SCH12-034, Submittal of Discharge Monitoring Report

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Submittal of Discharge Monitoring Report
ML12299A357
Person / Time
Site: Salem  PSEG icon.png
Issue date: 10/12/2012
From: Fricker C
Public Service Electric & Gas Co, Public Service Enterprise Group
To:
Office of Nuclear Reactor Regulation
References
NJ0005622, SCH12-034
Download: ML12299A357 (33)
v • d • e


Text

PSEG Nuclear L.L.C.

RO. Box 236, Hancocks Bridge, NJ 08302 OCT 12 2012 SCH12-034 CERTIFIED MAIL 0 PSEG RETURN RECEIPT REQUESTED Nuclear L.L. C.

ARTICLE NUMBER: 7004 2510 0005 2135 3242 Department of Environmental Protection Division of Water Quality Bureau of Permit Management P.O. Box 029 Trenton, N.J. 08625-0029 NEW JERSEY POLLUTANT DISCHARGE ELIMINATION SYSTEM DISCHARGE MONITORING REPORT SALEM GENERATING STATION NJPDES PERMIT NJ0005622

Dear Sir:

Attached is the Discharge Monitoring Report for the Salem Generating Station for the month of September 2012.

This report is required by and prepared specifically for the New Jersey Department of Environmental Protection (NJDEP). It presents only the observed results of measurements and analyses required to be performed by the above agencies. The choice of the measurement devices and analytical methods are controlled by the EPA and the NJDEP, not by the company, and there are limitations on the accuracy of such measurement devices and analytical techniques even when used and maintained as required. Accordingly, this report is not intended as an assertion that any instrument has measured, or that any reading or analytical result represents the true value with absolute accuracy, nor is it an endorsement of the suitability of any analytical or measurement procedure.

If you have any questions concerning this report, please feel free to contact Mark Pyle (856) 339-2331.

Sincer 4..]r er Site ice President - Salem Attachment (12 DMR's)

C Executive Director, DRBC USNRC - Docket numbers 50-272 & 50-311

COUNTY OF SALEM STATE OF NEW JERSEY I, Carl J. Fricker of full age, being duly sworn according to law, upon my oath depose and say:

1.

I am the Site Vice President - Salem for PSEG Nuclear, and as such am authorized to sign Salem's Discharge Monitoring Reports submitted to the New Jersey Department of Environmental Protection pursuant to the Station's New Jersey Pollutant Discharge Elimination System permit.

2.

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 the submitted information is true, accurate and complete. I am aware that there are significant penalties for submitting false information including the possibility of fine and imprisonment.

3.

The signature on the attached Discharge Monitoring Reports is my signature and I am submitting this affidavit in satisfaction of the requirement that my signature be notarized.

Carl J. Fricker Site Vice President - Salem Sworn and subscribed before me this day of October 2012

EXPLANATION OF CONDITIONS September 2012 The following explanations are included to clarify possible deviation from permit conditions.

General - The columns labeled "No. Ex" on the enclosed DMR tabulate the number of daily discharge values outside the indicated limits.

Data reporting and accuracy reflect the working environment, the design capabilities and reliability of the monitoring instruments and operating equipment.

Deviations from required sampling, analysis monitoring and reporting methods and periodicities are noted on the respective transmittal sheet.

Results reported on the Discharge Monitoring Report forms are consistent with permit limits, data supplied from contract laboratories, the December 2007 revision of the NJDEP DMR Instruction Manual and specific guidance from DEP personnel.

EXPLANATION OF EXCEEDANCES September 2012 The following exceedance(s) are included in the attached report and explained below.

EXPLANATION No Exceedances

COUNTY OF SALEM STATE OF NEW JERSEY I, Carl J. Fricker of full age, being duly sworn according to law, upon my oath depose and say:

1.

I am the Site Vice President - Salem for PSEG Nuclear, and as such am authorized to sign Salem's Discharge Monitoring Reports submitted to the New Jersey Department of Environmental Protection pursuant to the Station's New Jersey Pollutant Discharge Elimination System permit.

2.

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 the submitted information is true, accurate and complete. I am aware that there are significant penalties for submitting false information including the possibility of fine and imprisonment.

3.

The signature on the attached Discharge Monitoring Reports is my signature and I am submitting this affidavit in satisfaction of the requirement that my signature be notarized.

Carl J. Fricker Site Vice President - Salem Sworn and subscribed before me this day of October 2012 BC Site Vice President - Salem Director - Regulatory Affairs Nuclear Environmental Affairs - Manager Helen Gregory Chem File SCH12-034

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

NJ0005622 Moth Day 2012 To Day IYear FACA - SW Outfall FACA PERMITTEE:

PSE&G NUCLEAR LLC 80 PARK PLAZA NEWARK, NJ 07101 LOCATION OF ACTIVITY:

PSEG NUCLEAR LLC SALEM GENERATING STATION ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 REPORT RECIPIENT:

PSEG NUCLEAR LLC PO BOX 236/N21 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salenm County CHECK IF APPLICABLE: M 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.

Carl J. Fricke Site Vice President - Salem NAMEANDTITLE OF R

EX I

E OFFICER, AUTIIORIZED AGENT, OR

  • LICENSED OPERATOR SIGNATURE OF kNC/EX'I0eTIE OFFICER, AUTHIORIZED AGENT, OR *LICENSED OP~ERATOR DA N/A GRADE AND REGISTRY NUMBER (IF APPLICABLE) 10/12/20 12 856-339-1102 TE AREA CODE/PIIONE NUMBER
  • For a local agency where the highest-ranking operator does not have the abilitY to anthorize capital e.*pendittres and hire personnel, a person having that responsibility or person designated by that person shall sign theJbllowing 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 NAME AND TITLE N/A SIGNATURE DATE N/A N/A AREA CODE/PIIONE NUMBER

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER:

NJ0005622 MONITORED LOCATION:

MONITORING PERIOD:

9/112012 TO 913012012 FACILITY NAME:

PSEG NUCLEAR LLC SALEM GENERATIN FACA SW Outfall FACA I

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-Print Creation Date: 71112012 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:

I Month IDay Y ar IMoh Day Year FACB - SW Outfall FACB NJ0005622 9

1 2012 To 20j~12 PERMITTEE:

PSE&G NUCLEAR LLC 80 PARK PLAZA NEWARK, NJ 07101 LOCATION OF ACTIVITY:

PSEG NUCLEAR LLC SALEM GENERATING STATION ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 REPORT RECIPIENT:

PSEG NUCLEAR LLC PO BOX 236/N21 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE:

No Discharge this Monitoring Period E--Monitoring Report Comments Attached WIHO 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.

Carl J. Fricker, Site Vice President - Salem NAME AND TITLE

  • F AL O.'ECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR SIGNATURE OF PRIýIPAL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR N/A GRADE AND REGISTRY NUMBER (IF APPLICABLE) 10/12/2012 856-339-1102 DATE AREA CODE/PHONE NUMBER
  • For a local agency where the highest-ranking operator does not have the abilitY to authorize capital expenditures anid hirepersonnel, a person haiving that responsibility or person designated by 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 NAME AND TITLE SIGNATURE N/A DATE N/A AREA CODE/PHONE NUMBER

Surface Water Discharge Monitoring Report PERMIT NUMBER:

MONITORED LOCATION:

MONITORING PERIOD:

NJ0005622 FACB SW Outfall FACB 91112012 TO 913012012 P1 46814 FACILITY NAME:

PSEG NUCLEAR LLC SALEM GENERATIN I

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".

Pr-rn refo ae

//01 ae1o Pre-Print Creation Date: 71112012 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:

Month Day ToYea I Month I Day Year FACC - SW Outfall FACC NJ0005622 9

1 2012 To

-30 2012 PERMITTEE:

PSE&G NUCLEAR LLC 80 PARK PLAZA NEWARK, NJ 07101 LOCATION OF ACTIVITY:

PSEG NUCLEAR LLC SALEM GENERATING STATION ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 REPORT RECIPIENT:

PSEG NUCLEAR LLC PO BOX 236/N21 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE:

El No Discharge this Monitoring Period E111 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 amn 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.

Carl J. Fricker. Site Vice President - Salem N/A NAME AND TITLE UTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE) 10/12/2012 856-339-1102 SIGNATURE OF PRI IPAXXECJTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PIIONE NUMBER

    • For a local agenc" where the highest-ranking operator does not have the aIbility to authorize capital expenditures and hirepersonnel, a person having that responsibility or person designated by that person shall sign the.folloiviikg 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 NAME AND TITLE N/A SIGNATURE N/A N/A AREA CODE/PItONE NUMBER DATE

Surface Water Discharge Monitoring Report PERMIT NUMBER:

MONITORED LOCATION:

MONITORING PERIOD:

NJ0005622 FACC SW Outfall FACC 91112012 TO 913012012 P1 46814 FACILITY NAME:

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 23S3*

Z2S 2Z2

.o CP*C, Thru Treatment Plant MEASUREMENT QLC_

50050 G

':ERMIT'

30241,

,REPiRT MGD 1Ibay

=..

R a w S e w /in flu e n t.

.QUIR"M E.,'1/4

'.01D A M X,.

C AL C T D Thermal Discharge SAMPLE CA 0C.

v C" Million BTUs per Hr MESRMN3QS'*******

    • }

00015 2 1ERI'k

REPORT,

'46si~3600

-~MBTUIHR ii.***

"-'I/a H

CACD Effluent Net Value REQUIREMENT 01 OMOAV Th I0DAmx.,

~

Lab Certification #

SAMPLE 99999 99 PEK1r.

RPORT REP~i4T RiEPORT_

1`_RT

' REPOR ~

z T NotEPORT NOTI REQUIREMENT ';

Lab #

i Lab #

Lab&ý La #

NLot'App.i:.

P Lab 1

0i 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.ni.us".

Pre-Print Creation Date: 71112012 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:

MJ0 2

Month Day I Yea To iDyYeari 048C - SW Outfall 48C 9

NJ00056221 1

2012 To PERMITTEE:

PSE&G NUCLEAR LLC 80 PARK PLAZA NEWARK, NJ 07101 LOCATION OF ACTIVITY:

PSEG NUCLEAR LLC SALEM GENERATING STATION ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 REPORT RECIPIENT:

PSEG NUCLEAR LLC PO BOX 236/N21 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE:

El 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 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.

Carl J. Fricker. Site Vice President - Salem N/A NAME AND TITP EXECUTIVE OFFICER, AUTIIORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE)

O w

IQ0/12/2012 856-339-1102 SIGNATURE OF P134CIPAL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PHONE NUMBER

  • For a local agency where the highest-ranking operator does not have the ability to authorize capital expendittnres and hire personnel, a person having that responsibility or person designated by that person shall sign the following certiýfcation:

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 DATE AREA CODE/PHONE NUMBER NAME AND TITLE SIGNATURE

uurTace Water Discharge Monitoring Report PERMIT NUMBER:

MONITORED LOCATION:

MONITORING PERIOD:

NJ0005622 048C SW Outfall 48C 911/2012 TO 9/30/2012 P1 46814 FACILITY NAME:

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)292-4680 or via email at "srosenwi@dep.state.nj.us".

Pre-Print Creation Date: 7/1/2012 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 Month I Day I Y To Mo 481A - SW Outfall 481A PERMITTEE:

PSE&G NUCLEAR LLC 80 PARK PLAZA NEWARK, NJ 07101 LOCATION OF ACTIVITY:

PSEG NUCLEAR LLC SALEM GENERATING STATION ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 REPORT RECIPIENT:

PSEG NUCLEAR LLC PO BOX 236/N21 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE: F-1 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.

Carl J. Frick, Site Vice President - Salem_

NAME AND TITLE OF P I AL CUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR SIGNATURE OF PRINA/PALfXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR N/A GRADE AND REGISTRY NUMBER (IF APPLICABLE) 10/12/2019 DATE 856-339-1102 AREA CODE/PIIONE NUMBER

  • For a local agencv where the highest-ranking operator does not have the ability to authorize capital expenlitures and hire personnel, a person having that responsibility or person designated by that person shall sign the.1bllowing certification:

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

Surface Water Discharge Monitoring Report PERMIT NUMBER:

MONITORED LOCATION:

MONITORING PERIOD:

F)

NJ0005622 481A SW Outfall 481A 91112012 TO 913012012 P

P1 46814 OR ACILITY NAME:

SEG NUCLEAR LLC SALEM GENERATIN NO.

FREQ. OF CONCENTRATION UNITS EX.

ANALYSIS Comments: The permittee is required to perform acute toxicity testing on a minimum of one representative 7WS outfall while DSN 48C is being routed to that outfall.

Page I of 2 Pre-Print Creation Date: 7/1/120 12Pge1o2

Surface Water Discharge Monitoring Report PI 46814 PERMIT NUMBER:

NJ0005622 MONITORED LOCATION:

481A SW Outfall 481A MONITORING PERIOD:

91112012 TO 9130/2012 FACILITY NAME:

PSEG NUCLEAR LLC SALEM GENERATIN NO.

FREQ. OF SAMPLE PARAMETER QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS EX.

ANALYSIS TYPE Temperature, SAMPLE REQUIREMENT 4 1rDE Effluent Gross Value A

1OV.~..0 AX 00010 1

,PERMIT.*
-:,;*:

__'":__ -___j "PO"T:REPOR*

lI"ay Lab Certification #

a ESsAuMRPLN 73 99999 99 RMj" REPO R REREPORT T"REPORT,,,.ý;,.REPORTN o

p NOT AP LREQUIREMENT Lab Lab#

ab#

L.

Lab #

QLb....

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-Print Creation Date: 71112012 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 nthl D 0y Year To n°tDay I 482A - SW Outfall 482A 9

2012 301 21 3

PERMITTEE:

PSE&G NUCLEAR LLC 80 PARK PLAZA NEWARK, NJ 07101 LOCATION OF ACTIVITY:

PSEG NUCLEAR LLC SALEM GENERATING STATION ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 REPORT RECIPIENT:

PSEG NUCLEAR LLC PO BOX 236/N21 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Saleim 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.

Carl J. Frcker, SiW Vice President - Salemn NAME AND TITLE E

EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR SIGNATURE OF $PINCIPAL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR N/A GRADE AND REGISTRY NUMBER (IF APPLICABLE) 10/12/2012 DATE 856-339-1102 AREA CODE/PHONE NUMBER

  • For a local agency where the highest-ranking operator does not have the abilitv to authorize capital e.vpenditiires and hire persontel, a person having that responsibility or person designated by that person shall sign the Jbolowing 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 NAME AND TITLE SIGNATURE N/A DATE N/A AREA CODE/PHONE NUMBER

Surface Water Discharge Monitoring Report PERMIT NUMBER.

MONITORED LOCATION:

MONITORING PERIOD:

NJ0005622 482A SW Outfall 482A 9/112012 TO 9130/2012 PI 46814 FACILITY NAME:

PSEG NUCLEAR LLC SALEM GENERATIN r

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-Print Creation Date: 71112012 Page 1 of 2

Suriace Water Discharge Monitoring Report PERMIT NUMBER:

MONITORED LOCATION:

MONITORING PERIOD:

NJ0005622 482A SW Outfall 482A 911/2012 TO 9/30/2012 P1 46814 FACILITY NAME:

PSEG NUCLEAR LLC SALEM GENERATIN NO.

FREQ. OF SAMPLE PARAMETER QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS EX.

ANALYSIS TYPE Temperature, SAMPLE I

oC MEASUREMENT

  • ~K ay 000`10 1 PERMIT

,,EOR:

REP4 I

IDE.ClIa CONWIN Effluent Gross Value REUEMN Lab Certification #

SAMPLE MYEASUREMENTý

~REQIREMET~

RPORT_

ýýREPORTý REPORT~

RPR REPORT Not;6~~j~NTA 999999999 99, REPO C:

' *:":':""'";* P R'..
ii~~=!**

0

i'::'°'I; Lab Lab.#

.aLa..

a 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-Print Creation Date: 71112012 Page 2 of 2

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

S NJ0005622 Mont i Day IYear ToIMonth I Day Year 483A - SW Outfall 483A 9

1 2012 To 0

2012 PERMITTEE:

PSE&G NUCLEAR LLC 80 PARK PLAZA NEWARK, NJ 07101 LOCATION OF ACTIVITY:

PSEG NUCLEAR LLC SALEM GENERATING STATION ALLOWAY CREEK NECK RD 1-JANCOCKS BRIDGE, NJ 08038 REPORT RECIPIENT:

PSEG NUCLEAR LLC PO BOX 236/N21 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE:

-No Discharge this Monitoring Period LI-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 informnation, 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.

Carl J. Ficker, Site Vice President - Salem NAME ANDPTITLE OF AL E.

CUTIVE OFFICER, AUTHORIZED AGENT, OR -LICENSED OPERATOR SIGNATURElk'PRINI IPAL EXECUTIVE OFFICER, AUTH ORI ZED AGENT, OR *LICENSED OPERATOR N/A GRADE AND REGISTRY NUMBER (IF APPLICABLE) 10/12/2012 DATE 856-339-1102 AREA CODE/PItONE NUMBER

  • For a local agency 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 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 NAME AND TITLE SIGNATURE N/A N/A AREA CODE/PIIONE NUMBER DATE

Surface Water Discharge Monitoring Report PERMIT NUMBER.

MONITORED LOCATION:

MONITORING PE NJ0005622 483A SW Outfall 483A 911/2012 TO 9/301 P1 46814

-RIOD:

12012 FACILITY NAME:

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 -Print Creation Date: 7/1/20 12 Page 1 of 2P Pre-Print Creation Date: 71112012 Page 1 of 2

Surface Water Discharge Monitoring Report PERMIT NUMBER:

MONITORED LOCATION.:

A NJ0005622 483A SW Outfall 483A 9

PI 46814 VONITORING PERIOD:

11/2012 TO 913012012 FACILITY NAME:

PSEG NUCLEAR LLC SALEM GENERATIN I

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-Print Creation Date: 71112012 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:

NJ0561Mot]

2012, Mo,,thI ay Year]

NJ9005622 1Month 22Day Yea To 9m 30 Y0 484A - SW Outfall 484A PERMITTEE:

PSE&G NUCLEAR LLC 80 PARK PLAZA NEWARK, NJ 07101 LOCATION OF ACTIVITY:

PSEG NUCLEAR LLC SALEM GENERATING STATION ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 REPORT RECIPIENT:

PSEG NUCLEAR LLC PO BOX 236/N21 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE:

No Discharge this Monitoring Period E-" Monitoring Report Commnents 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 thie 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.

Carl J. F(

er, Site Vice President - Saleml NAME AND TILE. 0 N

PA "ECUTIVE OFFICER, AUTHIORIZED AGENT, OR -LICENSED OPERATIOR SIGNATURE OF PA~rLA EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR N/A GRADE AND REGISTRY NUMBER (IF APPLICABLE) 10/12/2012 DATE 856-339-1102 AREA CODE/PHONE NUMBER

  • Foi-a local agency "vwhere the highest-ranking operator does not have ite ability to atuthorize capital expenditures and hiire personnel, a penvon haviig that responsibility or person designated by that person shall sign the following certification:

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

Surface Water Discharge Monitoring Report PERMIT NUMBER:

MONITORED LOCATION:

MONITORING PERIOD:

NJ0005622 484A SW Outfall 484A 9/112012 TO 9/30/2012 P1 46814 FACILITY NAME:

PSEG NUCLEAR LLC SALEM GENERATIN NO.

FREQ. OF TY OR CONCENTRATION UNITS EX.

ANALYSIS LIT 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 Pre-Print Creation Date: 71112012

Surface Water Discharge Monitoring Report PERMIT NUMBER:

MONITORED LOCATION:

X NJ0005622 484A SW Outfall 484A 9

P1 46814 IONITORING PERIOD:

/1/2012 TO 9/30/2012 FACILITY NAME:

PSEG NUCLEAR LLC SALEM GENERATIN NO.

FREQ. OF SAMPLE PARAMETER QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS EX.

ANALYSIS TYPE Temperature, SAMPLE oC 00010 1 pERMIT R-PORT.

.REPOR REQUIREMENT-M A.

01EGDAMXay~

  • -ONI EU...ffl"n Gross.. V alueD-Lab Certification #

SAMPLE 99999 99PERMIT

~~EOT EOTRPR REPORTPR i-'tý,REPORTw-iý,

Not Applic NTA La RQUREENC Lb# ~~

La~~Laab

~

ab#

L La b#~

Q~ou 7Mr*

~

            • 1 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 -Print Creation Date: 7/1/20 12 Page 2 of 2 Pre-Print Creation Date: 71112012 Page 2 of 2

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

NJ0005622 Month I Day Year To M

Da Year 485A - SW Outfall 485A PERMITTEE:

PSE&G NUCLEAR LLC 80 PARK PLAZA NEWARK, NJ 07101 LOCATION OF ACTIVITY:

PSEG NUCLEAR LLC SALEM GENERATING STATION ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 REPORT RECIPIENT:

PSEG NUCLEAR LLC PO BOX 236/N21 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE:

E-- 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.

Carl J. Wcker, Site Vice President - Salem N/A NAME AND TITLr,,'/I INIPVIy-ECUTI VE OFFICER, AUTHORIZED AGENT, OR *LICE NSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE) 10/12/2012 DATE 856-339-1102 SIGNATURE OF PONCIPAL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR AREA CODE/PIIONE NUMBER

  • For a local ag.encY where the highest-ranking op)erator does not have the ability to authorize capital expenditnres and hire personnel, a person having that responsibility or person designated by that person shall sign the following certification:

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

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

Surface Water Discharge Monitoring Report P1 46814 PERMIT NUMBER:

NJ0005622 MONITORED LOCATION:'

MONITORING PERIOD:

91112012 TO 9/30/2012 485A SW Outfall 485A FACILITY NAME:

PSEG NUCLEAR LLC SALEM GENERATIN I

I I

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-Print Creation Date: 71112012 Page I of 2

Surface Water Discharge Monitoring Report PERMIT NUMBER:

MONITORED LOCATION:

NJ0005622 485A SW Outfall 485A 9

PI 46814 IONITORING PERIOD:

/1/2012 TO 9/30/2012 FACILITY NAME:

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.

Page 2 of 2 Pre-Print Creation Date: 71112012

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

FJ0005622 M9th I Da Ya

-9thDay_

MJth ID62 To ertDay Yea r 486A - SW Outfall 486A 1J052 9

1 2

12 To1 30 2012 PERMITTEE:

PSE&G NUCLEAR LLC 80 PARK PLAZA NEWARK, NJ 07101 LOCATION OF ACTIVITY:

PSEG NUCLEAR LLC SALEM GENERATING STATION ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 REPORT RECIPIENT:

PSEG NUCLEAR LLC PO BOX 236/N21 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salemt County CHEC1( IF APPLICABLE:

[

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.

_ Carl J. Fricker, Site Vice President - Salem_

NAME AND TITLEOP I

P AL CUTIVE OFFICER, AUTIIORIZED AGENT, OR *LICENSED OPERATOR SIGNATURE P PCPA PAI/9&ECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR N/A GRADE AND REGISTRY NUMBER (IF APPLICABLE) 10/12/2012 856-339-1102 DATE AREA CODE/PHONE NUMBER

  • For a local agency where the highest-ranking operator does not have the ability to authorize capital e-xpenditnres and hire personnel. aperson having that responsibility or person designated Lb that person shall sign thefoillowing certification:

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

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

Surface Water Discharge Monitoring Report PERMIT NUMBER:

MONITORED LOCATION:

MONITORING PERIOD:

NJ0005622 486A SW Outfall 486A 91112012 TO 9/3012012 P1 46814 FACILITY NAME:

PSEG NUCLEAR LLC SALEM GENERATIN I

1*

I 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-Print Creation Date: 7/1/2012 Page lof2

- Surface Water Discharge Monitoring Report PERMIT NUMBER:

MONITORED LOCATION:

IV NJ0005622 486A SW Outfall 486A 9,

P1 46814 IONITORING PERIOD:

/1/2012 TO 9/30/2012 FACILITY NAME:.*--

PSEG NUCLEAR LLC SALEM GENERATIN NO.

FREQ. OF SAMPLE PARAMETER QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS EX.

ANALYSIS TYPE Lab Certification #

SAMPLE MEASUREMENT 1I74 99999 99 ERM AEPORT REPORT

,.REPORT 4,KREPORi"ý,,

REPOR A

PLa aa

ý Lab REQUIREMENT

.l-LA ab La

.". :,,: i.

,TL<,

L a l*:~;*t!*::lI,

'llll"l~:% r*

' l"

  • rlf 'l '

' +*

'~l* p,,i '7*1i,; l,*17L L

Jll 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-Print Creation Date: 7/1/2012 Page 2 of 2

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

N0062 Month DI o

YeartiDyYa NJ9005622 I

1 2012 To lyJ20I2 489A - SW Outfall 489A PERMITTEE:

PSE&G NUCLEAR LLC 80 PARK PLAZA NEWARK, NJ 07101 LOCATION OF ACTIVITY:

PSEG NUCLEAR LLC SALEM GENERATING STATION ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 REPORT RECIPIENT:

PSEG NUCLEAR LLC PO BOX 236/N21 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.

Carl J. Fricker, Site Vice President - Salem NAME AND TITr 0,

CAL.

CUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR SIGNATURE OF I;XNCIPAeE\\'ECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR N/A GRADE AND REGISTRY NUMBER (IF APPLICABLE) 10/-12/20 12 DATE 856-339-1102 AREA CODE/PHONE NUMBER

  • For a local agency where the highest-ranking operator does not have the ahiliti' to authorize capital exJ)enditures and hire personiel, a person having that responsibility or person designated by that person shall sign the following certification."

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

Surface Water Discharge Monitoring Report PERMIT NUMBER:

MONITORED LOCATION:

MONITORING PERIOD:

FA(

NJ0005622 489A SW Outfall 489A 911/2012 TO 913012012 PSE PI 46814 OR C 31LITY NAME:

G NUCLEAR LLC SALEM GENERATIN
ONCENTRATION UNITS NO.

FREQ. OF I

EX.

ANALYSIS 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".

Pre-Pnnt Creation Date: 7/1/20 12 Page 1 of 1 Pre-Print Creation Date: 71112012 Page I of I

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

NJO0056220Month I Day I Ye To I

L Dy 1Y yea"11 487B - SW Outfall 487B H2J1005921 3 1

2012 To PERMITTEE:

PSE&G NUCLEAR LLC 80 PARK PLAZA NEWARK, NJ 07101 LOCATION OF ACTIVITY:

PSEG NUCLEAR LLC SALEM GENERATING STATION ALLOWAY CREEK NECK RD HANCOCKS BRIDGE, NJ 08038 REPORT RECIPIENT:

PSEG NUCLEAR LLC PO BOX 236/N21 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE:

0 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.

_Carl J. Fricke ite Vie President - Salem.

NAME AND TITLE7

/PECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR SIGNATURE OF PRII/PAL.EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR N/A GRADE AND REGISTRY NUMBER (IF APPLICABLE) 10/12/2012 856-339-1102 DATE AREA CODE/PIIONE NUMBER

  • For a local ageiicy where the higheest-rankinig operator does )jot have the ahility to atluhorize capital eLxpenditures anid hire persomnel, a person having that responsibility or person designated by that person shall sign the following certifiication:

I certify under penalty of lawv 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 DATE AREA CODE/PFIONE NUMBER NAME AND TITLE SIGNATURE

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