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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 - ge per response for some minor facilities, to 110 hours as an average per response for some major facilities, . ~i a'ivei bled average for major and minor facilities of 1 hour r response, including time for reviewing _. ~_._ sl.P.e_-- - instrucdoas,,searchiog existing data sources, gatGering and maintaining the data~nixded, and completing and reviewing the collection of information. Send comments_regardmg 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 Information end 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/Mailing AddYess"('~rtl-facility name location, if different)," "Permit Number," and "Discharge Number" where indicated. (A separate form is required for each discharge.) 3. Enter dates beginning and ending iLlonitoring Period" covered by form where indicated. 4. Enter each "Parameter" as specified in monitoring requirements ofpermit. 5. Enter "Sample Measurement" data for each parameter under "Quantity" and "Quality" in units specified in permit. "Average" is normally arithmetic average (geometric average for bacterial parameters) of all sample measurements for each parameter obtainer, during "Monitoring Period"; "Maximum" and "Minimum" are normally extreme high and low measurements obtained during "Monitoring Period." (Note to municipals with secondary treaunent requirement: Enter 30-day average of sample measurements under "Average," and enter maximum 7-day average of sample measurements obtained during monitoring period under "Maximum.') 6. Enter "Permit Requirement" for each parameter under "Quantity" and "Quality" az specified in permit. 7. Under "No Fx" enter number of sample measuements 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 `Sample Measurnent" (actual frequency of sampling and analysis used during monitoring period) and az "Pernrit Requirement" specified in permit. (e.g., Enter "Conn," for continuous monitoring, "1.~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" both az "Sample Measurement" (actual sample type used during monitoring period) and az "Permit Requirement," (e.g., Enter "Grab" for individual sample, "24HC' for 24-hour composite, "N/A" for continuous monitoring, etc.) 30. Where violations of permit requirements.are reported, attach a brief explanation to describe cause and corrective 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/Title ojPrincipal Executive Officer" with "Signature ojPrincipnl Executive OJ~cer ojAurhorized Agent," "Telephone Number," and "Date" at bottom of form. 13. Mail signed Report to Officc(s) by date(s) specified in pemrit. Retain copy for your records. 14. More detailed instructions for use of this Discharge Monitoring 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 520,000 per day of violation; or io criminal penalties not to exceed §25,000 per day of violation, or by imprisonment for not more than one year, or by both. .. . EPA Form 3320-1 (Rev. 08-95) '~4.