HYDRO28215

• Permit No: C1981018
• IBM Index Class Name: Hydrology
• Doc Date: 2/26/2001
• Doc Name: January 2001 DMRs
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

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 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, including suggestion for reducing this btuden, to
Chief, Information Policy Branch, PM-223, U.S. Environmental Protection Agency, 401 M Street, S. W.
Washington, DC 20460; and to the Office of Information and Regulatory Affairs, Office of Management and
Budget, Washington, DC 20503.
General Instructions
i. If form has been partially completed by preprinting, disregard instruction directed at entry of that information already
preprinted.
2. Enter "Permiitee Name/Mailing Address (and facility name/location, if different)," "Permit Number;' and "Discharge
Number" where indicated. (A separate form is required for each dischazgeJ
3. Enter dates beginning and editing 'SNonitcring Period" covered by form where indicated.
4. Enter each "Parameter" as specified in monitoring requirements of permit.
5. Enter "Sampl_ M~asur~men!"data For each parameter under "Quantity"and Quality"as specified in permit "Average"is
normally aithmetic average (geometric average for bacterial parameters) of all sample measurements for each parameter
obtained durng 'iNonit~ring Pzri~d"; 'Blaxin:um" and .1'tininnrm" are normally extreme high and law measuremeats
obtained duuing "Al:-niY,rhrg P~ricd". (Note to municipals wilt[ secondary treatment requirement: Enter 30-day average
of simple measwements under ".9vzraoa,"and enter maximum 7-day average of srnple measurements obtained du: ing~
monitoring period under "iYfatimum.")
6. Enter "R'rnrit l~7r~iremeni"for each parameter uadcr "Qt~arriily"and "Quality" as specified in permit.
7. tinder "No F..r" enter ^umber of sample measurement during monitoring period that exceed maximum (and/or mi~;mum
or 7-day average as appropriate) permit requireroe~t for cacti parameter. I Cnone, enter "D".
S. Enter "F'requ_n_ry of Analysis" both as "Sant! !d ,LI__~surem~ni" (actual Eequency of sampling and analysis aced during
monitoring period) and as "Pernrii Rriuirern~nt"specified in pewit. (e.g. Enter "G,tt!,"fur continuous monitoring, "(/7"
fur one day per week, "I/30" for one day pet month, "1/90" for one day per quarter, etc.)
9. Enter "Sang le TyFe"both as "Sample rL1; asm•rnt~ut" (actual sample type used during monitoring period) and as "~°z»n%t
Re~uiramant," (e.g. Enter "Grate" for individual sample, "14HG" for 24-hour composite, "1J/A" for continuous
monitoring, etc.)
10. Where violations of permit requirements ace reported, 2ttacb a briefexplanation to describe cause and cartec[ivc actions
to be 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.
]2. Enter "Name/Ti11e of Principal Exa;utiv: Gffic~r" t~z[h "Sigrraturz of FrLr;;ipal E.re~utive ~~er of Authorizul
Agent, ""Telephone Number,"and 'Date"at bottom of form.
13. Mail signed Report to Oflce(s) by date(s) specified in permit. Retain copy for your records.
] 4. ^+Iore detailed instmctions for use of this Dischargz 1Lfonitaring Report (Dd92J form may be obtained from Office(s)
specified in permit
Legal Notice
This report is required by law (33 U.S.C. T 3I8; 40 C.F.R. 125.27). Failure to report or failure to report truthfully can result in
civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation,
or by imprisonment for not more than one year, or both
EPA Form 3320.1 (Rev. 03/99)