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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 weightai average for major and minor facilities of 18 hours per response, including time for re4iewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the c;ollection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions 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 Infortmation 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 ~E entry; of Ehat'irtformation already preF~tinted. ._. ... t "., .. 2. Enter "Penttittee Nnme/hfailing Address (anA IaeNi(p , '"'Y1FifPrY"7~Biffb¢l;" "an3 "Discharge Number" where indicated. (A separate form is required for each discharge.) ~ ' -` ' 3. Enter dates beginning and ending 'Afoniloring Period" covered by form where indicated. 4. Enter each "Parameter" as specified in monitoring requirements q(permit 5. Enter "Sample A4errsurement" data for each parameter under "Quantity" and "Quality" in units specified Jn germit. "Average" i;; normally arithmetic average (geometric average for bacterial parameters) o(all sample measurements Cor each parameter obtained during "Afoniloring Period'; "Afarimum" and "Minimum" are normal~yextreme high and low measuremenzs obtained during "Monitoring Period." (Note to municipals with secondary treatment requirement: Enter 30-0ay average of sample measuremenzs under "Average," and enter maximum 7~ay average oCsample measurements obtained during monitoring period under "Maximum.') 6. Enter "Pertr~ir Requirement" for each parameler.under "Quantity" and "Quality" as specificd in permit. 7. Under "No Er" enter number of sample measurmenzs during monitoring period that exceed maximum (and/or minimum or 7-day average as appropriate) perntit requirement for each parameter. If none, enter "0". ' 8. Enter "Frequency ojAnalysis" both as "Sample Measurment" (actual frequency of sampling and analysis used during monitoring period) and as "Permit Requiremen!" specified in permit. (e.g., Enter "Coot," for continuous monitoring, "//7" for one day per week, "1/30" for one day per month, "1/90" for one day per quarter, etc.) 9. Enter "Smuole Type" both as "Sample Measurement" (actual sample type used during monitoring period) and as "Permit Requirement," (e.g., Enter "Grab" for individual sample, 24HC" for 24-hour composite, "N/A" for continuous monitoring, etc.) 10. Where violations of permit requirements are reported, attach a brief explanation to describe cattle and corrective actions taken, and reference each violation by date. t 1. If "no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry. 12. Enter "Name/f'itle ojPrincipal Executive Officer" with "Signature ojPrincipal Executive Officer ojAurhorized Agent," "Te,Iephone Number," and "Date" at bottom of form. 13. Mail signed Report to l7ffce(s) by date(s) specified in perntit. Retain copy for your records. l4. More detail+~ instructions Cor use of this Discharge Afoniloring Report (DMR) form may be obtained from Office(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 3320-1'. (Rev. OS-95)