WQ0005150_Monitoring - 09-2022_20221010 (3)

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * September
Report Information
WQ0005150
North End Elementary
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
NE NDAR-1 Sept. 22.pdf 223.95KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Paul Phillips
Reviewer: Gerald, Wanda
10/10/2022
This will be filled in automatically

Is the project number correct?* WQ0005150
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 10/10/2022

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of

FORM: NDAR-1 08-11 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?
Was a suitable vegetative cover maintained 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?
E/j. corrinfiam C.. Non -Comp. an,
�l Compliant Lj Non -Compliant
Compliant Poor.Compliant
L/] ComPiont Ej Non-Corr.Piall-L
2 Compi.ant
... Non-CemPlwan,
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
actio-rils' taken- Attach qrirfitinn;;I qhpotc if n
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Paul J. Phillips I Permittee:
Dr. Rodney Peterson
Certification No.: 986029 Signing Official: Dr. Rodney Peterson
Grade: Sl Phone Number: 336-599-0223 Signing Official®s Title: Superientendent
Has the ORC changed since the previous NDAR-11? El Yes 2] No Phone Number: 336-599-0223 Permit Exp,E 7/31/26
2 a �Z_
__ignature Date signature Dale
By this signature, Ice.-.'fs that this m-eportisaccUr-We a.
and complete to the best of my knov-diedg I certity, unuer Penalty of law: that this cocunnerr and ai: attachmems were prepared under my direction ocr supervision in accorcance
with a system designed to assure that all qualified personnel p-opery gathered and evaivatec- 'Fleinfo-mabon submitted.
—�Thail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center