|
~~.~erwork Redaction Pict Notre
<br />Public reporting burden for this collection of information is estimated to vary from a range o; 10 flours 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 dzta 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 at entry of that information aUeady
<br />preprinted.
<br />2. Enter "Pernrinee N.mte/~oi[ino Rddress (and facility name location, if different)," "Permit Nvmber;' and "Discharge
<br />NumEzr" where indicated. (A separate form is required for each dischazge.)
<br />3. Enter dates beginning and editing "donitcring Fdl"1'J;./"covered by form where indicated.
<br />4. Enter each Parameter" as specified in monitoring requirements of permit.
<br />5. "nter "S~ugdd IiL:rsur_;;r~°nt" data for each pammcter under "Qrrartih~" and [Jrraii!i~" as specified iv permit 'Are,tige" is
<br />^ornaJly arirhmctic a~ .~~gc (geometric average for bacterial pammciers) of all sample mcasuremerts for each parameter
<br />obraincd during "b~/',n%i ~,rino P~r.'s.l"; "i~i~rirurun" and l~iiai,,,ron." arc ncnnal!y c>,Iremc high and low mcasuremcll~
<br />obtained du.iag ",LE:rt„i,tg ,f_,ir?". (hole Lo munic;pz's with secondary treatment rc uir:ment Enfir 30-dry ~~erdgc
<br />of sample mca~.~,u~em~nis tinder ",ivsrade,"and en0.r nu~•:imu~ 7 %c:y avergc of sm~, le nie7surera~n's obtained durutg
<br />monitoring period under ",Liaximum.")
<br />u. Ere' "P.:na%, ic_ Jnirtu, sn" for eact; pammc:cr mrdcr "Qv~nriA~"and "~rrali.7,",ya s;h'cified i^ re~^ni_
<br />7. lirdcr "Are: ~:-" c~!': numl:cr a"-=umplc m.eaw-.!r.c r? d~rring meniror.ng ru ~cd li':ri c:.crcd react i~n~~m (:.nd/nr mr:oirwa
<br />o* 7-dzy ace~r~c as at ;crop,: +.~) pc-rr.i- rcquirentcri fur crch parmeter. lfnone, cr.ter "0".
<br />u. i.l~. "ff'G.4'.. • r~'-%,!11'e ,'Loth ~. "5':,,q-L• ~,_ ~s,.rc,na,;r" -erect! fT_yL-:.!-}' Jrsar,p'i.,g and a~.al,~s's :~scd du.ing
<br />Wont?nrng p::.i;x:) ; nt' ~.. "l .•.;,,;: R:~/ir_r,r,,~~"spec~fieu +r, ~,.c~•~~~'. (¢.o. Lnler "C~,nl,"fur con?`~:ua s moni[ori.;" "i/7"
<br />for .:ne da~ ,_~ ,•. •_ :':, '//i0'' fu- one dry per monut, "'~~9G"for ei:c dry per qusrter, etc.)
<br />S. 2v?~r ':i~.,.t :!' %};tee" 1:r,L'~ a. "S_,nt~./: %.,__ .... _,a -n!" (.rctu;:! s:.r~n'.: typ:: us:d dur:r,g n•cnito~:ng pc~od;. and as "F~,~rri!
<br />Ra.lr•i,v„u.;:," (.:.1;. =..~c, "Gear" fur indiviu~!al sample, "?4H~" ro- 24-I~eo~ composite, ';~'/,`" for contiruoas
<br />monitoring, etc.)
<br />10. P:''acrc viol:I~oa of permit requiz:mcr.ts arc rpurtcd, auacL• a biicf e :Plsra;ion W ftsc,ibe cause me cornec;ive uc:iuns
<br />to be taken, ;u:d mfcrencc each violation by da:e.
<br />11, l; ":no Ciscit~gc" uccu~s during monitorio~ period, e.~:.r "No Discharge" across form in plat: ofda4- entry.
<br />12. n'c 'Stru.,r:/lit4 of F,in_i1a! E.t~.za%va G~_e," with "S(ynr:nr~ ,f Fr,n_%fl' i<r__ar!ivc G~•_r of ~:rrLo,.i_>ed
<br />fib mt, "''fzle`L-rv.: iJuml•er, "and "Cate" at bottom of Conn.
<br />] 3. nail signed Repc;t to Ot3icc(s) by date(s) specified in permit. Retain copy for your rxords.
<br />'4. more uetailad instructions for use oC [his Disal:arge ;~Ivnitori,rg R.rF~ri (G,LiFeJ form may 1;e obtained fmm Office(s)
<br />specified in persnit.
<br />Legal Notice
<br />This report is required by law (33 U.S.C. 1318; 40 C.F.R. 125.2.1). Failure to report or failure to report truthfully can result in
<br />civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of viclation,
<br />or by imprisonment for not more than one year, or both.
<br />EPA Form 3320-1 (Rev. 03/99)
<br />
|