WQ0006941_Monitoring - 06-2020_20200730

Monitoring Report Submittal
...........................................................................................................................................
Permit Number #* WQ0006941
Name of Facility:* Stoney Creek Elementary School
Month:* June
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2020
Upload Document*
Stoney Creek_June.pdf
FDF Only
Please upload only one combined pdf document. Upload GW-59 individually.
Confirmation Email Address:* [e-mail]
Name of Submitter:*
Signature:*
Date of submittal:
Initial Review
Jessica Mize
Reviewer: Williams, Kendall
Is the project number correct?* WQ0006941
7/30/2020
This will be filled in autorratically
1.23MB

Is the monitoring report Yes r No
accepted?*
Regional Office* Winston-Salem
Accepted Date: 7/30/2020

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page ^1_ of _2_
Permit No.: WQ0006941 Facility Name: Stoney Creek Elementary School County: Caswell Month: June Year: 2020
PPI: 001 1 Flow Measuring Point: I Parameter Monitoring Point:
Parameter Code 0
50050
00310
50060
31616
00610
00625
U0B20
00600
00400 00665
00530
Id
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m
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0
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es
a
Q U
U
¢
tl z
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v,
p
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o
24-hr
hrs
GPD
mg/L
mg1L
#l100 mL
mglL
mg1L
mg/L
mglL
su mglL
mg/L
1
52
2
52
3
52
d I 1n.,;n I n 25 1 52 4 1 No Flow - School Out I I I I 1 I i I I I I
5 52
6 52
7 52
a 52
g 52
lint 19.1 s I o 25 I 52 I I No Flow - School Out I I I I I I I I I I
11 52
12 52
13 52
14 52
15 52
161 52
171 1 1 52
1111 1 1 52
Daily Minimum:
Sampling Type:
Monthly Limit:
Sample Frequency:

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Glenn Price Name: Research & Analytical Laboratories, Inc.
Name: II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ©<CCompliant O Non -OD pliant
If the facility is non -compliant, please explain in the space glow the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Glenn Price
Certification No.: 987931 /20771
Grade: I I Phone Number: 336-996-2841
Has the ORC changed since the previous NDMR? ❑ Yes Q No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee: Baron Neal McDuffie ( Authorized Agent)
Signing Official: Baron Neal McDufFe
Signing Officials Title: Field Services Director ( R & A Laboratories, Inc)
Phone Number: 336-996-2841 Permit Expiration: 8/31/2021
2 ;. - .z U
Signat Date
1 certify, under penalty of law, that —meet and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the Information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the Information, the information submitted is, to the best of my kwWedge and belief, true, accurate, and complete. 1 am
aware that there are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276994617

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1 ) Page _2_ of _2—
Permit No.: W00006941 Facility name: Stoney Creek Elementary School County: Caswell Month: June Year: 2020
1611ii1lill
Did irrigation occur
Area (acres)-..
�111;rvl W1
at this facility?
• •
•�•Cover
CropCover
Crop.
YES NO
Hourly Rate (in):
Hour y Rate (in):
Annual Rate (in):
" .®• - +
..
Field
0
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
[OComphant ❑ Non -Compliant
ErCompiiant ❑ Non -Compliant
ff Compliant ❑ Non -Compliant
3Compliant ❑ Non -Compliant
3Compliant ❑ Non-Compiiant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
tauen. Anacn aaaitionai sheets it necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Glenn Price
Permittee:
Baron Neat McDuffie (Authorized Agent)
Certification No.: 987931/20771
Signing Official: Baron Neal MCDUfi"'ie
Grade: II Phone Number: 336-996-2741
Signing Official's Title: Field Services Director (R & A Laboratories, Inc)
Has the ORC changed since the previous NDAR-1? yes R] No
Phone Number: 336-996-2841 Permit Exp.: 8/31 /21
Signature Date
Signature Date
By Oda signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and afl attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based an my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the
Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information. Including the passibirdy of fees and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617