INSTRUCTIONS
The Division of Water developed this standardized form to simplify the reporting of noncompliance events. The SPDES Permit General Conditions, require that certain discharges of untreated or partially treated sewage must be reported orally within either 2 hours1 or 24 hours and also in writing within five (5) days as required by the appropriate regulation. All other permit noncompliance shall be reported as attachments to the Discharge Monitoring Report (DMR). This form should be used for these events as well as to report noncompliance relating to consent orders, scheduled events and bypass events.
All necessary information can readily be reported to DEC on this form. Additional information required to describe the event can be attached. Please make additional copies of this form and use as needed . Instructions are provided below. For questions on form use please contact the appropriate office listed below for the county where your permitted facility is located. Thank you for your cooperation.
Instructions to complete and submit Noncompliance Report
1. Provide facility information and all applicable event details in Sections 1 through 3. Dates should be completed in month/day/year format.
2. Provide your name, title, business phone number, and date report was completed in Section 4. Use additional sheets as needed to provide full detail of the event in Section 2.
3. For 5-day written reports, mail or fax the completed form to the appropriate DEC Regional Office listed below. Attach all other noncompliance reports to the DMR submittal (be sure to attach to each set of DMR copies) or mail separately if related to consent order/scheduled event noncompliance. After hours and weekend reporting of unusual discharge events of other noncompliance must be reported through the DEC Telephone Hotline, which is 1-800-457-7362.
DEC Regional Offices:
| REGION 1 | REGION 1 | - | REGION 2 | REGION 2 | - | REGION 3 | REGION 3 | | Regional Water Engineer | Regional Water Engineer | - | Regional Water Engineer | Regional Water Engineer | - | ****** | ****** | | NYS SUNY , Bldg. 40 | NYS SUNY , Bldg. 40 | - | One Hunters Point Plaza | One Hunters Point Plaza | - | Regional Water Engineer | Regional Water Engineer | | Loop Road | Loop Road | - | 47-40 21st St. | 47-40 21st St. | - | 21 So. Putt Corners Rd | 21 So. Putt Corners Rd | | Stony Brook, NY 11790-2356 | Stony Brook, NY 11790-2356 | - | Long Island City, NY 11101-5407 | Long Island City, NY 11101-5407 | - | New Paltz, NY 12561-1696 | New Paltz, NY 12561-1696 | | Phone: 631-444-0405 Fax: 631-444-0373 | Phone: 631-444-0405 Fax: 631-444-0373 | - | Phone: 718-482-4900 Fax: 718-482-6516 | Phone: 718-482-4900 Fax: 718-482-6516 | - | Phone: 845-256-3000 Fax: 845-255-0714 | Phone: 845-256-3000 Fax: 845-255-0714 | | Counties: | Counties: | - | Counties: | Counties: | - | Counties: | Counties: | | Nassau | Nassau | - | Queens Bronx | Queens Bronx | - | Rockland Dutchess | Rockland Dutchess | | Suffolk | Suffolk | - | New York Richmond Kings | New York Richmond Kings | - | Sullivan Orange Ulster | Sullivan Orange Ulster | | - | - | - | - | - | - | Putnam | Putnam | | - | - | - | - | - | - | Westchester | Westchester | | REGION 4 | - | - | REGION 5 | ***** | - | REGION 6 | | Regional Water Engineer | - | - | ***** | er Engineer | - | ****** | | 1150 North Westcott Rd. | - | - | Regional Wat | . Box 296 | - | Regional Water Engineer | | Schenectady, NY 12306-2014 | - | - | Route 86, P.O | Y. 12977-0296 | - | Region 6 Suboffice | | Phone: 518-357-2045 Fax: 518-357-2398 | - | - | Ray Brook N. | 97-1241 Fax: 518-897-1245 | - | State Office Bldg. | | Counties: | - | - | Phone: 518-8 | Hamilton Franklin | - | 207 Genesee St. | | Montgomery Albany | - | - | Counties: | Saratoga Warren | - | Utica, NY 13500 | | Otsego Rensselaer Columbia | - | - | Clinton | Washington | - | Phone: 315-793-2554 Fax: 315-793-2748 | | Delaware | - | - | Essex | - | - | Counties: | | Schoharie Greene | - | - | Fulton | - | - | Lewis Jefferson | | Schenectady | - | - | - | - | - | Herkimer | | - | - | - | - | - | - | Oneida St. Lawrence | | REGION | 7 | - | REGION 8 | er Engineer | - | REGION 9 | | - | Water Engineer | - | Regional Wat | on-Lima Rd | - | Regional Water Engineer | | - | lvd West | - | 6274 East Av | 414-9519 | - | 270 Michigan Avenue | | - | NY 13204-2400 | - | Avon, NY 14 | 26-2466 Fax: 585-226-2830 | - | Buffalo, NY 14203-2999 | | - | 5-426-7506 Fax: 315-426-7402 | - | Phone: 585-2 | Orleans Genessee | - | Phone: 716-851-7070 Fax: 716-851-7009 | | - | Madison Cayuga | - | Counties: | Schuyler Seneca | - | **Counties:**Allegany | | - | Onondaga Oswego | - | Chemung | Steuben Ontario | - | Erie | | - | Tioga Tompkins | - | Livingston | Wayne Yates | - | Cattaraugus | | - | - | - | Monroe | - | - | Niagara Wyoming | | - | - | - | - | - | - | Chautauqua | Regional 615 Erie B Syracuse, Phone: 31 Counties: Broome Chenango Cortland
| ****** | REGION 3 Suboffice | - | - | REGION 5 Suboffice | - | - | REGION 6 Suboffice | | - | Regional Water Staff | - | - | Regional Water Staff | - | - | Regional Water Staff | | - | 200 White Plains Rd.., 5th Floor | - | - | Box 220, Hudson St Extension | - | - | 317 Washington St. | | - | Tarrytown, NY 10591-5805 | - | - | Warrensburg, NY 12885-0220 | - | - | Watertown, NY 13601-3787 | | - | Phone: 914-332-1835 | - | - | Phone: | - | - | Phone: 315-785-2513 | | - | Fax: 914-332-4670 | - | - | 518-623-1200 | - | - | Fax: 315-785-2422 | | - | - | - | - | Fax: | - | - | - | | - | - | - | - | 518-623-4193 | - | - | - |
1This requirement reflects proposed pending regulations.
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