HomeMy WebLinkAbout10) October
JEFFERSONVILLE
WASTEWATER
TREATMENT F ACILl
Monthly Operations Re}
October, 2004
Prepared for:
Peggy Wilder
December 13, 2004
www.geocities.com/emc_jefj
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E ItII C ENVIRONMENTAL MANAGEMENT CORPORATION
A BOC GROUP COMPANY 701 CHAMPION ROAD
MUNICIPAL SERVICES JEFFERSONVILLE, INDIANA 47130
www.emcinc.com TEL: (812) 285-6451
FAX: (812) 285-6454
November 23, 2004
Matth.ew Rumpke
District Manager
Rumpke
1101 West Oak Street
Louisville,KY ~020 1
Dear Mr. Rumpke;
This is.toinform.youthat at the.r.egularly scheduledmeetinguofth.eJeffersonvilleSewer
Board on November 22, 2004, it was decided that septic waste haulers would no longer
be" permitted to discharge into the. Jeffersonville Wastewater Treatment Facility. No
truck will be allowed to discharge after December 31,2004.
Please feeL free to contact me if you have any q.uestions.
Sincerely, f..
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Michael F. Meyer !l
Plant Supervisor
cc: Mayor RobWaiz
Tim Crawford, EMC
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EM C ENVIRONMENTAL MANAGEMENT CORPG/lATlON
A DOC GROUP COMPANY 701 CHAMPION RoAD
MUNICIPAL SERVICES JEFFERSONVILLE, INDIANA 47130
www.emcinc.com TEL: (812) 285-6451
FAX: (812) 285-6454
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:l . Executive Summary
Monthly Operation and Maintenance Report
October 2004
Following are summaries for operation and maintenance at the wastewater treatment plant, and
maintenance of the collection system and lift stations for the month of October 2004.
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Effluent quality was within NPDES permit limits. There were no violations during the month.
Settleable solids averaged 359 for the month, slightly down from the previous month.
There were 19 wet days (defined as a day having at least 0.1 inch of rainfall and three days
afterward) resulting in an average plant flow of 6.23 MGD, and 12 dry days with an average flow
of 4.11 MGD. The percentages of design flow for the plant were 119.8% wet weather and 79%
dry weather average. The total average influent flow for the month was 5.41 MGD, which is
104% of design.
The facility received an average influent BOD loading of 8,607.82 this is 81.3% of the design.
The facility received an average influent TSS of 11,695.9Ibs/day; this is 115.7% of the design.
The facility received an average influent Ammonia of 592 Ibs/day, this is 68.3% of the design
The maximum rainfall event during the month was on October 18 at2.75".
The high TSS reading on the fourteenth was due to the RAS line being overloaded, therefore
causing the solids to run out ofthe scum troughs in the chlorine contact tanks. We have been
discussing the possibility of installing valves on each.ofthe scum lines.
Pretreatment
II
>- Annual sampling was preformed on Indiana-American during the month.
>- Per IDEM Pretreatment audit, most permits were re-written.
>- Industrial environmental contacts at AL TEC, Brinly-Hardy and Indiana-American have ceased
employment over the last month
>- Visit were made to all the aforementioned industries during the monthto insure that all provisions
of their permits were understood and still being carried out.
Lift stations and Collection System
In month of October collection crews made 21 sewer calls 19 being residents or other problems and 2 being
in the city's main lines, with minor damage to a vacant residency.
. 604 Roma Dr., the realtor found minor damage in basement from floor drain, had no
sewer calls on that street.
. 811 Springdale Dr. crews cleaned 150' removed build up of solids from c/o out to main
line.
. 820 E. Maple St. crews cleaned 30' removed the build up of grease from c/o out to main
line.
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);- We cleaned 12,505 feet of sanitary sewer (62,838 feet/contract YTD) and 4,492 feet of storm/CSO
sewer (39,609 feet/contract YTD). We also televise 1,719 feet sanitary sewer lines (10,542
feet/contract YTD).
);- We hand-cleaned 181 and Vactor-cleaned 4 catch basins.
);- All 21 trouble spots were cleaned during the month.
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. Them/h at3605 Alyn Ct. contra~tor did not tie line coming into mIh to main line that
existed in m/h; crew cleaned 1,000' and vactored 3 truckloads out. Mike L. contacted
the contractor who fixed the problem.
Collections crews worked with different departments ofthe city on various city projects, and a
few businesses jobs around the area.
. CollectiO:nscrew monitored Silver Creek station so A-I plumbing could install check
valve and grinder pump at 5707 Hamburg Pike force main.
. Collections crew chiselled asphalt off mIh lid for J.T.L. crews to look into at 15th and
Locust.
. Collections crew cleaned and vactored 300', televised 308' on 15th St. by Spring Hill
school down to Locust St. to locate and identify line for John Tombs. Line was blocked
off.
. Collections crew took vactor truck to Rolling Ridge station to fill wet well with water
so Straeffer pump crew could work on station.
. Collections crew cleaned line at animal shelter for Harry Wilder.
. Collections crew took TV truck to Alyn Ct. televised 250' to locate buried m/h for
Mike L. and Jerry C. marked with green flag and paint.
. Collections crew cleaned and vactored 227' in main line on Meigs Ave. and 7th St.
several times for 2 days to try and remove the build up of concrete from the
construction of new jail.
. Bob G. crew had to dig line at 15th and Locust St. collections crew vactored ditch out
several times.
. 1,161' of televising was conducted by crews to locate 6 taps for residents'or contractors
and to locate 2 buried m/h for Mike L. and Jerry C. also 2 possible damaged lines.
. Collections crews cleaned 400' of storm drainage in Fountain Crest Circle and 20'
under drive way at entrance to Munich Steel.
Collections crews' street pre-maintenance schedule.
. Trouble spots list completed 6,150' of sewers cleaned and vactored throughout city.
. 5 wet wells were vactored out due to solids and build up of grease.
. Collections crews cleaned 181 c/b tops off due to leaves and rain throughout the city.
. Collections crews cleaned and vactored 4 c/b due to poor drainage.
. Collections crews cleaned and vactored 7,770' of sewers in the Golfview subdivision
. Collections crews cleaned and vactored 950' in different areas ofthe city.
. Collections crews used deodorant in c/b to help with the odor during dry weather
. Collections crews conducted dye test in alley by flood wall between Locust St. and Wall
St.
. C.S.O. gates were exercised and greased also blocks of wood and chalk lines were
maintained on the C.S.O. weirs to help determine by-passing.
Collections crews lift station pre-maintenance schedule
.
All lift stations floats, switches, pumps, alarms and electrical and mechanical
components were cleaned, exercised, and inspected for proper operations.
Bar screens at 10th St. were cleaned as needed.
Generators at lOth St., Spring St., and Mill Creek stations were operated, inspected, and
exercised for proper operations.
Collections crews cleaned grease off probes at Cedarview station.
Collections crews' vactored out pit on vactor pad.
Collections crews installed rebuilt pump in RAS station.
Crews .installed new Wires, Relays, and Solenoids to water systems. on pumps at springEMC
St. statIOn.
The maintenance building and company vehicles are cleaned on a weekly basis. A BOC GROUP COMPANY
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Repair in the Collections system
. Crews fixed air valve on force main at Pleasant Run station.
. Crews replaced burned wire on pump motor at Camp Power station.
. Crews installed new debris hose on vactor truck.
. A neW relay switch and proximity sensor was installed on Mac vactor truck.
. Vehicle maintenance fixed leak in anti freeze line on generator at lOth St.
. Vehicle maintenance repaired the straps on gas tank on sludge semi truck.
. Crews installed new Altronx Power Supply/ Charger and resettable PTC at Pleasant
Run station.
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A llOC GROUP COMPANY
Jeffersonville Wastewater Treatment Facility
Monthly Operations Report
1.0 EFFLUENT QUALITY
During October, effluent quality was within NPDES permit limits for CBOD, TSS and NH-3.
Table 1.1 summarizes the effluent quality data. Attachment A contains Time Series Plots of
Carbonaceous Biochemical Oxygen Demand (CBOD) and Total Suspended Solids (TSS) values.
Attachment B contains Time Series Plots of Aeration Mixed Liquor Suspended Solids (MLSS) and
Sludge Volume Index (SVI).
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Carbonaceous Biochemical 15 mg/l 4.5 mg/l
Oxygen Demand (CBOD)
Total Suspended Solids 18 mg/l 5.5 mg/l
(TSS)
Fecal Coliform MPN 235 coloniesllOOml 76 coloniesllOOml
Chlorine Residual 0.06 mg/l 0.01 mg/l
Ammonia 3.0 mg/l 0.1 mg/l
Average Flow 5.2 design 4.18 MGD
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Table 1.2
Wet Weather vs. Dr
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Average Flow of Wet Days
Number of Dry Days
Average Flow of Dry Days
*Wet Day = Rain (>0.1 in) and three days after
4.21 MGD
27
4.02 MGD
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2.0 DESIGN LOADINGS LIMITS
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The Flows and Loadings report for May 1994 through October 2003 can be found in Attachment
C.
3.0 FACILITY OPERATIONS
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Attachment D contains a list of septic haulers that discharged at the facility during the month of
October.
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Jeffersonville Wastewater Treatment Facility
Monthly Operations Report
During October, the treatment processes performed very well. All parameters were well within
State and EPA limits. High effluent TSS reading on 10/14 due to back-up of RAS station into
scum troughs in the chlorine contact tanks. High levels in the RAS station because of #2 pump
being out for repair.
3.1 PRETREATMENT
Pretreatment activities for the month included the following:
. Yearly composite samples were taken at Indiana-American Water Co. per the IDEM
Pretreatment Audit. Most ofthe permits were re-written.
. Industrial environmental contacts at Altec, Brinley-Hardy, and Indiana-American Water
have all left in the past month.
. Visits were made to all three to insure that all provisions of their permits were understood
and still being carried out.
4.0 SEWER MAINTENANCE CALLS
Table 4.1 represents all sewer maintenance calls for the month.
10/05/04 M. Miles 910 S ring dale
10/11/04 Stemler's 617 E. Chestnut
10/18/04 R. Brogan 1107 E. 8
10/19/04 J. Perry 1822 Carmen Ave.
10/19/04 B. Howell 1212 Birchwood
10/20/04 B. Adams 3612 Holmans Ln
10/22/04 P.Goff 3101 Greenleaves Backup N
Dr
10/29/04 Sternlers 212 King Circle Backu N
10/29/04 Sternlers 604 Roma Backup into bsmt N
10/02/04 J. Cox 203 Kewanna Dr. Thou ht hit sewer line - did not Y
10/21/04 D. Dean 212 Kin Circle Follow-up on backu y
10/06/04 P. Drake 1314 Blackwood Water leak - thought was sewage N
Court
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P. Fister
R. Barnard
M. Robins
v. Adams
1613 E 8
2319 Cornwell
733 Mei s
243 Rhonda Drive
Catchbasins
Odor Complaint
Odor Com laint
Street flooded
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Jeffersonville Wastewater Treatment Facility
Monthly Operations Report
10/27/04 L. Stein 1233 Cedarview Catchbasins N
10/30/04 Bob Miller 820 E. Ma Ie Cleanout full y 30
10/14/04 Callout 811 Springdale Backup - Replace c/o N 150
ca
10/20/04 Mr. Ngo 3605 Jacqulyn Drive Backup - Resident not N
tied into main line
4.1
MAINTENANCE & REPAIR EXPENDITURES
Maintenance & Repair expenditures are detailed in Attachment E.
4.2
ELECTRICAL EXPENDITURES
Table 4.6 represents the facility electrical expenditures for the month as well as providing a year to
date total.
October
$
$ 13,360.00
($4,169.63)
Year-To-Date
$
($16,822.61)
$80,160.00
5.0 FACILITY SAFETY & TRAINING
A safety inspection was conducted on October 1, 2004. The rating was 100%. There were no
deficiencies reported. Our plant is still in excellent shape.
A copy of the Safety Inspection Report is included as Attachment G.
6.0 SEWER COLLECTION SYSTEM AND PREVENTATIVE MAINTENANCE
In month of October collection crews made 21 sewer calls 19 being residents or other problems
and 2 being city's responsibility with minor damage to a vacant residency.
. 604 Roma Dr., the realtor found minor damage in basement from floor drain, had
no sewer calls on that street.
. 811 Springdale Dr. crews cleaned 150' removed build up of solids from c/o out to
main line.
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Jeffersonville Wastewater Treatment Facility
Monthly Operations Report
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. 820 E. Maple St. crews cleaned 30' removed the build up of grease from c/o out to
main line.
. The mIh at 3605 Alyn Ct. contractor did not tie line coming into mIh to main line
that existed in m1h, crew cleaned 1,000' and vactored 3 truckloads out. Mike L.
contacted the contractor who fixed the problem.
Collections crews worked with different departments of the city on various city projects,
and a few businesses jobs around the area.
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. Collections crew monitored Silver Creek station so A-I plumbing could install
check valve and grinder pump at 5707 Hamburg Pike force main.
. Collections crew chiseled asphalt offmlh lid for J.T.L. crews to look into at 15th
and Locust.
. Collections crew cleaned and vactored 300', televised 308' on 15th St. by Spring
Hill school down to Locust St. to locate and identify line for John Tombs. Line
was blocked off.
. Collections crew took vactor truck to Rolling Ridge station to fill wet well with
water so Straeffer pump crew could work on station.
. Collections crew cleaned line at animal shelter for Harry Wilder.
. Collections crew took tv truck to Alyn Ct. televised 250' to locate buried mIh for
Mike L. and Jerry C. marked with green flag and paint.
. Collections crew cleaned and vactored 227' in main line on Meigs Ave. and 7th St.
several times for 2 days to try and remove the build up of concrete from the
construction of new jail.
. Bob G. crew had to dig line at 15th and Locust St. collections crew vactored ditch
out several times. ~
. 1,161' of televising was conducted by crews to locate 6 taps for residents or
contractors and to locate 2 buried mIh for Mike L. and Jerry C. also 2 possible
damaged lines.
. Collections crews cleaned 400' of storm drainage in Fountain Crest Circle and 20'
under drive way at entrance to Munich Steel.
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Collections crews street pre-maintenance schedule.
. Trouble spots list completed 6,150' of sewers cleaned and vactored throughout city.
. 5 wet wells were vactored out due to solids and build up of grease.
. Collections crews cleaned 181 clb tops off due to leafs and rain throughout the city.
. Collections crews cleaned and vactored 4 clb due to poor drainage.
. Collections crews cleaned and vactored 7,770' of sewers in the Golfview
subdivision
. Collections crews cleaned and vactored 950' in different areas ofthe city.
. Collections crews used deodorant in clb to help with the odor during dry weather
. Collections crews conducted dye test in alley by flood wall between Locust St. and
Wall St.
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Jeffersonville Wastewater Treatment Facility
Monthly Operations Report
. C.S.O. gates were exercised and greased also blocks of wood and chalk lines were
maintained on the C.S.O. weirs to help determine by-passing.
Collections crews lift station pre-maintenance schedule
. All lift stations floats, switches, pumps, alarms and electrical and mechanical
components were cleaned, exercised, and inspected for proper operations.
. Bar screens at 10th St. were cleaned as needed.
. Generators at 10th St., Spring St., and Mill Creek stations were operated, inspected,
and exercised for proper operations.
. Collections crews cleaned grease off probes at Cedarview station.
. Collections crews vactored out pit on vactor pad.
. Collections crews installed rebuilt pump in RAS station.
. Crews installed new Wires, Relays, and Solenoids to water systems on pumps at
Spring St. station.
. The maintenance building and company vehicles are cleaned on a weekly basis.
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Repair in the Collections system
. Crews fixed air valve on force main at Pleasant Run station.
. Crews replaced burned wire on pump motor at Camp Powers station.
. Crews installed new debris hose on vactor truck.
. A new relay switch and proximity sensor were installed on Mac vactor truck.
. Vehicle maintenance fixed leak in anti freeze line on generator at 10th St..
. Vehicle maintenance repaired the straps on gas tank on sludge semi truck.
. Crews installed new Altronx Power Supply/ Charger and re-settable PTC at
Pleasant Run station.
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Jeffersonville Wastewater Treatment Facility
Monthly Operations Report
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Feet of Sanitary Sewer 11,743 3,030
Cleaned
Feet of Storm Sewer 4,485 8,261
Cleaned
Catchbasins Cleaned & 4 12
Vactored
Catchbasin Tops Cleaned 181 15
Catchbasins Raised 0 0
Feet of Sanitary Sewer 1,719 1,553
Televised
Sewer Tap Inspections 0 0
Dye Tests 0 0
Manhole Castings 0 0
Replaced
Air Tests
109
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ATTACHMENTS
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A.
B.
C.
D.
E.
F.
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Time Series Plots - CBOD & TSS
Time Series Plots - MLSS & SVI
Flows & Loadings Report
Septic Haulers Report
Maintenance & Repair Expenditures
Safety Inspection Report
DMR/MRO
List of Footage Cleaned
NPDES Facility Inspection
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Attachment A
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Time Series Plots
CBOD & TSS
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Effluent CBOD / TSS
CBOD - - TSS - - - - - - Permit CBOD - - - - Permit TSS
40
35 -
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
October 2004
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Attachment B
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Time Series Plots
MLSS & SVI
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J effersonville Wastewater Treatment Facility
Aeration Mixed Liquor
Suspended Solids (MLSS) mgll
- - MLSSmgjl-""'DesingLimitMLSS
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
October 2004
Operated and Maintained by:
Environmental Management Corporation
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Aeration Mixed Liquor
Sludge Volume Index (SVI) mVgm
- - SVI ml/gm
Design Limit SVI
200
180
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140 C
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
October 2004
Operated and Maintained by:
Environmental Management Corporation
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Attachment C
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Flows & Loadings Report
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Jeffersonville Wastewater Treatment Facility
May 1994 - October 2004
4.50 5.2 6,042 10,105 3,490 1 0,581 2.35
3.84 5.2 8,038 10,105 3,843 10,581 3.70
3.68 5.2 8,311 10,105 3,913 10,581 2.25
3.55 5.2 7,668 10,105 3,819 10,581 2.40
3.81 5.2 8,726 1 0,105 4,798 10,581 3.65
3.71 5.2 8,493 10,105 4,356 10,581 2.20
4.09 5.2 9,483 10,105 4,025 10,581 3.85
4.19 5.2 10,434 10,105 3,886 10,581 4.45
3.81 5.2 9,231 10,105 3,864 10,581 3.75
2.92 5.2 6,393 10,105 2,710 10,581 1.60
2.87 5.2 5,572 10,105 2,480 10,581 2.05
2.63 5.2 4,211 10,105 2,178 10,581 2.80
3.46 5.2 3,593 10,105 1,622 10,581 10.25
2.79 5.2 4,824 10,105 2,683 10,581 3.35
2.31 5.2 4,244 10,105 1,809 10,581 2.50
3.22 5.2 6,338 10,105 3,491 10,581 3.45
2.33 5.2 5,962 10,105 3,022 10,581 1.60
2.87 5.2 6,235 10,105 3,124 10,581 5.25
2.64 5.2 7,449 10,105 2,519 10,581 2.75
3.22 5.2 9,211 10,105 3,620 10,581 5.85
4.29 5.2 8,229 10,105 7,084 10,581 5.00
3.28 5.2 8,480 10,105 6,620 10,581 2.63
5.45 5.2 11,091 10,105 9,045 10,581 5.98
5.85 5.2 12,148 10,105 9,075 10,581 6.50
8.17 5.2 14,513 10,105 10,902 10,581 7.30
5.74 5.2 12,447 10,105 10,149 10,581 3.72
4.36 5.2 11,672 10,105 9,345 10,581 3.40
3.83 5.2 11,148 10,105 10,312 10,581 1.90
4.96 5.2 12,865 10,105 9,928 10,581 9.02
4.25 5.2 11,059 10,105 8,471 10,581 2.60
4.80 5.2 13,771 10,105 11,689 10,581 4.10
5.77 5.2 14,725 10,105 11,020 10,581 4.90
5.59 5.2 19,581 10,105 16,597 10,581 3.85
5.84 5.2 22,892 10,105 15,732 10,581 12.25
1 of 4 OperiltetllllUl Ma;lIta;nell by:
Ellv;rtmmelltlll Mallllgement L'orporar;on
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Jeffersonville Wastewater Treatment Facility-
May 1994 - October 2004
10.62 5.2 22,586 10,105 13,197 10,581 6.30
5.63 5.2 17,584 10,105 10,330 10,581 2.31
6.27 5.2 18,145 10,105 9,726 10,581 7.15
7.05 5.2 13,347 10,105 8,937 10,581 5.05
4.32 5.2 13,979 10,105 12,862 10,581 0.55
4.43 5.2 11,925 10,105 11,817 10,581 3.95
3.84 5.2 9,166 10,105 10,160 10,581 1.47
3.60 5.2 12,539 10,105 10,439 10,581 1.47
3.81 5.2 8,516 10,105 10,359 10,581 3.35
4.23 5.2 9,208 10,105 8,290 10,581 4.30
4.71 5.2 10,920 10,105 8,838 10,581 4.15
5.31 5.2 7,661 10,105 8,636 10,581 1.65
4.77 5.2 9,309 10,105 11,656 10,581 5.85
5.62 5.2 9,187 10,105 8,812 10,581 7.60
5.57 5.2 8,640 10,105 10,917 10,581 4.71
5.83 5.2 10,016 10,105 10,794 10,58] 7.46
4.90 5.2 8,418 ] 0, 1 05 6,661 10,58] 7.90
5.04 5.2 8,112 10,105 7,356 10,581 4.22
4.03 5.2 8,302 10,105 8,100 ]0,581 0.05
3.62 5.2 7,216 10,105 6,6]2 10,581 2.40
4.01 5.2 7,525 10,105 7,659 10,58 [ 2.60
4.67 5.2 10,399 10,105 8,919 10,581 3.35
6.63 5.2 ] 3,381 10,105 10,064 10,581 1] .40
5.36 5.2 9,566 10,105 7,868 10,581 2.50
6.00 5.2 9,508 10,105 7,756 10,581 3.40
5.70 5.2 12,360 10,105 10,126 10,581 3.32
5.35 5.2 10,976 10,105 9,281 10,581 2.10
6.45 5.2 1 ],404 10,105 10,759 10,581 6.30
5.57 5.2 8,362 10,105 9,523 10,581 0.70
5.49 5.2 7,921 10,105 9,569 10,581 0.95
3.96 5.2 5,945 10,105 6,209 10,581 0.70
3.77 5.2 6,949 10,105 7,703 10,581 2.70
3.80 5.2 8,050 10,105 7,796 10,58] 2.70
4.49 5.2 9,287 10,105 7,564 10,581 6.17
4.51 5.2 8,839 10,105 6,883 10,581 4.65
7.26 5.2 10,354 10,105 9,324 10,581 6.10
2 of 4 Operated (1I111 Maintained by:
Environmental Management CorpOTflt;lJll
J -----==J~"1.....='1 <~'''''l'''''''''l ~ "",.....\, ""1 =::J -"":'"~'
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Jeffersonville Wastewater Treatment Facility
May 1994 - October 2004
5,45 5.2 8,727 10,105 8,045 10,581 2.75
5,49 5.2 8,608 10,105 6,227 10,581 3.70
4.03 5.2 7,932 10,105 7,293 10,581 1.00
4.17 5.2 8,347 10,105 7,512 10,581 4.11
3.67 5.2 8,172 10,105 6,183 10,581 4.11
3.92 5.2 6,800 10,105 6,310 10,581 4.11
4.03 5.2 6,756 10,105 5,478 10,581 4.11
3.85 5.2 7,000 10,105 5,683 10,581 0,40
4.50 5.2 7,769 10,105 7,619 10,581 3.15
4.64 5.2 7,894 10,105 8,320 10,581 3.15
4.64 5.2 7,894 10,105 8,320 10,581 3.15
5.13 5.2 8,001 10,105 7,787 10,581 2.20
4.60 5.2 6,867 10,105 7,711 10,581 2.35
4.22 5.2 7,321 10,105 7,391 10,581 1.65
4,49 5.2 9,362 10,105 8,201 10,581 3.80
4.20 5.2 7,286 10,105 8,056 10,581 4.20
4.36 5.2 8,072 10,105 7,818 10,581 4.50
3.95 5.2 7,379 10,105 7,116 10,581 4.50
4.30 5.2 7,926 10,105 7,674 10,581 3.85
5.52 5.2 9,852 10,105 9,576 10,581 1.60
5.31 5.2 9,477 10,105 8,990 10,581 1.50
6.27 5.2 8,576 10,105 6,955 10,581 4.65
5,48 5.2 8,821 10,105 8,044 10,581 2.25
4.97 5.2 6,922 10,105 5,886 10,581 3.85
6.92 5.2 9,465 10,105 8,541 10,581 2.15
6.88 5.2 9,980 lO,105 8,488 10,581 6.05
7.20 5.2 11 ,109 1O,lO5 9,187 10,581 4,45
6.25 5.2 11,415 10,105 9,435 10,581 6,45
4.60 5.2 7,404 10,105 9,207 10,581 1.05
4.36 5.2 9,491 10,105 6,909 10,581 1.85
4.90 5.2 8,790 10,105 7,563 10,581 9.25
5.12 5.2 10,462 10,105 7,900 10,581 4.25
5.09 5.2 15,592 10,105 11,090 10,581 3,45
6.14 5.2 9,444 10,105 9,068 10,581 7.30
4.77 5.2 6,992 10,105 6,517 10,581 0.70
6,44 5.2 9,190 10,105 10,617 10,581 4.19
3 of 4 Opera/ell tIIul M aintu;netl by:
Environmental Management CorpONltioll
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Jeffersonville Wastewater Treatment Facility'
May 1994 - October 2004
4.92 5.2 8,742 1 0,105 9,173 10,581 2.30
5.59 5.2 8,969 10,105 9,636 10,581 5.50
7.37 5.2 9,800 10,105 9,580 10,581 10.58
5.00 5.2 8,402 10,105 8,604 10,581 2.60
4.69 5.2 9,613 10,105 7,807 10,581 3.75
5.26 5.2 9,615 10,105 9,711 10,581 5.95
5.80 5.2 10,236 10,105 8,942 10,581 7.00
4.79 5.2 9,646 10,105 9,445 10,581 2.15
6.00 5.2 10,559 10,105 12,227 10,581 5.55
5.90 5.2 9,603 10,105 12,482 10,581 3.25
7.06 5.2 10,603 10,105 12,521 10,581 4.80
6.28 5.2 12,484 10,105 12,781 10,581 1.85
5.76 5.2 11,336 10,105 11,948 10,581 4.15
6.21 5.2 11,142 10,105 12,315 10,581 6.10
8.58 5.2 14,613 10,105 14,553 10,581 9.30
5.79 5.2 9,791 10,105 10,586 10,581 2.50
5.44 5.2 9,749 10,105 10,301 10,581 5.20
4.82 5.2 10,063 10,105 9,643 10,58] 2.85
4.18 5.2 8,581 10,105 7,811 ]0,58] 0.25
] 7.75
4of4
Operllted (md M aillla;fled by:
Environmental MWUlgemellt Corporation
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Attachment D
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Septic Haulers Report
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Septic Haulers Delivery Report
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Loads Delivered To Treatment Facility
Hauler August Hauler Total (YTD)
Rumpke of Indiana 24 22,400
TOTAL 66 64,400
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Gallons Delivered To Treatment Facility
Hauler August Hauler Total (YTD)
Rumpke of Indiana 24 22,400
TOTAL 66 64,400
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Attachment F
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Safety Inspection Report
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Monthly
SAFETY INSPECTION CHECKLIST
*Mark only if NOT in compliance
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ADMINISTRATIVE OFFICES -18
Written Site Emergency Plan/training.
Updated OSHA 200 log
Written Chlorine/Sulfur Dioxide program, copy of actual standard, training
Written Fire Extinguisher program, copy of actual standard, training
Written Hazardous Communication program, copy of actual standard, training
Confined Space program, copy of actual standard, training
Written Emergency Action Plan program, copy of actual standard, training
Written Lockout/Tag Out program, copy of actual standard, training
Blood borne Pathogen program, copy of actual standard, training
Personal Protection Equipment program, copy of actual standard, training
All employees trained and understand Risk Management Plan
Personal Protection Equipment available for visitors
Safety Committee with both employee and management participation
Written "Right to Know" Program
MSDS sheets available to employees
Process Safety Management Plan (for plants mandated to have)
Housekeeping
Hearing disciples - documentation
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PREMLIMINARY TREATMENT - 4
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x Wet or oil on floors
No or bad ventilation
Bar screenings on floor
Housekeeping
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PRIMARY TREATMENT-l
Housekeeping
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LABORATORY - 11
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Proper chemical storage (containers labeled)
Emergency shower and eyewash
Inspection of emergency shower and eyewash
Acid spill kit
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Sample refrigerators marked "Bio Hazard"
Signs of food or drink in lab
Fume hoods in proper working order or inspected
Proper sharpslbroken glass container
Personal Protective Equipment available and used
Tongs or special gloves for moving hot items available and used
Housekeeping
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BIOLOGICAL TREATMENT - 2
N/A Safeguards in the pure oxygen system
Housekeeping
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ADVANCED TREATMENT-l
Housekeeping
DISINFECTION - 14
Housekeeping
CHLORINE:
Working exhaust fans at floor level
Leak detection alarm system Alarm bad on S02
Ammonia hydroxide available to test for chlorine leaks
SCBA/IO minute escape packs are properly inspected and full
Proper chlorine wrench readily available
Chlorine cylinders properly chained to wall and tons secure
New washers readily available
Windsock and lor other wind directional apparatus exist
Warning signs in place
Chlorine stored separately from other chemicals
Risk Management Plan
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UV:
N/A
N/A
Warning signs in place
Proper Personal Protective Equipment in place
BIO SOLDIS HANDLING - 2
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Combustible gas detection system in place and calibrated
Housekeeping
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MAINTENANCE/GARAGE - 13
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Proper guarding of grinders, etc.
Lockout/Tag Out equipment available
Vehicle Safety Checklist in place
Sharps container for glass, cutting blades, etc.
Hand tools in proper working order
Eye protection provided for bench, free standing, and hand tools
Lighting of work bench adequate
Hoist, lift, jack, chains, pulleys available for lifting and moving heavy objects
Metal waste can marked for oily and/or paint soaked waste only and lit secured
Piping, hoses, etc. Stored properly
Heavy duty extension cords used when appropriate
Personal Protective Equipment signs posted
Housekeeping
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BUILDINGS AND GROUNDS - 34
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N/A
Chemical storage tanks are labeled
Containers labeled
Stairways are unobstructed
Area below stairway are unobstructed
Work areas are adequately lighted
No Trip Hazards visible
Exits clearly marked
Emergency lighting adequate and functioning
Fire extinguishers inspected
All electrical wires in proper repair
Electrical control boxes are not used for storage above or below, or otherwise
blocked
Electrical boxes doors secured
Lockout/Tag Out in use where needed
Outlets not overloaded
Extension cords are not passing through openings without proper protection
Handrails in good condition
Chain guards in place where possible danger exists
Guards over drive chains and gears are in proper working order
"T" valves in walkways are adequately marked
Automatic start signs properly displayed on machinery where needed
Piping is color coded (legend available) or marked with content name
Potable and non-potable water lines are clearly marked and distinguishable from
each other
Hatch covers in place
Levee around pond or lagoon in good condition
Life rings, jackets, hooks, etc. available around open tanks or ponds
,......
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Sampling equipment is sufficient to prevent climbing over handrails or other
hazards to get samples
Flammables are stored in appropriate cabinets or buildings and marked as such
No Smoking signs posted near flammable areas
Exit lights are in proper working order
Housekeeping
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MISCELLANEOUS -14
N/A
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N/A
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Man lifts inspected yearly
Ladders in proper repair and working condition
Personal Protective Equipment is provided
First aid kits are available in all work areas and properly stocked
Emergency Response Team (in plant or local) is available and aware of
emergency plan
Overhead crane inspected annually by qualified personnel
Weight limits displayed on both sides of overhead crane
Forklift operation training is provided
Air gap and/or back flow prevention device on water line inspected and recorded
annually
Heat exchangers and/or boilers inspected annually
Lockout/Tag Out Program audit documented
Lockout/Tag Out training of "affected, authorized and others" conducted
OSHA signs posted
Facility: Jeffersonville
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Inspector: Jason Reister
Date: 11/02/04
Scoring:
If the plant is not in compliance with the item listed put a checkmark on the line
next to the item listed. Feel free to write comments next to or near the item. If in
compliance, leave blank. Ifnot applicable to the plant (some items may not be),
write N/A ("Not Applicable") on the line. Count up the total number of "Not
Applicable" items. Subtract the "Not Applicable" from the "Total Possible"
points. This will give you the "Adjusted Total". Subtract the number of "Not in
Compliance" from the "Adjusted Total". This gives you the total "In
Compliance". Divide the number of "In Compliance" by the "Adjusted Total" to
give the "Total Percent".
Example: Counts: N/ A = 4 Not in Compliance = 3
r Total Possible 114 Total Possible 114
Not Applicable -4 Not Applicable -7
Adjusted Total 110 Adjusted Total 107
Not in Compliance -3 Not in Compliance 1
Total in Compliance 107 Total in Compliance 106
Total % 97.3 % Total % 99%
(107/110)
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Attachment G
DMR/MRO/CSO
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Name of Facility Permit Number
A> Monthly Report of Operation city of Jeffersonville WWTP I NOO23302
\ Activated Sludge Type Month Year Plant Design Flow Telepnone Number
\
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~.. Wastewater Treatment Plant October 2004 5.2 mgd 812-285-6451
Facility's e-mail address (if available): tlc@emcstLcom
state Form 10829 (R/1-2Q04) Certified Operator. Name Class Certificate Number Expiration Date
Page 1 of4 Timothy L. Crawford I IV I 13156 I 613012005
Total= :: CHEMICALS RAW SEWAGE
s: ......
Iii 7.75 0 USED
"2 c - 'E
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c (l) ",- ~ c a. L. C/J =- 0 E f/) I/) '"
0 ::s 0 :9 :2 32 l
0 ~ l!? ::l 8- :{ 8 5 8 is Iii 2
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- 0- E mO ..0 (l) ... ... to l() C/J (/) .c 'c
0 '0 :t:.l!l IE 'i5.. m_ 0_ c CIl ... c...... a Cl 0.. 0
, c '0 (lI- ~- .;: .!: 0 (l)a 0 0 ci. ci. ~ '. E
0... 0 Co =-<.9
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(lI III tlI- >-x .0 'ge I co co ::s ::s or.
a a :2e:. <( a. eoa- ()~ () C/J -' 0.. () () C/J en a.
1 Fri 0 40 112 3.9 7.4 235 7643.61 233 7578.56 17.6
2 Sat 0 42 110 4.11 7.9 235 sops.19 365 12511.3 17.5
3 Sun 0 39 99 4.26 7.8 100 3552.84 283 10054.5 18
4 Mon 0 42 109 4.03 8.2 193 6486. n 225 7562.3 17.8
5 Tue 0 42 106 4.05 7.6 240 8106.48 270 9119.79 17.8
6 Wed . 0 42 108 4.33 8.1 235 8486.37 240 8666.93 18
7 Thu " 0 39 106 4.05 8.1 250 8444.25 253 8545.58 18
8 Fri 0 47 122 4.06 7.8 173 5857.85 255 8634.4 20
9 Sat 0 44 124 4.07 7.6 230 7807.07 338 11473 21.9
10 Sun 0 51 114 4.04 7.5 123 4144.31 290 9771.14 21.5
11 0 46 122 4.1 8.0 160 5471.04 218 7454.29 16.7 -
Mon .
12 Tue 0.6 43 123 6.27 7.3 228 11922.5 290 15164.6 17.2
13 Wed 0.45 41 82 5.73 7.9 225 10752.3 338 16152.4 5.6
14 Thu 0.4 44 100 5.4 7.0 245 11033.8 295 13285.6 12.6
15 Fri 0.1 42 119 4.42 7.5 155 5713.73 223 -8220.4 10.7
16 Sat 0 46 135 4.07 7.5 250 8485.95 195 ~19.04 11.2
17 Sun 0.5 42 107 4.08 7.4 265 9017.21 210 7145.71 12.3
18 Mon 2.75 40 160 . 17.52 7.4 168 24547.6 220 32145.7 12.4
19 Tue 0 40 180 6.44 7.6 265 14233 295 15844.3 4.5
20 Wed 0 29 228 4.52 7.5 253 9537.29 270 10178.1 .' 5.4
21 Thu 0 61 69 4.45 7.5 205 7608.17 233 8647.33 8.6
22 Fri 0 43 58 4.37 7.4 245 8929.22 290 10569.3 9.4
23 Sat 0.75 40 75 7.84 8.0 135 8827.06 253 16542.6 15.4
24 Sun . 0 40 80 4.97 7.6 75 3108.74 305 12642.2 5.6
25 Men 0 40 75 4.41 7.7 60 2206.76 185 6804.19 12.8
26 Tue 1.5 41 65 10.26 7.6 210 17969.4 230 19680.7 16.3
27 Wed 0 30 87 7.44 7.3 165 10238.2 255 15822.6 7
28 Thu 0 38 61 5.43 7.5 153 6928.79 155 7019.36 9.3
29 Fri 0.15 36 52 4.92 7.5 180 7385.9 575 23593.9 12.6
30 Sat 0.25 43 85 5.78 7.1 213 10267.7 210 10123.1 12.8
31 Sun 03.41~ 54 4.44 8.5 110 4073.26 135 4999 11.4
Averaoe 104.1 5.41 161 193 860.7.82 262 11695.9 .. 13.48
Maximum 2.75 ~ 228 17.52 8.5 265 24547.6 575 32145.7 21.9
Minimum 52 3.9 7.0 60 2206.76 135 4999 4.5
No. of Data 31 0 0 31 31 0 31 31 31 ':l1 31 31 0 31 0
I certify under penafty of law that this document and all attachments ware prepared ./:/k ~~ ~ ///K{/OL/
under my direction or su~tvision in accordance with a system designed to assure that
qualified personnel pro~rIy gather and evaluate the information submitted. Based on (S'GNr~7~rATOR) (r/ATE/ ,
my inquiry of the ~rsons who manage the system, or those ~rsons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge I//,),J 100
and belief, true, accurate, and complete. I am aware that there are significant ~nalties
for submitting false information, including the possibility of fine and imprisonment for (SIGNATURE 0; Z:INC1PAL EXECUTIVE {DATE) I
knowing violations. OFFICER OR HOR1ZED AGENT)
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Monthly Report of Operation .1 ~ .5J4/.fJ II ~Jj ~/
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ACtivated Sludge Type ( no/FOED OPERATOR) I'
0 - (DATE)
Wastewater Treatment Plant 0 II/JJ../eJ1
Name. of Faciity Pemit Ntmler For Month Of: Year
City of Jeffersonville WWTP INOO23302 October 2004 -(SIGNATUf OF PRINCIPAL EXECUTIVE OFFICER OR ,<DATE)
Page 20f 4 State Form 10829 (R/1-2004) , AUTHORIZED AGENT)
PRIMARY AERATION SECONDARY FINAL EFFLUENT
EFFLUENT MIXED LIQUOR RETURN SLUDGE EFFLUENT
g E E
01
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=:::: 0::::: E s:: 0::::: Cl s::
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0 0 Ii III G) ci. CI> 0 0.. E ci. 0 ci. 32J9 :Qiij 0 0 0..
0 .!!:s 01' .~ 'a E ::s 0 U Ill=:::: Ul
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0 U w CJ) E (/) en o E w u (/) O::U 0.. oE ll..
1 500 2780 180 ' 2.5 3.421 4980 0.03 40 7.5 6.8
2 370 3650 101 2.0 3.27 4880 0.01 40 7.6 6.8
3 350 3020 116 2.4 3.292 5220 0.01 45 7.6 7.0
4 380 2740 139 3.2 3.245 4780 0.01 45 7.9 6.7
5 350 2780 126 2.4 3.443 5300 0.01 170 7.6 6.9
6 350 3140 111 1.8 3.429 4780 0.06 95 7.6 6.5
7 , 280 2640 106 2.9 3,572 6720 . 0.01 ,. 190 7.5 6.7
8 300 2720 110 2.4 3.562 6560 0.01 120 7.6 6.7
9 300 3560 84 2.0 3.841 4540 0.04 90 7.6 6.8
10 320 3280 98 2.2 3.538 5100 0.01 135 7.6 6.7 .
11 280 2340 120 3.6 3.373 4220 .. 0.01 95 7.5 8.5 .
12 290 2740 106 2.4 4.594 3500 0.01 1..40 7.4 7.2
13 280 2240 125 2.0 5.984 4140 0.01 Z30 7.5 7.0
14 240 2200 109 3.3 5.221 3220 . 0.05 250 7.5 7.6
r 15 380 2360 161 3.6 5.18 3660 0.01 225 7.3 8.4 '
.
t 16 240 2400 100 2.8 4.186 7140 0.01 65 7.3 7.9 ..
17 230 2440 94 2.6 2.953 5140 0.01 35 7.4 7.5
18 270 2380 113 0.2 4.535 5520 0.01 175 7.4 8.0
19 220 3200 69 0.3 5.383 4360 0.01 55 7.2 8.4
20 250 2360 106 1.7 5.115 5340 0.01 '55 7.2 7.9
21 280 2340 120 1.5 3.531 6080 0.01 125 7.7 7.5 ..
fl 22 440 2440 180 1.7 3.276 5920 0.01 165 7.6 7.5
r I 23 450 3600 125 1.5 3.809 5140 0.01 90 1.7 6.0
24 470 3020 156 2.1 4.272 6520 0.01 105 7.7 6.4
n 25 330 2540 130 1.2 3.396 6740 0.01 20 7.6 6.5
26 570 3380 169 1.8 4.622 5220 0.01 115 7.5 6.2
27 390 3580 109 1.5 5.867 6820 0.01 95 7.2 6.3
n 28 450 2860 157 1.2 4.484 6700 0.01 210 7.4 6.2
29 580 3660 158 4.0 3.512 5520 , 0.05 210 7.7 6.0
30 480 3260 147 1.5 4.085 6700 0.05 230 7.4 6.1
31 500 3820 131 1.0 3.398 5520 0.02 55 7.4 6.8
n Avg. 359 2886 124 2.1 4.0448 5354 0.0174 99 7.0
Max, 580 3820 180.33 4 5.984 7140 0.06 250 7.9 8.5
220 2200 68.75 0.2 2.953 3220 0.01 20 7.2 6 .
Min.
n Data 0 0 31 31 31 31 0 31 31 0 0 0 31 31 31 31 0
Comments for the Month (major repairs. breakdowns, process upsets and their causes, inplant treatment process bypass, etc.):
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Monthly Report of Operation -/{ :d';;/4/k tJ_ //~~/ov
'c:--7
Activated Sludge Type ~~NAW7f"RATORl I (DATE)
- -
Wastewater Treatment Plant -
Name of Facifty Pennil i'Mnber For MonIh 01: lYe,,, III,),,) /0'1
City of JeffersonviUe WWTP I NOO23302 October 2004 (SIGNATlIRE OF ~IPAl EXECUTIVE OFFICER OR / (6ATE)
Page 3 of 4 State Fonn 10829 (R/1-2004) AL ORlZED AGENT)
FINAL EFFLUENT
Flow BOD Total Suspended Solids Ammonia other
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=::: 0:::- ::E. >.
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0:: 0) 0) III 0) 0) :- 01 rI) ~~ ()
{i I ::: ~ c::::: c::::: 1'0 , .;it> ~ ~ . I . (U I I 1'0 E ~
::: 01 0).... III I/)~ t/J III .... E ,Q E
c 0 o II) E E ~ l;9 .c G) 3! "OCI> 3! "0 Ql I G) - CIl
0 u:: - > - > ~~ .- > , .!'!!~ I . > ~
~ IJ..<( . .<( . .<( a a '0<( 1'0 III .!.!! <(
- .... t:~ 10 10>, 10 10>, (J) (J)>. (J) (J)>, 'c c >. 'c c >, "0
0 c~ 0 0- .0 0- .:;;; .:;;; 0 ~~ 0 ~~ ()
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w...... U.
1 4.44 4.7 174.14 6.4 237.13 0.04 1.4821
2 4.329 6.3 227.59 12.8 462.41 0.407 14.703
3 4.274 2.5 89.166 8.8 313.87 0.069 2.461
4 4.311 3.6 129.51 6.4 230.24 0.079 2.842
5 4.289 5.9 211.17 8.4 300.65 0.072 2.577
6 4.392 4.5 164.93 7.4 271.22 0.077 2.8221
7 4.309 3.3 118.66 6.8 244.52 '. 0.084 3.0205 . .
8 4.192 3.9 136.43 5.4 188.9 0.065 2.2738
9 3.999 4.25229 4.2 3.9857 140.16 141.43 7.2 7.2 240.28 255.67 0.076 0.0746 2.5362 2.6475
10 4.119 2.1 73.235 7.4 258.07 . 0.061 2.1273
11 4.106 1.8 61.676 5.2 178.18 0.068 2.33
12 5.497 6.7 307.35 5.6 256.89 0.061 2.7982
13 5.137 3.2 137.18 7.2 308.65 0.186 7.9~ .
14 6.654 14.6 810.7 116.8 6485.6 0.141 7.8294
15 4.649 5.9 228.9 9.6 372.44 0.057 2.2114
16 5.389 5.08729 6.4 5.8143 287.82 272.41 10.8 23.229 485.69 1192.2 0.068 0.0917 3.058 4.0468
17 4.174 5.6 195.06 6.8 236.86 0.084 2.9259
18 14.312 4.5 537.45 21.4 . 2555.9 0.106 12.66
19 6.359 5.1 270.64 31.2 1655.7 0.641 34..015 ...
20 4.96 6.1 252.49 8 331.13 0.199 8.2368
21 5.37 2.3 103.07 2.4 107.55 0.098 4.3916
22 4.944 2.7 111.4 5.8 239.29 0.086 3.5482
23 6.752 6.69586 3.1 4.2 174.67 234.97 3.6 11.314 202.84 761.32 0.04 0.1791 2.2538 9.7188
24 5.492 1.8 82.495 6.8 311.65 0.067 3.0707
25 5.145 1.8 77.283 7.2 309.13 . ...... 0.0811', 3.4777
26 8.338 1.8 125.25 5.4 375.74 0.058 4.0357
27 7.74 3.1 200.23 12.4 800.92 0.024 1.5502 .
..
28 6.317 2.1 110.7 3.6 189.78 . 0.054 2.8466 '.
29 5.194 1.9 82.353 5.2 225.39 0.046 1.9938
30 5.828 6.29343 4.1 2.3714 199.4 125.39 7.2 6.8286 350.17 368.11 0~055 0.055 2.6149 2.8071
31 4.718 2.3 90.555 1.6 62.995 0.052 2.0473
Avg 5.47706 4.1 190.7 11.6 606.12 0.1 4.9282
Max 14.312 6.69586 14.6 5.8143 810.7 272.41 116.8 23.229 6485.6 1192.2 0.641 0.1791 34.015 9.7188 .
Min 3.999 4.25229 1.8 2.3714 61.676 125.39 1.6 6.8286 62.995 255.67 0.024 0.055 1.4821 2.6475
Data 31 4 31 4 31 4 31 4 31 " 4 31 4 31 4 0 ...0
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'?, ';~1.~;~':::::,i;7':{\ ;t?!flWi;~:~i\::?i;:::;~'~:2}~A~:<V,~
Percent Capacity
(actual flowJdesign) 105%
IT
Percent Removal
Primary Treatment
Secondary Treatment
Tertiary Treatment
Overall Treatment
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Monthly Report of Operation ^~ //i c;;1 ') /to /~ I//;~
, ~/, 7
Activated Sludge Type - 'SIGNAruRE ~7' R) '(Date)
Wastewater Treatment Plant - 11/,.2 J. /6'1
Name of Facility -- For Morjh Of: Year
City of Jeffersonville INOO23302 October 2004 (SIGNATURE ~INCIPd EXECUTIVE OFFICER OR I tDate)
Page 4 of 4 State Form 10829 (RJ1-2004) AUTHORIZED AGENTl
SLUDGE TO DIGESTER OPERATION
DIGESTER AnaerobIc OnlY ~
~ 0::::: OJ -0 0> ..,
OJ I:: ~ c: CD l'!
f! E 'E E 0; .., ,
It) 0 Gl 0 CD .c
CD ~~ 0 OJ <.) Ol ~
OJ Q .E 0 E is
-0 1::8 u. 0-
Gl ::l I rot>> .5 .5 .E .5 Gl
:5 CI U5 ]0. CI
-0, ~ .... X c E II> II> -0
c: ~g 15g o ~. c: . ~::R ~::R "C 32 ::s
0 ::l X .a ,t9'tV ,t9Z ~~ o~ ti),
~ -0 . ._ 0 ._ 0
<(..... e~ f! ro(9 ell I "0 I (5 I (1), (1). "C.
0 >. ..... E .... EM (/) tIl (f) tIl
... 8. .!! Gl .!! CD Gl
ro x $ x 0.. 0 8.<: 8.~ _ Ol _ OJ +:0) ;;.0) o;CI)
>- E....: lIJ . 0:C E ,t9-o ,t9-o "'.., ....., GlZ
III &:<3 ~~ :c III ::l ::I ~ ::I .... 0.2 0.2 - ::s - ::s 5~
tIl ~ti) ~ti)
Q 0- (9u ~ (/).s:; (/) 0 ~(f) ~(f)
1 0:09 20300 0.66 0.59
2 0.14
3 0.14
4 0.139 20633 0.66 0.57 45.8
5 0.14 23.2
6 0.136 21933 0.66 0.58 22.3
7 0.136 , 23.1
8 0.135 18967 45.8
9 0.14
10 0.14
11 0.125 21100 0.66 0.59
12 0.125 45.8
13 0.145 20900 22.9 r
14 0.14 23.5
15 0.139 1noo 46.8
16 0.125
17 0.125
18 0.109 19633 0.65 0.62 22.6
19 0.1 ,
20 0.1 19833 46.5
21 0.099 23.5
22 0.1 20133 '.
23 0.115
24 0.119
25 0.12 18367 0.66 0.61 46.1
26 0.12
27 0.125 24600 0.69 0.62 23.5
28 0.125 22.9
29 0.135 17100 0.68 0.6 24.5
30 0.135
31 0.135
AVQ. 0.1257 20092 1 1 31.8
Max. 0.145 24600 0.69 0.62 46.8
Min. 0.09 17100 0.65 0.57 22.3
Data 0 31 0 0 0 0 0 0 13 8 8 16 0 0
Send completed forms by the 28th of the month to:
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
OFFICE OF WATER QUALllY, DATA MANAGEMENT SECTION
P.O. BOX 6015
INDIANAPOLIS, INDIANA 46206-6015
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Indiana Department of Environmental Management
Land Use Section - OSHWM
Land Application Monthly Report - Biosolids and Industrial Waste Products
>>Comp1ete and submit this form to IDE:ll each report nwnth<<
k '",".. '"''' ,"'"."" .,,' ",' ,...,.0 '.""""">~"""'"'''''' """0,",."." "" "'" .,,,,,,,,,,,,,,
('Month: 'October' ,
t ." .c;' """.'^W, "',..,. ..,..,....,:l
I .c...".?';""..'.....;;';c ..'''''''?;'
I ennittee Qi.iY.9(l~~tsonvil,1~'
r~'M;;h~d;'~fDi;;~';.~'util~~d';,..,. '.~ ,'.'" ""."""" ,.,
)1.;, Indicat, e by an. "~"'.which disposal method; ').vere. utiliz~ this month and provide volumes for each method.
:NOTE: Only mclude amounts for those matenals which you are PERMlTTED to land apply.
,'.,..;.""'..,.,,.,.....~..,~....
,
"'.;; ,.'...~~,;.I".., ,-:<< ,: ,: .:'~."::.'" ~ .",'.:"Vr
Year:
~q04 '"
~LA::
L.A. Permit No. IN LA:
I
;'BIOSOLIDS:
, No biosolids were disposed, by land application or other methods, this month
Biosolids were land applied this month
<, Dewatered biosolids were used at the treatment works grounds this month
iosolids were landfilled this month
Biosolids were disposed by the method listed below this month
f ~od:
jor the total volume listed above, wbat volume was transported out of Indiana?
t
,
Dry Tons
'NA
Of the total volume listed above, what volume was transported out of Indiana?
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'~INDUSTRIAL WASTE PRODUCTS:
r No industrial waste products were disposed, by land application or other methods, this month
f
, Industrial waste products were land applied this month
Industrial waste products were landfiHed this month
lndustrial waste products were disposed by the method listed below this month
~'herebY certify that to the best of my knowledge and understanding this report is complete and accurate.
~s~;;/ ~ ;::~~~ra~fuid
j
~~=WMaiiig~F
November J 8, 2004
Date
,.<'.'~":;;"'" ,x.'_:.~,.,:.,.;
".~',.",,;. .;,;...;.~':.:::.,..:.: .;" ,;c.; (:-,;-
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\" PERMITTEE NAME/ADDRESS: NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
.;
.~~_':!!~.:__~~.!!~!~_~!:lY!~~_~_~!:'l~lt>~~~T?-_____
.~~_~~~~_~~-!_~~_~~_~~pJ~~_~~~_~___________
.~_~!!.~~~~Yl~~.!_~~~1~.!!~_1nAQ,"_____________
.f..~~J~!Y~_~~!!~!~E.!}YJ~!U~_':!!:'l~!e~L~I?-____
.!:.~9_1!~~r:!:'_~_~!!.~~~f]Yl~~.!_~~~1~_'!~_1_~1_~Q__
.~~~_I.i!!l_~!~Y_!:-_f!~~s>!..~!.g_~~f~~~_Qp_E.:rator
,
PARAMETER
(32-37)
OXYGEN, DISSOLveD (00)
00300 1 1 0
EFFLUENT GROSS VALUE
pH
00400 1 0 0
EFFLUENT GROSS VALUE
00720 GOO
RAW SEWAGEnNFLUENT
CYANIDE, TOTAL (AS CN)
00720 1 0 0
EFFLUENT GROSS VALUE
CHROMIUM, TOTAL (AS Cr)
01034 GOO
RAW SEWAGEnNFLUENT
FORM APPROVED
DISCHARGE MONITORING REPORT (DMR) OMB NO.2040-0004
~~~~~;O~UMBEd DI~~~~RGE NUMBER "I~~ll"I~llllI11]ltIIIJ~~~~lll~'"!II~~I!III!11111111~!1
... NO DISCHARGELI ...
NOTE: Read Instructions before completing this form.
Quantity or Loading
(54-61)
Maximum I~t
Quality or Concentration
(46-53) (54-61)
Averaae I Maximum
Sample
Type
(69- 70)
NO.
EX
Unit 1{62-6
Frequency of
analysis
(64-68)
(38-45)
Minimum
f ~ntlfy wdOr peBUtyoflllW dial dti. doumnd. .1IDd. all attaduaentI wen: preplRd mdet' my
ri di,.."<<iOll or ~.Ion in (Ie~. wilb.. ~ de,i~Co uilWtdui ....IJJ~ ...
NAMEITITLE PRINCIPAL EXECUTIVE OFFICEt1pon_lp<op<rlY&*'l-oodwal_lb.ialOnoelilMloubmiJl<d. 1IN.d.."'l';"..liIyoflbo
-I "nOOl who malU!p tht I)'Ittm. or tloH ponou di,.(tIy ftlpOOlibSe for ~ the
Rob Walz ialilnno<i...lbo-....i,......,,;..dl..iolbt.'boltofmybowlfo.. """.UtCtrut'..
ace..... IlOd 'ampl.,-, J.u aw... ihlIt ,tbtn... .iJDilie. peaattJ.. (<< lllbaUdiPt fall.
iufOltllatiI)C, ind.-diflt die popiblliry oifwt or imp'l~ b'~v1olllri,*,.
Mayor of Jeffersonville
TYPED OR PRINTED
DATE
COMMENT AND EXPLANATIQN OF ANY VIOLATIONS
DISCHARGE TO OHIO RIVER
(Reference all attachments here)
Clark CoUnty
EPA FORM 3320-1 (REV. 08-95) Previous editions may be used.
(REPLACES EPA FORM T -40 WHICH MAY NOT BE USED.)
PAGE 1 OF 3
'!"'-.:\ER;:';~;-JE NA:~:bDR~~:-l
.~~!!l_E!:._~!~~!..~~n.~~~~_~~!l.!~Jp_~~~Tf____
Address: 701 Champion Road
-Jeffersonvare~lnalciiia-41T~(f------------
-------------.--------------------------------
_f_~~ll!!Y_~_~~_f!~!~~!:1..'!!!~~_~_~~J~!p~_~_!f___
.~~~~_tl~!1.:__~~!!~!:>_~!.l.YJ~~,_!~9j~D~_~.Z~A9_
_~t!~~__"!:!.r.!!~!~Y..!:.._~~~~~!9_'_9..~!!i1i_~~_QP..erator
SAMPLE
MEASUREMEN
'i'::RERMm,::,,,:
RgQUIREM~N
SAMPLE
MEASUREMEN
'::'::J>ERMIT::';~'
R!fQiJIRl:'ME~'
SAMPLE
MEASUREMENI
01092 GOO i',:;"U:g~MIT,:::,',t
RAW SEWAGEIINFLUENT J~~QIJIRtMI;N
ZINC, TOTAL RECOVERABLE SAMPLE
MEASUREMENI
01094 1 0 Q'ii",PERMI!'i",j
EFFLUENT GROSS VALUEREqOIREM'E~
COPPER, TOTAL SAMPLE
RECOVERABLE MEASUREMEN
01119 1 Q Q "":,:B,ERP.1JJ;,,':,,,
EFFLUENT GROSS VALUEi'{EduIREMEN
FLOW,WASTEWATER BY-SAMPLE
PASSING TREATMENT MEASUREMEN
60049 1 0 0:"",,:eE~P.1I~i':m~";:geTI9NJ\1
EFFLUENT GROSS VALuER~aUIRgM~f{,fi1();,r(trAl
FLOW, IN CONDUIT OR THRU SAMPLE
TREATMENT PLANT MEASUREMEN
60050 1. O' o,)",PI;.~M
EFFLUENT GROSS VALUE :,R~~!JI~i
NAMErrlTLE PRINCIPAL EXECUTIVE OFFICE
Rob Waiz
Mavor of JeffersonviUe
TYPED OR PRINTED
COMMENT AND EXPLANATION OF ANY VIOLATIONS
DISCHARGE TO OHIO RIVER
'-",
PARAMETER
(32-37)
CHROMIUM, TOTAL
RECOVERABLE
01118 1 0 0
EFFLUENT GROSS VALUE
COPPER, TOTAL (AS CuI
01042 GOO
RAW SEWAGEIINFLUENT
ZINC, TOTAL (AS Zn)
...-.,.... ,,_.,- "';"-',"
;;;dNAL ;;~~TAN;;~CHAR~;~L1MIN:~.JO~ Sy~~~J (NP~;;)-)
IIN0023~02 BERI
PERMI NUM
... NO DISCHARGE LI'"
NOTE: Read Instructions before completing this form.
Quantity or Loading (4 Card Only) Concentration
(54-61) (38-45) (54-61)
Maximum. Unit Minimum Maximum
Frequency of
analysis
(64-68)
NO.
EX
Unit 1(62-6
Sample
Type
(69-70)
5,48 6;70
~~~!~ J~.~!fl~iil~a.~;"=~~.ro~~
dir<<1ion or lUpaVilion in lCtordwe with. t)'lltcm dtfJIlIltd to QiUrt dill ~i1~c;d
pctJomd pr:opcrly AIfhcr and evaluate tM infOrm.ion wbmtfed. .Butd On my _by of
the 1'<"""'''''''.... the.,...cm, orlho"l""'OO' diroc'lyr_lbl.ror _bl8""
informlllinn.1hc infmnalion...hmJ~ed i.;lo'm. btct ofmyknowlfd8e1nd belief, lnie.
IKCUrllt a1d complete, t JIll IWWC that ~~ we a:I,grotlcaot pmatlin tni' lUbmitd~ false
infonnllion. including the pOfllbility offinc: or_ imprjJdmxt'l forlcnowq violatiON.
(Referenco all attachmehts h9re)
EPA FORM 3320-1 (REV. 08-95) Previous editions may be used.
(REPLACES EPA FORM T -40 WHICH MAY NOT BE USED.)
PAGE 2 OF 3
., ~l
,.-r0 - ;;~:i-r,.EE N~J/AD~~E~1"'." 1~~~IONA;;;duT A~~'~~~CHA~~~L1MI~~~~1 Sy~;~~J(NPD;~f~~J
,~~_'!).~2_}"~f!~!:;~~yj!~~J~~~~iE!.e~!_~I~____ DISCHARGE MONITORING REPORT (DMR)
,!}~~~~:;_~:_.?_q~_~~~~pj9..Q.!3.C!f.~._____.___ IN0023302 I~I 001A I
.Jeffersonville, Indiana 47130 ER I SCHARGE NUMBER
'1='ac"iTItY:--Jeffe-rsonvore-Mi:ilifcfparS'fp--
..____~__NN____________________________________
.h<?93~!i~1]2__~~!!~!~.~~~!~~!.l!l_~~~!l_~_1!..1~_9
,~!.t!!~_!j!!.l_~!~'Lhf!~~9..~~!.g~~!i_~~_Qp'erator
,.
PARAMETER
(32-37)
"-"~'''''''l
FORM APPROVED
OMS No.2040-0004
'1111111111111 IIIIIIIIII~ IIII~ mllll~11111 ~lllm 1m III1I
. I H 0 0 2 3 3 0 2 0 0 1 A 1 0 0 4 .'
NAMEITITLE.PRINCIPAL EXECUTIVE OFFICE
Rob Waiz
... NO DISCHARGE LI ...
NOTE: Read Instructions before completing this form.
Quantity or Loading (4 Card Only) Concentration
(54-61) (3lJ-45) (54-61)
Maximum Unit Minimum Maximum
NO.
EX
Unit 1(62-6.
Frequency of
analvsis
(64-68)
Sample
Type
(69-70)
CHLORINE. TOTAL
RESIDUAL
60060 1 1 0
EFFLUENT GROSS VALUE
E..cOLI . COLlSCAN MF
61041 1 00
EFFLUENT GROSS VALUE
BOD, CARBONACEOUS 6.
DAY, 20 C.
80082 1 2 0
EFFLUENT GROSS VALUE
BYPASS OF TREATMENT
80998 10 0
EFFLUENT GROSS VALUE
FLOW, TOTAL
82220 1 0 0
EFFLUENT GROSS VALUE
None
None
rarr--~w,
dir.tdOti or lIlJPffViiliOd itt ",~ordMt. wilb. 'Y.oot do.l,tud to UQ"e ~ quaUfitd
pCf"lGllftCI properly f'ld1U llDd.valuate dn iafOl1ftlltiOD.....itte4.flued CD my ioc:p;Ury.9I
tht PUIORJ who IUOIIp jJy: symm. or tbos4 puaoo.lI dircdJy~bJ. (or ph~ dao
l~iOQ. tbt j~ion tubmirted i.. 10 1M bttt orin)' bowIfde;..oo beUtr. tI'\H.
acCMll. and CClIr'4'loe,. I am. awwtI dutttbti't we .ipifklnl pmaltiHfot.wmltrio&faI..
infomwlon. indudina: tht pOI.ibiJiIy of~ or impriiOMVlll Car mowm, violllliOltl.
Mayor of Jeffersonville
TYPED OR PRINTED
COMMENT AND EXPLANATION OF ANY VIOLATIONS
DISCHARGE TO OHIO RIVER
(Referonce all attachments hers)
Clark County
EPA FORM 3320-1 (REV. 08-95) Previous editions may be used.
(REPLACES EPA FORM T -40 WHICH MAY NOT BE USED.)
PAGE 3 OF 3
-,
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPI)ES)
CSO DISCHARGE MONITORING REPORT (CSO DMR)
I~J~prm~(~}'%'j;;74
~C.~~,.~fJeffersonville ~".1'il~f 6
t ~~~itY:~"1 Jeffersonville POTW R~lft1:r",~;f~~~IIN0023302
o ~~1I~Tijf@'~(i~~~J'K{~1~~~~110101/04 to 10/31/04 f~~~~t4i~~~;~~~~~\":.;itW.li1ll
~ki~l:3"~~tilf.i1~~~1 22.5 I MeasuredlMetered (M) or Estimated (E) must be specified. (Please attach methods used.)
I
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CSO Outfall No. 003
CSO Outfall No. 005
~<<;,
:~
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FRI
SAT
SUN
MON
TUE
WED
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SAT
SUN
MON
to" [(f!~ TUE
~ ~'.,"".,\"",,,,
..
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THU
FRI
SAT
SUN
MON
TUE
~~!l;1 WED
THU
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NATIONAL POLLUTANT DISCHARGE EUMINATION SYSTEM (NPDES)
CSO DISCHARGE MONITORING REPORT (CSO DMR)
ADDITIONAL OVE.RFLOWS PAGE b~g.''"''''''''''~-W,:.i;'~i~'i~~*X~'Y'~''1
l:::{.orm~~;w=v.("..-;;:,;:;,.;...q~}tt~;~~>;':'~'5-t-.;;'.':!o
.. ,. '<.-... .-..,.,.-..',-,... ~
i, ~'~ City or Jeflersonvllle .~ti~~l 2 or 5
~~"'~IJ.hISOllVllle ~lf:=ilijt- IIN0023302 -
POTW
rlJ~~~~~i~)~#tI~~v~~~:~~~~~{r~~f%.l.~11Q101104 to 10131104 a=~~ff~~~~f~~~=~~~1t~f~l
", "'" '''''' , " ,',. , M_..redJMetered 1M) ,or Estimated IE) must b9l1l*:lfled. IPIea$e attach ,methods uSed.) -
, ,,.
, ~C$Oj:lfi ~_C$Or'~ j,11S r~l(r':i~"
CSOOutfallNo ,.
.f!!, ~
,Io! X .~l!! ,;1 .
or Cor
i: i ti.,:~t~"jI1:lMGfit:YE "0 E
-
FRI
SAT
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MON
lir .
ED
THU
r~!"~l FRI
.SAT
, SUN
" ~i~~}IMOO
::~~ TUE!
,~~ WED
THU r
FRI
.,... SAT
SUN
MOO 9:00am E HlO E 0.07 E
TUE!
i~;i lIVED
: .'~1:,i THU " ..
\#,{ FRI
,.:~.i SAT
~;; SUN
;25; MON
~' TUe:I 9:00pm 9:00pm ..
E 3.00 E 0.03 E 9:00pm E 3.00 E 0.03 E E 3.00 E 0.03 E 9:00pm E 3.00 E 0.03 E
;:Eli WED
~J THU
}9: FRI
,~, SAT
31:; SU~
T ot&I8:';':" nla 3.00 0.03 nla 10.00 0,10 n/i! 3.00 0.03 nla 3.00 0.03
~ ~ ~ ~
Tlmo1hv L Crawford a12~1
I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WEREPREPARE{)UNDER MY DIRECTION OR SUPl!RVlSION IN AccoRDANCE WITH A
SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE
PERSONS WHO MANAGE THE SYSTEM OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE INFORMATION; THE INFORMATION SUBMITTED IS, TO T~E BEST
OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, AND COMPLETE. I AM AWfiJl.E THAT THERE ARE SIGNIFICANT Pl!NAL TIES FOR SUBMITTING FALSE INFORMATION,
INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. I///R'O 4f
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r(/ ;iL"" /. C~ .d'~ Y
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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NEmES)
CSO DISCHARGE MONITORING REPORT (CSO DMR)
ADDITIONAL OVERFLOWS PAGE bi."~"''';''C'''''''''')''''''''<''iA;I",;",,,,''''''''='',~''i(.''''1
~Edrtft.~.~"~'~~~~~:PJ~~~w~>
.--. ~,..., .... ,-.... . ~.". ---\.,,,. <",'
!5~jlclty of Jeffer.lonvllle ~~X<<U 3 of 5 I
If=,;(~lJeffer.lOnv'''. POTW ~~l~=~~~~~ INOO23302
~~~Tim~~'Wu~~%i%~~~~\~~!~~f~~r~'Ml11041o 10/31104 ~~~~i;Aa~~~~lmff~~~=1$.1~~J!
MeaslJredIMe1ered (M\ or estimated (El must ~ slleClfled. tPIease atIactl,meth0d8used.l ~
..
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CSO Outfall No
;.' . '.
or ie,'~ "~.';
't:
FR!
SAT
SUN
i~
: T~~
,',i FRI
SA
su~
MON
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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 !',NO EVALUATE THE INFORMATION SUBMITTED. BASED ON
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CSO DISCHARGE MONITORING REPORT (CSO DMR)
ADDITIONAL OVERFLOWS PAGE r",i;i'""~~~''''''''o''<''''''",,,<'''='''''''A''''''''''"''''''1
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1 CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND A1.L ATTACHMENTS WERE PREPARED UNDER P6'f DIRECTION OR SUPERVISION IN ACCORDANCE WITH A
SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASEO ON
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Tlmothv L Crawford (1l12\~1
I CERTIFY UNDER PENALlY OF LAW THAT THIS OOCUMENT 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 INFORMATION SUBMmED. BASED ON
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CSO DISCHARGE MONITORING REPORT(CSO DMR
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STREET FOOTAGE SANITARY/CSO Catch basins Cleaned I
LOCUST 120 - ALLEY TO WANLUT 240 CSO
15TH & LOCUST 250 CSO Catch basin Tops Cleaned I
10TH & WALL 575 CSO
15TH & DUNCAN 300 CSO Total Footage TV'ed I
FULTON 412 250 CSO
MORRIS 801 200 CSO Total Footage Cleaned 1
MORRIS 1026 300 CSO
1043 NACHAND LANE 1450 CSO
ELLWANGER & NACHAND 400 CSO
CLAIRVIEW & NACHAND - ADVISE RESIDENT 235 CSO
PARK PLACE & CHIPPEWA 0 CSO
CHERRY STREET BETWEEN 9TH & 10TH) 285 CSO 4485 I
FULTON 922 200 SANITARY
BRISCOE & HERBY (CHECK MANHOLE) 250 SANITARY
MOCKINGBIRD 609 400 SANITARY
ROMA & CARMAN (CHECK MANHOLE) 0 SANITARY
SPRINGDALE (BETWEEN 9TH & 10TH - BI-MONTH 0 SANITARY
FALLOW DRIVE 415 SANITARY
3011 PERIMETER 400 SANITARY
GOLFVIEW SUBDIVISION 2750 SAN IT ARY
GOLFVIEW SUBDIVISION 5020 SANITARY
SPRINGDALE 811 150 SANITARY
15TH AT SPRINGHILL SCHOOL 300 SANITARY
SPRINGHILL SCHOOL TO LOCUST 308 SANITARY
ALVIN COURT 3605 1000 SANITARY
DUNCAN AVE & FRANCES AVE 550 SANITARY 11743 I
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NPDES FACILITY VERIFICATION OF INSPECTION
State Form 47989(R3/12-02)
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Facility Type Code:
~ 1 = Municipality 0.2 = Industry/Semi-Public 0 3 = Agricultural 0 4 = State/Federal
rs:Major 0 Minor
This is to verify that on / '/? / 0 (MM/DDIYY) an inspection of the specified facility was conoucted by the undersigned
representative of the Indiana Department of Environmental Management, Office of Water Quality.
TYPE OF INSPECTION:
_Compliance Evaluation Inspection (C)
_ Reconnaissance Inspection (R)
_ Industrial User Inspection (I)
Sanitary Sewer Overflow (V)
Name a.rdlocation of Facility Inspected.:
Je~7~(SvN v,'I/( //olU/
Town/City: 'Sf 11-1'( J,w ~ #oCmty: C..!'::"'; I{
Name(s) of On-Site Representatives:
1-; f"VI CI?.1v (i I j
> .
_ Multimedia Screening Evaluation (M)
~ Combined Sewer Overflow Inspection (Y)
_ Compliance Sampling Inspection (S)
Other
Receiving Waters/POTW:
C 1"-/'-( fu? elf.e t(
Permit Expiration Date:
4 - :1 0 .-D q
Numbe,) I I)- t
Renewal Effective Date:
7 -/-0 1
r Name and Address of Responsible Official: ,.<"
I he l/o}JJ/t..i:? (elll) b.u'1LJ^)Z-; J/.
,0 I;!? s1"" COljr r All e . /)
e 'lIR r., () }/I/ J (Ie A/ /f '7 / 5 0
-r: J<-t (/1h / (I t. w 10 J j
Title(s):
f;.. L ) /; r; -.' S
/"1t<.IJI... e(
Class: p'
Expiration Date:
-:J () -0 <:J~
Titlejt4 ~ IV /"
Phone: ( '1 ()..) ). ~ j- -
Fax: ( )
Phone: ( )
Fax: ( )
Certified Operator:
,[lfFull Time
o Part Time
Hours per Week;
40r
Phone: (-Sfj,.) J
Fax: ( )
Facility Design Flow:
. '3.) ;t1
()
"These findings are considerecf preliminary and inc:ludespeCific matters discovered during the inspection that the designated agenf6fthe
department believes may be a violation of law or a permit issued by the department.
Single Media Inspection: ~
~o violations were discovered with respect to the particular items observed during the inspection. (5)
---'-- Potential violations were discovered but corrected during the inspection, (4)
_ Potential violations were discovered and require a submittal and/or follow-up inspection. (2)
_ Potential violations were observed and may. be referred to our Office of Enforcement. (1)
_ Additional information/review is required to evaluate overall compliance.
Other . (3)
Comments Regarding Marginal and Unsatisfactory Ratings... Including Rule or Permit Citation(s):
Distribution: White - Public File; Canary - Site Copy; Pink - Inspector; Goldenrod - Supervisor
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; ~dditional Comment~ Regarding Marginal and Unsatisfactory Ratings - Including Rule or Permit Citation(s) :
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t ,MUlti-Media, Screening (please note that a multi-media screening is not a comprehensive evaluation of the compliance status of the facility):
1 - Multi-Media Screening not conducted,
, _ Potential problems or potential violations were discovered but corrected during the inspection.
, ~ Potential problems or potential violations were discovered and will be referred to the Office(s) of
L.
fPollution prevention is thElprElfElrrEldmeansoreliivironmenfarprot~ctlori il1lnclial'la.The goal of pollution prevention is to promote changes in business and
1 ;ommercial operation, especially manufacturing processes, so that less environmental wastes are generated. Your participation in Indiana's pollution prevention
}rogram is entirely voluntary, Would your company like to be contacted by IDEM's Office otPollution Prevention and Technical Assistance?
I . - Yes V No '
f
, L.lf you have any pollution preventionquestions, you may contact our Office of Pollution Prevention and Technical Assistance at (317) 233-5627 or
toll-free (800) 988-7901 or visit their Web site at http://www.in.gov/idem/oppta.
A summary of violations al'lclcol1cemsnoteaolJring the il'1spectic5nwere'veroaflycommUl1icatea to tile undersigned representative during tfteinspectiori.
I}acility should correct any deficiencies noted as soon as possible. Corrections made and verified during the inspection may still be cited as violations.
"...' Written inspection summary will be provided within 45 days. ~ritten report provided at the conclusion of the inspection.
l r If upon subsequent review, any changes to this report are deemed
l I' , , ' necessary, a revised report will be sent to the subject facility within
45 days.