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E '" r::: o :e i '" ::s o .;; !! a. i '" ,,; III ~ ~ PI p) E o IL i:: III i SECTION) ~ ...... ~ New York State Department of Environmental Conservation Division of Water Report 0..( Noncompliance Event To: DEC Water Contact DEe Region: Report Type: _ 5 Day / Permit Violation Order Violation _ Anticipated Noncompliance _ Bypass/Overflow SECTION 2 SPDES #: NY.{)O:1S' ~37 Facility:(h,Q ,q,.';, l Rwlt.s \') WWTr'- (;oYCtI o..!Jqf Date of noncompliance: ~ / / Dlf Location (Outfall, Treatment Unit, or Pump Station):Mt. II Descrif1tion of noncompllance(s) and cause(s):-f.n aNI- My c:.IIUt1'!t' t 1M) obolf{ P~I"MI (4 J.ei/ll dve to fC'A.'^ J'a J~ 5i1()/'v Il'\e + o.f\d :J:-if. Has event ceased? (Yes) (No) Ifso, when? Start date, time of event: 3 / 1 / 0'1. Was event due to plant upset? (Yes) f) SPDES limits violated?.9 (No) (AM)(PM) End date, time ofevent: 3 /3 { /0 'f . (AM) (PM) (AM) (PM) DEC Omcial contacted: Date, time oral notification made to DEC? / Immediate corrective actions: Preventive (long term) corrective actions:JAJO~h'l (J{\ '1!-+~ pnMem. 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 and times in Section 2 also. SECTION 4 FacilitY Representative:V'K. P 1fe(rt..~ Phone #: (?15 )4~ .73 J D (0.:10( Dat"~ J - 7.JO.s I Certify under penalty oflaw that this document and all attachments were prepared under my direction or supervision in accordance with a 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. -- ~~~~ Officer or Authorized Agent