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Paperwork Reduction Act Notice Public relwrting butdea for this'colleclion of information is estimated to vary from a range of 10 hours u an average per response for some minor facilities, to I FO hours as an average per response for some major fpi:itities, wilt a weighted average for tnajheapd minor facilities..rzf111 hours per respotse, including titnt: _ftic.rdYit~tviag instructions, searching existing data sources, gatfieringand maintaining the data needed, and completing and reviewing the collection 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 Qolicy Branch, PM-223, U.S. Environmental Protection Agency, 401 M Street, SW Washington, DC 20460; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503: General Instructions 1. if form has been partially completed by preprinting, disregard instntclions directed at.entry of that information already preprinted. . 2. Enter 'Permillee Name/14faifing Address (and facility namellocation, if diderent)," "Permit Number," a_nd "Discharge Number" where indicated. (A separate form is required for each discharge.) 3. Enter dates beginning and ending 'iLfonitoring Period" covered by form where indicated. 4. Enter each "Parameter" as specified in monitoring requirements of permit. 5. Enter "Smnple Measurement" data for each parameter under "Quantity" and "Quality" in units specified in permtit. "Average" is normally arithmetic average (geometric avemge for bacterial parameters) of all sample meastremettts for each parameter obtained during "Monitoring Period"; "Maximum" and "Minimum" are normally extreme high and low measurements obtained during "Monitoring Period." (Note to municipals with secondary Veatmt:nt requirement: Enter 30~ay average of temple measurements under "Average," and enter maximum 7-day average of sample measurements obtained during monitoring period under "Masimurn.') 6. Enter "Permit Requirement" (or each parameter under "Qiranliry" and "Quality" as specified in permit. 7. Under "No Fx" enter number of sample measurments during monitoring period that exceed maximum (and/or minimum or 7-day average as appropriate) permit requiremeriffor each parameter. If none, enter "0". 8. Enter "Frequency ojAnalysis" both as "Sample Aeasurment" (actual frequency of sampling and analysis use during monitoring period) and as "Fermi! Requirement" specified in permit. (e.g., Enter "Cant," 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 "Sample Type" bath as "Sample Measurement" (actual sample type used during monitoring period) and as "Permit Requirement," (e.g., Enter "Grab" for individual sample; "?4HC' for 24-hour composite, "N/A" for continuous monitoring, etc.) 10. Where violations oC permit requirements are reported, attach a brief explanation to describe cause and corrective actions taken, and reference each violation by date. 11. TF "no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry. 12. Enter "Name/title ojPrincipa! Executive Officer" with "Signature ojPrincipa! Executive Officer ojAuthorizErd Agent," "Telephone Number," and "Date" a[ bottom of form. 13. Mail signed Report to Office(s) by date(s) specified in perritit. Retain copy for your records. 14. More detailed instructions for ttse of this Discharge Monitoring Report (DMRJ forth may be obtained from O6ce(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 S10,alo per day of violation; or io 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. 08-95)