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_ r. <br /> DISCHARGE SERIAL NUMBER FOR AGENCY USE <br /> ®®2 ova <br /> a. Discharge Receiving water Nano NA <br /> Name the waterway at the point Of Me <br /> dischargedsee Instructions) <br /> For Agency Use For Agency Uw <br /> or Minor Sub 303$ <br /> If the discharge is through an out- <br /> all that eXtends beyond the shoreline <br /> or is below the mean low water Ilne, . <br /> complete Item 7. <br /> 7. Offshore Discharge <br /> a. NA <br /> Discharge Distance from Shore 307& feet <br /> IL Discharge Depth Below water <br /> Saltie$ 2071a feet <br /> it discharge is from a"pass or an overflow,point or Is a seasonal discharge from a lagoon,holding pond,etc„compaete items S.9 or 10, <br /> as applicable,and continue with Item 11. <br /> S. Bypesf Discharge(see instructions) <br /> a. Bypass Occurrence <br /> Check when bypass occurs <br /> wet weather .:206&t ❑Yes {y NO <br /> Ory weather 289x2 ❑Yes No <br /> a Byp»a Frequency Give the <br /> actual or approximate number <br /> of bypass Incidents per year. <br /> wet weather 2=bs NA times per year <br /> Dry weather look I NA times Per year <br /> c. Bypass duration Give the <br /> average bypass duration in hours. <br /> Wet weather lbsat NA hours <br /> NA <br /> Ory weather sBacz hours <br /> d. Bypass Volume Give the <br /> average volume per bypass Incident. <br /> In thousand gallons. <br /> NA <br /> Wet weather 2dt <br /> 0Bthowund gallons per Incident <br /> Ory weather 20Bd2 NA thousand gallons per Incident, <br /> a. Bypass Reasons Give reasons NA <br /> why bypass octurL 208e <br /> Proceed to Item 11. <br /> 2. Overflew discharge(see instructions) <br /> a. Overflow Occurrence Check t S <br /> when overflow Occum <br /> Wet weather 20962 ®Yes ®NO n <br /> •+ C' <br /> Dry weathere 209a2 E3Yes 0 No ) •^-(s <br /> 1 .. <br /> Is. Overflow Fregwney Give the c <br /> `+ actual or approximate incidents "C <br /> per year. ••t,•`• .:a+ <br /> wet weather 20961 NA times parr,year <br /> Ory weather 20992 NA times per year Q <br /> EPA Ferns 7550-22(7-731 U-2 <br />