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{{#Wiki_filter:}} | {{#Wiki_filter:. .. .. - -. - - | ||
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8k=*= N ! | |||
l Pdgrm Nuclear Power staten g | |||
Rocky Hill Road Plymouth. Massachusetts 02360 Henry V. Oholm February 13, 1997 General Manager Technical Section BECo Ltr. 5.97.012 i | |||
a Planning and Administration (SPA) | |||
U.S. Environmental Protection Agency P.O. Box 8127 Boston, MA 02114-8127 Massachusetts Dept. of Environmental Protection 20 Riverside Drive Lakeville, MA 02347 Discharae Monitorina Report l | |||
l | |||
==Dear Sirs:== | |||
Enclosed is the Discharge Monitoring Report for Pilgrim Nuclear Power Station (PNPS), NPDES permit number MA0003S57 (Federal) and number 359 (State). | |||
The period covered by this report is January,1997. | |||
Should you have any questions on this report, please direct them to our Principal Marine Biologist, Mr. Robert Anderson, at (508) 830-7935. | |||
Respe ully, 1 | |||
H. V. Oheim | |||
/J ( | |||
RDA/dmc/radmisc/DMR Attachments: 1. Summary 1n-s | |||
: 2. Discharge Monitoring Report cc: U. S. Nuclear Regulatory Commission Mass. Dept of Environmental Protection Document Control Desk Office of Watershed Management Washington, DC 20555 627 Main Street Worcester, MA 01608 j U. S. Nuclear Regulatory Commission Region I 475 Allendale Road King of Prussia, PA 19406 | |||
; Senior NRC Resident inspector o n n n n Pilgrim Nuclear Power Station 9702200308 970131 0 PDR ADOCK 05000293 R pop , | |||
ATTACHMENT 1 TO BECo LETTER 5.97.012 | |||
==SUMMARY== | |||
PILGRIM 1 DISCHARGE MONITORING REPORT in accordance with the Federal Clean Water Act, as amended (33USC 1251 at geg: the " CWA"), | |||
and the Massachusetts Clean Water Act, as amended (M.G.L.; Chap. 21, 26-53), regarding effluent limitations, monitoring requirements and other conditions set forth in the Pilgrim NPDES permit (Federal Permit Number MA0003557, and State Permit Number 359), Parts I and 11, the following information is submitted for the period January 1997. | |||
I. Discharoe Points Covered in this Report Discharoe Point Discharoe Identification 001 Condenser Cooling Water 002 Thermal Backwash for Biofouling Control 003 Intake Screen Wash 004,005,006, and 007 Yard Drains (April and September) 008 Sea Foam Suppression 010 Service Cooling Water 011 Makeup Water and Domineralizer Waste Discharge ll. Summary and Notes of Discharoe Report l | |||
1 A. The flows at points 001 and 010 are calculated from system pump capacity and ; | |||
are equal to the total for all pumps in each system running at full capacity for a 24- , | |||
hour period. The flow at 011 is measured by noting sump levels before and after l discharge. Flow at point 002 is a conservative figure obtained by calculating flow if backwashing took place for 24 hours. Flows at points 003 and 008 are calculated from system pump capacity and mean operating time. | |||
B. The temperatures at points 001 and 002 are measured by resistance temperature detectort, (RTD's). | |||
C. Periodically, total residual chlorine (TRC) concentration in the service cooling water (010) exceeds permit requirements (0.50 ppm daily average TRC and 1.00 ppm daily maximum TRC) prior to mixing with any other stream, primarily because of the number of service water pumps in operation. Chlorine injection levels are lowered as a corrective measure. The dilution provided by the PNPS circulating water flow keeps total residual chlorine concentrations discharged to Cape Cod Bay below the NPDES permit limit of 0.1 ppm. | |||
D. For stormwater outfalls 004, 005, 006 and 007, samples are collected by grab sampling. Samples are handled and stored in accordance with 40 CFR 136. No additional inputs to these stormwater outfalls occur downstream of the sampling locations. | |||
4 E. Intake traveling water screens were operated with dechlorination pumps operating at all times. | |||
F. No sawdust was applied to seek and seal PNPS condenser leaks in January 1997. | |||
G. The following boron and sodium nitrite discharges (ppm) occurred in January 1997 ! | |||
from discharge point #001. All discharges were below NPDES permit limits prior to j entering Cape Cod Bay. 1 Date - Gallons Concentration Concentration | |||
; Discharged Discharaed Before Discharae Discharood l l | |||
None H. Approximately 750 cubic yards of sand were removed from the concrete surface of , | |||
the intake structure on January 8-10 and 13-17,1997. It was pumped into j | |||
! breakwater crevices above the high tide mark. The sand removal was necessary i to alleviate concem overits effects on normal operation of mechanical i i | |||
components / traveling screens, and it was expected to have no adverse : | |||
environmental impact. The removal operation was in accordance with Part I, ! | |||
Paragraph A.1.0 of the NPDES permit. i l | |||
I. The PNPS Environmental Programs and Plans for 1997, to meet NPDES permit : | |||
requirements, were approved by the USEPA on January 7,1997 (BECo Letter 5.97.002). | |||
J. As endorsed previously, the PNPS Plant Manager (presently Mr. T. A. Sullivan) is 4 I | |||
designated as the authorized agent to sign PNPS Discharge Monitoring Report (DMR) Forms for Boston Edison Company. I i | |||
K. The U.S. EPA, on January 24,1997, approved the use of discharge storm drain | |||
#005 for the discharge of salt service water (approximately 1,700 gallons) within NPDES Permit chemical effluent limits. This discharge was necessary to effect repairs and maintenance to the system (BECo Telecon #4.97.001). | |||
l i | |||
i j | |||
i | |||
\ | |||
ATTACHMENT 2 TO BECo LETTER 5.97.012 DISCHARGE MONITORING REPORT | |||
\ | |||
i | |||
PsEusTTss n Au2isDose nas (Inclate nam ,% As. Pottuvasot oesc eaRam suesessavsoes systsee (NPDE51 Fecery Neuwltocateur y A utSCHAREE MUNITO21NS REPO 47 (DMA) + | |||
i maisy__s 0M_9_N_fferent/5 0 #1_PJ_LSRJM_PL A NT a_i6, tir-i91 CONDENSER COOLING MATER ' | |||
honaHS19fEI_.t!ILL_E.QAD__ _ _ _ _ _ MA0003557 001 1 (SUBR S ) 12345 | |||
.e"** * * | |||
* F - FINAL RF.D_E PE==iTNUm s= .e.c.e . a. E | |||
-- UEETM - M A EM- MONITORING PERIOD | |||
* 1^cJ.P._T.Yl9M.0]I__.D_E_P11BJR_PL E A NT ___ y,,,, , , , ,,, y,,,, ,, ,,, __ i 1*c.SIL*'P LTROM.Iti _.__ _ _ftA_.02310_._ 97 Qi Gi To 97 Oi 3i *** NO DISCHARGE l__l *** | |||
NOTE: Read instructions before completing this form. | |||
ATTN: T.A. SULLIVAN, PLANT MANAGER 12a21f (22-23; (24-25, (26 27; < 24-29, <3531, (J Card Only) QU ANTITY OR LOADING (4 Card Omfy) QU ALITY OR CONCENTRATION PARAMETER (46-31) (5441) (38JJ) (46.JJ) (5441) NO. SAM PLE Ex '".EOhENC' A eALT... TvPE AVERAGE M AXIM UM UNITS MINIMUM AVERAGE M AX tM UM UNITS 6243) (6448) (69-70) | |||
TEMPERATURE, NATER DEG. FAHRENHEIT | |||
.AMPtE | |||
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* EFFLUENT GROSS VALUH""""'"*"' ****' ' | |||
EDAILY'MX MOU$i S I GXIDANTS, TOTAL . AMPLE ****** ****** ****** ( 19) - | |||
RESIDUAL ""^*""'"""T | |||
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34044 1 0 0 4 .emm e i******0 . Jet ****lo*** R******A G.1%;F A1) m MNENG GRAB < | |||
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TH AT EN L 50050 1 0 0 ' emmenT - 447.0 W 510.9 9 ? *******3 g *' * *** *'? * * * | |||
* w CONTINESTINA EFFLUENT GROSS VALUH ""*""""""'' iMOIAWM0 EmaTa y FNX .t160 # '' N B@*****'*2S ' | |||
**** HDUS' TEMP. DIFF. BETNEEN "'**""*"*"' | |||
INTAEE AND DISCHARGE | |||
. AMPLE ******. ****** ****** ****** | |||
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g f 61576 1 0 0 .me T~ d******?a*** d ******1 1~*****e1 32; r c CollTINCALCTD EFFLUENT GROSS V" M "~ " 9*#*****e | |||
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i NAME/ TITLE PRINCIPAL E AECUTWC OFFICER e IFY PE OF LAur TM PE ALLY A O TELEPHONE DATE y Ore MY #eQUIRT OF THOSE INOVIDUALS 18.eEDA TEL Y 8tESPONSISLE FOR L, OST AsfeIPeG THE #sFOReaATIDM e BELEVE THE SunamTTED INFORMATION | |||
* IS 781UE ACCURATE AND COMPLETE s AM AWARE THAT THERE AmE StG- | |||
[ NIFIC AmeT PE7eALTts FOst SusserTTireG FALSE ONFORM A TeON eeCLUDiNG O | |||
f D THE POSSiestrTV OF FINE Aeso seePI*tSONedENT SEE 18USC $ 100 ANO | |||
[/ /OF"GN OF PRINCIPAL EXECUTIVE 33 u SC 41319 Weeftwo awedse theme oesteers asev earfade tomes mP so #fe.#se g { | |||
TYPED OR PRINTED **d**"********'P""""""#*#M*"*8""*'''**d3"*'** R GR AUTHORIZED AGENT A$ NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Ifeference all affachseenfs here) | |||
PH SHALL NOT VART MORE THAN 0.5 PH. STANDARD UNITS FROM INTAKE NATER. SEE PERMIT PAGE 5 PARAGRAPHS MSN F0 R BORON AND SODIUM NITRATE REPORTING REQUIREMENTS. ATTACH ALL RELATED REPORTS TO THIS FORM. A BARRIER Y wu ss { S kNM. _ _ _ _ _ . l M bC b PM M N R ElCkS N kDTM UN D EA" | |||
* pagg gp 00351/970110-0759 1 | |||
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ene sre/>m dwhah cesCH ATE B40MITOGIMD REPO27 IDEU ' | |||
mans _101Tok E_D_ E_ PILGRIM _ PLABI___ (2-18e fiE''l , THERMAL BACKNASH l A.*R!ME*19tKY ' HILT ' ROAD = _ _ _ _ _ _ _ _ _ _ _ NADOO3557 002 1 ($UBR S ) 12345 ~ | |||
**"a""""""" | |||
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***"'7"u"*** F - FINAL" - | |||
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.LAca!.8IYAOilDM .. E D .Ji_PI LG RI fLPLAMI - ... .O o., v.. . eav Lo c S T'* T E_ Y M S H T H ____ __.31.02360 __ FROM 97 gj gy TO Yr U1 .51 *** NO DISCMARGE *** - | |||
ATTE: T.A.~SULLIVAN, PLANT' MANAGER ,2424 (2224 (2423 /26 2a y252$ ,343n NOTE: RSSd instrwetions cornpletRe ties form. | |||
(3 Card OmfF) QUANTITY OR LOADf MG (4 Card OuelF) QU ALITY OR CONCENTRATION PARAMETER (46-53) ($441) WJ) WJ) (3448) or 8A"pg A ALT.,5 I AVERAGE M AXIM UM UNITS MINIMUM AVERAGE M AXIM UM UNITS TEMPERATURE, NATER S AM nE ****** ****** ****** ****** W ( 15) ' | |||
CEG. FAHRENMEIT ""^*""*"'*' | |||
M h 00011 1 0 0 F, mmT -******? 2******?o*** >***ete? -******; - | |||
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50030 1 0 0 .anse ;******i 255.9 A - | |||
"******: 7******I '******? **** < BNENF ESTIMA - | |||
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* NAM 1/ TITLE PRINCIPAL EXECUTIVE OFFICER CENT OF Law THAT PE LT o TELEPNONE DATE ON 98 7 ENQUIRY OF THO5E psDiveDUA& S W.8EDATEL Y IIESPONSsWL E FOR j | |||
pS e OgTAmeING THE INFORusATION 9 WELIEvt THE SUWesTTED #eFOf**sATsON f5 781UE ACCUltATE AND CoasPLETE e Ane AWARE THAT THEssE Aust SuG 9elFIC ANT PE9eALTIES FOft SuperTYesG FALSE #sFOnesATIOne eeCLUDreG ' | |||
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THE PM SHALL NOT VART MORE THAN 0.5 STANDARD UNITS FR3M THAT OF THE INTAKE NATER. FLON RATE IS TO BE ESTI , | |||
MATED AS IF BACKFLUSHING TOOK PLACE FOR 24 CONTINOUS MOURS. SEE PERMIT PAGE 8 FOR CONDITIONS REGARDING TH EPA."L - J,.M) NF&eybe used. IREPLAcES EPA rowM T.ee wincse M Av noT our USto.I PAst or 00363/970110-0759 1 | |||
PEI. M Tras camar.corst (!=cfMfe m ATso= Aa. coLLuv Ant oescMmesss auMen Avios setTres (N7DE3! | |||
Facery Neuse/Locurhus (dqtJirear/ GISCHARGE MCMITiLIN~J CEPOLT tDC , | |||
mes__101 TON FD .L1 PILGEI8L.PLAMI__ (2 tor (17191 ICTAKE SCREEU CASH r oo_lHE**10_C KY HTtt ROAD _________ MADOO3557 003 A (SUBR S ) 12345 ' | |||
___._ _1f3L11_ -_______ | |||
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______ PLYMOUTH _ _ _ __ _,_)(A_ 0 2 3 6 0 gog,7ag,go pgpion MA M . | |||
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ATTN: T.A. SULLIVAN, PLANT MANAGER <2a21e ,220s, <2#25, <26 27, <24-2 * <>asie NOE RSSd - m 'Nw W S W h nL n (3 Card Only) QUANTITY OR LOADING (4 Card Omfy) OU ALITY OR CONCENTRATION PAR AM ETEFt ( 4 33) (344I) (3843) (4543) (3441) NO- SAM PLE Ex ".'eALT.e9'",,'"CT A Tvet g,,_,7, AVERAGE M AXIM UM UNITS MINIMUM AVERAGE M AXIM UM UNITS , | |||
FLOJr- IN CONDUIT OR SAMPLE | |||
!'y ( 03) ****** ****** -****** | |||
TCRU TREATMENT PLANP ""^*""*"*"' | |||
* 50050 1 0 -1 % 7- 4.1 & 4 7, U 7 .. | |||
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NAMl/ TITLE PRINCIPAL EXECUTIVE OFFICER 9 CEWTFY UNDE 5B PENALTT OF LAW TMAT I MAVE PEWSONALLY ERAasseED TELEPHONE DATE AND AM FaastLIAR WrTM THE peFOBIMAT10pt SUWMrTTED #4E9EEWe A8eD SASED _ | |||
ON MY #eQue8tT OF THOSE INOVIDUALS fMMEDATELY RESPOpeSISLE FOR OSThresNG TME INF08MAA fiON t SELIEVE THE SummeTTED #erORMATIO8e | |||
, a IS TRUE ACCustATE Aped COMPLETE B AM AWARE THAT TMENE ARE SIG NIFIC ANT PE*eALTES FOR SuquerTTweG FALSE ENF ORMATION #eCLUDNeG T*4E POS5eBILff T OF FeeE AND eMPfMSOpetAENT SEE e9 USC 91001 AND 13uSC 613t9 thirers apoder seemp sneemere niet sectode f. ors ey se, speese AT F PRINCIPAL EXECUTIVE b l e=f er miemmewie expremennersee at Areevre 6 seantes end a "''' R AUTHORIZED AGENT A NUMSER MO DAY TYPED OR PRINTED Ff C YEAR COMMiNT AND EXPLANATION OF ANY VIOLATlONS (ReftfrNCW s# anest4 pet 4f3 AfPt) V THE TEMPERATURE OF THIS DISCHARGE SH ALL AT NO TIME EXCEED THE TEMPERATURE OF THE INTAKE WATER. | |||
ALL FISH SHELLFISH' ANO OTHER ORGANISMS COLLECTED OR ' TRAPPED ON INTAKE SCREEN SHOULD BE RETURMED TO WATER | |||
"' " ^""''"'"'" | |||
. ABffdidP 5h&ed"^ * ' ''" ' YMPLAtEh%9NR4 WFDMf R hiv ddi SE DM't"' PAGE eP 00375/970110-0759 1 | |||
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NAM 2/ TITLE PRINCIPAL EXECUTIVE OFFICER e CERTIFY UNDER PEMALTV OF LAW TMAT e MAVE PERSONALLY ERAmesED TELEPHONE DATE AND Ate FAMsLIAR wtTM THE sNFOsth4ATION SU9seTTED MEREPs AND SASED ON tEY ENQUIRT OF TMOSE INurvtDUALS 54h0ED ATEL T HESPONSIgtE FOR . | |||
OST AINING THE INFOMSAfiOM e BELIEVE TME SUWMrTTED INFOnMATiOes T*. # L e5 THUE ACCURATE AssD COkspLETE 9 AM AWARE TMAT THENE ARE SIG NIFIC ANT PENALTIES FOft SUEpeffTtNG FALSE ENFORMATION #eCLUDING THE POS$1EDLITY OF Feet AmeD gheP#tSONMENT SEE 88USC 91003 AND i 33USC 4 e3tg ,Neshe sw ch,w everse,, , ,,, e, g re ,, SI U PRINCIPAL EXECUTIVE 7 | |||
.r..rer ev 6reewe s M. ehs end h wer rg.uk, f.,,,. A TYPED OR PRINTED *=d ar "'*****"' '*P'' FI AUTHORIZED AGENT NUMBER 'YdAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Referrace ed erfasch88ee8eff Arre) | |||
EPA Fonn 33204 (RSv.948) ProWous editiorrs maybe used. REPLACES sea roRm T-ee isrNiCN m Av NoT BE USEo. PAsE or | |||
PEr essTT::c ar M2sr oomens (IRdude u Avson Ao rottuT Amr onscwaass steMen Aveom Sysrsu tNPDES, Feasirp #smM/Immeress Feppumr/ 0 isch ARGE BGOMITOIING KEPORT (DatAf ' | |||
ams_AD1. T9N JLE_ FJ.kGEJ1LFLA.MT m61 uziel PLA%T. SERVICE C00LIN3 CSTER ' | |||
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- _ - - _ . _ _ _ _ - . _ - . - . - . . .}} |
Latest revision as of 19:20, 22 July 2020
ML20134M596 | |
Person / Time | |
---|---|
Site: | Pilgrim |
Issue date: | 01/31/1997 |
From: | Oheim H, Ted Sullivan BOSTON EDISON CO. |
To: | MASSACHUSETTS, COMMONWEALTH OF |
References | |
BECO-5.97.012, NUDOCS 9702200308 | |
Download: ML20134M596 (10) | |
Text
. .. .. - -. - -
I h
8k=*= N !
l Pdgrm Nuclear Power staten g
Rocky Hill Road Plymouth. Massachusetts 02360 Henry V. Oholm February 13, 1997 General Manager Technical Section BECo Ltr. 5.97.012 i
a Planning and Administration (SPA)
U.S. Environmental Protection Agency P.O. Box 8127 Boston, MA 02114-8127 Massachusetts Dept. of Environmental Protection 20 Riverside Drive Lakeville, MA 02347 Discharae Monitorina Report l
l
Dear Sirs:
Enclosed is the Discharge Monitoring Report for Pilgrim Nuclear Power Station (PNPS), NPDES permit number MA0003S57 (Federal) and number 359 (State).
The period covered by this report is January,1997.
Should you have any questions on this report, please direct them to our Principal Marine Biologist, Mr. Robert Anderson, at (508) 830-7935.
Respe ully, 1
H. V. Oheim
/J (
RDA/dmc/radmisc/DMR Attachments: 1. Summary 1n-s
- 2. Discharge Monitoring Report cc: U. S. Nuclear Regulatory Commission Mass. Dept of Environmental Protection Document Control Desk Office of Watershed Management Washington, DC 20555 627 Main Street Worcester, MA 01608 j U. S. Nuclear Regulatory Commission Region I 475 Allendale Road King of Prussia, PA 19406
- Senior NRC Resident inspector o n n n n Pilgrim Nuclear Power Station 9702200308 970131 0 PDR ADOCK 05000293 R pop ,
ATTACHMENT 1 TO BECo LETTER 5.97.012
SUMMARY
PILGRIM 1 DISCHARGE MONITORING REPORT in accordance with the Federal Clean Water Act, as amended (33USC 1251 at geg: the " CWA"),
and the Massachusetts Clean Water Act, as amended (M.G.L.; Chap. 21, 26-53), regarding effluent limitations, monitoring requirements and other conditions set forth in the Pilgrim NPDES permit (Federal Permit Number MA0003557, and State Permit Number 359), Parts I and 11, the following information is submitted for the period January 1997.
I. Discharoe Points Covered in this Report Discharoe Point Discharoe Identification 001 Condenser Cooling Water 002 Thermal Backwash for Biofouling Control 003 Intake Screen Wash 004,005,006, and 007 Yard Drains (April and September) 008 Sea Foam Suppression 010 Service Cooling Water 011 Makeup Water and Domineralizer Waste Discharge ll. Summary and Notes of Discharoe Report l
1 A. The flows at points 001 and 010 are calculated from system pump capacity and ;
are equal to the total for all pumps in each system running at full capacity for a 24- ,
hour period. The flow at 011 is measured by noting sump levels before and after l discharge. Flow at point 002 is a conservative figure obtained by calculating flow if backwashing took place for 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. Flows at points 003 and 008 are calculated from system pump capacity and mean operating time.
B. The temperatures at points 001 and 002 are measured by resistance temperature detectort, (RTD's).
C. Periodically, total residual chlorine (TRC) concentration in the service cooling water (010) exceeds permit requirements (0.50 ppm daily average TRC and 1.00 ppm daily maximum TRC) prior to mixing with any other stream, primarily because of the number of service water pumps in operation. Chlorine injection levels are lowered as a corrective measure. The dilution provided by the PNPS circulating water flow keeps total residual chlorine concentrations discharged to Cape Cod Bay below the NPDES permit limit of 0.1 ppm.
D. For stormwater outfalls 004, 005, 006 and 007, samples are collected by grab sampling. Samples are handled and stored in accordance with 40 CFR 136. No additional inputs to these stormwater outfalls occur downstream of the sampling locations.
4 E. Intake traveling water screens were operated with dechlorination pumps operating at all times.
F. No sawdust was applied to seek and seal PNPS condenser leaks in January 1997.
G. The following boron and sodium nitrite discharges (ppm) occurred in January 1997 !
from discharge point #001. All discharges were below NPDES permit limits prior to j entering Cape Cod Bay. 1 Date - Gallons Concentration Concentration
- Discharged Discharaed Before Discharae Discharood l l
None H. Approximately 750 cubic yards of sand were removed from the concrete surface of ,
the intake structure on January 8-10 and 13-17,1997. It was pumped into j
! breakwater crevices above the high tide mark. The sand removal was necessary i to alleviate concem overits effects on normal operation of mechanical i i
components / traveling screens, and it was expected to have no adverse :
environmental impact. The removal operation was in accordance with Part I, !
Paragraph A.1.0 of the NPDES permit. i l
I. The PNPS Environmental Programs and Plans for 1997, to meet NPDES permit :
requirements, were approved by the USEPA on January 7,1997 (BECo Letter 5.97.002).
J. As endorsed previously, the PNPS Plant Manager (presently Mr. T. A. Sullivan) is 4 I
designated as the authorized agent to sign PNPS Discharge Monitoring Report (DMR) Forms for Boston Edison Company. I i
K. The U.S. EPA, on January 24,1997, approved the use of discharge storm drain
- 005 for the discharge of salt service water (approximately 1,700 gallons) within NPDES Permit chemical effluent limits. This discharge was necessary to effect repairs and maintenance to the system (BECo Telecon #4.97.001).
l i
i j
i
\
ATTACHMENT 2 TO BECo LETTER 5.97.012 DISCHARGE MONITORING REPORT
\
i
PsEusTTss n Au2isDose nas (Inclate nam ,% As. Pottuvasot oesc eaRam suesessavsoes systsee (NPDE51 Fecery Neuwltocateur y A utSCHAREE MUNITO21NS REPO 47 (DMA) +
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ATTN: T.A. SULLIVAN, PLANT MANAGER <2a21e ,220s, <2#25, <26 27, <24-2 * <>asie NOE RSSd - m 'Nw W S W h nL n (3 Card Only) QUANTITY OR LOADING (4 Card Omfy) OU ALITY OR CONCENTRATION PAR AM ETEFt ( 4 33) (344I) (3843) (4543) (3441) NO- SAM PLE Ex ".'eALT.e9'",,'"CT A Tvet g,,_,7, AVERAGE M AXIM UM UNITS MINIMUM AVERAGE M AXIM UM UNITS ,
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NAMl/ TITLE PRINCIPAL EXECUTIVE OFFICER 9 CEWTFY UNDE 5B PENALTT OF LAW TMAT I MAVE PEWSONALLY ERAasseED TELEPHONE DATE AND AM FaastLIAR WrTM THE peFOBIMAT10pt SUWMrTTED #4E9EEWe A8eD SASED _
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ALL FISH SHELLFISH' ANO OTHER ORGANISMS COLLECTED OR ' TRAPPED ON INTAKE SCREEN SHOULD BE RETURMED TO WATER
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CONTINOUS CHLORINATION OF SERVICE NATER STSTEM MAY:BE USED FOR MACR 0 INVERTEBRATE CONTROL. FLON RATE SHAL L BE ESTIMATED FROM PUMP CAPACITY ' CURVES AND OPERATIONAL HOURS.
EPA Form 33201 (Rev.948) PreWoos ediWons maybe used. inEra. Aces era romu v4e wNicN mAy noT oE UsEo. , AGE or
PELMSTT33 GEAM't#AD7RYJB ffstclaadit NatsoM AL POLLuY ANT orxuastsE ELannessareew Systru INPDES; Fecerp #smM/Locares Walt /fwTer/ GISCHARtE MOMITMINS REPORT (DMA) .
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SEE PAGE 5 OF PERMIT PARAGRAPH N FOR SODIUN' NITRATE REPORTING REQUIERMENTS. ATTACH ALL RELATED REPORTS TO THIS FORM EPA Form 33201 (Rev. 948) FivMous odiebns may be used, tREPLAcES EPA PoRu v4e wNicN u Ay NoT oE USEo-a PAoE or 004191970110-0759 1
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