Fleetwood
1
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OM B No. 2040-0004
PERMITTEE NAME/ADDRESS (Include Facility NamelLocation 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
Temperature, water deg. fahrenheit
00011 1 0
Effluent Gross
Temperature, water deg. fahrenheit
00011 G 0
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 CpDE:
MINOR
(SUBR 03)
12590
FROM
MONITORING PERIOD
MM/DD/YYVY MMIDDIYYYY
11/01/2010 11/30/2010
No DiSchargeD
External Outfall
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
VALUE
VALUE
UNITS
VALUE
VALUE
VALUE
UNITS
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
o
GR
61
I certify underpMlaky of law thallhis doc:tunml and all attachmenls were (X"tpared-undermy dirtaion or
supervision in accurdmcc wilh a system designed 10 .sure that qualified persoMel properly gather and
evaluate the infonnalion submitted. Based on my inquiry afthe pl!:r.ilm orpersonll who manage the
system, orlhose persons ,lirectly r~oDSible for galhering the information, the informol:ioo rnbmitted is,
~oe~:~~~;rf:6m ~~~~f~:e ~~:fo~~ci~d:ili:np~~ibW~~~lf~ :d:n~~~~~~~f;t~~::~
vio\BtioOL
TEL,EPHONE
845-463-7310
DATE
12/16/2010
NAMEmTLE PRINCIPAL EXECUTIVE OFFICER
Michael P. Tremper
Chief 0 era tor
TYPED OR PRINTED
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
AUTHORIZED AGENT
MMlDDIYYYY
AREA Code
NUMBER
11/18/2010
Page 1
EPA Form 3320-1 (Rev.01l06) Previous editions may be used.
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OMS No. 2040-0004
PERMITTEE NAMEIADDRESS (Include Facility NameA..ocation if Different)
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERSFALLS, NY 12590
FLEETWOOD MANOR SO 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, 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
Efflue nt Gross
BOD, 5-day, percent removal
81010KO
Percent Removal
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
12590
FROM
MONITORING PERIOD
MM/DD/YYVY I I M M/DDIYYYY
11/01/2010 I TO I 11/30/201 0
No DischargeD
External Outfall
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO. FREQUENCY SAMPLE
EX OF ANALYSIS 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
06
I certify under pmaJly of law that this docwnml and all attachments were prepared under my direction or
supervision in accord.c:e with ~ system drsigned to assure Ihm lJlaIified personnel properly gather IIJld
tvnluute the infonnmion submitted Bastd on my inquiry oflhe pemoo or persons wbo manage the
system, Of" those persons directly rnponsible for glllhering the infonnatiOl1, the information flIbm itted is,
~Oe~~I~~;~6m'i:tin~1J:e ~1~:~~i~ciud:~:'p~:ibWi~~~lf: ~~=~~~~;r:;h~=~
violations.
MMlDDIYYYY
DATE
NAMEITITLE PRINCIPAL EXECUTIVE OFFICER
12/16/2010
Michael P. Tremper
Chief 0 era tor
TYPED OR PRINTED
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
NUMBER
11/18/2010
Page 2
EPA Form 3320-1 (Rev.OH06l Previous editions may be used.
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OMB No. 2040-0004
PERMITTEE NAME/ADDRESS (Include Facility NameA.ocation if Different)
NAME:
ADDRESS:
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SO WWTP
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 MMIDDNYYY
11/0112010 I TO I 1113012010
External Outfall
No DischargeD
FACILITY:
LOCATION:
FROM
QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE
PARAMETER .....;;........ .. EX OF ANALYSIS TYPE
... VALUE VALUE UNITS VALUE VALUE VALUE UNITS
.
Solids, suspended percent removal SAMPLE -- ..-.. "'.-- 97 .-- -- 0 01/30 CA
MEASUREMENT ~
81011 KO PERMIT .... .....
Percent Removal REQUIREMENT .... 'GALOT [)
.,,'.'
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
1 certify under penally of law that Ibis do<:wnmt and all au:~hments were fl"C'pared under my di~d.ion or
supervision in accordmcc willi a S)'s1ern designed 10 IISSUfe thai cp..lalified penOlUlel properly gaiher and
evaluate the infonnation submitted. Bued on my inquiry oCtbe person orpenons who manage the
system, or those persons di~ctly ftspGnsible for g~bering the information, the infonnntion urn ined is,
~Oe~~tfe~t::;Gm ~ti:~1J:C a:1~~f~~~ctd~:ili:;,~:ibil~~~1 ~ ~~~~~~~;r;;t~~~::~
violations.
DATE
12/16/2010
NUMBER
MrwDDNYYY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
11/18/2010
Page 3
EPA Form 3320-1 (Rev.OllOS) Previous editions may be used,