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FORM NDMR 10-13 yi�rjif j NON DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0001868 Facility Name: Town of Severn WWTF County: Northampton Month:do'tar.r Year: 20.20/
PPI: 002 Flow Measuring Point: ❑ Influent 0 Effluent ❑ No Flow generated Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code —► 50050 00310 31616 00630 00610 00625 00400 00665 00929 00530 70295
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24-hr hrs GPD mg/L #/100 mLr mg/L mg/L mg/L su mg/L mg/L mg/L mg/L
1 7Q IS _ y 00. _
2 ?'4 -S 4300,
a ?A `s—._23tL 51 I29 000 —2S.9D_._25,c 0_ G.4 . 3.z _ $' ?o 33 , aso --
4 _ hq . s j5100 1
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8 rrjj 4 -S 25100
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S 22300
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15 14 .5 ` .
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20 7A .5 15r100. 1
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- -i4. .5 152fo — - --
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Average: `00
Daily Maximum:1t 0D — T
Daily Minimum: 3610
Sampling Type: Recorder Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab
Monthly Avg. Limit: -
Daily Limit: , •
Sample Frequency: Continuous 4 x year 4 x year 4 x year 4 x year 4 x year 4 x year 4 x year 4 x year 4 x year 4 x year
Sampling Person(s1
�Aw I Certifiedw n
Certified lalratoes
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Name Name i"\ YkefJrN/1t(+11i1
Name
Naive
Does all rnoni.toring data and sampling frequencies meet the requirements in Attachment A of your permit? °
f rtyo :' ry non compliant please explain a5 the space below the reason(s) the facilhr'•,vas not in compliance Provide •n your explanation the dale(s)of the non compliance and des.r-be the corrective attic
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Attach addibonal sheets if necessary
•
•
Operator in Responsible Charge(ORC)Certification
Peffnittee Certification
ORC. v—Vy f pry�l—e Perm,ttee ' ilej oP �&
1 � 1
Certkflyation No: /11G32 COOOO $6 I Signing Official ! Y v11 �f d((O w
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Grade • Phone Number: ZS,Z—2S—O'+'1 Signing Official's Title. ��•�111��i"'
Has ttae,CRC changed since•the previous NDMR? Dir; Phone Number ZSZ—S$S�-Q --o ul it 1f-
� Perm Expiration: ?••
on: - �' ..2
3-s25 3-2s zz.
Slgnatur r Date
Signature D
0 IhH s.7n]tNC' :en 0 tha,:%'5•••:on S accurrale anO c&r^:e:e'0 In<tR st Of my -,,:Mq!
cemrt r,r Uv. that!Ns OD!stment and an aft achme^5 Drewred utter a supern5er
.vrth a 5r sle,n Ces;-'ed 10 2SSute that all prod^•;at/`erecl a/W evaluate.:.-e.^10,mal.On Subm Rle^.
nett,} -,r...�.r.y;�0'✓etSOr,1 nh0"a-a;e:he System or ' se:!'Sant dne<try•es C•>•5:?'r.;alhervv5:he
i, .I ., y.,]•--,-: 5 't Me Des,o'•"r' c-.'oge art,''•e,r. a a<t i,,ale an.]Cr.n-:..• ,-aware •-<•..
tarse r .-a:,o� .rr��a'^9 ire 5+: , 0r ^es and - . - n..nC^' ...
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Mail Original and r vo Copies t.
Division of Water Quality
Information Processing Unit
1617 Mall Ser,,ce Center
Pale,gh North Carolina 2/699 1617