITTED INFORMATION ts '4

7, ' A

,ditV i u. ( ' m 4 I O T a, 3:GNdFICANT PENALTIES F08% SUBMITT!NG FALSE INFORMATION. INCLUDING THE POSSI8tuTY OF FW 0I) 39 M i13 47 O1 27 v.s.C. s 13te. p>ien E.ANO IMPRISONMENT. SEE IS U,.S.C. 9100,1 AND 33 sicaan SENATURE OF PRNGCIPAL EXECLfmfE anMar ewee seen,Me awr.aw s y nae se a sto,opo AREA TYPED OR PRWTED and er aumromsa : -

er 6er-.

e maaene rus OFTICER OR AUTHORIZED A00NT CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference e# artschmentS here/ g g4ggy 4; 3., r1

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~i1--' 7t, j--1L -s1- . j#7e-a :3 N L 7 0q2 7,; 133,- 7-y e r s r

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3s t, t -73 ,7 3.,

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,r EPA Form 3320-1 (08-95) Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF ,s 9 _a zy y

p- 'j_

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ir fy f t t .- L s,. 1 _n 3 l

qi ;..~

Paperwork Reduction Act Notice._ 3 p p' I1 i f 5 e l Public ter sting burden for this collectiori of information is estimatal to vary from a range of 10 hErs as ah e 4 l

average per response for some rmnor facilities, to 110 hours as an average per response fdr some major facilities, j'

l l ,with a weighted average for major and minor facilities of 18 hours per responso incloshog tirat fnr reviewing J l . instructions, searching existing datamources, gathering and ' maintaining the data needal, and completing and } reviewing,the collection of information. Send. comments regardmg the bunien estimate or any other aspect of j lthis. collection of information, including suggestions for reducing this burden, to Chief, Infoncation Policy

Branch, PM-223, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC 70E0; and to the i

p ' Office ofInformation and Regulatory Affairs, Office of Management and Budget, Washington,'DC 20503. { l. - - -. - - ~ i . General Instructions' i fl[. If form has been partially completed by preprinting, disregard instructions directed at entry of that information already preprinted. i t. - Eutet "Permitter NameMailing Address (and facility namellocation. if difTerent)" "Pmnit Number," and { s ? Discharge Number" where indicated. (A separate form is required for each discharge.) ~ f $. Enter dates beginning and ending "Alonitoring Permd" covered by form where indicriedi

4. Enter cach " Parameter" as specified in monitoring requirements of permit.

J i '5. Enter "Samp/c Afrasurement" data for cach parameter under "Guantity" and "guality" in units specined in penmt. i ." Average" is normally arithmetic average (geometric average for bacterial parameters) of aH rample measurements for each parameter obtained during Afomformg Period", 'Atarimum" and "Atmimum" are normany catreme high and low mcasurements obtamed during "Afonitoring Period" (Note to municipals with seccadary ucatment j l. requirement: Enter 30-day average of sample measurements under " Average." and enter muimum 7-day average of sample ~ measurements obtained dunng momtormg penod under "A tarimum "1 I ~

6. Enter " Permit Requirement" for cach parameter under " Quantity" and "Quahty" as specified in permitj

,7..Under."No Ex" enter number of sample measurments during monitoring period that exceed maximum (and/or j + ? minimum or 7-day average as appropriate) permit requirement for each parameter. If none, enter *0". 8.' Enter'" Frequency of Analysis" both as " Sample Afeasurment" (actual frequency of samplir:g and smalysis used l during monitoring pvriod) and as "Pernn! Requirement" specified in permit. (e.g., Enter

Cont," for continuous

) monitoring. "1/7" for one day per week, !//30" for one day per month,"1/90" for one day per quarter, etc.) I

9. Enter " Sample 7)pe" both as " Sample Afeaturement" (actual sample type med during monitoring period) and as j

- Permit Requirement " (e.g., Enter "Grob" for individual samp!c, "2411C" for 24-hour composite, "N A" for )

' continuous monitoring, etc.),

J '10.;Where vNiations of permit requirements are reported, attach a brief explanation to descrine cause and corrective actions taken, and reference each violation by date. 11, if"no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry.

12. Enter "Name?Dtle of Principal Execunve Ofcer" with

Signature of Principai F.ccutive Opcer of Authori:ed

.l Agent * " Telephone Number,* and 'Date" at bottom oiform.

13. Mail signed Report toLOffice(s) by date(s) specified in permit. Retain copy for your records.

i

14. More detailed instructions for use of this Discharge A/uniforing Report (DAfR) form may be obtained from Officc(s) l specified in pennit.

? Legal Notice I ,e uis report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can j result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day l of' violation, or by imprisonment for not more than one year, or by both. J l ^ U ; EPA Form 3320-1 (Rev. 08-95) ) 4 j

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PEmetfTTEE NAGEE/ ADORE 53thher *fh%esa gropw) sr.tiONAL pOLLUTmt DesCMARot ElmsmAvioN smtw (APDES). Form Approved. NA" DISCHARGE MONfTORING REPORT (OMM/ ,f ;7"' VALLET POVid 'i

4 t T 3 "

(2-f'* If 7-f s/ 'I N I ! 1 COSLTg; mM r pm.3 g APP *ff"f!= os-arse AooRE:S;., 3, p E, 3 --eri< +e4 'ATP4; ?t1ID S { k O O 't ? PERMIT NUMBER DISCHARGE NUMBER p _, p734{ .; J I ^ ? [ T'lI 9 % 7 7A I5?

'10N MOPflTORWG PERIOD FAC W ;;A 72 7 Y2.LLTI I' P2 0 2 iTi7I3:

YEAR MO DAY YEAR MO DAY s LOCATION FROM 4o i > >1 TO tr o 1 it ? DT"rHAFGE [ { Me 3* ,. rtyes ,ayn,rp (202r> (22-23/ (24-25J

26-271 (28-291 (30'37/

NOTE: Reed bistructions hofere"c'ompleting this foupe. PARAMETER ts cent on&# QUANTITY OR LOADING (4 conf Onys QUANTITY OR CONCENTRATION NO. mEom SAMPLE I46-53) 154-619 (3e-451 146-531 f54-6 tl OF (32-371 EX a =ysi, TYPEg AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS

arus, fe,_ses ras 7ar SAMPLE

4. w ar<-^^.

.m g. e. 3,~,.+~>. ( }3 g a e- ,qqq 5 7 q PERMIT negge9 n e r. r. g

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. c. o ,n m 3ng 3,9 g y y-4 1 REQUIREMENT - 2 :. L y : .q,-c y 3, g ir gne 4797y y g 7 7 y,-

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e e *_ e t- ~ c wn A. 1L!95, 73rp L 3, ( {gg r*- I 7, c) N.,,$ 3# erri.$> MEASUREMENT ,,., e, p 7 - 3:,33 q PERMIT c a e+ e u a.teege $ .ee ennen p

p 3 ;7pgy, gg REQUIREMENT eet: , ; y e

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( p MEASUREMENT /36 f r a [:. & CT? -i i A 'l N"'M ,ySgq 1. 3 g PERMIT - 9 p o c e r, e weg 3 g 9-g y ;, y r; g, y g g f p g gg ^ REQUIREMENT p,,., ,,7 . 3 -. 7 3 gc g33 y.,,,. n 7,_ 7 7qg g g7 g

L3d, I *i "M307? Op SAMPLE i

33) useer p3ege mm [ Qf MEASURWENT C, M Ce @ ary 's e A T m; 4 T P L p. t i 1 ? ;. S 1 .') PERMIT.. ag3py erpgny p $.n p e c u c. ; mgg 3g

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gy ,,,, y, y 37 .n ,g, ~ SAMPLE ~ -~ MEASUREMENT ' PERMIT - [ REQUIREMENT I SAMPLE MEASUREMENT l PERMIT ( r REQUIREMENT SAMPLE 3 MEASUREMENT i PERMIT REQUIREMENT NAME/ TITLE PNAI. EXECUTIVE ON l i CERTiry uNoER PENALTv OF law THAT e wave PERsONALLv EXAMINED AND TELEPHONE DATE AM FAMlUAM WITH THE 19tFORMAftON SUBMITTED HEstEm: AND BASED ON [I MY INOUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON99LE FOR .J 3 CSTAINWG TME mFORMATIOes. I SEUEVE THE SUBMITTED INFORMATION IS /j

./,

David OrndOr[ TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE ~ O# ~ A SIGNIFICANT PENALTIES FOR SUBMITTING FALSE MFORMATION. iNCLUDfttG Chrniatrv Mananer THE POSSIStuTv OF FmE AND msPRISONMENT. SEE 10 U.S C. 51001 AND 33 412 3,93-5113 97 01 2 e, U.s.C. e late. # Pea mse easer wwse sesewee mer.hiesuene n=es se se s r0.000 SIONATURE OF PRIIWCIPAL kXECUTfvEm TYPED OR PRINTED sauf er emeremsw :.- .: er see-s.* s moee Nr a peeras OFFICER OR AUTHORIZEo AGENT CODE NUhWER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference et effechments herof l i i 3 EPA Form 3320-1 (06-96) Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.I PAGE OF 3 9 , q

c 7 ,c,. j A Paperwo,rk Reduction Act Notice < m, - 1 a iPubhc rep'ening burden fr r this col lectinn of information is estimated to vary from a range tif 10 hours as an

j y

9 ! ayrrage per response f 4r some minor'facdities, to )10 hours as an average per response for some major facilities, M. Nith a weighted 3Yeugc'kr nujor and ndDor facilitierof.18 hours ph responsc[ including t!me' for reviewing 4 Unstnictionp, fearching ethring data sodrces, gathering and ' maintaining the data needed, andl completing and I hdiewing the colleeth n of information. Send comnents reptding the burden estimate or.any other; aspect of-F lthis colicction of infomation, including suggestions for reducing this burden, to Chief, Info,rmationj Policy l I Branch, PM-223, U.S. Ensironmental Protectiun Agency,401 M Street, SW Washington, DC 20460; and to the J l Office of Infdtmation and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503. 1 .dm A ._W.~.__. ! General Instructions i 11.;If funn has been patia!!y completed by preprinting, disregard instmctions directed at entry of that infonnation l Lalready preprinted. i

2. Enter " Permittee NamcWaihrg Address (and facility name/ location, if different)," "PermitJNumber" and l

' 5" Discharge Numivr" where indicated (A separate fann is required for each discharge.) - t, ' 3. Enter dates beginning ard ending "Alonnonng Period" covered by fr .rc indicated. j l .4 center each "Paramevr" as specified in monitoring requirements of permit. a

5. Enter "Somp/c A(;mn ment' data fcr coch parameter under " Quantity" and "Quahty" in units specified in permit.

l "Awrage" is non v4 arithmetic average (geometric average for bacterial parameters) of all sample measurements l for each paramekr obtained dming "Alonitoring Penod"; "Afarimum" and "Afinimum" are normally extreme high

and law measurcment:; obtamed during "Alonitoring Period" '(Note to municipals with secondary treatment requirement: Emcr 30 day astrage cf sample measurements under " Average," and enter umimum 7-day avenge -

, of sample measurcuents obtained during monitoring period under "Afarimum.") I s c 6.; Enter "Permir Reporement" for each parameter under "Guantity" and " Quality" as specified in permit. i i -7.. Under ?Nd Ex" cmer rumber of sample measurments during monitoring period that execed maximum (and/or

miniomm or 7 day average as appropriate) permit requirement for each parameter, if none, enter?O";

j _ S. Enter '"/6 equenct qf Analysiv" both as " Sample A/easurment" (actual frequency of sampling and analysis used ' daring monitoring rcriod) and as "Pernnt Requirement" specified in permit. (e g.. Enter " Cont," for continuous. a monitoring, "/6" im one day per u cci, "ldD" for one day per month, "#90" for one day per quarter, etc.) s 9.S Enter " Sample 1)pe" both as " Sam;>le Aleamrement" (actual sample type used during monitoring period) and as ~ " Permit Requirement.* -(c g..' Enter " Grab"' for individual sample, *2,fHC" for 24-hour composite, "N/A" for - continuaus monitoring. etc.)

10. f.Where' violations of pennit requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference each violation by date.

11, if "no discharge" ocems during monitonng period, enter "No Discharge" across form in place of data entry. '12. Enter *Namn'ntle of Pnncipal Erecutive' Officer" with " Signature of Principal Executive OficerNJAuthori:ed Agent,' " Telephone Number," and *Date" at bottom of form. j3. l Mail signed Report to Of' ice (s) by date(s) specified in permit. Retain copy for your records. .14. More detailed instmctions for use of this Discharge Afonitoring Report (DAIR) form may be obtained from Office (s) 9. specified in pcmdt. Legal Notice ] _ l His reput is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can l= result in civil penalties not to exceed $10,000 per day of violation; or in enminal penalties not to exce<xl $25,000 per day 1 of viclation, or by imprisonment for not more than one year, or by both. s 'E l f 1 e EPA Form 3320-1 (Rev 08-95) Q m ,.m -- +

f PERM:TTEE NAME! ADDRESS (IMFererpNeee/LerememifD@we) NATIONAL POLLUTANT DISCMARGE ftm4MATION SYSTEM [ NPDES) Form Approved. DISCHARGE MONITORING REPORT (OMR/ NAME - E1V7a V)LLEY p 3.' F 3 if',*IJ: (2-m (r 7-f 91 'J N I T ? C37 LINO %R OMB No. 2040 0004 [ g,y 3 q ; gg Approvel ge.. ,res 05-31-98 ADDRESS ~,3, t3y >; %.*~,e .r n. g PERMIT NUMBEa c ScHARot NuMeER 7m; 74y13 nhsy1p p _. p 7., 3 -' sit 7ye3p p ; 'i 1"$77 MONITORING PERIOD M%3Y I# 9eiV ' 1 A i. I. !. T 'e ? U 7T5T!l YEAR MO DAY YEAR MO DAY LOCATION FROM >L st TO aA 1? e *- c s3 J I S C 58 A F G " [- [ C C:7 .,.4, m, yv3 3, e r. .? (20 27/ (22-231 (24-25/ (26-27/ (28-29/ (3D-3FJ NOTE: Reed instructione before completing this (71Fm. PARAMETER (3 Cerd OaM OUANTITY OR LOADM I4 Cong QUANTITY OR CONCENTRATION NO. mEM SAMPLE (46-531 (S 4-6 19 (36-459 446-63) (S 4-6 91 OF m (32-37; EX TYPE ANALyss AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS n243, gg m f,g ya, SAMPLE & s. e ~ n + 3 r. e, y s - 4eyap ( 17g g 4 MEASUREMENT 7 7 fy 7gg Q J Qg ,h cemec. 9,3 ggggy g g t3 PERMIT - nece** -nee 39 e st

3qq, REQUIREMENT

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SAMPLE 3+a^^ ere9y co;ces ( 10) A

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j; 7 < o, 3 e o. 3 O y e,4 MEASUREMENT 3mg 3yq1 7 PERMIT c, e e.. a e c naetee o i?. , veoc4 3 s g E t; g =; p J a REQUIREMENT yy, y,, xn 3 f 3, yyg r.y qy 3r gg t s - f, ' W, I ft :-- O g 7 - 3q SAMPLE ( ' 3) ^ ~ 4 0.s > ^ $ c n % 't cet^ae f

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[ Am -+ 3 3 3,s-3 PERMIT <, r q 9 = nergn; a t e c c. :n c e o 't 0 4 recoccc 003 . g[ gly u s a t' REQUIREMENT .n y.. 33y7,,, 7 3-n 3%9 4 :. --, r - y v ,,: c y g L.,, y, 3 ; f *t .s. SAMPLE

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1 1 PERMIT. ' n *: '- c 0 0 ' e 3 0: e- '-? necMu .? ? s '- rDALY . nap REQUIREMENT e e g,, yp,azy g,7gyg, = ;;f t SAMPLE MEASUREMENT PERMIT s REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT NAME/ TITLE PRINCIPAL EXECUTIVE OFFICER CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED ANO t TELEPHONE DATE AM FAMIUAR WITH THE MFORMATION SUSMITTED MEREIN: AND BASED ON C-MY INQUIMY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR / '/ OsTAmmo THE mFORMATica i eEUEVE THE SUBMITTED mFORMATION IS y TRUE. ACCURATE AND COMPLETE. t AM AWAPE THAT THERE ARE ,f -' ' j 4' ~,h j,V ' Dastd OrndotL t soNmcANT PENALtlES FOR SUBMITTmG FALSE INFORMATION. mCLUDING I '+ bu M M 113 Y7 V1 ~7 ~s a THE POSSSIUTY OF FINE AND IMPRISONMENT. SCE 18 U.S.C. 91001 AND 33 u.S.c. e 13te. e names sewer swee se,anse n=F hetare snes se se #70,000 SiONATURE OF PRINCIPAL EXEC'UTIVE AREA TYPED OR PRINTED

w er anwh=== n -

et terween a menen ans s Fe= ras OFFICER OR AUTHORIZED AGENT CODE NUMEIER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference e# ettschments here/

~?-n.} J2 (a, 8

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(TN-LIMIC f~ 15 1 4.- 7(; 37. r 3: a 9"* ^ r ~ ~ ( ;' ;I, (la t, ./' ' ' ~ * " ' (.) EPA Form 3320-1 (08-951 Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF 33, qfy g']*973d p

1 1 m. . iL_ i / 1 "J Paperwork Reduction Act Notice - L. J"s" Puhhc reporting burden fo' this collection of information is estimated to vary from a targe of 10 hwes a d - r j ! average per res.ponse for some minor facilities, to 110 isours as an average per response fJr sotm nujor facilities [ with a weighta! average for major and minor' facilities of 18 hours per response,jacludbig tilne for; reviewing in.structionp, scarching existing ' data sources gathering and maintaining the data needed, and completing and o ' reviewing the collection of information.. Send comments regarding the burden estimate or say other aspect of 'this collection of information, including suggestions for mlucing this burden, to Cl.ief .formationiPolicy l lBrimch, PM-223, U.S. Environmental Protection Agency, 401 M Street, SW Washington, Ih.: Ml50; and to the l

Office of Info'rnation and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503/

i _4 _7 General Instructions '.l. If. form has been partially completed by prepnnting, disregard instructions" directed at entry of that,infornution already preprinted. F i2. Enter " Permittee Nat.:e/A/ ailing Address (and facility name/ location, if dilTerent)." " Permit Number " and

Discharge Number" where indicated. (A separate form is required for each discharge.)

l

3. Enter dates beginnirg and ending "Afonitoring Period" covered by form w here indicat :d.

hi

4. Enter each ' Parameter" as specified in monitoring requirements of permit.

^ l '5. Ent'er " Sample Alcasurement" data for each parameter under " Quantity" and "Guality" in unfir, exific6 in pennit. "Averef c" is normally arithmetic average (geometric average for bacterial parameters) of all sample measuremems for cach parameter obtamed during "Alonitoring Period"; "Afarimum" and "A/inimum" are normally extreme high .and low measurements obtained during "Alomtoring Period" (Note to municipals with secoadary treatment j mquirement: Enter 30-day ascrage of sampic measuren,ents under " Average." and enter maximum 7-da average i of sample measurements obtained during monitoring peria imdct "Alaximum ") 6.1 Enter " Permit Requirement" for cach parameter under " Quantity" and "Guality" as spectfied in permit! ~ 7.;Un' der "No 6" enter mimber of sample measurments during monitonng period that exceed maximum (and/or. > minimum or 7-day average as appropriate) permit requirement for cach parameter, if none, enter *0*. j .8. Enter " Frequency of Analysis" both as " Sample Afeasurmert" (actual frequency of sampimg and analysis used l during~ monitoring pdod) and as " Permit Requirement" specified in permit. (e g., Enter " Cont " for continuous ' monitoring, "l/7" for one day per week, "Ido" for one day per month, "l/90" for one day per qua ter, etc.) l . 9. Enter " Sample I)' e" both as " Sample Afeasurement" (actual sample type used duriig monitodng period) and as J r

Permit Requirement," (e.g., Enter " Grab" for individual sample, "N//C" for 29 hour comy> site, "N/A" for continuous monitonng, etc.)

10. Where violations of pennit requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference each violation by date.

"11, If ?no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry. 1

12. Enter "Name/ Title of Principal Executive Officer" uith

Signature ofPrincipal hecutive Ojlicer of Authori:ed Agent " " Telephone Number," and *Date* at bottom of form.

} i

13. Mail signed Report to Office (s) by date(s) specified in permit. Retain copy for your records.

l

14. More detailed instructions for use of this Descharge Afom/oring Report (DAfR) fonn may be obtained from Office (r) specified in pennit.

i ~ Legal Notice 1 This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can j result in civil penalties not to exceed $10,000 per day of violation; or in crim'.nal penalties not to exced $25,000 per day ofl violation, or by imprisomnent for not more than one year, or by both. ~ EPA Form 3320-1 (Rev. 08-95) i i '? ~,

PERMITTEE NAME/ADDREZS(7=ehdeFarawpN==steresse(D@mo NATIONAL POLLUTANT DtScM ARGE EU441NATf0N sm (APDES/ Form Approved.

EY

VILL?? P3453 ' * *, ' I ' T t7 SIE3EL G i, N G *GDb M Neq AP ^1i-P ADORE N,3, 91g 1 P**" ' c'T ' ("?SF ~} $ ) PERMIT NUMBER l DacHAAGE ICUMBER y{ggg A * ? ': ; ) % 7 [ i' D H % C 'J 9 t 39iP?I".V 3RI' ' '. 1 'l ~ 7 7 MONITORING PERIOD C' M I#

< P itY C i 71LLEY P% F" 7 T & E ) ?

YEAR MO DAY YEAR MO DAY LOCA N FROM

7 56 TO 96 1'

.i t M3 yn 31":CagPO? {_{ $?h

,

s..

,3yyn 3. n,:e (2a27s (22-231 (24-25J (26-271 128-291 (3t>371 NOTE: Reed instructions Were comp oting thle fase. l PARAMETER (3 Ces Nys QUANTITY OR LOADMG (4 Cad On&A QUANTITY OR CONCENTRATION NO. mEcufNcYd SAMPLE 146-539 154-611 130-451 146-539 154-691 OF 132-371 EX TYPE.s ,,gy,,S AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ssse g,4,,; gg,7a, ,1, I9 2F')llT,- nq y y g n.- p 3.) ; 3 eyne; j / SAMPLE 4 9 TdEAT*"NT PLANT b 3ns3 g ) y PERMIT

g r -) o y n r n n r* p ccNM3 eMM?

CCMM .k MELY' 3 TIM % REQUIREMENT 7 y -, y, ,m.- 7 3, y 7,, y, 3p. p, y y ,g 7O#6 SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUfREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT A NAMERITLE PRMCIPAL EXECUTWE OFFICER I CERTIFY UNDER PEN ALTY OF LAW THAT I HAVE PERSONALLY EJE AMINED AND f / TELEPHONE DATE / AM FAMtUAR WITH THE INFORMATION SuBMfTTED MERON: AND BASED ON / e i 'f /- MY INQUWtv OF THOSE INOtVIDUALS IMMEDIATELY RESPONStRLE FOR d. 4 L/ k. y'f OBTAINING THE INFORMATION, I BEUEVE THE SUBMfTTED INFORMATION IS David Orndorf TRuf. ACCURATE AND cOMetETE. e AM AWARE THAT THERE AP.E -j sioNecANT PENALTIES FOR susMirriNo FALSE mFORMATioN. mctuDiNo 412 393-5113 97 0,1 27 Uh ert i 9 : r y ManaFe1* THE POSSIS 8UTY OF RNE AND tMPRIS,ONMENT. SEE 18 u.S.C. 91001 AND 33 u.S.C. t t ais. m andw awa smens awr Amens, anos a, se # 70,000 SiONATU'IE tJ PRMCrid EXE 3pg, TYPED OR PRWITED mw er===*=,= n

.ra.r aeni.ame==say ras omcER OR A*.meAtizEOA6ENT NUMBER VEAR MO DAY CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Refererece e# srtechmerres here/

EPA Form 3320-1 (OS-36) Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED l PAGE OF 4

p ~.,.: i # m.._ ".__.. 4.____- Papenvork Reduction Act Noticer, q 3 l. ! Puhhv ryhrting Lurda fer tds collectiori of information is estimated to vary imm a range bf 10 hours as an I cj jfuag6pr rssponse fx some minor faciliiies, to !10 hours as an average per respon.e for som6 nujor facilities, ~ l .wird a wehhted averap Rr major and 2ninor facibties of 18 Imurs per response, including time for reviewing

instructions, iearchiny existing data sourus, gathering and maintaining the data needed, and completing and

? l i reuewing thd collectian if infornmion., Send comments regarding the burden estimate or any other aspect of 4

this collection of info;nution, including suggestions for reducing this burden, to Chief, Information Policy i

l

Branch, PM423, U.S Environmental Protection Agency,401 M Street, SW Washington, DC 20460; and to the

Office of Information ud Regulatory Affairs, Office of. Management and Budget, Washington, DC 20503.

i 4._.._..~... . General Instructions l I Ic1T form has been prtially completed by preprinting, disregard instructions directed 'at entry of that information T < 1 Talready preprinted. 2.JEnter' "Pennittee Nume.0/ ailing Addrexx (and facility name/ location, if different)," " Permit l Number," and i '"Dircharge Nundu r' w here indicated. (A separate form is required for cach discharge.) e

3. Ent'cr dates begim ing and ending "Alonitorms Period" covered by form where indicated.

4. Enter each "Paran rter"as specified in monitoring requirements of permit.

o ~ 5. Enkt "Samp!c Afwurement' data for each parameter under *Guantity" and "Guahty" in units specified in permit.,. t "dwrap* is narrmily arithmetic average (geometric average for bacterial parameters) of all sampic measurements D' for caen paranv:ta obtamed dming "\\/onitoring Permd", "Afarimum" and "Alinimum" are normally extreme high and low measurm:nts obtained during "Afamforing Period" (Note to municipals with -acondary treatment, requacment: Entr 10-day average of sample measurements imdct " Average," and enter manmum 7-day average. of umple mesure uents obtained durity; monitoring period under "Alaximum. ") 6J Enter " Permit Repirement" for each parameter under "Guannty" and "Guahtv" as specified in permit.

7. Under "No Ex". nter number of sample measurments during monitoring period that exceed maximum (and/or :

minimum or 7-de as erage as hppropnate) permit requirement for each parameter."If none, enter "fr.. j ~ i 8.' Enter " Frequency 3f Analysis" both as ".Wmple Measurment" (actual frequency of sampling and analysis used daing monitotimt period) and a " Permit Requirement" specified in permit. (e.g., Enter " Cont " for continuous - . monitoring, "'/7* for ope day per weck, "//30" for one day per month, "#90" for one day per quarter, etc.) % Enter "hnp/c We* toth as " Sample Afeasurement" (actual sample type used during monitoring period) and as " Permit hequirement," (e.g., Enter " Grab" for individual sample, "N/IC" for 24-hour composite, "N/A" for centmucus momtonng, etc.) ~10. Where violations of permit requirements are reported, attach a brief explanation to describe bause and corrective actions taken, and reference cach violation by date, 1 1 1i. If"no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry. '12, linter "Namdi'itle of Principal Executive Officer" with " Signature of Principal Executive Oficer ofAuthorlied Agent," "Teltphone Number," and "Date" at bormm of form.

13. Mail signed Report to Office (s) by date(s) sp.

rmit. Retain copy for your records.

14. More detailed instructions for use of this Dixe, ri.toring Report (DMR) form may be obtained from Office (s) specified in permit.

Legal Notice This report is rquired by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation, or by impriumment for not more than one year, er by both, r-EPA Fonn 3320-1 (Rey,08-95) e t f t 4

_. ~__ _m.-,- m.-- ~ ..__-m, . _. _ m. m i PEfesTTEE NAGE/ADOfESS musteFasesFMens'f-(DM NATscesAL pottuTANT -_- Z__~ ELIMeseAMON SYST9s fMIDESJ Fonst Apgwowed. _... DISC 8mRGE MONITOIWee IMPORT (DMR/ ,M,e M k 2EM,.O 0004 mang 9TilV&R 7 ALLEY POWEF GTriTI3M (2-M U 7-M uLD4004M i, ROM 4 ' D5-31-98 f (3093 T3) 1. "*7S'"'" ADDRE20 9, '), 3)g 1 .?Tr'.; DaffD 3R E DO N -y.,gygg( 's MMT NUMM N NN 5 HIP?tv390Rr Pa 15077 neomTonseG PeuoD h4JUP 8 EAVE [ VALLNY P O V M 3 ? %.I I P YEAR MC DAY YEAR MO DAY

~

LOCATION FROM as 17 01 TO 96 i/ ti 0 05. N 3 3 75C d t R 3 T: - l l OC# na y 7Y &nnWv (2O21) 422-2sl 124-26l 120-27) (20-299 (s0 311 ' M N**$ O 2svt. 4 PARAMETER 13cwson&# QUANTITY OR LOADNee (4 cent mi&A QUANTITY OR CONCENTRATMIN NO. W 3Amptg toe-sar tse-ets tan-ess tee-sst Iso-sts or r is2-37/ EX TYPE m ye. AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS e m byg ^ SAMPLE ccon3 Seynye Meeti ( 12) MEASUREMENT 7, 9 p 7,9 g O //Jo 4

na.

m' n3 1 3 a PERMT - ae m wne e m 4e oz soeen: 9.0: a wcE/c na: REQWREMENT en, .nu c 3, y w33 w rv y nn 0 - hy r ani s t p-

< M y st SAMPLE

' L id T4 *PiOUI? OR ( p 3) Muse ec m e m oct MEASUREMENT o ma t a t;o l O / 7 - +dNubMT hLm 3a Es'C l

?wo 1

3 3 PERMIT gpan; Jepng' cetece- $000$A; IcoccyciN c *a c ' MC!c[4 ' 371*t A { REQWREMENT gy: ggy. es i r t. w h d en ~ Soes MONfd .i e r t_ +t e r a -,.ge y a r :._ i SAMPLE MEASUREMENT PERMIT. + REQUIREMENT 'w ^ i 4 S AMPLE. 1 MEASUREMENT s PERMIT REQUIREMENT ? SAMPLE. i l MEASUREMENT l f PERMIT ~ REQUIREMENT SAMPLE MEASUREMENT e PERMIT l REQUIREMENT SAMPLE l l MEASUREMENT f REQUIREMENT ^ '[ PERMIT, { .j, pgAME/ TITLE PRWeCFAL EXECUTIVE OFFICER e cERTiFv uNota PEssaLTv oF Law TWAT e HAvE rE1tsossatty ExaMiNEo aseo / TELEPHONE DATE ? AM FAMIUAR WITH THE WeFORMATIO8e SUOMITTED MEREIN; ANo SASED One ';) t MY IB60UIRY oF THOSE IIIDtVlouALS IMAPCDIATELY RESPOfeSISLE FOR .Q e David Orndort' OSTA18eles4 THE lesFORMAT1080, e BEUEVE THE SugamTTED 18eFORMATIOes IS 4 j, -y s, ' a' / i i TRUE. ACCURATE aNo cOnsplETE. e AM aware TWAT TweRE ARE 'i SIGuelFIOANT PEleALTIES FOR SUOMITTING FALSE INFOfWAAT70N. lleCLtCIIe6 C.ncriin t ry Managm. isE possiesuTv oF FINE ANo umFRisONames'. SeE is u.s c. s iooi ANo as -StGB'IA'TURE OF FINIOCW'AL EXEdJTIVE h,, U, _ @ t -'7 o7 P1 l u.s.c. t 1sie. #wasame anser ensee asseusse mer sneemse mese esp so s70,000 TYPED OR PRINTED w er mesmuse ' r ermeneese a mance w s mi OFFICER OR AUTHOINZED AGEffT NURSER YEAR MO' DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference se artsefwnents here/ t P i l EPA Form 3s20-1106-951 Prewous editions may be used. tREPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF 60/ M3-9s3u g a v ns, .,un. ---c

f M et v. .- f. [_ ~ ( Paperwork Reduction Act Notice

: 4 p
. m,

.{. Public reporting burden for this collection of infonnation is estimated to vary from a range df 10 heurt as an g! ' average per response for mme minor facilities, to 110 hours as an' average per response fut sorte mayor facilities, with a weighted average for major and minor facilities.of 18 hours px. response, includicg time for_ myiewing

instructions, t.earching exist _ing data' sources, gathering and maintair.ing the data needed, and cmnplEting and
reviewing the collection of information._ Send comments regarding the burden estimate or any other aspect of: this collection of information,-including suggestions for reducing this burJen, to Chief, Informatim Policy 3

Branch, PM-223, U.S. Environmental Protection Agency, 401 M Street, SW Washington, DC 20460; and to the ' Office of Information and Regulatory Affairs. Office of Management and Budget, Washington, DC 20:03. l General Instructions 4 l f.('already preprinted. If form has been partially completed

y preprinting, disregard instructions directed at ' entry of that infornwtion

,2. Ebter " Permittee Name/Afailing Address (and facility name/ location, if different)" " Permit Number," and " Discharge Number" where indicated. (A separate form is required for each discharge.) ! 3.. Enter dates beginning and ending "Afonitoring Pt:wd" covered by form w here indicated ( l

4. Enter each " Parameter" as specified in monitoring requirements of permit.

F

5. Enter " Sample Alcasurement" data for each parameter under " Quantity" and " Quality" in units spedbed in permit.

" Average" is nonnally arithmetic average (geomettic average for bacterial parameters) of all sampf,: measurements for each parameter obtained during "Afonitoring Period"; "1.faximum" and "Alinimum" bre normally cureme high and low measurements obtained during "Afomforing Period." (Note to municipals with seccadary treatment requirement Enter 30 day average of sample measurements under "Arcrage " and enter maximum 7-day average of sample measurements obtained during monitoring period under "Afarimum. ") ..6. Entei

Permit Requirement" for cach parameter tmder " Quantity" and " Quality" as spectlied in permit.

1 o

7. Under "Na Er" enter' number of sample measurn ents during monitoring periad thra exceed maximum (and/or minimum or 7-day average as appropriate) permit requirement for each parameter. ~1f none, en!er "a". >

8. Enter " Frequency of Analysis" both as " Sample Afeaturment" (actual frequency of sampling and analysis used

'during monitoring period) and as " Permit Requirement" specified in permit. (c g, Enter Tont " for continuous monitorint,. "l/7" for one day per week. "l/30" for one day per month. "//90" for one day per quarter, etc.) 9 Enter "Sanple 7ppe" both as " San:ple Afrasurement" (actual sample type used during monitoring period) and as "Pe>mit Requirement," (e.g., Enter " Grab" for individual sample, "NIIC" for 24-hour composite, "N/A" for ) continuous monitoring, etc.) 10.'Where violations of permit requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference each violation by date. j fl 1. If"no discharge" cccurs during monitoring period, enter "No Discharge" across form in place of data entry. 'I 1

12. Enter *Name litle of Principal Executive Ofcer" with "Segn.sture of Principal Executive Ofcer of Authorized 1

r l Agent," " Telephone Number

and "Date* at bottom of form.

13. Mail signed Report to Office (s) by date(s) specified in permit. Retain copy for your records.

g +

14. More detailed instructions for use of this Discharge Afonitoring Report (DAIR) form may be obtained from OfIice(r) specified in permit.

fU Legal Notice 'Gisjeport is r$ uired by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can ] result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per dQ ] e f violation, or by imprisonment for not more than one year, or by both, ~ ) i i i EPA Form 3330-1 (Rev. 08-95) 1' j' i a

PEnamTTEE NAtaE/ ADORE 33pemForsh9 N-viermass(DWI-@ NATIONAL POLLUTAfeT Ot9 CHARGE EUnemATION SYST98 (APDES1 . Form Approved. NAesE DeSCHARGE MONITORWG REPORT (DMRf Ohm No. N t 'EAVER lALLEY POW 3G sit?IDN (2- ' '. (' 7-8 81 QU"' PALI. 013 ( gs p gg Approws, iga,pire,s 05-31-98 ~ i AOOREW, 0, 3)t Q , n n 3 r:,. i r. ,33 m m PERMIT NUMBER mSCHARGE NUhAtm s ? ? M ; -.D O I O auO09? F prML pier rn waa r ta 1s97' e lT e m n u3a 1EAif5R.7 ALLEY POWER 3f4TIU? YEAR MO DAY YEAR MO DAY LOCATION FROM

5 L?

t TO 95 3? $1 WO 71 0, D I S C H A 'i F, M - l 'l M3 i nav7 yvnang (2a211 (22-231 (24-251 - (2s-27/ (28-2s/ r3asti. NOTE; Reed instrucesRe before~oesRpletlRg thk festn. i PARAMETER is cent on&i QUANW OR LOAMG I4 Caci % Q4AANm OR CONCENTRADON NO. meouenc" SAmeLE 146-53! 154-619 (30-451 146-5M 154-61) or-r EX TYPE't (32 371- __ MAXIMUM UNITS nu3,. Iso-ass - 'tes-For asegys,e AVERAGE MAXIMUM UNITS J MINIMUM AVLtAGE .s SAMPLE +. e -

a. %. ~e" '

c u e~+ 9 / + 7,33 7, SF ( g O 7 GmL t >9100 [ ] 3 PERMIT c emw 39 m y ; 4 37 geg- ),3 - 4 mp; ) 'pptacgv gsqcr v3?gr

Se

"?rON Nat W s' ly' gg. REQUIREMENT I 'L34, 19 ? )M 0'J I T 3 -f cp o g g. g., e33g poege / - SAMPLE

' 4 TH?7?1F4T PL8MT f

O O ' r# } 3 6. PERMIT. p qpp.- s et.g e y e p p e. mm. p.n c,4 n3 g ggg gy, 377gg REQUIREMENT ~ me.Tgone 3,qe y3t9r g,,,,. p,y7 4 ,7 M f.7 R [ F F, 737AL SAMPLE e,oce3 m ;30 e g n,,, i MEASUREMENT <*8 . O, b. { g O o -a. /c.. f , q 3. n.,, t .t ~ou ,7 % D 1 2, 3 PERMIT ^ nugn A e e c cer c :o n g g r;m gpp3py

q,4p 3 g y s 7 gggf ggg79 I

REQUIREMENT p e r n e u,- -@2q yn n g33 9,, g 79 , p y SAMPLE MEASUREMENT l . PERMIT ; REQUfREMENT SAMPLE - MEASUREMENT [ = PERMIT - ~ REQUIREMENT SAMPLE MEASUREMENT PERMIT ; t REQUIREMENT l SAMPLE MEASUREMENT PERMIT REQUIREMENT ? NAMElTITLE PfWGCFAL EXECUTIVE OFFICER s cERTiry uMDm PmALTv oF LAW THAT I HAVE PERSONAL.LY EAAhelf8ED AssD TELEPHONE -DATE AAR FAAAIUAR VulTH THE IBfFORhsATIO88 SugaMTTED HEREsM: AfeO BASED Ost N f 1 h4Y INQUIRY OF THOSE WIDtVIDUALS testeEDIATRY RESPostSIBLE FOR /, ./ Dayid Orndorf o*T**** ** "'oaa'AT'ON. e sEufvE rnE Suses TTED iHrORasATices is m'y L Vme, / I TRut. ACCURATE AND condPLETE. 4 AAA AWARE THAT THME ARE t g.- chenistry. Manager MNIRCANT PENALTIES FOR sumamTTWO FALSE INFORh4ATION. INCLUDIIeG -[' /* THE POSS100UTY Cf FueE AfsD IRAPRISONt#ENT. SEE 18 U S.C. 91001 AfsD 33 4 p6 g'3ggg g g y e u S.c. e 131o. pasasse emser eness assmusse mer sicem aime se se sto, cop 8000sATURE OF PRINCIPAL EXE AREA i TYPED OR PfWITED mad er assh=== : - st esewesa s aisaane w a pars # OFFICER OR AUTHORIZED AGENT CODE NURSER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Refersnee af ettschmener heref g '4*H "AALL R: 43 SISCM4Fi? F T' L 3 P.

T ' M ' t. 7 D ~ 3R V ! '3 T 'l# P 3 6.
IF 3'HSR T 'I A M T P. A C E A 9 3!' N 7 9 F

EPA Form 3320-1100-961 ProveOue editions may be used. IREPLACES EPA FORM T-40 WHICH MAY NOT BE if4ED.) PAGE OF t ~ 0 0 6 3 D 610 0 3 - M UI L ~m ~. n -

A g ._. y Paperwork Reduction, Act Notice. j t j l Public wpmting turden (cr this collection of information is estimated to vary from a range of 10 hours as an 7 ( average pdr respee f 4 wme minor facilities, to 110. hours as an averaye per response fer some' major facilities, j

j. ;

y ~l lwith i weighted averg;. for uujor aud minor facilitissmf 18 hours per resporise,(including time for rekiewing j t instructkms, fearching en ting data r,ources, gathering and maintaining the data'neeled, and completing and I i ~ l reviewing the co lecti;c of infornation. Send comments regarding the burden estimate or any' other aspect of !this collectico of info mation, including suggestions for reducing this burden, to Chief, Information Policy I

Nr' nch, P4223, US Environmental Protection Agency,401 M Street, SW Waddngton, DC 20M0; and to the a

j effice of information att Regulato(y Affairs, Office of Manzgement and Budget, Washington, DC 20503. l-t i . General Instructions 2 n. t 1 !1.;1f form has been partially completed by preprinting, disregard instructions directed at entryif il5at information i already preprinted.. jnter' "Pennittee Ncmc/Afadmg Address (and facility name/ location, 'if different)," " Permit Wumber " and. i ' 'i charge Numba" dere indicated. (A separate form is required for cach discharge.) mt

3. ' Enter dates beginning and ending "Afonitoring Period" covered by form where indicated.

o r o 4.. Enter each #farameter" as specified in monitoring requirements of permit. i t 5.; Enter "Sampfe Afercment dma for each parameter under "Guantity" and " Quality" in units specified in permit. j "Awrage" a ncrmWy arithmetic a <crage (geometric average for bacterial parameters) ciali sample for each parameta ebruned during "Alonttoring Period" "Afanmum" and "Afinimum" are normallymeasureme l extreme high aml;]ow nicaturmcnts obtained during "Afonitormy Period." (Note to municipsis with secondary treatment 4 4 requirement: Ena c 30-day aver he of sample measurements under " Average." and enter maximum.7 day average ; l f f orsample measurements obtamed during monitoring period under "Afarimum ")., t '6 " Enter Yermit Reprrment" for cach parameter under *Guantity* and "GualiCv" as specified ;n pennit. O '7. Under'"No E " enter number of samp!c measurments during monitoring period that exceed maximum (and/or l .mhtimum'or 7-day acrage as appmpriate) permit requirement for cach parameter. If none, enter ?0"J j .,C s .f>.-Enter :"Fecquenry of Ara /pis" both as "Seunple Afeamrment" (actual frequency of sampling and analysis used - i Jdcring momforing period) and as " Perm!t /tequirement" specified in penmt. (e g., Enter " Cont " for continuous - monitoring. "l/7' for one day per weck *1/30" for one day per anonth, "//90" for one day per quarter, etc.): l 9.! Enter'"Sunf e 7)pe" both as " Sample ifca.wrement" (actual sample type used during monitoring period) and as l " Permit 'tequirement," (e.g., Enter " Grab

for individual sample, *24/IC" for 24-hour composite, "N/A" for

continuous monitoring, etc.)

10.- Where vi~ lations ofpnnit requirements are reported, atfach a brief explanation to describe cause and corrective o , actions taken, and re.erence cach siolation by date. I1. If "no d[scharge" oduits during rnonitoring period, enter "No Discharge" across form in place of data entry. ~ 1, ~

12., Enter "Name/ Title of Principal hecutive' Oficer* with " Signature of Principal Executive Oficer ofAuthorned j Agent " " Telephone Number

and "Date" at bottom of form. '

$. Mail signed Repert to Office (s) by date(s) specified 'in permit Retain copy for your records. 1. [ i4. More detailed instructions for use of this Discharge Afonitor/ng Report (DAf16 form may be obtained frorn Officc(s)

j

~ specifiedin perm;t 1 Legal Notice - Thisfreport is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to repo'rt truthfully q i result in civil penalties act to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation, or by iroprisonmcat for not more than one year, or by Imth. 4 a 'l j EPA Form 3320-1 (Rev. 08-95) y a v e-.~m,, ,,.r.c, .~ ,r-- v, w

FEUMTTEE 80AW/ADOfE334=se=6FeestsyMausmesse==(Dt- >< NATiossAL POLtuTAssT coscHAfter a;nsesATiose sYsTes Feent Appeeved. R & Y k i V.L L L ? Y '. P O V M R 3 7 A: M 477-1 8 '101 OM*1! CAL V 3 S T M " N ( HIIM 75) [ .ADDRE03p.D e _ O K t;

* ' ' M C * %

'0' t a n; p ai r; an oonr PERM NUWE3 N uunmEn p,.77ggg 3 H I F P l t 'i ? O E ' 7! 1537' M J O *t NOf4NG PEfu00 ' '"C"" 7 C R V 5.* it 74LLCT POV N S T' A T I J N YEAR MO DAY YEAR MO DAY f LocATwo FROM -r 3 1. >t TO "s i/ i 4L Ot7 C ISCHAMCP l - U # C a' + s++n per71 % a : n t\\ 3 n s 12O2fl 422-2M 124-25) - 426-279128-2M f30371! N N i (3 M W ML (d C"W W MAMlW M MM NO. mecum ggggg PARANTER

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(30461 946-5m 15+09) or EX TYPES mm AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS asus me, ,2 SAMPLE c?eeec ecohem MEASUREMENT 7, # 1 7,to ( }. y O //7 G4 i cee409 i 1 PERMIT . n eegg esof M $ MS- .Q , 9 4 3 -) 1 j g $c7h g. ~y,..,,,,,. REQUIREMENT eM3M~ ).D L* M R f: R&P- ++n gY9r W d i r a (f * ' di SAMPLE ngm e eens o ne* 3 ( {gg d v h A~ -)LTD3, T3rt L i Y 90 PENDED ig5 JC 1 ") 3 PERMIT o c c te e ^

cheAe9-0: O c COktc3 10-MO gF ggly:

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~97+ y e, r_ 3 333 .yg ,ggz .gg7L7 y7 v,. j L SAMPLE MEASUREMENT PERMIT. l REQUIREMENT 6 P M AL M OppgCER l CEnTIFY tAIDEn PWeALTY OF law THAT f NAVE pen 9OpeALLY ERAbeneED AssO I TELEPHONE DATE s Ane FAAAILsAR WITH THE NeFoslasATIOst suSRAITTEO MEnEue: AflO SAsED 050 A = AAY lesoulftv OF THOSE IIIDtWIOUALs Ibeh8EDSATELY nEsPosesIBLE FOft I / / %.7 OSTAfgelsee THE IsfrOfhPATICII. I BELfEVE THE sugadITTED WeFOmeAftons es / 4 David Orndorf Taue. AccunATE Asso consetETE. i Ann AwAnE THAT THEnE AnE .ty.- e Chenistry, tanager THe,eic.A.nv.,PEmA,Lms con sumamTTwea ratse enomeAnom. =ctuomo 412 393-5113 97 01 27 i mann TYPED OR PMWWTED sas er. - 3y o piesE sse stassanne mer nessene mas. v.s.c. e isie. sasammes.Asso espiesoeuwseT. sEE is u.s.c. s i.ooi Amo ss o + se sto. coo stepsATURE OF PINIOCIPAL E CUffvt

er enewson a meas >==a s yumrw 0FFICER OR AUTHOfu2EO AGESIT 98UtdBER YEAR MO DAY r

CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS IMeference at effochments here/

f f " 9 A Z I N E 4 N 3 It 1.5 3 914 N9dIT7RIKG 70 8 " ' Y. ' OE"TVO Sf?IO15 OP MfT LTYOP.

f I EPA Form 3320-1108-951 Prewous editiOne may be used. IREPLACES EPA FORM T-40 WteCH MAY NOT BE USED.) PAgE OF -,.--._,..._-,m_i...,- ---, --.-- _. - -.- ~.... - - - ---- ~ ~ -.. --A-.

o m

o4e,

-:=- + 1 j t [/ Paperwork Redue: ion -Act Noticei T 4 i i e 1 y ~ 3 l ptihhe~repiting burdm ict this colixtion of infonhation is estimated to vary from a range of 10 hours as an ~ ) au rye per r6 pense ! r renw minor facihties, to 110 hours as an average per response for sorne major facilities, l with) w4bted averagfer majorud mindr facilities of.18 hours per response.'includmg tind for niviewing l j ;indingtionsit.carchiny <xistins data' sources, gathering and maintaining the data needed, and completing and i 1

reviewing the col!cction. bf infarroation. Send conmient> regarding the burden estimate or any other: aspect of i

! this co!Iection of inf"rmat.on, including t.uggestions 'for reducing this burden, to Chief,'Information Policy l { Branch, PM-223, U.S. EnWronnwntal Protection' Agency. 401 M Street, SW Washington, DC 2GE0; and to the ! Office of Infonnation acd Regulatory Affaini, Office of Mans;ement and Budget, Washington, DC 2050L l 4 General Instructions t

I.;1f form has bet.n partially completed by preprinting, disregard instructions directed at entry of that'inforrnation j

+1 ready preprinted. r. l2. Enter " Permittee Name?Afailing Address (and facility namcIlocation, if ditTerent)" Permit Number " and '

" Discharge Numb # where indicated. (A separate form is required for each discharge.)

3. Enter dates begim'ing ;md ending "Afonitoring Period" covered by form where indicated.

- [

4. Enter each "Parancur" as specified in monitoring requirements of permit.

9 .4. Enter " Sample Af wrrmenf* data for each parameter under "Guantity" and "Gunlity" in units specified in permit. i 1 Werge" is ocrm!:y arithmctic average (geometric average for bacterial parameters) of all sample measurements for eat.n pammeta obhined during "Alonitunng Penod'; "Afarimum" and "Afinimum" are normally extreme high .and low measurenn nts obtained during "3fomroring Period" (Note to municipals with secondary treatment trqmrctaeol( Emer 30. day aserage of samp!c measurements under " Average," and enter maximum 7-day average of sample measut ements obtaincd during monitoring period under "Afarimum ") { W Enter "Penmt Repircment" for each parameter under "Guanbry" and "Guahty" as specified in permit,

d. Under."No_ E2" enter number of ' sample measurments during monitoring period that exceed maximum (and/or minimum or 7-df.y a6cmge as appropriate) penuit requitcment for each parameter If none, enter "0".

u 8, inter."#requency of ealpis" both as " Sample Afrusurment" (actual frequency of samplitig and analysis used daring monitoring period) and as "Pennit Requirement" sprified in permit. (e.g., Enter " Cont," for continuous. monitoring. "l/7* for one day pr

week, "160" for one day per month, "l/90" for one day per quarter, etc.).

9. Enter " Sample Upc" both as "Somp!< Alcasurement" (actual sample type used during monitoring period) and as -

" Permit Requirement," (e.g., Enter " Grab" for individual sarnple; "2.ric P-2t. hour composite, "N/A" for continuous monitoring, etc.) -

10..Where violations of pennit requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference each violation by date.

'll, if"no discharge" occurs during moni:oring periodienter "Nu Discharge" across form in place'of data entry. .12, Enter "Namemtle'of Principal Executive Officer *' with

Signature of Principal Executwe OJJicer ofAuthorized Agent " " Telephone Number," and "Date* at bottom of fann.

[13. Mail signed Report to Office (s) by date(s) specified in permit. Retain copy for your records. ~ +- 14, More detailed instructions for use of this Discharge A/omforing Report (DAfR) form may be obtained from Office (s) specified in permit. 7 Legal Notice -This report is required by law (33 U.S.C.1318; 40 C.F.R.125,27). Failure to report or failure to report truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation, or by imprisonmect for not more than one year, or by both. ~ 4 EPA Form 33201 (Rev. 08 95) h l._- k s

PERMITTEE NAME/AODRESS WFereb9Naine'Imesa==(ffN!broert NATIONAL POLLUTANT DISCHARGE FUMfMATtON SYSTEM (NPDES / Form Approved. NAME N J~gy

gLLg7

,gj;, 73e7. _WjE M N M m i[t7% 7a; py7 D r c pr e y OMS No. 2040-0004 ^EE# 88 ADORESS9,3, ij! 1 ^ ' ' ' ' ' ' ' ( $ D 4 'i 'i) PERMIT NUMBER DeSCHARGE NUMBER .Iiv; Di(!9 1 ; S ? O t' :. p, g 7. 4

i. 12e77 a n,y 3 '

a, n,, r p - r. n a s, t 2c s. MONITORING PERIOD FACEITY .g.,y .j 3, 77., g.;, ,3 7 y LOCAT m FROM TO o< .i z $e0 4n 7 I r C'i A f ;( l l 300 . r-a. r-r;, ,1= (20 217 (22-23; (24-251 (26-2h (28-291 (3&3,j NOTE: Reed instructions before*~cornpleting this form. PARAMETER (3 cent omy QUANTITY OR LOADING (4 Card on&f QUANTITY OR CONCENTRAN NO, FREQUENCY' SAMPLE 146-531 154-619 13 M SI 446 531 (54-691 OF (32-Jn EX TYPE T ANALyss AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS m.es,

fsm, g,m SAMPLE e :. e, * ~ 3

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MEASUREMENT K{Q 7ff '.,) /& ( t, PERMIT e3933-

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MEASUREMENT PERMIT ?cson* %eetb3 ? 'ct a tim p ?) 10n gvCy , 9 *, g s 39 i a REQUIREMENT e m_ _.,7-u 3 r., : ,a g 7., gg7p,, y .njr mp .. ~ jl>

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e Mr ff e : 13 30 yIc;f gg3 - s REQUIREMENT ,7 3 ; ,y ,g 3y, p37gy p, a f; eyp 11 :' il ; ; 7 SAMPLE ( ']) a5*eae 1.% e e e ? eg e i e

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-..;_ yg7, SAMPLE MEASUREMENT PERMIT REQUIREMENT SAM *LE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT NAME/ TITLE PRINCIPAL EXECUTIVE OFFICER s CERTwv UNDER PENALTY OF LAW THAT 4 HAVE PERSONALLY ERAMINED AND ~ TELEPHONE DATE AM FAMILIAR WITH THE INFORMATION SUSMITTED HERElN: AND SASED ON / /9 [ MY IMOUIRY CF THOSE fNotVIDUALS PMMEDiATELY RESPONSIBLE FOR OSTA!NtNG THE sNFORMATION, t SEUEVE THE SUBM1TTED INFORMATION IS

j. [,' f UllV i d (IfildO r,-

TRUE. ACCURATE AND COMPLETE. 6 AM AWARE THAT THERE ARE 'f, N -/ f >g SUGNIFICANT PENALTtES FOR SUBMITTING FALSE INFORMATION. INCLUDtNG Cheni s t.ry himar,c r THE POSsresuTV OF FINE.AND IMPRISONMENT. SEE 18 U.S.C. 91001 AND 33 SiONATURE OF PfuMCIPAL EXECdfTIVE

7

? (n t i 11 u.s.C. e 1319 ewism. e, Mar mese essa,we awr 6icam ibwe ne so #r0.000 g 07 n1 7? TYPED OR PRINTED a Nrermovenesc a - er6er-ar smenens saar s reeras GmCER OR AUTetORIZED AGENT NUMBER YEAR MO DAY COCE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference s#strechments herel EPA Form 3320-1 108-95) Previous editions may be used. IREPLACES EPA FORM T-40 WHICri MAY NOT BE USED.) , q,i y,, / u, 31,,,; ;, t._ ' i, r. PAGE ( OF

a ( d i ' Paperwork Reduction Act-Notice i 4 i L -j m-Public (eporting burden for this collectio:i of iriformation is estimated to vary from a range of 10 hours as an - average per response for some minor facilities, to 110 hours as an average per respouse far some nujor facilities, l

with a weighted average for. major and minor facilities of 18 hours per response, inclu3,ing tire for reviewing j-instructions, hearching existing data sources, gathering and maintaining the data needed, and hornpleting and i

Ineviewing.the' co!!cclion of information.. Send comments regarding the burden estimate or any othei aspect of {this collection of information, including suggestions for reducing this burden, to Chief, Information. Policy ? I l (Branch, PM-223, U.S. Environmental Protection Agency,401 M Street, SW Washington, D^ 20460; aind to the j !OfTice of Information and {egulatory Affairs, Office of Management and Budget, Wa.shington, DC 20503; 4 1 1 e General Instructions -)

I'..lf form has been partially completed by preprinting, disregard instructions directed at entry of that information already preprinted.

l ?

2. Enter " Permittee Name/Afailing Address (and facility namellocation, if dificrent)," " Permit Number," and

( " Discharge Number

where indicated. (A separate for.m is required for each discharge.)

h 4,3. Enter dates beginning and ending "Alonitoring Period" covered by form where indicated. m t. { ?

4, Enter each "farameter" as specified in monitoring requirements of permit.

5.. Enter "Samplc Alcaxuremeni" data for each parameter under " Quantity" and "Qualiry" m uruts specified in permit-- i " Average" is normalle arithmetic average (geometric average for bacterial parameters) of all sample measurements - for cach parameter obtained during "Momtonng Period"; "Afaximum" and "Alinimum" are normally extreme high - and low measurements obtained during "A/uniforing Period" (Note to municipals with secondary treatmerit t requirement: Enter 304y average of sarnple measurements under Wrage,* and enter maximmn 7-day average l

of sample measurements obtained during monitoring period under "Afarimum ")

l '6.TSnter " Permit Requirement" for each parameter under *Guantity" and *puality" as specified in permit. i

7. Under "No Ex" enter number of sam;>1e measurments during monitoring period that exceed inaximum (and/or i

reinimum or 7-aay average as appropriate) permit requirement for cach parameter. If none enter *0", 8J Enter "Ficquency of Analytis" both as " Sample Memurment" (actual frequency of sampling and analysis used

during monitoring period) and as " Permit Requirement" specified in permit. (e g., Enter " Cont," for continuous monitoring, "l/7" for one day per week, "160" for one day per month, "l/90" for one day per quarter, etc.)

l . 9. Eriter'" Sample 'l)pe" both as " Sample Afeasurement" (actual sample type used during monitoring period) and as " Permit Regrirement," (e.g., Enter "Grah" for individual sample. "MK" for 24-hour composite, "N/A" for continuous monitoring, etc.) { 210.lWhere violations of permit requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference each violation by date. j I l'). If"no discharge" occurs during monitoring period, enter "Na Discharge" across form in place of data entry. s i

12. Enter "Name/ Title of Principal Executwe Oficer* with

Signature of Principal Executive Oj]icer ofAuthort:ed

= Agent," " Telephone Number," and "Date" at bottom of form. p 13' Mail signed Report to' Office (s) by date(s) specified in permit. Retain copy for your records.

14. More detailed instmetions for use of this Discharge Afonitoring Report (DAfR) form may be obtained from Office (r)

^ U specified in permit. Legal Notice j T This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to' report truthfully can { result in civil penalties not to exceed $10,000 per day of violation; or m criminal penalties not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both. ,r L EPA Form 3320-1 (Rev. 08-95) -t 7 t ~

PERMITTEE NAME/ADORESS &=rwe Feree N==WLereme= efD jlt-==$ NADONAL PULLUTANT DtSCHARGE EUMSNADON SYSTEM (NPDES) Form Approved. i NAME N M R N G R N T (D 7-, 7 ; L ;,, y-4 7 g 7 7 y< tt7 -(ypg

y 7 7, y y,,

OMS No. 20N i (3H3" 1 i) Y.f" ADDRE!S 2. 3. 57 1 ; " il Tr e f PERMIT NUMBER DIScHAAGE NUMBER n , a

x,.

.n a., i a

o. ". ' n. n a e p 7 7 3

,L. ,s ~ op 4 ; -,# 3 s. - ' 7,J 3' ', i ~ MONITORING PERIOD FA N . 3 t jyLL T pgg. 7 T g,, 7 3 YEAR MO DAY YEAR MO DAY \\je 3 ~ LOCAt m FROM 1 TO 94 1 i; no? O 3 3 3 t 4 i a '; r { j co? 7r3- ,~!' s m r' (2&2ts (22-23; (24-251 (26-27s (28-2s> (30'3t1 NOTE: Reed instructions before completing this falm. r+,. ,s PARAMETER (3 cento W QUANTITY OR LOADING I4 Cant OW QUANTITY OR CONCENTRATION NO. FREQUDeCt SAMPL,E I46-63) (54-611 (36-451 14 s-5 3) (54-sty oF (32-37; EX TYPE ANALyS,S AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS es* ts4-ses (snos SAMPLE c,3e**~ .ene < n e. e t 9 e s MEASUREMENT [ Y j, [,(>.5_ { ),) h 0, rr6 b s PERMIT w y.> 3 3. a 33ege e 33 ,p. opnpa

,p 3 gygyf, q39 m;

REQUIREMENT c,, 7,,,,

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,. ; 7.,, p y - ,. g 7 7 y,, 9,q -., g -- 3 SAMPLE ne-e* e*n-~ +~+0.~ ,q) c! N - W MEASUREMENT 4Y 4h [ ' {,, fo,.< p. PERMIT 7,nene %eene 9 atown (; i t} -) g y g y, g pppy 3cip 9 o e REQUIREMENT 3,, y, y g 7g ,7 y y,q 4 ..p,5',,..., MEASUREMENT O, col o,co3 O Jdo 2sr SAMPLE 3) s t ae ? - -te*or w ; e e.; ,g# y -)g3,yr r .-,y(,. .- 3i u PERMIT - ,u,e pr p3%- n 3 r es n e oemt mye g o a.y e : s..- g 7 syr y 5ypgg REQUIREMENT _,_7 t, p, y,,,,, 7 y pp ., 7 9 7 4 73,.. 73 .c SAMPLE MEASUREMENT PERMIT REQU6REMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT NAME/ TITLE PR!NCIPAL EXECUTIVE OFFICER I CERDFV UNDER PENALTY OF LAW THAT e NAVE PERSONALLY EXAMWED ANO / TELEPHONE DATE e / [- AM FAM4.lAR WITH THE INFORMATION SUBMfTTED MEREIN; ANO BASED ON / ,h I MY fNOUtRY OF THOSE INDIVfDUALS IMMEDIATELY RESPONSIBLE FOR / / t L.jAA>uff ) ?--. ' ,,,av i u, O rn a.orf OBTAINING THE MFORMADON. O BELIEVE THE SUBMITTED fNFORMADON IS g) 1r v TRvE. ACCURATE ANo COMPLETE.

Au AWARE THAT THERE ARE i

3 9GN#RCANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING +1y r Cltem s t ry.m.n ay,e r g Nls - 9' 4'1 2 '# e sJ 1 THE POSSIBlilTY OF FtNE.AND i,MPRIS.O.NMENT. S,EE 10 U S C.,91001 ANO 33SIONATURE OF PRfMCIP ELL EXE u.S.c. e 13ie. sFea.o..nm e eie w nae u. e s 7o,000 g, .: er een Mw., m. TYPED OR PRINTED eas er meremen t-- NUMBER YEAR MO DAY s meams.as s r ras OFFICER OR AUTHORki'D AGENT CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference e# ettechments herel EPA Form 3320-1 (08-951 Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF g n

l ,~ 3 1 .-...p-..--.--.--,_.._ y L' l Paperwork Reduction Act Notice: ,t ^ ! Pubhe repor'ing burde fcr this cc.llection of information is estimated. to vary from a range of 10 hours as h [ t l ! i ayirage per response fs a me minor lfacdities, to 110 hours as an average per response for some major facilities, 1 j hvith a weighted avengfcr nujor and minor facilities of IB hours per response, including time for reviewing l l !mstructmnp, searchint existing data sources, gathering and maintaining the dats needed, and completing and l-

rcWewing the coIIccti.2 of infoumtion. Send comments regarding the burden estimate or any other aspect of

~ y [ j jth6 collectian of inf rmat:on, including mggestions for reducing this burden, to Chief, Informatiori Policy [ j Branch, PMd23, U.S. Environmental Protection Agency, 401 M Street, SW Washington, DC 20460; and to the l , Office of loformation and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503, j l nL _._ > ( i t i r L ^ -Gsneral Instructions - ~ !1cIf fann has been cartially completed by preprinting, disregard instructions directed at entry of that:information -already preprinted-t 4 2. Enter ~

Permittee Named /uding Address (and facility name/ location, if different)," "Pendit Number," and

' " Discharge Numtn" w here indicated. (A sepamte form is required for each discharge.) 9

3. Enter dates begimung and ending "Afonitormg Period" covered by form where indicated.

4. Enter each "Paramerce" as specified in monitoring requirements of pennit..

e '5. Ento "Sompic Mmerment' data for cach parameter under "Ouantiiv" and "Guality" in units specified in permit. j Wrage"is norm *y mthmetic average (geometric average for bacterial parameters) of all sample measurements for eacte parametcr ottuned during "A/omforing Period"; "Afanmum" and "A(inimum" are normally extreme high l 4, and low mcasura mis obtained during "A/onitoring Period." (Note to municipals with secondary treatraent . requirement: Ena Eday as erage of sample measuretnents under " Average " and enter maximum 7-day average z j

of sample measurements obtained during monitoring period under "Afarimum ")

l6.' Emcr "Perrmt Requirement" for each parameter smder "(?uantity" and " Quality" as specified in pennit. ^

7. Under "No In" esta rumber of r, ample measurments during monitoring period that exceed maximum (and/or

,iminimum or 7-day as erage as appropriate) permit requirement for each parameter. If none, enter "0". '8. Enter PFrnjuency qf halysis" both as "Samr/e A/eaturment' (actual frequency of sampling and analysis used. Eduring monitoring period) and as " Permit Requirement" specified in pernut. (e g., Enter " Cont " for continuous - monitoring, "l#' for one day per week, "/60" for one day per month, "//90" for one day per quarter, etc.) . 9c Entel" Sam / e 7)p" both as " Sample A/carurement" (actual sample type used during monitoring period) and as d "Pennit Require ment " (e g;, Enter "Grah" for individual s. ample, "NIIC" for 24-hour composite, "MA" for continuous monitormg, etc.) '10.;Where violations of permit requirements are report'ed, attach a brief explanation to describe cause and corrective actions taken, and reference each violation by date ~11; If "no discharge" ocons during monitoring period, enter "No Discharge" across form in place of data entry. -l2. Entet;"Namemtie of Pnncipal Executive Oficer* with " Signature of Principal Executive Oficer ofAuthori:cd Agent,* " Telephone Number.* and *Date" at bottom of form. ~

13; Mail signed Report to Office (s) by date(s) specificd in permit. Retain copy for your records: 14. More detailed instmetens for use of this Discharge A/cmitoring Report (DMR) form may be obtained from Office (s) specified in permit.

l .. 1 Legal Notice

This' report is required by law (33 U.S.C 1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can l

result lin civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to r.ceed $25,000 per day i of violation, or by imprisonment for not more than one year, or by both. i i 4. 1 EPA Form 3320-1 (Rev. 08-95)

PEnaNTTEE NAtdE/ADOMSs thedWaerenewamorgmen grDWheat NAT10 mat PottuvaseT twecesanos EummmAT10N svstas (APDE31 Fomi Approved na sg DescHAReE MONITOR 508 REPORT #DAMI %EA732 ( P. I, L ?. T P3402 3 T A T I ?r g - (2-m f r 7-m ' M IT 2 3ERVICE VA OMS %@r ' '8 (sugg 09 'f'l** i AconEss p, 3, mo

- ca,-c*<

'$ti a PERMIT NUMBE3 suscHan9E IMMER ATIN; JAFID GM DO W F --FI4kL-3HIPPIvn rit n 15377 u g ggy m m "A10? 90Afth 7ALLET P 3 W f '+ 3?iLTI39 YEAR MO DAY YEAR MO DAY LocAnON Reesi h Wl h,,, iseine Wds h FROM 1y at TO 1' $1 'Oct 90 prgCHApOg 400 i essRe I gcm. nayTn 9asn3"e (2cL21s (22-23 (24-25s (2s-27; (25-2m (Jo'37, - NOTE: PARADETER (3 w w i OR Le to w %s MWM N M NO. ---

SAtrLE r

(4s-53 (547) f35-457 tes-53 tsurf oF - (37-371 EX wass TYPE,* AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS neasi fo u g, og r SA E 4,01, iW 3 t D lf T T Pt l' 93g t@MH Web $$ $$ m e i ~tRU *RP47FENT PLA%? O

? C 'i G 1

3 0 PERMIT

3ppy;

. pnpng A4We W @e4 .. C47#M r tot f^5 GGY ' MQ i .Ec.qeve REQUIREMENT gg,. ,,3v;y,,y

s scec o 3 cy yqrfi SAMPLE I

MEASUREMENT F REQUIREMENT { SAMPLE [ MEASUREMENT e PERMIT REMN m [ SAMPLE MEASUREMENT PERMIT 3 REQUIREMENT SAMPLE MEASUREMENT p PERMIT i j REQUIREMENT [ S AMPLE - MEASUREMENT I PERMIT 'l REQUIREMENT 1 I SAMPLE MEASUREMENT i PERMIT REQUIRESENT 6MMM i CERTIFY uB8 DER F9eaLTY OF LAW THAT 6 MaVE. ,miiLY EEUWAINED afs0 TELEPHONE DATE mAA FaA41Uan WWITM THE IISPOIIRAATIOes sugamTTEO MER8ee; afl0 SASED 080 .t AfY leeQuiHY OF THosE INDIVIDUALS mansEDIATELY REsPOIssleLE Foft ,j OSTaississe TME INFORasATION, 9 SEUEVE THE sugestTTED eleFOfRRATION is g. I Davi Orn orf Tauf. AccunATE amo consFtrTE. e ans amvant TWAT TwEnt ant ,,.f*' >,e FM i seasoFicassv FeenLTiEs Fon sumamTTina PatsE issFosumafion. sectuomes - SteNATUIIE OF M g 412 393-5113 97 01 27 THE posecuty oF n=E amo mariosossuser sEE te u,.s.c. e soci ano as ,, ' g. i ~ - -,,, m,,. m r -^ u.s.c. a tste. ameususe muur ensee a.manee mer.assena mese ao se sto. cop TYPED OR PR56TED ene er eressw. s menen. a s yeess opricER OR AUTHORIEED A4ENT AREA

cnn, NumeER YEAR MO-DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS fReference of effechments heret O b t '. ( b a t ie r f

EPA Form 3320-1 908-96) Prewooess odroons may be used. IREPLACES EPA FORM T-40 W99CH aAAY 900T OE USED.) PAGE OF g ,7g 7,gg ,-._--.~...-...w..-. z,..

. ~. m PERAMTTEE NAM /AODRESS thhehenwpNo.s/w gregw.,) NATIONAL pouuTANT c>scwARoE EuMNsAnON SYSTEM (NPOES) Form Approved. NN N '0"si !N!r 2 3 E 9 7 I C t' WA O W No. N ? I NAE H F A if E R ii?LLFf f3WE2 i Y A ? I"; y (2-r ol rt 7-t EP (3poR D5) ADORESS p, % gy g

- Ni'"<9r 5 5S PERMT NUMBER ot9CHMIGE NUMDER

&?EN; DAFIC OR M D() y e y 4 .IHIPDIS R31i F8 15077 NIOMTORM PERIOD "AJ3R " ? % 7 E h. 7 6 L L '* T P3WF4 ~Y%TI3" YEAR MO DAY YEAR MO DAY LOCA M FROM a t, 1, t1 TO u +, 1? 41 Me 90 0;ggggy3P j Q cet NOTE Reed M W oompienRt deinforRe. \\*vt. n*7*a a: en9-r (2& 21) (22-23) (24-25) g26-27; (20-29) g30w3rp PARAMETER (3owir W mMM M LOADWG 14 w W NNM M NM NO. 'REcugNCf SAM'LE I46-539 154-619 13tM61 446-539 166 619 O* 13M71 EX . TYPE

ANaysis j

AVERAGE MAXIMUM UNITS MNIMUM AVERAGE MAXIMUM UNITS mm (s+ser fe m 'LM, 15 '* 3 % C U " ! 'P n )) 3339e; w e g e r. c9agge l SAMPLE bC ' i p ij e o c s ! *:; % T PLAkT 61 PERMT

20'i0 1

3 0 ggpp; pppgq7 ccc m etccyg egegen See .t gggtg '371 9 REQUIREMENT c.qny, ~. c y,, n e: g,,,. y,g, 3.m SAMPLE MEASUREMENT PERMT = REQUIREMENT SAMPLE i MEASUREMENT r PERMT-REQUIREMENT { SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT

PERMT REQUIREMENT L

SAMPLE. MEASUREMENT r PERMIT REQUIREMENT SAMPLE MEASUREMENT i PERMT ' i REQUIREMENT NAM (ITLE PMAL EXECUThff OFFICER I CERTIFY UNDER PEhALTY OF LAW THAT t HAVE PER90 8 ALLY EKAMtNED AND TELEPHONE DATE AM FAMILIAR WIT I THE WeFORMATION SUOMITTED HEREIN; AND BASED Oes A MY INQUlftY OF THOSE IIIDIVIDUALS IMMEDIATELY RESPONSIBLE FOR ' J... ./ / ', CGTA4NING THE IteFORMAT1088. I BEUEVE THE SUOMsTTED INFORMATIOes IS ' ' fh' ',e Jg' TRU ACCUR AND COMPLETE. I AM AWARE THAT THERE ARE NA' I Day Ld O rn<3or.g ma E,NeANT, ATE s ENALnES Foe sueMiTTwo Fast mFORManON. mCluDmo im.. u, -,,, u.m,wr THE POSSuPIUTY OF FueE ANO IMPR,90NMENT. SEE 10 U.S.C. 91001 AND 33 412 393-5113 97 01 ,, 7 u.s.C. n 13:e. amasMw unr mee smanne may menusse ow.. se ssom sooIWATURE OF PRNOCIPAL EXEt TYPED OR PRINTED sav er -erserw e nw.m.-w s Fearms OFFICER OR AUTHO842EO A6EffT - MJMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Metae s# ettschments heref t () h i * - t' b n l' n C EPA Form 3320-1108-36) Preh odraone may be used. (REPLACES EPA FORM T-40 WteCH MAY NOT BE USED.) PAGE OF j n,7gfqg )gy,p qq -,,o,-

I I r_-..._-d.-- . Paperwork Reduction Act Notice [

Public reporting burden for this collection of information is estimated to vary from a tunge of I'O hours u kn

'i inverage per resporae for some minor facilities, to 110 hours as an average per response for wmt raajor facilities, with a weighted average for nujor and minor facilities of 18 hours per response, including time for. reviewing

instructions, searchig existing data sources, gathering and maintaining the data needed, and completing and

! reviewing the. collectmn clinfonnation. Send comments regarding the burden estimate or any other upect of $this collection of information, including suggestioris for reducing this burden, to Chief. Infonmtion' Policy f . Branch, PM-223, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC 20460; and to the

Office of Information and Regulatory Affairs, Office f Management and Budget, Washington, DC 20503, General Instructions i

,1cif fonn has been partially completed by preprinting, disregard instructions directed at entry of that information 'a! ready preprinted. 2lEkter " Permittee Name/Maihng Address (and facility namellocation, if ditTcrent)," " Permit Number," and " Discharge Number" where indicated. (A separate form is required for each discharge.)

3. Enter dates beginning and ending "Afemitoring Period" covered by form where indicated.

~ 4. Enter each " Parameter" as specified in monitoring requirements of permit.

5. Enter " Sam;>le Measurement" data for each parameter under " Quantity" and "Guality" in umts spe:ified in pernut "Arcrage" is normally arithrvetic average (geometric average for bacterial parameters) of au mmple mesurce:-u for cach paranHer obtained during "Afamtormg Period"; "Afaumum" and "Ahnimmn" are normally chme high and _ low measurements obtained during "Afonitoring Period" (Note to municipals with sccoadart treatment T requiremect Enter 3041ay average of sample measurements under "Arerage," and enter maximum 7,iay average i

of sample measurements obtained during monitoring period ander "Afarimum.") 6J Enter " Permit Requirement" for each parameter under *Guantity" and "guahty" as specified in permit.

7. Under."No Ex" cater number of sample measurments during monitoring period that exceed maximum (and/or i

minimum or 7-day average as appropnate) permit requirement for each parameter. If none. enter "0", ' l l

8. Enter "Frequemy of Analysis" both as " Sample Afeasurment" (actual frequency of sampling and analysis used during monitoring psr od) and as " Permit Requirement" specified in permit. (e g., Enter " Cont," for continuous monitoring, "l/'" for one day per week. "ldF' for one day per month, *1N0" for one day per quarter, etc.)

/

9. Enter " Sample Type" both as " Sample Afeasurement" (actual sample type used during monitoring period) and as

" Permit Requirement," (e.g., Enter " Grab" for individual sample, "21//C' for 24-hour composite, "N/A" for continuous monitoring, etc.) 10.'Where violations of permit requirements are reported, attach a brief explanation to dexribe cause and corrective actions taken, and reference each vio:ation by date. I1. If"no discharge" occurs during monitoring period, enter "No Discharge

across form in place of data entry.

12. Enter "Namerfitte of Principal Deestive OJJicer" with " Signature of Princir>al Secutive Officer of.1uthori:ed l

Agent,*

Telephone Number," and "Date" at bottom of fonn.

13. Mail signed Report to Office (s) by date(s) specified in permit. Retain copy for your records. _

- 14. More detailed instructions for use of this Discharge Ahmitoring Report (DAIR) form may be obtained from Office (r) specified in permit. Legal Notice ~ ~ This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day ~, of violation, or by imprisonment for not more than one year, or by both. l EPA Form 3320-1 (Rev. 08-95) c -+

PERMITTEE NAME/ADDAE;$trad.Medry.wterews(D*w) NADONAL POLLUTANT DISCHARGE r'JMWGADON SYSTEM (NPOEs1 Form Approved. NAME OtSCHARGE MONITORING REPORT (DMRJ ,y y 4 t, L g 7 3, 7. -- ; 7 3, p. u p-t s/ (r 7-t 91 111 7[P3gL *; e %T R A -M No N. 7 Approvel e res 05-31-98 f.DDREW, 3, (305" 7 C; ) aea>e ~3g a 3 PERMIT NUMBER DE;OHARGE $* UMBER 4 +;. _ =7qg{ $T?t; 9A7[3 7yN30:P \\ t F I ;- P [ N P 3 "t * ?A 1M7' MONITORING PERIOD

NE Ff,CluTY yg,

,y p)4,q 5 y g,7 ;) y YEAR MO DAY YEAR MO DAY q, g, LOCATION FROM w* !?

1 TO ac t

11 ??? NO DISC 9&M F l l ' MO sm+*. -sera 3 e u y :- 2 (2G27) (22-23/ r24-251 (26-271 (26-29/ (Jo's,j NOTE: Reed instructions before completing this faen. PARAMETER (3 cerd orwys OUANTITY OR LOADING I4 Cerat ordyl OUANTITY OR CONCENTRATION NO. FREQUM SAMPLE (46-539 154-619 (3 s 4 61 (46-531 (54-sty or (32-371 EX TYPE =

anatyg, AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS mm gggf gg m SAMPLE 3eenew

ts e e p s MEASUREMENT 7, / J 73O

( 12) O

/7 zub

$3c;?! a99 i S PERMIT cuy 9 e p

p.

g e, g c

-s e .,9 . een ne y,9 ggg pg. R*4UIREMENT -e.,< ..g: ,g 37,,,,, g,y7pp-( t. MPLE e3e~^ , r+ + e 3 a m e. gg ( 1 ri } ,33pr.prp 4"f b ,7

p3,

+3p.r MEASUh4 MENT 8 PERMIT - n e g e M: y e e c. =: 3 g

m --

cuece }3

Qp g r g g rJ - 3Ag

..51a 1 3 REQUIREMENT ~ e r,,,.,. ,c y1; m. 43 gyy 337gy jy sqr .;7 apn

2 3 ; r.

SAMPLE

a g e- ^ '

Me*>x gg p e ( l '2 } g S r et b MEASUREMENT O " q ', ' Y T R,; 9 A V MEii 3 S t. g y p PERMIT 'nopcBe N o e c er e e r< 'p-37 30 ( v g g, y gg3 REQUIREMENT ret 3,- 4 3qs 7.,j ..s y y 3g 9 ygy,,, y ygq yg7 gr f MEASUREMENT O, D( / O,Od/ b //7 SAMPLE n 3) eedet-oct.-e>

p: en;

, y r; p g g y P- . r A. h, e h g-h; 5/ y .,Ai7 ..a. n e r, n g n PERMIT 4qnpe - er M9; n e pt e acc9e3 n c 4 Mr s r a ?. e . EErtl S T I 5 a. 3 REQUIREMENT -. e ,;,7 .r. v 3 : ug yy j,y;7 ,7 .n 333 SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PCRMIT REQUIREMENT NAME/ TITLE PRINCIPAL EXECUTNE OFFICER I CERDFV UNDER PENALTV OF LAW THAT I HAVE PERSONALLY EXAMINED AND / TELEPHONE DATE i AM FAMIUAR WITH THE 1NFORMATION SUBMITTED HEREIN: ANO BASED ON 'r 4,e /} My mOuwtv OF THOSE WeDMDUALS IMMEDIATELY RESPON98LE FOR / 4 g oeTAmma THE mFoRMADON. I BEUEVE THE SUBMITTED INFORMADON IS Y - e ,avf.d Urndorf J 7 saNmCANT PENALDES FOR SusMiTTma FALSE m,RE (1 'I TRUE. ACCURATE AND COMPLETE. I AM AWA THAT THERE ARE \\ ORMADON. =CtuDwa ,12 393-5113 97 01 27 Chet^tte t ry !! AthigC r THE POSeesuTV OF FINE AssO IMPIUSONMENT I u.S.C. e 131s. m asisaw ow sseuse. SEE 18 u S.C. 91001 AND 33 ssONATURE OF PRWedPAL EXECUTIVE mey sica,e sa.e e, se s to.oco AREA TYPED OR PRWTED saar er mar *=== n-er aer a monens a,ma s yearms OFFICER Oft AUTHORIZED AGENT CODE NUMEIER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference esettschments herof EPA Form 3320-1 (06-96) Previous odetions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF q p ..)

..ai. am e 'i 4 ..qq'g

-WT

.r.,.., I J l: Paperwork Reduction Act Notice: ' k l. s pq g u j , ~Pubhc seporting tusan fu this ceWction of information is estimated to v'ary from a range of 10 hours as an , ahi ra,e pdr responw f a some minor facihties, to 110 liours,as ariavera'ge per response for sorne major facilities, 4 ? with i weighted averrge.ftr trujor and minor. facilities of 18 hours pir Jesponse,b.duding time foireviewing i finstmetiore, bearching exiding data umrces, gathering and maintaining the data needed, and[ completing and 3 ~ i (reviewmg tha co&cti>a of information. ; Send comments regarding the burden estinate or any other aspect of J his collec' ion of infwmtion, induding suggestions for reducing this burden, to Chief, Information Policy i t t l- "Brimch, PM-223, U.S. Ensironmental Protection Agency,401 M Street, SW WashinEton, DC 20460; and to the l Office of Information ard Regulatory Affairs, Office of Management and Budget, Washington, DC 20503. t l j 4_ _ _ ...... _ _ _ _ _ _ - + 1 i j [ ..f i General Instructions f ,m ^ il. If form hu been partially completed by preprinting, disregard instructions directed at entry of that information - La1 ready preprinted ' j

2. Enter " Permittee Name4/ailmg Address (and facility name/ location, if different)." " Permit' Number ", and

[ 1" Discharge Number" w here indicated. ( A separate form is required for each discharge.) = 1

3. Enter dates beginnig at: d ending *Afonitoring PerioJ* cmcred by form wherc andicated.; 4. Enter cach "Parar1cter" as specified in monitoring requirements of permit.

l i

5. Enter %np/c 3fwrement' data fer each parameter under "Guantity" and "Guality" in units specified in permit.

"Averogd* is norm 4 aathmetic average (geometric average for bacterial parameters) of all samp!c measurements. i for each paramekt oNamed during "Alonitoring Period", "Alarimum" and "Alinimum" are normally extreme high i .and low measurements obtained < hiring "Atomforing Period" (Note to municipals with secondary treatment requirement: Enw 20-day aserage of sample measurements under " Average," and enter maximum 7. day ascrage - j of sample measuuments obtained during monitormg period under " Maximum.") .~ l t i 1 y 'b.- Eoter ??ermit Re<parenwnt" for cach parameter under " Quantity" and "Quahty* as speedicd in pctmit. _+ i

7. Under "No Er" est number of sample measurments durin'g monitoring period that exceed tnaximum (and/or minimum er 741ay nerage as appropriarc) permit sequirement for each parameter. ;If noncfenter "0";

8. Enter "Fhquency 2r Aralysi3" both as " Sample Alcamrment" (actual frequency of sampling and analysis used

.&, ring'momforing period) and as " Perm!I Requirrment" specified in permit. (e g., Enter " Cont " for continuous I monitotirig, "1/7" for one day per weck. "1/30" for one day per month, *//90" for one day per quarterictc.)

9. Enter " Sample 7)pe" both as " Sample A/easurement" (actual sample type used during monitoring period) and as

" Permit Requirement.' ~(e.g., Enter " Grab" for individual sample, "M/C" for 24-hour composite, "N/A" for ,,dmtinuous monitoring, etc.). l 10.,Where violations of permit requirements are reported, attach a brief explanation to describe cause and corrective i actions taken, and reference cach violation by date. .] l i1L If "no discharge" occurs during monitoring peritxi, enter *No Discharge" across form in place of dati entry. e i 12; Enter "Nabe/Tiric'of Principal Executwe Ofcer* with " Signature of Principal Executive Oficer ofAuthorized ' Agent,* " Telephone Number," and "Date" At tmttom of form.; j i 13.- Mail signed Report to Omce(s) by date(s) specified in permit. Retain copy for your records. - 4 '14. More detailed instmetions for use of this Discharge A/onitoring Report (DAIR) form may be obtained from Omce(s) specified in permit. Legal Notice, - ^ Tliis report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to r port or failure to report truthfully can resull'in civi! penalties not to exceed $10,000 per day of violation; or in critninal penalties not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both. 1 p a i d! . EPA Form 3320-1 (Rey, OL95) ~ t. y -..r-.

mt4TTEE NAtdE/ADOfESS fBasheForshy#en.M. g@qhowJ M;.TIOesAL POLLUTafsT DesCHARGE EuemasAnOss SYSTEM (APDE31 -- Form Approved.

a NARAE DISCHARGE MONITORING REPORT (DMR/

"E%VE4 V3LLET f3WTh ST%I107 (2-F8/ f f 7-7 8f ' U;41T~2 $3VAC# T ?t ? H N 1 ( r;y 9 3 M) f ADORESS p, 3,

a. g ( q e**%"E'"

~ ATf 4; }lTTD 09400HF ? A f l M ft L h I ^"'" SU PPIN'oDRT FL 15?77 MONITORING PEhsuD D#

8 A li E 9 YfLLEY P O # l' 9 5EL?I3" YEAR MO DAY

, YEAR MO DAY LOCATION FROM wA 1, TO e 1 1; e40 ' NO D!SO"8HOF l ) 00" I s y?*v; n e y 7 ') eo73DP (20'271 (22-23J (24-25/ (28-27) (20-291 (30L3F/ NOTE: Reed h 6 m %. PARAMETER (3 w W QUANM M WAmNG I4 cow W QUANTITY M CONCENTRATION NO. h SAMPLE (46-6 3 164-611 130 4El (H I64 691 OF (32-371 EX TYPES m yne AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS e ,g gm SAMPLE 4 y ey e. c-t a a S c ec;gn ( 17 g - [ g MEASUREMENT 3)qg1 [ )_ 9 . PERMIT

p er g *t as t i

$$60&& 0 84 5. 3, (I n ._fr t o u p - 3.0 g[Ogf. ;pJri" f REQUIREMENT .,333 7 9 7 gyg g. 3 7, y, g ry pe gn Spyg e r ? y r-n

7,e-tr 3 e c e SAMPLE ocot?'

o o re : t > cense ( Iq) a

9tIDS, T3rAL MEASUREMENT i]SPYYDEO MMMIT.

noen Meyc ui .q gsce-19 e. 3 3 1 3 3 . REQUIREMENT 30-g g;

9 gig gf. ggp*6 re;3-o,

.n - 7 e e,i r g33 ,,4 4 j 7 z gggy ,,. 7 g ,,g,g 'L94 IR 3H031T OR SAMPLE ( 03) 6030A? 0000$0 077 t M f "Fr9 T R M A T 1 ?' 1 T PLRh! O '*) is g o 1 ) p PERMIT - ), 3 31 p33 y - pn cec

WeM CM3M MO.*A0$P ##&

'# E3ht!' MSMD t ph,97ep REQUIREMENT 4 gp p yg4 y - r,er vim.

NV14Iv#,

P*) f A L SAMPLE te$ut enot>> Mertoy ( 19) MEASUREMENT , y 5, g g L { , ) n t f) } 7 p PERMIT - 7 seccen. .eencae c rA C Co?2C4 EP397

PQORT

~ W I t' F, / ;RAQ r 3 REQUIREMENT + eeto: e* ". e :; 9 y et t g gy9 ., g 4 g.. gp ggg g7g gg ' 7 L T T 7 d -', P70RL SAMPLE sac ~et ototea O t t ac c $ $0W9 ( t 3) MEASUREMENT

e q q.q g (

rang; t [, p i PERMIT

$ c c a t er acteto c in?

$080e2 2000 m e@M G / 7 1 S{M/ , $ A Lt t r e r g c u r ' de: - y p e. y ; REQUIREMENT ngs g y ;; gig ' 1,a3L g 3g y g 4

2. ) D,

'AR M3t1~ m n SAMPLE o

W **

cec S 0 2' Sne*> ( t o)

3. r>

"t Ay .n. MEASUREMENT 13192 1 1 ') . PERMIT 1 c a.c o u - .t er't 0 c t 3 0 ^- 497 ens 25 30 gm/ pp.. 'p rtu r N r ~q,cs 731., REQUIREMENT ge> .gg;AYL I D R 't L Y1 5 % W ii QBTR SAMPLE MEASUREMENT PERMIT REQUIREMENT paatsstTITLE PIMAR. EXECUTRIE OFFICER I CERTIFY UNDER PseALTY OF LAW THAT 6 MAVE PfRSOceALLY EXAM #tED AfeO MY NeOUWlY OF THOSE IseDIVIOUALs IMa#ETAATELY RESPOessOLE FOR Os [' TELEPHONE DATE AM PAnMUAR witTH THE WIPopmeATIOes sugestTTED HEREtse; Afe0 SASEO ON a Q[ ,f JA#/ Q' OSTAlfeneG THE WeFOftAATIOes, 8 SELfEVE THE SUOMITTED IssFOfmeATIOfe is f, /4,, paV1g grngOr{ TRUE. ACCURATE AND COMPLETE. I AM AWAftf THAT THERE ARE setimericAfsT PesALTies FOR sumassTTese FALCE IseFOfmAATices. IseCLUDese THE POsmesury OF Fue LT ,1 ' m -%113 47 01 27 a m'a*ry m,, m,,w u.s.C. e isie. fRaism.E.AseD -- _ _.s, me .on . EE is u.s.C s tooi afso 33 - SIGNATURE OF FRNICIPAL EXECOTIVE =ermaman mi e, s s ro. coo g g TYPED OR FREETED mis er

erasew e mamme sis s yeard OFFICER OR AUTHORIZED AGENT NUtdBER YEAR MO DAY r

COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Meterance ateffachments here/ l i ^I c l:,. 1 [h D;y,i, p.c FL r $1 T rk f, MdGa spr# u.+ r /~ M u r L EPA Form 3320-1108-951 lWeas editions mey be used. IREPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF 3g. j 3 g3,gg3g y ---.--m -..,.. - ~, - -. -. _ - - -. ~ ~ - - -

.w ,..a I _.._._l,_..___. Paperwork Reduction Act Notice f 4 ipublic reporting burden for this collection of information is estiinated to vary from a range of 10 hours as an e j. average per regense for some minor facilities, to 110 hours as an avnage per response for some nnjor facilities, with.: weighted average for major and minor facilities of.18 hours per response, includmg tirne for reviewing i l

instructions, searching existing data sources, gathering and nuintaining the data needed, and comp;eting and

~ reviewing the, collection of information.. Send comments regardmg ibe burden estimate or any other asgect of l

this collection of information, including suggestions for reducing this burden,- to Chief, Information: Policy l'

Branch, PM-223, U.S. Environmental Protection Agency,401 M Strat, SW Washington, DC 20460; and to the 3 .OfTsce ofInformation and Regulatory Af fairs, Office of Management and Budget, hhington, DC 20503. i General Instructions I. If form has been partially completed by preprinting, disregard instructions directed at entry of that information r L La! ready preprinted. + 2.Ehter

Permittee Name<Alailing Address (and facility name/ location, if difTerent)," " Permit Number " and "l?ischarge Number" where indicated. ( A separate form is required for cach discharge.)

' 3. Enter dates beginning and ending *Afonitoring Perio#' covered by foam where indicated

4. Enter cach

Parameter" as specified in monitoring requirements of permit.

5. Enter " Sample Afeasurement" data for each parameter under "(Juantity" and "Guahty" in units spe:ified in permit.

" Average" is normally arithmede average tgeometnc avtrage for bacterial parameters) of all nanipl: measurements for cach parameter obtained during " Monitoring Perio#'; "Afaumum" and "Afinimr,m" are nonmdly extieme high and low measurements obtained during "Alonitoring Period" (Note to municipah with secondary treatment requirement: Enter 30-day average of sample measurements under "A verage," and enter maximum 7-day average of sample measuremeats 6tained during monitoring period under "Afaximum ")

6. Enter ' Permit Requirement" for each parameter under "Quantsty" and " Quality" as specified in penuit.

l 7.. Under "No Ex" enter number of sample measurments during monitoring period that exceed maximum (and/or; minimum or 7-day average as appropriate) permit rcquirement for each parameter: If none, enter "0". i S. Enter "Frcquency of Analysis" both as " Sample Measurment" (actual frequency of samplirg and analysis used '

during monitoring peri d) and as " Permit Requirement" specified in pemdt. (c g., Enter " Cont " for contirmous o

monitoring. "l/7" for one day per week "//30" for one day per month, "F90" for one day per quarter, etc.) )

9. Enter " Sample Type" both as "Somple A!earurement* (actual sample type used during monitoring period) and as

" Permit Requirement " (e.g., Enter " Grab" for individual sampic,"NHC" for hour composite, "N'A' for continuous monitoring, etc.)- I

10. Where violations of permit requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference _cach violation by date. '

1

11. ~ If "no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry,

12. Entcr "Name/Dtle of Principal Erecutive Officer" uith " Signature of Pnncipal Erecutive Ofcer ofAuthori:ed Agent,* " Telephone Number,* and "Date" at l>attom of form.-

l

13. Mail signed Report to Office (s) by date(s) specified in permit. Retain copy for your records.

,) +

14. More detailed instructions for use of this Discharge Afonitoring Report (DAfR) fonn may be obtained from Office 0)

J lspecified in perndt. 1 Legal Notice i This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day 1o ofviolation, or by impnsonment for not more than one year, or by both. l 1 4 EPA Form 3320J1 (Rev. 08-95)

PEmestTTEE NAedE/ ADDRESS WFarmer.helsremese(D@wwi@ NADONAL POLLUTANT DeSCHARGE ELIMWAMON SYSTEM fMPOfS) FOmtApprOved NAhAE NC MNm N (D 3yy 7y 7 73LLEy pggnq, 7 4 7 y 1, t7 73} gy3ypp, g g n OMB K2040-0004 ($0R7 n5) W'"$'f ADORE 1S p, '), - 4S( 0 5*

- - C 9 7

^*1 PERMIT NUMBE*1 DISCHARGE NUMBER - p g pLg ( A;rs; 317;O "T%007p 3 1 M 7 "# D E ,1IPoP0P3r? MONITORING PERIOD '#N" .CtyF 7 ALLEY v0;Pt 3 ' A. r T ') 7 YEAR MO DAY YEAR MO DAY LOCAWM Reed instructions before[ completing FROM qs 1 a1 TO 9t

y ii O6a ny pigCpgngg g j $00

P*n.

q 7r7 ?eur6'e (2& 271 (22-231 (24-25/ (25-27s (26-2s/ (Ja31; NOTE: PARAMETER (3 Cent ontri QUANTITY OR LOADING I4 Card Omry; QUANT!TY OR CONCENTRATION NO. *EM SAMPLE I46-539 (54-691 (30-459 e46-539 I54-6 tl (32-371 EX ,, or TYPE s tys,s AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS esa fg4.,,f f,,, SAMPLE n, er. = e e*333+ 3 ; $ 9 e e. g 13 MEASUREMENT i PERMIT .:. m e Secen e ec 3 ,g mng 3,3 7 jyggf; gg >]qq0 1 3 REQUIREMENT g, 7,, y 5g7739p.

q.

yyg 7 3.,., <+ - 3,- - 74 )LIy,' p 3 p *, L SAMPLE nowe3 ee yes 3;cen { 19} MEASUREMENT '33P54DPD .jsla 1 1 7; PERMIT - cugno Sooece t

c-c ? *p st er t *1 (0 0-

.j s!Cgf' 313-REQUIREMENT e$$ "O t7h e iT U Mr

'~ / L

'P M e x-r p e y v ,9c y-= SAMPLE w * *: e & eta 3c; O$3Me ( lu) >IL 4JD ; 2 n 13 t-MEASUPEMENT . ~ e 3 N.., ? i...n -G.* a 1 4 g,, ~.q l ') M r 3 7 C PERMIT enew gecee 4 w o g.u g ' r, g EICT/ 2 R '3 REQUIREMENT y3e: ,,.; n.3 y gyg-p p 7, y gy gg gg ec.ncy, .: s - + - SAMPLE q 3) e s e.y y e 3 e. g 3 synee 'L:W, TN 03FOUf? On MEASUREMENT hhd sim rburen PLur , 3 ^, 5 9 1 7 PERMIT

pgpgce.

nrngqr o t M t;*. O c.* $ M

cMuc t me t agg/

gylwg REQUIREMENT rngre" ' nse ?qi!v 39 39 my,y 57 3m gp SAMPLE MEASUREMENT i PERMIT - REQUIREMENT SAMPLE MEASUREMENT l PERMIT REQUIREMENT j SAMPLE MEASUREMENT PERMIT REQUIREMENT ~p. NAN PRWCW'AL EXECUThfE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PfRSONALLY EXAhMNED AND / TELEPHONE DATE AM FARMUAR WMTH THE mFORMATION SUBMITTED MEREm; AND BASEO 04

l

f MY mOUIRY OF THOSE INDIVIDUALS fMMEDIATELY RESPONSISLE FOR ff David Orndorf OsTamma TwE mFORMATiON. i sfuEvt THE susMiTTED mFORMATiON is .e ' . o TRUE. ACCURATE AND COMPLETE. I Aas AWARE THAT THERE ARE i LA4 f

14 m **s113 M

01 '* 7 Cheulstry Manager s'oa'ac^at PtaaLTies 'oa sUeMiTTwo FALSE WFORMATION INCLUDING THE POSS1000TY OF FINE ANO IMPRISONMENT. SEE 18 U.S.C. 51001 ANO 33 S00 NATURE OF PRuscePAL EXEdfflVE U.S.C. t 131s. mammee esisaw sw semanee mer emense mise age se 870,000 g TYPED OR PRWTED mas er . et terwe.a a msnme mW 6 yearms OFFICER OR AUTHOPIZED AGENT CODE NUGABER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference af ertschments herof NO D $ f k es rn t EPA Form 3320-1108-914 Prow 6ous editions may be used. IREPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF 03"e35/961003 083f! 1 i

r-e _ y:. 4' ,i [ i,_ i - ' Paperwork Reduction Act Notice- ~ l PuMie reporting turdt a for this codection of information is estimated to viry from a range of 10 hours as an .l i ayerage rer responsrfar rome minor facilities to 110 hours as ariaverage per response for some major facilities, I I ' with a weighted averm fer major and minor facilities of 18 hours per respome, including time' for reviewing

udtructiam, reirching existing data sources, gathering and maintaining the data needed, and completing and 3

l

reviewing ;th4 colhxtia, 6; information. LSend comments regarding the burden estimate or any other aspect of -

l lthis collection of infonmt'on, including suggestions for reducing this burden, to Chiefc Informatiori Policy 3

Branch, PMd23, U1 Environnwntal Protection Agency,401.M Street,I W Washington, DC'2M60; and to the l

S [ Office of Information and Regulatory Alfairs Office of Management and Budget, Washingtaa, DC ' 0503. { 4 2 _.w____i__.__._.._ - j 6 1 -General Instructions 4

kIf funn has been paitially completed by prrprinting, disrrgard instructions directed 'at entry of that information I

~ ' already preprinted.. . ;2. Enter " Permittee Samethiaihng Addren (and facility namelhcation, if difTerent)," "PermitbNumber," and.

Dircharge Number" u here indicated. (A separate form is required for each discharge,)

3. Enter dates beginning ard ending "Alonitoring Period" covered 19 form where indicated.

l 4[ Enter cach "Parancter" as specified in monitoring requiremer s of permit. { .5 Enter " Sample Almrement" data for each parameter under "Guantity" and "Guality" in tmits specified in permit. I iferrnge" is ncnmd;y anthmctic average (gcometric average for bacterial parameters) of all sample measurements j a ~ - for each paramet r obtamed dming 'Alcmteing Period"; "Afarimum" and "Afinimum" are normally extirme high and low measmvments obtained during *Ahnitoring Period." (Note to municipals with secondary treatment i ( requirement: Enter 30-day average of amph, measurements under "Arerage," and enter maximum 7-day average i ( of sampic measurcments obtained during monit -ing period under "Alarimum. "). l

6. Enter "Perrmt Rep rencnt" for cach parameter under "guantity" and "Guality" as specified in permit. -

{ t' - 7 Under "No &" enter number of sample measurments during monitoring period that exceed maximurn (and/or

mininmm or 74by a dage as apprcpriate) pennit requirement for each parameter. If none, enter "0".: 8. Enter "Frcquemy af Analysis" both as " Sample A(casurment" (actual frequency of sampling and; analysis used,

sdaring munitoring period) and as " Permit Requirement" specified ia permit. (e.g., Enter " Cont," for continuous ' monitoring "l//" for one day per week, "l/30" for one day per month, "l/90" for one day per quaner, etc.). t

9. Enter "Lmple 7)pe" both as " Sample Areasurement" (actual sample type used during monitoring period) and as MPermit Requirement " (e.g; Enter '" Grab" for individual sample "241/C" for 24-hour composite, "A%1" for s

, enntinuous monitoring, etc.) i t i-. .lo.LWhere violations of permit requirements are reported, attach a brief explanation to describe cause and corrective = actions taken, and reference each violation by date. I'1; If "no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry. 12 Enter "Namenitie of Principal hecutive OJJicer" with

Signature of Principal Erecutive Ofcer ofAuthori:ed i

' Agent.* " Telephone Number," and *Date" at bottom oiform. ~ * ~ l i o 4

13. Mail signed Report to Office (s) by date(s) specified in permit Retain copy for your records.

L t 114. More detailed instructions for use of this Discharge Afonitoring Riport (DAIR) form may be obtained from Office (s) specified in permit. [ l 1 Legal Notice 1 4 This ireport is rekuired by law (33 U.S.C.1318; 40 C.F.R.125,27). Failure to report or failure to repod truthfully can f result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day f of violation, or by imprisonment for not more than one year, or by both, j .q ? L L EPA Form 3320-1 (Rev. 08-95) g 9 V 4 m.

PERMATTEE NAAE/ADOMEDtrededeFordeyNamierEarames(Difbrs=e ic10NAL POLLUTANT DISCMARGE EUMfNATION SYSTEM (NPDES / NAME DISCHARGE MONITORING REPORT (DMRf Forrn Approved.

E T 'i #

V%LLE( P 9 V P 'i 3 T A T Il'! (2-78# f'7-f81

%IN 'E4EY INI " g y,* gg4 A00REOsu,3, 3yg

%1 gO as c . *c = (spap 95)

TT9; 34iIi T H D n !! ?

PERMIT NUMBER DISCHARGE NUMBER y , y{qg{ 3% t N> I e ; o :n r ?4 10 ? ? FACILITY MONITORING PERIOD "4J3' i f 1 */

YALLf? PO = I3? 9?A'IO' YEAR MO DAY YEAR MO DAY LOCATION FROM

?

TO ot i? 31 '1 e s3 0tqc3A90 [ c$0 Reed ineeucsone Wore ~c%{ >r n. m,e,< nr a nnne 120'211 122-231 (24-25) 126-27I 128-291 930'399 h0TE: hme % foros. PARAMETER 13 Card On/yf QUANTITY OR LOADING I4 Card on&f QUANTITY OR CONCENTRATION NO. MEQU9eC" SAMPLE 146-53 c54-s ts (30-451 146-52 154-691 OF (32-37/ EX TYPE e ,,,ty,s AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ,er.88 ts&ses (s9 701 SAMPLE e ;. e. 3 ^ r enaegt ocecat ( 12) .1 MEASUREMENT ( GJ 7,3 Y- / 3c) $4 3,., n m t . PERMIT 3 3,m e sectee o act ,,0 c c e. C a * - 7,^

JIG /

R&B vb,.- REQUIREMENT r s,tle toit 4Tnrunw

t?ity*

in P M *"

3 t r g ;, ppgg SAMPLE cre*wes went: 2 pe.w 3

( 1a) p. 99 MEASUREMENT y p. *.4 m Q 7,7 fg,y / 3g hp ),z jo j . PERMIT w r;,u - ewete c ec4396 30 gp g y q7. ggp.c a REQUIREMENT .,c1 ,,s s 7,p. y.,, y,, g g. pg p.g ft 3pg '("4, 7" ^)uDO{? 33 SAMPLE ( r 3g 03 ace. + 9 7e ye es.y s c ;. 1t ; > 1. 71 [ q i nLAnr C, Ok U.U/3 O 7[ 4 hi. T 1 7 PERMIT ,n23 n-:nnt ettes eccesa cot.cce ccc TE W fl5?D s.s m REQUIREMENT -3,7,y ,7 ,n

p. g crr t v s-:-

,*r. ,g ,p .., c,,. s e v3.,, SAMPLE Mrn*' io^^93 4 Met r ( 39) A "[,,* MEASUREMENT O, 'f $ /,6d O Jo 66 3r) s [ y PERMIT occa:Sc r

aeCSe 0 30t

't u c c e RE)3HT .tSPOR7 elCM/ -JA3 r y $ - 3, c.- REQUIREMENT . r. i 7gya eoe' 'o 17r IMT a#T 93/L MONT,r - jt;pau$, y;cet SAMPLE i c h - ^ ^- 0 Feta; $?N63 Q (, c t i e. e e (

J) p MEASUREMENT

- gg () g }y, a 1 4 0',', 1 1 D PERMIT - ceh3^ 0 9 e

0 t: t u Mthee 2070

-Ca#pec / FIC5/ 333 REQUIREMENT .e q ,e em-yy,.,, w 39 qq :qy

pr 3L vgp

, 3 4 3 yp ; SAMPLE cco&'

c '. t e '

otie$: ( 19) ., j pjjg

y, 29

MEASUREMENT fy,p /7, p O. 7g u,, q y 1 1 0 PERMIT ' 'a c 9: t

S e c e t 's

? 70' 00744S JS 50 VLCp,/ O*p-r sa RECUIREMENT y 3 >- o ., 9 gyg py gf sy 3 ;y( y,c m ,,p, cq3-- y,,j. SAMPLE MEASUREMENT PERMIT. REQUIREMENT NAMEfTITLE PRINCIPAL EXEOUTNE OFFICER e CERTtFY uNDER PEULTY Of LAW THAT t MAVE FfRSONALLY EXAMWED AND TELEPHONE D TE AM FAMIUAR WITH THE e0 FORMATION SUBMITTED MEREIN: ANO BASED ON A ,A j .f f / J f MY INQUIRY OF THOSE WDIVIDUALJ IMMEDIATH W RESPON98LE FOR OSTAWtNG THE INFORMATION, 8 SEUEVE THE SUBMtTTED tNFORMATION t$ .V / /, f /\\- -/'/ 4 ', Y, F I);W ld U Ttid O r g TRUE. ACCURATE aNO COMPLETE. 4 AM AWARE THAT THERE ARE / SIGNIFICANT PENALTIES FOR SUSMITTING FALSE INFOftMATION. INCLUDING f' .+12 3g3 al13 g 41 .-3.7 p e 6 g%',,,rp.v 4 w n,, c, THE PossiestfTY OF Fes*E AND IMP 950*eMENT. SEE IS

7 C. 31001 AND 33 s00 NATURE OF PRINCIPAL EXECUT'IVE u.s.C. s 131s. namese eeMar ei.e sinnee mer ew* 5 mee se as a10,000 AREA TYPED OR PF.INTED andermenemen - -

er ser-m s eemes ass

.sf OFFICER OR AUTHORt2ED AGENT MJteER YEAR MO DAY COOE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference af attachments here) p g o. SeI W $- M e UF'O'r7*'f

I EPA Form 3320-1 106-961 Previous editions may be used.

(REPLACES FPA FORM T-40 WHICH MAY NOT BE USED.) PAGE 1 e, i a. : / l $ 1 Q ll.4 nu'34 !. OF

c e q !J r'j L Paperwork Reduction Act Notice ~ q( ( > Public reporting burden for this collection 'of infonnation is estiinated to vary from a range of 10 hovrt e an average per reymse for 5.ome minor facilities, to 110 hours as an average per response for sont major ficilities, I 'with a weighted average.for major and minor facilities of 18 hourrs per reeponse includmg tisfor reviewing s

instructions, surching existing data sources, gathering and maintaining the data needed, snd comp;eting and reviewing 'the collection of information. Send comments regarding the burden estimate of any other aspect of this collection of information, including suggestions for reducing this burden, to Chief, liifonnation Policy
Branch, PM-223, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC 20460; and to the.

) - Office ofInfonnation arid Regulatory Affairs, Office of Management and Budget, Washington, DC 20503. .m J c i

General Instructions '

i !!/lf form has been partially completed by preprinting, disregard instructions directed at entry of tbat information already preprinted. i

2. Enter "Permitter NameAfailing Address (and facility name/ location, if di!Terent)," "Pmrit Number," and

" Discharge Number" where indicated. (A. separate form is required for cach discharge.) i

3. Enter dates beginning and ending ' Monitoring Period" covered by form where indicated.

i

4. EMer each " Parameter" as specified in monitoring requirements of permit.

'5. Enter " Sample Afeasurement" data for cach parameter under " Quantity" and

Quality" in units spec'ified in pennit.

l "Awrage" is non. ally arithmetic average (geometric average for bactcrial parameters) of all sampk measurements l for cach parameter obtained during "Alonitoring Periocr; "Afarimum* and "Afinimum" are normally extreme high and low measurements obtained during "Afomforing Period." (Note to municipals with secondary treatment - requirement: Enter 30-day average of sampic measurements under "Arerage." and enter nuximum 7-day average of sample measurements obtained during monitoring period under "Afaumum. ") 6.i Enter " Permit Repirement* for each parameter under " Quantity" and "Guality" as specified in permit. '7.'Under "No Er" enter number of sample measurments during monitoring period that exceed maximum.(and/or [ L minimum or 7-day average as appropriate) permit requirement for cach parameter. If none, edter *0", j '8JEnter "Frepency of Analysis" both as %mple Measunnent" (actual frequency of simpling and analysis used 'during monitoring period) and as " Permit Repirement" specified in permit. (c g, Enter *('ont " for continuous i < monitoring, "l/7" for one day per week *l/30" for one day per snonth, "16(r for one day per quarter, etc.) - g

9. Enter " Sample Type" both as " Sample Afeasurement" (actual sample type used during monitoring penod) and as

( " Permit Repirement " (c g., Enter

Grab" for individual sample,:"24HC" for 24-hour con posite, "N/A" for j

continuous monitoring, etc.) '10.:Where violations of rmit requirenients are reported, attach a brief explanation to describe cause and corrective actions taken, and rc etence cach violation by date. I1. If"no discharge" occurs during monitoring pcthi, enter *No Discharge" across form in place of data entry. [ -l2. Enter "Namenitie of Principal Executiw O$cer" with

Signature of Pnncipat Exeative Oficer of Authorized

( Agent *

Telephone Number," and *Date" at bottom of form.

l t ~13. Mail signed Report to Office (s) by date{s) specified in permit. Retain copy for your records. j I4, More detailed instructions for use of this Discharge Afonitoring Report (DA/R) fann may be obtained from Office (r) specified in permit. Legal Notice i 4 s This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to repost or failure to report truthfully can ~ result in civil penshies not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day l of violation, or by imprisomnent for not more than one year, or by both. i i ~ EPA Form 3320-1 (Rey,08-95) j 4 P -.. - ~

PERMITTEE NAME/ADORESS(AwhoFerdlwyMa=vlorence(DgProw) ETIONAL POLLUTANT DrSCHARGE EUMMATION SWTFM (NPDES; Fenn Approved. NAME N 3y. y g ggy y

ggg ;7y777

_%,EMm m G M Tft7% 7)y my qgqr 7pp3 OMB No. 2ON4 O y ( "> i

7 ?51

1. Y'N 03' ADORE 03 p, 7, 3;1.

9 ' t r3; 74,;) 3 epq,e PERMIT NUMBE3 DesCH ARGE NUMBER p,,, 7 ,; y { .a o 's 'T' . o r.m. <, r a ^,-ma. MONITORING PERIOD '"n' r - FLC" fiY --, e y, 3 ;3; - 7 ,;7,t LOCATION FROM "i TO 9+ 1, 4t uO? tO D y 7 7 :.r 3 n n e l l %$ -s *yrn n7'e (20L27/ (22-23/ (24-251 (26-27/ (28-29/ (30'371 NOTE: Reed instructione before"~ ompleting this felm. c PARAMETER (3 Cmf on&F QUANTITY OR LOADING I4 cm(On/r; QUANTITY OR CONCENTRATION NO. mEQM ggyp(g (46-531 (54-619 (30-451 (46-531 (54-619 OF s (32-371 EX TYPE AnALYus AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS cas; fmgj

ggg7o, SAMPLE

- 3,. 3 n -- #. 4~ ~ ~ ~., ~m.~ + vv . ~ g,., ) Q ,f PERMIT e f.,: c g g 33933 3 re 3 n eng3ge ,t ergy 74g

'a n,

e r,, _ _ .f g g. REQUIREMENT 3y. n. SAMPLE I MEASUREMENT , 3 ~' g ' 2- , a f'- ( 1" b //[ hrd . s, so.,,=,.. s 'e 1 1" ] ') PERMIT e om $3m9e 3 n ; g -W 17 10' Et m nac REQUIREMENT ,,p, ,y ,,p SAM 7F gan ;, 3 ; 3 ),, c 4

ee s e y g

{ ( 1, 9 ) Q g ,,,.- w; e PERMIT. g e g re g e peocet ;

r '

S s

^

) f3 % E%LY RAH ,I-3.. 2 REQUIREMENT ~,7. jpy. .s. 3g,y3 9g,ty ,8 Y rSt? MFY V '~ / 7 SAMPLE - ;) n ? S e S '- M a t ?" MSM? u- , i , 3o,.JI* u3 r ,,,a. MEASUREMENT O,CD/ O#OO[ O t g n s t e

q? " L.h y *

,,y-y n PERMIT g. 3, or p ,e n5ect c0e$^" 4 M r.: C o ' ^u': 0 i l' M [, Y STI;t 7 ~ REQUIREMENT c,,... 3,a

q.,, _

,, gy-r,t, ,g >coe SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT m NAME/ TITLE PRINCIPAL EXECUTIVE OFFICER

CERTIFY UNDER PEN ALTY OF LAW TMAT 4 HAVE PERSONALLY EXAMINED AND

/ TELEPHONE DATE AM FAM!UAR WITH THE WFORMATION SUBMtTTED HEREIN; AND BASED ON / \\ [ j MY INQUPRY OF THOSE WOtVfDUALS rMMEDIATELY RESPONSIBLE FOR / / DGV1d U.TildO II OeTAIN*NG THE mFORMATION, t SEUEVE THE SUBMITTED INFORMATION is '/ c M ACCURATE AND COMPLETE. s AM AWARE TMAT THERE ARE chenistry Manager T, RUE,, ~[ 412 393-5113 97 01 27 s cN,, CANT PENALT:Es FOR SUeMiTrma rALSE mFORMATiON. iNCtuDiNo THE POSSI8tuTY OF r'*tt.AND IMPRISONMENT. SEE to U.S.C l 1001 AND 33 &lONATURE OF PRINCIPAL EXECUThit u.s.C. s 1 sis. sRenenw anwar si. Ma,=. m y men,sw #in. up so s10,000 g TYPED OR PRINTED sap er msnmueC- - .: er eerw a s memns ane s yearms OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a# ettschments heraf EPA Form 3320-1 106-95) Prev 6ous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF 3 3 p, g,

( .p. u. l 2 .y w !m 1 J Paperwork Reduction'Act Notice W' {.. 4 - +- i PuMie-repiting burder fcc this collection of information is estimated to vary from a range hf 10 hdurs as a,n !' ' : average per response fs ecme minor facdities, to 110 hours'as an avera)e per response for sorh ! with a weighted avertp fer major and niinor facilities 0118 hours per response, including time for reiviewing -

instructions, rearching exiuing dxa sources, gathering and maintaining the data neede.d. and completing and l

i . aviewing the co!!<xtiua ur infennation. Send cumnents regarding' the burden estimate or any other aspect of i l

this 'co!!ation of infamation, induding suggestions for ralucing this burden, to Chief, Informatibn Policy i

l- ~ Bnuxh, PM 223, U.S Environmental Protection Agency,401 M Street, SW Washington, DC 20460; and to the .j (Office of Information cd Regulatory Affairs, Office of Management and Budget, Washington, DC 20503. j m .L ___._.m __ _ - v LGeneral Instructions i t ?7 11 If form has been putially completed by preprinting, disregard instructions directed at entry of thdinformation 4 "already preprinted- ~ 2.- Enter " Permittee Namc 3failing" Address (mid facility namc/ location, if difTerent)," " Permit Number," and.._ f Discharge Numb # dere indicated. (A separate forni is required for cach discharge.)

3f Enter rbtes begim ing and ending " Monitoring Period" covered by form where indicated.

4[Ehict each "Parai u ter" as.speedied in monitering requirements of perndt. 3 .5, Entcr "Smnple Menarement' data for each parameter under " Quantity" and "puolity" in units specifidd in permit. Wrage" is nrrnc3ymnthmctic average (geometric average for bacterial parameters) of all sampic rucasurements i - for-cach pirameta ebtained dante " Monitoring Period"; " Maximum" and " Minimum" are nonnally extreme high and low measurmnts obtained during "Memitoring Permd." (Note to municipals with secondary treatment, l l nx;uirement: Enm 10-day aserage of sampic measurements under "Arerage " and enter maximum 7-day average ;

j of sample menur ants obtamed during monitoring period under " Maximum?)

j

6. Enter " Permit Reprement" for each parameter uruler " Quantity" and " Quality" as specified in yrmil 1

O Under "No Ex" car number of nmple meamtments during monitoring period that exceed maximum (and/or. l mininmm or 7-day merage.as apprepriate) permit requirement for each paramcier. If none, enteco"J T. $n[ei"Frequcncy if 4ralystf both as "Nample Mcamrment" t' actual frequency of sampling and analysis used 1 !d. iring mhnitoring period) and as " Permit Requirement" specified in pennit. (e.g., Enter " Cont," for continuous - monitoring, "//7" fer one day per weck, "l/3u" for one day per month, *//90" for one day per quarter, etc.)

9. Enter " Sample 7)pe" both as " Sample Measurement" (actual sample type used during monitoring period) and as "Prrmst Requirement," (e g., Enter " Grab" for individual samplei "241/C"' for 24-hour composite, "N'A" for

'contmuous momtonng, etc.)

10. Where violations of pennit requirements are reported, attach a brief explanation to describe cause and corrective

' actions taken, and rcference cach violation by date. !! 1. If"no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry.

12. Enter "Name! Title of Principal Executive Ollicer* with

Signature of Principal Executive Ofcer ofAuthori:ed

' Agent," " Telephone Number

and "Date" at bottom of fonn;;

~ e,

13. Mail signed Report to'Ofnce(s) by date(s) specified in pennit. Retain copy for your records.

i

14. More detailed instructions for use 'of this Di3 charge Munitoring Report (DMR) form may be obtained from OfUce(s)

~i specified in permit. ] Legal Notice n l This' report is required by law (33 U.S.C.1318; 40 C.F.R.125,27). Failure to report or failure to report tmthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per. day 4 of violktion, or by imprisonment for not more than one year, or by both. j .g d l ' EPA Form 3320-1 (Res. 08-95) l .l \\

- - _ _ _ _ _ - _ _ _ _ ~ PERE 4TTEE NARE./ADDfESS W FereryNa=arfarersee (D@res@ NATIONAL POLLtffANT OtSCHARGE EUMtNATION SYSTEM (NPDES / Form Approved. NAME DISCHARGE MONITORING REPORT (DMR/ ogggy m "A V r i VALLEY POW D 3 ? 3 T ! P, '2-87 f f 7-781 U"TT 2 C3OL T 3 2 'i H (333u rp) A N ' Y ' M, -7 3I-88 AcoRE s p, -), gy 2 -aa,'r(*r s, 2 PE".MIT NUMBER y *ARGE NUMBER 1?!K; 3Af!D GTNDO9p p qg M10PInit M T rA 19077 ^ 95 M MONITORING PERR4 H*&VPA 7#LLMT P 3 4 5' I 17 & "'I l M YEAR MO DAY YEAR +40 DAY LocATm ~ see FROM es s e ni TO as !? 11 cea a n I U g 4 n t; g t -completing ens foPm. s**t n=o?3 m :- n 1 g t-(20L2FA (22-23/ f24-251 (26-271 (28-29) (30-311 NOTE: Reed instruc6 ens bef PARAMETER (3 cerer onrys QUANTITY OR LOADING I4 cent on/r/ QUANTITY OR CONCENTRATION NO. P"EQ M SAMPLE I46-531 f54-619 (30-451 146-531 (54-619 OF e (32-37; EX TYPE AnA(yys AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM ' UNITS

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,, 3 SAMPLE MEASUREMENT PERMIT, REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT NAME/ TITLE PRINCNDAL EXECUTIVE OFFICER I CERTIFY UNCER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND / TELEPHONE DATE AM FAMIUAR WITH THE INFORMATION SUSMITTED HERON: AND BASED ON N j MY INQUIRY OF THOSE INotVfDUALS IMMEDIATELY RESPON98tt FOR \\ / / r { {O gIb{O I [ OeTAINING THE INFORMATION. I BEUEVE THE SUBMITTED INFORMATION IS / /j,, { [f[d ' TRUE, ACCURATE AND COMPLETE. I AM AWMIE THAT THERE ARE g (,q101'11 fil Ty eDIlGEC I~ SIGNIFICANT PENALTIES FOR SueMITTING FALSE $NFOf4AATION. INCLUDeNG y THE Posse 8UTY OF FtNE AND IMPRISONMENT. SEE 18 U.S.C. 91001 ANO 33 P t1^ 109-%111 u.s.C. s lais raamuse enMer meme seNues mer sicA,eN mwe se me aro. coo S4ONATURE OF PRINCIPAL EXECUTIVE g - = - 4/ O] 77 TYPED OR PRWTED awermer* nim _

ereerwome s menens ow a ms omCER OR AUTHOREED ADE88T NUMBER YEAR MO DAY CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference erettechments here/

A_ ), b, -bs c-e EPA Form 3320-1 (06-96) Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE y OF u 4 / 3 61' O ? "i J 4 an O

1 g ya..ew... n.s.m m-m

Paperwork Reduction Act Notice l Public reporting burden for this collection of information is estinuted to vary fmm a range of 10 Imur< as a i

adage per response for some minor facilities, to 110 hours as an average per response for somt. nuior facilities l with a weighted average for rgor and minor facilities of 18 hours per response, including time for reviewing i ' instructions, inrching existing data sources, gathering and maintaining the data needed, and emnpleting and . reviewing the collection of information. _ Send comments regarding the burden estimate or any other n@ect of j this collection of information, including suggestions for mducing this burden, to Chief, Informt' ion Policy iBranch, PM-223, U.S. Environmental Protection Agency,401 M Street, SW Wahington DC 2040; and to the ? Office of Infonnation and Regulatory Affain, Office of Management and Budget, Washington, DC 20503; t,' General Instructions 1.-If form has been partially completed by preprinting, disregard instmctions directed at entry of that information already preprinted.

2. Enter "Permittec Name4/aihng Address (and facility namc/ location, if di!Terent)," " Permit Number," and

" Discharge Number" where indicated. (A separate form is required for each discharge.)

3. Enter dates beginning and ending "Afonironny Period" covered by form where indicated

4. Enter cach " Parameter" as specified in monitoring requirements of pennit.

5. Enter " Sample Afeasurement" data for each parameter under *guantity" and "Grahry" in un:ts specified in permit.

" Average" is normally arithmetic average (geometric average for bacterial parameters) of all Nunpla measuremer:ts - for each parameter obtained during "Afomforing Period"; "Afarimum" and 'Afmimum* are normally cytreme high and low measurements obtained during "Afonitoring Period" (Note to immicipais with sccmdary treatmerit requirement: Enter 30-day average of sample measurements under "Awrage," and enter maimum 7-day average i i - of sampic measurements obtained during monitoring period under "Afarimum. *)

6. Enter " Permit Requirement" for each parameter under "guantity" a:id "Guahty" as specificd in permit.

I 7[Under "No Er" enter number of sampic measurments during monitoring period ttut exceed maximum (and/or minimum or 7-day average as appmpriate) permit requirement for each parameter. If none, cuter "0", l S. Enter " Frequency of Analysa" both as " Semple Aleamrment" (actual frequency of sampling and' analysis used during monitoring p<riod) and as " Permit Requirement" specified in permit. (c g., Enter " Cont " for contimious monitoring, "M" for one day per ucek, " loo" for one day per month, "160" for one day per quarter, etc.) i

9. Enter " Sample Type" both as " Sample Aleasurement" (actual sample type used during monitoring period) and as

" Permit Requirement " (e g.,- Enter " Grab" for individual samp!c, "At/K' for 24-hour composite. "N/A" for J continuous monitoring; etc.) i IQ.1Where violations of permit requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference each violation by date. ~ j l 11,' If "no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry. ) i

12. Enter "Name/ Title of Principal Executive OJ]icer* with " Signature ofPrincipal Ewecutive Ojpcer ofAuthori:ed i

Agent " " Telephone Number," and "Date" at bottom of form.

13. Mail signed Report to Office (s) by date(s) specified in permit. Retain copy for your records.

14. 'More detiiled instructions for use of this Discharge Af<muoring Report (DAfR) form ma3 be obtained from Omce(r) j specified in permit.

j 1 Legal Notice Thiffreport is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can resuit'in civil penalties not to execed $10,000 per day of violatmn; or in criminal penalties not to exceed $25,000 per day l of violation, or by imprisonment for not more than one year, or by both. l l 3 +, .i EPA Yorm 3320 I (Rev. 08-95) ( l

PERamTTEE NAndE/AODRESS mededehe,Fewimanes efW NAnONAL POLLUTANT Dt9CHAAGE EUM= ANON SMT54 (AFOfSJ Form (..d. DISCHARGE MONITORING REPORT IDMR1 < e, A V * ( /&LLf( p34?P iT1?I71 P-76/ 19 7-f 9/ fj 4 I I 2 AUY RMLN9 g g:y . NAtAE .y AOOREIS p, "), 33{ g ( $!! M "5)

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,5 u u. tTrF; MyiD 3uaoer ".iHTPPIN m ?? P t. 1E177 MONITORING PERIOD M A E" g bTh7EC UAilEY 93V 9R ';TRTIJK YEAR MO DAY YEAR MO DAY LOCATM FROM sw 1/ li TO 9-i> il $$3 N3 D T 3 O A H O.S ^ ??f ??e3 sxvv, Se..nmnr (202iA (22-23 f24-25; (26-27; (28-291 (30'3ri NOTE: Reest instmeelene kWeTWRP oting Wile 4. l PARAMETER 13 cent on&A QUANTITY OR LOADING I4 cent on&f QUANTITY OR CONCENTRATION NO. PRE N SA I46-52 (54-611 136-459 (46-5 2 154-619 of t32-371 EX TYPE m Y,s AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS

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' 4. H ! '4 MT191f PLigt REQ IR NT ? EEXLY' STE 3e. . ~..,, 7 n w o SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT - REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT i SAMPLE MEASUREMENT PERMIT. REQUIREMENT NAME/ TITLE PMAL EXECUTIVE OFFICER e cERnFY UNDER PENALTY OF LAW THAT e HAVE PERSONALLY EXAMMED AND 'N '1 AM FAMIUAR WITH THE INFORMATION sUeMITTED HERDN; ANO BASED ON , 'n /. TELEPHONE DATE i f MV tNOUIRY OF THOSE =DivtDUALs IMMEDIATELY RESPON98tf FOR / / w i ^ "o mt =F RMan N. i sEutvf mE sueMiTTED mFORMAnON is David 0rNdorf TRUE."' ACCURATE AND COMM ETE. t AM AveA THAT THERE ARE 4-jf f 1 x WoNiFicANT nNALnEs FOR sueMim FALSE m,RE "/. ad s +12 393-5113 97 01 27 Chemistr2-Mannb>er ORMArm. =ctuDma THE POSSetuTY OF FINE ANO IMPRISONMENT. SEE to U.S.C. 91001 AND 33 u.s.c. t 131s. smnwmee womw snese seenme mer hiesume mwe se M troAce SiONATURE OF PRINCIPAL EXECUTIVE AREA TYPED OR PMWiTED mar er mare n : _ _ _ --er anween s memne amr s years # OFFICER OR AUTHORIZED AGENT CODE NuteER YEAR MO DAY COMMENTS AND EXPLANAT!ON OF ANY VIOLATIONS (Reference a# effechments here/ N(> l h t'. k 0 f ? C { EPA Feren3320-1 (08-96) Previous eds6one may be used. IREPLACES EPA FORM T.40 Wi#CH MAY NOT BE USED.) PAGE OF g pq g w_.., e--- = r--. . m -- s m ae -

a m y v. + s i.- i i L l . Paperwork Reduction Act Notice-l

Public repmting burd= n for this collation of information is estimated to vary from a rr.nge of 10. hours as an l

} . average per responw fa Lerm minor frilities, to 110 hours as an average per response for sorne major facilities, ~ } pith a we.ighted avenge fu major mid. minor facilities of 18 houn pernsponse, including time for reviewing } iinitrmtums, fearching exbting data ^ sources, gathering and maintaining the data needed, and ' completing and

reviewing the col!cetica of infonnation.. Send comments regarding.the burden estimate or any other aspect of I

lth's collection of infamaso, including suggestions for reducing this burden, to Chief, Information Policy l i l Bouu.h, PM-223, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC,20460; arid to the F OMce of Informstion and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503. g n.-.. :.a. _ - ~ ~ General Instructions ~ m t

1. It form has been prtially completed by preprinting, disregard instructions directed at entry of that information i

already preprinted. 1

2. Enter *Pernuttee Nameafarling Address (and facility namellocation, if Lictent)," " Permit Number

and l

"Dischorge Number" where indicated (A separate form is required for cach discharge.) C

13. Enter dates trginring ned endmg "A/omraring Period" covered by form where indicated

4. Enter each "Parai eter." as speciSed in monitoring icquirements of permit.

5 Enter " Sample At awrement data fer each parameter under Guantity" and "Guality" in units specified in permit. % crag.is normMy arithmetic average (geometric racoge for bacterial parameters) of all samp!c measurements for each paramettr obtained during *Afomtoring Permd"; "Afaumum" and "Afinimum" are normally extreme high and new measuremenh obtained during "Atonitoring Permd (Note to municipals with secondary treatment t rrquirement: Ever 304iay average of sampic measurements under " Average," and enter maximum 7-day average j of sampk measuramcats obtained during monitoring period under "3/aximum.") '6. _ Enter " Permit Requ:rement" for each parameter under " Quantity" and

Quality
as spccified in permit.

l D !

7. Under "Nd Er" ennt number of sample measurments during monitanng period that exceed maximum (and/or minimum or 7-da average as appropriate) pcrmit requirement for each parameter. If none, enter "0".

18. Entei " Frequency qf Acalysis" both as "Sunp/c A/casurment" (actual frequency of sampling and analysis used

, dging monitoring period) and as " Permit Requirement" specified in permit. - (e.g., Enter " Cont," for continuous - monitoring. "#7" for one day per weck. "160" for one day per month, "upa" for one day per quarter, etc.) -

9. Enter "&unple n// both as " Sample A/casurement" (actual sample type used during monitoring period) and as l

" Permit Require /nent," (e g:.' Enter " Grab" for individual sample, "24HC" for 24-hour composite, "N/A" for Jcontinuous monitoring, etc.) 10.LWhere violations of pennit requiremems are reported, attach a brief explanation to describe cause and corrective actions taken, and reference each violation by date. 11, if"no d$ charge" occurs during monitoring period, enter "No Discharge" across form in place'of data entry.

12. Enter "Namemtle of Principal ErecutivJ Oficer" uith

Signature ofPrincipal Erecutive Oficer ofAuthorized

' Agent," " Telephone Number," and *Date" at bottmn of form. )

13. Mail signed Report to OfUce(s) by date(s) speciDcd in permit. Retain copy for your records.

i 4. l14. More detailed instructions for use of this Discharge Atonitoring Report (DAIR) form may be obtained from OfDce(s) ' specified in permit. 1 Legal Notice I This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report trutnfully can L result in civil penalties not to exceeA $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day l of violation, or by' imprisonment for not more than one year, or by both. ) o EPA Form 3320-1 (Rev. 08-95) t

PERACTTEE seAesEIADORESS puwere,hw! eregn, w esAnOssAt mOttuTAmt osecManoE euaAmAnOss sYsraA (AFDFS/ Form Approved. NAtaE DeSCHARGE MONITORSMB REPORT #DMR1 MSV9 V4LLh!.POWCE I T M I 3 'l 72-F " (7 7-N U517 1 3IL OM9 O W h M. aand - - s (5UFR 35) I'l'1** Y' j. ADDRESSp 3, g3 4 " e,m, ectr t9' PERMIT NUMB A DescHAmeonamR 7yyyL ir;s: ra yIa 9aaow y S M I P P I*r D O R T - P ;L 150'? MOMTOREWG PSUOD '~UO2 I .. ? A V ? P-7&LLEY POVER STATIS4 YEAR MO DAY YEAR MO DAY j ecc LocA m FROM es 1i qt TO as ?/ 11 o fr 4 ' 9 0 g [ S C H ;, P C "' l r r> v n. msv*s nuepue t262tl 422 22124-251 - 126-211 (20-297130usts NOTE R** M & ~ 5 % M PARAMETER (3 w % i QUANTITY OR LOANNG I4 Carst %f OUANTITY OR CONCENTRATM3M NO. mEousec" SAhrLE l 146-531 154-611 130-4GI I46-6M 954-691 or 132-37A EX TYPE + was ? AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS soum ,g pg [ SAMPLE 33rce* a: e e s t y CMn63 ( 12) / l ,3 e MEASUREMENT 7, M 7, M O 7 Md. i f PERMIT - < suc c e n e -

eept) 4 T IEKU. ' EA C

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1.0- . v <u n 3 ,, e 3 ,9 y g r.ng s ! s, y Mn. j SAMPLE non; nones $ co0cet ( 19) (3conOFn / $6 3 37, Y O //[ h6d ,3 MEASUREMENT / t [ i g 3 7 6' k,.a v ~ PERMITg .cogeet-cye4*$jo e$ LC O W 40 ' 37 ^ 100 l4 GKL Y. ' RAS kne: REQUIREMENT 7,, 7r .e 3 3 .s. y agg: ' fj t. p L y =g M/ L ,,. s, SAMPLE up3e $tette a#t40) ( 19) l' 7 M oM.. ~ g A ~* L ML 1,I D I MEASUREMENT R F :) n E X TR ~C 9k 4 G,R 4 $~ <f C ) h :. 5 5 e1,3 _ PERMIT ' c o eg ey

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REQUIREMENT a n. q c y g e rt : gg ' f y e- - .enrLy: er g3 30 SAMPLE i MEASUREMENT PERMIT : t l REQUIREMENT ^ SAMPLE j MEASUREMENT a PERMIT. [ REQUIREMENT 4 SAMPLE - [ MEASUREMENT PERMIT. ' i f REQUIREMENT n 6 PMAL EXECUTnfE m e cERTrev unoER resALTv or LARAf THATI HAVE PERSOISALLv EXAAAlesED AND TELEPHOffE DATE i ARA FAhAIUAR WITH TMt 'erORBAATIOso SuBIAITTED MERElet; AND SAsEO Oss t#V 1980UlftY or THOsE thfDMoUALS ftAAAEDIATftY REseOfesIBtf POR 1 ', [.,., i OSTAINefeG THE mrORhAATILM. I SEUEVE THE SugaAITTED INFORBAATIOes IS / ~',- [ % l r TRUE. ACCURATE AfdD CO M ETE. 8 ABA AIAfARE THAT TMERE ARE W ~g,, t Dayid Orndor1.- sionincAnT reemnEs poR suommTnma FAtst arORnAAnOu. metuomo THE consesury or n=E Ano = _ _ nr. sEE is u.s.c. e iooi Ano as t fa, dwq13 97 01 27 i SIONATUIE OF PRNICFAL EX@UTVE u.s.C. 5 isie. drisnmasse answ sne.se a.ssesses mer sieAuses mise ass se sto. cop mis er mesmessnesse rmer e nasame and s pensi OFRCER OR AUTHOREED A%IENT A hA NURSER YEAR MO DAY I TYPS OR PMITED rv COr/sMENTS AND EXPLANATION OF ANY VIOLATIONS IReference af steschmener here/ I l l 6 EPA Form 3320-1108-95) Previous editone may be used. IREPLACES EPA FORM T-40 Wt#CH MAY NOT BE USED.) PAGE OF O0100/%1003-03N L l t .---__--_-_m--wn__,,~ w

7, 7 J 'l Paperwork Reduction Act Notice w ' Public reporting burden for this collection of information is estinated to vary from a range of 10 hotrs u an

average per response for t.ome minor facilities, to 110 h~ours as an a~verage per response f6r some taajot facilities, I

qwith a weighted average;for major and minor facilities of.18 hours per Jesponse, including tirne forsviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and treviewing the collection of.information. Send comments regarding the burden estimate or any other ageet of .this collection of information, including suggestions for reducing this burden, to Chief, Information Policy i Branch, Pht-223, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC 20460; and to the ,0ffice of Information and Regulatory Affairs, Office of Management and Budget, Wahington, DC 20503. _a General Instructions k ' t.Alf form has been partially completed by preprinting, disregard instructions directal at entry of that information already preprinted.

2. Enter " Permittee Name/Afailmg Address (and facility namcilocation, if ditTerent)." " Permit Number," and p

Discharge Number" where indicated. ( A separate form ss required for each discharge.)

43. Enter dates beginning and ending "Alonitarmg Period" covered by form whei indicated l4. Enter each " Parameter" as specified in monitoring requirements of permit.

5

5. Enter " Sample Afeasurement" data for cach parameter under " Quantity" and " Quality" in units #pecified in permit.

" Average" is normally arithmetic aserage (geometric average for bacterial parameters)tf all rample measurements for caen parameter obtained during "Afomtoring Permd"; "3/asimum" and "Afinimum" are normal'y extreme high r-and low measurements obtained during "Afonitoring Period." (Note to municipals with secoadary treatment requirement: Enter 30-day average of sample measurements under " Average " and enter maximum 7-day average of sample measurements obtained during rnonitoring period under "Afarimum ") 64 Enter " Perma Requirement" Sr each parameter under "Guantity" and "Guality" as specirted in pemiit.

7. Under "No Er" enter number of sample measurments dming monitoring period that exced rnaximum (and/or minimum or 7-day average as appropriate) permit requirement for each parameter. If r.one, enter "0".

8.~ Enter " Frequency of Analysis" both as " Sample Afeasurment" (actual frequency of sampling and analysis used during monitoring period) and as "Pernut Requirement" speciGed in permit. (c g., Enter Tont," for continuous monitoring, "//7" for one day per week, "Ido". for one day per month, "hvo" for one day per quarter, etc.) '

9. Enter "Sarnple 7)pe" both as " Sample Afeasurement" factual sample type used during monitoring period) and as

- Permit Requirement," (c g., Enter " Grab" for individual samp!c, " Art /C" for 24-hour composite, "N/A" for < continuous monitoring, etc.) 110. Where violations of permit requirements are reported, attach a brief esplanation to describe cause and corrective actions taken. and reference cach violation by date. 11, if"no discharge" occurs during monitoring period enter "No Discharge" across form in place of data entry.

12. Enter "Name/ Title of Principal Executive OJJicer" with

Signature ofPrincipal Executive ODicer ofAuthori:ed Agent," " Telephone Number," and "Date" at bottom of form.

13. Mail signed Report to' Office (s) by date(s) specified in permit. Retain copy for your records.

14. More detailed instructions for use of this Discharge Afonitoring Report (DAIR) form may be obtained from Office (r) specified in permit Legal Notice This tynrt is required by law (33 U.S.C.131B; 40 C.F.R.125.27). Failure to report or failure to report; truthfully can result. olvil penalties not to exceed $ 10,000 per day of violation; or in criminal penahies not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both.

n t-EPA Form 3320-1 (Rev. 08-95) w T

PEmemTTEE NAEADDES(3= sends 7ssesyNeus/Ler====(W NATIONAL POLLUTANT OtScHAfteE EUMesATIOst SYSTEM (AFDES) ^ Feffvt ApgNewed. 3 b-'YURBIC" FLD3 b M E; V: I 71 L L M F 3!/ E:t 57%?I3F ff 3 t'9e ('i'J P 7 SM " k*'P'** ADDRE2S N L. p g 't "'(;r'* PERM NUMBER OracMARot uuMem t77N; PAVID 30EDORP p -pyg4L ,eIPPN~POwr M -15 0 ? 7 MTORWG PSUOD I LI P y BM Y*.1'fALLEY POMER 5?ATI3N YEAR MO DAY YEAR MO DAY LocAn m FROM 4, 17 fy t To a r., - 12 11 000 NO DI3m M6 ( ) ~ Sc3 a e v a; s atgyn Qvn%2n 12O 219 122-23I (24-25) (26-27) (20-291 130"31) ' NOTE; M N PARAMETER (3 N W QUANm M LM (4 M W MM M NM NO. M SA (46-539 154 4 19 (30-46I 146-639 (64411 or (32-37f EX TYPE. myg,s AVERAGE MAXIMUM UMTS MINIMUM AVERAGE MAXIMUM UNITS num fg ,g SAMPLE. MEASUREMENT

7. 3 )

). 8,[ (,3) b: / 3 3 a =. o 3 posy 3 ne y3c c t{ [' M, - PERMIT - . p u cy e e W' 3 3. 0 .*b .D-

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) e ? -' REQUIREMENT } CIMUI fA3 ,q g y ) g hqq-g.y - e 3.- c 7a; or m33 g y g r maw a s y T 4 ff C w gp ( 19 O [7 hg" SAMPLE nn% che m $ Mot) 3Lio:' m MEASUREMENT '3 SPENS *O '{ ) g . PERMIT. u n-e $ - teetote

20 ?

279*804 M' 100 YE MU DF c h.3 gng ;Nn c 13y se mu 47 3/3-B R T LY t M Y :

- /T 3 c, REQUIREMENT MEASUREMENT 4{

g{ ( 19) Q '7, jg

t t gyg ; g p3 n SAMPLE n933ei

& ri a: T ? e C9 2CM 3r33 E q r st -011 V UTH 1 S s ci 6 L 3 0 PERMIT. .M a & M A0400L$

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. E tt40 - (5 20 - Ik UKLT. EA3 N, n :. c e REQUIREMENT ceu & t y c; 'DartT>My eq/L --w nm MEASUREMENT O,OC8 C. 6D E O D

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Y MI [S REQUIREMENT yn:3 9 -n n r g y.~, y. .qn $43^ 77ryr4 + -nnqg y a t ni SAMPLE MEASUREMENT PERMIT, REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT 4 SAMPLE MEASUREMENT PERMIT.. REQUIREENT T 6 PMR EXECUTIVE N 4 CERTIFY UNDR PENALTY OF LAW THAT I HAVE PERSONALLY EXAMiteED AND /! TELEPltONE DATE AM FAMIUAR WITH THE NIFORMAhosi susMsTTED HERE100: AND BASED Oss /,i / MY IIeOulRY OF THOSE ledOIVIDuALs IMMEDeATEiY REsPON90tf FOR / 1 David orndorp OSTAIIsleet THE mFORMATIOes, i SEUEVE THE sutamTTED iseFORMAftoes ts ^. / ' O TRut. ACCURATE AmO cOMetET AM AWARE TWAT TweRE ARE s maner cA=T eE= Alms FOR suse E. / TTwo eAtst meORMAnow. =ctuomo 412 393-5113 97 01 27 Chenistry L4anager THE possouTY Or emE AmO surmisonMEnr. set is u.s.c. e iooi AmO s: / v.s.c. e iste. sReismise esisser mese sususse mer Aiemmin mese se se 870.000 S40 NATURE OF PRINCE *AL E TYPED OR PRINTED sav er.. ' a sesween s maame e=W s peeras OmCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATICN OF ANY V'OLATIONS (Reference af etrschments herof EPA Form 3320-1 (OS-Stil Prowsous editions may be used. IREPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAgg op I 00LU3/961003-M 34 1 .- au.

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.44 E-m -+--~,...=-+.so._m,--.-w#w-I , L E inperwork Reduction Act Notice-8 m .a + PuHic reporting I urder. f r tids ccliection of inforuation is estimated to vary from a range of 10 hours as an + 1 (

average per response fe s.me minor fxihties, to 110 hours as an avera'ge per response for sorne major facilities, e

1 P ' !with a wckhted avergen major and adnor facilitics of 18 hours per response / including time for reviewing L linstnutions, hearchiny gi. ting data sources, gathering and maintaining the data needed, and completing and v }

reviewing tpcollectian of afornaticu_ Send cumnents regarding the burden estimate or any other aspect of

' this collection of iafmmtion, includmg suggetions for uducing this burden, to Chief, leformation Policy

13 ranch, PM-223, U.S. Environmentd Prote; tion Agency,401 M Street, SW Washington, DC 20460, and to the I Office of Information u.d Regulatory Affairs, Office of Management and Budget, Washington, DC 20503.

i _g. General Instructions ^ 1.rlf form has been putially completed by preprinting, disregard instructions directed at entry of that information > :already preprinted. J i ' 2.' Enter " Permittee Name/Afailmg Addrext (and facility inmc/ location, if di!Terent)," " Permit Number," and. 1 ,. fAuharge Numht r* w here indicated. (A sepamte form is required for each discharge.) l r 1 3.. Enter dates beginning and ending "Alonitormg Period" covered by form nhere indicated. '4. Enter each'"Paramser" as specified in monitodng requirements of permit.. .l

5. Enter "Namp!c Marement" data for each parameter under " Quantity" and "Gredity" in units specified in pernut.

"herare" is normHy anthmetic average (geometric everage for bacterial parameters) of all sampic measurements iur exh parameta cbtamed dating "Alonitoring Perwd"; "Afaximum" and " Minimum" are normally extreme high i and low measurmats obtained during " Monitoring Period" (Note to municipals with recondary treatment requirement: Ente: 3(bday asemge of sample measurements under "Awrage " and enter me.ximum 7-day avemge. of sunple measuremcats obtained during monitoring period tmder "Afaximum. ") 6/ Enter " Permit Reqwmmeni" for cach parameter under " Quantity" and "Guality" as spec;fied in permit. 1 '7. Ur$ der "No &" crer number of sample measurments during monitoring period that exceed maximum (and/or 4- ' minhnum or 7-day m crage as apptcpriate) permit requirement for each parameter. If none, enter "0". ]

8. Enter " Frequency of Analysis" both as "Samp/c Meawrment" (actual frecuency of sampling and analysis used daring monitoring period) and as " Permit Requirement" specified in permit. (e g., Enter " Cont " for continuous 1

-monitoring, "//7" for one day per weck, */60" for one day per month. "l/00" for one day per quarter, etc.) : j i

9. Enter " Sample 7)p" both as " Sample Alcarurement" (actual sample type used during monitoring period) and as

" Permit Requirement " (e g., Enter;" Grab" for individual sampte. "Af#C" for 24-hour composite, "N/A" for continuous monitoring, etc.) t

10. Where violations of permit requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference cach violation by date:

I 1. If"no discharge occurs during monitoring period, enter "No Discharge" across form in place of data entry.

12. Enter *Namemtle of Principal Executive ' Officer" with

Signature of Principal Executive Oficer ofAuthorized Agent," " Telephone Number," and "Date" at bottom of ferm.

.13. Mail signed Report to 00 ice (s) by date(s) specified in permit. Retain copy for your records.

14. More detailed instructions for use of this Discharge Afonitoring Repart (DMR) foam may be obtained frorn Officc(s) specified in permit.

Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failuir to report or failure to report truthfully can res>lt in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation, or by impris4mment for not more than one year, or by both. c o e EPA Form 3320d (Rev. OUd5) n I{. s

~ PEnemTTEE teAGE/ADOfESS WFmeby#mmvimmem(DWhmf 8sATIO88AL POLLUTANT DISCHANGE flameAfl088 SYSTOM MFDESJ FOfm ApprWVWd. geagg DISCHARGE MONITORWee MPORT (DMR) 4 6 P ; 7 f ? VAI. LEY P3MEC 3IlTI39 (2-r at 117-72 CiEM, pgyn RETA10 g N* % -} ,L AconEM p, ), g)g g

- - '"*Te l'9 (333t 35)

M f eTr*; aure awoonr PERMIT NWWER DecHAnu nuuuR .pyggg i p 33IPPIwCP3kr a 1577' 'A R40famweG reuOO '"J3E 3Pitd79 TaLLST POVP7 3 TAT!?M YEAR MO DAY YEAR MO DAY h LOCA N 4 Fh0M 2% 17 9i TO 95, tt t1 309 v a a r e; C g s q q g g { c*6 j s v

sr, s7yss 3o,sn~v tw211 122-23 124 20)

(20-27) 120-201 1 M 311 NNN' W M M *'l* A PARAWTER is M W ML (4 Cwe W M CONCENTRATMM NO.

EOUENCf S

tess 154-011 (Jo-est team tssat> or (32-37/ EX TYPE' aseALYess AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS seem,,say a j SAMPLE r 4 y33 a+ cere;t9 aseSast ( 12) t MEASUREMENT I \\ es a g i 3 3 PERMIT '. es e

t e -

S e cr e t.o 1c t ..L -*ene w qEpaa?! n wic;/ 4Agg REQUIREMENT

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3 t l y,, ya pp L SAMPLE c e ar s e e e 6 *- ar33 ss me n

( 14) i11PR4C$D l MEASUREMENT l, Os3S ( 3 '3 'PER C o g 5 p a: +r-teec? >.t 70 7 ce39ec 3} 103-

1 WICC/ ;433q

( .,c,,%w .mc y0y REQUIREMENT n, 39 p y, y ~ ' p g p g,7 g gf7 y3y7g } ( tIL AND 3REF3r SAMPLE e e e r-o a, eaetSS etec > ( 13) j MEASUREMENT uun erra-M gv prTu 4 33 % s j ) 3 PERMIT - - 943eae ee*pt -e *03 occace 20 kIOg/

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} REQUIREMENT ,g n 4,9 hayg y z iy 433 See -reta-A? ~q,tv yg(g, a SAMPLE [ MEASUREMENT l PERMIT. f REQUIREMENT lt SAMPLE. i MEASUREMENT [ ' PERMIT f s REQUIREMENT SAMPLE MEASUREMENT i { PERMIT - REQUIREENT s MPM M M I CEftTTFY UNDEM PEBIALTY OF LAW THAT I HAVE,....,.r k.LY ERAmmesED AMD '/ - N DATE AAA FAAMLIAR VUITH THE NfroplasATIO80 SUgemTTED MEREMt: ASED mansn oog esY r* Quilty OF THOSE IIIOtVIOUALS itsesEDeATELY HE N POR \\ .h j } '7 / DeTansee THE sarrostasAftoss, e SELtEVE TwE SugemTTED inspostasATtoes tS J / David Orndorf Taus. AccunATE AseD consatETE. Ann AvvAnE TWAT TwEsiE AaE y y,,/7 ef - -v 90GBIIFICANT PEleALTTES FOR SLSAAf7TIIeG FALSE IIspopusATICIE. tHCLUDuse Chen19L17 MatiaRcr twe possesuTY Or rust AssD inspensossutNT. sEE tt U.S.C. 51001 AfED 33 O S 41 t 1^ 07 0i -^"7 I U.S.C. 91319. W%semmise esser shaus smessue nasr assessh mise ap es $70.800 88E*A M E N L TYPED OR POWITED miv er - - - ases===usae arass ese s nionensmiv s yseras orrecEn on aufgeosuEto neEOff hg NUtdBER YEAR MO DAY l COMMENlt AND EXPLANATION OF ANY VIOLATIONS l Reference af strechmerres herof ) 1 i k I b 1e A r u Le r-o EPA Form 3320-1008-914 Previous odetions may be used. tREPt. ACES EPA FORM T-40 WHICH sdIAY NOT BE USED.) PAGE OF: 0 3 1 0 ts / 9 5 1 0 0 3 @ fi 3 4 L ____-_~.__._.__..__._-_-.__._______..__,_..__...c

l =. - ~. - - - Paperwork Reduction Act Notice L l Pubhc repmting burden for this collection of infornution is estinated to vary fmm a rqe of 10 hotr' u u average per response for some rninor f acilities, to 110 hours as an average per response f or mne ncjor facHities. l with a weighted average for nujor and minor facilities of 18 bours per response, including tarr fer rtyrewing l , instructions, t.earching exis, ting data sources, gathering and maintaining the data necdad, and coa.p.eting and .,revicwing the collection of information. Send cornments regarding the burden e. stimate or my ch bpect of this collection of information, including suggestions for reducing ths Omden, to Chief, Inf onuthm Policy l Branch, PM-223, U.S. Environmental Pratection Agency,401 M Street, SW Washington, DC 20450; and to the Office ofInformation and Regulatory Alfairs, O!Uce of Management and 13udget, Washingmn, DC 20503. l l General Instructions I If form has been partially completed by preprinting, disregard instructions directed at entry of that infonnation already preprinted.

2. Enter *Permittec Nameafaihng Address (and facilifv name/ location, if different)." " Permit Number," and

~ *Descharge Number" w here indicated. ( A separate form i., required for cach discharge.) L

3. Enter dates bcginning and ending "Aluniformg Period" covered by form where mdicate<1

4. Enter cach

Parameter
as specified in monitoring requirements of penmt.

5. Enter *Sampic Alcamecment" data for cach parameter under "()uantity" and "(heahry'~ in unin spe cified in pernut.

"Awruge" is normally arithmetic average (geometric average for bacterial parameters) of aH icm:pl: mcaurements for cach parameter obtained during "Afonitoring Perio.P, "A4mmum" and "Ahmmum" are.mcmally extreme high and low meast rements obtained during '3/omtoring Permd.' (Note to municipah mt' semadary treatment requirernent; Enter 30-day average of sample measurements under "Arcrage " and enter nraimo n 7 day average of sampic measurements obtained during monitoring period under "Alarimum. ") t

6. Enter

Permit Requirement" for each parameter under " Quantity" and "(bahry" as specified in penait.

7. Under "No Er* cnter number of sample measurments during monitoring perioc! tha' cxeced maximma (anwm minimum or 7-day average as appropriate) permit requirement for each parameter. If r.one, enter *0"

8. Enter *Frequemy of Analyxi/ both as " Sample Alcarurment" (actual frequency of samphng aad andy sis used during monitoring p,7:od) and as "Pcrma Requirement" specified in penuit. te g., Enter t 'ont,' fcr continucus monitoring. "U7" for one day per weck, "Id(T for one day per month, "/60" for one day per quaner, etc.)

9. Enter

Sample 7)pe" both as "Samp'e Afcasurement" (actual sample type used during monimring period) and as

" Permit Reginrement," (e g., Enter " Grab" for individual samp?c, "2.!#C" for 24-hour com;osite. "NW for continuous monitoring, cfc.)

10. Where violations of penuit req irements are reported, attach a brief explanation to describe cause and conecthe actions taken, and seference each violation by date.

I1, If"no discharge" occurs during monitoriag penod, enter "No Descharge" across form in place of data entry.

12. Entcr *No~ Titic of Principal Executoe Officer

with " Signature of Principal Executive Cincer ofAuthorl:ed Agent,' '

+ ne Number," and "Date" at bottom of fonn.

13. Mail signed Report to Office (s) by date(s) specined in permit. Retain copy for your records.

14. More detailed instructions for use of this Discharge Atumforing Report fDA/R) form may be obtained from OfLcce) specified in permit.

Legal Notice This report is reqmred by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to repon truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 pei day of violation, or by imprisonment for not nmre than one year, or by both. EPA Perm 3320-1 (Rev. 08-95)

PEnMITTEE NAE /ADDPCS#ashMeren#smeImame=(DWow) NATtONat POLLL' TANT DISCHARGE EUM888AT'ON SYSTEM [/ FOES) Forygg Approved. w, lt7N CM0??3i?" 9L0'.?,pMBNo.N W,

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PSer9 3

liI P YE

"^* Appm 05-h 48 ( ;;! H e 55) 5* "( 1 i 7 ADORE::3p,3, 3)g a PERMIT NUMBE3 >ScHARGE NuMeER v

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15t77 5UU MONITORING PERIOD FACRITY 73j,7 og 3 qy ).j - f pg77, e LOCAMN FROM r-t t i.1 TO +w v, 1! ete EO n;5C4 A r" H$. l :-l,.a 1He toe %. NOTE: Reed inetructione bet s-. es :r, ,,<n. se > 420 29) 122-231 124-259 (26 271 128-29) 130k399 PARAMETER 13 ced osy QUANTITY OR LOADING 14 QW OnM OUANTITY OR CONCENTRATION wo, FRE M gg 14 & 531 154-691 13M51 14 & S 39 154-691 oF (32-377 EX TYPE mySit AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS em ,,m -t SAMPLE 3 e a-e

s e e. e 3 y :

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mLy; p(9 REQUIREMENT

,7-337,7 y, 437 .333 e e,.g r 7,, SAMPLE .ecet y na*: :.. e39eD3 ( ;og e t, s3,; s; 3: MEASUREMENT p:31 e(77-f;3gg w,,.. ) q r, c, y 3 PERMIT eew's

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A nn e n ;: Sy etecom ': r p 3 9 p ggpap; i e g ge L g - RA3 REQUIREMENT ,,, g 9 gyn 3 3 7 gyy ,y 57ft rrt3eer -.>,c r., y :, r SAMPLE 37goe. e e e t s :. e y e e e a. ( io)

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t. 2 5 FE%I RAa REQUIREMENT

,at> yn 3yq {y37 qy m/L .n .r. ,3 q yg,q NAME/ TITLE PRINCIPAL EXECUTIVE OFFICER I cERTtry uNoER PENAU. t CF LAW THAT I HAVE PERSONALLY EKAMMED AND r. TELEPHONE DATE AM FAMOUAR WITH THE INFORMATION SUBMITTED HEREfM; AND BASED ON / / MY INQUl8tY OF THOSE fNDIVIDUALS IMMEDIATELY RESPONSIBLE FOR f I.)a v id U rn d o r [ OSTAINING THE INFORMATION. I DEUEVE THE SUBMITTED INFORMATION It r e &,.f)M./ TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE -I b '12 393-5113 97 0 'b h' 7 Ch tdril 8 L IV !!a11 A RC T-StGNtRCANT PENALTIES FOR SUBMITTING FALSE eNFORMATION. INCLUDING + THE POSSIStUTY OF FINE AND IM*RIS u.S.c. s 1sie. IFunemee anne en ONMENT. SEE te U.S.C. 9100,1 AND 33 e essame mer mete, newe se R s70.000 SiONATURE OF PRINC8 PAL EXECUTIVE e g TYPED OR PRWTED and er mashman L.1

af terwowe e nwes and 6 yearsJ OFFICER OR AUTHOIT4 ZED AGENT NUMBER YEAR MO DAY CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Refsrence s# ettschments heral AJu D r u h <; < e frn
7a r = ;p 59u99;A 4 7 V I T 3 ' 7 '! P-T'

IV ' f? i f r '; 9!TO?~ 05 JET '.AYfla."D7'T T J :- DJIL7 :*

T I N I' s "O1 3rt? D a-d sur' 3;7.3 3u;[. ; (?1 ly,

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'5/L. ("1[ LT9[7 IS.35 13/L $$ 1 D*TL7 MAX,) EPA Form 3320-1 108-95) Previous editioris rby be used. (ftEPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF s-

1 5 I ' Paperwork Reduction Act Notice 4 ^ m l l' .*3 j i%!ie n pbrting t-und. f4 c this collection of infunnetion is estimated to vary from a range of 10 houni as an

averge pu response f-wme mmor' facilitics, to 110 hours as an average per response for some major facilities,

}- . with & weighted nyerep fer nujor.md minor facilities of 18 hotus per response, including time for reviewing l } imtructions, jarchiur anting data sourca, gathering and maintaining the data 'noeded, and completi g and l ', { i miewing the collet.ti m of informatica. Scm! comments reprding the bwden estimate or any other aspect of l l

tbrs en!!cction of infomnt: on, including suggep.tions for nducing this burden, to Chief, Information Policy i

. Branch, PM;223, U1 Environmatal Protection Agency,401 M Street, SW Washington, DC 2CC; arid to the i Office ofIrifornation ud Regulatory Affairs, Omce of Management and Budget, Washington, D'

1503, t

{ L...l c. t

General Instructions i

'l. If Ibrm has been :nnially completed by preprinting, disregard instructions directed at entry of that information already preprinted. j ,2. Enter " Permittee Yme:Atailmg Address (and facility namellocation, if different)," " Permit Number, and '[ "Drsrhcrge Numba " 9 cre indicated ( A separate form is required for cach discharge.) b

3. 'EnMr dates begindog and ending "Alomformg Period" covered by form where indicated,

.4, Enter each "Param ter" as specined in monitoring requirements of permit. i 5 Eder "Sn nplc Arcaa rrment' data for cach paramcter under "Guaniity" and "Guality" in units specified in permit "hroge" is nern Q anthmctic average (geomctric average for bacterial parameters) of all sampic measurements for each paramet r obtencd during "Alomtoring Permd'; "Afarm:nm" and "Almimum" are normally extreme high and low measur< mnis obtained dming "Afoniturmg Period " (Note to municipals with secondary treatment reqms ement. Enae % day average cf sample measmcments, under " Average," and enter maxinmm 7-day average of sample measursems obtained danng monitoring period under *Alarimum.") ^

6. Enter "Per mit Rep:rement" for cAch parameter under "Ommtity" and "guality" as specified in permit.

l 7 Under "No Er" A r number or sunple measurments during monitoring period that exceed nminmm (and/or minimum or 7-dnj m erage as appropriate) pcmut requirement for each parameter, if none, enter "0". j - 8. Enter "fGrquerto V 4ra/ pia" both as " Sample k/eawrment" (actual frequency of sampling and analysis used d,: ring maratoring gnod) and as

Permit Regwren.cnt" specified in pennit. (e g., Enter " Cont," for continuous monitoring. "IJ' ict ore day pc r week, "U30" for one day per month, "Isa" for one day p r quarter, etc.)'

9. Enter " Sample 7)re ' both as " Sample Alcawrement" (actual sample type tacd during monitoring period) and as

" Permit Require ment," (e g.,- Enter " Grab" for individual sample, "2,flIC" for 24-hour composite. "N/A" for continuous Inoniton ng. etC.) '10. Where violations of pennit requirements arc reported, attach a brief explanation to describe cause and corrective actions taken and reference each violation by date. I1. If"no discharge" occurs durir g monitoring period. enter "No Discharge" across form in place of data entry.

12. Enter "Namenitle viPrmcipal Executive O!11cer* with " Signature of Principal Executive ODicer ofAuthori:ed Agent," " Telephone Number," and "Date* at bottom of forrn.

13. Mail signed Report to Omcc(s) by date(s) specified in permit. Retain copy for your records.

.14. More detailed instructions for use of this Discharge A/omforing Report (DAIR) form may be obtained from Omce(s) ) spe ified in permit. 1 Legal Notice i This ' report is required by law (33 U.S.C.1318; 40 C.F.it 125.27). Failure to report or failure to report truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penaltics not to exceed $25,000 per day I of violation, or by imprisonment for not more than one year, or by both. 1 1 EPA Form 3320-1 (Rey,08-95) l )

PEfte!TTEE 80AWlA000ESSIAmesd,Fershef Aram 't.essn=(W MATioseAL *0LLUTAmt DescMesteg M uhamaafgost WYST98 (APDfS) Form Appteved. 90AW '4 E R V E R TILLET POWS 9 5flTI3V '2-N "AN -M NDEF3A?E 3L N DO,M No. M,5ss ~ e p :g g 35) u. 4, O.S-31 AconEco p, 3, gg 3 - s s -, e: c *

n, r

PERMT N orscMAmoE muMem

??N; M 71D Di1NDORP p. 77ggL 1

I'4I PP T w ;P 3 R I PA 15077 mmm "P330 PR%f2R 7hLLFY PO%9R 3?ATIJ" YEAR MO DAY YEAR MO DAY LOCAtiose FROM s t) nT TO

A 1

11 MS *13 DIS 01AFCP t !'**e. 088MP EGR9 % Y.

T*vg n
11 7 1 a n w % 9 " n' (20'211 122-239 424 259 (20-27) (20-299 (30ustj NOTE.* M M I

PARANTER (3 M W NL MNN M NO. -Te Idd-5JF f54871 (39-457 (6 f544fL OF 5 (3247; EX TYPE. myget AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS mem Issaar tes-7tw SAMPLE egsee e ri p p a gegpp g igg

pHA2yyL MEASUREMENT PERWT.

Aenege j a;n en e 3 me egen 3 q 3 ggggy 1113 1 3 ~; REQUIREMENT ~ g y; e e to e, - q,2-yg: n. ,33; y 3y7 p g 77 y Tu y e ;f y_ SAMPLE MEASUREMENT PERMT-- I REQUIREMENT SAMPLE MEASUREMENT PERMT REQUIREMENT SAMPLE MEASUREMENT . PERMIT : REQUIREMENT SAMPLE MEASUREMENT PERMT: REQUIREIENT S AMPLE. MEASUREMENT PERMT : ^ REQUIREMENT SAMPLE MEASUREMENT PERMIT. REQUIREENT 6 MAL M M l C5tTIFY UIsOER PfisALTY OF UnW THAT I MAVE..mMY ENAMINED AMO / TELEPHOSE DATE-AM FAMIUAR WITH THE IIeFOpInsATIOes SuttstTTED MEREIII: AfsD BASED Ost MY IMOUlftY OF THOSE WIDiw4 DUALS pasasEDIATELY ftEEPOI8EIBLE FOR jf , y 7-3 OSTAINueG THE WePOfusATIOII. I SEUEVE THE SugestTTED INFOfDsATICII 15 j 3 . f.. '(, 'MQ / TRUE. ACCtJRATE ASID ConsWLETE. B AM AWAflE THAT THERE AftE A Daytd Ornderf mesmeicAmr resA,LMS FOR SugamTTWs0 FALSE WIPORMATICII. lesCLUOese THE cOsseury 0 past Amo mannisownsesT. sEE is u.s.c. e ioot Asso as il ? P3-5L13 97 .l. 27 l SpeetATUgit OF PRNICFAL E u.s.c. s isis. smanmMme asMar esse asemane neer.m Anse en se Ero.ceo TYPED OR PfWITED sav er. E er amwesa s mensw w ayawe> OFFICER OII Atm00fu2ED AGEUIT h, 88URSER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (RefWence af errschments hers/ g 6, u s.%, y, c din & A IT v-400 A m FIA NMr?N TM ?'

"YT WP*ts p;3IOPT Oc sFi L
Y '1 b. M e ^ D a 7 TM OAILY NA?!?UM FOR-5PT2 D T + 'l w 9Fe D I: ~ i U;D T (?4 an. ~MS.t:

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1. < T MILY d'I.)

EPA Form 3320-1108-551 Prewoove odenotte may be used. IIEPLACES EPA FORM T-40 WeeCH allay 800T BE USEP 4 .PAGE OF 07 /3 00 4d3'4 j

i l Paperwork Reduction Act Notice 1 l .Public reporting burden for this collection of infonnation is estimated to vasy from a range of 10 kurf as an l average per response for rome minor facilities, to 110 hours as an average per response far sons imjor facditics, l with a weighted average for major and minor facilities of 18 bours per respanse, incluJmg time for n: viewing j instructions, searching existing data sources, gathering and maintaining the data needal, and competing and l reviewing the collection of information.. Send comments regardmg the burden estimate or any mbcr aspect of I this collection of information, including suggestions for reducing this burJen, to Chief, Information Policy l Branch, PM-223, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC 20460; and to the j j l Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503 j j l 1 l General Instructions 1."If form has been partially completed by preprinting, disregard instmetions directed at entry of that information already preprinted.

2. Enter *Permitter Name/Afailms Addrexx (and facility nameAccation, if difkrent)," " Permit Number " and

" Discharge Number" where indicated (A separate form is required for each discharge.) i

3. Enter dates beginning and ending *Afonitormx Period"cmcred by form wbere indicated.

j '4. Enter each "farameter" as specified in monitoring requirements of pennit. S. Enter "Nample Alcamrement* data for cach parameter under "Guantity" and "Guably" in units rpecified in pennit. i ' Average" is nornudly arithmetic average (geometric average for bacterial parameters) cf all mpb measuremrnis j ( for each parameter obtained during "Afomforing Period"; "Afanmum" and "Abnimum* arc norrnally extreme high ~ 4 and low measurcruents obtained during "Afomformg Period " (Note to municipals mth scavidarv treatment i rajuirement: Enter 30-day userage of sample measurements under "Averagef and emet masinen 7-day average of sample measurements obtained during monitonng per od under "Afarimum ") j i i l

6. Enter

Permit Requirement
for cach parameter under "Guantity" and "pmdsty" as specified m pernut

7. Under "No &* cnter number of sample measurments during monitoring period th:it exceed maimum (and/or minimum or 7-day average as appropriate) permit requirement for each parameter. If none, enter "7

8. Enter " Frequency of Analysif both as %vnple Alcawrment" (actual frequency of sampling aad analysis used l

during monitoring per"od) and as

Permit Requirement" specified in penuit. (c g, Emer 9 'ontf for continuous monitoring,"la" for one day per weck. "l/W for one day per month, "lNO" for one d n per quarter, etc.)

9. Enter "Wmple Type" both as "Samp/c Afeamerment" (actual sample type used during moni:oring period) and as i

i " Permit Requirement " (e g., Enter "Grah" for individual sample, "21//C" for 24-hour compostle. "N/A" for i conimuous momtonng, etc.) 1 i

10. <Where violations of pennit requirements are reported, attach a brief explanation to describe cause and conective actions taken, and reference each violation by date.

I 1, If "no discharge" occurs during monitoring period. enter "No Discharge" across form in place of data entry. t

12. Enter "Name/Dtle of Principal Secutive OJJicer" with "Signaturc of Prmeipal Secutive Ojpcer of Authori:cd i

l Agent," " Telephone Number," and "Date" at bottom of form.

13. Mail rigned Report to Office (s) by date(s) specified in permit. Retam copy for your records.

l l

14. More detailed instructions for use of this Discharge Afrmitoring Report (DAIR) form may be obtained from Office (r) i specified in pennit.

l Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or fadure to aport truthfully can result in civil penalties not to excen.! $10,000 per day of violation; or in enminal penaltees not to exceed $25,000 per day i of violation, or by imprisonment for not more than one year, or by both. EPA Forir 33204 (Rev. 08-95) l l

i PEMMTTEE NAME/ADDRE2O(kshaFenhyhwieesasegroghms) NATIC8W PORUTANT DISCMMt0E EUMesATION SYSTEM (MDESl Form '*"N '.~ -- ~" NtME DISCHARGE MONITOUWNG REPORT (DMAf M M-t # % V! - i&LL%? 9 'l 4 E ? 3 ? A.

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Jf 119?'

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~~ SAMPLE MEASUREMENT PERMIT. I REQUIREMENT SAMPLE MEASUREMENT PERMIT. REQUIREMENT t SAMPLE MEASUREMENT i PERMIT REQUIREMENT c NAME1 TITLE PRNGCMAI. EXECUTfvE OFFICER e CERTIFY UNDen PENALTY OF law THAT e MAvE PERSONALLY ERAM18eED AND TELEPHONE DATE s. AM FAMOUAR IMTM THE INFORMATION SUSMFTTED MEREIN; AND SASED ON [' [/ MY INQUIRY OF THOSE INDIVIDUALS IMenfDIATELY RESPO88919LE FOR / k Davhi Orndor f osmN=o ME INFORMAN. I SEUEVE ME SUBMITTED INFORMAN IS TRUE, ACCURATE AND COMPLETE. 8 AM AWARE THAT THERE ARE mA/ ChCI3i H 1. T Nanilqer StonesFICANT PENALTTES FOR SUOMITTING FALSE INFORMATION 18eCLUDiseG ' 1 a-3' 47 01 27 3 THE POSSieeUTY OF FftIE ANO IMPRISONMENT. SEE 18 U.S.C. 9,1001 AND 33 880 NATURE OF PRINCIPAL EXECUTWE U.S.C. t tats. sRinemme anshr snese seems mer Aiedusse nnes e se sfo. coo g TYPED OR PRINTED sw or merenum --- of terwesa 8 mensne sw s yeomJ OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference af effechments hers/ Q b l S (.b c. q f EPA Form 3320-1 100-95) Prewous editions may be used. OREPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF .4 ,_..s.,._ . ~

o. ~, t ) pubhc reperting i urd, S r thh colledion of mforuation is estinuted to vary from a range of 10 hours as an m rye fa sem i, u me mhwr Lahties, to 110 bours as an average per response for some major facilities, with 2 weighted aver, s for myratad udnor f acilities of 18 hours per response, meluding tima for reviewing l mitmctmns. teardun; i ung data somces, gathering and maintaining the data needed, r.ad compleMng and re3 ewing du col! edin d inimmaion. ScoJ comments regarding the burden estimate or any other aspect of i ths wlbetion of mfe: Loo, im htdiry suggestions for reducing this burden, to Chief, Information Policy Branch, PM-223, US Ermronmental Pmicetion Agency, 401 M Street, SW Washington, DC 2040; and to the ' Office of Infonration nd Regulaimy Af fairs, Office of Management and Budget, Washington, DC 20503. General Instructions

1. If form he been pitLdly completed by preprinting, disregard instructions directed at entry of that information already preprinted.

2. Enter "Perimitce Xamc/Mading.iddress (and facility name/ location, if different)," " Permit Number," and 4

"Dmharge Numb. r where indicated. ( A separate form is required for each discharge.)

3. Eraer dates begim mg ; t d ending "Monitorrng Perm./" covered by form where indicated.

4. Emcr cath "Paramar ' as specified in monitonng requirements of permit.

- Entt "l,cmpi Mw a more data kr cath paramcier urder "Quantety" and "puolity" m units specified in permit. " h cry " s nem,4 antometk merage (ycometric lacrape for bacterial parameters) of all sampic measurements for en n pnun.ct " cht.icca danng "5lorirvring Powd"; " Maximum" and " Minimum" are normally extreme hsch and law meaeurri, nh obtaiord danng "Homformg Permd." (Note to municipals with secondary treatment reqmrement: Enu Me averve r.f s:unpic measuitments under " Average." and enter maximum 7-day average of sample measulmun obtained durmg tuonboring period under "Mmimum,*) 0: Emcr " Permit Res m mnt* fer each pwuncter under "Quantay" and " Quality" as speciEJ in permit.

7. Unde: "No Er" u.r rurnber of umple rocasurmens during monitoring period that execed maximum (and'or minimum or 7-de a erage as sppropriate) pctmit requirement for each parameter. If none, enter 41".

3. Enter "Frcqwmy alpis" kah as " Nam;>le Measurmen/* (actual frequency of sampling and analysis used irine, nmmionng pend) and as */'ermit Rafwement" specified in pennit. (e g., Enter " Cont " for continuous monitcring, "/m ?,, to e d.ty per week */W!" for one day per month, */M1" for one day per quarter, etc.)-

r 9 Enter "Samp!c 'y;," both as "Sumple Measurement" (actual sample type used during monitoring period) and as l " Perma Requiremerf * (e g.. Eraer "Grah" for indriidual samp!c, "NHC" for 24-hour composite, *NOf" for continuous momtonng, Ctc.)

10. Where violations of permit requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference cach violation by date.

11. If"no discharge" occurs during monitoring period, enter "No Dacharge" across form in place of data entry.

t

12. Enter "Name'7'ule ofI'rmapal Executive Officer" with " Signa:ure of Principal Erecutne Oficer of Authorced Agent." '7elephone Number " and "Date" nt bottom of form.

13. Mail signed Report to Omce(s) by date(s) specified in permit. Retain copy for your records.

14. More detailed instructwns for use of this Dacharge Monnoring Report (DMR) fonn may be obtained from Office (s) spesified in pernnt.

Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125,27). Failure to report or failure to report truthfully can result in civil penahies not to exceed $10,000 per day of sin!stion; or in criminal penahies not to exceed 525,000 per day of violation, or by imprisonment for not more than one year, or by both. EPA Form 3320-1 (Rev. 08-95)

l FEnemTTEE NAhEEIADDRESS 0=weFaderm=.1 ewsm pWous mATIO=AL POttutANT oeSCHARGE EUMMATION SYSTEM (NPDESf Form Approved. l NAME DISCHARGE MONITORWG REPORT (OMR1 hM%iE9 7%LLLY D3W?O 'I ? A

I. ~14 (2-7""

(77-781 1 M i, " l ;EEEI9 3LWgg m. ~ {qg3p 3s) ^5 Prot'%f!**,C&31-98 mm n 7, 437 a n.,,wc*c =.

T N ; 91/1 f) 3 NDn,p PERMIT NUMBER DISCHARGE NUM8m p.,y{ygg l

3 PIPPI 9IP3PT i' 2 15'77

33

\\ MONITORING PERIOD FA N ,gggy9 ykLLg7 pggqa 7 ;. g 7 I l h YEAR MO DAY YEAR MO DAY I LOCAT m FROM 4 ', 1/ +, TO v *, 1 si NOTE Reed M &g y Cte s ') DIZir g y ;p g pc aJM S %. s* v3 , 5 y r ", 3r- ,1> 120u211 122-231 124-251 126-279 (28-29) (30'311 PARAMETER 13 Cerd crwyl OUANTITY OR LOADING d4 Card on/yl QUANTITY OR CONCENTRATION NO. mEM gg 146-539 154-6 t9 (30-461 146-63) (5Hil or (32-37; EX TYPE.: ANALysrS l AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ,s2 43, fe m

fggyo,

( 1 SAMPLE

e. 3 n s $ s we~;;

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( ] ') ) . ); r,, 737s; 3 MEASUREMENT ,, : n.r e. n 5. n m c 1 -} g a n 1 3 3 PERMIT , e. c a. d e r r-c e as; 9

Sy otteet 39 100 eMLy GAB i

a gei qc .g 3 ; REQUIREMENT .33 v3 gy, p qy p.sy 3 :p( 'LOV, li )

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y.

937te .=y-1r gg3 o 3 'e-,o SAMPLE i MEASUREMENT PERM!T REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMFLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT NAME/ TITLE PRINCIPAL EXECUTIVE OFFICER ' I CERTIFY UNDER PENALT OF LAW TH AT I HAVE PERSONALLY ERAMfMED AND TELEPHONE DATE AM FAMfuAR WITH THE INFORMATION SUSMITTED HEMUN; AND BASED ON [z MY INQUIRY OF THOSE fMD8VfDUALS sMMEDIAI ELY RESPONSr8LE FOR A V IJ aV id U M d O I. c OBTAJNING THE INFORMATION, t eEUEVE THE SUDMfTTED INFORMATION IS t[ , / f. / L TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT TME8G ARE / ,@, e v ff p RIG PENALTIES FOR SUBMtTTING FALSE INFORMATION. INCLUDING 73,MRCA,N,T,uTY OF Fat.ANo maFouSO.N. MENT. sEE to u.S.C. e tooi A4 33 L..neniat ry ilattor.c r 3 pos

i, w7-5113 o7 ti1 27 u.S.C. n isie. sRwee.

==w v ,=,m.F m em.,sesro. coo stoMATwE OF PueCsPAL EXECUTIVE AREA TYPED OR PRINTED and er==r*=m : n .: or aerween s manens.ne 4 ms OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Retsre;ee s# etteChments heref l& D i q i- + y a e EPA Form 3320-1(06-951 Previous editions may be used. IREPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE ( OF 37y 4 gg3,gg3

4 : __.-..- - 1 ..,_aL.-- y Paperwork Reduction Act Notice ' o IP.ublic reporting burden for this collection of iriformation is estimated to vary from a anse of 10 hours as an - iaverage per response for some minor facilities, to 110 hours'as an average per response far some major facilities, l with a weighted average for major and. minor facilities of le hours per response, incluihng time'foc reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and ireviewing _the collection of information.. Send comments regarding the burden estimat.: or arc, othe.t aspect of this collection of infonnation, including suggestions for reducing this burden, to Chief, InfonnationjPolicy Branch, PM-223, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC 2M60; and to the Office ofInfonnation and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503, _p General Instructions

11. If form has been partially completed by paprinting, disregard instructions directed at entry of (Sat information

- lready preprinted a 1

2. Enter " Permittee Name/A/m/ing Address (and facility name/locatien, if different)," " Permit Number," and

" Discharge Number" where indicated. (A separate form is required for each discharge.)

3. Etter dates beginning and ending " Monitoring Period" covered by form where indicated

4. Enter eacn " Parameter" as specified in monitoring requirements of permit.

5. Enter " Sample Measurement" data for each parameter under Quantity" and "Quahty" in unns sp=ilied in pennit?

" Average" is nemtally arithmetic average (geometric average for bacterial parameters) of all umple measurements for exL parameter obtained during "Monitonng Period"; "Maumum" and "Mmimum" are normally extreme ldgh omd low measurements obtained during "Afomtonny Permd" (Note to municipals with secoadary treatment t- . regmrement: Enter 30-day average of samp!c measurements under

Average " and emer maximum 7xiay average of sample measurements obtained during rnonitorinf; period under " Maximum. ")

.6c Enter " Permit Retjuirement" for each parameter under " Quantity" and "Guahty" as specified in permit; e 7.'Under' *No Er" enter number of sampic measurments during monitoring period that exceed maximum (and/or. " minimum or 7-day average as appropriate) permit requirement for each parameter. If none, enter "0",.

8. Enter " Frequency of Analysis" both as " Sample Memurment" (actuai frequency of samplir,g and analpis used daring monitoring pwod) ;md as " Permit Requirement" specified in pernut. (e.g, Enter " Cont," for contimmus monitoring, "//7" for one day per week, "//30" for one day per month, "130" for one day per quarter, etc.)

.9. Emer 'bmple 7)pe" both as "Sanp/c Memurement" (actual sample type used during monitoring period) and as " Permit Requirement," (e.g., Enter " Grab" for individual sample, "NHC"'for 24-hour composite, "N/A" for continuous monitoring, etc.) 10.!Where violations of permit requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference each violation by date. I1. If"no discharge" occurs during monitoring period, enter "No Discharge" across fonn in place of Atta entry. f .12. Enter "Name/ Title of Principal Executive Officer" with

Signature of Principal Executive DJJicer of Authori:cd l

Agent."

Telephone Number," and *Date* at bottom of form.

13. Mail signed Report to Office (s) by' date(s) specified in pennit. Retain copy for your records.

14. More detailed instructions for use of this Discharge Momforing Report (DMR) form may be obtaiacd from OfTice(O specified in pennit.

Legal Notice e ) Thisieport is required by law (33 U.S.C.1318; 40 C F.R.125.27). Failure to report or failure to report truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in enrmnal penalties not to exeecd $25,000 per day of violation, or by imprisonment for not more than one year, or by both. ) i l I EPA Form 33201 (Rev. 08-95)

PERMITTEE NAME/ ADDRESS (t=bdeFaeryNeuvLorenes(D@unt) NATIONAL POLLUTANT DISCHARGE EUUltdATION SYSTEM (MPDESf Form Approved.._ ; NAME DISCHARGE MONITORING REPORT (DMR/ --t F A V 2 a V I L L E Y PosEM'3*%;I]i 12-f 61 (17-1s1 IP!A<L SCPerH HACM, h N '~ p f) D R J ';) 'f'" ADDRE33 p. 3, q3y

b

PERMINMBER OtSCMMGE NUMBER 7y q( J t s ns; :uvn m.oyy y

M!PPTN3?M?

PA I577 "#33 MONITORING PERIOD e ~ E A '18; a V4LL"f P 3W " iT&TIJt YEAR MO DAY YEAR MO DAY l LOCATION FROM !/ TO -r % 1/ tt W F3 Reed inetructbone before%l _ DtSCHxPG" l CCa-g >rt. ptyin 3 a s nw 7 (20219 122-23) 124-251 120-211 128 29s 130 31) NOTE: PARAMETER '3 Cd Ontri QUANTITY OR LOADING f4 Ceruf Omtrf OUANTITY OR CONCENTRATION NO. FREoutNcY SAMPtX (46-53) (54-691 (3H51 946-631 (54-691 OF (32-371 EX TY'El angyg,$ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS nse fa,_ast (6sa L O 3, Is 'JN3)[T ') p SAMPLE ^y 0 $ ? r-e t ONa t e $ Wcy f <gon

n p73r

.? p g g p; y ggg ggyg C 7 g gl MEASUREMENT ,ger-1, 7 7 PERMIT at.yp p e n rpp y e t.p o e cueec t ee s e n i 3p t 73ty .py g g REQUIREMENT -me,y ev 32 73 t.3 y g,,, ng 7g y gg SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT g PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT NAME/ TITLE PRWCFAL EXECUTIVE OFFICER I CERftFV L*# DER PENA 6TY OF LAW THAT 1 MAVE PERSONALLY EXAMINED AND TELEPHONE DATE AM FAMlUAR WITH THE INFORMATION SUSMITTED HEREIN; ANO SASED ON ~ MY tNQUIRY OF THOSE INCtVfDUALS IMMEDIATELY RESPONSrBLE FO t "<O / OSTAINING THE INFORMATION. I BELtEVE THE SUBMITTED INFORMATION t$ ~Ig/ M"7.h* g[ _._ Je.sv d b.nderi TRUE. ACCURATE AND COMPLETE. I AM AWARE TMAT THERE ARE 'l_ SIGNRCANT PENALTTES FOR SUDMITTING FALSE INFORMATION. INCLUDING THE POSSIBsLITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. 91001 AND 33 --S40 NATURE OF PRINCIPAL EXE' C' UTIVEg' - O7 0I "* ? ! G 1 5.1 1 'I u.S.C. e 13to. penemme ener w senses mer siebsw anos up so s70,000 TYPED OR PRWTED man or maremen u - - r seewe.e s meetne ans a resro OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY o CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference s# strechments herel EPA Form 3320-1 (OS-SM Previous editioris may be used. (REPLACES EPA FORM T 40 WHICH MAY NOT BE USED.) PAGE OF 3g33 7g ggy,9 3g y

e = 7 Public reposting burden for th;s collectmn of iriformation is estimated to vary from a rage of 10 ' tours a ar, average per regense for wmr. rninor facilities, to I10 hours as an average per respone fqr wme nuior facihtics, l with a weighted average for major and miner faci' ides of 18 hours per respanse, includmg time fot rtviewing instrations, searching exicting data sourecs, gathering and maintaining the data needed, and completing and reviewing the collection of information. S:nd cornments regvding the burden estimate or any othes aspect of this collection of information, inclu6ny suggeshons for reducing this bunlen, to Cluf, Infonration-Policy Branch, PM-223, U.S. Environmental Protection Ager>cy,401 M Street, SV/ Washington. DC 20460; and to the l Office of Information and Regulatory Af fairs, Office of Management and Budget, Washington, DC 20$03. I _ _ _ _a General Instructions 11If form has lun partially completed by preprinting, disregard instructions directed at entry of t* tar information already preprinted.

2. Enter *Permitter Name/Afailmg Adduss (and facility namc! locution, if di'ferem)l " Permit Number l und "DiA< Aarge Number" where indicated. (A separate form is required for cach discharge.)

3. Enter dates leginning and ending *Afonnoring Period" covered by form where mdicated

4. Enter cach " Parameter" as specified in monitoring requirements of permit.

5. Enter " Sample Afcasurement" data for each parameter ander *Guantity* and "Guality" in unh ; spa;ified in perndt.

" Average" is normally arithmetic average (geometric ascrage for bacterial parameters) of alt tamp 1: n casurements for cach parameter obtained during "Alamformy Fermd"; Afaumum" and "Alimmum" uc rornudly cureme high and low measurements obtained during *Afomtoring Penod' (Note to municipals vcith seccadary treatment reqmrement: Enter 30-day average of sampic measurements under " Average." and enter muimum 7-day average of sample tucasttreinents obtained during monitoring period under "Afarimum. ")

6. Emer " Permit Requirement" for each parameter under "guantuy* and *Guahty" as specified in penniti

7. Under "No Er* cnter number of sample measurmen:s during; monitoring perkx! that exceed maximum (and/or minimum or 7-day average as appropria:c) permit requiremer,t for each pararneter. If rone, enter '0".

8. Enter 'Frequeng of Analysis" botS as "Nample Afeaxurment" (actual frequency of sampling aad analysis used during monitoring per od) and as "Penmi Requirement" specified in permit. (e g, Enter Tont for continuous monitoring, "l/7" for one day per wech, *l/.W' for one day per month. "l/90" for one day per quarter, etc.)

9. Enter " Sample 7)pe" both as " Sample Afrasurement" (actual simiple type used during monitorirg period) and as

" Permit Requirement? (e.g., Enter " Grab" for individual sample, "NHC" for 24-hour composite, "N/A" for continuous monitoring, etc.)

10. ~ Where violations of permit requirements are reported, attach a brief explanation to descnbe cause and corrective actions taken, and reference cach violation by date.

11. If 'no discharge" occurs during monitoring period enter "No Dist harge" across form in place of data entry F

12. Enter *Name/Dile of Principal Executive Oficer" with " Signature of Principal Erecutive OLHcer of Authorired Agent " Telephone Number

and "Date" at bottom of form.

I

13. Mail signed Report to Ofnce(s) by date(s) specified in permit Retain copy for your records.: 14. More detailed instructions for use of this Discharge Afonitoring Report (DAfR) form may be obtained froin OfDec(r)

+ specified in perndt Legal Notice l l This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failum to report truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day 1 of violation, or by imprisonment for not more than one year, or by both. EPA Fortn 3320-I (Rev. 08 95) . - -}}

ML20138J016

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