HomeMy WebLinkAboutWQ0006317_Monitoring - 10-2022_20221116Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
WQ0006317
Colonial Pipeline Greensboro Junction WWTF
Year:* 2022
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR October 2022 submittal.pdf 3.33MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* mhughes@colpipe.com
Name of Submitter: * Maribeth Hughes
Signature:
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Date of submittal: 11/16/2022
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: 11/18/2022
FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_ of _3_
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page —2— of —3
Name:
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County:
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Month:
October
Permit No.:
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _3_ of _3_
Sampling Person(s) Certified Laboratories
Name: Gary Simcox - S&ME, Inc, Name: Pace Analytical
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Lluompuanr urvon-� [11P11d11L
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
nrtinn(c) takan Attach additional sheets if necessarv.
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: (336) 339-9128
Signing Official's Title: Operations Manager
Has the ORC changed since the previous NDMR? ❑Yes QNo
Phone Number: (703) 517-3051 Permit Expiration: 1/31/2025
11 /15/22
Signature Date
Signature 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 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 _1_of_2
Permit No.: Q1116317
Facility Name: Colonial Pipeline - Greensboro Junction WWTF
County: Guilford
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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 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?
ElCompliant
❑Non -Compliant
OCompliant
❑Non -Compliant
(ZlCompliant
❑Non -Compliant
ElCompliant
❑Non -Compliant
ECompliant
❑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
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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: SI Phone Number: (336) 339-9128
Signing Official's Title: Operations Manager
Has the ORC changed since the previous NDAR-1? ❑yes [ANo
11/15/22
Phone Number: (703) 517-3051 Permit Exp.: 1/31/25
Signature Date
Signature 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 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