Fleetwood
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OM B No. 2040-0004
PERMITTEE NAME/ADDRESS (Include Facility NameA..ocatlon if Different)
NAME:
ADDRESS:
WAPPINGER (T)
20 MIDDLEBUSH 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
FACILITY:
LOCA TION:
FROM
MONITORING PERIOD
MM/DDNYYY MM/DDIYYYY
03/01/2011 03/31/2011
External Outfall
ATTN: DAWN
No Discharge 0
QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE
PARAMETER EX OF ANALYSIS TYPE
VALUE VALUE UNITS VALUE VALUE VALUE UNITS
Temperature~ water deg. fahrenheit SAMPLE *w_.. 1<***... **-** ****** ._.,.-
MEASUREMENT 52 0 01/01 GR
00011 1 0 PERMIT *._** *"'**** ..--.- ***-* -- , Req Mon. deg F
Effluent Gross REQUIREMENT DAIL Y MX Daily GRAB
Temperature, water deg. fahrenheit SAMPLE **_.. **-""* **-"'. ****** ._"'- 01/01
MEASUREMENT 51 0 GR
00011 G 0 PERMIT *-- ."'-*. ****.'" _-It_'" .- Req Mon. deg F
Raw Sewage Influent REQUIREMENT DAIL Y MX Daily GRAB
BOD, 5-day, 20 deg. C SAMPLE 2 2 ****** 2 2 01/30
MEASUREMENT 0 06
00310 1 0 PERMIT 15.7 23.6 IbId _._. 30 45 mg/L
Effluent Gross REQUIREMENT 30DAAR M E 70A ARME 30DAARME 7DA ARME Monthly COMP-6
BOD, 5-day, 20 deg. C SAMPLE ..-.* ****** **_.. -*-* 194 _._-
MEASUREMENT 0 01/30 06
00310 G 0 PERMIT ... **-** ****** **-"'. -*-." Req. Mon. -*-* . mg/L
Raw Sewage Influent REQUIREMENT 30DAARME Monthly COMP-6
pH SAMPLE **-** ****** ..-.. ._.-
MEASUREMENT 7.0 8.3 0 01/01 GR
00400 1 0 PERMIT *--** ****** , ...... 6 *_-li_ g SU ..
Effluent Gross REQUIREMENT MINIMUM MAXIMUM Daily GRAB
pH SAMPLE ****** ****** ****** 6.9 *-***
MEASURE;MENT 7.6 0 01/01 GR
00400 G 0 PERMIT *****10 **-*.. .*-** Req. Mon. ****** Req. Mon SU .
Raw Sewage Influent REQUIREMENT MINIMUM MAXIMUM Daily GRAB
Solids, total suspended SAMPLE 17 17 -**** 21 21 0 01/30 06
MEASUREMENT
00530 1 0 PERMIT 15.7 23.6 Ibid -**** 30 45 mg/L
Effluent Gross REQUIREMENT 30DAARME 70A ARME 30DAARME lOA ARME Monthly COMP-6
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
Michael P. Tremper
Chief 0 erator
TYPED OR PRINTED
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Refer nee all
.----.-
I c('rtif~" ~nd~rpmally of]n~~ that this doclUl~mt lJIld all attachments ~vere p."epm"ed under my direction or
super."ISIOn In accordmce \\-lth a system desIgned 10 il5sure Ih~ qualified personnel properly galherlUld
evaluate the infonnnlion submitted" BaSffl 011 my illquil)" of the persoll or persons "-ho mallage the
system, or those persons directly responsible for g<i.hering lhe infonnatioll, the iufOlmalion S'lIbmilled is,
~~:I~II"~~};fs~ln~~e:',f:e ~101~:~~f~~li~~I~d~:dl:~~~~bWi~;~~/r~I~ :d:nl;I%~II~~~::ro~t~I~~:I~
vlolallOns.
TELEPHONE
DATE
-,
SIGNATURE OF PRINCIPAL EXEC TIVE OFFICER OR
AUTHORIZED AGENT
845-463-7310
04/18/2011
AREA Code
NUMBER
MMlDD/YYVY
re~)
~~,UJ
EPA Form 3320-1 (Rev.01IOS) Previous editions may be used.
APR 2 5 2011
03/18/2011
Page 1
..,....~'.~!~.!
f"'.r= \Mt\PPINGER
PERMITTEE NAME/ADDRESS (Include Facility Nameilocation if Different)
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
t-orm Approved
OM B No. 2040-0004
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
FACILITY:
LOCATION:
ATTN: DAWN
FROM
MONITORING PERIOD
MM/DDIYYYY MMIDDIYYYY
03/01/2011 TO 03/31/2011
External Outfall
No Discharge 0
QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE
PARAMETER EX OF ANALYSIS TYPE
VALUE VALUE UNITS VALUE VALUE VALUE UNITS
,
Solids, total suspended SAMPLE ..._*.. **-... ****** -**** 245 ****** 0 01/30
MEASUREMENT 06
00530 G 0 PERMIT **_.* --. **-- --. Req. Mon. ...- mg/L
Raw Sewage Influent REQUIREMENT 30DAARME Monthly COMP-6
Solids, settleable SAMPLE -*-** ****** *****. ****** ._*-
MEASUREMENT <0.1 0 01/01 GR
00545 1 0 PERMIT -.--. --. *._*. ****** ****** 3 mUL
Effluent Gross REQUIREMENT DAILY MX Daily GRAB
Solids, settleable SAMPLE *._*", **-*. *._*.. ****** ._.- 8.0 0 01/01
MEASUREMENT GR
00545 G 0 PERMIT **-_. *****'" **-*- ****** ****** Req Mon. . rTlUL
Raw Sewage Influent REQUIREMENT DAIL Y MX Daily GRAB
Flow, in conduit or thru treatment plant SAMPLE 0.106 *****'" ****** ****- -*-* **-** 1 99/99
MEASUREMENT TM
50050 G 0 PERMIT .063 .. -**** Mgal/d -.... ****** ...- *._*..
Raw Sewage Influent REQUIREMENT 30DAARME Continuous NOT AP
Chlorine, total residual SAMPLE ...**** **-*. ****** *****"* *-*- 2.0 01/01
MEASUREMENT 0 GR
50060 1 0 PERMIT *._.* ****** **-** ****** ****** Req Mon mg/L
Effluent Gross REQUIREMENT DAIL Y MX Daily GRAB
Coliform, fecal general SAMPLE **_... *--*." .._.,.* ****** <2 <2 0 01/30 GR
MEASUREMENT
74055 1 0 PERMIT .. ***"'** . ****** .._*. ****** .. 200 400 MPN/100rn ..
Effluent Gross REQUIREMENT .. 30DA GEO DA GEO L Monthly GRAB
BOD, 5-day, percent removal SAMPLE ****** **-*. ****** 99 *-*- _._* 0 01/30
MEASUREMENT CA
81010 K 0 PERMIT ... *****1< _._*--- ****** 85 ****** -*-* %
Percent Removal REQUIREMENT MOAV MN Monthly CALCTD
---
, .,
NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this documtflt aJld all attadunents were prepaJ"ed 1I1ldermy direction or Jlt~r1Vv{,<<lI{Lbl-1N1 /l TELEPHONE DATE
sllper."ision in accord....ce with a sysfem designed 10 nssure thar qualified personnel properly gather and
Michael P. Tremper evaluate Ule infomlatiOfl submitted" Based on my inquiry of the person or persons Y,tlO manage the
system, or those persons directly responsible for gatheriug: the infonnation.lhe infomla/ion submitted is, 845-463-7310 04/18/2011
Chief Qnerator ~~~~it~~o~fs~b ~ti:;~f.<!s:e ~1~:~~f~:~li~ch~d~:tl;:~~soiliWi~~t:lf: :;;fu~~~~~~~~f:;t~~~~,ful; SIGNATURE OF PRINCIPAL EXECUTIVE 6"FFICER OR
violalions. AREA Code I
TYPED OR PRINTED AUTHORIZED AGENT NUMBER MMlDDIYYYY
/]11
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
EPA Form 3320-1 (Rev.01/06) Previous editions may be used.
03/18/2011
Page 2
PERMITTEE NAME/ADDRESS (Include Facility Nameltocation if DIfferent)
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OMS No. 2040-0004
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
FACILITY:
LOCATION:
ATTN: DAWN
FROM
MONITORING PERIOD
MMIDDIYYYY MM/DD/YYYY
03/01/2011 03/31/2011
External Outfall
No DisChargeD
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 ~****." ****** **--** 91 ****- -*-* 0 01/30 CA
MEASUREMENT
81011 KO PERMIT ****.,.'" --. ***"'.... 85 ****** "'.Ti-* %
Percent Removal REQUIREMENT MO AV MN . Monthly CALCTD
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify underpenaIty of law that this dOC'Wllenl and all attachments were prepared und",rmy direction or it/ ./ d,/t TELEPHONE DATE
super....ision in a.ccordnllct' with a system designed to ilSSllre thiI qualified pef'5'onnel properly gnJher and 'It L00~0 itj/'li1/1A-1 /\.
Michael P. Tremper evaluate the information submitted. Based on my inquiry oflhe persoll or persons ",ho lnall<l!lt' the
s)'stl:'m, or those persons directly rcosponsible for gnthcritlg the infonnatioll. the iflfolTllntion $ubnlilled is, 845~463-7310 04/18/2011
Chief Operator ~~:I~rt~~}oot;~6m ~~~~1J:e r:1r:~~~f~~'i~:1~~::~I:~~~~~ri~~~/ f:~ :'d:nII~.fs~~~~~:ro$~t~I~~~ SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AREA Code I
violations.
TYPED OR PRINTED AUTHORIZED AGENT NUMBER MMlDDIYYYY
/1/1
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
EPA Form 3320-1 (Rev.01l06) Previous editions may be Used.
03/18/2011
Page 3
SECTION I
e
~.
New York State Department of Environmental Conservation
Division of Water
Report of Noncompliance Event
To: DEC Water Contact
DEe Region: '''';/
Report Type: _ 5 Day _ Permit Violation _ Order Violation _ Anticipated Noncompliance _ Bypass/Overflow
SECTION 2
SPDES #: NY- DD2 J Lrt\1 Facility: H....u tv..':(~xJ n\CHlt (--.j:jj k\ l0-rP
Descrj.Ption of nO~fom
X (tJQ.::t;tJ -
Date of noncompliance: .S / - / II Location (Outfall, Treatment Unit, or Pump Station):
. f2 -- (I c'
L'l-e 7"0 Ct i t.''"' c{ vI- c: .. ..) PI <;J 0
/- /}/f u.. t:t..
/J1~ / r IL::Z:>.....__
(AM) (PM) DEC Official contacted:
.
- F~uJ
OVvL ,-(
Has event cease~o) lfso, when?
Start date, time of event: .3 / I' / {( ,
Il'ili I w., "on, do< '0 pllO' up,," (Y '@ SPDES limi" v;oJat'd @ (No)
(AM) (PM) End date, time of event:.3, / >r / 1/, : (AM) (PM)
Date, time oral notification made to DEC?
Immediate corrective actions: /l/ C ...1 ~
/
Preventive (long term) corrective actions:
j. iu!ll:"ve 71T
,
SECTION 3
Complete this section if event was a bypass:
Bypass amount:
Was prior DEe authorization received for this event? (Yes) (No)
DEC Official contacted:
Date ofDEC approval:
/
/
Describe event in "Description of noncompliance and cause" area in Section 2. Detail the start and end dates and times in Section 2 also.
SECTION 4
Facility Representative: nt. PI(,Q /1\ ~(
Phone #: (:;"44' )'4&.3 .73/0
Title:Olu..Qf ().~/Q +c/' Date: ,J/ (~. / it
Fax #: (r4:r )~3 .7-3 c..{
I Certify under penalty of law that this document and all attachments were
prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry oflhe person or persons who manage the system,
or those persons directly responsible for gathering the information, the information
submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware that there are significant penalties for submitiihg false infonnation,
including the possibility of fine and imprisonment for knowing violations.
/~;j . -, A'c.
X / P~tt-/!/tcl2~f/rC
Signature of Principal Executive
Officer or Authorized Agent