Fleetwood
,
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
1
~~CC~~~~1I5)
Form Approved
OMB No. 2040-0004
PERMITTEE NAME/ADDRESS (Include Facility NameA..ocalion if DifferenQ
2590
NAME:
ADDRESS:
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SO WWTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
FACILITY:
LOCATION:
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-d~y, 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
NOM "a~64~IP CODE:
MINOR
TOWN OFLWAl'PINGER
TOW~r~~RK
No DischargeD
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
FROM
MONITORING PERIOD
MM/DDIYYYY MMIDDNYYV
10/0112010 10/3112010
QUANTITY OR LOADING
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
QUALITY OR CONCENTRATION
VALUE
VALUE
UNITS
VALUE
VALUE
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-penalty of Jaw that Ihis doc:umenllDd all attKhmen" were p-epared undcrmy direction 01"
supemsion i!, ac:~ce wi~ . system designed .to as!llre th. CJIa1ified penoanel properly sather Blld
eVIII!RI, the informllflOll ~bmitted. Bued on my mquit)' oflhe penal or penon. who mlM8' the
system. or thoce penon. diredly responsible for ,.hRa the infonnthon. the informllf:ioo submitted is.
~~.~~o~;~'i::'m~~:e ~:;::~~~~tdinr:,~~O:K~~lr: :d:n~~~:e:r~t:::~
...1...... SIGNATURE OF PRINCIPAL EXECU lYE OFFICER OR
AUTHORIZED AGENT
DATE
TELEPHONE
845 463 7310
11/22/2010
NUMBER
MMlDDIYYYY
AREA Code
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
EPA Form 3320-1 (Rev.01l0B) Previous editions may be used.
Page 1
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OMB No. 2040-0004
,
PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different)
12590
NAME:
ADDRESS:
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SD VWVTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
FACILITY:
LOCATION:
A TTN: DAWN
PARAMETER
Solids, total suspended
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PER,MIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
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 K 0
Percent Removal
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SU BR 03)
FROM
MONITORING PERIOD
MM/DDIYYYY I I MMIDDIYYYY
10/01/2010 I TO I 10/31/2010 .
No DischargeD
External Outfall
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
VALUE
VALUE
UNITS
VALUE
VALUE
VALUE
UNITS
TELEPHONE
DATE
I certifY underpenaJty of law thlll this doClDlent and all attachments were pnpred uadermy direction or
supervision in aecon:lmce with . systera designed to asJR thlll ~a.lified .rnooael propt'l'fy slither md
evalUllte the infonnalion submitted. Bued on my inquiry oftht; penon ~peRo!,.......o l!Ian.t th.e .
system, or those penon. directly responsible for SlihennS the infonnldlon, the mformatlon sub~ itI~d '1,
~:it~~:=6m~=~1.f:e ~;::f:i~ci:d:~:;'~~ifi~~lf:: ~~:=e: fur~~=~
violalionl.
NAME!TITLE PRINCIPAL EXECUTIVE OFFICER
Michael,P. Tremper
Chief 0 erator
TYPED OR PRINTED
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
11/22/2010
SiGNATURE OF PRINCIPAL EXECUT E OFFICER OR
AUTHORIZED AGENT
NUMBER
MrNDDIYYYY
EPA Form 3320-1 (Rev.01/06) Previous editions may be used,
Page 2
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OMB No. 2040-0004
~
PERMITTEE NAME/ADDRESS (Include Facility Namellocation if DifferenQ
NAME:
ADDRESS:
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
. FLEETWOOD MANOR SD VWVTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
12590
ATTN: DAWN
MONITORING PERIOD
MM/DDIYYYY I I MMIDDIYYYY
10/01/2010 I TO I 10/31/2010
External Outfall
No DischargeD
FACILITY:
LOCATION:
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
81011 KO
Percent Removal
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
NAMElTITLE PRINCIPAL EXECUTIVE OFFICER
Michael P. Tremper
Chief 0 erator
TYPED OR PRINTED
I certify under penalty of law thlltthi. document IKld a11l1ttachments were p-epared under my dired:ion or
supervision in accordmce with asymm desi8lled to lUlU lhli lJJalified pmonnel prtl'my galber llIId
evahJllte the mormatioo submitted. Based on my iDquiry oCtile penoa arpusoulwho mSDase the
system. orthwe persons directly responsible for phainS the infonn.ioa. the infonnldion submined is,
~oe::'~~;=~~tin~1.f:e ~C:::f:~ci:d~:~:np~O:W:;~I~ ~=:~::r;t~~~
,",,""ion. SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
AUTHORIZED AGENT
TELEPHONE
DATE
11/22/2010
NUMBER
MMlDDIYYYY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
Page 3
EPA Form 3320-1 (Rev.01/06) Previous editions may be used.