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Home My WebLink AboutWQ0000265_Monitoring - 07-2020_20200818Monitoring Report Submittal ............................................................................................................................................ Permit Number #* WQ0000265 Name of Facility:* NCDPS - Washington Correctional Center WWTF Month:* July Year:* 2020 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR 2020 Jul.pdf FDF Only Please upload only one combined pdf document. Upload GW-59 individually. Confirmation Email Address:* nainesh.patel@ncdps.gov Name of Submitter:* Nainesh Patel Signature:* Date of submittal: 8/18/2020 This will be filled in autorratically Initial Review Reviewer: Williams, Kendall Is the project number correct?* WQ0000265 571.52KB Is the monitoring report Yes C NO accepted?* Regional Office* Washington Accepted Date: 8/18/2020 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2 Permit No.: 01111265 Facility Name: Washington Correctional. • = 1 1 FORM- NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of Z' Sampling Person(s) Name: Brad Gosser Name: Dena Meyers Name: #5676 Name: Statesville Analytical Certified Laboratories Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑� compliant ❑Non -Compliant 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 action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Brad Gosser Pelmittee: Department of Public Safety Certification No.: 1002069 Signing Official: Nainesh Patel Grade: Si Phone Number: 252-796-1085 Signing Officials Title: Civil/Env. Engrg.Section Manager Has the ORC changed since the previous NDMR? ❑Yes ONO . Phone Number: 919-324-1283 Permit Expiration: 10/31 /2022 , ez _ r 1ti r ;_ � - - / — CAS -Signature Date By this signature. I cenify that this report Is accurrate and complete to the best of my knowledge PQ 81 (3lz.o Signature Date I certify, under penalty of law, that this document and an 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 knowledge and belief, true, accurate, and complete I 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 27699-1617 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 4 of 3 Permit No.: 01111 Washington . . - . • = 1 1 • irrigation occur at this facility? Cover Crop: Cover Crop- CIYES • 1 Hourly Rate 1 Hourly Rate (in): Annual Rate (in). Annual Rate (in): Field Irrigated? Field Irrigated? 110HIMMM om== �� ■�� . o... IBM,,. o ,.. o ,„ o .., ,,. FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 3 Permit No.: 1111 . Washington . . Washington 1 1 • irrigation occur at this facility? E]YES. F . 1 • cm moo Annual Rate (in): Annual Rate (in):: - - - -- -®. - . Q. • Field -,0 • • • • Monthly Loading:i 0 •1• 0 �� 0 �11 .0 ,„ FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of 3 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? [Compliant ❑Nan-Compliarrt [,]Compliant ❑Non -Compliant i]Compliant ❑Non•Complfant OContpliant ❑Non -Compliant []Compliant ❑Nan -Compliant 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 action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Brad Gosser Pe►mittee: Department of Public Safety Certification No.: 1002069 signing Official: Nainesh Patel Grade: Sl Phone Number: 252-796-1085 Signing Officials Title: Civil/Env. Engrg. Section Manager Has the ORC changed since the previous NDAR-1? ❑yes QNo Phone Number: 919-324-1283 Permit Exp.: 10/31 /22 j r i� Signature Date Signature Date By this signature, t certify that this report is accurfate and complete to the best of my knowledge I certify, under penalty of law, that lhis document and ad attachments were prepared under my rhreclion or supervision in accordance with a system designed to assure that ad qualified personnel properly 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 knowledge and belief, true, accurate, and complete I am aware that there are significant penalties for submitting false information, including the possdxlily 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 27699-1617