HYDRO30987

• Permit No: C1981047
• IBM Index Class Name: Hydrology
• Doc Date: 10/2/2001
• Doc Name: 3rd Qtr 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 very from a range of 10 hours as m
aver;gE per response for some minor facilities, to (]0 hours as ao average per response for some major facilities,
with ~'wyighted average for major and minor facifiC of IS hours per_ response, including time for reviewing
'instructions, searcbin existia data sources, athenT~ itaiatainia the data needed, and com letia and
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reviewing the collection of information. Send cortlmen~s regarding the_¢u[den estimate or any other aspect of
tltis 'collection of information, including suggestions for reducing this burden, to Chief, infotmatioa Policy
Brand, PM-223, U.S. Eavirotunental Protection Agency, 401 M Street; SW Washington, DC 20460; and to the
Office of hrformatioo and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503.
~~s General Instructions
hu been partially completed by preprinting, disregard instructions directed at entry of that information
preprinted.
'Permitree Name~llfailing Address (and facility ttameflocation, if different)," "Permit Namber," and
vge A'umber" where indicated. (A separate form is required for each discharge)
beginning and ending 'itloniloring Period" covered by form where indicated.
each "Parameter" as specified in monitoring requirements of permit.
~tter.,"Sample hfeasuremenr" data for each parameter under "Quantity" and "Quality" in units specified in permit.
,~verwge" is normally arithmetic average (geometric average for bacterial parameters) of all sample measurements
+~er each parameter obtained during "Monitoring Period'; "Afazintum" and "Minimum" are normally extreme high
and {ew measurements obtained during "Monitoring Period." (Note to municipals with secondary treatment
t~ttirpnterte Entcr 30-day average of sample measurements under "Average," and enter maximum 7-day average
Of sattiple'meazurements obtained during ntoniloring period under "Maximum.')
Eiter'Pe~mit Regmrement" for each parameter under "Quantity" and "Quality" az specified in permit.
.-i , "
[Jhder ",Vo Ex" enter number oC sample meazurments during monitoring period that exceed maximum (and/or
tpinioium or 7-day average az appropriate) permit requirement for each parameter. If none, enter "0".
$nter "Frequency oJAnalvsis" both as "Sample Men.rurment" (actual frequenry of sampling and analysis used
`wring monitoring period) and as "Permit Requirerreent" specified in pcrmit. (e.g., Enter "Conn," for continuous
OAOnitoring, "I/7" for one day per week, "1/30" for one day per month, "//90" for one day per quarter, etc.)
-l;nter "Sample Type" both az "Sample rLleosurement" (actual sample t}~pe used during monitoring period) and az
".Perrriit Requirement," (e.g., Enter "Grab" for individual sample, "24HC' for 24-hour composite, "N/A" Cor
continuous monitoring, etc.)
Where violations of permit requirements are reported, attach a brief explanation to describe cause and corrective
actions taken, and reference each violation by date.
If "no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry.
Enter "Name/title ojPrincipa! Executive Officer" with "Signature ojPrincipal Executive O~cer of.4urhorized
Agent," "Telephone Number," and "Date" at bottom of form.
Mail signed Report to Office(s) by date(s) specified in permit. Retain copy Cor your records.
More detailed instmctions for use of this Discharge A~fonitoring Report (DMR) form may be obtained from Office(s)
specified in permtit.
Legal Notice
report is required by law (33 U.S.C. 6318; 40 C.F.R. 125.27). Failure to report or failure to report truthfully can
t in civil penalties not to exceed 510,1x10 per day of violation; or in criminal peaalties not to exceed 525,000 per day
olltion, or by imprisonment for ant more than one year, or by both.
Form 3320-1 (Rev. OS-95)
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