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<br />Part 4: <br /> <br />OVERFLOWS AND BYPASSES <br /> <br />A. <br /> <br />(1) <br /> <br />List the number of times in the last year there was an overflow, <br />bypass, or unpermitted discharge of untreated or incompletely <br />treated wastewater due to excessive flows within the collection <br />system: <br /> <br />(Circle One) 0 = 0 points; 1 = 5 points; <br />3 = 15 points; 4 = 30 points; 5 or more = <br /> <br />2 = 10 points; <br />50 points <br /> <br />(2) List the number of bypasses, overflows, or unpermitted discharges <br />shown in A (1) that were within the collection system and the <br />number at the treatment plant. <br /> <br />Collection System <br /> <br />Treatment Plant <br /> <br />B. <br /> <br />(1) <br /> <br />List the number of times in the last year there was a bypass or <br />overflow of untreated or incompletely treated wastewater due to <br />equipment failure, either at the treatment plant or due to pumping <br />problems in the collection system: <br /> <br />(Circle One) 0 = 0 points; 1 = <br />3 = 15 points; 4 = 30 points; <br /> <br />5 points; <br />5 or more <br /> <br />2 = 10 points; <br />= 50 points <br /> <br />(2) List the number of bypasses or overflows shown in B (1) that were <br />within the collection system and the number at the treatment <br />plant. <br /> <br />Collection System <br /> <br />Treatment Plant <br /> <br />C. Specify whether the bypasses came from the city or village sewer system <br />or from contract or tributary communities/sanitary districts, etc. <br /> <br />D. Add the point values circled for A and B and place the total in the box <br />below. <br /> <br />TOTAL POINT VALUE FOR PART 4 D <br /> <br />Enter this value on the point calculation table on the last page. <br /> <br />E. List the person responsible for reporting overflows, bypasses or <br />unpermitted discharges to State and Federal authorities: <br /> <br />Name <br /> <br />Title <br /> <br />Telephone Number <br /> <br />. <br /> <br />Describe the procedure for gathering, compiling, and reporting: <br /> <br />9 <br />