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E J ... .~ is o ..... lJ'o ill N o o ~ 3: " ..8 >. l\l E OJ <: o ;e i OJ " o .~ II. ~ :> 41 !; ~ N .., .., E is IL ~ W SECTION 1 ~ -... ~ New York State Department of Environmental Conservation Division of Water Report of Noncompliance Event To: DEC Water Contact R '" 5D /p., "" l . eport ~ype: _ ay _ ermlt rlO atlon DEe Region: Order Violation _ Anticipated Noncompliance _ Bypass/Overflow SECTION 2 SPDES #: NY-C03SCo3& Facility: ~O'fQ' R..~dye (A..kiJ~Uh f.d 'f(€.Q+ i1r\4'IIJ (lto.",- l Date of DODcompllance:j). / J D /0) Location (Outfall, Treatment Unit, or Pump Station): o~f ~ II Description ofnoncompliance(s) and cause(s):_Fec.c. (Collior...., 7 do..'f GeoIY\Pir.'" Ift.~c::.., Oh.1Ve. ~ leVel oj r700 !If\pN J if){) ML I I . Has event ceased? S (No) If so, when? Start date, time of eventd:l /)D / OS. I iJ30/o3 Was event due to plant upset? (Yes)~ SPDES limits Vlolated?~ (No) (AM) (PM) End date, time ofevent: [J. / 30 / OJ. (AM) (PM) __J.!llt~Jillle Or~lnQtificatioD_made_to_DEC?_.__L--L.. -~--=---(AM)(PM)-DEC-Officia1.contacted:------------------_..- Immediate correctiveactions:_R6Q4\,lld pe.rof cot,IIor""" r<e~v I.b \NIlfl. <.90 mp '" /ltJ{) /1'11. , Preventive (long term) corrective actions: SECTION 3 Complete this section if event was a bypass: 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:ntic.hajl11fei\l~ TitJe:-~'CJ P(J\)id...1~+ Date: t /2.]/ D~ Phone #: (e~S)4&3 .7310 Fax #: (e4S; 4J.o _73D.{ I Certify under penalty of law 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 infonnation, including the possibility of fine and imprisonment for knowing violations. x~~tyV Signature of Principal Executive Officer or Authorized Agent SECTION 1 ~ ~ ~ New York State Department of Environmental Conservation Division of Water ____~J!!!!1!!f Noncompliance Event To: DEC Water Contact DEe Region: / Report Type: _ 5 Day _ Permit Violation Order Violation _Anticipated Noncomp/kznce _Bypass/Overflow SECTION 2 SPDES#: NY-D035lp3~ Date of noncompliance: I ;)../ 103 Facility:K'oyO( ~/d91. WQ.5Jel.lJ4'/~r Tlf'("It'~/1 f pJc.,. I Location (Outfall, Treatment Unit, or Pump StatIOn)~}~ II lOiP Has event ceased? (Yes) (No) If so, wben? Was event due to plant upset? (Yes) @ SPDES limits Violated?<9 (No) Start date, time of event: I;} 1 J /0:3. tf). : tJO (@) (PM) End date, time of event: J ~ 13'. loj . ) J :.)"1 (AM)8 ___Q.~t~_!iIR~j)rJlLnQtification-made-to_DEC? __-1..-1__. __--.:------(AM).(l?M)-DEC-Officialcontacted:-------------- Immediate corrective actions: Preventive (long term) corrective actions: SECTION 3 Comolete this section jf 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:YltiChGJ LP1feN.fJ.lTitle: ~'OJ. Pbone#: (8~.:S;~J:7Jjb Fax#: Date: / 1271 o~ I Certify under penalty of law thallhis document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure Ihat 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. .- X ~/~~ Signature of Principal Executive Officer or Authorized Agent