WQ0040672_Monitoring - 10-2022_20221118

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
WQ0040672
Stevens Towing - Riverbulk Terminal WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
October 2022 WQ0040672 4.13MB
NDMR & NDAR-2 signed.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Kevin Robert Gagnon
096: C t cry�rd�r
Reviewer: Gerald, Wanda
11 /18/2022
This will be filled in automatically

Is the project number correct?* WQ0040672
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 11/18/2022

Yd
FORM: NOAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page _ of 11)
Permit No.: W00040672
Facility Name: Stevens Towing - Riverbulk Terminal WWTF
county: Chowan
Month: October
Year: 2022
Did infiltration occur at
Sh Name:
1
Site Name:
Site Name:
Site Name:
this facility?
Area'(acres):
0.56
Arca (acres): ( )
'Area (acres);
Area (acres):
YES I1 NO
Rate (GPO/fe):
0.149
Rate (GPD/ft'):
Rate (GPDlft2):
,.
Rate (GPblft'):
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Freeboard
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FORM: NDAR-2 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Did the application rates exceed the limits in Attachment B of your permit? 0 Compliant
If not a basin, were the sites kept free of vegetation and raked? 0 rnmpliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? 0 compliant
If a basin, were there any instances of breakout from the berms? D compliant
Was the onsite automatically activated standby power source tested and operational? o Compliant
I 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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Kevin Gagnon
Certification No.: 1009638
Grade: SI Phone Number: [phone]
Has the ORC changed since the previous NDAR-2? '7 Yes M No
(Date
Signature
By this signature. I cerdy that lha report is aceurrme and complete to the best of my kna oiidge
Permittee:
Stevens Towing
Signing Official: Simon Rich
Signing Official's Title: Owner
Phone Number: [phone]
Permittee Certification
Page _
01
U
the corrective
Permit Exp.: pea 31) 2024
Signature Date
I cemfy, under penalty of law, that this documert and all attachments were prepared under my ofrection ors rylCrvry o—
%- th o system d,sig,,d to ,,sure that all qualified personnel propery galhered and evaluated the inlolnratior--fledncoaatxf nn my
irquiry of the person or persons e&o manage the system, or those persons directly responsible_ for gMh,,, tq the infmmabon. the
information submitted is, to the best of my knowledge and coal. true, accurate, and complete. ! am avnre hat there are signnfloa.nt
penalties for subm Bing false information, includno the possibilly of (Ines and Imprisonment for kna ving 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 MONITORING
Page
L
-DISCHARGE REPORT (NDMR)
ot--L
Permit No.:
W(Q0040672
Facility Name:
Stevens Towing - Riverbulk Terminal WWTF County: Chowan
Month: October
Year: 2022
PPI:
001
Flow Measuring Point: ❑ tnnuem M E61uem ❑ No now generated
Parameter Monitoring Point:
mnm:m
emuem O o.om,�wat�-r iower�nh
t�s serfacew�te.
Parameter Code —y
00050
00310
003d0-
31616
-: 00610
00625
00620 '-
00600
00400':'.
00665
70300:"
00630
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Fa"
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2
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4XYear 1 3: Wax 1 4XYear

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s) 11 Certified Laboratories
Name: Brad Gosser 11 Name: 5676
Name; f
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? L 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
actions) taken. Attach additional sheets if necessary.
a
Page _ of
Non -Compliant
the corrective
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Kevin Gagnon
Permittee: Stevens Towing
Certification No.: 1009638
Signing Official: Simon Rich
Grade: SI Phone Number: [phone]
Signing Official's Title: Owner
Has the ORC changed since the previous NDMR? D Yea ' ' No
Phone Number: [phone] Permit Expiration: C
ac.. 31, 2024
.�� 1 7
., � pt r P✓ .., , . a
�
i w ,�, U
mr f �
Signature
k _ I+�,
Signature Date
Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, urder penalty of law, that this document and all attachments were prepared under my tlroc
on or supervision in
ccordance with a system designed to azure that all qualified personnel property gathered and eval
ndod the information
Sbbmined Based on my inquiry of the person or persons Wno manage the system, or those pere,cros ,
Iraltly responsible for
gathering the irfonnawh the information submittedis, to the best of my kedge and belief, true, a—
rate, and complete. I am
aware that there are significant penalties for submitting false information, including the possrobity of I-n
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