Fleetwood
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PERMITTEE NAME/ADDRESS (Inc/ude Facility NameAlocation if Different)
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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
rUllIll-\ppIVVcU
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OMB No. 2040-0004
NAME:
ADDRESS:
FACILITY:
LOCATION'
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SO WWTP
FLEETWOOD DRIVE
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NY002160 1
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SU BR 03)
12590
WAPPINGERS FALLS, NY 125901 I I No DischargeD
i i 1[: FROM 07/01/2011 I TO I 07/31/2011
ATTN: DAWN : J
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, , '1 !. I NO. FREQUENCY SAMPLE
QUANTITY OR LOADING QUALITY OR CONCENTRATleN, EX OF ANALYSIS TYPE
PARAMETER ': .....
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VALUE VALUE UNITS VALUE VALUE VALUE UNITS
....... ....
Temperature, water deg, fahrenheit SAMPLE *****. ****** ****** --. .-- s~ 0 01/01 GR
MEASU~EMENT
00011 1 0 PERMIT I,...i}irr-- i.......... Ii'......... 'i ..-.. .......i..... ...i(i ------=s:.- .. 1::degF:.:.... .ii I . OailY; Ii .GRAB'
Effluent Gross REQUIREMENT . ......... ...' ...... , 1':.- "';"'1 ......L.< ......
Temperature, water deg. fahrenheit SAMPLE --- .-- **-* -**** .-- Sp 0 01/01 GR
i MEASU~EMENT
00011 GO PERMIT 1<.....((....... I.i' '., ....*f..". .... ..... ........ i..........>> I ,"ii' ........ I.,..,,,,,, u.u"lir... .T! 1....'Oaily ;';':;.n.'. I
. '1,.. ",..ivi.v"
Raw Sewage Influent REQUI~EMENT I',.'>'''' '.... ......... ... ...., .... '.'.' .,.'. :C':','--."'.
BOD, 5-day, 20 deg. C SAMPLE 0 0 **.-. 2 21 0 01/30 06
MEASU~EMEN T
003101 0 PERMIT I','.... 15,7 ", I;~ ~ ..i........... '.".cc~ .. '.' '.... .4.5",._, :mg/L.... .:;', .......,...., ' .. ..
:,. Mnnthlv ". '^""'~-,:"
Effluent Gross REQUIREMENT '''.'. 7 ,..' I.' L'7 '.""" .'. ..'.' ........' , ," .., ~ =i. ..'.,.".
SAM'PLE I
BOD, 5-day, 20 deg. C --. **-** --** --. 147 ***j* 0 01/30 06
: ! MEASU~E~ENT ...I....... --.G,L.____ ......,
00310 G 0 PE~MIT : ~~....i;J """-27 /!!~..., .'...,., ..' ".. .b_... Mon. I' ......-r. '. ." :.....:..
Raw Sewage Influent , REQUI ,EMENT '", .......:.... .....':......... ,. :' , :. ".:-....... "v'':'',"':.'" :Y':',v'r;'\
I
SA~PLE ' I
pH I'j ..**.* ****- **_.* 6.2 -- 715 0 01/01 GR
, I MEASUF,tEMENT I
00400 1 0 PERMit """",..~ . ,.'......'.,., .---.. .i'.r-..... .,... ,." 0,' '1) ),>.....,.., .... .":' ..... "'.su " -gailY., , ..'.
.'..................)mm..... I:)>...... .,...,..,.... ,....... ., 5'. ~>..
Effluent Gross REQUIREMENT '.... '.
SAMPLE I
pH ..-. ****** .-- 7.1 --- 7~6 0 01/01 GR
MEASUF,tEMEN T
! I PE~Mlt I)i .....>..) ~i RpnMM m'Ou'.... '<' . ,........... i1> .........
00400 G 0 ,.':......,..... ...,...<........ ></.i '..........."). , . .'pallyt>.
Raw Sewage Influent REQUI EMENT . ",.', , ,'" , ...... ,'.> e'.
--- SAMPLE t
Solids, total suspended 0 0 --. 1 l' 0 01/30 06
. . MEASU~EMENT 'm /Mnnthl\J .. .-?
00530 1 0 PE~Mlt >:'. '15.7,. .... ... I'.......~.. Ilh/ri' .m- '.. ~36,' ...... /....4! ,.... ......}"Ii''''.. .....
.......
Effluent Gross I REQUI EMENT I,ll ....' , ........ .... , .> .... .":
"""
MONITORING PERIOD
MM/DDIYYYY MMIDDIYYYY
External Outfall
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f,certifY under penalty of law that this dOCUlnmt and all attachments weJ"t ~epared under my dirl'ction or
NAMEITITLE PRINCIPAL EXECUTIVE OFFICER Ipcr'lision in accordmce with a system designedlo assure IhiI qualified personnel properiy gather and
valuate the informBtion submitted. Basw on my inquiry oflhe person or persons y,ho manast the
M1" chae 1 P. Tre mp' ~~ 4>'stem.~ oi"those persons dirl'ctly responsible for gMltes-ing the information, the information subIl!itt~d is,
.. r. the best of my Imowledge and belief; true, aCQlI1te, and compltte. I am a~ that there ~ slgnific~t
Chie f 0 er a tor' ~illallies fOfSUbmittingfalse information, including the possibility offme and imprisonment forknowmg
TYPED OR PRINTED :iolations. '
COMMENTS AND EXPLANATION OF ANY VIOLATIOI!lS (Reference all attachment here)
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DATE
OS/17/2011
NUMBER
MMlDDNYYY
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EPA Form 3320-1 (Rev.01l06) Previous e,d:t10nS may be used. I
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07/13/2011
Page 1
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AUG' 2 5 2011
TOWN OF WAPPINGER
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PERMITTEE NAME/ADDRESS (Include Facility NameA..6cation if Different)
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NAME: WAPPINGER (T) ,
ADDRESS: 20 MIDDLEBUSH. RD
WAPPINGERS FALLS, NY 12590
FACILITY: FLEETWOOD MANOR SO WWTP
LOCATION' FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
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NAM E/TlTLE PRINCIPAL EXECUTIVE OFFICER t~;:Xrsi:~d=:C:'~Z:::e'::: :~~~od':ige;:~;;~ :~a:e'7~;;~;fi~ P';:=nC:I~~:~rl: :;;:i:dor
~vaIuote the infonnation 5Ubmitted. Band on my inquiry ofthe person or persons who ffiWlll!\l:' the
Mi c ha e 1 P. TRemp e r ~-stem. or those persons directly ~onsibleforglthering the infonnation.lhe infomlation sub".litt~d is.
Chi e fOe rat or ?e~t:~::=lm~o:~1J:e ~1~::f~~i~ca~d~:~~~~bWi~~lr= :d:n1::~I~~:::r:r1~~=~
violations.
TYPED OR PRINTED i
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
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EPA Form 3320-1 (Rev.OlIOS) Previous editions may be used.,
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A TTN: DAWN
PARAMETER
Solids, total suspended I :
00530 G 0
Raw Sewage Influent
Solids, settleable I '
00545 1 0
Effluent Gross
Solids, settleable
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
Efflue nt Gross
Coliform, fecal general
740551 0
Effluent Gross
BOD, 5-day, percent removal ;;
81010 KO
Percent Removal
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NATIONAL POLLU1AN I DISCHARG~ ~L1MINAIIUN :SY:S I toM (Nt-'Uto:s)
DISCHARGE MONITORING REPORT (DMR)
OMB No. 2040-0004
I .....'111 '"''''''''',<.Iv.......
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
12590
I':
MONITORING PERIOD
MM/DDIYYYY I I MM/DDIYYYY
07/01/2011 1 TO I 07/31/2011
No DischargeD
External Outfall
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FROM
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VALUE
UNITS
NO.
EX
FREQUENCY
OF ANALYSIS
SAMPLE
TYPE
,
QUALITY OR CONCENTRATION
I
VAL~E
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QUANTITY OR LOADING
VALUE
VALUE
UNITS
VALUE
! '
SAMPLE
MEASU~EMENT
PERMIT ." .,.,......____.) '.... .: ...... '.....) ......
REQUIREMENT'.,_ '. .... ........ ...... ',-,,,,
SAMpLE ~. ..~. .-. -. ...~ / 0 I 1
MEASUREMENT ~ ~
PERMIT ~ .......... ..... ............ ......- .... ..' .....,-----......... .........). ...i......3i. IrnUl'" .......... ........ . 'DailY' , "
REQUIREMENT i.... .' ...... ....., ..... ....... .... ..... '., ....... ,,"",..). ...... " .........., ,
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MEAStuMlELriENT ..~. ..~. ...... ...... ~~ 1p.0 0 01/01 GR
, ~.i' .. ~ -c '.' .............. 1/.. ............ '.D"'" Mbb'mUl. ......... .... . .... . .......... '.. . '. . .....
REciu~~~:lENT ~.... ..1 '.....< .. ... ..'...........,/ I ....~'""L. 'r "" '_i.'" _ / ...,: '.'
SAMPLE 0 020 ..~. ...... ...... ~.... ...... 0 99/99 TM
MEASUREIVIENT . I
PERMl'r ~ ............0.., .. .-. ........./ .....77., ...".......7 ...,............-... .......
REQUI~EMENT~'''.. ........... ................ ......._.......... ...... '" ..... . :..,.......m ......................1/...... ....i... ........ l~lfJ~r
SAMPLE .-.. ..~. .~.. -. ...~ 2 0 0 01/01 GR
MEASU~EMENT
PERMIT ,.).....,...........'. ...... .' .........._... .,...,............ '.........:.. ............'...'.......'... ..... ".""'.' ...... ..,.........................I.(::DI1&'
REQUI~EMENT ~.,. ........ ... .,...'.... .' .....)y';'JLJVJ.^ j.... .... _.'.r~'?'I. ..... .......
SAMPLE i -.. ...... ...... ~... 2 21 0 01/30 GR
MEASUREMENT
REci~=~:IENT ..... ............:- ...+>.S'.... . ........../. .....' ... .... I ')"~_.'(uu_-J' ...1:1 h~7~~(' ...........1..8. ..... .... ... ..... ...... ~Onln;Y- ..':;...'::: ........
I
SAMPLE ..~. H"H ...... 99 .- ~"l' 0 01/30 CA
MEASU~EMENT
PERMIT '.. ....., ,.'--,....85/ 1..."'7'...... 1)"'.'.1.'70'= ,...... ......
REQUIREMENT . ......... ..................... " ..........i~PAVMN.m ยท _....,.. ..1 .............. ......./MdnthIY.. .....,~_.,..
01/30 06
,i .', -:- ....~.......
136
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01/01
GR
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TELEPHONE
DATE
08/17/2011
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SIGNATURE OF PRINCIPAL EXEC E OFFICER OR
AUTHORIZED AGENT I
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07/13/2011 Page 2
MMlDDNYYY
NUMBER
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PERMITTEE NAME/ADDRESS (Include Facility Name.1.6cation if Different)
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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OM B No. 2040-0004
NAME:
ADDRESS:
FACILITY:
LOCATiON:
WAPPINGER (T) :
20 MIDDLEBUSH RD
WAPPINGERS F~LLS, NY 12590
FLEETWOOD MANOR SD WWTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590,
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SU BR 03)
12590
ATTN: DAWN
MONITORING PERIOD
MMIDD/yyYY MMIDDIYYYY
07/01/2011 07/31/2011
External Outfall
FROM
No Discharge D
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PARAMETER ! ,
I NO. FREQUENCY SAMPLE
QUANTITY OR LOADING QUALITY OR CONCENTRATION
I EX OF ANALYSIS TYPE
VALUE UNITS VALUE VALUE VAL~E UNITS
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99 -*~* 0 01/30 CA
Solids, suspended percent rem~~al
81011 KO
Percent Removal
PERMIT
REQUI~EMENT
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NAMEITITLE PRINCIPAL EXECUTIVE OFFICER ~:~~rsi~tic=~el::::;~~o~::;~::~ :~~e~~::~i';:~t~Z=I~~~~~: g~~~i:dor
h 1 t::~t.eo~:h:!eo;::~~ ~~r:l~_te~:~f: f~!.~~:Z'O~lt~:!}=~~~,:eO~Sr=at~:~~~i~ed is,
Mic ae P. TEemper ~ -or
Chief 0 erator ' ~ . pe~::~oO::;&n'itti:~1J:e~1~~f~~i~ci~d~:dl~~~bifi~~~lf:~~~~~~~~;ro~t~~=~
yiolations. ~
TYPED OR PRINTED I '
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
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DATE
08/17/2011
NUMBER
MMlDDIYYYY
EPA Form 3320.1 (Rev.01/06) Previous editIons may be used. i ;::
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07/13/2011
Page 3
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