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SECTION 1
~
.....
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Report of Noncompliance Event
*
New York State Department of Environmental Conservation
Division of Water
Report Type: _ 5 Day
DEe Region:
To: DEC Water Contact
Order Violation _ Anticipated Noncompliance _ Bypass/Overflow
SECTION 2
SPDES#: NY-002. 'loOl Facility:~LtJl1l1d ~r SD WuJr(J
Date of noncompliance:' 1 loS" Location (Outfall, Treatment Unit, or Pump Station):~
DesCriPupn,OfnoncomPlianCe(S andcause(s): (Yl. D~/v C'll>>.IC1V' +\OW CthtJl/! /)~,,~,;f l.eve.\ dut. ~~U'i
Q; "-G o....d T T r-
Has event ceased? (Yes) (No) If so, when? Was event due to plant upset? (Yes)~ SPDES limits Violated~) (No)
Start date, time of event: I I I 1 os: I d- :00 @ (PM) End date, time of event: I 1311 oJ':" I J :~""9 (AM6
Date, time oral notification made to DEC? 1 1 (AM) (PM) DEC Official contacted:
Immediate corrective actions:
Preventive (long term) corrective actions:.Lth rk. 1-\.,;, I"J 1\
'I- ~ pr4.,1A All .
SECTION 3
ComoJete this section if event was a bvoass:
Bypass amount:
Was prior DEC authorization received for this event'! (Yes) (No)
DEC Official contacted:
Date ofDEC approval:
1
1
Describe event in "Description of noncompliance and cause" area in Section 2. Detail the start and end dates and times in Section 2 also.
SECTION 4
FacilitY Rep resen tative: '!YL p, /{ e VI\. p.-t (
Phone#: (816 )41.D3 .7<3JO
Title: Vi <2.lJre-5J'd.eA. -+ Date: 2 12+0 .{
Fax#: (f1S) 41.P3 .70D.5
I Certify under penalty of law that this document and all attachments were
prepared under my direction or supervision in accordance with & system designed
to assure that qualified personnel properly gather and evaluate the information
submitted, Based on my inquiry of the person or persons who manage the system,
or those persons directly responsible for gathering the information, the information
submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
;K ~U&t'A)
Signature of Principal Executive
Officer or Authorized Agent