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SECTION I
~
.....,
.....".
New York State Department of Environmental Conservation
Division of Water
Report (J.t Noncompliance Event
*,~.;
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To: DEC Water Contact
DEe Region:
Report Type: _ 5 Day ~ermit Violation _ Order Violation _ Anticipated Noncompliance _ Bypass/Overflow
SECTION 2
SPDES #: NY-co3.)lo 37 Facillty:Jllid(N"J PK 5 t) ~W-rP- ~ I RcJj.
Date of noncompliance: r / / t:>t( Location (Outfall, Treatment Unit, or Pump Statlon)o)~ II
De5criPtJOfnOnCO~liance(s) and cause(s): (nnflf.JJi CLt/'Ct7P ~1o..U a/ple ~fm.'f lei It! du~ +0 hectll'l
l'o..n I Q-L"\ r... ,. ,
Has event ceased? (Yes) (No) If so, when?
Start date, time of event:. ~ / I /oLl.
Was event due to plant upset? (Yes) ~ SPDES limits violated? ~ (No)
(AM) ~M) End date, time. o.r !,vent: g />.. /0'1. (AM) (PM)
Date, time oral notification made to DEe? / /
(AM) (PM) DEe Official contacted:
Immediate corrective actions:
. Preventive Qong term) correctiveaCtlonsJAJO t't, '" ~ Of\. ~ + :r: pf'bhle fk .
SECTION 3
Comolete 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:
/
/
Describe event in "Description of noncompliance and cause" area in Section 2. Detail the start and end dates aDd times In Section 2 also.
Title:Vi e.-L ?{~ s.t d..Q..d- Date: ~ /27/ (; <-I
Fax#: ( f#) 'tlP3- 736f
r Certify under penalty of law that this document and all attachments were
preplTed under my direction or supervision in accordllnce with a system designed
to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry oflheperson or persons who manage the system,
or those persons directly responsible for gathering the information, the infonnation
submitted is, to the best ofmy knowledge and belief, true, accurate, and complete.
r am aware that there are significant penalties for submitting false information,
including the possibility offine and imprisonment for knowing violations.
X'"
Signature of Principal Executive
Officer or Authorized Agent