Loading...
HomeMy WebLinkAboutWQ0019907_Monitoring - 04-2022_20220526 DWR - NonDischarge Monitoring Report Submittal •4 .. NORTH CAROLINA Enrlr...1M Qua(ily Monitoring Report Submittal .............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. Permit Number#* WQ0019907 Name of Facility:* Onslow Water and Sewer Authority-Holly Ridge WWTF Month:* April Year:* 2022 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR Holly Ridge NDAR&NDMR 3.44MB April 2022.pdf PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59). Confirmation Email Address:* sjones@onwasa.com Name of Submitter:* Sherry A Jones Signature: Date of submittal: 5/26/2022 This will be filled in automatically Initial Review .............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. Reviewer: Gerald,Wanda Is the project number correct?* WQ0019907 Is the monitoring report accepted?* Yes No Regional Office* Wilmington Accepted Date: 6/18/2022 t FORM:NDMR NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page of Permit No.: WQ0019907 I Facility Name: Holly Ridge WWTF I County: Onslow I Month: April l Year: 2022 PPI: 001 l Flow Measuring Point: 0 influent 0 Effluent El No flow generated l Parameter Monitoring Point: 0 Influent 0 Effluent 0 Groundwater Lowering 0 Surface Water ,, „,.„„,„,,,,,,,,,,,, Parameter Code P-;.'W:i8ká-1 00400 --,t:093,40.4.. 31616 01,SSiii:::!, 00625 ,15qy--,;',-,1:., 00600 1.„...,0,,: tc".' 00530 ;;?; titOill 00940...2'1.,,a1,-...1.-,,., 76 0 ,,,a'-.-37-, y-W.,'.....1'''., ',,,,-,„I-4?-,.V. É .11',.51: -ci g „,:11.-..x. __, se ,e.i.: i 'TiViii01; 1 S. 4-4'..VIt ,4 g) :-3-1,4 fer,:1--- ti s.' al-,',-: a ¡Ii1-051111,: , 't; ,,,,,:›11 ", - b. .,?, 1,',,',.',z¿,:' I,- P. •..- ..7.:21---;.5,, ,,,,y:,,,,,t,z,,,,p: o '','s,','0,-,tirt,"0: 3 z 4 '''.. z *,,14z-: "1--z,.15,¡:,,f,,,,,z-,,,"-,- ,2 ,:11,---Nor,''g', 24-hr hrs 1.10,0:;11. su .51110z1.¡ #/100 mL #41....'1a:. mg& 10.11,1::',1- mg/L ;-,::...,„*1,,. mg/L .i.k.11,91,p-Z, mg/L .,,,,,,i,„„,,,,,- 1 10:00 0.25 :-.:.:6f.~4. 1,1 9.11 ::$1:,I.IIIIV:1-X --..;5z:llg1":'.,.:.:' :P:II9141 ::121111:',11,1-21,,, ;11-';,',:lf-.:al›, ,P1,11:11;.11.:i ‘-gilltgig`I 2 24$114.011 1.14.111-0 e:41312.T.: 1. 1-zkitit, :',-,FA:Irillt-5:,. A'::::;`-1-51, lkii-lIC•j: VAP,..I1P''. . 3 1.4i$141,01 ,;(--2gali:,',.21 7.:,',111-i156„ ry,:,1 -51-11 ,5:11,16:2 -Sli--..:1w4:F ,_.,. 1191,:d.,0-2,,,,-.,, 4 itoo 0.5 .11,0,4**1 9.94 :-35.11.111211 .,,:',..›9111-11.4P ' 1-a4n:', ...7y . ,..'.- -- - ' 5 04:15 0.5 ..--51t1; 8.58 ---:,.IIIWIC-, 8.6 :-..-'-A.44111.: 12.5 17,14.42.,,-.L, 15.9 15,-.401.4,I, 56.5 ›tIll.8,11V ',"1:-5Y-II:',.11:' 'Ia.17174f. ,.. 6 07:00 0.25 1,1-1;1'0-961,,, 8.46 :.-',I11.1.4,,It5: •=.11.11111-1-19 1215111X 31.112111-, --'39,111-ti.15: j4.1-511:41Z 1.:-'441:11.311 7 08:00 0.5 .Fii,:f.,#;1001 8.5 . „ :',' 1.11,411.1W, "L:14,1111,44, 8 07:30 0.5 -1'44,41.,,Itli. 8.24 j.110,1:2-4, ... -- " -).15':,..11:10,7 :11:.:81:1;::,;:?1, :1;11.22:11.,5. 511:11.71';-, '4-1:5.111.G1 Z.1.1111.11 . 9 -11,46...-* 111-101,1 1111.:11 .; .,0,-,,,;,..41,1,4 ,-4..1151.11:. -ik,:z.:1.411,4,=„1 :41-11:24: 'fil11;11-1- 1 o 15*;0,0011 11411:it5: jIlittlea's" I.45-;ÍzliZe . 111, '-:,---III-hágl -,,I-45:11,1g 1,-tlliill: 11 08:30 0.5 94*J90.1 7.97 161;:. l',4311,1.1.1.,1 :illid;rall 1,t1I.IiiI'll I-.,':[:?4144:11 t..,11:11T.,:e. 1111111'11--, .,, ......„, 12 08:15 0.25 1.1,141S10,1 7.56 ''......,::1141111 11,111,:tikt, 13 08:45 0.5 -74,V080-,:,1 7.6 '41-0:111,1,::: '5;:itiilitt , ,,14-' . ,„- :4391,-;,211,I, 14 10:15 _ 0.25 11.01.:21,C.: 7.88 15 H H 14.110040011 H -1,11.9111-61,:, ,,,4,-.,-3,1,,.,,,„1.; 1.1111119;117 -- 1..-1..17.55.N; igA.44,:le,. -..--. ¡z 16 A14524501 1.51111:114',11 állelz 2::4,11.1,41,k 17 14:02:3P0 -24,1,111.11 .41111:11 .. .'51.1i..5'49. , ,115g4:1'-, ..„11,141I2 4111-5 l 18 13:15 0.25 1:110011 7.87 •:".g,',±1A,,e.:, , -4';3,-Z-Z11, .3111,11111,11 511: 'f.:111t, 1V1 ,„ ,,.. ..,,, 19 08:45 0.5 ;,...14:4:474e::. 7.98- 4.1:.:-',;P:111:11 j7.f.:.;::612,-1Z,i ,,k1Ir2USIIIí '",-'1111,110.- ill:'-ggs',II 20 07:30 - 0.5 1,14:,,** .: 7.81 . 51:'1'.31-1 .-- ';.í0,:5tit 21 07:00 0.5 ¡;',142:40.0.g 7.91 22 08:00 0.5 'lilt 15113,, 7.87 -,U.*,-...Pi .-.4-'-',i'tl' :,'I'Ffillál›:2 ,--,1A15'.20 :•. . 1r:irlil 23 4,41.4 . ',..1.1.:N1::-.k „„, ,,,,,,, 24 '`'S:i:4-011,1,01,. 1,I1,V110. .i'1,-.1111-31 ,..-)&1„:15W, : 25 07:30 0.5 ',?:.-,.14.t14,0-01 9.32 ..I-1-..f:,gf.-.3,-; -.1:...7';;;.'43'.'1.-- ,' 26 07:30 0.5 1144.1017, 9.24 10:5111r ,1,,,,-- 27 07:30 0.5 ,>46140,filt 9.05 . 28 10:30 0.5 ,:i.Z:1-2.4"*L.I 9.25 29 15:00 0.25 '..;;:.7.1,:2t6*. 8.93 -5:-.I;1','‹..:11, 741:10t-:.2- ,--'4-.:I.Deik . ,--,,, :',5-,:;;SF'S 30 09.140.0;r: :.--"'.1"15,EV,Wi J 31 Average: i2t4424:=::, '1,;,5'24,40A>f. 8.60 '..",',.,..!..-:,,5-42-...,..--, 12.50 ..-:.':114,5, 7„' 15.90 ,1-¡,-.=,:f.(4:37-:,;:-.; 56.50 -,-,:',•,-1.,'1:::-',4----,&: -.F.-,,,,,,,1,:, -,:„:;,-.„ --',',I;',,,-U.'1.', Daily Maxim um:.,---1.7-.9*OÑ. 9.32 "r2.:',0;011' 8.60 52.---Z..., 12.50 , f.."359..-..t 15.90 ,',:,:-:;-'017; 56.50 Daily Minimum: - -.12/00,':f 7.56 V. ...6.021-;, 8.60 '`.:,....4i4,22:,-, 12.50 '.":.:7.`,...V.91.-..:,;-: 15.90 ,....-Q03V,', 56.50 ,,:'f,„.,.,.. Sampling Type:j_.0,..4gle, Grab S#10,-,, , Grab -.'1':'::001):Y1':- Grab .:t.'.r.,Grab r,-:,; Grab Grak:;:::: Grab :'-',,. .G.N8h...1:-'1: Grab Monthly Avg.Limit:'..:-.2„:24,07:Sy.; `4.1-521.. -: -22.?-',.-5 .7:,1-:-,.,, ,,7„1---,-, Daily Limit: , Sample Frequency: - FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page 2,- of ?— Sampling Person(s) Certified Laboratories Name: Kary Herndon,Tracy Fisher, Rayne Rockwell Name: Onwasa Laboroatory Cert#539 Name: Name: Envirochem Cert#94 Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 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: Kary Herndon Permittee: Onslow Water and Sewer Authority Certification No.: WW3: 1009156 SI: 1010314 Signing Official: Dave Mohr Grade: 3 Phone Number: 910-650-7883 Signing Official's Title: Chief Operations Officer Has the ORC changed since the previous NDMR? ❑Yes No Phone Number: 910-937-7521 Permit Expiration: 02/28/22 f' f 2�/i" t ®,� gnature Date Signature Date By ignature,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:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page ! of y Permit No.: W00019907 Facility Name: Hoilly Ridge WWTF County: Onslow ` Month: April Year: 2022 Did irrigation occur �ield Na� 1/1A Field Name: 1/1B !i01Á l�,aíne 1/1C Field Name: 1/1D � **�� $� l Area(acres): 9.62 .Ax�**�. ' �30� Area(acres): at this facility. ' �t�#i�ritsp ��� , Cover Crop: GRASS ��r'��►p ~SS Cover Crop: �; '" r ' � � 0 YES ❑NO ' �����g� 012 � � Hourly Rate(in): 0.12 �i1,l�l�ter01 at)F1t �� 2 Hourly Rate(in): 0.12 r Aif Iii i�ftle �6 92 Annual Rate(in): 36.92 11,-*it1440 .0,1),,..","144-1136*- Annual Rate(In): 36.92 Weather Freeboard �?�st��� � .X� ��.� Field Irrigated? I�YES ❑NO �lt!(�ia�1` tjY0 �� ; Field Irrigated? ❑YES I]NO � � I gI �aárvvcoEm � E vw.. m � � da� cc >,c � � � ácitogyill �L° L° � � ��` � �� ���. � .Q � QE � ó �� � � �>_ � .1 � vA C = k7' N �% ON �CWÉ Ñ ó �ó �* 1-� ca� ���° >° á � �= � g = � ?4 � � i' l.��i' >° á ~ � �� � ; °F In ft ft ; rit1.�. !t►lt►� �� :)ti �� gal min in in ,+�a1 : �� 1 1i0: ;I� U gal min in in 1 C 70 0 6 ;��;��� 411 ,04$ :44,9..,v 121,196 360 0.46 0.08 1 ���() 3� 1�� ��6-,,. � „; 2 C 54 0 6.1 R 1"41,66 36i' 0 416. 54,06, ' 118,106 360 0,45 0.08 661672 �0A 1,t10 á6 0110,915.1 3 C 61 0 6.2 122 41 4,0.` 4:40 to .> 119,628 360 0.46 0.08 1 40,1�;6 4$11 :44(t 1441_.; 4 C 53 0 6.4 1 t 1 � > 5 R 57 0.84 6.3 01�' 6 R 63 0.18 6.2 �F1��6i'2, >0 0,:�� *�7,.� 109,776 360 0.42 0.07 31,�$-. 3�- #)41 0 47R N. 7 C 66 0 6.4 =k127,7.4,0 0e 1?41 11Q9,,' 125,254 360 0.48 0.08 40909, :* 04:8 40C-; 8 C 53 0 6.4 6041"41 t 0 d-2,3 466.1:; 58,967 240 0.23 0.06 . 40*-1y �4f)- 10�� 1?�i$ -::; 9 C 53 0 6.4 1 1`� Ñ l 10 C 42 0 6.4 11 C 61 0 6.4 ú 1g„*� r� t � ,'.�� 113,166 360 0.43 0.07 � ��1 �� �J� 7 0� 5 ; 1 12 C 67 0 6.4 4, � 101,6 1,501,-,4II 1111047a 110,632 360 0.42 0.07 �211,6 000t 03�2 4:47 = 13 C 69 A 6.5 1474Z *e i41 {)fl7 ; 109,680 360 0.42 0.07 ' 1}1�,� 36S)11 10�1 �h7 �; 14 C 68 0 6.5 � 11�31 r��- =r2411401, � �� 113,056 360 0.43 0.07 t�4,�" 3�o fl4 1p:I ; 15 C 62 0 6.7 1104.: 00 � �r 4 _ 111,570 360 0.43 0.07 1���, 380,1 404.2 1 O,Q7 ^. 16 C 52 0.1 6.7 ;_ 83,883` 0 £ ,41J$ ,t 82,238 240 0.31 0.08 681�4�- 240 #rit 046 17 C 61 0 6.7 ;0.24161 00 E 0 4.07 ,' 110,607 360 0.42 0.07 ,182.49,141 36{).- �-33 ti3Q7 ;-:. 18 R 57 1 6.8 �"` „ � � t 19 PC 40 0 6.9 � �..�..'�� � CiatilK 20 C 37 0 6.9 . ,. > � 21 C 37 0 6.8 22 C 50 0 6.8 H.; >, , 23 C 57 0 6.8 .- � 4 24 C 65 0 6.8 ` 1 ;,, Mallig Igeli.Illiait 25 C 56 0 6.8 26 R 65 0.1 6.7 9� ��º ���� � � ��` '` _ 27 C 58 0 6.2 r : , 28 C 51 0 6.2 :: 1 . , t.: 29 C 51 0 6 �. 30 C 57 0 6 31 ,... Monthly Loading: 1,a31,7i4~ 1 1,403 876 . `®.;.' ,. 1 i75;247 6 1 0 0.00 12 Month Floating Total(in):i : 1 ,34,67�� 11 r;Y ,:° .. ;: 3468 ..,:... _�� 1.'''. 1; 84:$4„ . 'r FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 2 of L( , Permit No.: WO0019907 j Facility Name: Holly Ridge WWTF I County: Onslow ( Month: April Year: 202,Z, F%ld Nanie :212A 1 ;, � Field Name: 2/2A-2 �ield Name ,212A 3 = Field Name: 2/28-1 Did irrigation occur �� � � � � • �rea(acres) : S 78 ; Area(acres): 12.2 �ra�(acres) �1 ó6 _ Area(acres): 8.63 at this facility? , , � ;_ � ,, ,cover Cróp �;;GRASS�, �_ Cover Crop: GRASS ,;;�over Cróp GRASS� ��� Cover Crop: GRASS �_ E YES ❑No Houcljr Rate(In) 012 : Hourly Rate(in): 0.12 Hourly Rate,(in) 0 12 Hourly Rate(in): 0.12 Annual Rate(iri) ,36 92, , �- Annual Rate(in): 36.92 Annu�lRate��tt� ;�3�92 Annual Rate(in): 21.84 � = Weather Freeboard Field Irrigated? ÍQ;:f-1s X,ÑO_; Field Irrigated? il]YES >No Field Itj"g04d? Q:::YEs 41rto. Field Irrigated? D YES Yro � p m m � � ; '�;+ :(1) S . d S.am ‘� L, ;'áu 5 to, y � Id c E >+ O >�}�� :� e 1 ta � L n c E >` W m o « 1 o H E .s ° 11, �a s5a § = d � v' > v �14� �á1sd m Lm á ó ;ae # � ° � xo � - a . �T ° � x � ° ºa É � Ñ >á<; � ,o A ` > á a .�w � -a i LL �º in.. in,< gal min in in °F in ft ft gal��; mirt� .. gai���;. mig„ 3n` . ,�,ln>: gal min in in 1 C 70 0 6 � °� �: � � � d � ., ".. .,á - ti> _� ,._e ,___,��� _ ��_�� � 2 C 54 0 6.1 ,. . , ;,: ?�, � 3 C 61 0 6.2 ,, � _ �` , :N 4 C 53 0 6.4 1 "` ü I 5 R 57 0.84 6.3 ` '' ;,;_, � �.�. 6 R 63 0.18 6• .2 ‘ " -' � ' -� „ ;z _v_ � 7 C 66 0 6• .4 � � � _ 8 C 53 0 6.4 � �� �, �� \ e , • __ mr ti _ � __ � - d _ �, �� 10 C 42 0 6.4 ::: � 12 C 67 0 6• .4 • , ‘` '� 13 C 69 0 6.5 � , � 14 C 68 0 6.5 ' , ' 16 C 52 0.1 6.7 ' ',.':',,:-:,'..--.-A,'. .'.' 17 � C 61 0 6.7 � ,,, .. 19 PC 40 0 6.9 , . 20 C 37 0 6.9 � � ;;, _:,',: 22 C 50 0 6.8 23 C 57 0 6.8 �'.:: '.:,; .. „..„ �„ _,' 24 C 65 0 6.8 25 C 56 0 6.8 ' , ,.. ;� . 26 R 65 0.1 6.7 � � ��� � � 27 C 58 0 6.2 ...:: �_ , ,_. ��> _; � , ,, � - - 29 C 51 0 6 , _ 30 C 57 0 6 � � .„>;:- � ; <„ - 31 � � , � ,�., ,. . , Monthly Loading:, '0:,---,--,,-, ,0.00 0 418 0 00 0 _ 0.00 _ 0 _ - 0 00 = - 12 Month Floating Total(in): . 23.34 > _ . � 23.27 ft __ :- , _'`23.40 =_ :11 19.63 1, FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page .) of � Permit No.: WQ0019907 j Facility Name: Holly Ridge WWTF ! County: Onslow Month: April Year: 202£ field Name �?128 2 Field Name: 3/3A F[eild Name � 3138 . ' Field Name: Did irrigation occur :� °° � � Area�cre� � �84 _� Area(acres): 9.44 Area(acres) 117g , Area(acres): at this facility? � CoverCr�p � ���_��RASS ;. �, Cover Crop: GRASS CoverCrá It ,;�R,4SS:� Cover Crop: Hourly Rate(itt} 012 '- � Hourly Rate(in): 0.12 Hbudy Rate{�n} 0 i2 ; Hourly Rate(in): ❑.r YES ❑NO Annual Rate(in) �1 84 , '° Annual Rate(in): 36.92 Annual Rate(in} ; , 36 92 „ Annual Rate(in): �_.._ Weather Freeboard Field irrigated? [1YEs 11,N0°= Field Irrigated? [YES > NO field Irrigatéd? Q YES (KNÓ Field Irrigated? ❑YES ❑NO E >.A � có = ° á� a3� � co .�*1 ma 9 so a rn ��= �z as � � cá d a v arn E 2.+ rn � v ° � m � � E m_. E� �� � E .2E ; ' � z _ � a € ; a - lR := � Eaá CI IVa • - 1 'º � ss!i-� t-� �o � x'I va; - ac •H Ma' �mo: x oa am �D G ��:rn �a,C x',�º� Cañ �'CrnaOR 7, o a = E ." io a �� � � z.. - �� O, > Q t .1 §2 J >< ' ,4�. i( 1�*4, > Q ..1 gS J.I. � F01- a w � � d , � ,, �� , 3 � ; � °F in ft ft �al� , m(fl-____�_�n___ ,_�:1n _� gal min in in gº1„ müi _�o, „ �%, ;� gal min in in . 1 C 70 0 6 � ,� � - - . ,',.','.'-..:,',-,,I',':, e, 2 C 54 0 6.1 ' ' , _ 3 C 61 0 6.2 �� '��_ > � 1. 4 _ C• 53 0 6.4 § � _„ b _ R• 57 0.84 6.3 ) ::2,::-':,,„-;„,-:,-,-,''_ , , - 6 R• 6• 3 0.18 6.2 ,; 1 �' I _ 7 C 6• 6 0 6.4 ,. �� 8 C 53 0 6.4 2 ' k *;' 9 C 53 0 6.4 _:� ;: _';�. " .�. 10 C 42 0 6.4 ' 13 C 6• 9 0 6.5 ' °"::• 14 C• 6• 8 0 6.5 = 15 C 62 0 6.7 - . ,.,ma �,- 17_ C• 61 0 6.7 1:_�.:;' 18 R• 57 1 6.8 '` � ` " 19 PC 4• 0 0 6.9 �__ _ : - - - .,_ � .:_. 22 C 5• 0 0 6.8 ' :: ' � . � 23 C 57 0 6.8 . _ ,.: � :, 25 C 56 0 6.8 ;:,..a '-3 ; 26 R 65 0.1 6.7 ' 27 C• 58 0 6.2 �,_ - , �� ., .. - 28 C _ 5• 1 0 6.2 � � � 29 C 51 0 6 � . � _ 30 C � 57 0 6 � � � � _ - 31 . , Monthly Loading: 0:< , .- 0.00 : 0 ; ._y 0.00 4 ' '>:,'0 ` 0,00 -,:;¿5:1111-111_____,0_,,,,,,,,2.12111-11 0.00 _` 1 111-11 12 Month Floating Total(in): 18.51 = ._1, _�_.�_ 17.33 __ `- .i i- .4,: ._ =. _. _� ._ ___ FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of LA Did the application rates exceed the limits in Attachment B of your permit? 0 Compliant ❑Non-Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 0 Compliant ❑Non-Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 0 Compliant ❑Non-Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? E Compliant D Non-Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E 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: Kary Herndon Permittee: Onslow Water and Sewer Authority Certification No.: WW3: 1009156 SI: 1010314 Signing Official: Dave Mohr Grade: 3 Phone Number: 910-650-7883 Signing Official's Title: Chief Operations Officer Has the ORC changed since the previous NDAR-1? ❑Yes No Phone Number: 910-937-7521 Permit Exp.: 2/28/22 t// , - 5 I 21 o Ia i Signature Date Signature Da 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