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Fa~erwork Reduction A,~t Notice Public reporting burden for this collection of information is estimated to vary fro¢ a range of 10 hours as an average per response for somsminor facilities, to 110 hours as m average per response for some major facilities, with a weighted average for major and tniiftji[rf~oilities of l8 hours per response, including time for mewing instructions, searching existing data sourcesQ~~and maictaining the data needed, and w(gpletrtlg and reviewing the collection of information. Send `` is regar~i~g [he burden estimate or any otKeY aspect of this collection of information, including suggesttotil+.for reducing this burden, to Chief, Information Policy Branch, PM-223, U.S. Environmental Protection Agency, 401 M Street, SW Washington, DC 20460; and to the Office of'Information and ~tegulatory Affairs, Office of Management and BudgN, Washington, DC 20503. ~, fi. Generaa jnstructions 1. tf #orm has been partially completed by preprinting, disregard instructions directed at entry of that information `. 7tlready preprinted. 2. Enter 'Permittee h'anreQvlailing Address (and facility name/Itxation, if different)," "Permit Number," and "Discharge Number" where indicated.. 4/}:separate form is required for each discharge.) 3. Enter dates beginning and ending 'Monitoring Period" covered by form where indicated. 4. Enter each "Parameter" az specifiedm monitoring requirements of permit. 5. Enter "Smnple Measurement" data for each parameter under "Quantity" and "Quality" in units specified in permit. "Average" is normally arithmetic average (geometric average for bacterial parameters) of all sample measurements for each parameter obtained dtring "Afonimring Period"; "Maximum" and "Afinimunt" are normally extreme high and low measurements oUtained during "Monitoring Period." (Dlote to municipals with secondary treatment requirement: Enter 30-dav average of sample meas~remenis under "Average," and enter maximum 7-day average of sample measurements obtained during monitoring period under "Maximum. 6. Enter "fermi! Requirement" for each parameter under "Quantity" and "Quality" az specified in permit. 7. Under "Nu Ex" enter number of sample measurments during monitoring period that exceed maximum (and/or minimum or 7-da} average az appropriate) permit requirement for each parameter. >f none, enter "0". 8. Enter "Frequency uj Hna/vsis" both az "Smnple Measurment" (actual frequency of sampling and analysis used during monitoring period) acrd az "Pernut Requirement" specified in permit. (e.g., Enter "Copt," for continuous monitoring, "f/T' far one day per week, "//30" for one day per month, "f/90" for one day per quarter, etc.) 9. Enter "5'anrple Type" boih az "Sample Measurement" (actual sample type used during monitoring period) and as "Permit F.equirernent," (e.g., Enter ."Grab" for individual sample, "2dffC" Cor 24-hour composite, "N/,1" Cor continuous monitoring, etc.) 10. Where violations of permi; requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference each violation by date. 11. U "no discharge" occurs during monitoring period, enter "h'o Discharge" across form in place of data entry. 12. Enter "h+ame~Tille ujPrincipa! Executive Officer" with "Signature ojPrincipnf Executive Officer njAuthorized Agent," "Telephone Number," and "Date" at bottom of form. 13. Mail signed Report to Office(s) by date(s) specified in perntit. Retain copy for your records. 14. More detailed instructions for tae of this Discharge Anitoring Report (DMR) form may be obtained from Office(s) specified in permit. Legal Notice This report is required by law (3i, U.S.C. 1318; 40 C.F R. 125.27). Failure to report or failure to report truthfully can result in civil penalties n:.t to exu;ul S 10,000 per day of violation; or in crtminal penalties not to exceed x25,000 per day of violation, or by irnpnsonnent for not more than one year, or by boih. EPA Form 3320-1 (Rev. 08-95)