WQ0022224_Monitoring - 01-2023_20230228

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0022224
Name of Facility:*
Month: * January
Sam's Branch WRF
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
January.pdf
PDF Only
1.18MB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * William Simpson
Signature:
%ll.Ylir�r-;'c5vy law
Date of submittal: 2/28/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0022224
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 3/7/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page / of
Permit No.: !il
.JohnstonFlow
Measuring Point: E Influent L Effluent Ll No flow genef-ated
Parameter Monitoring Point: Ll Influent Effluent Groundwater Lowering El Surface Water
•
•
r
Monthly Avg. Limit:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1-:7— of 3
Permit No.: W00022224
Facility Name: Little Creek WRF
County: Johnston Month: January
Year: 2023
PPI: 002
Flow Measuring Point: ❑ Influent ❑ Effluent [] No flow generated
Parameter Monitoring Point: ❑ Influent FZI Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code -►
WQ01
❑
l9
Q E
W~
O
C
O
E m
ip 6
0
o
O
E m s
.2
❑
24-hr
hrs
gallons
1
2
3
4
5
6
7
8
9
10
m
11
g
12
'a
m
13
14
15
16
E
17
f0
u
18
a
19
20
0
21
22
`9
0
23
24
25
26
27
28
29
30
31
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Estimate
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Monthly

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page —3 of--3
Sampling Person(s)
Certified Laboratories
Name: William Simpson, Salvador Valdiviezo, Chad Wallace 11 Name: Environment 1 Inc., Meritech Inc., Cameron Testing,
Name: Michael Ratley, Illona Williams
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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: William R Simpson
Permittee: Town of Clayton, Sam's Branch WRF
Certification No.: 1001099
Signing Official: William Simpson
Grade: Boilogical 4 Phone Number: 919-553-1536
Signing Official's Title: WRF Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes No
Phone Number; 919-553-1536 Permit Expiration: 10/31/2026
1 2/28/2023
� l/ '� 2/28/2023
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 far
knowing violations,
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617