Fleetwood
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OMS No. 2040-0004
"-I
NY0021601
PERMIT NUMBER
IRi~CC~~~~fD)
DMR Mailing ZIP CODE
12590
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
NAMEI11TLE PRINCIPAL EXECUTIVE OFFICER
NAME:
ADDRESS:
FACILITY:
LOCATION:
A TTN: 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
Michael P. Tremper
Chief 0 erator
TYPED OR PRINTED
001-X
DISCHARGE NUMBER
AUG 3~2fJJ~
TOWN OF WAIilRlNGER
TOWN CLERK
No DischargeD
FROM
MONITORING PERIOD
MM/DDIYYYY I I MM/DDIYYYY
07/01/2010 I TO I 07/31/2010
QUANTITY OR LOADING
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
QUALITY OR CONCENTRATION
VALUE
VALUE
UNITS
UNITS
VALUE
VALUE
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
~;~;rst:.t:~~:t-:;::~a:.~~Od:;~::: ~-:c~~;;:ifude ~=IUQ=~; :~=i::;dOT
ItVIIluatelbe information submitled. S_ed on my ioquiry ofth. pCBCKI 01'" penOll. ~ manase the
system, or those persons direclly r~nsible for I.bng Ibe infonDlltim. Ibe informatioo sUbmitted is,
~~~::~:=lm~tin~ftf:e t1~:~:.ui~td':d.:n':::'O:if~~lf: :J":n:~~~~::r:..t~=:
v;ol.Hoo< SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
AUTHORIZED AGENT
TELEPHONE
DATE
845-463-7310
08/23/2010
NUMBER
MMfDDNYYY
AREA Code
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
Page 1
EPA Form 3320-1 (Rev.Ol/06) Previous editions may be used.
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)
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
. FLEETWOOD MANOR SO VWVTP
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, 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
81010 K 0
Percent Removal
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
12590
External Outfall
MM/DDNYYY
FROM 07101/2010
No DischargeD
QUANTITY OR LOADING
QUALITY OR CONCENTRA TION
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
VALUE
VALUE
UNITS
VALUE
UNITS
VALUE
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
~
1 certify under penalty of law thallhis docummllllld all Ittechments were p-epared under my di~d.iob or
:;'::::ili~ i~==::U~it:ea~:~~~~d~oqu~r:/~: ::::: ~:~=~~:~e-::r8lld
It}'Item, or IbOle perIODS directly responsible for Slllhcrin.. the inionnalion. the infonnalioo subm itted is,
~::t~e:}::::lm~~:~1J:e -:1~:f:i~ct:~~:d,::'~:ibif~~'~lf: ~~~~~~~::t~=~
\'wlalions.
MMlDDNYYY
DATE
08/23/2010
Michael P. Tremper
Chief 0 era tor
TYPED OR PRINTED
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
NUMBER
Page 2
EPA Form 3320-1 (Rev.Ol/06) Previous edItions may be used.
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:
LOCA TION:
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SO WWTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
NY002160 1
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
12590
NAME:
ADDRESS:
MONITORING PERIOD
MM/DDfYYYY MMIDDfYYVY
07/01/2010 07/31/2010
External Outfall
A TTN: DAWN
FROM
No DischargeD
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
NAMEITlTLE PRINCIPAL EXECUTIVE OFFICER
Michael P. Tremper
CIil.et 0 era tor
TYPED OR PRINTED
I lO:t'rtifr ~d.er pen"'J;:f la,! dultlbis doC~tlIl and all a1tachmenll wen pr-ep8red under my diredtoa Of"
~~:::. ~O:~iO::U~it~l~:~:~~d~~-:~fll~~ r~:!::.~~~~:e~~~~e~:r IWld
li)'stem. ortbost perIOD! directly responsible for ..~bering the information. the informatioo submitted is,
~~e~~.~~f:=lm~:'m~1J:e -:1~:f:'i~td~:~~~~f~~~lf= :nd:n~:::~:.tl:r~~~:
VIOlation..
DATE
08/23/2010
AREA Code
NUMBER
MMlOONYYY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
EPA Form 3320-1 (Rev.01/06) Previous edlllons may be used.
Page 3