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Part 4: OVERFLO14S AND BYPASSES <br />A. (1) 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 heavy rain or snowmelt: 31 <br />(Circle One) 0 = 0 points; 1 = 5 points; 2 = 1 oints; <br />3 = 15 points; 4 = 30 points; or more = 50 points <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 />Collection System 31 Treatment Plant 0 <br />B. (1) 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: 3 - <br />Circle One 0 = 0 points; 1 = 5 points; 2 = 10 points; <br />—3= 15 points; 4 = 30 points; 5 or more = 50 points <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 />Collection System 3 Treatment Plant 0 <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 />D. Add the point values circled for A and B and place the total in the box <br />below. <br />TOTAL POINT VALUE FOR PART 4 I 65 I <br />Enter this value on the point calculation table on the last page. <br />E. List the person responsible for reporting overflows, bypasses or <br />unpermitted discharges to State and Federal authorities: <br />Herbert II. Campbell Director of Utilities (903) 784 -2464 <br />Name Title Telephone Number <br />Describe the procedure for gathering, compiling, and reporting: <br />(See attached) <br />01 <br />