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Home My WebLink AboutWQ0000265_Monitoring - 10-2020_20201116Monitoring Report Submittal ............................................................................................................................................ Permit Number #* WQ0000265 Name of Facility:* Washington Correctional Center WWTF - NCDPS Month:* October Year:* 2020 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR 2020 Oct.pdf 2.25MB FDF ony 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: 11/13/2020 This will be filled in &Aonaticaly 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: 11/16/2020 DocuSign Envelope ID: E770D1 95-2C47-4AB4-A3E5-9BC31A7E661 D FORM: NDMR 05-15 NON -DISCHARGE MONITORING REPORT (NDMR) 112 Page of Permit No.: •1101265 Facility Name: Washington Correctional- • • • October 1 1 I I Flow Measuring Point: []Influent PlEffluent EINo flow generated Parameter Monitoring Point: Dinfluent MEffluent ElGroundwater Lowering LISarface Water Parameter Code --- . Daily Ma�mum: Daily Minimum: Monthly Limit: r --------_--_-�- Sample Frequency: DocuSign Envelope ID: E770D1 95-2C47-4AB4-A3E5-9BC31 A7E661 D rvnwr. rvvrwrc yr iv LION -DISCHARGE MONITORING REPORT (NDMR) 2/2 Page of 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? ❑� compfiant ❑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 11 Permittee Certification ORC: Brad Gosser Certification No.: 1002069 Grade: SI Phone Number: 252-796-108r, Has the ORC changed since the previous NDMR? ❑yes f]No Q!�4O� l / - / 2 _ 20 Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Permittee: Department of Public Safety Signing Official: Nainesh Patel Signing Officials Title: Civil/Env. Engrg.Section Manager Phone Number: 919-324-1283 Permit Expiration: 10/31/2022 DocuSignred by: Nauln t.S� L 1 11/13/2020 1 16: 44 : 30 63F09F5DE2404D9... Signature Date I certity, 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 afl 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 hest of my knowledge and beEief, 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 EST DocuSign Envelope ID: E770D195-2C47-4AB4-A3E5-9BC3lA7E661D k-UKM: NUHK- I UO- 10 NON -DISCHARGE APPLICATION REPORT (NDAR-1 ) Page 1/3 Permit No.: •1111 .Washington• - • .Washington. October I 1 Name:Field ■ . irrigation occur Area (acres): at this facility? Hourly-. 1 , •. �- . -- i Annual Rate (in)� Field IFIIUaLV logo MMM1MNNNMMMM.MNMM Monthly Loadint DocuSign Envelope ID: E770D1 95-2C47-4AB4-A3E5-9BC31A7E661 D FUKM. NUAK-1 U5-lb NON -DISCHARGE APPLICATION REPORT (NDAR-1) 2/3 Page of Permit No.: 01111 .5 Facility Name: Washington Correctional• • October 1 1 • irrigation occur []NO 1 - Annual Rate (in):. • ... . ■ ■ 1 ■ ■ • ■ ■ • . .. ' . ■ ■ • w 12 Month .•. . Tirtal (in):: DocuSign Envelope ID: E770D1 95-2C47-4AB4-A3E5-9BC31A7E661 D 3/3 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? ❑� Compliant ❑Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? pcompliant ❑Nan -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑' compliant ❑Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant ❑Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑p Compliant ❑Non -Compliant If the facility is non -compliant, please explain in the space below the reason(s) the facility was not m compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken Attach additicnal 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? I _yes _]No Phone Number: 919-324-1283 Permit Exp.: 10/31/22 by: Zo FDocuSigned N.,,,SL P L l 11/13/2020 1 16:44: 30 63F09F5DE2404D9... Signature Date Signature Date By this 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 ali 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 knowng violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 EST