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Paperwork Reduction Act Notice Public reporting burden for thrs collection of information is estimated to vary from a range of 10 hours as an average per response for some minor facilities, to ] 10 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 maintaining the data needed, and completing and reviewing the collection of information. Sead 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. Envirottmental 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 instructions directed at entry of that information already preprinted. 2. Enter 'Permitree Name/ILlailing Address (and facility name/lacation, if different)," "Permit Number," and "Discharge Number" where indicated. (A separate Corm is requited for each discharge.) 3. Enter dates beginning and ending "Aonitoring Period" covered by forth where indicated. 4. Enter each "Parameter" az specified in monitoring requirements of permit. 5. Enter "Sample bleasuremenr" data for each parameter under "Quantity" and "Quality" in units specJed in permit. "Averoge" is normally arithmetic average (geometric average for bacterial parameters) of all sample measurements for each parameter obtained during "Monitoring Period"; "Afaxin+um" and "Minimum" are normally extreme high and low measurements ohtained during "~L1oniloring Period." (Note to municipals with secondary treatment requirement: Enter 30-da}~ average of sample measurements under "Average," and enter maximum 7-day average of sample measurements obtained during monitoring period under "Maximum. l 6. Enter "Permit Requirement" for each parameter under "Quantity" and "Quality" as specified in permit. 7, Under "No Er" enter number of sample meazurments during monitoring period that exceed maximum (and/or minimum or 7-day average az appropriate) permit requirement for each parameter. If none, enter "0". 8. Enter "Frequency oJAnalysis" both az "Snn+ple Measurment" (actual frequency of sampling and analysis used during monitoring period) and as "Perini! Requirement" specified in permit. (e.g., Enter "Copt," for continuous monitoring, "1/7" for one day per week, "l./10" for one day per month, "1/90" for one day per quarter, etc.) 9. Enter "Sample Type" both az "Sample A4easuretnen!" (actual sample type used during monitoring period) and. as "Perini! Requirernenr," (e.g., Enter "Grab" for individual sample, "2411C' for 24-hour composite, "N/.9" for continuous monitoring, etc.) 10. Where violations of permit requirements are reported, attach a brief explanation to describe cause and cortecrtive actions taken, and reference each violation by date. 11. If "no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry. 12. Enter "Name/1'itle oJPrincipal Executive OjTcer" with ".Signature oJPriacipn! Executive Officer ojAuthorized Agent," "Telephone Number," and "Date" a[ bottom of Corm. 13. Mail signed Report to 06ice(s) by date(s) specified in perntit. Retain copy for your records. 14. More detailed itstructions for use of this Discharge Monitoring Report (DMR) form may be obtained from O@ice(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 m exceed 525,000 per day of violation, or by imprisonment for not more than one year, or by both. EPA Form 3320-7 (Rer•. 08-95)