WQ0014756_Monitoring - 12-2022_20230112

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0014756
Trinity American Corporation WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
[e-mail]
R. Jeff Wyatt
Year:* 2022
Upload Document*
December 2022 Trinity 741.19KB
NDAR.pdf
PDF Only
December 2022 Trinity 399.87KB
NDMR.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
1 /12/2023
This will be filled in automatically

Initial Review
Reviewer: Gerald, Wanda
Is the project number correct?* WQ0014756
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 2/6/2023

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page / of

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-4)
Page --k of

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of 3
Did the application rates exceed the limits in Attachment B of your permit? ® Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ® Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ® Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ® Compliant Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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 actions) taken. Attach
additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: R. Jeff Wyatt
Permittee:
Trinity American Corporation
Certification No.: 997298
Signing Official: Eric M. Drye
Grade: SI Phone Number: 336-287-8821
Signing Official's Title: President
Has the ORC changed since the previous NDAR-1? Yes ® No
Phone Number: 336.885.4121 Permit Exp.: 8131/22
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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 eva€uated 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 compete. 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