ML13212A283

Surface Water Discharge Monitoring Report Submittal Form for Salem Generating Station

ML13212A283
Person / Time
Site:	Salem
Issue date:	07/25/2013
From:	Jamila Perry State of NJ, Dept of Environmental Protection
To:	Office of Nuclear Reactor Regulation
References
Download: ML13212A283 (29)

Text

New Jersey Department of Environmental Protection Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NjPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

[Month- lay Year21 Month Da Year FACA - SW Outfall FACA NJ0005622 D6 1 e2013 To 6 31 201 PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC PSEG NUCLEAR LLC SALEM PSEG NUCLEAR LLC 80 PARK PLAZA GENERATING STATION PO BOX 236/N21 NEWARK, NJ 07101 ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE: E- No Discharge this Monitoring Period - Monitoring Report Comments Attached WHO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7:14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

John F. Perry, Site Vice President - Salem N/A NAME AND TITLE OF PRINCIPA 7 XECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE) 07/25/2013 856-339-3463 SIGNAAURE OF PRINCIPAL EXE, -'OIFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PIIONE NUMBER

• Fora local agency where the i'cst-ranking operatordoes not have the ability to authorize capital expenditures and hire personnel,a person having that responsibilityor person desigiinatedby that person shall sign thejbllowing certijication.:

I certify under penalty of law and in accordance with N.J.S.A. 58:1OA-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE DATE AREA CODE/PHONE NUMBER

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 FACA SW Outfall FACA 611/2013 TO 6/30/2013 PSEG NUCLEAR LLC SALEM GENERATIN PARAMETER QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS EX. ANALYSIS TYPE Temperature, .ýL.a oC SAMPLE MEASUREMENT ý2-7.q I 10k~ CONTirN 00010 G DEG.C Raw Sew/influent Temperature, oC SAMPLE MEASUREMENT I 10 kc~uJC..cmviti I 00010 1 DEG.C Effluent Gross Value Temperature, oC 00010 2 SAMPLE MEASUREMENT1 I -I.g -7.8; 1 101j1A, IC0l-~ I DEG.C Effluent Net Value Lab Certification # SAMPLE MEASUREMENTj vit4sx I 99999 99 Lab Comments: If there are any questions in regards to the monitoring report form, please contact Susan Rosenwinkel of the BPSP - Region 2 at (609)292-4860 or via email at "srosenwi@dep.state.nj.us".

Pre-PrintCreation Date: 41112013 Page 1 of I

New Jersey Department of Environmental Protection Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

NJM005622 o0Year12013 To 1 M6thI D3 Y FACB 1ear - SW Outfall FACB PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC PSEG NUCLEAR LLC SALEM PSEG NUCLEAR LLC 80 PARK PLAZA GENERATING STATION PO BOX 236/N21 NEWARK, NJ 07101 ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE: F] No Discharge this Monitoring Period 0 Monitoring Report Comments Attached Wl-O MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7:14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

John F. Perry, Site Vice President - Salem N/A NAME AN

• LE OFPRINCIPAL CUTIVE OFFICEII, AUTHORIZED AGENT, Ot -*LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE) 07/25/2013 856-339-3463 SIGNATIIRE OF PRINCIPAL EXECUTIVE ER, AUT[ORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PHONE NUMBER

• Fora local agency where the highest-r ti/ng operatordoes not have the ability to authorize capital expenditures and hire personnel,a person having that responsibility or person designatedby thatpersion shall sign theJolloving certification:

I certify under penalty of law and in accordance with N.J.S.A. 58: 1OA-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE DATE AREA CODE/PHONE NUMBER

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 FACB SW Outfall FACB 6/1/2013 TO 613012013 PSEG NUCLEAR LLC SALEM GENERATIN Comments: If there are any questions in regards to the monitoring report form, please contact Susan Rosenwinkel of the BPSP - Region 2 at (609)292-4860 or via email at "srosenwi@dep.state.nj.us".

Pre-PrintCreation Date: 41112013 Page I of 1

New Jersey Department of Environmental Protection Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

NJ0005622 NM0onthl 6 1 Day 1

YearI 2013 To Mo-jo2nth!

6

,I 31 Year 2013 FACC - SW Outfall FACC PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC PSEG NUCLEAR LLC SALEM PSEG NUCLEAR LLC 80 PARK PLAZA GENERATING STATION PO BOX 236/N21 NEWARK, NJ 07101 ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CIIECK IF APPLICABLE: -- No Discharge this Monitoring Period E] Monitoring Report Comments Attached WHO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7: 14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

John F. Pery, Site Vice President - Salem N/A NAME AND TIfLE OF PRINCIPAL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE) 07/25/2013 856-339-3463 SIGNA RE OF PRINCIPAL EXECUT FiCER, AUTHORIZED AGENT, OR 'LICENSED OPERATOR DATE AREA CODE/PtiONE NUMBER

• Fora local agency where the highZ,aL,`iang operatordoes not have the ability to authorize capital expenditures and hirepersonnel, a person having that responsibilityor tperson designatedby that person shall sign thef/llowing certfi/cation:

I certify under penalty of law and in accordance with N.J.S.A. 58: IOA-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE DATE AREA CODE/PHONE NUMBER

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 FACC SW Outfall FACC 6/1/2013 TO 613012013 PSEG NUCLEAR LLC SALEM GENERATIN Comments: If there are any questions in regards to the monitoring report form, please contact Susan Rosenwinkel of the BPSP - Region 2 at (609)292-4860 or via email at "srosenwi@dep.state.nj.us".

Pre-PrintCreation Date: 41112013 Page I of 1

New Jersey Department of Environmental Protection Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

NJ005622Nt Year T- Month Day Year 048C - SW Outfall 48C 1 6 1 J_ 2013 ToI6 31 2013 PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC PSEG NUCLEAR LLC SALEM PSEG NUCLEAR LLC 80 PARK PLAZA GENERATING STATION PO BOX 236/N21 NEWARK, NJ 07101 ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 IIANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CIIECK IF APPIICABLE: -- No Discharge this Monitoring Period D Monitoring Report Comments Attached WHO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7: 14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

John F. Perry, Site Vice President - Salem N/A NAME A TIE O1 PRINCIPAL EXE*UTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE) 07/25/2013 856-339-3463 SIGNATtfE OF PRINCIPAL EXECUTIVEVyIIlAUTIIORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PIIONE NUMBER

• Fora local ageniv where the highest-tinjng operatordoes not have the ability to atuthorize capital expenditures and hire personnel,a person having that responsibility or person desigiated by that person shall sign the.f/il/owing certijication:

I certify under penalty of law and in accordance with N.J.S.A. 58:1OA-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE DATE AREA CODE/PHONE NUMBER

Surtace Water Discharge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 048C SW Outfall 48C 611/2013 TO 6/30/2013 PSEG NUCLEAR LLC SALEM GENERATIN QUANTITY OR LOADING UNITS QUA Com-imentsi If there are any questions in regards to the monitoring report form, please contact Susan Rosenwinkel of the BPSP - Region 2 at (609)292-4680 or via email at "srosenwi@dep state.nj us".

PI Pre-Prhit Creation Date- 4/11/2013 Page I of I

New Jersey Department of Environmental Protection Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

NJM005622

• I Daý_ Year To ItI DA Yeary2 481A - SW Outfall 481A NJ0005622~~ 1 2013 T 121 PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC PSEG NUCLEAR LLC SALEM PSEG NUCLEAR LLC 80 PARK PLAZA GENERATING STATION PO BOX 236/N21 NEWARK, NJ 07101 ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE: - No Discharge this Monitoring Period El Monitoring Report Comments Attached WHO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that 1have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7:14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

John F. Pery, Site Vice President - Salem N/A NAME AND TITLE OF PRINCIPAL EXEC V OFFICLR, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE)

&Z6*6~7 07/25/2013 856-339-3463 SIGNATUR/0OF PRINCIPAL EXECUTIVE OFF;*E/, AUTlHORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PHONE NUMBER

• Fora local agency where the highest-rankiL peratordoes not have the ability to authorize capital expenditures and hire personnel,a person having that responsibilityor person designatedby that person shall sign the following certification:

I certify under penalty of law and in accordance with N.J.S.A. 58:1OA-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME, AND TITLE SIGNATURE DATE AREA CODE/PHONE NUMBER

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 481A SW Outfall 481A 6/112013 TO 613012013 PSEG NUCLEAR LLC SALEM GENERATIN NO. FREQ. OF SAMPLE PARAMETER [ < QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS EX. ANALYSIS TYPE Flow, In Conduit or SAMPLE Thru Treatment Plant 10 1 '10Aq I C-ALICTO I 50050 1 MGD Effluent Gross Value pH SAMPLE MEASUREMENT

• • • • • • I '7.8 IC 1011eiv IAJG~m.*

00400 1 PERMI SU Effluent Gross Value REQUIREMENT pH I SAMPLEI MEASUREMENT `7 .'7 1 ?7 .%I 10 1Ib.)tAvz IG"fa 00400 7 SU Intake From Stream LC50 Statre 96hr Acu Cyprinodon SAMPLE IMEASUREMENTJ I C.010'e -.W I 10 1 w t1cca) I1 r -zj I e

TAN6A I %EFFL Effluent Gross Value Chlorine Produced Oxidants SAMPLE IMEASUREMENT1 I o.r4 Woltz

• I We~r4f 16 lc~oul*a.- cae-ttj I

• CPOX 1 MGIL Effluent Gross Value Option I Chlorine Produced Oxidants SAMPLE IMEASUREMENTI 1 4 0.t I t . 1 j3jwtt~cI I~

• CPOX I MG/L Effluent Gross Value Option 2 Comments: The permittee is required to perform acute toxicity testing on a minimum of one representative CWS outfall while DSN 48C is being routed to that outfall.

Page 1 of 2 Creation Date:

Pre-PrintCreation Pre-Print 4/1/2013 Date: 41112013 Page 1 of 2

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 481A SW Outfall 481A 6/1/2013 TO 6/3012013 PSEG NUCLEAR LLC SALEM GENERATIN Comments: The permittee is required to perform acute toxicity testing on a minimum of one representative CWS outfall while DSN 48C is being routed to that outfall.

Pre-PrintCreation Date: 4/1/2013 Page 2 of 2

New Jersey Department of Environmental Protection Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

NJ0005622 6 I 1Day

-Montfli1 Year 201306 To Month Day 1 Year 2013 42 482A - SW WO tal42 482A Outfall PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC PSEG NUCLEAR LLC SALEM PSEG NUCLEAR LLC 80 PARK PLAZA GENERATING STATION PO BOX 236/N21 NEWARK, NJ 07101 ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE: El No Discharge this Monitoring Period E] Monitoring Report Comments Attached WHO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7: 14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

John F. Perry, Site Vice President - Salem N/A NAME AND TITLE OF PRINCIPAL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE) 07/25/2013 856-339-3463 SIGNATURITOF PRINCIPAL EXECUTIVE OFF 1, AU IORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PIIONE NUMBER (itoperatordoes not hove the ability to authorize capitalexpenditures and hirepersonnel,aperson having that responsibility or F1r a local agency wvhete the highest-raci*

person designiatedby that peron shall si~thefollowing cert[ifcation:

I certify Under penalty of law and in accordance with N.J.S.A. 58:IOA-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE DATE AREA CODE/PHONE NUMBER

ourrace vvater uiscnarge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 482A SW Outfall 482A 611/2013 TO 6/3012013 PSEG NUCLEAR LLC SALEM GENERATIN PARAMETER, QUAN1`IFY OR LOADING UNITS QUA Comments: rhe perinittee is required to perform acuLte toxicity lesting on a minimum of one iepresenlative CWS outfall while DSN 48C is being routed to that outfall.

F-e-F'tfhit Creation Date. 4/1/2013 Page 1 of 2

Surface Water Discharge Monitoring Report.. P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 482A SW Outfall 482A 6/1/2013 TO 613012013 PSEG NUCLEAR LLC SALEM GENERATIN Comments: The permittee is required to perform acute toxicity testing on a minimum of one representative CWS outfall while DSN 48C is being routed to that outfall .

Pre-PrintCreation Date: 41112013 Page 2 of 2

New Jersey Department of Environmental Protection Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

SNJ0005622 NJ00 2 t 1ot Da Year 2013 T

6o t

31 2013 483A - SW Outfall 483A PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC PSEG NUCLEAR LLC SALEM PSEG NUCLEAR LLC 80 PARK PLAZA GENERATING STATION PO BOX 236/N21 NEWARK, NJ 07101 ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE: FD No Discharge this Monitoring Period D Monitoring Report Comments Attached WHO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7: 14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

John F. Perry. Site Vice President - Salem N/A NAME AND TILE OF PRINCIPAL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE) 07/25/2013 856-339-3463 SIGNAT RE OF PRINCIPAL EXECUTIVE orF ER, AUTHORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PHONE NUMBER

• For a local agency where the highest- inl ng operatordoes not have the abilito to authorizecapitalexpenditures and hirepersonnel, aperson having that responsibility or Iperton despgnated 4y thatpersondshaln theaodnewing certJfication:

certify under penalty of law and in accordance with N.J.S.A. 58: 10A-6F(5) that I have reviewed the attached discharge mnonitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE DATE AREA CODE/PHONE NUMBER

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER. MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:_

NJ0005622 483A SW Outfall 483A 611/2013 TO 6130/2013 PSEG NUCLEAR LLC SALEM GENERATIN FREQ. OF ANALYSIS MGD SAMPLE MEASUREMENTI ,I. aI 1 '7.7 1c Llr G.AVAe SU SAMPLE MEASUREMENT I r* 1 ti I * *** II-I 10 1VIww3z I G,.gQv3 I su SAMPLE MEASUREMENTI *rzet I ** I

• (trvz I 10 1C~WN 1C-00 =N I MG/L SAMPLE MEASUREMENT

• ** I 10 -3u~ir G14.6 I MGIL SAMPLE MEASUREMENT 1 31.%l 1I3 I 10 1/DH. ICcralls xI PERMIT DEG.C REQUIREMENT Comments: Any questions in regards to the monitoring report form can be directed to S. Rosenwinkel of the BPSP - Region 2 at (609)292-4860.

Pre-PrintCreation Date: 41112013 Page 1 of 2

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 483A SW Outfall 483A 6/112013 TO 6130/2013 PSEG NUCLEAR LLC SALEM GENERATIN Comments: Any questions in regards to the monitoring report form can be directed to S. Rosenwinkel of the BPSP - Region 2 at (609)292-4860.

Pre-PrintCreation Date: 4/l/2013 Page 2 of 2

New Jersey Department of Environmental Protection Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

NJ0005622 6 Montith ]1 J-Day 2013 Year To l6Mouth L31 On ]2013 Year 48ASOufl8A 484A - SW Outfall 484A PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC PSEG NUCLEAR LLC SALEM PSEG NUCLEAR LLC 80 PAIRK( PLAZA GENERATING STATION PO BOX 236/N21 NEWARK, NJ 07101 ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE: F-- No Discharge this Monitoring Period F Monitoring Report Comments Attached WHO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7: 14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

John F. Perry, Site Vice President - Salem N/A NAME ANDTIPE OF PRINCIPAL EX^)TIVE OFFICER, AUTIIORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE)

- 07/25/2013 856-339-3463 I - -

SIGNATttE OF PRINCIPAL EXECUTIVE 0 I'lR,AUTHORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PIIONE NUMBER

• For.a local agency where the highest-ra l/CWg operator does not have the abili*y to authorize capital expenditures and hire personnel, a person having that responsibility or person designatedby that person shall sign the following certification:

I certify under penalty of law and in accordance with N.J.S.A. 58:1OA-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE DATE AREA CODE/PIIONE NUMBER

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:__

NJ0005622 484A SW Outfall 484A 61112013 TO 613012013 PSEG NUCLEAR LLC SALEM GENERATIN PARAMETER I QUANTITY OR LOADING I UNITS QUALITY OR CONCENTRATION UNITS NO EX. FREQ. OF ANALYSIS SAMPLE TYPE Flow, In Conduit or Thru Treatment Plant SAMPLE MEASUREMENT 414: LA!&z 10 1 9*qI.%-CTZI~

50050 1 PERMIT REPORT.-. REPORT.{ MGD Effluent Gross Value REQUIREMENT 01MUOAV ODAMX 10 QL I

pH SAMPLE MEASUREMENT

'7-S: I 1*1*46 1 I ILotw'I GO-As I 00400 1 SU Effluent Gross Value pH

'*1 71 10 1I'wftv, I G a~ I SAMPLE MEASUREMENTI 00400 7 SU Intake From Stream LC50 Statre 96hr Acu SAMPLE Cyprinodon MIEASUREMENTJ I 1C(3Ve__T4 I 101oetlco 1o~ WrI TAN6A I

%EFFL Effluent Gross Value Chlorine Produced SAMPLE Oxidants MEASUREMENTI I~d I czlebO 10 cmetl ott4 Io~

• CPOX 1 MG/L Effluent Gross Value Option 1 Chlorine Produced Oxidants SAMPLE MEASUREMENT **ý-* I I 0 In AP Cak 1-1,tj I

• CPOX 1 MGIL Effluent Gross Value Option 2 Comments: The permittee is required to perform acute toxicity testing on a minimum of one representative CWS outfall while DSN 48C is being routed to that outfall.

Pre-PrintCreation Date: 41112013 Page 1 of 2

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 484A SW Outfall 484A 61112013 TO 6/3012013 PSEG NUCLEAR LLC SALEM GENERATIN Comments: The permittee is required to perform acute toxicity testing on a minimum of one representative CWS outfall while DSN 48C is being routed to that outfall.

Pre-PrintCreation Date: 41112013 Page 2 of 2

New Jersey Department of Environmental Protection Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

Moth D Year Moth I Year NJ0005622 l 2013 To06 6_3162013 485A - SW Outfall 485A PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC PSEG NUCLEAR LLC SALEM PSEG NUCLEAR LLC 80 PARK PLAZA GENERATING STATION PO BOX 236/N21 NEWARK, NJ 07101 ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CIIECK IF APPLICABLE: E- No Discharge this Monitoring Period - Monitoring Report Comments Attached W-lO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that 1 have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7: 14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

John F. Perr Site Vice President - Salem N/A NAME AND ITLE OF PRINCIPAL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE) 07/25/2013 856-339-3463 SIGNAURE OF PRINCIPAL EXECUTI FFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PIONE NUMBER

• Fora local agency wrhereithehiqlrakngoperatordoes not have the ability to authorize capitalexpenditures and lire personnel,aperson having that responsibilityor person designatedby that person shall sign the./bl/owing certification:

I certitfy tinder penalty of law and in accordance with N.J.S.A. 58: 1OA-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE DATE AREA CODE/PHONE NUMBER

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 485A SW Outfall 485A 611/2013 TO 6/30/2013 PSEG NUCLEAR LLC SALEM GENERATIN PARAMETER P QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UIS E.ANALYSIS N FREQ. OF TYPE SAMPLE Flow, In Conduit or Thru Treatment Plant SAMPLE MEASUREMENT

)AaLk I 10 1' i ICfL 50050 1 MGD Effluent Gross Value pH SAMPLE MEASUREMENT r7.:1 ~1I ** 1 7s 1 101'W*oICOk 00400 1 PERMIT SU Effluent Gross Value REQUIREMENT pQL T pH SAMPLE

• • • • • . I r7.S I IMEASUREMENTI 10 1/ wv-1G*gft 00400 7 SU Intake From Stream LC50 Statre 96hr Acu Cyprinodon SAMPLE IMEASUREMENT1

• I>'oG 1 0 I7/'itair I cAtr1oos I TAN6A I *t*tt

%EFFL Effluent Gross Value Chlorine Produced Oxidants MEASUREMENT SSAMPLE I ob.c-'N 1Ioe= 10 Icte.20IJ Ccbz~tt I

• CPOX 1

• t*r/tlrJ PRMOITIF=*i MG/L Effluent Gross Value Option 1 Chlorine Produced Oxidants SAMPLE MEASUREMENTI */ I 6. I* z 0.t 10 1-31I

• CPOX I MG/L Effluent Gross Value Option 2 m

Comments: The permittee is required to perform acute toxicity testing on a minimum of one representative CWS outfall while DSN 48C is being routed to that outfall.

Pre-PrintCreationDate: 41112013 Page 1 of 2

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 485A SW Outfall 485A 61112013 TO 6/30/2013 PSEG NUCLEAR LLC SALEM GENERATIN Comments: The permittee is required to perform acute toxicity testing on a minimum of one representative CWS outfall while DSN 48C is being routed to that outfall.

Pre-PrintCreation Date: 4/1/2013 Page 2 of 2

New Jersey Department of Environmental Protection Division of Water Quality Surface Water Discharge Monitoring Report Submittal Forni NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

NJ00M5622o Day Y.ear.... MoDh Day Year ** 486A - SW Outfall 486A 6J0...22161 2013 To 6 1_ 31 _t20131 PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC PSEG NUCLEAR LLC SALEM PSEG NUCLEAR LLC 80 PARK PLAZA GENERATING STATION PO BOX 236/N21 NEWARK, NJ 07101 ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHlECK IF APPLICABLE: 0 No Discharge this Monitoring Period E Monitoring Report Comments Attached WHO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7: 14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

John F. Perry. Site Vice President - Salem N/A NAME AND T*kFLE OF PRINCIPAL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE) 07/25/2013 856-339-3463 SIGNAl(RE OF PRINCIPAL EXECUTF -I 1I , AUTHORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PHONE NUMBER

• Fora local agency wihere the highlstlking operator does not have the ability to authorize capital expenditures and hire personnel,a person having that responsibilityor pervon designated by that person still sign the fiN/owing ertti on:

I certify under penalty of law and in accordance with N.J.S.A. 58: 10A-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE DATE AREA CODE/PIIONE NUMBER

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 486A SW Outfall 486A 61112013 TO 6130/2013 PSEG NUCLEAR LLC SALEM GENERATIN PARAMETER I NO. I FREQ. OF I SAMPLE QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS EX. IANALYSIS TYPE Flow, In Conduit or SAMPLE Thru Treatment Plant MEASUREMENT 'ALI 0 50050 1 PERMIT - REPORT, REPORT-' MGD Effluent Gross Value REQUIREMENT 01 MOAV t01DM QL pH 00400 1 SAMPLE MEASUREMENT .0 I  ?.t1t~i o0 Y 3~

1wVCI 1 AV SU Effluent Gross Value pH MEASUREMENT L SAMPLE rn I 77.% 1 00400 7 Su Intake From Stream Chlorine Produced

• CPOX I OxidantsMEASUREMENT SAMPLE PERMIT

• • • • • • I -**** I I r"O'cle = r4 I Cow %r4 1 10 1ICrm % fI z -Mt I MG/L Effluent Gross Value REQUIREMENT Option 1 QL

]

Chlorine Produced SAMPLE OxidantsMEASUREMENT 4LOA -

• CPOX I Effluent Gross Value PERMIT REQUIREMENT MGIL GA:

Option 2 Temperature, oC 00010 1 Effluent Gross Value I

9LQ SAMPLE MEASUREMENT PERMIT REQUIREMENT I

I 1 R2.0 DEG.C II'ID6, n I1 r I

~*****~

QL Comments: Any questions in regards to the monitoring report form can be directed to S. Rosenwinkel of the BPSP - Region 2 at (609)292-4860.

Pre-PrintCreation Date: 4/1/2013 Page 1of2

Surface Water Discharge Monitoring Report PI 46814 PERMIT NUMBER: MONITORED LOCATION. MONITORING PERIOD: FACILITY NAME:

NJ0005622 486A SW Ouffall 486A 6/1/2013 TO 6/3012013 PSEG NUCLEAR LLC SALEM GENERATIN PARAMETER QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS EX. ANALYSIS TYPE I No. FREQ. OF SAMPLE Lab Certification # SAMPLE MEASUREMENT 03217 Vit'~st Pfý, vo(,

99999 99 PERMIT REP.ORT... REPORT Lab REQUIREMENT Lab IDLab #

QL £ ___________

Comments: Any questions in regards to the monitoring report form can be directed to S. Rosenwinkel of the BPSP - Region 2 at (609)292-4860.

Pre-PrintCreation Date: 41112013 Page 2 of 2

New Jersey Department of Environmental Protection Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

V-I onth-i-Day [ Year MonthI Day Year NJ0005622 Mn6 h 1 Ya2013 To 31 Y2013 489A - SW Outfall 489A PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC PSEG NUCLEAR LLC SALEM PSEG NUCLEAR LLC 80 PARK PLAZA GENERATING STATION PO BOX 236/N21 NEWARK, NJ 07101 ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 HIANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE: E- No Discharge this Monitoring Period - Monitoring Report Comments Attached WHO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7: 14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

John F. Perry, Site Vice President - Salem___ N/A NAME AND I' " PRINCIPAL

• X*CUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE) 07/25/2013 856-339-3463 SIGNAYýARE OF PRINCIPAL EXECUTI V O(ICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PHONE NUMBER

• Fora local agency where the highe,(t-r king operator does not have the ability to anthorizecapital expenditures and hirepersonnel,a person having that responsibility or pe-s'oni designatedby tht1 person sihaf isgn the following certification:

I certify under penalty of law and in accordance with N.J.S.A. 58:10A-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE DATE AREA CODE/PHONE NUMBER

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0005622 489A SW Outfall 489A 611/2013 TO 613012013 PSEG NUCLEAR LLC SALEM GENERATIN FREQ. OF PARAMETER ANALYSIS Flow, In Conduit or Thru Treatment Plant 50050 1 MGD Effluent Gross Value SAMPLE MEASUREMENT

• • • ..* I T7.4 1 P7.4 1 I man I Gfk%% I SU SAMPLE IMEASUREMENTI I0 IYtmial Ga~s8 MGIL SAMPLE MEASUREMENT I z's I kE I 10 1/WKWAT I G~:fite MG/L SAMPLE MEASUREMENT C1 10 1r(AT~ GQRP I MG/L MEASUREMENT "1 \-1% I I Ca LL I I Comments: If there are any questions in regards to the monitoring report form, please contact Susan Rosenwinkel of the the BPSP - Region 2 at (609)292-4860 or via email at "srosenwi@dep.state. nj. us".

Page 1 of 1 Creation Date:

Pre-Print Creation Pre-Print 4/1/2013 Date: 41112013 Page I of 1

New Jersey Department of Environmental Protection Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

t Mou h5Da Year oth DaY 487BI- SW Outfall 487B NJ0056221 2013 To 6 31 201 PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

IPSE&G NUCLEAR LLC PSEG NUCLEAR LLC SALEM PSEG NUCLEAR LLC 80 PARK PLAZA GENERATING STATION PO BOX 236/N21 NEWARK, NJ 07101 ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE: No Discharge this Monitoring Period E- Monitoring Report Comments Attached WHO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7: 14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

John F. Perry, Site Vice President - Salem N/A NAME AN jLEOF PRINCIPAL EXEUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE) 07/25/2013 856-339-3463 SIGNAT#(RE OF PRINCIPAL EXECUTIVE CER, AUTIIORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PIIONE NUMBER

• Fora local agency where the highest 'an i/,g operatordoes not have the ability to authorizecapital expenditures and hire personnel,a person having that responsibilityor pers*'on designated by that person shallPign the.o/llowing certification:

1 certify under penalty of law and in accordance with N.J.S.A. 58:IOA-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE DATE AREA CODE/PIIONE NUMBER