|
Paperwork Redaction Act Notice
<br />Public reporting burden for this collection of information is estimated to vary from a range of 10 hours as an
<br />average per response for some minor facilities, to 110 hours as an average per response for some major
<br />facilities, with a weighted average for major and minor facilities of 18 hours per response, including time for
<br />reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
<br />completing and reviewing the collection of information, including suggestion for reducing this burden, to
<br />Chief, Information Policy Branch, PM-223, U.S. Environmental Protection Agency, 401 M Street, S.W.
<br />Washington, DC 20460; and to the Office of Information and Regulatory Affairs, Office of Management and
<br />Budget, Washington, DC 20503.
<br />General Instructions
<br />1. If form has been partially completed by preprinting, disregard instruction directed a[ entry of that information already
<br />preprinted.
<br />2. Enter "Parmittee Nome/Moiling Address (and facility name/location, if differed[)," "Permit Number," and "Discharge
<br />Number" where indicated. (A separate form is required for each discharge.)
<br />3. Enter dates beginning and editing "Monitoring Period" covered by form where indicated.
<br />4. Enter each "Parameter" as specified in monitoring requirements of permit.
<br />5. F,nter "Sample M=isuremant"data far each parameter under ",^_.uanlit),"and ~ualig~" as specified in permit. "Average" is
<br />ncrmally arithmetic avc; age (geometric average for bacterial parameters) of all srrmple measurements far each parameter
<br />obtained during ",^.f-.nitrring Period'; "ivlaziutt!mr" and Mi:ri;:;um" arc normally c;~7ei~e high and low measurements
<br />obtained during "Afs,rit~, ing P~rzod". (Nate to municipals c~ith secondaq• treatment requirement: Tinter 30-day avera~c
<br />of sample mezsnrremenLs under 'i'vsrog""and enter ma:;imum 7-day average of se maple mcas.ucmcnts oblainzd during
<br />monitoring period under "Maximum. ")
<br />6. Dntcr "Pe; ;:!it R.t2ui;~_r;:r;rt"for each parameter under "~iramtity" aad "Qo slit)," as spcciFed in pc-mit.
<br />7. Urdr. "N, .ra" entr, number of sample mesa „meat during monitor - -c~~d t;r' c>.cecd mrs`mum (a~c'Jor minimiirn
<br />or 7-:I:.y averayc as appropriate) permit requirement fdr each panmcte~ Jlfnune, cnt~r "., .
<br />II. I:nter'R-e.~t-~n,:y cfAnaysis" bosh as "S_v;>,cfe .L1_• csur.,,,_,::" ,ac[ra! fre:;urncy of srnp!'r.g aad an2'ysis used during
<br />monito~ng period) and as "Pe,-„ cif R.c; ~rir"r~tnr" specified in ;c.lnit. (e.~. °_nte: "^. "far continuous monitorng, "t/7"
<br />frr one day per wcclc, "//30" for oar. day per monflr, "1/90" for ore day per quarter, etc.)
<br />q. ?nter "Sun;Fl ~ Tjp~"bath as "S~mpl~ / L:usrrz;,sr!" (cc.ual sample t;--.;, usrd durng monitorng period) and as "1'~n;rit
<br />R,7ui;~nrzat," (e.g. Fntc: "GraF" for iadividuz: sanrnlc; "14ffG' fr: 24-hcur can.positc, "T,r/A'' for continuous
<br />monitoring, etc.)
<br />t 0. ~'Ttere viol~ocns of permit :eduirements arc reported, coach a b.-ief c;:nla^atien to ccsc~ibe cause znd corrective actions
<br />to be taken, and reference each violation by date.
<br />11. I,"'no discharge" occurs during monitorng period, enter "Dlo Disc'r.crge" across i;mi in nir.c: o. data entry.
<br />l2. L-nter "Na:nvJTiffe of Principal Eaa:arliv,: G~_~r" w;th "Siy;~4-rr rj F,•in_;,vr F,.r:-r!ivs Gff;'r :.f Au'lrc;ized
<br />Agent, ""Tefeplrone A'umtar,"and 'Cate"at bottom of farm.
<br />13. Mai] sign,^,d 2epert to Offce(s) by date(s) specified i^ permit. Retain copy fog yd, - rccori•s.
<br />14. More detailed instructions for use of this Disclr.!;~s ,L;c:rita-i.;~ R ;r•,;; ~ ^,S'r) fo.-n mr, b~ ohtair.cd ''rom C('fice(s)
<br />specified in permit.
<br />~e~~ll T~To~:r~
<br />This report is required by law (33 U.S.C. 131II; 40 C.F.R. 125.Z7). Failure to report or failure to report truthfully can result in
<br />civil pedaloes not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of ~lolation,
<br />or by imprisonment for not more than one year, or both.
<br />EPA Form 3320-1 (Rev. 03/99)
<br />
|