HomeMy WebLinkAboutWQ0000265_Monitoring - 09-2020_20201015Monitoring Report Submittal
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Permit Number #* WQ0000265
Name of Facility:* NCDPS - Washington Correctional Center WWTF
Month:* September Year:* 2020
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 2020 Sep.pdf 575.96KB
FDF Cnly
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* nainesh.patel@ncdps.gov
Name of Submitter:* Nainesh Patel
Signature:
,%1A1VX6#-�ATV-L
Date of submittal: 10/15/2020
This will be filled in autorratically
Initial Review
Reviewer: Williams, Kendall
Is the project number correct? * WQ0000265
Is the monitoring report r Yes r No
accepted?*
Regional Office * Washington
Accepted Date: 10/15/2020
FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page i of 2
Permit No.: 011//265
Facility Name: Washington Correctional. •n
Month: September1
1
1 1
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Daily
Daily Minimur%
Sampling Typ3
FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Person(s) Certified Laboratories
Name: Brad Gosser Name: #5676
Name: Dena Meyers Name: Statesville Analytical
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [Dcompi+ant ❑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 (CRC) Certification Permittee Certification
ORC: Brad Gosser
Certification No.: 1002069
Grade: SI Phone Number: 252-796-1085
Has the ORC changed since the previous NDMR? ❑yes ONo
Signature Date
By this signature. I certify that this report is accurrate and complete to the best of my knowledge.
II Pennittee: Department of Public Safety
Signing Official: Nainesh Patel
Signing Official's Title: Civil/Env. Engrg.Section Manager
Phone Number: 919-324-1283 Permit Expiration: 10/31 /2022
Signature Date
i certify, under penalty of law, that this document 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 knowledge and belief, true, accurate, and complete. I am
aware that mere are significant penalties for submitting false information. Mcludin9 the possibikty of fifes 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 t of 3
Permit No.: wllll265
Facility Name: Washington CorrectionalWashington
• .
1 1
Did irrigation occur
Field Name:
l
at this facility?
EIYES O
Cover Crop:
Rate
Hourl3
Annual Rate (in):
Annual Rate (in):
15.6
ME
C 0 0M
MMM
_
_
1rMff
..
FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Z' of 3
Peffnit No.: WQ0000265
Facility Name: Washington Correctional Center WWTF County: Washington Month: September
Did irrigation occur
at this facility?
CIYES ONO
Field Name:
Cover Crnp-
IIIIIII; =1717,77111, 3 Hourly Rate (in):
Hourly Rate (in):_
Annual Rate (in):
IBMoo��moi
lill Field Irrigated?
OYES [3NO
Field Irrigated?
(]YES
ONO
Z.0
In
CL To
g
as -0
z ;...s
, MMMIMMM
MMMMM
m7mi
mom�o
Monthly Loading: 0 0.00 0 0.00 0 O.W u u.0u
12 Month Floating Total (in): 0.00
FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 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?
I]Comphant ❑Non -Compliant
OCompliant ❑Non -Compliant
OCompliant ❑Non -Compliant
[DCompliant ❑NonlCompliant
�pliant ❑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
Permittee:
Department of Public Safety
Certification No.: 1002069
Signing Official: Nainesh Patel
Grade: SI Phone Number: 252-796-1085
Signing Official's Title: Civil/Env. Engrg. Section Manager
Has the ORC changed since the previous NDAR-1? Dyes RjNo
Phone Number: 919-324-1283 Permit Exp.: 10/31 /22
Signature Date
Signature Date
By this signature, I certify that this report is accurrale and complete to the best of my knowledge
I certify, under penalty of law, that tins document 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 gatherrig 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