Fleetwood
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OM B No 2040-0004
PERMITTEE NAMEIADDRESS (Include Facility Name/Location il Different)
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SD WWTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
NAME:
ADDRESS:
FACILITY:
LOCA TION:
ATTN: DAWN
PARAMETER
Temperature, water deg. fahrenheit
00011 1 0
Effluent Gross
Temperature, water deg. fahrenheit
00011 GO
Raw Sewage Influent
BOD, 5-day, 20 deg. C
003101 0
Effluent Gross
BOD, 5-day, 20 deg. C
00310 G 0
Raw Sewage Influent
pH
00400 1 0
Effluent Gross
pH
00400 G 0
Raw Sewage Influent
Solids, total suspended
00530 1 0
Effluent Gross
NY0021601
PERMIT NUMBER
rR1~CGI'E~~~[Q)
DMR Mailir:g ZIP CODE: 12590
:~N~ 28 2810
TOWNrrOFutW APPINGER
TOWN CLERK No DischargeD
001-X
DISCHARGE NUMBER
FROM
MONITORING PERIOD
MMIDDIYYYY MM/DDNYYY
04/01/2010 04/30/2010
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO. FREQUENCY SAMPLE
EX OF AN \L YSIS TYPE
VALUE
VALUE
UNITS
VALUE
VALUE
UNITS
VALUE
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMpLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
01/01
o
61
GR
" r' ,
NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I ~erlify undcrpenally of law thallhis docWllml and all al:tllChmenls wert preparrd undcrmy direction or (?!!t/(0 (fl)f~()/! '1 /tx>1 " TELEPHONE DATE
supervision in accordooce wilh 0 system designed 10 lIS!lUre Ihm: ~aljfied personnel properly gother and
evaluate the infonnntion submitted. Baud on my inquiry aflbe penon or persons \'Aio manage the 845-463-7310 OS/24/2010
Michael P. Tremper system, or those persons diretlly responsible for gnlha-ing the infonnaiioo, !he iIlfonnalion submitted is,
Chief Onerator ~~~~t~~~:t ;;:~~~~Y~eg~:r ~1~~f~~i~ci~~:~:np~~bWi~~~/ f~ ~~r%~~~~:u::t~~~~ SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AREA Code I
violaiiOIl5.
TYPED OR PRINTED AUTHORIZED AGENT NUMBER MMlDDIYYYY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
Page 1
EPA Form 3320-1 (Rev.01l06) Previous editions may be used.
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
PERMITTEE NAME/ADDRESS (Include FacIlily Nameilocation if Different)
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SO WWTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
NAME:
ADDRESS:
FACILITY:
LOCATION:
ATTN: DAWN
PARAMETER
Solids, total suspended
00530 G 0
Raw Sewage Influent
Solids, settleable
00545 1 0
Effluent Gross
Solids, settleable
00545 G 0
Raw Sewage Influent
Flow, in conduit or thru treatment plant
50050 G 0
Raw Sewage Influent
Chlorine, total residual
50060 1 0
Effluent Gross
Coliform, fecal general
74055 1 0
Effluent Gross
BOD, 5-day, percent removal
81010 KO
Percent Removal
NY0021601
PERMIT NUMBER
DMR Mailing ZIP CODE:
MINOR
(SU BR 03)
NO.
EX
FREQUENCY
OF ANALYSIS
Form Approved
OMS No. 2040-0004
12590
No DischargeD
SAMPLE
TYPE
06
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01/01
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99/99
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01/01
001-X
DISCHARGE NUMBER
FROM
MONITORING PERIOD
MMIDDIYYYY MM/DDIYYYY
04/01/2010 04/30/2010
External Outfall
01/30
. .
.
01/01
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01/01
GR
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MEASUREMENT
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REQUIREMENT':'
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MEASUREMENT
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REQUIREMENT ~.....
SAMPLE .._..
MEASUREMENT
PERMIT ~".."..,.., ,,::;
REQUIREMENT I>:.;.:: ..;...;2
MEASSAUM:ELriENT 0.051 **-**
PERMIT 1:';,riH2~B'" .'.1.>." I, i,,'W;'.
REQUIREMENT ~'~ .:..1.:.2:
SAMPLE .._..
MEASUREMENT
PERMIT I.:'"
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT I...,...,......: ',.:
REQUIREMENT
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
I.' . . ....' .'1
o 01/30 CA
:.- -. rAl rTn
i. . .
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
VALUE
VALUE
UNITS
UNITS
VALUE
, /1'
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law lhat this dOtlUllnJt and all alhll:hmenls were prepared under my dirution or ,j!/tJJ{vl!/&lr it /J,,z//L TELEPHONE DATE
supervision in w:cordlllce willi a syslem desigm:dlo as:wrc lbli cplalified pmOlUlel properly gather and
evalunte the iofonnntion submiued. Ba:s~d on my inquiry ofth~ person orpenons who mWlBge the 845-463-7310 OS/24/2010
Michael P. Tremper system, or those persons directly r~ponsible for g~hering the infonmuion, the infonnalion submitted is,
Chief Operator ~oe~~~~~::s,::~~~~~etJ:e ~1;;::f~~I~ciud~:~:~~~~bifi~~I~/ fa::; :'d:..~:~~~:::efos:t~~=~ SIGNATURE OF PRINCIPAL EXECOTIVE OFFICER OR AREA Code I
violations. NUMBER MMlDDNYYY
TYPED OR PRINTED AUTHORIZED AGENT
VALUE
VALUE
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. ...
120 -.... 0
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EPA Form 3320-1 (Rev.01l06) Previous edltlons.may be used.
Page 2
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OMS No. 2040-0004
PERMITTEE NAME/ADDRESS (Include Facility Namellocation if Different)
FACILITY:
LOCA TION:
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SD WWTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
12590
NAME:
ADDRESS:
ATTN: DAWN
External Outfall
FROM
No Discharge D
PARAMETER
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO.
EX
FREQUENCY SAMPLE
OF ANALYSIS TYPE
VALUE
VALUE
UNITS
VALUE
VALUE
VALUE
UNITS
Solids, suspended percent removal
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
96
o
01/30
CA
81011 KO
Percent Removal
," ..
NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I certify underpmwty of law thallhis documml nnd all attachments were prepared under my direction or 09/" } ../,0 TELEPHONE DATE
supervision in accord....ce \vith B system designed to woore Iha <pJoJificd pcnoJUlel properly gather and
evaluate the illfOOllafi(ln submitted. Based on my inquiry oCthe penon or persons ""no mwulge the ( !( C[UtC{;7! U'rN// ?S/ 845-463-7310 OS/24/2010
Michael P. Tremper system, or those persons directly responsible for gathering the infonnaliOll,lhe infomuuion iubmitted is.
~Oc~~it~~}:[::lm ~~:~etJ~ ~1~~~f~~i~ci~d~:~:np::~bifi~~I~l f~ ~fu~~~~~~:r::t~~~:
Chief Qnerator violalions. SIGNA TURE OF PRINCIPAL EXECUTI~E OFFICER OR AREA Code I
TYPED OR PRINTED AUTHORIZED AGENT NUMBER MMlDDNYYY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
EPA Form 3320-1 (Rev.Ol/06) Previous editions may be used.
Page 3