# Attachment 5 

# DMR records

### -

·- 

# - - -· 

## -- 

# · · -----·

... , 

# . . ... . ..... **~** 

## .... l"r' I lVi'<i\L l'ULLU 1 Ai'\ 

### I 1.)1:'-' "I 

### IA:t<J[ 

### ELI!\-11"1\:ATJON SYSTEM (NPDESJ



### · FaciHi)-;Nfi/ii( aca/ion) · · -· - -- --· · --- -·-- - ---DtSCltKRGl: Ml 

## fORiNG REPORT (DMR)

.


### NAJ\1E : Municipal Authority of the Borough of Belle

Vernon ADDRESS : PO 

### Box !8l. 10 

### ?\1ain Street 

### Beile Vernon

. PA 15012 

### FACILITY:

Belle

**Vemon-~orth** 

### Belle Vernon \VPCP **LOCATIO~ :** 



### Belle Vernon 

### Borough

, fayene Count y Parameter (3 

### Card Only) (32-37)



### (46-53) (2 - 16 )
, 

## ___ , ,

. 

# .. . (17-19 ) 

### PA0092355



# I I 001 PEM•ITT

NUM

. BER 

# I I DISCHARGE NUMBER MONITORING

PERIOD FROM

.YEAR 

# I

MO 

# I DAY 

# I TO 

# I YEAR 

# I MO 

# I DAY U)t[ 

# I 7 

# I I 

# I I **~"''~** 

# I 7 

# l -; ( (20-21)

(22-23) \24-25) (26-27) (28-29) (30-31) 

### QUANTITY

OR LOADI:\G (4 

### Card Only) Ql'ALITI" OR COl'CE:-\TR.4. TIO;\

(54-61) (38-45) 

### (4 6 - 53) (54-61) 

# I 

# J J AVERAGE MAXIMUM 

### UNITS 

### MrNIMUM 

## AVERAGE MAXIMU M


### Sample



## ,z.l:5 ' yz.)



# • Measu r ement



## * 

# •
Penmt

Flow 

### Requirement MONITOR 

### AND REPORT MGD 

## * 

## * 

# • Sample

Measu r ement 

## 7

. /J 

### I 'f'

. 

# 3



# •

**~** 

# &

Permit

CBOD-5 Day Reau i rement 104 ..3 !56.4 LB/DY 

# • 25 

### 38 Sample

Measurement **~f.** 

# i f **~** 

## z.. 3

* 2..") 

## <t.3
Pc:rmlr



### Suspended Solids Requirement 125

. 0 187.7 

### LBIOY 

# • 30 45



### t-ecaJ Collform Samp l e Measurement



### * 

# • • 

# z. 

# eo {000



### May 1 to Sep 30 

### Perrott 200



### lO_o_o_



### Oct 1 to 

## Apr 30 

### Reauirement 

# .. • 

# .. • 2000 10000 

### Sample

Measurement 

## • 

# • ({? ' 

### '-1 

# • 6.0
Permit **~H**



### Requirement 

# • * 

# .. 6.0 

# . 9.0 

### Sample

Measurement 

# .. * 

# • ().5



# ..
Permtt



### Total Residual Chlorine **Re<~uirement** 

## * 

# • • 

# .. 0 . 5 

## * Sample

Measurement 

# .. • • * 

# •

Penn it 

### Requirement



# • 

# • * * 

# • * NAMEfnTU: PRlNCIPAL EXECUID'E I CERTIFY UNDER PENALTY OF LAW TllAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR. OFFICER WITH THE INFORMATION SUBMITTED HEREIN AND BASED ON MY INQUIRY OF THOSE !NDIYJDUALS

IMMEDIATELY RESPONSIBLE FOR OBTA!Nil\'G THE INFORMATION . l BEI.IEVE
TilE SUBMITTED INFORMATION IS TRUE, ACCURATE AND COMPLETE. I AM AWARE TiiAT 

### Amendment No. 1 **Thi~**



### DMR is to 

### be use d for 

### a plan\ design 

### flow of 0.5



### mgd.

. Do 

### not use lhe DMR 

### for a 

### design



### Discharge fiow of 0.9:5 mgd unt i l the 

### plant

.E>:pan.sion has been completed and is capable of treating

such flow. 1'\0TE: Read instructions before completing this form 

### NO. FREQGEl\CY 

### SA.,'1.1PLE



## EX

OF A"'ALYS!S 

### T1'1'E 

### UNITS

(62 - 63) 

### { 6 4- 68 ) (69-70} **~** "'"' 1- 

# ----

• '* CONTINUOUS RECORDED

I I.L<-· !.- 

# - MG/L 

# • 1/W"EEK 

### 8-Hq_l!.R

COI\.-iPOSITE


# . u.- .. _ **~** 

### MGIL 

# * IJ\IlEEK 8-Hq_l!.R

COMPOSITE **I~** 

## ,....-- #/IOOML 

# • I !WEEK GRAB 

# 'u.- 

# ---- S.U. 

## '* !/WEEK GRAB 

## 'd....., 

# - MGIL 

## * 30/MONlH GRAB


### * 

# ..

* 

## * 

# • 

# .. TELEPHONE

DATE



# Gv~ 

# ~~ **c, t~s·** 

C. J-r.ry>,o7 lliER.EAR:E SIGNIFICANT PENALTIES FOR SUBMrrTING FALSE INFORMATION. INCl-UDING iHE /t...;;...

'j

**J..~-** 

## g IJ 

# t **Zoo~** 

### lo
POSSIBILITY OF FINE AND IMPR.JSONMENT SEE 18 U.S.C. §1001 AND 33 U . S . C. §1319. 

## I r

TYPE OR 

### PRlNT (Penalties under these statutes may includes fines up to 

### SIO,OOO and or maximum rsJGNATUR! OF PPJJOC!P A.L EXECUTIVE 

### AREA YEAR 

### MO 

## DA Y imprisonment

**()fberw~ 6rn_on**  **ths8JI~ars)** OFFICER OR AUTHO.R..IZED AGEI>.'T 

### CODE 

### NUMBER COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
EPA 

### FORM 3320-1 (Rev 

### 9- 88) Previous 

### edition maybe used

. {REPLACES EPA FORM T-40 WHICH MAY NOT BE USED) Page I 

### of I



### NOTE: YOUR PERMIT WILL EXPIRE ON 

# NC;\/ 3

Q 

# 2008 .

PLEASE SUBMIT YOUR RENEWAL APPLICATION BY 

# JUN

- 3 2008 I I

### DI!ICHARGl! MOmTOIUNG REPO]!.T 

## S1li 

# -~~ **ENT~SEW** A.GE 

### SLUDGt 

### REFORt 

# Month~ **5~** J. . .. - \

· ij · · · 

## Year:~ Instructions: . 

# *

· · **~.=--;;,.-. ,.**  **,.,....**

**.** 

## - ·

· mP.letemont}flyandsubmitwitheachDMR. Attach additional _ 

# f . · Permittee: 

# MIL **0-,t~od ;fl{r)Nt~)JrjL**  

# 4u7li . :/BkL **L~** IJk.e /Jt) JJ



### . . W "'r·

-·



## ----1:)-

r· ----··-- --- ........ - ... - ...... , .............. _...,.,. __ ..., ... '

......... _ • .., l" ... **~** .. **~** 

### ··---S: /J/1-

**(J~** 9"cl3 S' 

## s - **.::** performBllcc. Report orily sludge which has been removed from Munlclpallty:

· fj£( t.-r_ 1/.tt=.AfUt:J,.J i

**:·~ ·** 

**1~** 

### - - ..
digesters and other solids which have been permanently removed County: _E_A-t-/h 

### 7T/.3. .. -

from the treatment process

. · Do not include sludge from

· other 0 . f . ,.



### - plarits which i s prr;>cessed.at your facility. 

# · I

3. In the disposal site section, report all 

### sludge leaving your For 

### sludge that is incinerated:



### facility for 

### disposal. If another plant processes 

### and disposes Pre -incineration weight= dry tons

of your sludge, just provide the name of that plant. If you 

### :. ,_ } Pos t -incineration weight

- dry tons **~**
dispose of sludge from other: plants, include their tonnage in the .

,
disposal site section and provide the!r names and individual dry 

## - tonnage on the back of this fonn

.



### 4. If no sludge 

### was removed, note 

### on fonn. . • .

, . SLUDGE PRODUCTION INFORMATION (prior to in cineration) r .

' HAULED

AS LIQUID S LUDGE

HAUhED

**~-D~V{** ATERED SLUDGE !rr'

. . (Conversion (Tons of

.

; (Gallons) X (%Solids) X Factor)



## ... Dry Toils : ;Q,Qwatered Sludge) X (%Solids) X (.01) 

# 1 ' - Dry 

### Tons

: 

# - --- .. Name: Pennlt 

### No.: 

### Dry Tons Disposed: Type: (check one ) Landfill 

### Agr. Ut1l.izatwn ' Other ( speci fy) County : (SSR-1 3/21/91) . 0000417 

### OJ 

### I 

### l I I **fr..~**
j

. I 

### I 

# , () 

# ---· DISPOSAL SITE INFORMA.TION:

· List all si t es, even if 

### not used this month


### Stte

1 S i te 2 

### 'f .. .



### . **I** ... : . Signature Stte 3

... 

### -Su#--t/~/>Jb~ Title : 1!-; (;- ;;· 

### 6 Date .oi 

# · !I;!' ' **~** '' .. . . ..

• ' "

r& **~** 

### . **~~ ,.**  . , **~~** ..

'

1f **~** · : ; **~-** 

## ;,r Stto 4 **~** 

### ,- 

### - **~ ~**  

### It ;;! , .. ..

**~** T :!- 

## if.y:.--f~f·-?13 r



# · it;:hone

·.

- - - -·. .. . **~- ·-**  .. 

### · - - - 

# - --- . . . . ......... ... --

- -Facility-Nom ;' · Torrc.,-a rtlnio'J'llrrl) !------- -- 

# -

--
i **~AJ\·fE:** -· l'vlunicipa.l Authority of the Borough of Belle

Vernon ADDRESS: PO Box 181

, I 0 Main Street Belle Vernon. PA 15012 "'" IVJ'i"'-L P.JLLU I ''l" I LJL'' rtAKVt I:.LII\1lNAllUN :-:. y::, II:.M (NPDES)

- - - - DISCHARGE M TORING

· REPORT-(DMR-)-

- -

( 2-16 )

,. -- - **~.** (] 7-19) PA0092355



## J l 001 

### I PER.MIT

NUMBER 

### I 

### I DISCHARGE NUMBER MON!TORfNG

PERIOD

i FACILITY: Belle Vernon-North Belle Vernon Vv1'CP LOCATION:

Belle Vernon Borough

, Fayette County FROM YEAR 

### I MO 

### I DAY 

### I TO 

### I YEAR 

### I MO 

### I DAY 

### I **~"!? I**  t(} 

### I I 

### I I ;_., £ 

### I

l' 

### I !> (

- -- (20-2 1 ) · - - · (22-23) (24-25) (26-27) (28-29,1 (30-31)

Parameter (3 Card Only) Ql'Al\'Tln' OR LOADING (4 Card Only) QUALITY OR **(Ol'iCE~TRA** TIO'i
(32-37) (46-53) (54-61) ( 38-45 ) ( 46-53 ) (54-61)

AVERAGE MAXIMUM liNITS MINIMUM AVERAGE !1.1AXIMUM
Sample

**~r.** . 5Lf Measurement 

## ' l.." **~** * + 

### *
Permit

Flow Requirement MONITOR AND REPORT MGD 

### * 

### • * Sample

Measurement I '1 • 2.- !> I

. 1.. 

### * ? 13

Perrmt

CBOD-5 Da y Requirement 104.3 156.4 LB/DY 

### * 25 38 Sample

7-t

. ) 

# - 9 3

. 

### 7 31 3 'J Measurement

*

Permn

SuSPended Solids Reouirernent

. 125

. 0 187

. 7 LB/DY 

### * 30 45 Amendment l'\o. I This

DMR is to be used for a plant design flow of
0.5

mgd. Do not use the DM:R for a design Discharge

flow of 0

. 95 mgd until the plant Expansion

has been completed and is capable of treating

such flow. **~OTE:** Read instructions before completing this form NO. fREQuENCY 

# I SAMPLE EX OF A'X.AJ.. YSIS TYPE UNITS

(62-63) (64-68) (69-70 ) 

# - c?t- **-~**

* 

### • CONTINUOUS RECORDED



## '

U/--



# - MGJL 

### * !/WEEK 8 - Ii.<?_UR

COMPOSITE

( 

## - lu- 

### ...---- MGIL * I !WEEK **~:H<?_~I.i** COMPOSITE

Fecal Colitonn Sample 

### •

* * 3cJZ'1''- s-Pc,_,, I u-- __..- --I Measurement May

I to Sep 30 Permn

200 1000 !

Oct

**lto~30** Requirement 

### • 

### • * 

### • 2000 10000 #/IOOML 

### * liWEEK GRAB

Sample

Measurement 

### • 

### • '1.7 • 'f

, 7 ·-u_ 

# - I

Penn1t 2_H

Re_guirement 

### * 

### • 

## .. 6.0 

## .. 9.0 S

. U. 

### •

. }/WEEK GRAB

Sample

Measurement 

## .. • * ...-- **() ~** 



### • **~J~Yl.** 

# -

Permit

Total Res

. idual Chlor i ne Re{luirernenl * * * 

### • 0.5 * MGIL 

### * 30/MONTFl GRAB

Sample

Measurement * * 

### • * 

### • * 

### •

t'emut Requirement

* 

### • * 

### • * 

### • 

# . • 

### • •
NAMf./TilLE PRINCIPAL EXECUTIVE I CER.11FY UNDER P£NAL. TY OF LAW iliA T I HAVE PERSONALLY EXAMINED AND AM FAMILIAR TELEPHONE DATE

OFFJCER WITH TiiE INFORMATION SUBMITTED HEREIN .AND BASED ON MY INQUIRY OF lliOSE INDMDUALS

IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE

(; V 

## l 

## c

L 

# t-,lf§

1 TilE SlJBMITTED INFORMATION IS TRUE, ACCURATE AND COMPLETE . I AM AWARE iliAT 

# A~ 

# (_2 **r~**
THEltE ARE SIGNIFICANT PENAl. TIES FORSUBMmJNG FAlSE INFORMATION. INCLUDING THE ?l--1-"i'--$-1$15

{ 2..6' {' (

**~**
POSSIBILITY OF FINE AND !MPRJSONMENT SEE 18 U . S.C. §1001 .AND 33 U.S.C . §!319. ll TYPEORP T (Penalties under these statutes may

**includ~** fines up to S l 0,000 and or maximum **~-OF** PR!NCfPAL EXECLTTIVE AREA YEAR MO DAY impnS()Ditlent of between 6 months and 5 years)

_ _ **--** __ _ _ OmCER OR A_{JT)iORJZED AGENT CODE NUMBER COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
EPA FORM 3320-1 (Rev 9 - 88) Previous edition maybe used

. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED) Page I of 1

NOTE:

YOUR PERMIT WILL EXPIRE ON 

## NCl\f 

## 3 0 

## 2008 ------- · PLEASE SUBMIT YOUR RENEWAL APPLICATION BY 

## JUN

- 

## 3 2008**·** 

# 2 . **.~Hons:** 

# ---cpmplete

montl).ly and submit with each D.MR. Attach additional

sheets and comments as needed for completeness and clarity.

Sludge 

# production information 

# will be 

# used to 

# evaluate plant

perfonna.nce. Report 

# orily sludge wJlich has been removed from digesters end other solids wbjch have been permanently 

# removed

from the 

# treatment process

. ' Do 

# not include sludge from 

# other 

# DISCHARGE MONITORING REPOF:.T 

# S"41F ... _ _ 

# ,. **,~ :·**  **.** Rt-{TALSEW A.GE SLUDGlt REPORT "Month: {)u-1



# · 

# -

. ij · • · · 

# Year: z_6,,..



# ['~ .



# .. 

# . 

# •

· ·"



# ~

:

_ Permittee: 

# MIL W-,t,Jt);J 

# ;i1t1Nt~/4L 4riZk

W

. 

# Plant: **::S..tLL~**

'/::..t!I'JOiJ .

.... .



# . **~** 

# NPDES: **~** 

# "tJ

3 

# s 

# s

. . _,

plants which is processed. 

# at your 

# facility.

.

3

. In 

# the disposal site section, report all sludge leaving your 

# facility for disposal. If another 

# plant processes and disposes

f 

# vour sludR:e. just 

# orovide the name 

# of that olant. 

# If 

# . -- - -- - 

## - - - - 

## - - - - -



# . HAULED AS 

# LIQUID Sl:UDOE 

# (ConversiOn



# . : coa11ons) X 

# (%Solids) X 

# Factor) 

# .. Dry Toils

76.111 

# . 0000417

tJ

, 

# <:>-F



# ' 

# - -""""'



# .. tJ.::r.K 

# tj Mwl1cipeUty: 

# .6..( t. 

# · **~X** /JtJ



# ·

County:

**E~1Tp_ ·**  

# • • • For 

# sludge that is incinerated:

I · 

# Pre-incineration weight= dry 

# tons '

. Post-incineration 

# weight.. dzy

·- -- "

- 

# tons

' 

# j l - ' ' 

# . f,

. 

# . RMA

TION (prior to incineration) 

# •

- 

### '-

"" ; 

# HAULED AS DEWA

. t<.t<:nu 

# SLUDGE

**!~r** 

# . (Tons of 

# 1.

'

**:~watered** 

# Sludge) X (%Solids) 

# X 

# (.01) 

# i

- Dry 

# Tons .0] **·** 

# w

· :

!;:( 

# L

c . ... 

# ,

''" 

# -

**--** 

# f( :' .. 

# W: - - .

" f'

. "l""''.f"''\.1 

# . . 

# - ·· - 

# DISPOSAL SITE INFORMATION: List all sites, even lfnot used this month **~**



# SltC 1 

# Site2 

# Name: PennitNo.: 

# Dry Tons Disposed:

. 

# Type:

{check one) 

# ·

r:-anamr 

# • • •
Agr. 

# Utilization



# . 

# .

Other TspeCI!Y)



# . '



# . 

# County:



# . (SSR-1 3/21191) 

# Sigilarure 

# 81te 3

... 

# -.:S'u.,o;~"-/~.Nt:>~ Title : ;/-(frO 

# 6 Date 

# l.!

. Site 4

' 'I!' '



# t; · 

# .... 

# ... **~** 

# N

. 1

;

. 1J "f. · 

# " o "! 

# .. 

# 2'£..&f:,..;- .:-p /.3 

# r


# I . J!fhone·

·

' 

## ~~ 

# "'' · ·;'J:.KJ.VI!l

1.1:.1:. NAM.J::: ADDRESS (lnclude NATIONAL POLLUTANT D! LARGE ELIMINATION SYSTEM (NPDES)


### Facility 

## Na,li. ocation) DISCHARGE MG •. tTORING REPORT (DMR) NAME: **Municip~J** Authority of 

### the Borough of (2-16) (17-19)

Belle Vemon PA0092355 

## I I 001 ADDRESS : PO Box 181, 10 Main Street PERMIT NUMBER 

## I 

## l DISCHARGE NUMBER

Belle 

### Vernon, PA 15012

MONITORING PERlOD 

### FACILITY : Belle Vernon-North Belle Vernon WPCP LOCATION:

Belle Vernon Borough, Fayette County FROM YEAR 

# I :ttJo 

# o I MO 

# I

DAY 

## I TO 

### II



# I I 

# I (20-21) (22-23) (24-25)

- Parameter

(3 Card Only) QUANTITY OR LOADING (4 Card Only) (32-37) (46--53) (54-61) (38-45)

AVERAGE MAXIMUM UNITS MINIMUM

Sample 

## '30'1 . L(tJ/ Measurement



# • Permn

Flow Requirement MONITOR AND REPORT MGD 

### * Sample

Measurement 

### jrL3 z_ 

### g.'(



# •

Permtt

CBOD-5Day ReQuirement 1043 I 56.4 LB/DY 

## • Sample

Measurement 

## t, '(. 5 ? '(. 1



# • Permit

Suspended Solids ReQuirement 125

. 0 187

. 7 LB/DY 

## *

Fecal C'oliform Sample 

## •



# • • Measurement

May I to Sep 30 Permit

Oct 1 to Apr 30 ReQuirement 

## • • 

# • 

# .. Sample

Measurement 

# • •

**~.7.** Pc:rm.it

pH Requirement

. 

## "' 

# • • 6.0 :sample

Measurement 

## • 

# • • Pcmut

Total Residual Chlorine ReQuirement 

## • * * 

# • :sample

Measurement 

## • 

# • * l'ennit ReQuirement



## • 

## • • 

# •

NAMffrm..E PRINCIPAL EXECUTIVE J CERTIFY UNDER PE;":ALTY OF LAW TiiAT I HAVE PERSONAL I. Y EXAMINED AND AM FAMILIAR OFFICER WITil THE INFORMATION SUBMmED HEREIN AND BASED ON MY INQIJIRY OF lliOSE ll'iDIVIDUALS

IMMEDlHELY RESPONSIBLE FOR OBTA!NrNG lliE INFORMATION. I BELIEVE

THE

SUBMITTED INFORMATION IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT 

## I YEAR 

## I MO 

## I DAY



# I

uu t! 

# I 1/ 

# 1 .J6

. **~**



### --· (26-27) . 

## - --· (28-29) 

## ·-- .. (30-31) QUALllY OR CONCENTRATION (46-53)

(54-61) AVERAGE 

### MAXIMUM



### * *
* 

### *


# i If 25 

### 38 

### L") 

### 31 30 45 'fZ 77 /7 01)0 200

1000 2000

10000


# • {;, r



# .. 9

. 0 

## ()' 'I 

## •
0 . 5 

# • • 

# • 

# • • Amendment No. I This

DMR is to be used for a plant 

### design flow of
0.5

mgd. Do 

### not use the DMR for a design Discharge

flow of0.95 mgd until the plant Expansion

has been completed and is capable of treating

such 

### flow

. NOTE:

Read instructions before completing this form NO. FREQUENCY SAMPLE 

### EX

OF A"AL YSIS TYPE UNITS

(62-63) (64-68) (69-70) (! ... **~** .,.... 

# -- ·

• * CONTINUOUS RECORDED



## ' Lb- 

## +-- 

# ---- MGIL 

## * 1/WEEK 8-li_q_i.!R

COMPOSITE

I [p., lc... 

# ---- MGIL 

## " !/WEEK **8~fiq_i.!R** COMPOSITE **~~l** ' 

## ,.-- · i!/IOOML 

# • 1/WEEK GRAB

I



### Lt..<. lC 

# --

S . U

. 

# • 1/WEEK GRAB 

## ~~ 

## ,...--· MGIL 

### * 30/MONTH GRAB


## • 

# ..

• * 

## * 

# • TELEPHONE

DATE 

# A~c.t 

# {;;v~. f:rvrr' lliEREARE SIGNIFICANT PENALTIES FOR SUBMmTNG FALSE INFORMATION

. !NCLlJ'DING lliE 

## 7 '-£!- 

## "i' t- 

# r

**~** 

# rc-n f z.. (){: 

# 1 

# --
POSSlBli.ITY OF FINE A.'ID IMPRISONMENT SEE 18 U . S.C . §100) AND 33 U.S . C , §1319 . 

## r 

# , IJ EORPRINT (Penalties under these statutes may includes fines up to S 1 0,000 and or maximum SIGNATURE OF l"'ui-'CIP AL EXECUTIVE AREA 

### YEAR MO DAY

--- -- imprisonment of between 6 monllls and 5 ye3l'S) --- - - _9FFICER OltAU_T!IQg.IlED

**AG~** CODE NUMBER -

----- - -- - - -- -- COMMENT 

### AND EXPLANATION OF 

### ANY VIOLATIONS (Reference all attachments here) 

## During the month of November 2008, 183,330 gallons of gas-weel water was treated.

EPA FORM 3320-1 (Rev 9- 88) Previous edition maybe used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED) Page l of l



### NOTE:

YOUR PERMIT WILL EXPIRE ON 

# N' '

-. ' -:: Q 

# 2008 .

PLEASE SUBMIT YOUR RENEWAL APPLICATION BY 

# JUN

- 3 2008 I IIti2.DISCHARGEMONITORINGREPOR't:AGESLUOGEREI'OR'J'f'{,'-''if'·."'Lmont])lyandsubmftwitheachDMR.Machadditional'·:l.'·.Pennttt.e:Mkv.{!_.,iY'...sheetsandasneededforandclarity.j.Plant:A.LL/eNdrJSludgeprt>ductionlnfof!llatlonwillbeusedtoevaluateplantNPDES:-tJCJ3ssperfonnance.Reportorilysludgehasbeenremovedfrom1$.Munlolpallty:·e(t.liIJPdigestersandothersolidshav.ebeenpermanentlyremoved'··County:7Te.;;;..fromthetreatmentprocess.Donot1I1Cludesludgefrom·other,.plantswhichisprocessed.atyourfacility..;.Inthedisposalsitesection,reportallsludgeleavingyour':1facilityfordisposal.Ifanotherplantprocessesanddisposes)·..·ofyoursludge,justprovidethenameofthatplant.Ifyou:disposeofsludgefromother:plants,includetheirtonnageinther:disposalsitesectionandprovidetheirnamesandindividualdrytonnageonthebackofthisfonn.Ifnosludgewasremoved,noteonfonn.3.4.Forsludgethatisincinerated:Pre-incinerationweight""drytonsPost-incinerationweight"'drytons1$!.'.-.---------------------------------""..i<''1ASLIQUIDSLUDGEHAtJLBDASDEWATEREDSLUDGE-,(Convers10n(TonsoT!I?'..;(Gallons)X(%Solids)XFactor)-DryTonsSludge)X(%Solids)X(.01)I-DryTons3.,-d02..{'-.-Name:Permit}lo.:DryTonsDlsposed:Type:(checkone)LandfillAg:r.UtlbzationI'Other(specify)County:(SSR-13/21191).00004170·sIfIIh.I.....CJ•3i---·DISPOSALSITEINFORMATION:Listallsites,evenifnotusedthlsmonthSite1.Sigilature·-·Site2(...,:d!S1te3Title'.01I:(-()-d7Date'!:)tr....it'.¢"-!![.'.,,..·g..·'f!Site4........]:c!},-···-·1-?J..Y':-f'j...f"·;_P/3r..IJfhono·

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### 11:.1:. I':A.!Vll. 

## Al.Jl.)R..ESS

**(lnci~<de** 

# NAllONAL 

# POLLUTANT IJI 

# ARGE

**EUMT\:,':!1~1~** 

# SYSTEM

**(~PDES)**



# Facii;~l **;** Nal}u ;calion)



# DISCHARGE MOr,tTORI!'\G REPORT (D:\1R)
NAME : Municipal Authority of 

# the Borough 

# of Belle



# Vernon ADDRESS: PO Box 181. 10 Main Street (2-16) 

# PA0092355 

# PERMIT NUMBER (17-19 )



# I I 001



# I

I DISCHARGE NUMBER

Belle 

# Vernon

, PA 15012



# MONITORJNG PERIOD FACILITY : . Belle Vernon-North Belle Vernon 

# \VPCP

LOCATION: Belle 

# Vernon Borou!lh

. Faverte Coun t'\ · 

# FR0\1 

# YE.I\R 

# I MO 

# I z...::,. z 

# I

ii.. 

# I DAY 

# I TO
I



# I (20-21) (22-23) (24-25)'



# Parameter

(3 

# Card Only) QUANTITY 

# OR

**LOADL~G** 

## (4 

# Card Only) (32-37) (46--53) (54-61) ( 38-45 )



# AVERAGE MAXIMUM UNITS MINIMUM Sample



# Measurement 

# : 7&2. 2. 

# :r 

# • Permit

Flow 

# Requirement MONITOR AND REPORT MGD 

# * Sample 

# il·7

i7.\<> **Meas~ent** 

# • Pem11t

CBOD· 

# 5Da v ReQuirement 104.3 156.4 

# LB/DY 

# * Sample



# ll7_:; 

# sio.5 

# -- Measurement 

# •

PerrnJi 

# Sus_ll_ended Solids **R_~:guirement**



## 125.0 187.7 

# LB/DY 

# *

Fecal COliform 

# Sample 

# •

Measurement 

# • 

# •
May I 

# to Sep 30 

# Penmt

Oct 

## J 

# to Apr 30 

# Requirement 

# • 

# • 

# .. * Sample

Measurement 

# • • 6,. L 

# Pemnt

oH 

# Requi11m1ent 

# • * * 6.0 

# Sample 

# •

Measurement



# * 

# . Perm1t



# Total Residual Chlorine Requirement 

# • 

# • • 

# • **~ample** 

# Measurement 

# • 

# • 

# • Pennjt



# Requirement 

# • • • 

# • NAME/TITLE PRINCIPAL EXECUTIVE 

## 1 CERTIFY UNDER PENALlY OF LAW 

### THATI HAVE PERSONALLY EXAMINED AND AM FAMILIAR 

# OFFICER

WlTH TilE INFORMATION SUBMITICD HEREIN AND BASED ON MY INQUIRY OF 7HOSE INOMOUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING 

### 1H£ INFORMATION. 

## I BELIEVE
ll1E SUBMITTED INFORMATION IS TRUE, ACCURATE AND COMPLETE. I AM AWARE TliAT 

# I YL\R 

# I MO 

# I DAY



# I

z od' 

# I

i L 

# I J/ 

# (26-27)

-- 

# -- (28-29) (30-31) Ql'ALIH 

# OR

**CONCE~TRATIO!'\**



## { 46-53) (54-61) 

# AVERAGE MAXIMUM


# • *


# • • 'L 

# .3 25 38 

# 32- 

# S.3 30 45 **s-z..~** 

# '~" 20_\)

_ 2000 

# lo **~o**
• **y**



# .. 9

. 0 

# a.5 

# ..
0 . 5 

# .. • 

# • • 

# • Amendment 1\o. 

# I This



# DMR is to be used for 

# a plant design 

# flow of 0.5



# mgd. Do not 

# use the

**D~1R** 

# for a 

# design

Discharge flow 

# of0.95 mgd 

# until the plant

Expansion has beer. completed and is capable 

# of treating

such flow. 

# NOTE: Read instructions before completing this form 

# NO. fREQUENCY 

# SA!viPLE

EX OF A.'-'.<J. YS!S 

# TYPE

liNITS (62-63} (64-68) (69-70 ) 

# c LJ...,. / 

# · · -

• 

# .. CO'l'.rriNUOUS RECORDED

' 

# -- u-_ 

# MGIL 

# .. !/WEEK **.?:f!~UR** 

# COMPOSITE **~~**



# ..- 

# - MGIL 

# * 1/WEEK **8-~_qUR** 

# CO'MPOSITE 'w- 

# -- #/IOOML 

# * 1/WEEK 

# GRAB 

# -- f"'v '- 

# s.u . * !/WEEK 

# GRAB **~/1} ~**  

# MGIL 

# • 30/MONTH 

# GRAB


# • •



# • 

# .. • •

TELEPHONE DATE



# 0v~ **{_.~'!t=r~ ~**  **c~~(** 

# .
THERE ARE SIGNIFICANT PENALTIES FOR SUSMJ1TING FAI.5E INFORMATION. INCLUDING 

### l1iE 

# ?L

'(- ') t-(f 

## /;> 

# f 2...60'5'

( 

# IJ
POSSIBIUTY Of FINE AND IMPRJSONMENT SEE 18 U . S . C. §100] AND 33 U.S.C. 

### §1~~ 

# TYPEORP (Penalties under these statutes may includes 

## fines up 

## to S 10,000 

## and or maxim 

## l->Kl'_!"AT0R.E 

# OF

**P~CIP** 

## AL EXECUTIVE 

# AREA YEAR 

# MO DAY _imprisonment

**ofberwe~** 6 months 

# and 5 years) 

# OFFICER OR AUTHOR.JZED AGENT 

# CODE 

# NUM.BER

- - -- 

# COMl\1E?\tT AND EXPLANATION 

# OF ANY VJOLATJONS (Reference all attachments here) 

# During the month of December 2008, 212,520 gallons of gas well water was treated.

EPA FORM 3320-1 

# (Rev 9- 88) Previous edition maybe used. ( REPLACES EPA 

# FORM T-40 

# WHICH MAY NOT BE 

# USED)

Page 1 

# of 1



# NOTE: YOUR PERMIT WILL EXPIRE ON 

# NIJV 3 0 

# 2008

PLEASE SUBMJT YOUR RENEWAL APPLICATION BY 

# JUN

- 3 

# 2008



# -- 

# - 

# - -- i

# t i! 

# I r 

# i DISCHARGE MONITORING 

# REPORT,. Instructions: . .

1. 

# CpmP.lete 

# montl)J.y and 

# submit with each DMR. Attach 

# additional sheets and comments as needed 

# for completeness and clarity.

2. 

# Sludge production information 

# will be used 

# to evaluate 

# plant performance. 

# Report orily sludge 

# which has been removed 

# from digesters and other solids whlch have been permanently 

# removed from 

# the treatment process. 

# · oo not 

# include sludge 

# from

· other plants which is processed

. at 

# your facility.

.

3. 

# In the disposal 

# site section, report all sludge leaving your 

# facility for disposal. 

# If 

# another plant 

# processes and disposes

of your 

# sludge, just 

# provide the name of that plant. If you dispose 

# ofsludge from **othe~** 

# plants, include 

# their tonnage ln 

# the disposal 

# site section 

# and provide their names and individual dry



# tonnage on the back of this 

# form.

4. If no sludge was removed, note on form. **~** 

# ;!;}. 

# ; I **A~SEWAGESLUDGtREFORr**

. SLUDGE PRODUCTION INFORJ.\1A.TION (prior to 

# incineration) HAULED AS 

# J..IQUID SI;UDQE



# HAULED AS DEWATERBD SLU:QGE



# . ;(Gallons) X (%Solids) X

: **~** 

# .. Name: Penntt No.: 

# Dry Tons Disposed: Type: (check one) Landfill 

# Agr. Uhhzation 

# . '



# Other (specifY) County: (SSR-1 3/2lt91) 

# (Convemon

(Tons of 

# Factor)



# ... Dry Toils **.~watered**



# Sludge) X (%Solids)

• 0000417 

# q I I I I 

# .,,

I

..



# I c:- 

# DIS.POSAL SITE rNFOFJvf.A TION: 

# List all sites, 

# even if 

# not used this month
Site 1 

# I

, 

# I 

# IP/Y"I **~~ /~**  Site 2 **~** 

# . . <; 

# ::l

Signature

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# --Su#--i./~Afb~ Title 

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# Date 

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# Tons lJ:!' . 

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54-(>l) _.:.:.- ..:.. . · .: . : : .-:- , **~-;:~** . : _, .; ! QL>,.LITY (JR CO:'\CfSTkATIO:"'o

Firrv-. Permit--

, I Reouiremem

MO}IlTOR A:'\:0 REPORT 1 MGD *
CBOD- 5 D;;v Sus p e n d e d S o lids Fecal

Collfonn May I to Sep 30 Oct

I **to~30** pH Total Residual Chlorine !:,amp l e I Measurement 2. Y · (:, **Pi.lll~~ Requir~mcn\**  **~;,n·:j)le J\·1e2.surcn1er~t**  Jle;mit Requirement Sample Measurement Permit Requirement Sample Measurement Permit Requirement Sample Measurement Pc:mu! Rectuirernenl --sample Measurement Pemut 104.3 II g. 2- ]25 . 0 • .. * • * * " I I Requirement I "' 1 s '(. 5" **1~6A** LB. ' DY /77 . L 187.7 LBIDY
* " •
* * * * .. • • NAME/TITLE PRINCIPAL EXECl.iTIVE J I CERTIFY UNDER PENALTY OF LAW TIIA T I HA \'E PERSONALlY

**EX .~**  MINED AND AM FAM I LIAl!. OFFlCER s 25 LY 30 2<!7 200" 2000 .. 0-3 0 _ 5 1 I I 7 :08 **~(,** 12. sgc l01iO 10000 7 _ :

_ _1 2.:_0 .. - * - .. - • Amend m ent !\c•. 1 **Th~~**

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**~** 11\\'EEK" I

CO:vtf'OS"irE i MGIL

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81-JOUR

0

* I 1\VEEK COMPOSITE --- **I~'** 

### - #/IOOML * 1/WEEK GRAB '&..._ -

S . U. • 11\\iEEK GRAB

f c/,..1 

### - MGIL • 30/MONTH GRAB . • -

• * .. TELEPHOl\'E

DATE

G v v (. _t<:r"rf' WITH THE INFORMATION SUBMITTED Hl>REIN AND BASED ON MY INQUIRY OF TilOSE JNDMDvALS

IMMWIATfLY RESPONSIBLE FOR OBTAINrNG iHE INFORMATION. 1 BE\.tE\'E

THE

SUBMJTIED !NFOR.MATION IS TilUE, ACClTRATE AND COMPLETE I AM AWARE TliAT "!HERE

ARE SIGNli'ICAl'-'T PENALTIES FOR

**SUB~11TTTNG** FALSE INFOR.J\V,TION !NCLL'DJNG iHE POSSrBILln'

OF FINE AND IMPRJSONMENT SEE 18 U.S.C. §1001 AND 33 ll.S.C. §1319

. .. 7

**Z.'f~1** J..f-,f I) F 2...417./f YEAR .z_. 1/ DAY

tYPE OR PRINT (Penalties under these statutes may includes fines up to SJO,OOO and or maximum imprisonment

of between 6 months and 5_ y ears) COMMENT

AND EXPLA'NATJON OF ANY VIOLATIONS (Reference all attachments here) During the month of January 2009, 193,200 gallons of gaswell water was treated. AREA CODE

EPA FORM 3320-1 (Rev 9 - 88) Previous edition maybe used. (REPLACES EPA FORM

**T~40** WHICH MAY NOT BE USED) NUMBER
NOTE: YOUR PERMIT WILL EXPIRE ON W'\f 3 0 2008 PLEASE SUBMIT YOUR RENEWAL APPLICATION BY JUN

- 3 2008 ---------------- MO Page 1 of I

### .:...-·_.....,._J..~:- ... 

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# the

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# no siudgs was removed

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# note on form. HAULED AS LIQ U ID SLUDGE 

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# D r y Tons Disposed: Type: (check on e ) Landfill 

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