Fleetwood Manor
'.
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OMB No. 2040-0004
1
PERMITTEE NAME/ADDRESS (Include Facility NameA-ocation 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:
A TTN: DAWN
PARAMETER
Temperature, water deg. fahrenheit
00011 1 0
Effluent Gross
Temperature, water deg. fahrenheil
00011 GO
Raw Sewage Influent
BOD, 5-day, 20 deg. C
00310 1 0
Effluent Gross
BOD, 5-day, 20 deg. C
00310 G 0
Raw Sewage Influent
pH
00400 1 0
Efflue nt Gross
pH
00400 G 0
Raw Sewage Influent
Solids, total suspended
00530 1 0
Efflue nl Gross
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
NAMEITITLE PRINCIPAL EXECUTIVE OFFICER
Michael P. Tremper
Chief 0 erator
TYPED OR PRINTED
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (R
EPA Form 3320-1 (Rev.01/06) Previous edlllons may be used.
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
12590
FROM
No DischargeD
External Outfall
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
VALUE
UNITS
VALUE
VALUE
VALUE
UNITS
VALUE
I certif}' ~n of law that I.hil docummlllDd IIU at1Kbments were p-epared under my di~ction or
suptrvlG Kcor c. WI . el erly sllther..d
evaluBtt tb information submitted Burd 011 my inquiry ofthe peRon orpmool 0 m
;:~::'b; c:e'bar::iRmg~' r. 'fEIDj" the mforml:;;::::' ~~(
p~a1t.ie. fo IUt:ittin. c . . 0 ontneot for O~I
vlOlahons..
DATE
06/21/2010
NUMBER
MMlDDIYYYY
erence all attachments herek
JUN 2-5 2010
TOWN OF WAPPINGER
TOWN CLERK
Page 1
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCH~RGE MONITORING REPORT (DMR)
Form Approved
OMB No. 2040-0004
PERMITTEE NAME/ADDRESS (Include Facility NameA..ocation if Different)
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SD WWTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
NAME:
ADDRESS:
FACILITY:
LOCATION:
A TTN: DAWN
PARAMETER
Solids, total suspended
00530 G 0
Raw Sewage Influent
Solids, settleable
00545 1 0
Effluent Gross
Solids, settlea ble
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
81010KO
Percent Removal
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
NAME/TlTLE PRINCIPAL EXECUTIVE OFFICER
Michael P. Tremper
Chief 0 era tor
TYPED OR PRINTED
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
12590
FROM
MONITORING PERIOD
MM/DDIYYYY I I MMIDDIYYYY
05/01/2010 I TO I 05/31/2010
No DischargeD
Exte rn a I Outfa II
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
VALUE
VALUE
UNITS
VALUE
VALUE
VALUE
UNITS
I certify underpmally of law Iblt this doc\KIlenl..d ell attlll:hmenls were prtpard undtrmy direction or
supervision in IICcordlmc:c with . system designed 10 .sure Hu. cp.Ialificd personnel pn~erly gather.and
evllluate the information submitted. Bued on my inquiry of the person or penons wilO mlllllBe the
system, or tbose penons dinclly responsible for glllha'inS the infonnalim. the infonnlllioa 100m itted is,
~oe~~e~:=tm~tin~1J~ -:~;':::f:~ctd~~:np~:iliW~~/f~ :d:n~:~~~~:r::t~=~
v,,''';oo< SIGNATURE OF PRINCIPAL EXECUT< E OFFICER OR
AUTHORIZED AGENT
DATE
06/21/2010
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
NUMBER
MMlDDIYYYY
EPA Form 3320-1 (Rev.Ol/0S) Previous editions 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 NameA.ocation if Different)
FACILITY:
LOCATION:
WAPPINGER (T)
20 MIDDLE BUSH 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
MONITORING PERIOD
MM/DDJVYYY I I MMIDD/YVYY
05/01/2010 I TO I 05/31/2010
External Outfall
No DischargeD
FROM
PARAMETER
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
VALUE
VALUE
UNITS
VALUE
VALUE
VALUE
UNITS
Solids, suspended percent removal
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
81011 KO
Percent Removal
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
Michael P. Tremper
Chief 0 erator
TYPED OR PRINTED
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
I certify under pendy of law Iblll tbis document and all attKbmenb: were pc-epared under my direction 01"
~e:::~~ i:;~=::U~it~d:~e=je:n~~d~o;~~/::: ::~:e;t;.~:~=e~~,:e~~~:rond
system, or tbOle persons directly rtspOlllliblc for Solha-inS the infonnlllian. the information mbmitted is,
~oe~~~~f:: ;::6m~~~1J:: ~1~i~~~~ctdinr:d.:np~:ibS:;~lr~ :::n~~~~~:r:'1~~:::~
violalionl.
DATE
06/21/2010
NUMBER
MMlDDNYYY
Page 3
EPA Form 3320-1 (Rev.01l06) Previous editions may be used.