WQ0006317_Monitoring - 12-2022_20230123

Monitoring Report Submittal
Permit Number #* WQ0006317
Name of Facility:* Colonial Pipeline Company Greensboro Junction WWTF
Month: * December Year: * 2022
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Upload Document*
2022- 345.92KB
12 WQ0006317 NDAR-
1_NDMR.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
David Y. Reedy II
1 /23/2023
This will be filled in automatically

Reviewer: Gerald, Wanda
Is the project number correct?* WQ0006317
Is the monitoring report accepted?* Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 1/31/2023

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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?
ElCompliant ❑Non -Compliant
ElCompliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ElCompliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ElCompliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ElCompliant ❑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 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: SI Phone Number: [phone]
Signing Official's Title: Operations Manager
Has the ORC changed since the previous NDAR-1? ❑Yes E]No
Phone Number: [phone] Permit Exp.: 1/31/25
1 /10/23
1:yme� 1 /23/23
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: NDMR03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_of_3_
No.: Q111.317
Facility Name:
Colonial Pipeline -
Greensboro Junction WWTF
County:•
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•
December
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Measuring •• ElInfluent ■ Effluent E]No flow generated
Parameter Monitoring ••
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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? ❑Compliant ❑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
taKen. Anacn aaanional sneeis IT n
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? ❑Yes ❑No
Phone Number: [phone] Permit Expiration: 1/31/2025
44 1 /10/23
464zt a 1!YM4 1 /23/23
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