WQ0006941_Monitoring - 03-2021_20210429

Monitoring Report Submittal
...........................................................................................................................................
Permit Number #* WQ0006941
Name of Facility:*
Month:* March
Report Information
Stoney Creek Elementary School
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Stoney Creek_March.pdf 504.47KB
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
Jessica. [e-mail]
Jessica Mize
jus l oil
Reviewer: Williams, Kendall N
4/29/2021
This will be filled in automatically

Is the project number correct? * WQ0006941
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 4/29/2021

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_ of —2-
Permit No.: WQ0006941 j
—1
Facility Name: Stoney Creek Elementary School
County: Caswell
PPI: 001
Flow Measuring Point:
Parameter Monitoring Point:
Parameter Code 10
10050,,
00310
50060
31616
0061IT-1-
00625
60620.
00600
00400
00665
00530
E
0
C
0
0
Ln
0
0
-jj jIt
=
LL 0
0
E
1.0 45 00
-0-6
�- —&
z
0 CD
CL
0
CL
0
"a 0
CL 0
U)
rA
24-hr
hrs
43PD
mg/L
mo/L.-
#1100 mL
mqjL
mg/L
m0/1-
mg/L
su
mg/L
mq!L
525
2
3
525
4
09:41
0.25
526
<0.01 <
6.6
5
6,
.562
7
1
562
8
09:15
0.25
562
6,4
9
.,649
10
649
11
649
12
649
131
649,11
141
649
151
161
17
12:00
0.25
649,
0.5417­
-6.5
18
65T
19
20
657
21.
657
22
65TJ,
23
24
657
25
12:19
0.25
657,r
0.51
6.4%
26
550
271
550 L"
550
9
3
550,
31
Average:
607.,
0.31
Maximum
657
;.1
Daily Minimum:
525
0.01
6AO
Sampling Type:
,Estimate `i,
Grab
Grab::
Grab
Grab
Grab
'Gab
Grab
.;�.,.,Grab
Grab
Grab
Monthly Limit:
3,500
..... pi
Daily Limit:
1
Sample Frequency:
Mont hi
3 X Year
Wee k JYNL
11:1
3 X Year
3 X Year
3 X Year
3 X-,Vtae
3 X Year
Weekly
3XYear
Month:
March
loons

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Certified Laboratories
Name: Glenn Price Name: Pace Analytical Services
Name: Name:
nnas all mnnitnrinn data and camnlinn fraeuanciaa mant thta nanuirarnants in Attachmant A of vour nermit? 01Conpljant O Norwonwront
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
taxen. aaacn aooltionai sneets If
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Glenn Price
Permittee: Baron Neal McDuffie ( Authorized Agent)
Certification No.: 987931/20771
Signing Official: Baron Neal McDuffie
Grade: II Phone Number 336-996-2841
Signing Official's Title: Field Services Director ( Pace Analytical }
Has the ORC changed since the previous NDMR? O Yes [21 No
Phone Number. 336-996-2841 Permit Expiration: 8/31/2021
- - ag
Signature Date
Sig re Date
By this signature, I certify that this report Is accwrrate 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 supenrisbn in
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the Information
submitted. Based on my inquly 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 Iformaliou, Including the possibility of fines and Imprisonmem for
Mowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276994617

1
2
3
4
5
7
9
10
P
21
22
23
24
0.00
.2.21

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?
CKMpliard
❑ Non-Compflant
ffzC -pliant
❑ Non -Compliant
U
❑ Non{onpfiant
/mpliant
"Compliant
❑ Non -Compliant
u4limrtt
❑ 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
taxen. Anacn aaonionai sneets n
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: Glenn Price
Permittee:
Baron Neal MCDuffie (Authorized Agent)
Certification No.: 987931/20771
Signing Official: Baron Neal McDuffie
Grade: 11 Phone Number. 336-996-2741
Signing Official's Title: Field Services Director (Pace Analytical Services)
Has the ORC changed since the previous NDAR-1? ❑ yes p No
Phone Number: 336-996-2841 PermR Exp.: 8/31/21
i
gnature Date
Signature Date
By this signature, I certify that thls report is accu rate and complete to the best of my knowledge.
I certify, under penally 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 persormal 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 knowhg violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276994617