Fleetwood
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PERMlnEE NAME/ADDRESS (Inc/ude Fac1!ity Name/Locatlon If Different)
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NAME: WAPPINGER (T): !' ;,
ADDRESS: 20 MIDDLEBUSH RD I I,! 'II
WAPPI~GERS FALLS'r~ 12590 ' I ' I',
FACILITY: FLEE-rvYOPD MANOR ,SO WWTP/ i I llli II
LOCATION: FLEETWOOD DRIVE
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NAM' EmTLE PRlNCIPAL["E'XECUTIVE OFF' ICER; ~ce.rtifY uDderpenalt). oflawthat this doCW1).mll!lld all attachments were prepared undermy direction or
~lIpelVision in accordimce with a system designed to assure that lJIalifi~ persOlUlel properly gather and
. ; I evaluate the inforinrotion 5\lbmitted. Basw on my inquiry ofthe pernoo or persons who manage the
Miichae 1 P. :ii'j T,li,' ~~mp~. J;1'~II,! 'I' System. orthose Persons directly respomible forglthcing the infonnation. the information sub~itt~d is,
Ch.ief 'Operato!I.-,: i I:: I :e~~i,~~~1=~~~~taf~~1~:~~\~cD~dmr:~:;'~:if~~~lf:=:n~~~%~~::t~~~:~
TYPED OR PRINTED tO~iO~,.' t t:!' II 'i .
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COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference al/ attachments here)
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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
:'1
i I
;'1
MONITORING PERIOD
MM/DDIYYYY MM/DDIYYYY
FROM 10/01/2011 10/31/2011
External Outfall
I: ; I, QUANTITY OR LOADING
QUALITY OR CONCENTRATION
i ;
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,'i VALUE
VALUE
UNITS
VALUE
VALUE
VALUE
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SfGNATURF
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AREA Cod
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EPA Form... 3320-1 (Rev.01/0.~) pre.. ~Ioused. ItI?~S :may be US~d'I'
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12590
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NO.
EX
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11/17/2011
MMlDDIYYYY
10/17/2011
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PERMITTEE NAME/ADDRES.-? (Include. Facility NameA..'pCaIiOr\ If Different)
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NAME: WAPPI~GEiqT):;!;' I! I ": I!! :
ADDRESS: 20 MIDDLEBUSH RD : :, I ! 'i ii: I
FACILITY: '~;:JX~6S::~~t'~J:Jr:11 ill,;:/i i
L:OCATION: FLEETWOOD DRIVE
WAPPINGEHS FALLS, ;NY
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NAMEITITLE PRINCIPAL' EXEcuTrve OFFICER ~tjrtifY underpen~)' of law thai: this docwnenl and all attKhmentli wen preparedlllnde~y di1ction dor
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M. hIP TtI ' tstmJ.oitbose~nsdirectlyr~onsibleforgttheringtheinformation.theinformationSUb~ltt7dls,
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TYPED OR PRINTED r"l";o." t i.1! I " AUTHORIZED AGENT
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Referellte all attachments here)
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Percent Removal ! f"!
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYS I t:M (Nt-'Ut:S)
DISCHARGE MONITORING REPORT (DMR)
OMB No. 2040-0004
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SU BR 03)
12590
12590 II
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MONITORING PERIOD
MM/DDNYYY MM/DDNYYY
10/01/2011 10/31/2011
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PERMITTEE NAME/ADDRE~~ (Inc/Ud~ ~~CilitY Na~e.1.bbatio; if,6)ff~ent)
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20 MIDDLEBUSH RD' I,' Ii q; I ,
WAPPI~G,~RS FALLS: iN'( 125901' [ ',' : !I :
FLEETW~D MANOR bD vvv0-P Ui/: I, h
FLEETWOOD DRIVE
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DISCHARGE MONITORING REPORT (DMR)
r-orm Approveu
OMS No, 2040-0004
NY0021601
PERMIT NUMBER
12590
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
MONITORING PERIOD
MM/DDNYYY MM/DDIYYYY
External Outfall
,
No DiSChargeD
FROM
10101/2011
10/31/2011
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
VALUE
UNITS
VALUE
VALUE
VALUE
DATE
11/17/2011
NUMBER
MMlDD/YYVY
10/17/2011
Page 3