Fleetwood Manor
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Li
NAME:
ADDRESS:
PERMITTEE NAME/ADDRESS (Include Facility Namellocation if Different)
Form Approved
OMB No. 2040-0004
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SO IMNTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
I
FACILITY:
LOCATION:
ATTN: DAWN
PARAMETER
Temperature, water deg. fahrenheit
00011 1 0
Effluent Gross
Temperature, water deg. fahrenheit.
i
I
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
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SU BR 03)
12590
FROM
MONITORING PERIOD
MM/DD/yyYY MMIDD/vYYY
06/01/2010 06/30/2010
No DischargeD
External Outfall
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
VALUE
VALUE
UNITS
VALUE
VALl,JE
VALUE
UNITS
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
I certify under ptoalty of law IIlIal tbis document and all attacbments were prepared under my dirtdion or
supervision in KCOrdmce wilb al}'stem designed 10 .surt fhllllfJalified pcnonnel properly SBtbcr_d
evaluale the ioformal:ioa IUbmitted. Bued 011 my inquiry offb. peRon or penon. ""<10 m8n.e th.
system or those person. direclly responsible for JltherinS Ibe infonnation. the infomtal:ion submitted is.
~~:it~~:t=t'm~:;1J:e t1C::~~~~C~djqr:~~~:ibW~~~lr= :ndkn~~~~;~=ro'rt~~=~
violBl:ions.
845 463 7310
NAMEITITLE PRINCIPAL EXECUTIVE OFFICER
Mic ae P. Tremper
Chief 0 erator '
TYPED OR PRINTED
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
TELEPHONE
DATE
07/19/2010
SIGNATURE OF PRINCIPAL EXECU E OFFICER OR
AUTHORIZED AGENT
AREA Code
NUMBER
MMfDDIYYYY
EPA Form 3320-1 (Rev.01l06) Previous edlllons may be used.
Page 1
....
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OM B No. 2040-0004
NAME:
ADDRESS:
PERMITTEE NAME/ADDRESS (Include Facility Namellocation if Different)
I
I
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
I -
FLEETWOOD MANOR SD WWTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
NAMEmTLE PRINCIPAL EXECUTIVE OFFICER
Michael P. Tremper!
Chief 0 era tor i
TYPED OR PRINTED
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
I
I
I
FACILlTY:-
LOCA TION:
A TTN: DAWN
PARAMETER
Solids, total suspended
00530 G 0
Raw Sewage Influent
Solids, settleable
00545 1 0
Efflue nt Gross
Solids, settlea ble
00545 G 0
Raw Sewage Influent
Flow, in conduit or thru treatment plant
i
50050 G 0
Raw Sewage Influent
Chlorine, total residual
50060 1 0
Effluent Gross
Coliform, fecal general
740551 0
Effluent Gross
BOD, 5-day. percent removal
81010 KO
Percent Removal
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
12590
, I
FROM.
No DischargeD
External Outfall
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
VALUE
VALUE
UNITS
VALUE
VALUE
VALUE
UNITS
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT I
REQUIREMENT
SAMPLE I
MEASUREMENT
PERMIT _
REQUIREMENT
, SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
. PERMIT
REQUIREMENT
I CCr1ifyunderpen-;:r.of Iawth.thisdocummllDd .lIl1ttllChmenlswa-e p-epared under my dirution or
~a::::: i~:::aI:::U~it:e7~:~~~d~o;~r:c'I~: ~~::~~~::e~~~:~e~:rand
system, or those perIOD' dinedy responsible for Sllllla-inl the itfonnldim,lbe informDl:ion subm dted is,
~~~~l~:-};f:lm ~~~1.f:. t1~:~~j~ci:=:1~::ibS:;~r'f:; :n~~:~~:~=r::t~:::~
viol81ion..
845-463 7310
TELEPHONE
DATE
07/19/2010
SIGNA TURE OF PRINCIPAL EXE TIVE OFFICER OR
AUTHORIZED AGENT
AREA Code
NUMBER
MMlDDIYYYY
EPA Form 3320-1 (Rev.01J06) Previous edItions may be used.
Page 2
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OM B No. 2040-0004
NAME:
ADDRESS:
PERMITTEE NAME/ADDRESS (Include Facility NameA-ocation if Different)
,
12590
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SD WWTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
I
FACILITY:
LOCA TION:
A TTN: DAWN
PARAMETER
Solids, suspended percent removal
81011 KO
Percent Removal
NY0021601
PERMIT NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
001-X
DISCHARGE NUMBER
FROM
MONITORING PERIOD
MMIDDNYYV I I MMIDDIYYYY
06/0112010 I TO I 06/30/2010
No DischargeD
External Outfall
QUANTITY OR LOADING
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
QUALITY OR CONCENTRA TION
VALUE
VALUE
UNITS
UNITS
VALUE
VALUE
VALUE
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
NAMEIllTLE PRINCIPAL EXECUTIVE OFFICER
Michael P. Tremper
Chief 0 erator
TYPED OR PRINTED
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attal'hments here)
1 crrtifr under pm~ of law tballhis docurnml ..d all attacbments were prepared under my direction or
:~ai:::~ i~:lIIi~::ut:it:e7~:~:~~d~o;;r:r'~~ ::::e;;:::~~e~~t-::r aid
S)'Itcm, or thOllt penon. direclly nsponlible rOl" ..hainslbe infonulim. Ibe infonnatioo .OOm itted i..
~o~:~:'}:=~~tin~tJ:e ~~~:~~i~c~d~:~~~:ibW~~~if~ ::d;n~~~~~~:to~t~~~
violAtions.
07/19/2010
TELEPHONE
DATE
845-463-7310
SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
AUTHORIZED AGENT
AREA Code
NUMBER
MMlDDIYYYY
EPA Form 3320-1 (Rev.01/06) Previous editions may be used.
I
Page 3