HYDRO23315 - Laserfiche WebLink

Home Browse Search

Paperwork Reduction Act Notice Public reporting burden for this collection of information is estimated to vary from a range of 10 hours as an average per response for some minor facilities, to 110 hours as an average per response for some major facilities, with a weighted average for major and minor facilities of 18 hours per response, including time for reviewing instructions, searching existing data sources, gathering and rnnintairting the data needed, and completing and " reviewing the collection of information. Send conur;ents regarding the burden estimate or any other aspect of this collection of information, including suggestions fur r~ucing this burden, to Chief, Information Policy Branch, PM-223, U.S. Environmental Protrw ion Agency, 401 M Street, SW Washington, DC 20460; and to the Office of lmformation and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503. General Instructions 1. If form has been partially completed by preprinting, disregard instructions directed et entry of that information already preprinted. 2. Enter 'Permitree .\'omr~.ll^du~g ,4ddress (and facility name/IoCdhon, if diftcrenQ," "Fermi! Number," and "Discharge Number" where indicated. (A separate forth is required Cor each discharge.) 3. Enter dates beginning and ending ",1lnnituring Period" covered by form where indicated. 4. Enter each "Paromerer" .ts specified in monitoring requirements of permit. 5. Enter "Sample Afensuremenr" data for each parameter under "Qunntity" and "Quali(v" in units specified in permit "Avernge" is normally a ~rthmetic average (geometric average for bacterial parameters) of all sample measurements for each parameter obtained during ".tfonuuring Period'; "hlaxirnunl' and ",tlinimum" are normally extreme high and low measurements obutined during ".[faumrrnR Feriod." (Note to municipals t+ith secondary• treatment requirement Enter i0-dac accragc of sample measurements under ".Irrrnge," and enter maximum 7~ay average of sample measurements obtained during monitonng period wider "Slriximum. "/ 6. Enter "Fermi! Reyurrrmrnr" fur each parameter under "QumruN" and "Qualrly" as specified in permit. 7. Under "No Ex" enter number of sample mcasurmcnts during monitoring period that exceed maximum (and/or minimum or 7-day average as appropriate) permit requirement for each parameter. If none, enter "0". 8. Enter "Frequency oj:lnolwis" both as ".~'nmple .Vem~unnenr" (actual frequenry of sampling and analysis used during monitoring pcnad) and as "Permit Requiremenr" specified in permit. (e.g., Enter "C'onr," for continuous monitoring, "/'7" for onr- day per week, "! .i 0" for one day per mouth, "190" Cor one day per quarter, e1c.) 9. Enter "Sample Ttpe" bcth as "Sarnp/e .4feacuremenr" (actual sample type used during monitoring period) and as "Fermi! Requirement," (e.g., Enter "Grob" for individual sample, "24HC" for 24-hour composite, "N•:4" for continuous monitoring, tae.) 10. Where violations of pera»t 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 "No Discharge" across form in place of data entry. I2. Enter "Name/f'ir/e ojPrincipal Executive OJTcer" with "Signature ojPrincrpa/ Executive Dicer oJ.4ulhorized Agent," "Telephone Number," and "Dare" a[ bottom of form. 13. Mail signed Report to Oi~ce(s) by date(s) specified in permit. Retain copy for your records. 14. More detailed instructions Cor use of this Discharge tifoniroring Report (DMR) Corm may be obtained from Ollice(s) specified in permit. Legal Notice This report is required by law (33 U.S.C. 1318; 40 C.F.R. 125.27). Failure to report or failure to report truthfully can result in civil penalties not to exceed 510,000 per day of violation; or in criminal penalties not to exceed 525.000 per day of violation, or by imprisonment for not more than one year, or by both. EPA Form 3720-1 (Rev. 09-9!.)