WQ0006941_Monitoring - 07-2022_20220901

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * July
Report Information
WQ0006941
Stoney Creek Elementary School
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Stoney Creek —July 22.pdf 493.9KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Jessica Mize
jwd rA lip
Reviewer: Gerald, Wanda
9/1 /2022
This will be filled in automatically

Is the project number correct?* WQ0006941
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 10/4/2022

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_ of —2-
Permit No.: WQ0006941 I
Facility Name:
Stoney Creek Elementary School
I County:
Caswell
PPI: 001-7
Flow Measuring Point:
Parameter Monitoring
Point:
Parameter Code 0
00310
50060;i
31616
'00610,"'-,
00625
06 6*W,-,
00600
00400
00665
00530
>
E
C
U)
0
E
U)
0
4
0 SO
E'
0 V 2
- L*:- h. .
0 0
CL
0 CL
i=
(.) C
Ix 0
.2
LL. 0
ji &
&
U)
0
CL 0-
0
0
z
z
hrs
GPD
mg/L
mg/L'
#1100 mL
mg/L
mg/L
mg/L
mg/L
f:SU
mg/L
mg1L
2
172
3
172
4
172;­
51
172_'_
6
7
172
8
07:45
0.25
172
9
94
101
11
08:08
0.25
94
0.047*.
12
13
111
14
16
17
18
19
201
13:44
0.25
0.12J
6.4
21
106
22
23
106
24
106:
251
26
11:14
0.25
106
011..
6.4
"
27
28
113
291113
301
1
13
311
1
.13,
Average:
124
0.09 J­
Daily Maximum:
j650
Daily Minimum:
04,
0.04
6Ao
Sampling Type:
Esftate.:
Grab
Grab,;.:,
Grab
Grab
Grab
Grab,
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
Sample Frequency:
3 X Year
�,46ekV'
3 X Year
3 X 'Yea r
3 X Year
X,*.Ye a'
r
3 X Year
Weekly ::'
3 X Year
�'X Year*
Month: July I Year: 2022

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Name: Glenn Price
Name:
Certified Laboratories
Name: Pace Analytical Services
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
❑ 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 necessarv.
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? ❑ Yes O No
Phone Number: 336-996-2841 Permit Expiration: 8/31/2021
-31 • 7- �-
Signature Date
Signat a 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 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
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 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page —2— of —2
Permit No.: WQ0006941
Facility Name:
Stoney Creek Elementary School
Did irrigation occur
Field Name:
Field Name:
Area (acres):
at this facility?
T
T
Cover Crop:
0 YES D NO
Hourly Rate (in):'
FlellI Irrigate
Field Irrigated?'=
11011MMMMIM
M1
Monthly Loadinj&
F47MMIUM.-I
County:
- -Caswell
mom=
Area tacres
cover crop:
Hourly Rate 64.
Annui3l Rate
..�,�,,Fleld IrrigateVill=J11111110
E
E
.;z
Emma
o
V/1 /N/01
1111111EW/l/l/MN,
� M/No:
� M/N,
111111
July Year:
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Irrigated? l 0 YES
CIO .2
E
V
0)
6 CL
>
0
_j
nal
min
in
0 VIZZIMA 0.00
2022

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?
&6mpliant D Non -Compliant
&Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 30 ompliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 314mpliant o Nan -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Bt mptiant ❑ 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
pIrLIVIK*/ L219MI1. /"1LUMAI ODUMU1101 WICCM 11 IICWb5dIy.
I Operator in Responsible Charge (ORC) Certification 11 Permittee Certification I
ORC: Glenn Price Permittee:
Baron Neal McDuffie (Authorized Agent)
Certification No.: 987931 /20771 Signing Official: Baron Neal McDuffie
Grade: II Phone Number: 336-996-2741 Signing Officials Title: Field Services Director (Pace Analytical Services)
Has the ORC changed since the previous NDAR4? ❑ Yes O No Phone Number: 336-996-2841 Permit Exp.: 8/31/21
Z
Signature Date Signatu Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under per►alty 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 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 knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617