|
Paperwork Reduction Act Notice
<br />Public reporting burden for this collection of information is estimated to vary from a range of IO hours as an
<br />l average per response for some minor facilities, to 110 hours as an average per response for some major
<br />i facilities, with a weighted average for major and minor facilities of 18 hours per response, including time for
<br />reviewing instructions, searching existing data sources, gathering and maintaining the data seeded, and
<br />completing and reviewing the collection of information, including suggestion for reducing this burden, to
<br />Chief, Information Policy Branch, PM-223, U.S. Environmental Protection Agency, 401 M Street, S.W.
<br />Washington, DC 20460; and to the Office of Information and Regulatory Affairs, Office of Management and
<br />Budget, Washington, DC 20503.
<br />General Instructions
<br />I. If form has been partially completed by preprinting, disregard instruction directed at entry of that information already
<br />preprinted.
<br />2. Enter "Pzrmiltee Name/Mailing Address (and facility name/location, if different)," "Permit Number;' and "Gischarge
<br />Number" where indicated. (A separate form is required for each discharge.)
<br />3. Enter dates beginning and editing "Moniroring Pe: iod"covered by form where indicated
<br />4. Enter each "Parameter" as specifed in monitoring requirements of permit.
<br />5. Enter 'Samplz I/sasn, errant"data far each parameter urder "[iu»rtiry"ard Gua/ir) " as specified in perniC "Aver~g~" is
<br />normally arithmetic average (geometric average far Bacterial par;.mcters) of all sample neasurei~en's "or each para,~,etcr
<br />obtained during 'SY7,airoring Pari~d"; "d4~cimum" aid ,~;ri,:unn" ar;; normally c:;tr~.ne high and ;ow measurements
<br />obtavicd during "P.l,nir~.rbrg Par;o.i". (Vote to mur.;cipals ~:-ith secondary [reahncnt rcduirement: Ln[er 3C-day .vc-agc
<br />of ;apple measurements under "Averooz,"and en'cr -n~,imum 7-day average of samr,:e measurements obtained daring
<br />moni[oringperiod under 'iLL•zximmrr.")
<br />5. En'cr "P.'; ;rrrr R~gri.•ernerrt"for each parameter under "~ul;:tity"an:: "~u1!ity"as ; p.:cificd in permit.
<br />7. Under "T'; Fx" enter number of sample mca_surcr,,rn' during mani:,r,ng ; eriod L'r :,..,e°d maximum l~1d/or nir;m_T
<br />cr 7-day aver: ge as appropriate) permit requirment for each paran-etcr. I Fnonc, c-!tr "0".
<br />4. F.n'er "Fr: lu~n,y rfAna!ysis" bof~ as "S~„rF!~ Iv,'_zn~iz,a~•,rl" (actiel `:. ue~~c/ ;;f san~plir~ and endysis used Curing
<br />mc,~itnring per.od) and as °P~:;;,il Rd~viram:nr"sped bed in pe mi'. (e.g. Enter "':-.;ir,"far continuo rs -oonitoring, "I/?"
<br />far one day p~T week, "1/30" for one day pet: month, "7/90" for nnc day per quarter, etc.)
<br />9. inter "S=mrL Typs"both s "S~n¢!e N~.~.ac•e;ae,:r" (actual sample type used e;ur.nl; mnnitoring p~~iod) and as "Ta:,u!
<br />Rsquir,:nrzat," (e.g. Later "C;~Y' for individual s;_,-nplc, "14F1~" for 24-noiu composite, "N/A" for continuous
<br />monitoring, etc.)
<br />10. ti/hcre ~riolations of permit requirements ar~ reported, attach a brief explanatio^ to describe carse and co*rective aciinns
<br />to be taken, and reference each violation by date.
<br />1:. If "no discharge" occurs daring monitoring period, enter "No Discharge" across form in place of data entry.
<br />12. Enter "Aramz/Titlz of Principal E.c~cutivs Off:xr" with "Sidnanrre of Frin:iF~l E.r~cenivr O~xr of Authorized
<br />Agent, ""Talep!rone Number, "and "Gale"at bottom of form.
<br />13. Mail signed Report to Oflice(s) by date(s) specified in permit. Retain copy for your records,
<br />]4. More detailed instructions for use of this Discharge Monitorrng Repor7 (DAII~ form may be obtained from Office(s)
<br />specified in permit.
<br />Legal Notice
<br />This report is required by law (33 U.S.C. ] 318; 40 C.F.R. 125.27). Failure to report or failure to report truthfully can result in
<br />civil penalties not to exceed $10,000 per day of violation; or is criminal penalties no[ to exceed $25,000 per day of violation,
<br />or by imprisonment for not more than one year, or both.
<br />EPA Form 3320-1 (Rev. 03/99)
<br />
|