WQ0040672_Monitoring - 02-2022_20220303

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * February
Report Information
WQ0040672
Stevens Towing - Riverbulk Terminal WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
February NDMR & NDAR-2 5.96MB
Signed.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Kevin Robert Gagnon
Reviewer: Gerald, Wanda
3/3/2022
This will be filled in automatically

Is the project number correct?* WQ0040672
Is the monitoring report accepted?* = YeS No
Regional Office* Washington
Accepted Date: 4/11/2022

FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page _L of

FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page __L of
Did the application rates exceed the limits in Attachment B of your permit?
If not a basin, were the sites kept free of vegetation and raked?
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
If a basin, were there any instances of breakout from the berms?
Was the onsite automatically activated standby power source tested and operational?
21 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
2 Compliant ❑ Non -Compliant
12 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: Kevin Gagnon
Permittee:
Stevens Towing
Certification No.: 1009638
Signing Official: Simon Rich
Grade: SI Phone Number: [phone]
Signing Official's Title: Owner
Has the ORC changed since the previous NDAR-2? ❑ Yes [Z No
Phone Number: [phone] Permit Exp.: Dec. 31, 2024
3 4�4
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 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. 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page __� Of---k
Permit No.: WQ0040672
Facility Name:
Stevens Towing - Riverbulk Terminal WWTF
County
Chowan
Month: February
..•
11 1
II 1
/1••/
B1. 1
11.
11. 1
11.11
11, 11
11..
i 1/
it 1
•
•
•
wive 1
©
°
Sample
-.

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of—L
Sampling Person(s) Certified Laboratories
Name: Brad Gosser Name: 5676
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 17) 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: Kevin Gagnon
Permittee: Stevens Towing
Certification No.: 1009638
Signing Official: Simon Rich
Grade: SI Phone Number: [phone]
Signing Official's Title: Owner
Has the ORC changed since the previous NDMR? ❑ Yes [21 No
Phone Number: [phone] Permit Expiration: Dec. 31, 2024
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 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. 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