WQ0006317_Monitoring - 08-2022_20220919

Monitoring Report Submittal
Permit Number #* WQ0006317
Name of Facility:* Colonial Pipeline Greensboro Junction
Month: * August Year: * 2022
Report Information
....................................................
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR August 2022 submittal.pdf 1.13MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter: * Maribeth Hughes
Signature:
lqt4�e;74-ld
Date of submittal: 9/19/2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda

Is the project number correct?* WQ0006317
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 9/19/2022

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _1_ of 2_
.: Permit No.:: WQ0006317
Facility Name:.: Colonial Pipeline = Creensborc; Junction W WTF
County: Guilford
Month: August
Year- 2022
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page —2— of ®2
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 coverrriaintained 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?
gComphant
E]Non-Compliant
Dcompliant
EINon-Compliant
ElCompliant
ONan-Compliant
ElCompliant
El Non -Compliant
ElCompliant
EINon-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: Robert P. Willcox, Jr. Permittee: Colonial Pipeline - Greensboro Junction WWTF
Certification No.: 18600 Signing Official- Brian L. Smith
Grade; Sl Phone Number: [phone] Signing Official's Title: Operations Manager
Has the ORC changed since the previous NDAR-1? DYes E]No Phone Number: [phone] Permit Exp.: 1131/25
9/9/22
Signature Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. 1 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 indbrmation, 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 _1_of_3_
Permit No.: W.Q0006317
FaciiityjVarrre: '. , Colonial Pipeline:- Greensboro Junction WWT
Couniyr . Guilford
Month: August
Year 2022
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FORM: NOMR 03-12 NON -DISCHARGE MONITORING REPORT (NDIIAR)
Page _2_ of —3—
Per mtt.No.: WQ00063.1i:
Facility Name:;.'_ Colonial Pipeline:- Greensboro Junction WWTF
County: Guilford
Month: August
Year: 2022
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FORM: NDMR 03-12
Sampling Person(s)
Name: Gary Simcox - S&ME, Inc,
Name -
NON -DISCHARGE MONITORING REPORT (NDMR)
Name: Pace Analytical
Name:
Certified Laboratories
Page —3— of —3—
121Compliant Ei-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 clate(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: Rob Willcox
Permittee: Colonial Pipeline - Greensboro Junction WWTF
Certification No.: 18600
Signing Official: Brian L. Smith
Grade: SI Phone Number: [phone]
Signing Official's Title: Operations Manager
Has the ORC changed since the previous NDMR? DYes 121 No
Phone Number: (703) 517-30 Permit Expiration: 1131/2025
9/9/22
Signature Date
Signature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
I cenify, 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 sulerniffing 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