Fleewood Manor
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PERMITTEE NA~E/ADDRESS (Include Facility Namellocation if Different)
NAME: WAPPINGER (T)
ADDRESS: 20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FACILITY: FLEETWOOD MANOR SO WWTP
LOCATION: FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
ATTN: DAWN ,I ' ! '
PARAMETER
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:::~e:a:ure, fl. ter ~eg. fahrenheit
Efflue nt Gross! . 11
Temperature, water deg. fahrenheit
J/ '
00011 GO' I,!
Raw Sewage Influent I:'
BOD, 5-day, 2~ deg. C I::
0031010 I
Effluent Gross !
BOD, 5-day, 20 deg. C
00310 G 0 :1
Raw Sewage Influent'
pH ,'/
00400 1 0 .1
Effluent Gross i .
pH If
00400 G 01
Raw Sewage Influent
Solids, total suspended
00530 1 0 ;1
Effluent Grossi f
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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
FROM
MONITORING PERIOD
MM/DDNYYY MMIDDIYYYY
12/01/2011 TO 12/31/2011
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
VALUE
.
7.0 *-***
6 . .
.
7.1 .--
7.6
9'
7.6
. '-. .....'. ."
Req. Mort .,
MAXIMUM
16 -:~_. 20
. 2~.g~,,,. I. 1010 I -,-, . .jU I
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Form Approved
OMB No. 2040-0004
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
External Outfall
UNITS
12590
No Discharge D
NO.
EX
FREQUENCY
OF ANALYSIS
SAMPLE
TYPE
o 01/01 GR
. Dallv.:'" .~
-. .. . " .
o 01/01 GR
.... ..... I'
..1. .'
.'...
,':
I....".......,
,.,'.'.,..'."...'.'.......1.'...'...'
Ii..... VALUE VALUE UNITS VALUE VALUE
SAM PLE __*. **_** ****_ ****** ******
MEASUREMENT 61
PERMIT 1/< 'i~'-,' ....,...;...,RP" Mnn, ','.... "',dellY
REQUIREMENT I.i.....,-""" ,.'" ',; ", ,..".,.",>
SAMPLE ...... ,..... i ,..." - ...... 60
MEASUREMENT '
REci~~~~ENTi;;';'." """, I.........,.'.. ....'.'...,...'...'i""'-ii I, ...,.,......' ,iuIT'"
SAMPLE 3 3 ..- 2 2
MEASUREMENT
PERMIT ",15.7-". ".'23.6 ,'.'.,.... 1....lb/d'.....'..', . 30...-:<1.,.....15...."..-"
REQUIREMENT',r,..lUAAr<Mt:"i . "', ""'''' ,'. ,..' "".,",, ,,"',"'. ',',
SAMPLE ****** **__ ****** ****** __
MEASUREMENT 80
REci~~~~ENT I".!i."..,">>?>; "i .,--', """"/i.""'", 3~5lAMFf~i;
SAMPLE ._.. ,_** .._..
MEASUREMENT
PERMIT ""r.. "," .,"" '." .....', ......... .,""
REQUIREMENT,;,"'.'_ "",.,'.,, ..,
SAMPLE ._ ...... ......
MEASUREMENT
PERMIT" ,,'......., ",' """, . ".".',. 1'- Iii
REQUiREMENT,..,'...>.,....,
ME::U~E~E~T 16
PERMIT ' 1..,_, )5,7'-"
REQUIREMENT r .,.T'"
01/30 06
. mg/L. '.1 '.. .' Ir~"':';"
.. . .. . -
o
o 01/30 06
mg/L . Mnnthl,; .1." .~.~--:
. . ' lAJM.t-'-Q ,
. su
.
SU
o 01/01
. .
GR
. . ---:--
'.' "
. ..
o 01/01 GR
.... . .. .'
. Dally". '.
O~/ 01/30 06
. '..
y. I' ~~,., ~.'
20
_ 45 . mg/L
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NAME/TITLE ~RINCIPAL EXECUTIVE OFFICER
Michael P. Tremper
Chief (j erator' :,
TYPED OR PRINTED
I ('fortify unde.' penalty of low that this docIIDlenl and a1lllltaclunenls were prepared under my direction or
sllpervlsion in acrordmce with B system designed to assure Ihtt qualified pCBormel properly gadler and
evaluate the infonnntion submiued. Based on my inquiry oCthe person orpenons ~ho manage the
system, or those persons directly responsible for g~beriJl8 lhe infonnaticc, the information subm itted is,
~o~ll~k~~}::;:;6m'i:~~1J:e ~~~~~f~::Ui~ci~dfu:d;~~~bifi~~~lf~ ~I~:~~l~~~:;t~~~~
";01";0"' SIGNATURE OF PRINCIPAL EXEC TIVE OFFICER OR
AUTHORIZED AGENT
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
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EPA Form 3320-1 (Rev.01l06) Previous edlllons may be used.
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TELEPHONE
DATE
845-463-7310
MMlDDNYVY
AREA Code
01/19/2012
NUMBER
12/16/2011
Page 1
PERMITTEE NAME/ADDRESS (Include Facility NameA..ocation if Different)
!
NAME: II)'APPINGER (T)
ADDRESS: 20 MIDDLEBUSH RD
II)'APPINGERS FALLS, NY 12590
FACILITY: F:LEETWOOD MANOR SD VVWTP
LOCATION: FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
ATTN: DAWN/:
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PJ:\RAMETER
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Solids, total suspended
00530 G 0 ;/
Raw Sewage Ihfluent
Solids, settleable
00545 1 0 'I
Efflue nt Gross!
Solids, settleable '
00545 G 011
Raw Sewage "!fluent
Flow, in conduit tor thru treatmTnt plant
50050 G 0 I : \ I
Raw Sewage l'1fluent 'I
Chlorine, total residual "
50060 1 0 'I '~
Effluent Gross '
! ,~
Coliform, fecal genera,1 J~
740551 0 :1 ' 'I~,'
Effluent Gross, f
BOD, 5-day, percent removal :,
81010KOI . !.
Percent Removal i:
NAMEITITLE PRINCIPAL EXECUTIVE OFFICER
, I
Michael P. Trem~er
Chief 0 erator 'fI
TYPED OR PRINTED
COMMENTS ANI) EXPLANATIOI':I,OF ANY VIOLATIONS (Reference all attachments here)
workingl on 1&1 #rOblem.
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EPA Form 3320-1 (Rev.OH06) Prevlou~ editions may be used.
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SAMPLE
MEASUREMENT
PERMIT . I :; " ..' .; .. ..' . " .
REQUIREMENT . .! .' '. '.1, '.... :. . .
SAMPLE ****** ****..
MEASUREMENT
PERMIT .... I. .... .'
REQUIREMENT',.:. . '.. '. .' .
SAMPLE .._..
MEASUREMENT
PERMIT '.' . . . --- ..-..
REQUIREMENT ..... . "1 '.' . .',' I I
SAMPLE' '
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT I"'!"', --.. . '. . . "".: '.' ....
REQUIREMENT I .:. . ....... ..... '
SAMPLE
MEASUREMENT
PERMIT I'::. . ,..... . ,I . .
REQUIREMENT I'::; ". I .... . .'
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OM B No. 204().0004
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
12590
FROM
12/31/2011
No DischargeD
MONITORING PERIOD
MM/DD/YYYV MMIDDNYYY
External Outfall
12/01/2011
QUANTITY OR LOADING
NO.
EX
FREQUENCY
OF ANALYSIS
SAMPLE
TYPE
QUALITY OR CONCENTRATION
VALUE
VALUE
UNITS
VALUE
VALUE
VALUE
UNITS
.--.... .
. .'.
90
Req. Mon.
30DAARME
....... . .. mg/L
.'
I. -.-... .....
.. .' :":. .
<0.1
. ..'~..
~..'" . '.
o 01/30 06
: I"" .' ,.. .....'
" ..... '.,
o 01/01 GR
..mUL' . " . ~_". "
. ..... - . I'. -"'.' , .....
16.0 0 01/01
. .. --". .. -...... U"'~l IVIA I "'!YIUL . Daily....
99/99 TM
;. L ",,' " ,I
. . '.1.
GR
, '.' ..,.
.:.' ",
0.089 --.. -.-. .--
.063 ". .' -- . "Mllrl '.' ;'., I :..... . '1' I .-.- .
, ,- , .'. ,.. : .' '. .
1
-.-. ,. ...... ; . ,
-.-. .--- 2.0 0 01/01 GR
-'-'. . . : .-.- . ""4.,IVIUII. .' mg/L . ". --".. ,'.', I
... . . I. uallY ,
<2 0 01/30 GR
. . ". . I 400 . I. .. I' .
... .,n~^ ~"';-, I . L I .
. . .. I I, "OVO'~"'l . ..'
'-2
". I", .' . .--..
'.; . . I . .... .
98
)~e,
.-.-. .
%
01/30
. 0__ .H." . .. .
Momniy CA LJ .
.. ....
o
CA
-.....
..c--' "~
I crrtify under prnally of law thallhis docurnmt alld all attachments \vert prcparM tluder my direction or
supervision in accordmce with a system designed to asfUre Ihm CJIalifiw persoMeI properly gather and
evaluate the information mbmiUed. Based all my inquiry oflhe person orpersonswho manage the
system, or those persons directly fnponsible for galher-ing the infonnalion, the information submitted is.
~Oe:l~~I~~}:S~&:i:~~etJ:e ~~~:f~~i~ci~~inr:~:;'~~~W~~~lr: ~~~:~~e:r::t~~~~
violntions.
TELEPHONE
DATE
01/19/2012
SIGNATURE OF PRINCIPAL EXECU E OFFICER OR
AUTHORIZED AGENT
MMlDDNYYY
NUMBER
12/16/2011 Page 2
: ~
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OM B No. 2040-0004
PERMITTEE NAME/ADDRESS (Include Facifity Namellocation if Different)
I
NAME: VYAPPINGER (T)
ADDRESS: 20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
I
FACILITY: FjLEETWOOD MANOR SD WWTP
LOCA TION: FLEETWOOD DRIVE
W.jAPPINGERS FALLS, NY 12590
ATTN: DAWN '
,
NY0021601
PERMIT NUMBER
001-X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
12590
MONITORING PERIOD
MM/DDIYYYY MM/DDIYYYY
12/01/2011 12/31/2011
External Outfall
FROM
No Discharge D
I
P.I;\RAMETER
11 !
Solids, suspended percent removal
81011 KO 11
Percent Remov,al
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO.
EX
FREQUENCY
OF ANALYSIS
SAMPLE
TYPE
VALUE
VALUE
UNITS
VALUE
VALUE
VALUE
UNITS
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NAMEmTLE ~RINCIPAL EXECUTIVE OFFICER
Michae P. Tremper I
Chief 0. erator .
:TYPED OR PRINTED
I certify under penally of law that this documenl Blld all attachments were IHpBred under my direction or
supervision in arcordmce with a system designed to assure th~ ipalified personnel properly gurher and
evalunte the informntion submitted. BlISed on my inquiry ofthe penon or persons who m&n88e the
system, or Ihose persons directly responsible for gNherillg Ihe infonnation. the infonnolion subm ilted is,
~~~~it~~f: =~ 'i:~~r:s:e ~1~::f~~'i~ci~d~:ili:"p~~bifi~~~lr= :nfu~rfs~'~~;r:;}~~~~~
v;",n,", SIGNATURE OF PRINCIPAL EXECUT E OFFICER OR
AUTHORIZED AGENT
TELEPHONE
DATE
01/19/2012
NUMBER
MMfDDIYYYY
COMMENTS AND EXPLANA TION OF ANY VIOLATIONS (Reference all attachments here)
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EPA Form 3320-1 (Rev.OH06l Previous editions may be used.
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12/16/2011
Page 3
SECTION I
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New York State Department of Environmental ConseJllation
Division of Water
Report of Noncompliance Event
To: DEC Water Contact
DEC Region: 3
Report Type: _ 5 Day _ Permit Violation ~rder Violation _ Anticipated Noncompliance _ Bypass/Overflow
SECTION 2
SPDES#: NY-OO":Z../6o1 Facility: .FLt=:t=-ruJoqp SIP
Date of noncompliance: I I Lo~ation (Outfall, Treatment Unit, or Pump Station): 0 €.A... r Fi'+L L
Description of noncompliance(s} and cause(s :..M 0 ^' HI.. kl AveftA-Ct e.- PI (:) LJ A 50 LlC- "P e-/~.l'~1. t t- U V E. L
01.<.. fO 'VA Lk- .t r { T
Has event ceased? (Yes) (No) Ifso, when? Was event due to plant upset? (Yes) @ SPDES limits violated?@ (No)
Start date, time of event: 11--; I ,'1. I J....: OD @ (PM) End date, time of event: 12- ,3 ( . III . / I : Go, (AM)@)
. Date, time oral notification made to DEC? I I
(AM) (PM) DEe Official contacted:
Immediate corrective actions:
VvoRkll..,[Cj
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ON r f r fRc:Jb le-Nl
Preventive Oong term} corrective actions:
. SECTION 3
Complete this section if event was a bypass:
Bypass amount:
Was prior DEC authorization received for this e.vent? (Yes) (No)
DEC OfficiaJ contacted:
Date ofDEC approval:
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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
M;<YR'P"""..tiV"~ Tltl"~~ ~( D.",~ II ~ ZOI2.
Phone#:~ Fax#: '1) _ 7\Jo-i
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 infonnation
submitted. Based on my inquiry of the 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 submitting false information,
including the possibility offine and imprisonment for knowing violations.
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Sigl,lliture of Principal Executive
Officer or Authorized Agent