HYDRO21403 - Laserfiche WebLink

Home Browse Search

~ }P~~c: ~r~~ tic ~e~~cttc-~ A~~a ~~~~ic~ - - Puhlic reporting burden for this collection or information is estimated to vary from a r: nge of 10 votes as :m average per response for some minor facilities, to 110 hours as an overage per response for su-.e moor facilities, xcilh a weighted overage for major and miner facilities of IS hours per respome, including rime !or ~ reviewing instrucGOns. searching existing data sources. eathering and maintaining the data ntc,led. anJ completing and reviewing the collection of information. Send comments regarding the bt.rden estimate or ..ny other aspect of this collection of information, including suggestirnts for reducing [his burden. to Chief, In brmation Policy Branch. PM-?33, U.S. Environmental Protection .Agency. 401 Al Street. SW', Washington. DC 10960; and to the Office of Information and Regulatory Affairs. Office of Management znd Budget. Washington. CC :0501 ~e'leT~l ~C1~iJ a,:..,#~~''.'1'F.3 I. It form has' been partially completed by preprinting. disregard mst nrc[ions directed at entry of that in(nnnatiui already preprinted. ?. Enter `Pennittee Nanre/Moiling Address (and facility na men'location, if dil/erent!.- "Permit ?rumher." and "Discharge Numbrr" where indicated. (A separate tbrm is required for each discharge.t 3. Enter dates beginnine and ending "Monitoring Period- covered by form where ind ic.rted. 4. Enter each "Parameter" as specified in mmutori ng requirements of permit. i. Enter `Sam /e M11easurement" data for each tr.imeter under " uamity" and -' p p: Qualm n amts sptalitd in Penn'. "Average' is normally arithmetic aceraee tgenmet tic avenge (or bacterial purame[en) ~d' all sample measu -c marls for each parameter obtained during "hinnnoring Period'"; ",b/xvinnrm" and "M1dinimum" are normally extreme high and low measurements obtained Juring -M1lonita~ing Perwd.~~ (Note m municipak c.ith secondary trcaUUent requirement: Enter 3U-day average of sample measurements under "Average." and toter nutximum ~-day average of sample measurements obtained Junng monitoring period under `Nla.ximum:') G. Enter 'Permit Requirement" for each parameter under "Qu:uuity~` and "Qualit}~" as specified in permit. 7. Under `Nn Ex- enter number of sample ~neasuremenn durng monitoring period that exceed maxi.~um tand,~ rr minimum or 7-day averace as appropriate) permit requirement (cr each parameter. I( non.. enter '0". S. Enter "Frequency of Analysis' both as "Smnp/e Measurement" factual frequency of sampling nnJ analysis useJ during monitoring period) and as 'Fannie Requirement" cpecil led in ptrmit. (e.u.. Enter "Cont.- fo- continuou, monitoring. "I/7" fur one day per week, `1.'JO" 12rc one day per month. "1,'90" for ale Jiy per quarter. xre.1 9. Enter "Sample Type` both as ';S:unple Aleasuremenl" factual suntple type wed dur~ng monitorine perioJl and a, `Pernrir Requirement.` (e.g.. Enter "Grab' for indn~idual sample. '~?-1HC"' for 39-hoer composite, ".V :4" for con- tinuous monitoring, ztcJ 10. \4here violations of permit reyuiremtnts a r reported, attach a oriel explanation u. dc.cribe cmist and corrective actions taken. and reference eoch violation by date. I I. If 'no discharge' occurs during monitorine penoJ. enter "No Discharge" across form n pace of data entry. 11. Enter 'Namr,~Tit/e of Principal txecwitt OflFcrr" with ".Signanrrr of Principal E.tecutive Officer of ,4uptoriied Agent,' `Telephone Numbrr,` and `Date" at bottom of form. ?. Mxil signed Report to Oil ice(s1 by dulejs) ,pacified in ptrmit. Retain copy Inn your records. 14. Mort detailed instnictiats Ibr use of thi; Discharge Monitoring Report fDMR) (arm may be obturtzd from OI~ (ice(s) specified m permit. Legal N©Cice this report is required by law (33 U.S.C. IlIR; 40 C.F.R. I?5.271. Failure to report or tailurc m rcpon truthful y c.tt result in civil penalties not to exceed $IU.0011 per da} of violation: or m criminal ptnaluts not to excc:d 5??000 per Jay of violation, or by imprisonment for not more than one year, nr by both. FPA Form 3320.1 (Rev. 0-881