WQ0005150_Monitoring - 12-2020_20210122

' FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page _L of `--
Permit No.: W00005150
Facility Name: North End Elementary
County: Person
Month: December
Year: 2020
PPI: 001
Flow Measuring Point: ❑Influent ❑Effluent ❑No flow generated
Parameter Monitoring Point: ❑Influent ❑Effluent [_]Groundwater Lowering ❑surface water
Parameter Code ---o-
50050
T
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2 a)
Q E
U ~
W
O
O
a)
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V N
O
O
u
24-hr
hrs
GPD
1
1441
1
2,000
--
--
2
0
_
4
1,900
5
0
_
6
0
7
0
8
3,000
--
9
0
_
10
0
11
1503
1
4,700
12
0
_
-
13
0
14
1
0
-
15
09:09
1
2,000
16
0
17
1,800
18
0
_
20
0
—
—
- --
---
-
21
0
—
22
09 15
1
0
23
0
25
0
---
--
—
-
-
-
-
27
0
--
28
0
29
08:50
1
0
_
30
0
311
0
_
Average:
497
Daily Maximum:
4,700
Daily Minimum:
0
Sampling Type:
Estimate
Monthly Limit:
Daily Limit:
5,430
_
Sample Frequency:
1 3 X Year

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page -2-of Z_
Sampling Person(s)
Name: Paul J. Phillips
Name: Chris B. Clayton
Name: Pace Analytical
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ElCompliant ❑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 n
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Paul J. Phillips
Permittee: Dr. Rodney Peterson
Certification No.: 986029
Signing Official: Dr. Rodney Peterson
Grade: SI Phone Number: 336- 599- 0223
Signing Official's Title: Superientendent
Has the ORC changed since the previous NDMR? ❑Yes [,]No
Phone Number: 336- 599-0223 Permit Expiration: 7/31/2026
Sig lure 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 all 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
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of
Permit No.: WQ0005150
Facility Name: North E nd Elementary
County:Person
Month:December1
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FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page Z of Z-
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? ❑Compliant ❑Non -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? ❑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 n
IOperator in Responsible Charge (ORC) Certification 11 Permittee Certification I
ORC: Paul J. Phillips
Certification No.: 986029
Grade: SI Phone Number: 336- 599- 0223
Has the ORC changed since the previous NDAR-1? ❑ves ONO
l- 7 Z
r Signatyfe Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee:
Dr. Rodney Peterson
Signing Official: Dr. Rodney Peterson
Signing Officials Title: Superientendent
Phone Number: 336-599-0223 Permit Exp.: 7/31/26
1/lt/LaZ/
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 properly gathered and evaluated the information submitted.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617