Fleetwood
--3
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
rlECE'''ELJ
SEP 2 ~ 2009
Form Approved
OMB No. 204~4
PERMITTEE NAME/ADDRESS (Include Facility Nam8lf.ocsfion if Dilfefenl)
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SO WVVTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
NAME:
ADDRESS:
FACILITY:
LOCA TlON:
ATTN: DAWN
PARAMETER
Temperature, water deg. fahrenheit
00011 1 0
Effluent Gross
Temperature, water deg. fahrenheit
00011 GO
Raw Sewage Influent
BOD, 5-day, 20 deg. C
00310 1 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
~
I
~
NY0021601
PERMIT NUMBER
OO1X
DISCHARGE NUMBER
DMR Mailir;!q ZIP CODE:
MIN~WN CLER//
(SU BR 03)
12590
FROM
MONITORING PERIOD
MM/DDNYYY I I MMIDDIYYYY
08101/2009 I TO I 0813112009
No DischargeD
External Outfall
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
VALUE
UNITS
VALUE
UNITS
VALUE
VALUE
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
=:~=o:~=:thi.cto;;ed-:~=-:;;:rmW;=I=::=:dor
swI.-_the mromutioa....~ _..,. ia~ oCrIM,.... or~.""'o _...Ih.
:-:.:.:~0It ,:::d~~~rorptber:~Ih' iDf~=.'::" ~=~id~~
~ietfor~~.~. iof......i... iac~.~iIyof'"'..... mprioomn'" ror'\';......
VIO"'''''
845".,463.,.7310
09/21/2009
TELEPHONE
DATE
NAMEITITLE PRINCIPAL EXECUTIVE OFFICER
Mic ae P. Tremper
Chief:'O era tor
TYPED OR PRINTED
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
SIGNATURE OF PRINCIPAL EXEC T1VE OFRCER OR
AUTHORIZED AGENT
NUMBER
MIWODIYYYY
AREA Code
Page 1
EPA Form 3320-1 (Rev.Ol106) Previous editions may be used.
NATIONAL POL LUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OMS No, 2040-0004
PERMITTEE NAME/ADDRESS (Include Facility NameA.ocation if Di/ferrmQ
WAPPINGER (T)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SO \fINIITP
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 Ihru treatment plant
50050 G 0
Raw Sewage Influent
Chlorine, total residual
S0060 1 0
Effluent Gross
Coliform, fecal general
74055 1 0
Effluent Gross
BOD, 5-day, percent remoyal
~
I
~
8'1010 K 0
Percent Removal
NY0021601
PERMIT NUMBER
001X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
12590
FROM
MONITORING PERIOD'
MM/DDIYYYY MMIDDIYYYY
08/01/2009 08131/2009
No DisChargeD
External Outfall
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO. FREQlJENCY 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
..............063.............
REciJi~:IENT [r~~~l~B~~~I[fi;ln
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
NAMEITITLE PRINCIPAL EXECUTIVE OFFICER
Michael P. Tremper
Chief 0 erator
TYPED OR PRINTED
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
] certify uaderpen"" of law tb.lhi. document..d 1I11bdmI11lb: WIn ~ wtderm'1 dimtioa or
IUpa'Yilioca ia ecCVl"dlaq widt alJlCaa ___cd 10 .......111. tllli6ed pmoaa.1 proptrlJ pdacrWld
eYIII.. die iafonaltioa _..itted. B..ed: OIl 81' .~ oCtile P:8fI'.lI orpenoal MaO in.... lb.
.,....... orlhon penoaI cInctIy ~Ie !orpdltnlllh. iDformman. la, mormll1oa sabmia:cd i..
=:-r:.:..~r:t:e~~.c:~t=~=K:-J:: :.d~::=:.:r~t:.=~
viollt....
NUMBER
TELEPHONE
DATE
09/21/2009
SIGNATURE OF PRINCIPAL EXECUT E OFRCER OR
AUTHORIZED AGENT
MMlDDIVVVV
Page 2
. .
EPA Form 3320-1 (Rev.OlIOS) Previous edl1lons may be used.
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
Form Approved
OMBNo. ~4
PERMITTEE NAME/ADDRESS (Include Facility NameA..ocation if Diffenmt)
FACILITY:
LOCA TlON:
WAPPINGER (1)
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
FLEETWOOD MANOR SO WWTP
FLEETWOOD DRIVE
WAPPINGERS FALLS, NY 12590
NY0021601
PE.RMIT NUMBER
001X
DISCHARGE NUMBER
DMR Mailing ZIP CODE:
MINOR
(SUBR 03)
12590
NAME:
ADDRESS:
ATTN: DAWN
MONITORING PERIOD
MMIDDNrN MMIDDNrN
08/0112009 08/3112009
External Outfall
FROM
No DischargeD
PARAMETER
QUANTITY OR LOADING
QUALITY OR CONCEN~TlON
NO. FREQUENCY SAMPLE
EX OF ANALYSIS TYPE
VALUE
VALUE
UNITS
VALUE
VALUE
VALUE
UNITS
Solids, suspended percent removal
SAMPLE
MEASUREMENT
P'ERMIT
REQUIREMENT
.....:.
81011 K 0
Percent Removal
~
NAME/TJTlE PRINCIPAL EXECUTIVE OFFICER
Michael P. Tremper
Chief 0 era tor
TYPED OR PRINTED
'. .
=~~:::.-t.~':i:~~-=:~-:: =-::;:WW:=I~:JlIm:;:d<<
awl.. the morm.no. _t:.Uted. B....t on .Y ia~ oftbe pemlIl orpenoa. ~....Ih.
J)'IIem. ortbClR penon. dinldly ~ODtible CorJllhenal the motnllQtIl. tile mrorm8lima Wbmilted i..
~~C'}:.b";-b~'C1~::~=i:-=~ltC~=~.:r:,t=~
violltioa..
TELEPHONE
DATE
09/21/2009
845-463-7310
~
SIGNATURE OF PRINCIPAL EXECU E OFFICER OR
AUTHORIZED AGENT
AREA Code
"UMBER
MIWDD1YYYY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
EPA Form 3320.1 (Rev.OflO6) Previous editions may be used.
Page 3