Text

NPDES Discharge Monitoring Rept for Apr 1998 for Bvps,Units 1 & 2
	ML20248D210
Person / Time
Site:	Beaver Valley
Issue date:	04/30/1998
From:	Brandt R, Orndorf D; DUQUESNE LIGHT CO.
To:	; NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
	NPD3VPO:0856, NPD3VPO:856, NUDOCS 9806020347
	Download: ML20248D210 (63)
	v • d • e

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Telephrpse (412) 393-6000

""J'E ?"."PA 15077-0004

$hippmgport May 27,1998 NPD3VPO: 0856 Document Control Desk U.S. Nuclear Regulatory Conunission Washington,DC 20555 NPDES Monthly Report. EPA Permit No. PA0025615

SUBJECT:

Beaver Valley Power StaSon, Unit No. I 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:

Enclosed is a copy of the NPDES Montidy Report as submitted to the Pennsylvania Department of Enviromnental Protection.

Sincerely,

/

f chard D. Brandt Division Vice President Nuclear Operations and Plant Manager SLV/tts cc: D. A.Orndorf J. K Cool J. Arias i

Central File a

9906020347 990430

%g4 PDR ADOCK 05 3

R The Nuclear Professionals

'Af Telephone (412) 393 6000 Nuclear Group P O Box 4 Shippingport. PA 15077-0004 May 27,1998 NPD3VPO: 0859 United States Emironmental Protection Agency Region III, Pennsylvania (3WM53)

Water Permits Branch Water Management Division 841 Chestnut Street _

Philadelphia,PA 19107 EPA Permit No. PA0025615 Reportable Occurrence

Dear Sir:

As required by the EPA Permit No. PA0025615, the following information is provided in regard to a reportable occurrence at Peaver Valley Power Station.

On April 4,1998 the pH of the #2 Unit oil / water separator (Outfall 111) was 9.4, slightly above our permit limit of 9.0. Investigation into this incident r~*caled that the abnormally high pH was a result of draining the #2 Unit feedwater/ heater train for maintenance activities. As a result of this incident, operating procedures are being modified to include additional coordination with the chemistry group during these type of activities to prevent future occurrences. All subsequent samples taken in April were within permit limits.

The average CBOD for the month of April for the #1 sewage treatment plant (Outfall 203) was 26.8 mg/l, slightly over our average limit of 25 mg/1. Investigation into this incident revealed no apparent cause for the abnormally high average. A subsequent sample taken on May 12 was analyzed to have a CBOD of 6.6 mg/1, well below our permit limits. A review of the operating procedure for the sewage treatment plant is planned as a precautionary measure.

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The Nuclear Professionals

May 27,1998 NPD3VPO: 0859 Page 2 If you have any quettions concerning this report, please do not hesitate to contact David A. Orndorf at 412 393 5113.

Sincere Rigt d D. Brandt Dfvision Vice President Nuclear Operations and Plant Manager SLV/trs cc: D A.Orndorf J. K. Cool J. Arias Central File. Keywords: NPDES Reportable Occurence l

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?A>N Telephone (412) 393-6000 Nuclear Group P O Box 4 Shippingport. PA 1 2 77-0004 May 27,1998 NPD3VPO: 0858 Attention: "DMR Clerk" Department of Environmental Protection Bureau of Water Quality Management 400 Waterfront Drive Pittsburgh, PA 15222 NPDES Monthly Report, EPA Permit No. PA0025615

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Gentlemen:

NPDES Monthly Report for Duquesne Light Company, Beaver Valley Power Station for April 1998 is submitted for your consideration.

Sincer,,

' t eP

' chard D. Brandt Division Vice President Nuclear Operations and l

Plant Manager SLV/tts l

cc: D. A. Orndorf l

J. K. Cool J. Arias Central File i

l se The Nuclear Professionals l

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__________.________o

.'A FN Te epo one (412) 393-6000 Nuclear Group P O Box 4 Shippmgport. PA 15077-0004.

May 27,1998 NPD3VPO: 0857 United States Emironmental Protection Agency Region III, Pennsylvania (3WM53)

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

Dear Sir:

This letter forwards a copy of our NPDES Monthly Report as submitted to the Pennsylvania Department of Emironmental Resources, Bureau of Water Quality Management.

Sin f

' chard D. Brandt Disision Vice President Nuclear Operations and Pla'it Manager SLV/trs Attachment cc: D. A.Orndorf J. K. Cool J. Arias Central File w

The Nuclear Professionals

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J Paperwork Reduction Act Notice 3

.i Pubhe reporting hurden fur this collection of information is estimsied to vary from a range of 10 hours1.157407e-4 days 0.00278 hours 1.653439e-5 weeks 3.805e-6 months as an.

~d average per response for mme minor facilities, to i10 hours as an aserage per respone for mme nut}or facilitief.,

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' ditN a weighted average for major and minor facihties of.181ouro per responw, induding timejor remwing instrationC scarthing existing data murces, gathering' and snaintaining the data necded, and cmnpleting and j

reviewing the milection of infonnatmo. Send conmems regardmg the burden c+timate or any other aspect of i

this colhttion of information, including suggestions for redring this burden, to Chief, information policy I

Dranch, PMy213, U.S. Environmental Prohtion Agency,401 M Street, SW Washington. DC 20460; and to the Of fice of Information ud Regulatory Af fuirs, Oftice of Management and Budget, Washington, DC 20503.

-_ _J General Instructions

1. If fonn has been partially completed by preprinting, disegard instructions directed at entry of that information already preprinted.

2. Nnter

Permittee #nme A/ ailing Address (and facih:p namc/locahon, if different)," *Perme Naimber." and Discharge Number" where indicated. ( A separate fonn is required for each discharge )

i 3J Enter dates beginning and ending "A!onnorinx Permd"coscred by form where indcated.

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

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5. Erder " Sample Afraxurement" data for cach parameter under "puontaf and "guahtf in umts specified m permit.

"Amape" is norma!Iy arithmetic average (geometric merage for bacterial parameters) of all sampic measurements for each parameter obtained during "Atonnormy Perimf1 "Alawnum" and *Abnimum" are normally extieme high and hm measurements obtained daring "Alondormy Penal" (Note to municipals with secondan treatment reqmrement: Enter 30-day average of sample measurements under Werage." and enter ma< mum day average of umple measurements obtained during raouitoring period under "3/aumum. ")

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6. Enter " Permit Requiraent" for each parameter under "puantnr" and "Guahty" as specined in pernut.

7,.Under "No Er" cnter nurnber of sampk measunnents during momtoring period that extced maximum (amilar mmimum or 7-day as erage as appropriate) permit requiternent for cach parameter.If none. cater "0".

8 Enter "Frepency of Analpi3" both as "Nample Afcoturment" (actual ficquency of sampling and analysis used daring monitonng period) and as *Permn Requirement" specified in pernut (e g. Enter "Gmt." for contimicus momtoring. "//7" for one day per ucek. "L 30" for one day pcr month, "Ho" for one day per quatter, etc.)

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9. Enter " Sample &pe" inth as "Smnp/c A/casurement" (actual sample type used during monitoring period) and as

" Permit Reqwrement." (e g ; Enter '"f7 tub" for indisidual sample, "N//C" for 24-hour composite. "N>!" far continuous inonitoring, etc.).

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

11,'If"no discharge" occurs during monitoring period. enter "No L6 charge" across form in place of data entry.

' 12. Enter *Name 7ille of Principal Execunve Oficer" uith " Signature of Prmcipal Decutive Ofcer ofAuthon:cd Agent " " Telephone Number," and *Date" at bottom ci form.

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

14. More detailed instructions for use of this Discharge Afondormg Report (DAIR) form may be obtained from OfTwe(s) specifhd in permit l

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 L

result in oivil 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.

L I

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PaherwollgReductiondct Notice Public reporting burden for this collection of information in estimated to vary imm a range o avenge per response for r.ome minor facilities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average per response for some major fac

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't with a weighted average, for major and miner.fadhties of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per twpom,e, in:luding time

. instnitions, urching er.isting data sources, gehering and maintaining the data nwded, and com r

h reviewing the, collection of information, Send comments.regarding the burden estimate or any other~ aspect of this colhstion' of information, induding mgrestions for reducing this burden, to Chief Information P 11 ach, PM;223, U.S. Envinmmental Protation Agency,401 M Street, SW Washington. DC 20%0; and to Dinre ofInformation and 9egulatory Af fairs, Offke of Management and Budget, Wa2.hington, DC 20503.

u., _ _ i_ i..._. __ _ _ _ _ _ _... _

a General Instructions in.lf form has been partially completed by preprinting, disregard instructions directed at entry of that information already preprinted.

l

2. Enter " Permittee Name htaihng Address (and fa lity namellocation, if different),* " Permit' Number and ct

Dm:harge Number" where indicated (A separate form a required for cach discharge.)

3. Enter dates beginning and endmg "Alomtoring Permd'coscred by form w here indicated

4. Enter each " Parameter" as specined in tuonitoring seguirements of pennit S. Enter *Samp/c A/rawrement" data for cach parameter under "Guantity" and "Gualm" in units specified in permit, s

"A wrage" is normally arithmetic average (geometnc m erage for bacterial parameters) of all sample measurements for each puameter obtained during "A/gmturing period"; "Afaumum" and "Almimum" are nonnally extreme high and knv measurements obtained during "Afomformg Period" (Note to municipals with secondary treatment requirement: Enter 30-day merage of sample measurements under "Arcragef and enter maximum 7-day avetage

~

~3 of sample measurements oblamed during monitoring period under "Afaximum. ">

6 Enter "Pcimit Requirement" for each parameter under *(juantity" and "punhty" as spec Ged in perunt.

7., Under "No /i' enter numt.cr of sunple measunnents during momtoring period that exceed maximum (and/or minimum or 7-day acrage as appropriate) permit' requirement for each parameter, if nonc, cmer "O"

8. Enter "Frerfuency of Analym" both as " Nam / c Alcau,rment" (actual frequency of sampling and analpis used d

y during momtoring period) and as " Permit Requirement" speci6cd in permit (e g, Enter " Cont," for continuous monitonng, "l/7" for one day per week, "/S0" for one day per month. "I'90" for one day per quarter, etc.)

9. Enter " Sample 7.ipe" both as " Sample Alcawrement" (actual sarnple type used during monitoring period) and as "Pcrmit Requirement." (e g.. Enter " Grab" for indtudual sample. "NHC' for 24-hour composae, "PA" for continuous monitoring, etcJ

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.

I1. If"no discharge" occurs during monitoring period enter "No Discharge" across form in place of data entry.

12. Enter *Name?Dtle of Prmapal Eucutwe 0[licer" usth

Signature of Prmcapal Executive 0.ficer of Authorned Agent * '7dephone Number," ead "Date" at tettom of form.

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

14 Mote detailed instructions for use of this Discharge Atomtoring Report (DAIR) form may be obtained from Office (s) specined in permit.

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

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Paperwork Reduction Act Notice.

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Public reporting burden for this cdlection of infonnation is estimated to vary from a range of 10; hours.as an I

iverage per response for u>me minor facilitier., to 110 h6urs as an average per response for some major facilities.

I with..a weighted average for majbr and udnor. facilities of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per rtmponse, including time for reviewing I

isstmetions,' hearching rating data sources, gatheririand maintaining the data needed, and completing and

' ~

rhviewing the collection of information.~ Send commer.. ' regarding the burden etimate or any other aspect of l

tbb collection 'of information, including suggestions for reducing this burden, to Chief, Information Policy Isranch; PM423, U.S. Environmental protection Agency,40f M Street, SW Washington, DC 20460; and to the

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General Instructions 1

l I.'If form has been partially completed by preprinting, disregard instructiomi directed at entry of that information l

. aheady preprinted.

2. Enter " Permittee ' Namcmlailing Address (and facility namcilocation. if ddTexentL* " Permit Number," and.

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

i' I. Eriter dates beginning and ending M<mitormy Period" covered by fonn where indicated.

i

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4f Enter cach "Parmneter" as specified m monitoring requirements of pcimit.

i 5 Enter "Somple A/murement" data for cach parameter under " Quantity" and "Guahty" in units r,pecified in pennit.'

"Arcrage" is normally anthmenc average (geometric average for bactenal parameters) of all samplc rucasurements 1

for each parhmeter obtained daring "Momformy Perm'f% "Afarimum" and "Mmimum" are normally cAtreme high

~ and low measurements obtuned during "Momtormg Period" (No:e to municipals with econdary treatment requirement; Enter 30-day average of sampic measurements under "Arcrape." and enter maximura 7diay average, of sample measurements obtained dunng moidtoring period under *Marimum. ";

6. Emcr "famit Requirewnt" for cach parameter under "(Juantsty" and "Quahty" as speci6cd in permit 71Under *Nd Er* enter munber of sample mcasurments during momtoring penod that exceed maurnuru (mxt/or

. minimum or 7-day average as appropriate) pennit requirement for cach parameter.' If none. enter 0".

18. Enter "Fuquemy of Analytis" both as "Samj>le Meawrment" (actual frequency of s:unp!ing and analysis used during monitoring period) and as " Permit Regmrement" specified in penuit. (c g., Enter "Omt," for comir:uous i

monitoring, /e7" for one day per week, "1d0" for one day per month, "M0" for one day per quarter, etc )

l 9., Enter "kn/>Ie npe" both as "knp/c Mcawrement" (actual sample type used during monitoring period) and as "Premit Requirement," (e g.,' Enter *Wrob"~ far individual sample, "N//L" for 24-hour composne. "N A" for

, continuous monitoring, etc) 10,, Where violations of permit requirements are reported, attach a brief explanation to describe cause and correcuve

, actions taken, and reference cach violation by date.

i 11; If "no discharge

occurs during monitoring period, enter "No Dhchargc" across form in place of data entry.

12l Enter "Namenitte of Principal Executive O[licer* with " Signature of Prmapal Executive 0))icer of Authorard

1 gent.' ' Telephone Number," and *Date* ut bottom of form.

13. Mail signed Report to OMce(s) by date(s) s;)ccified in permit - Retain copy for your records.-

14. More detailed instructions for use of this Diuharge Mmitoring Report fDMR) form may be obtained from Omce(s) specified in permit.

y Legal Notice

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. 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 c,ivil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to excecJ $25,000 per day of violation, or by impriumment for not more than one year, or by both,

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".aq.'.ewg, Paperwork Reduction Act Notice-

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Puhtlic reporting burden for this collection of informatipo is estimatn.! to vary from a range of 10 hours1.157407e-4 days 0.00278 hours 1.653439e-5 weeks 3.805e-6 months as an a

average per tespm for some minor facilities, to i10 hours as an average per remorae for some makr facilities, y

.Mith a weighted average for nujor and mi.nor facilities of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per gesponse, induding time for reviewing I:

iratrtctions, r,earching existing data sources, gathering and maintaining the data needed, and kompleting and reviewing the collectwo of infuriation. Send corranents regarding the burden estimate tir,any othervpect of l

this lcollectiori of information, including suggestium for ieducing this burden,'to' Chief, Information' Policy 7

Dranch, PM;223, U.S. Environmental Protection Agency, 401 M Street, SW Wuhingtot, DC 20E0; andfo the Office of Information and Regulatory Affkirs. Of. ice of Management and Budget, Washington, DC 20503 i

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General Instructions 1.fif form has been partially completed by preprinting, disregard instructions directed at entry of thal information already preprinted.

2.-Enter " Permittee Namedfading Address (and facihty namcilocation, if dificient)," "Pernur Number " and.

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

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1 Enter dates beginning and cndmg "t/onitormg Permd" cmcred by fonn where indicated.

s 4; Enter each "Parmncter" as specified m monitoring requirements of pernut

5. Enter "Samg/e A/caxurement" data for each parameter under " Quantity" and "punhty" in units speciDed in permit.-

"<tverage* is normally arithmetic average (geometric average for bacterial parameters) of all santple me:tsurements A for each paramelct obtained daring "Momtormg Period"; "Alaumum" and "A/mimum" are nonnath extreme high and low measurements obtained dunng "Alonstvemy Period" tNote to municipals mth becondary treatment reqmtemem: Enter 30-day average of sarnplc incasurements under "Averap," and enter maximum 7-day awrage of sarnple measurements obtained during monitoring period under "Afarimum ")

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s. Futer "Per mit Requirement" for cach parameter under "guantity" and "Guality" as speciDed in pernut.

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7. Under "Nri Er" crder number of sampic measurements during monitoring penod that exceed maximum (and/or minimurri or 7-day average as appropriate) pennir requirement for each panmeter. If none; enter "0".

.BJ Enter > Frequency qr Analysis" both as " Sample Measurment" (actual ficquency of sampliry and analysis used

durmg monitoring period) and as " Permit Requircmer;t" specified in pennit (c g., Enter " Cont ". for continuous s

monitonng, "la" for one day per ucek, "100" for one day per month, "lM for one day per quarter, etc.)

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9. Enter "Sa nple 7)pe" both as " Sample Afea3nrement" (actual sample type used during monitoring period) and as

" Permit Reptrement? (e g ; Enter " Grab" for individual sample, '74HC" for 24-hour composite, "NM" for conimuous monitoring, etc )

i$c Where violations of pennit requirements are reported, attach a brief explanation to describe cause and corrective actions taken,and reference cach violation by date 4

. l'i,l.lf ino discharge" occurs during monitoring period, enter "No Dischary" across fonn m place of data entry.

l'2.l Enter "Name/ Title ol' umber." and *Date" at bottom of fann. Principal Executive Officet" uith v

' Agent," ' Telephone.

1.

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

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!C More detaifed instructions for use of this Discharge Afonitoring Report (DAfR) fonn may be obtained Dom Office (s)

. specified in pennit.

Legal Notice y

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This' report is requiral by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can roult incivil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to excee<1 $25,000 per day of Eiolation, or by imprisonment for not more than one year, or by both.

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j Paperwork Reduction Act Notice m

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Pubbe reporting burden for this collection of informat:~ n is estinated to vary from a range of'10' hours as an l'

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~ average per response for some minor facilities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an rverage per response for mme major; facilitics, l

with a weighted average for trutir r and mind facilities of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per response, incluCng time for.rcyiewing l.

' instructions / searching existing data sources, gathering and maintainmg the data needed, and comphsting and

. reviewing the ecliection of information.. Send comments regarding the burden utimate or any other t.spect of this xollectiori of information induding suggestions fvr reducing this burden, to Chief, Information, Pohey I-Hranch, PM 223, U.S. Environmental Protectmn Agencj,401 M S'reet, SW Washington, DC 20/60; and to the 2

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O'fice of Infdtdation and Regulatory Affairs, Offde of Management and Budget, Washington, DC 20503; g

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General Instructions

- 1 3,

1[lf form has been panially completed by preprinting, disregard instructions directed at entry of that information

- already preprmted,

2. hter."Perbartee Name3failing Address land facdity namellocabbn. if difhtcm)? " Permit Number," and

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

si Enter dates beginning and ending "Alonitoring Period

covered by form w here indicated.

E 4/ Enter cach "Paramcler" as !;pecified in monitoring requirements of permit.

5. E6thr " Nam /le Alcasurement" data for each parameter under "Quantery" and "guahty" in units specified in permit.

%rrage" is normally arithmetic average (geometne mcrage for bacteria! parameters) of all samp!c measurements for rxh parameter obtained during "Mamforing Period', "Afanmum" and "A/inimum" are normally extreme h;gh and low measurements obtained during "A/omtormg Peood" (Note to municipals with econdary treatment requirement: Enter 30fJay average of sample measurements under ilwroge " and enter maxhnum 741ay average of sample measurements obtained during monitoring period under "Alanmum "1 -

6. Enter "hr$iit Requirement" for cach parameter under " Quantity

and "Guality" as specified in permit.

7. Unde *Nd &" enter number of sample measurements during moriitoring period that exceed maximum (ardi/or' mimnmm or 7-day average as appropriate permit requirement for each parameter? If none, enter "0".

1 Entes ?Frequemy of Ana/pn" both as " Sam;4c Afeamrment" (actual frequency of sampling ud anahs s used i

"during momtoring period) and as " Permit Requnement" specified in permit (e g, Enter "Gmt " for continuous monitoring. *b7" for one day per weck, *130" for one day per month, "/M0" for one day per quarter, etc.)

9I. Enter " Sample 7)pe" both as " Sample Afrasurement" (actual sample type used during rnonitoring period) and as Termit' Requirement "-(e g... Enter "Grnb" for individual sample, "SI//C" for 24-hour composite, "N'A" for

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- ctmtinueus' monitoring. etc.)

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

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

12. Enter *Name:7'itle of Prmcipal Executive 0))icer" uith

Signature of Prmciral Executive Oficer ofAuthorized

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

11 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 Afonitoring Report (DAIR) form may be obtained from Office (s) sy specified in permit.

1 Legal Notice 9

q-This report is requhed 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 penaltien not to ereced $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day a

of viols' ion, or by imprisonment for not more than one year, or by both, 3~

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Pubbe reporting burden for this collection of information 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 7.

shrage per rnponw for some minor facilities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average per triponta for some major failities, N

with a.. weighted average fdt, major,and min 6r facilities of 18. hours per responw, including tims for reviewing L,

instructitms.i s.carching existing data sources, gathering and maintaining.the data needed and coinpleting and

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rniewing the collections information Send comments regarding the burden edimate or any;other aspect of s

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this collection pf infonnation, including suggestions for seducing this burden,. to Chief, Information Policy 3

Branch, PM*273, U.S. Environmental Protection Agency, 401 M Street, SW Washington, DC 20460; and to the Offife of information and Regulatory Affairs Of fice of Management and Budget, Washington. DC 20503,

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'i.

i General Instructions If Il form has been partially completed by preprinting, disregard instructions directed at entry of that 'information l

' already preprinted.

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t 2: Enter *Pernuttee NameWitng Addren (and facility namellocation, if different)," " Permit Number," and* '

p/scharge Number" where indicated (A separate form is requit:d for each discharge.)

I

3. Emcr dates beginning and endmg "Alonitoring Period" covered by form where indicated f.

i I

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

s." Enter "Namp/c Afeawrement" data for each parameter under "guantity" and "punbrF in uruts specified in permit.

Auerage" is norm:dly anthmetic average (geometnc average for. bacterial parameters) of all sample measurements-7

- for^ead parameter obtained during "Atomtormy Period"; " Afarimum" and "Mmimum" are normally extreme high i

and low measurements obtained during "Munitormg Period" (Note to municipals with secondary treatmer,t a requirement: Enter 30<tay average of sample measurements under "Awrugef and enter manmuru 7-day merage of sample measuremems obtained dunng monitaring penod under "Manmum ")

6. Enter *Pcrmit Re<juirement" for cach parameter under "puantiry" and "punhty" as speafied in permit.

7c Under "No I&" enter number of r, ample sneasutments during monitanng penod that exceed maximum (and/or

' minimum or 7; day average as appropria!c) pctmit requirement for each parameter. If none, enter *0"

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8. Ente: " Frequency of Analois" both as "Sm"r/c Arcarurment* (actual frequency of sampling and analysis used

'during momforing period) and as " Permit Requirement" specified in pennit. (e g, Enter " Cont," for continuous 1

monitoring, "M" for one day per week. "/do" tbr one day per month, "lS0" for one day per quarter, etc )

9. Enter *3 ample 7)pe" both as " Sample Measurement" (actual sample type used during monitoring penod) and as 3

" Permit Requirement? (e g:; Enter " Grab" for indnidual sample, "NHC" for 24-hour composite, "MA" for continuous monitoring. etc.)

-lof Where violations of permit requirements are reported, attach a brief explanation to descnbe cause ain! corrective p

iactions taken, and reference cach violation by date.

I i1. 'If"no discharge" occurs during monitoring penod, enter "Yo Discharge" across form in place of data entry.

I

12. Enter *NameTitle of Prmcipal hecutive O(11cer* with

Signature of)*rmcipal lhecutice Ofcer ofAuthori:ed p

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

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(

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

.14' More detailed instructions for use of this Ducharge Muiittormg ReporyDMI() form may be obtained from Office (s)

. specified in pennit.

Legal Notice

~

f This report i. 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 1ri 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 6y imprisonment for not more than one year, or by both.

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i EPA Form 3320-1 (Rev,08-95)'

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Paperwork Reduction Act Notice m

Public reporting burden for this collectinn of infornatirn 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 average per response for u>me minor faulities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an avenge per response for mme major facihties, with a weighted ascrage for major and minor facilities of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per nymse. mcluding time' for reviewing instruction 41. catching existmg data sources, gathering 4.nd maintaining the dr,ta raded, and completmg and reviewing iktcollection of mforrmtion. Send commer.th regarding the burdacstimate or any otber aspsct of this collectron of information, including suggestions for irJucing this burden, to Chief, informatmn; puhey Branch, PM;223, U1 Environmental Protxtion Agency 401 M Strect. SW Washington, DC 20E0; and la the Offire of Infinnnation and Reguhitory Af fairs. Of fice of Management and Budget, Wxshington, DC 20503.

l.

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i General Instructions

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3 1.Lif fbrm has'bcen parbily completed by preprintmg, disregard m.structions directed at entry of ihet information already prepnnted, 7

p 2 ' Ur.ter " Permittee Name'Afadmg Addreu (and facshty namc!k> cation, if different)," "Pernut Number," _ and 1" Discharge Number" whcic indicated (A separate fotm is required for cach discharge )

3.' Enter dates beginning and coding "Afum/armg Permd"coscred by form where indicated, 1

4. Enter each " Parameter" as speciGed in monitoring reqmrunents of penmt.

5. Enter "l4vnf e Alcawrement" data for cath parameter under "puunnry" and "Ouahte" in umts speciDed in permit.

il "Awrorc" is normally anthm;uc average (geometric average for bxterial parameters) of all sample measmements for each parameter obtained dunng "Alomtormg Period % "3fauma m" and *Ahmmum" are norm:dly enreme high and low measurements obtained during *A!"mtoring Prenal." fNote to rnunicipals with secondary treatment regurement: Emer lo-day avcrarc of uunple nnmurements under "Avera.,ce " and cmcr maximum klay average of sample measurements obtained during uonitming period under 9/axunum,")

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(>. Entet " Perma Rrgmrement" for cath paramefu under Thant*" and "puahtf as speciGed m permit

7. Under "No Er" emer number of sample measunnems dunng rnonitonng perial that escced masmium (and/or mininmm or 7-day average as appropriate) pctmit requirement for each p:uanh1er If none, enter "O"

8. Cuter " Frequency of Ana/nts" both as "Nample Alcasurmem" (actual frequency of sampling and analpis used lduring momtoring pcnod) and as "Pcrmit Requirement" specified in pctmit (e g., Enter " Cont," for continuous

= momtoting, "la" for one day per weck, "/Ju" for one day per momh. "F97 for one day per quarter, etc )

9. Enter " Sample 7)pr" both as "Samp!c A!camrement" (actual sample type used dunng monitoring period) and as

Pcrmit Requirement," te rm Enter " Grab" for individual sample "N//U" for 24-hour composite, "N61" for continuous momtonng, etc )

10. Where violations of permit tequircruents are repm1cd. attach a bricf explanation to desenbe cause and conective actions taken, and referepec cach violation by date.

11;. if"no discharge" cccurs during monitoring period, enter "No Discharge" across form in place of data entry.

12. Emer "Name' Tulle of Priwpal pecutwe Opccr* with *S:gnature of Prmcip,d Decutwe 0.!)icer of Authori:rd Agent,' 'Telephcme Number," and 'Date" nt bottom ofIntm.

13, Mail signtxt Repon to Office (s) by date(s) meciDed m permit Retain copy for your records.

14, More detailed instructions for use of this Discharge Alomtormg Report IDA/R) fann may be obtained from Ornce(s) l specified in permit.

l 3

Legal Notice 1

(

'Ihis trpon is required by law f33 USC.1318; 40 C.F.R.125.27), Failure to report or fadure to report truthfully can l.

result intivil perialties not to exceal $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, or by both.

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Public repoking burden for this coli i n of nformatmo is er.timated to vary from a range of 10 hours1.157407e-4 days 0.00278 hours 1.653439e-5 weeks 3.805e-6 months as an p-ayerage per response for some mirmr f acilines, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average per response for r,ome snajor faciLties, with a weighted averge for najor and minor facilities of.18 heurg per response, including time for revibwing i

[

instructions scarching nisting data sourws, pthering and maintaining the data neede41, and completing and

(

reviewing the collection of informationl Srnd comarnts regarding the burden estimate.or any:other aspect of this p>1lection of infonnation, including suggestions for reducing this burden, to Chief, information' Policy Branch, PM1223, U.S. Environmental Protxtion Agency,401 M Stiect, SW Washington, DC 20460, and to the i

f.

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

4_..___.--

_.a..-.._.

f General Instructions

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icl'f form has been partially completed by preprinting, disregard instructions directed at entry of that.information

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aheady preprinted.

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2[ Enter "Perrmttre Names /aihng Addec.u (and facdity name/ location, if different),* */'enmt N:imber " and "I)ischarge Number" where indicated. (A' separate form is required for cach dis:harge.)

3. Enter dates begirming and ending "Aloniformg Pcnod" covered by fonn where indicated j.

i Enter cach ~ Parameter" as speciSed in monitoring requirements of permit.

i 4

5. Entdr "Samp/c A/cawrement" data for exh parameter under "guantity" and "Guahry" in units specified in permit.

"Arcruge" sc normath anthmetic average yeometric ascrage for bacterial parameters) of all sample measurements j

for cach parameter obtained danng "Afomtonng Penof'; "Alaximum" and "Afm/ mum" are normally ntreme high i

and low measurements obtamed during "A/omtormg Penm/ * (Note to mumapah mth secondary treatment regmrement! Enter 304iy average of samp'e measurements under " Average

and enter maximum 7-day average R'

of sample measurements obtained during monitoring period under "Afartmum.")

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6. Enter " Permit Requirement" for cah parameter under "Guantity" and "(hshty" as specined in permit.

l

7. bn[idt *No Er* cnter number of sampic measurracnts during monitoring penod that exceed maximum (and/or l

l nuninmm or 74iy average as appropriate) permit requirement for each parameter. If none, enter *0".

1 Enter "Frequemy of Analysis" both as *Samp/c Afeamrment" (actual frequency of saruptmg and amdysis used duting monitoring period) and as "Penmt Reymrcment" specined in pennit. (c g.. Enter " Cont," for continuous momtoriup,, *//7" for one day per week, "/du" for one day per month, "//9u" for one day per quarter, etc.)

9. Enter "Sampic 7)pe" both as " Sample A/cawrcment" (actual sample type used during monitoring pc lod) and as "Perant. Requirement" (e.g, Enter

Grab" for mdividual sample, "N#C" for 24-hour comporate. "N/A" for

continuous monitoring, etc.)

Ill Where violidions of permit requirements are reported attach a brief explanation to desenbe cause and correctisc j

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actions taken, and reference cach violation by date.

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1IJ If "no discharge" occurs during moni oring penod, enter "No Discharge" across form in place of data entry.

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12. Enter *Namemtle of Prmcipal Executive Officer" mth " Signature of Principal Decutive Qf]icer of Authon:ed

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Agent,"

Telephone Kumber: and *Dare" at bottom of form.

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

14. More detailed mstructions for use of this Dischaigc Afonitoring Report (DAfit) fonn may be obtained from OfDee(s) specified n perrmt.

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 7

result in c,ivil penalties not to exem! $10,000 per day of violationi or in criminal pena' ties not to exceed $25,000 per day k

of violation, or fy imprisonment for not more than one year, or by both, L

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...- 4,.n _ - n Paperwork Reduction ~A.ct Notice c',

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Public reporting burden foe thiicollection of infornution is satimated to vary from a range of.10 hour1.157407e-4 days 0.00278 hours 1.653439e-5 weeks 3.805e-6 months as an 1~

average per iesponse for mme minor facilities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months na an average per revonse for some major facihties, with a weighted average for trajor and minor facilities of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per.respom.e, mcluding time forsiewing -

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l instnetions,t scarchirig existing data sources, gathering'ed maintaining the data nealed, and completing and

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reviewing 'the cidlection of information. ' Send conunents regarding the. border estinate or any other aspect of this collecten of infortnation, including r,uggestions for seducing this burden, to Chief, Infortrmfion Pplicy Ilranch, PM;223, U.S. Envimamental Protection Agency,401 M Street, SW Washmgton, DC 2Q460; and to the

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

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General Instructions l'.M form has bn partially completed by preprinting, disregard instructions directed at entry of that info mation

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1 already preprinted..

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2. Enter 'Permitter Name<Mading Address (and facility namcl1ocalion, tf different),* " Permit Number," and

Dinharge Number" where indicated. ( A separate funn is required for each discharge.)

I 3c Enter dates beginning and cndmg *alodoring Period" cm cred by form u here indicated.

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4

4.' Entcr cach "Farame!ce" as specified in monito. ng requirements of permit.

5. Unter "Samji/c Meaurement" data for each parameter under *(!aantuy" and "Guaht/ in units specified in permit.

tiverage" is normally anthmetic average (geometric average for bacterial parameters) of all sample measurements.

^ for ench parumetet obtained during "M.mpormy PerioJ" "Maumum" and *bhnimum* are normally extieme high and low incasurements obtained darmg:"Mortuonng Perwd * (Note to mumcipals with secondary treatment reqmrtment; Enter 30-day ascrage of saruple measurements under "Arrrage." and enter masimum 71ay average l

5 of sampic measurements obtained during monitoring period under "34mmum. ")

6. Enter.

Puma Reymrement" for each parameter under "(?uantay" and *guality" as specified in permit.

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-7. Under #Ng Er* cnter munber of r. ample sneasurments during rnonitoring period t!ut exceed maximum (and/or l

minimum or 7-day average as appropriate) pctmit requirement for each paratm!ter 'If none, entes "0" i

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EL Gate "Frerjucmy of Analpis" both as " Sample Ucaurment" (actual hequency of sampling and analysis used l

during momtoring periad) and as " Permit Requirement" specified in pennit. (e g., Enter "Gmt," for continuous

, morutoring, "/6" for onc day per week, "#.10" for one day per month, "U90" for one day per quarter, etc )

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9. Enter " Sam;h Tr;>c" both as

Sample Mcaxurement" (actual sample type used daring momtoring period) and as

Permit Rcrjultement," (c g., Enter."Grah" for ladividual samp!c, "24HC" for 24-hour composite. "N01" for contmuous inomformg, etc )

10. Where violations of permit requirements are repo,ted, attach a brief explanation to der.cribe cause and corrective

actions taken. and reference each violation by date.

I1.' If"no disclurge" occurs during monitoring period, enter "No Discharge" across form in place of data entry, 12., Enter "Name:7ide of Principalyrecutive Officer" with " Signature of Princtpcd Executne Officer of Authon:ed i

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

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

14. More detailed instructions for use of this Dacharge Monitormy Report (DMIO form may be obtained from Omce(s) specified in permit.

Legal Notice

'Thi!: report is mquired by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can 4

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 nore than one year, or by both.

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^ Public repmting burden for this co!!ection of information is estimated to vary from a range of to hours as an akerage per response for some minor facilitics, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average per response for some major facilities, p.

withl A weighted average for major and minor facilities ofj8 hours per response, including time for reviewing i-E~

instructions,; 6earching existing data sources, gathering and nwintaining the data needed and completing and

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riviewing the collection sf information. Send comments.regarding 'he burden estimate or any other aspect of this collection bf information, including suggestions for reducing this burden, to Chief, infonnation Policy Brsnch, PM423, U.S. Ermronmental Protection Agency,401 M Sto et, SW Washington, DC 20460, and to the

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Of fice ofInfornation and Regulatory Affairs, Office of Managercent and Bwiget Washington, DC 20503, t__+_,_

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General Instructions a

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LJf form has been partially completed by preprintmg, disregard' instructions directed at entry of that information already preprinted.

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2. Enter " Permittee Namentfailing Address (and facility nameAocation. if drtTcrent) " " Permit Number " und L"pescharge Number" where indicated ( A separate form is required for each discharge,)

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1: Enter dates begirming and ending " Monitoring Permd" covered by fonn w here indicated.

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

S. Enth

Sample A/cawremer:t" data for cach parameter under *Quantay" and "Quahty" in units spectfied in permit.

Awroge" is normally arithmetic average (geometnc aserage for bacterial parameters) of all sampic rncasurements for each parumetcr cunined danng "Akmaarmy Perior "Afaumum" and "b!minwm" are normally extreme \\dgh i

ard low measurements obtained during "Alamtoring Period " (Note to municipals with secondary treatment r(2]uirement: Enter 30-day average of s:unple measurements under " Average." and enter maximum 7<1ay average of samp!c incasurements obtained during momtonng penod under "Afodmum. ")

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6. Enter

Perm!I Requirement" for cach parameter undct "Quannty" and "Quuht)" as spccitied in pennit.

7. Under."No /s" cnter number of s:uuple nicasurments during ruonitonng period that cseced mammum (and/or minimum or 7-day average as appropriate) permit tergirement for cach parameter. If none, enter *0".

8[ Enter *Frerjuency of Analpis" both as " Sump /c Afeaxurment" (actual frequency of sampling 'and analysis used i~

during monitoring penod) and as " Permit Requirement" specified in pennit. (c g-, Enter " Cont " for continuous monitoring, "la" for one day per weck, "160* for one day pc month "LW for one day per quarter, etc.)

- 9.. Enter "Sami e 7)pe" both as "Samp/c Afeawrement" (actual sample type used during monitoring period) and as d

" Permit Requirement * -(e g, Enter " Grab" for individual sampie. "3t//C" for 24-hour composife. "N/A" for continuous monitoring, etc.)

10. 'Where violations of pennit requiremen:s are reponed, attach a brief explanation to describe cause and correctise s

actions taken, and reference each wolation by date.

. I1. If "no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry.

12. Entet *NameTide of Principal Executive C)]icer" uith " Signature of Principal Executive Offcer of Authori:cd Agent," ' Telephone Number " and "Date" at bottom of form.

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

14. More detalhxl instructions for use of this Discliarge Aforiitoring Report (DAfR) fann may be obtained from OTTicc(s) j

- specified in pennit.

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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 5 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.

3 L

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l PuMic reporting burden for thiicollection of information is ' estimated to vary from a range of.10, hours as an I

average per response for some minor facihties, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average per response for r,ome major facibtiex,

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. instructions,: reyrching exiiting data soortes, gathering' and maintaining the data need4 and completing and L

reviewing the collection of.information. '. Send comments segasding the burden estimate or any other aspect of this Mollection of informa6on, including mggestions' for reducing this burden, to Chief, Informahon Policy Branch, PM 223, U.S. Environmental Protection Agency,401 M Street, SW Washington. DC 20460' and to the -

UffNe ofInfo'nnation and Regulatory Affairs Oflice of Mamu;ement and Budget, Washington, DC 20503

.w-

~.

.g General Instructions E

1.;.lf form has been partially completed by preprinting, disregard instructions directed at entry. of that information

already prepriatal.

2. Enter " Permittee Named /odmg Addresa (and facility name/ location, if different)." " Permit Nr/mber," and "Diuharge Number" where indicated. (A separstc fonn is required for each discharge )

3, Enter dates beginning and ending "Momtormg Period" covered by form where indicated 4 Enter cach " Parameter

as specified in monitoring requirements of permit.

E f

5. Enter " Sample ucamecment" data for each parameter under "(hantity" and *0ualay" in units specified in pennit. :

" Average" is' norma!!y anthmetic average (geometric average for bactenal parameters) of all samp!c measurements for each parameter obtained daring " Monitor /nx Period"; "Mariman" _and "Umimum" are normally extreme high x

l and. Iow measurements obta:acd during "Momformg Period." (Note to ruumcipals with secondary treatment

< requirement: Enter 30-day average of r, ample measurements under "Arerage " and criter maximum 7-day ascrage of sample measurements obtained during momtoring period under "Maamum. ")

6. Enter ecrma Reqmrement" for cath parameter under " Quantity" and "guality" as specified in permit.

d UUnder "No Ex" enter number of sampic measurements dunng momtoring period that exceed maximum (and/or

' minimum or 7-day average as appropriate) pennit requirement for each parameter. Jr amne, enter "0".

BJEnter *Fecquemy of Analnis" both as " Sample Measurment" (actual frequency of sampling and analysis used dunng monnoring period) and as " Perma Reqmrement" speciEed in permit. (e.g. Enter " Cont " for continuous

monitoring, PF7" for one day per week "130" for one da) per month, "/30" for one day per quarter etc.)

9. Enter " Sample 7)pe" both as " Sample Mca3uremera" (actual sample type used during monitoring period) and as

"Pcrmit Requirement," (e g., Enter " Grab" for individual sample, "211/C" for 24-hour composite, "NcA" for icontmuous morntoring;. etc.)

10. Where violations of pennit toquirements are reported. attach a brief explanation to describe cause and corrective actions iden. and reference each s solanon by date.

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

12. Entet "Nhmemtle of Principal Executive Officer" with " Signature of Prmcipal Erecutive Oficer ofAuthort:ed

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

l'

- 14. More detaiied instructions for use of this Divharge)/onitoring Report (DMR) form may be obtained from O!Tice(s) specified in permit.

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

result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties rmt to exceed $25,000 per day of violation, or by $ imprisonment for not more than one year, or by both.

- i

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Paperwork' Reduction.Act Notice 4,

Pubhc reporting burden fy this coUectmn of information is estimated to vary from a range of'10' hours as an a've' age per response for '.ome minor facihties, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average' per ruponse for some major facilities, r

with)a weighted averar,e for nwjor 'and minor _facUities of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per respenw, including time f6r revidwing 4

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-instruction., scarchirg existing data sources, gathering and maintaining the data nealed, and cdmpleting and seviewing the,adlectica 'af information. Send unments regardar the. burden estimate or any other aspect of this collecti6n of information, including sugptions for reducing this burden, to Chief, Information Policy 14 ranch, pM122",, U.S. Environmental protectmn Agency,401 M Street, SW Washington, DC 20460; and to the f

Office of Infoitnation and Regulatory Atfairs, Of fice of Management and Budgt, Wa.shington, DC 20503l.

I L _ - ~ _ _ _ _ _ _._._ _,._ m

.__.._..__.__...._.m._

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General Instructions

1. If form hu been partially completed by preprinting, disregard imtructions directed at entry of that information

,already preprintol.

~

i L Enter "Permitter Nameafading AJJren fand facibly n:uncilocation, if di1Terent),* " Permit Nundsr," and f/huharge Number

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

3. Enter dates bcgimung and ending "Mondoring Perlo:/" covered by form where indicated

4. Entir each " Parameter" ns specified in monitonng requirements of penmt.

S. Enter "Sampic Meawrement" data for each parameter under "Ovunnt/ and "guahre" in unm; specified in permit.

" Average" is normally arithmetic average (gcometric a verace for bacterial parameters) of all sampic measurements

- for cach pnnanct:r of;tained during "unutormy Perral';"Alanmum" and "Manimum" are normuhy otrcme high i

and low measurerncrus obtained during' *Mmntoring Perml* (Note to municip.ils mth ieccmdary treatment reqmrement: Enter 30-day ascrage of samp!c meawicracnts under "Attrage " and enter rmimum 7-day average 2

of sampic measurements obtained dunng inomtoimg penod under "Afanmum. ")

6. Enter "Femut Recpurement" for exh parameter under "(Nannty" and "Guality" as specified in permit.

.7.;Under "Nu D* enter nurnber of sample measurements curmg monitoririg permd that exceed ruaximum (and/or

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

8. Enter "Frequerrey ofDinalyso" both as "Nampic Mearurment" (actua! fregocacy of samphog and analysis used darin'g mondoring period) and as " Permit Requirement" rpecified in permit (e g, Enter Mmt," for continuous monitoring, "10" for one day per weck "1mr for one day gr month. "/W" for one day per quarter, etc )

9. Enter " Sample 7)p" both as "Nample Mea >urement* (actual sample type used during monitoring period) and as

Permit 12equirement " (e g., Enter "Groh" for indwida:l samp!:, "NHC" for 24 hour2.777778e-4 days 0.00667 hours 3.968254e-5 weeks 9.132e-6 months composite, *NA" for continuous inOfutoring, ett )

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

I1. lf "nq discharge" occurs during monitoring period, enter "No Druharge" across form in place of data entry.

12. Enter

Nome'ntle of Principal Execsaire Of]icer" with " Signature of Prmeij>al Executwe Oficer of Authors:rd Agent,* *Teirphone Number!' and "Date" at bottom of for"1

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

14, More detailed instructions for ttse of this Discharr Momforing Report (lu fR) form may be obtained from OITice(s) -

specified in permit.

Legal Notice c

4 This repGt 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.

y.

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Pubbe reponiag burden for this collection of information is estimated to vary from a range of 10 hours1.157407e-4 days 0.00278 hours 1.653439e-5 weeks 3.805e-6 months an an i

average per response for renne minor iacilities, to l10 hours as an aferage per response for some major fnilities, I

with a weighted average fdr trator Apd minor.facihties of 18 bours per resporu, incluJing tirne for reyiewing z iratructioru,2 scarthirig existing data sources, gathering and maintaining the data needed, mid completing.and riviewing tN dellec11on of infornution. kod Udmments regarding the..hdtden ehtinute or any otihr tupect of

~

this collection ^ 'of infornution,-including suggestions for reducing this burden, to Chief, fr.fornution Policy 11 ranch, PM 723, U.S. Enviromnental Prutcciion Agency,401 M Street, SW Washington, DC 20460; and to the Of fice of Information and Regulatory Affairs, Of fice of Management and Budget, Washington, DC'20503.

.-4 General Instructions 141f form ha been partially completed by preprinting, disregard instructions directed at entry of that information alremly preprinted.

i Enter *Perstittee NameStaihng Address (and facility namc/ location, if different)," "Permet Number," and

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

i 3;Enfer dates beginning and ending "Afamforing Permd" covered by form w here indicated.

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% Enter each "Puramercr" as specified in monitoring reqmrcments of permit.

5. Enter "Samp/c Alcasurcment* data for cach parameter under "Guannty" and "Guolity" in units specified in permit.

"Aecrage" is normally arithmetic average (geometric average for bacterial parameters) of all sample measurements

+ for cach p.nmmrter obtained dwing "Ahmitormg Period"; "Afarunum* and "Afimmum' are twimally extreme high and low measure ncnts obtamed during "Mumtoring Permd " (Note to municipals mth secondary treatment requirement: Enter 30-day everage of sampic measurements tmder *Acroge." and cnter maximum 7-day ascrage of sample rnessurements oMained during monitoring period under "Manmum *)

6. Ehter " Permit Requirement" for each parameter under " Quantity" and "Gunht.p" as specified in pennit

7. Under."No Er" enter number of sample measurements during monitoring period that esceed maximum (and/or minimum or 7-day averar,e as appropriate) permit requirement for each parameter. If none, enter */>"m

1. Enter Frequemy of Analysis" both as " Sample Measurment" (actual frequency of sampling and analysis used dating momtoring period) and as " Permit Re<juirement" specified in permit. t'e g, Enter " Cont, for continuous tuonitoring, *//7* for one day per week, *M0" for one day per month, *l/90" for one day per quancr etc )

L9., Enter "Samp/c 7)pe" both as

Sample Alcavurement" (actual samplc 13pe used during monitoring periad) and as Permit Regwrement,* (e g., Enter " Grab" for individual sample, 94HC" for 24-hour composite * "'VA" for

. coritmuous momtormg, etc )

10. Where violations of permit seguirements are reponed, 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 Discharge" across form in place of data entry.

I2 Entet *Name/7)tle of Principal Executwe 0))icer" with " Signature of Principal Executwe Officer of Authori:ed

%fgent,' " Telephone Number," and "Date" at bottom 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 Dacharge Afonitoring Report (D3fR) farm may be obtained from Office (s) specified in permit.

Li Legal Notice L

,1 m

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

L result 'in" civil pelialties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day J

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

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Paperwork Reduction A.ct Notice l

f%he reporting burden for this collection of information is estimaimi to vary from a range of 10 hours1.157407e-4 days 0.00278 hours 1.653439e-5 weeks 3.805e-6 months as an skenge 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 response for some major facihtws, with a weighted average for mapr and minor fadhties of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per response, meluding tinr for reviewing

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instructions,; >earching existing data soun.cs, gathermg. and naintaiaing the data.needed, and completi'ng and reviewing the colhxtion of information. Send cormnents regarding the burden estinate dr any.other aspect of tids collection ' f incarnation, inch $ ding suggestions for reducir,g this burden, to Chief, reformation; Policy o

Branch. PM 223 U.S. Environtm:ntal Protection Agency,401 M Street, SW Washington, DC 20460; and to the Office ofInfornution and Regulatory Affairs, Of rice of Managemeni and Budget, Washington, DC 20503, t

L.

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t General Instructions Ic 1f form he beca partially completed by preprinting, di.reprd instructions dire (ted at entry of that information F.

already preprinted.

4 2L linter "Permitter Name'A/athng cfddreu (and facility name/ location, if different)," " Permit Number," and "Dacharge Number" where indicated (A separate form is required for each discharge )

- T. Enscr dates beginnmg and ending "Afom/aring Perud" covered by form where indicated.

t

- 42 Enter cach

Parameter" as specified in monitoring requirements of permit Sl Enter " Sample Meanrement" data for cach parameter wider " Quanta >" and "Quahty" in umts specniicd in permit.

" 1rrruge" is normally arithmetic merage / geometric averare for bartenal parameters) of all sampic measu~ements for each parameter obtained during *Afomforing Perio<P, "Maummn" at:d *Afmimum" are normally extreme high and low measurements obtained denng "A!nmloring Perio /" (Note to numicipals with tecondary t<catmect reqmrementi Enter 30-day average of sample measurements undsr "Arcrage

and enter maximum 7-day average of s. ample measurements obtained dmmg monitoring period under 'Manmum. ")

6. Emcr "Pcermt Requirement" for exh parameter under "pu.mruv" and "puaht/ as specified in permit 7< Under "Na E1" enter number of samp!e meamtmems during monitoring period that esteed maumurn (and/or f

. minimnm or'7-day merage as appropriate) permit re;;uirement for each parameter. If none. enter "0" l

8. Enter "Frcquency of Analrxis" both as "&mj>/c A/casurment" (actual frequeng of samphnj; and aaalysis used

'duemg monitoring period) and as

Permit Regwrement" specified in penuit te g, Enter "( cnt," for centinuous momtoring. "la" for one day per weck. "bM' for one day per month, "150" for one day per quader. ete )

9. Enter

Sam;>le 7)pe" both as "Samp!< A/easurement" (actual sample type used during momtoring period) and as

" Permit Requirement,* (e g., Enter "Grah" for indindual sample, "2./HC" for 24-hour composite. "N A" for continuous monitoring, etc.)

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

I,

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

12. Entet *Nwne Title of Prmcipal Exectarve OfDcer" with *Sigt:sture of Principcd E&cutive QJicer ofAuthors:cd Agent,' 'TrIrph:ne Number," and "L) ate" nt bottom of form.

13I Mail sign'ed Report to Office (s) by date(s) specified in permit. Retain copy for your records, l

14; More detailed instructions for use of th'is Dacharge Mon.itoring Report (DMR) form may biobtained from Office (s) specified in permit.

Legal Notice This'tsport 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 pytalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day i

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

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Paperwork Redaction" Act Notice m,

Pubhc reporting burden for this collect 2on $f inforrnation 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 s,n

~

average per response for some minor f acihties, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average per response for some major facilities, wsth; n weighted avenere for major and minor facilities of IB_ hours per_ resp <mse, including time for reviewing

.instructiomi, scarching existing data sources,. gathering and maintaining the data needed, and ' ompleting and c

[

rivjewing the colhtion of information, Send c<imments regarding the burden estimate or any other aspect of l

this :co!!octiori of information, including suggestions for reducing this, burden, to Chief, Information Policy Branch, PM-223, U.S. Environmental Protecton Agency,401 M Street, SW Washington, DC 2040; and to the Of fice of Information and Regulatory Atfairs, Office of Management and Budget, Washington, DC 20503, L_.

General Instructions Idif form has been partially completed by preprinting, di regard instructions directed at entry of thai information

~

already preprinted.

2. Enter " Permittee Namec3/mhng Addros (and facility name/ location, if ddTerent) " " Permit dumber,* and Di3 charge Number" w here indicated. (A separate Ibrm is required for each dischargy

3. Emcr dates beginning and ending "MoH+ g Period"coscred by form where indicated.

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

5. Enter " Sample Measurement" data for cach parameter under "Guantay" and "Guality" in (mits specified in permit /

" Average" is normally arithmetic average (geometric average for bacterial parameters) of all sample measurements '

~

for each parameter obtained during "Momformy Period"; "Manmum" and "Mmimum" are normally extreme high and low measmements obtained during "Momrormg Permd" (Note to mumcipals with secondary trehtment L

requirement: Enter 30-day average of sample rneasurements under

Average," and enter maumum 7-day nerage of sampb measurements obtained during monitoring period under '.Marimum. ")

6. Enter " Permit Requirement

for cach patameter under

Quantity" and "Quahry* as spec 1 tied in permit.

7c Under ?Na &" enter number of sample measurements during monitoring period that execed maximum (and'or minimum or 7-day average as appropriate) permit requirement for cach parameter If none, enter "0".

1 4 Enter " Frequency of Analysis" both as " Sample Meamrment" (actu.d frequency of sampling and analysis used v 'f during momtoring period) and as " Perma Requirement" specified in permit. (e g, Enter " Cont " for continuous

' ; monitoring, *//7" for one day per week "1/30" for one day per month, "1/90" for one day per quarter, etc.)

e,,

L 9 Enter " Simple 7)pe" both as " Sample Meamrement" (actual sample type used during monitoring period) and as "Pcrmit Requirement,*~ (e g,' Enter " Grab" for individual sample. *N/K' for 24-hour composite, "NeA" for continuous monitoring, etc )

10.iWhere violations of permit requirements are reported, attach a brief explanation to descnbe cause a$d corrective actions taken, and reference each violation by date.

I1. If?no discharge" occurs during monitoring period. cnter "No Discharge

across form in place of data entry.

(-

12. Enter "Namemtle ofPrincipal hecutive Officer" uith " Signature of Prmcipal hecutive OJJicer ofAuthori:ed Agent,*

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

l l

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

, ~

14, More detailed instructions for use of this Discharge Monitoring Report (DMR) form may be obtained from Office (s).

' specified in permit.

l Legal Notice o

?

i a

m 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 truthfully can result in ci,vil penal, ties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day

- of violdion,~or by imprisonment for not more than one year, or by both.

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Paperwork Reduction Act Notice l

Pobbe reporting burden for this collection of information is estirmted to vary fmm a nmge of to hours as an avenge per iesponw for wre minor facilities, to 110 heurs as an average per response for some mujur facilities, I

~

with a weighted average for nujor and minor facilities of_18 hours per response, including time for reviewing irstnstions searching existing data somces, gathenng and maintaining the data needed, and completing and renewing the cohtion of infonnation. Send comments regarding the burden estimate or any other aspect of this cr>lledion of mfunnation, including suggestions for reducing this burden, to Chief, Information Policy Ihnch, PM-223, U.S. linvimnnwnul Protection Agency,401 M Street / $W Waddngton, DC 2040i and to the j

Office ofInfunnation and Regulatory Atfairs Office of Management and Budget, Wmbington, DC 20503.

_ l_.

_ _ - _ ~ _. _ _._ _

~. _. _.. _ _.___ _ _J i

I General Instructions 1..If form has been partially cwnpleted by prrprinting, disregard instructions dimeted 'at entry of that. infonnation.

already prepsinted.

4 2l Enter

Perm:tsee Name,A/mimg Addrets (and facility namcl location, if ddTercut)," " Perma Number," and

." Discharge Number" w here indicated. ( A separate fann is required for each discharge.)

3. Enter da;cs begmning and endmg "Momrormg Permd" covered by form where mdicated 4

O Enter ca:h Tarameter" as specified in rnamturing requirenwnts of pennit.

l 1 Eract " Sump /c A/enwement* data for each parameter under "pum,titf and "gua/io " in umts specified in pennit.

"Arcraye" is normally arithmche average (geometric avewge for bacterial parameters) of all sample mcasmements for each parametcr obtained during "Monnorm; Period" "3/aumum" and *Mmimum" are normally extreme high and Imv rncasurements-obtained during'"Mondor/ng Period " (Note to municipais with secondary treatment requirement-Enter 10-day average of sampic measurements und:r "Arrrage." and enter maximum klay average of sarnple measurements otdained during monitoring period under "Maumum. ")

6. Enter "Permir Requirement" for cach parameter under "pucmary" and gualay" as specified in permit.

7,'Under "No Ex" enter number of sampic measunnems during inonitoring period that exceed maximum (and/or.

minimurn or.7-day average os appropnate) perndt requirement for cach parameter if none, enter "0" 4

8 Enkt " Frequency of Analysis" both as "Somp/e 3 /ra.wrment" (actual frequency of samphng and imalysis used daring monitoring period) and as Termit Rerimrement" specified in permit. (e g., Enter "Gmt," for continuous monitoring. "F7" for one day per week, "/ 30" for one day per month, "1 V0" for one day per quarter, cle.)

?

9. Enter "Samp/c 7)pe" both as " Sample Afcasurement" (actual sample type used during monitoring period) and as Termd Reqmrement " (e g, Enter " Grab" for individual sample, 5//C" for 24-hour composite, "N A" for i

continuous monitoring, etc )

10 Where siolations of pennit requirements are reported, attach a brief c3planation to describ Lause and conective actions taken, and reference each violation by date.

I'l. If *no discharge" occurs dunng monitoring period, enter "No D;scharge" acron form in place of data entry.

12. Enter "Name/ Title of Principal Executive Of]icer" with " Signature of Principd Executwe Officer of Authori:ed

~ Agent,' ' Telephone Number." und "Date" at bottom of form.

' 13. Mail signcd Report to OfTice(s) by date(s) necified in pennit. Retain copy for your records.

l p

14. More detaikd instructions for use of this Discharge Monitoring Report (DMR) form may be obtained from Office (s) specified in penuit.

Legal Notice l

j Thiiseport is rahuired 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 crindnal penalties not to exceed $25,000 per day

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of Yiolatioh, or byImprisonment for not more than one year, or by both.

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Paperwork Reduction Act Notice

. Pubhc repmiing burden for this collection of information 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 a

average per response for wme minor facilities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average per response for some trujer facilities, mth a weighted avenge for major and. minor ~ facilities 9.18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per re9onse, inch. ding time for reyiewing f

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iratructions,l sarching existing data wurces, gathering and maintaimng the data needed, and completing and i

reviewing the colhtclion of information. Send conunents regarding.the burden estimate or any other aspect of this l collection of infonrution, including suggedions for reducing this burder., to Chief, Information Policy lirarich, PMi223, U S. Environnwntal Psotection Agency, 401 M Stiaci, SW Washington, DC 20460; and to the i

l Of fice of Information and Regulatory Af fairs, Office of Management end Budget, Washington, DC 20503',

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_._... ~ ;_ _._ _ ___ _ _. _._ _ _

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General Instructions I

liIf form has been partally completed by preprinting, disregard inMructions directed at entry of that information I

j already preprinted.

2. Enter " Permittee. Name3 fading Address (and facility namc/ location, if different) *

Permit Number." and

" Din harge Numl cr" w here in hcated. ( A separate form Is required for cach discharge )

3. Enter date:, teginning and ending "Atonitoring Period

cm cred by form where indicated

)

4. Enter cach "Paramer.

n peci6ed in monitoring requirements of permit.

5. Enter " Sample Alcann n data for cach parameter under " Quantity" and "Quahty" in units specified in permit.

%rrage" is nonna!!v art. suc average (geometnc average for bacterial parameters) of all sample measurements j

for 'each parameter obtained during "Alomforing PermcP; "A/arimum" and "Afimmum." are nonsally extreme !4h and low measurements obtained during "Alonitonny Period" [ Note to nmnicipals with z.ccondary treattJent r

regmrcment: Enter 30-day average of sampic measurements under %crage " and cnter m.nimum 7-day average' of samp!c measurements obtained during monitoring period under "Afarimumf)

6. Entcr " Permit Regmerme rt" for each parameter under " Quantity" and " Quality" as specified in pennit.

?

7. Under "No Er" enter number of sample measurements during momtoring period that exceed maximum (anfor minimum or 7-day ascragt as appropriate) permit requirement for each parameter. If unne. enter "0".

8. Emer

Frequency' of Analysis" both as "Namji/c A/casurment" f actual frequency of sampling, and analysis used during momtoring period) and as " Perm /t Requirement

specified in permit. (e g, Enter %mtf for continuous monitoring, "l/7" for one day per week. "1/30" far one day per month, *130" for one day per quarter. etc.)

9. Enter " Sample T>pe" both as " Sample Alcasurement" (actual sample type used during monitoring period) and as

" Permit Requirement,"-(c g; Enter "Grah" for individual sample, "NIIC" for 24-hour composite, "N/A" fur

. continuous monitoring, etc.)

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

I1, If"no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry.

12. Entet *Name/Dile cf Principal Executive Oficer" uith " Signature of Principal Executive OJ)icer of Authori:ed

' Agent,* ' Telephone Number " and "Date" at bottom of fonn.

13. Mail signed Report to Omce(s) by date(s) specified in pctmit. Retain copy for your recordsc.

j'.

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

Legal Notice This rsport is required by law (33 U.S.C/1318: 40 C.F.R.125.27). Failure to report or failure to report truthfully can 1

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.

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Paperwork Reduction.Act Notice

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4 public reporting burden for this co!!cetion of information 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

)

average per respone for smne minor facilities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average per response for r.ome major facilities, I

with a weighted average for major and minui facilities of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per response, imiudmg time for reviewing j

l intructionsJ mm;hing existing data wurecs, gathering and maintaining the data needed, and completing and reviewmg the colleuion of infonnation. Send corranents regarding the burden estimate or any,other aspect of this collection of infornwtion, imluding wggerions for reducing this burd:n, to Chief. Information Poln:y j

l Hranch. PM;223, U.S. Environmental Protation Agency. 401 M Street, SW Washington, DC 20160; and to the j

Officeif infuriation and Regulatory Atfairs, Ollice of Management and Budget, Washington, DC 20503, C_-___.-_._.__

l ueneral Instructions o

1. If Ibrm has been partially completed by oreprin'dng, disregard instructions dirmted at entry of that information alres.'y preprinted.

p

2. Entes " Permittee Name'Alailmg Addrex (and faenlity namc/ location. if datTcrem)," "Pumit Number l and

" Din arge Number" u here indicated (A separate form is regmred for each discharge.)

3 Enter dates beginning and endmg 'Atomtormy Permd"coscred by form w here indicated

4. Enter cach */'aramerce" as speedicd ir, monitoring requirements of permit.

5. Enter "NamjVe Afeawrrment" data for cach parameter under " Quantity" and Tuchty" in umts specified m perrmt.

".hrrage" is normally arithmetic avera"e (geometric average for bacterial parametcrs) of all sample measurements for each parametet obtair.cd during "Alonitormg Permd"; "Afaumam" and "Afmtmum" are normally extreme high and low measurements obtained during "Afrmitoring Period" (Note to municipals with 1.ccondary treatment requirement: Enter 30-das average of sample measurements under " Average." and enter mnimum 7-day ascrage of umple measurements obtamed during monitoring pcriod under "3 /cximum. ")

6. Ewcr " Permit Requirement" for cach patameter undet "Quanttry" and "QuedA " as specified in permit.

7. Under "No &* catcr number of sample measurements during monitoring penod that exceed manmum (and'or mmimum or 7-day average as appropriate) pernut requirement for cach parameter. If none. cnter "0".

8. Enter "Frcquency of cinalysu" both as "Samj* Alcomrment" (actual frequency of sampling and arudysis used l

durmg momtoring penod) and as "Prrndt Requirement" specified in permit (e g, Enter Tont," for contimcoas monitoring. "/O* for ene day per week, "l'30" for one day per month. "/30" for one day per quarter, etc)

9. Emer "Savirle 7)pe" both as "Samp/c A/cawrement" (actual sample type used during monitormg period) and as "Pcrmit Requirement " (e g,- Enter "Grah" for mdividual samplc, "N//C" for 21. hour composite, "N A" for continuous monitoring, etel 10EWhere 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 Discharge" across form in place of data entry.

12. Enter *Namentile o,f Prmcipal hecutive Officer" uith " Signature of Prmcipid &ccutwe Qfficer ofAuthort:cd

' Agent," " Telephone Number

and "Date* at bottom of form.

13. Mail signed Report to Office (s) by date(s) specified in pctmit. Retain copy for y our records.

14. More detailed instructions for use of this Discharge A/onitoring Report (DAfR) forrn may be obtained from Office (s)

' spccified 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.

EPA Form 3320b (Rev. 08-95) i 4

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i. i Paperwork Reduction. Act Notice f

I Public reporting burden for this collection of information 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 average per response for some minor facilities, to 110 hount as an average per response for mme major facilities, f

with 'a weighted average for major and minor facilities of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per wponse, including time for reviewing instmctions, scarthing existing data unrces, gathering and traintaining the data,needed, and comple.ttng and e

p-

. reviewing the collection of information. Send comments regarding the burden estima'.e or any other aspect of l

thiti collection of information, including suggestions for reducing this burden, to Chief, Information Pohey.

Branch, PM423, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC 20460; and to the Office of infiirnatmn and Regulatory Af fairs, Office of Management and Budget, Washington; DC 20503, f

_r._.-.+._

)

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General Instructions

)

1/ li fann ha.s been partially completed by prrprinting, dnregard instructions directed at entry of that information y

already preprinted.

- 2l Enter

Permittee Namealmhng Address (and facility namellocation, it ddTerent)," "Pernut Number," and

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

s 3.) Enter dates beginning and ending "\\fonitormg Period" covered by fonn w here indicated

)

).

4nEnter each

Parameter" as specificd in monitonng requirements of permit.

' 5.' Enter "Smn/ e Alcawrement" data for cach p.irameter under "guannty" and "guahty" in units speified in permit.:

d

" Average" a normally arithmetic average (geometric average for bacterial parameters) of all sample measurements for' cach parameter obtained during "A/omforing Period"; "Almsmum" and "Afmimum" are normally extreme high 7

and low measurements obtained during " Mom /ar4ng Permd? : (Note to municipals with secondary treatment requirement: Enter 30-day average of sample measurements under " Average.' and enter maximum 7-day average t,f sample nicasurements obtained during monitoring period under "Afanmum. ")

6. Enter " Permit Requirement" for each parameter under " Quantity" and "Quahty" as specified in pennit.

7. daddr "Nd /Cr" enter number of sample measunnents during monitoring period that exceed maximum (and/or minimum or '7-day average as appropriate) permit requirement for each parameter, If none, enter "(r.

8. Enter "/requency of Analysis" both as "Samp/c Alcmurment" (actual frequency of sampling and analpis ~used i

,during monitoring period) and as *Pernut Requirement" specified in pennit. (e.g, Enter " Cont," for continuous monitoring, "l/P for one day per week. "100" for one day per month "/M0" for one day per quarter, etc.)

A $nter " San;>!c 7)pe" both as " Sample Afeuxurement" (actual sarnple type used during monitorinh period) and as

" Permit Requirement " (e g., Enter " Grab" for individual sample, 'NHC" for 24-hour composite, "K91" for L

ccmtmuous monitoring, etc.)

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

IIElf "no discharge" occurs during monitoring period. cater "No Discharge" across form in place of data entry.

12. Enter *Name' Title tif Principal hecutive OMcer" uith " Signature of Principal hecutive OJJlcer of Authorized

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

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

14. More detailed instructions for use of this Discharge Afonitoring Report (DAfR) form may be'obtained from Office (s) specified in pennit.

Legal Notice H

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.R '

Thisl 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 6.

- resultin civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day

.- of violatida, or by* imprisonment for not more than one year, or by both.

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EP5, Form 3320-1(Rev. 08-95)

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l Pubfic reporting burden for thircollection of information is estimated to vary from a range of 10. hours.as an l

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" average per response for some m'nor facilities, to 110 houn as an average per remonse for some,najor facdities, t

with a weighMJ avenige for major and nunor facilities of 18. hours per resporne, ingludmg time for reviewing instructions,yarrhing existing daut sources, gathering and 'maintainmg the data needed, and completing and

}

reviewing the collection of informnian Send comments agarding the burden estimate or kny other aspat of this collection hf informatmac including suggesticos for reducing this burden, to Chief, information; Policy l

Ihanch, PM;223, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC 20M0; and to the f

Office of Infonration and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503.'

r f

i

-.____.__._._.___u-_--

i, General Instructions h

1 1rlf form has been panially completed by preprintmg, di$ regard instructions directed at entry of that information 3 :already prrprinted.

j I

i L' Enter *Permince Name Mailmg Addren (and facility namclhocation, if ddTerent),* " Permit Number,' and i

"Dipcharge Number" where indicated. (A separate fono is reymred for each discharge.).

[

7

(

3 Enter dates beginning and ending "Mimitoring Pcr/od" cos ered by funn where indicated.

4. Enter each " Parameter" as specified in momtoring requirements of pennit.

1 d

5. Emer "Samp!< Mcamerment* data for each parameter under "()nannty" and "Guality" in units speciDed in perniit.

"Awrage" is normally arithmetic average (geometric average for bacterial parameters) of all sample measmements j

for each parameter obtaincd during "A/omforing Period" "Maumum" and "Mmimum" are nonnaUy extreme high y

and inw measurements obtained during "Alomtoilng Period" (Note to municipals with secondary treatment,

requirement: Enter 30. day average of sample sneasurements under %crage " and en'er masimum 7<by average of sample measurements obtamed during monitoring pened under "Manmume"/..

6'. Enter " rmit Requirement" for cach parameter under " Quantity" and "guality" as specified in permit.

7.!Under % Er* enter nmnber of sampic measurements during monitoring pened that esceed maximum (and'Er:

f

. minimum or 7-day average as appmpriate) pennit requirement for each paramcter. If none, enter *0" SJ Enter *hrcquency of Analym" both as " Sam;de ucaxurment" (actual frequency of sampling and am.!pis used t

idunng nionitoring period) and as " Permit Requirement" speciDed in permit (c g., Enter " Cont / for continuous i rporiitoring, "/C" for one day per week, "FM" for one day per month. *F90" for one day per quaner, etc )

f

9. Enter " Sample 7 pc' both as "Samp/c Measurement" (actual sample type used during momtering period) and as J

- /'ermit Requirement " (e g.., Enter

Grab" for individual samp!c, "24//C" for 24-hour composite, "N41" for centmuous monitoring, etc.)

10.i%kre vio!' tions of pennit requirements are reported, attach a brief explanation to describe cause and corrective a

actions takert, and reference cach violation by date.

'~

l1 If"no discharge" occurs during monitoring period, enter *No Dacharge" across form in place of data entry.

(

12 Enter *Name'Dtle of Prmapal Executive Ollicer" with " Signature of Principal Erecutwe Oficer ofAuthori:ed

' Agent,"

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

13'. ' Mail signed Repon to Office (s) by date(s) specified in permit.' Retain copy f[ir your records.

,)

L14. More detailed instructions for use of this Ducharge Monitoring Report (DMR) form may be obtained from Ofnce(s) speciGed in permit.-

~

f 1i Legal Notice

.9

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

- d

result in civil penalties not to exceed $10,0(D per day of violation; or in criminal penahies not to exceed $25,CCO per day 4

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

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4 Paperwork Reduction Act Notice j-Pubhc seputing burden for this collection of infornution 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 j.

average per respemse for some minor facilities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an averaf;e per response for some major farihties, 9

with s, weighted average for major.and minor facihties of.18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per response, mcluding time for feviewing l~

f instructmns, arching ensiing data sources, gathering and maintaining the data needed, and completii.g ar.J I

b reviewing the colle4. don of information Send comments rer;arding the bmdert estimate or any other aspect of this collection of infornution, inclu. ling suggestions for reducing this burden, to Chicf Information Policy liranch, PM 223, U.S. Envimnmental Pec,tection Apney, 401 M Street, SW Washington, DC 20460; and to the r

Office ofInformation and Regulator ~ Attairs. Office of Management and Budet, Washington, DC 20:03.

.A a -~ a - _..,._

.-__..,e.--...

-. ~

- - -.. - - -. -. -. ~ - - +

i General Instructions l

1. If fonn has been partially completul by preprinting, disregard instmetions directed at entry of that infonnation 7

already preprinted.

t 7

)

2/ Enter "Permitter Namedfaihng Address (and facihty name/ location. if different)." "A rmit Number

and

'"Ducharge Number

where indicated. (A separate form is required for each dischargeJ

3. Enter dates beginning and ending '3famrarmg Perioll" covered by fctm where indicated 4 Enter each " Parameter"hs.speoned in monitoting requirements of pennit 7

1 i Entcy "Samg/c Afrawrement" data for cach parameter under "Guanttry" and "Guahry" in Umt5 sp0cified in permit.

J

".f wrage" is normally arithmetic average (geometric average for bacterial parameters) of all sample measurements I

3 for each parameter obtained during "Afomforing Period"; "A/arimum" and "A6nimmn" are nonna!h extrcme high I

and low measurements obtained during "A/omronng Permd" (Note to inumcipais with secondary treatment i

reqairenient: Enter 30-day average of sampic rneasurements under ".twrage." and enter maximum 7-day average of sampic measurements obtaind during momtoring period under "A!arimum,")

l I

3

6. Enter " Permit Requirement" for cach pasametcr under " Quantity" and " Quality" as specified in permit.

l l

7. Under "No ti" cnter number of sample measurements during momtoring pcnod that exceed maximum (an1/or j

. mmimum or 7 day aver;tge as appropriate) permit requirement for each parameter If none, enter"O" i

i

8. Enter ?Frec tency of Analym" both as "Samp/c Alcawrment" (actual frequency of samphng and analysis used during rnonnoring period) and as " Permit Requirement" specified in permit (e g, Enter "C<mt," for continuous monitoring, "l#" for one day per w eck, "/ W" for one day per month, *l60" for one day per quarter, etc )

j-i 9/ Enter "Samp/c 7)pe" both as "Sampic A/cawrement" (actual sample type used during monitoring penod) and as I

" Permit Requirement." (c g., Enter "Grah" for individual sampic, "N/K' for 24. hour cornposite. *XA" for i

i continuous rnonitonng, etc )

10e Where dolations of pennit requirements are reported, attach a bncf explanation to describe cause and errective 2 actions taken. and reference cach violation by date.

r

11. If "no discharge" occurs during monitonng period, enter "No Discharge" acmss form in place of data entry.

)

I

12. Enter *Name!Dile kf Prmcipal Erecutive Of]lcer" uith " Signature of Principal Executive Oj]icer of Authori:ed

' 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.

I i'

14. More detailed instructions for use of this Discharge Af<mitonny Report (DATR) form may be obtained from Office (s) specified in permit.

Legal Notice

~

o 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 msult 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.

c-g.

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Paperwork Reduction Act Notice pubNe reporting burden for this conection of ir, formation is estimated to very from a range of 10 hours1.157407e-4 days 0.00278 hours 1.653439e-5 weeks 3.805e-6 months as an average per response for u>me minor facdities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average per rerponse for mme major facilities, with a wdghted aurage for major and minor facilities of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per response, including time for reviewmg im.truction ' searching existing data sourts, pthering and maintaining the data needed, and tumpleting and reviewing the collection of information. Send comments reprding the burden estimate or any other aspect of this collection of information, including suggestiorn for reducing this burden, to Chief, Information Policy Branch, PM 223, U.S. Environmental Protection Agency,401 M Street, SW Wahington, DC 20460; and to the Office of Inforroation and Regulatory Affairs, Omce of Management and Budget, WWungton, DC 20503.

J L_

General Instructions

l. If Ibrm has tan partially completed by preprinting, disregard instructions directed at entry of that information already preprinted.

2: Enter "Permitter Name. Mailing Addren (und facility namc! location, if ddferent),"

Permit Nwnber,* and

'"Di3 charge Number" where indicated ( A separate form is required for cach dinharge.)

1 Enter dates begmning :md ending "Alonitoring Period"cmcred oy form where indicated

4. Enter each "Paramercr" as specified in monitormg requirements of permit.

5. Enter "Samp/c Mcanecment" data for each parameter undct "Guantdy" and "puolar" in uniti specified m permit.

%crage" is normally anthmetic average (geometric average for bacterial parameters) of all sam;)le measurements for each parameter ob!ained during "Mamiaring Peruu/". "Manmum" and Wm/ mum" are normally extreme high and low measurements obtained dunny "Momformy Pcrmd

Wote to municipais uith secondary treatment rcqwiement: Enter 30-day average of sarnpic measurements under %rrage," and enter maximum 7sby average of sample memurements obtained during monitoring period under " Maximum. ")

o. Enter " Permit Requ!rcment" for each parameter under "Quantar" and "Gualay" as specified in permit.

i Under *No &* cmer number of sample measurements dunng monitormg period that exceed maximum (and/or mhiimum or 7-day average as appropriate) permit requirement for cach parameter Jf none, enter *0".

8. Enter "Frcquemy r4f Analpis" both as " Sample Meamrment" (actual frequency of s:mipling and analpts used

. during monitoring period; and as "Permd Requirement

specified in penmt (e.g, Enter "Gm!," for continuam monitoring "1B" for one day per weck, "//30" for one day per month, "1M for one day pcr quaner etc )

9. Enter " Sample 7)pe" both as "Samp/r Measurement" (actual sample type used during mormoring period) and as

" Permit Requirement," (e g, Enter " Grab" for indmdual sarnpic, "N#C" for 24-hour compostic. "N A" for

. continuous monitoring, etc]

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

I1.. If "no discharge" occurs during monitonng period, enter *No Discharge" across form in place of data entry.

Enter *Name' Title of Principal hecurwe Oj]lcer" uith " Signature of Prinapal &ccutnv OlRcer ofAuthori:ed 12,; Agent," ' Telephone Number," and "Date" at bottom of form 13' Mad signed Report to Office (s) by date(s) specified in permit. Retain copy for your records.

14. More detailed instructions for use of this Dixharge Monitoring Report (DMR) form may be obtained from Office (s)

)

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 ejvil 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.

EPA Form 3320-1 (Rev. 08-95) 4

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Paperwork Reduction. Act Notice 1

Public rqsrting burden for this collection of infomutmn is estimated to vary from a range of 10 houis as an aWrage per rexponse for mnse minor facilities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an aserage per response for wme nujor facilities, with a weighted average for snajor and minor facilities of p hours per response, including. tine for reviewing

. iintructions, uarEhing exiMing data s.ources, gathering and maintaining the data needed, and wmpleting and

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reviewing the collection of information. Send.cornments regarding the burden estimate.cr any ottifrkpect of this)ollectiori of information, includmg suggestluns for reducing this burden, to' Chief, Infonnation Policy liranch, PM 223. U.S. Environmental Protection Agency,401 M Street, SW Washington, DC 20469; and to the Of fice of Information and Reguhtory Affairs Office of Management and fludget, Washington, DC 20503.

7

_.-_.u.-._.

_._._.m_

l General Instructions II ff ihnu has been partially completed by preprinting, disregard instructions directed at entry of that infornution already preprinted..

2. Enter " Permittee Namca/aihng Addreu.(and facihty tunne/ location. if difTerent)" " Permit Number," and "Dacharge Number" w here indicated (A separate form is required for cach discharge )

31Ent'cr dates beginning and ending "A/onitormg Penod" covered by form w here indicated.

4.; IIriter each "Parmnerer" as r,pecified in monitonng requirernents of pennit.

4 5.' Enthr "Smnp/c A/cawrement" data for cach parameter under "Guantity" and "guahry" in units specified in pernt

%crage" is normally arithmetic average (geometric mcrage for bacterial pammcters) of all sample measurements H for each parameter obtained during Miomformy Period"> "Afarsmum" and "Mimmum" are normally enreme high

~

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, and low meamrements obtained during "Afomronny Penod." (Note to municipals with secondary treatment requirement: Enter 30-day average of sample measuremems under "Arcrogr." and emcr noximum 7-day average of saniple measurements obbined during monitoring period under "Martmum ").

6. E5ter "Symrt Regmrement" for each parameter under "Guamity" and "gual/A" as spectDed m pennit.

7.iUnder "No Er* enter number of sampic measurements during momtoring period that execed maximum (arWor

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

g.

Eted "Frequencv' v/ Analyus" both as "Samp!< A/eamrment" (actual frequency of sampling and snalysts used

.8.

during memtoring period) and as

Permit Reymecmeni" specified in pennit (e g. Enter " Cont," for continuous

monitoring, "l/7" for one day per week, "100" for one day per month, "/ 90" for one day per quincr, etc )

9. Emer "Lmple 7)pc" both as "Samp!c Aleasurement" (actual samp!c type used during monitoring period) and as "Pcemit Requirement." (c g., Enter " Grab" for individual sample, "St/K' for 24-hour composite, "N'A" for continuous Inanitoring. etc.)

10. Where violations of penuit reqmrements'are reported.' attach a brief explanation to describe cause and corrective l

actions taken, and reference cach violation by date.

I1.7 II*ng discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry.

1 12, Entet *Namemtle of Principal Esecutive OJJicer* uith

Signature of Principal Executwe Officcr of Authon:ed i-Agent *

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

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

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~ 14. More detailed instructions for use of this Disdwrge Afcmitoring Report (DA!R) form inay be obtained from Office (s) specified in pennit.

7 Legal Notice h

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_r l This re;brt is requimi by law (33 U.S.C,1318; 150 C.F.R.125.27), Failure to report or failure to report truthfully can 1-result'in givil 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.

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o 4-Paperwork Reduction Act Notice l

Pubbe reporting burden for this collection'of informadoo is estimated to vary from a range of 10 boun,'as an average per responi,e for some minor facihties, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an aveuge per response for e.ome major facilities,

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with 4. weighted average for major and minor facilities of.18 bours per response. inchtding time for reviewing inuructions,;searcidng existing data sources, gathering and maintaining the data needed, and ccmpleting and i

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hetion of informanon. Sead conunenta regardmg the burden estimate or any other aspect of

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trv ew ng t e cothis coUectiort of informanon, including suggestions for reducing this burden, to Chief, In Isranch, PMo223, U.S. Environmental Protechon Ageney,401 M Street, SW Wa.shingwn, DC 20460; and to the Ot6ce of Information and Regulatory Affairs. Of6ee of Management and Budget, Wehington, DC 20503.

f-b w..-..--.

General Instructions I If form has 'been partially completed by preprinting, disregard instruction directed at entry, o'f thd information y

, alremfy preprinted.

2. Enter " Permittee Namedimhng af ddress (and facility name! location, if dillerent)." " Permit Number." and

' Discharge Number" where indicated (A separate form is ret uired for cach discharge.)

3.. Enter daies beginning and endmg "Afonitormy Period" covered by form where indicated.

i

4. Enter cach

Parameter" as specified in monitoring requirements of permit.

S. Emer "Nample A/cawrement" data for each parameter imder "punnnt;," and "guality" in units spccined in pennit.

"Apergec" is normally arithmetic average (geomenic average for bac!crial pmameters) of all sam;Ae measurements p

for each parameter obtained during "A/umtoring Period" "A/aumum" and "Almsmum" are norma 0y extreme high and low measurements obtained during "Afo utoring Period." (Note to nwnicipals with secondary treatment reqmrement; Enter 30-day average of sampic measurements under " Average." and enter maximum 7-day average of saniple measurements obtamed during ruonitoring period under "A!arimum "/

)

x

6. Enter " Permit Reywrement* for each parameter under "(Juantity" and "()uolity" as speci0ed in pennit.

7. Undet NNu Er" enter number of sample measurements during monitormg period that exceed maximum (and/or

!~

minimum or 7-day ascrage as appropriate) perm'it requirement for cach parameter. If none. cn!ct "0".

r

8. Enter " Frequency of Ana/vsic both as " Sample 3 fen.orment' (actual frequency of sampling and analysis used donng monitoring period) and as "Pennit Rn;wrement' specified in permit. (c g. Enter " Cont " for continuous momtoring "//7" for one day per wed "/dfr for one day per month, "/Mr for one day per quartcr. etc )

9.' Enter "Nample 7)pe" both as " Sample A/cusurement" (actual sample type used during monitoring period) and as a " Permit Requirement." (e g, Enter " Grab" for individual sample. "N/R7 for 24-hour composite. "N'A" for continuous momtonng, cic.)

10, Where violations of pennit 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 Discharge" across form in place of data entry

^

12. Enter "Name Title o]Prmcipal Executive Officer" uith " Signature of Principal Executive Oficer ofAuthon:ed Agent,' "Telephon: Number.".and "L) ate" at bottom of form.

13. Mij signed Report to Office (s) b'y date(s) specined in pernut. Retain copy for your recordsc 14, More detailed instructions for use of this Discharge Afonitoring Report (DAIR) form may be obtained froru Ofnce(s) specified in permit.

Legal Notice Thh report is re' quired by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can readtlin ' ivil penajties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day c

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

Y

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EP4. Form 33201l(Rev. 08-95)

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Papenvork Reduction Act Notice

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Pubhc reporting burden for this coHection of information 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 av,crage per response for unre minor facihties, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average per nspimse for some major facilities, with a weighted averige for major and minor facilihes of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per response, inchiding time for reviewing l

l irntructions, searchieg existmg data wurces, gathericg and maintaining the data needed, and completing and j

reviswing (tp collection of infornuuvo. Send comments regarding the burden estirnate or any other aspect of j

t this collection of infurnution, induding suggestions for redacmg thic burden, to Chief, Information Pokey j

Branch, PM.223. U.S. Environmental Protecuan Agency,401 M Street, SW Washington, DC 2M60; and to the Of fice of Information and iteguhitory Affairu, Office of M inagement and fludget, Washington, DC 20$03.

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_ _.__.._._._______--___.-_.____..__.)

L General Instructions

1. If fotm hn bcen partially enmpleted by preprinting, disregard im.tructions directed at entry of that.information

. already preprinted.

2. Enter *Permatee Name3! ailing Address (and faciliiv uamellocation, if different)" "Perrmt Number," and "Dacharge Number" w here indicated (A separate farm is required for cach discharge )

3. Enter d2ues beginning and ending "Alonitormy Fermd' covered by form where indicated i

4. linter each " Parameter" as arcified in monitoring requirements of permit.

5. Entbr "Nomp!c Alcasurem< nt" data for cach parameter under " Quantity" and "gua!!ty" in umts specified in permit.

"Aecrage" is normally arithmetic average (geometric asera3e for bactenal parameters) of all sample mex;urements for cach parameter obtained dunng "A/omforing Permd" "Alaxtmmn and "Almimum" are normally c),treme high and low measurements obtained during "3 tomtoring Perun!" (Note to municipals with secondary treatment requirem nt: Enter 30-day average of sample measmcments under "Aecrogr." and enter mnimum 7-d;2y ascrage of sample measurements obtained dming mnitoring period under "Afarimum ")

6. Enter "Pcrimt Rcqmrement" for cach parameter tmder "Guantay" and "puo/ tty" as specified in permit.

7. Under "No Er" cnter number of sample measarments during monitoring period that exceed tunimum (and/or minimuru or 7-day aserage as appropriate) permit requirement for cach parametet. If none, enter "/)"

8. Enter "Frequemy or Analpa" both as "Namp/c A/casurment" (actual frequency of samphng and analysis toed

)

.during monitoring period) and as " Permit Reqwrcment" specified in permit (e g., Enter " Cont," for continuous monitoring, * //7" for one day pcr week, "//Ju" Ibr one day per month. "//90' for one day per quarter, etc.)

9. Enter

Sample '/)pe" both as "Nample Areasurement" (actual sample type used during monitoring periods and as "Permet Requirement." (e g., Enter " Grab" for individual sample. "J4HC" for 24-hour composite, "N5t" for

ccmtinuous monitoring, etc )

10. Where violations of permit requirements are reported, attach a brief explan nion to describe cause and corrective l

actions taken, and reference cach violation by date.

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

12.' Enter "NamWi3tle of Principal Decutwe Oj]icer" uith " Signature of Principal Executive Oj]icer of Autharded i

Agent," " Telephone Number," and *Date" at bottom of(mm.

I

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

14. More detailed instructions for use of this Discharge.Afonitoring Report (DA(R) form may be obtained from Office (s) i-specified in permit.

1 Legal Notice This report is ro3uired by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can result in ejvil peng1 ties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day

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

j:

C EPA Form 3320-1 (Rev. 08-95)

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Paperwork Reduction'Act Notice f

Pubhc reporting burden for this udloction of information is estimated to vary from a rang of 10 homs as an average pc.r revpcese for some minor f aahties. to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months e an average per response for some major laditics.

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with a weighted a,crnge fur.rrwjor anJ minor failities of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per reponse, including time for reviewing instmetions, wrching ensting daa souars, gathering and rnaintaming the daa needed, tnd compledng and l

5 reuewing the cullestion of irdurtranon. Secd cormncats reprdmg the burden esumate or any other 2.spect of I

this collutmn of infornutson, mduJing suggestions tor reducing this turden, to Chief, Intonnation Pohcy l

Narib, PM 223, U.S. Environmental Protection Apmy,401 M Street. $W Washington, DC 20M0; and to the Office of Irdbrnation and Regulatory Affmrs, Offke of Mananment stod Budget, Washington, DC 20501 General Instructions 1 11 form has, been putiidly cornpleted by prcprinung, do. regard instructions directed at entry, of that information adready picpnnted.

2 Enter

Permit!ce Namedfwlmg Adder.o (and frihty namc/ location, if dMerent).* "Permet Number " and

"& charge Number" where indicated. ( A separate fann is reqmred for exh discharge )

L Emcr dates begmfung and ending "3/nmtormg Permd" em cred by f ann w here indicatcd

4. Esiirt cm.h "l'antmc/cr" as specified m nemturing requirements Of penmt.

5. Emcr "Samj>Ie Measurement" data for ex h parametcr under "(hunnty" and "guahty" in umts speci0ed in perm 1 "An royc" is nornrdly anthmetic average (gecmutnc m eragc fr>r brtenal paramtiers) of all samp!: measmcments f or rath ;,artmeter obtained darmg "A bmrormy PerwI, "3/atzen" and *A! mima / alc normally ntreme 1,igh and low measmements obLuned during "3fo i'toring Pctu d" (Note to inunicipals uith secondary Heatment e

requirement: Enter 30-day average c.f sample meamrements under % erage." and c nier nmimum h!ay ascrage of sample measurernents oblamed during monitoring period uni.r "3!amman. )

6. Emer "iYrmir Reymr< ment" for ca:h parameter under "thennoty" and "Gualitt" as spec:Ded in pentut 7.- Under "No lit" enter numbcr of sampic mc:nurmems during m4;mimang pern,d that cu aed maurdum (ahNor minithum of 7-day as crage as appropt nte) pennit requirement for exh parameter. If none, chter "7 R. Emcr "l+rrjuency of Analy3ts" both as %nt:lc 3/cawrment" (actual fryquency of sampling and analysis used danng monitonng period) and as " Permit Requercment" speciGed in pernut (e g, Enter 'Tont," for continuous momf oring, * /J" for one da) per weck, "/Ju" for one day per month. "1 vo" for one day (r quaner, etc )

9. Enter " Sam;:/c 7)pe" both as "Nwnple Afeanremen!" (actual sample type used during monitoring period) and as

Permit Requirement," (c g, Enter " Grab" for mdludual sample "N!/L'" for 2.t-hour composite, "N A" for continuous momforing, etc )

10.Where nolations of pennit regwiements are reported. attach a boef explananon to describe cause and conectne actions tahen, and rcference cach violation by date.

1 L If "no discharge" occurs during monitoring penod. enter "No Dncharge" across form in place of data entry

12. Enter "Na*ne 7'itle of Prmct;ml Erecsaire Ol]iccr* with "Sienature qf Prmcipal Executive 0.!licer of Authori:ed Agent," "Triephone Number," and "Date" ut bottom of form U Mail signed Repon to Office (s) by date(s) specined in pernut. Retain copy for your records.

14 More detailed instructions for use of this Dmharge Momforms Rc;urt (DM10 form may be obtained from OfDec(s) p specified in permit.

Legal Notice This.wport in required by 1sw (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can restd: ira,civit penalties not to exceed $10,000 per day of violation; 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.

i 1

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~._. q Paperwork Reduction Act Notice-Pubbc reporting burden for this collection 6f infornution is estimated to vary from a range of,10. hours as an nerage per response for some minor facilities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an aserage per reymse for some major facihties, with, a weighted average for major and nunor. facihty of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per response, including tirne for reviewmg iratructions,'scarching existmg data sources, pthering and maintaining the data needed, and cbmpleting and riaitwing the collection of information., Send cornments regardmg the burdctiestimate or any other aspset of this. collection.of infornution, including suggestions for redecing this burden, to Chief, Infonnation Policy Branch, PM 723, ILS Environmental Protation Agency. 401 M Stnet, SW Washingmn, DC 20460; and to the Of free of Infornution and Regulatory Af fairs, Of fice of Management and Budget, Washington, DC 20503.

h General Instructions Illf form has han partially completed by preprinting, disregard instructions directed at entry of that information already preprintcJ.

2. Etact *Permitter kmealaili'rg Addren (and facility namcIlocation, if different)." "Perrmt Nu;nher.* and

" Discharge Number" w here indicated ( A separate form is required for cach discharge.)

31nter dates beginning and endmg *Afomtormg Pcnod" covered by form where indicated.

4. Enta cach "Parumrier" as speafied in, mondoring requirements of permit.

5. Enter "Namf !c Mcawrement" data for each parameter under " Quantity" and "guahty" in units r,pceified in pennit.

"Aceroge" is mrnully anthmetic average (gcometric average for bamrial parameters) of u!! sample mcasurcinents for hch parameter obtained dunng "Alonitprirrg Period"; "Alaumum" and "Atmonum" are nornntly extreme high and low measmements obtained during "Athmtvrmy Period" (Note to muniapals with swondary treatment requirement: Entcr 30-day average of sampic measurements under "Arcrage

and enter maimum 7 day aurage of saruple rocasurements obtained during monitoring permd under "Alanmum ")

to Enter "Perrmt Requarmert" for each parameter under (har.nty" and "Gunhty" as speafied in pentut 7.. Und:1."No In" enter number of sample measurements dunng monitonng period that exceed ruaximum (and/or minimum or 7-day average as appmpliate) permi; requirement for each parameter ff none, enter "0"

8. Enter ?Frequeny of Anale.us" tuh as "Samj>le Measurment" (actual fraluency of sampling and analysis u:.ed

~ donng monitoring period) and as "Pernut Requin ment" specified in penmt. (e g, Enter " Cont " for continuous

momtoring. *10" for one day per wcck. "!do" for one day pet month, "/40" for one day per quarter, etc )

9. Enter "Nample 73pe" both as "Nample Alcasurement" (actual sample type used during monitoring period) and as "Perrmt Requirement " (c g., Enter " Grab" for mdwidual sample, "Rr/C" for 24-hour compothc. "N'A" for etmtinuous monitoring, etc )

10. Where violations of pennit requirements are reported attach a brief explanation to describe cause and conective actions taken, and reference cach violation by date i1. If"no discharge" occurs during monitoring period. enter "No Dmharge" agoss fann in place of data entry, 12, Enter "Namc7ttle of Principal 1%ecutive 0])icer" with " Signature of Pnncipal hecutive Ofcer ofAuthorned 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 detaded instructions for use of thi,5 Discharge Atomtoring Report (DMR) form may be obtained from OITiccts) specified in permit Legal Notice l

This reprt is required by law (33 LLS.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can I

result in givil permities 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.

EPp Fonn 3320-1 (Rev. 08-95) m w-

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L Paperwork Reduction Act Notice Public reporting burden for this collection of information 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 s

avenge per response for mme minor facilities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an average per respcmse for woe major facilities, with a weig.hted average for najor wJ minor fxilibes of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per response.. including time for reviewing i

i instmctions,;rtanhing existing data sourtet gathering and maintaining the data needed, and completing and l~

reviewm;; the co!!ection of infunnation..Sen I comments regardmg the burden estimate or any other aspect of this co!!ection of information, including suggesdans for reducing this burden, to Chief, Information. Policy Branch, PMi223, U.S. Enviromneraal Protatmn Agency,401 M Street, SW Washington, DC 2040; and to the Office of Information and Reguhtory Affairs, Office of Management and Budget. Washington, DC 205031

.. _ - ~ -.. -,

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Ge eralInstructions 1.11f form has been partially comphted by preprinting, daregard instructions directed at entry of that information already preprinted.

2 Enter "Perrmiter Name Mmhng /tddress (and facihty name/ location. af different)," "Pmnit Number," and

'*Dinharge Nu nber" where indicated ( A separate form is required fur cach discharge )

1 linter dates beginning and endmg "Momforme Permd"cos cred by form u here indicated y

41 Enter each " Parameter" as speciGed in monitoring requirements of perm:t.

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5. Emer "Wmple Meaturuncm" data for cach parameter unir " Quantity" and "Quahty" in umts specified in permit.

Wrrer" is normally arithmetic ascrage treomeinc average for ba;terial parameters) of all sample measurernents for each parameter obuincd dunng "M.,mtormg Pervu!"; "Muimum" and *Mmimum" are normath otreme high and low meawrcments. obt.uned during "Wutoring Period " tNote to rounicipals with secondars treatment requirement: Enter 30-day average af sampic measurements unda "berage." and enter nmimum % day average

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of sample measurements oblamed durmg monitoring penod undct *Manmam. ")

6. Enter " Permit Requirement" for cac h parameter under "Quantuy" and "pu.;hn" as speciDed in pern it 7.'Ur der "No Er" enter number of sampic rneasurm:nts durmg inunitonog permd that c.xceed maumum (and'or

. minimum or 7-day aserare n appmpriate) permit requirement for cach parameter. If none, enter "0"

8. Enter "Frcrjucncy of hdy.m" both as "Samf e Memurmem" (actual ficquency of sam;, hog and ana!) sis used d

'durmg monitoring penod) and as

Perma Requirement" speciGed m permit. (e.g., Enter " Cont," far continuous momf ormg, "l/7" for one day per week, "h30" for one day per toonth. */ c90" for one day per quarter. etc.;

9. Enter "Nample 7)pe" both as "Nample Meaunement" (actual sample type used during monitoring period) and as

Pcrmu Requirewnt " (e g, Enter "Grah" for indisidual sample. "NHC" for 24-hour compoute, "N A" for continuous monitonog, etc.)

i 10[Where violations of permit requirements are reported, atuch a brief explanatwn to Jescribe cam.c and conective act_ ions taken, and reference cach nolation by date.

I1, if"no discharge" occurs during monitoring penod, enter "No Dncharge" across forrn in place of data entry.

12lEmcr *Name: Title of Prmcipal Execurne Officer" uith " Signature of Principal Executne Officer ofAuthori:ed Agent," "7' lephone Number," and *Date" at bottom of form e

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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 Monuoring Report (DMR) form may be obtained from Ofnce(s) specified in permit.

Legal Notice This report is requiru! by law (33 U.S.C.131P,40 C.F.R.125.27). Failure to report or failure to report. truthfully can result in c,ivil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of viidstion, or by irnprisonment for not more than one year, or by both, i

r EPp F rm 3320-1 (Rev. 08-95)

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,m Paperwork Reduction. Act Notice Pubbe rqcrting burden for this colketion of mformation 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 i

avesege per respmse.for some minar facilities, to 110 hours0.00127 days 0.0306 hours 1.818783e-4 weeks 4.1855e-5 months as an arrage per res;xmse for some major facdities, mth.a aeighted average for major and mmor facilities of 18 hours2.083333e-4 days 0.005 hours 2.97619e-5 weeks 6.849e-6 months per resporne, in:luding time for reviewing

~

j instructions, searching existing data sources, gathenng and maintaining the dna needed, and completing and

,I j

n viewmg the colhetion of information, Send comments regarding the burden estirtate or any other aspect of f

i this collection of information, including suggestions for reducing this burden, to Chief, Information Policy l

7 Branch, PM 223, U.S. Environrnental Protxtion Agency,401 M Street, SW Washington, DC 20460; and to the Of fice of Information and Regulatory Af fairs, Of fice of Management and Budgt t, Washington, DC 20503.

.._.1..__._-..__

i ___ ___ _)

)

L __...

General Instructions 1J..lf" form hu been partially a.mpleted by preprinting, disregard instructions directed at entry $f that information alrepdy prrprinted.

2. Enter "Permettre Nume afadmg Addren (and facility narne/ location, if different)," " Permit Number," and

'"Ducharge Number" w here indicated ( A separate fctm is required for cach discharge )

3. Enter dates begmning and ending "3/omformg renod" covered by (brm u here indicated

4. Enter cach "Paramercr" as specified in monitoring requirements of penuit.

5. Enter " Sample Afcasucment" data for each.arameter under "Quantay" and "Quahty" in units specified in permit

%curge" is nonnau) anthmetic average (geometnc average for bactenal parameters) of all sample measurements

- for each parameter obtained dming "3/omtering Penwr; "Afattmum" and "Ahomnan" are normally extreme high and low measuremcms obtamed daring "A/omtvimg Permd" (Note to muniapals with secondarv treatment reqwrement: Enter 3n-day average of sample incasmements under % crage," and enter mav.imum My average

, of s;unple meawrements obtained dunng monitoring penod under "A!aomum,")

)

6. Enter "Peirmt Regwrrment" for each parameter under *(huntity" and *(haig as specified m pernat.

1 l

7. Under *No B" enter number of saruple rucasurments during monitoring p: nod that exceed maximum (and/or l

nonimum or 7-day average as appropriate) permit reqmrement for cach parameter. If nonc, enter "0".

j l

8. Enter " Frequency of Analyus" both as *Na>np/c A!com..acnt" (actual ficquenc3 of samphng and analysis used i

)

daring motutoring penod) and as "P(rmit Rcqwrement" specified m pernut (c g, Enter " Con /," for continuous l

momforing, "I "/" for one day per ucek, "/Su" for one day per month, "leff for one day per quarter, etc.)

r

9. Enter "Scmple npe" both as "Nample A/camrcment" (actual sample hpc used during monitoring permd) and as l

7 "Per,mt Regarrement," (e g., Enter " Grab" for individual sample *.N!!C' for 24 hour2.777778e-4 days 0.00667 hours 3.968254e-5 weeks 9.132e-6 months composite. "X;4" for i

?

continuous monitoring. etc )

10. Where violations of permit requirements are reported, attach a brief explanation to descnbe cause and corrective actions tMen, and scference each siolation by date I1. If"no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry.

I

12. Enter "Name Title of Prmcapal Executwe O!j:ccr" uith " Signature of Principal becutwe Offccr of Authun:ed y

Agent,* 'Telcphone 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.

1 14, More detailed instructions for ase of this Discharge Afonitoring Report (D3/!O form may be obtained from OITice(s) specified in permit.

Legal Notice nis report is required by law (33 U.S.C.1318; 40 C.F.R.125.2'!). Failure to report or failure to report truthfully can result in civil perrdties not to exceed $10,000 per day of violation; or m criminal penalties not to exceed $25,000 per day of violdion, or by imprisonment for not more than one year, or by both, g

l

=

1. ? EPA Fonn 3320-1 (Rev,03-95) 4

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ML20248D210

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ML20248D210

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