WQ0022224_Monitoring - 12-2022_20230127

Monitoring Report Submittal
Permit Number#* WQ0022224
Name of Facility:* Sam's Branch WRF
Month: * December Year: * 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR december NDMR.pdf 2.53MB
PDF Only
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:
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Date of submittal: 1/27/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00022224
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 3/15/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page / of 3
Permit No.: W00022224
PPI: 002 Flow Measuring
Facility Name: Little Creek WRF
Point: ❑ Influent ❑ Effluent No flow generated Parameter
County: Johnston
Monitoring Point: ❑ Influent
Month: December
Effluent ❑ Groundwater Lowering
Year: 2022
❑Surface Water
Parameter Code I.
WQ01
M
d
c
O
l' to
O
a a
_ 3
l0 w
24-hr
hrs
gallons
1
2
3
4
5
6
7
8
9
a
10
'2
11
12
0
13
14
15
a
m
16
E
17
18
19
s
20
c
0
21
'6
22
O
E-
23
24
25
26
27
28
29
30
31
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Estimate
Monthly Avg. Limit:
Daily Limit:
[M.nthly
Sample Frequency:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of 3
Permit No.: W00022224
Facility Name: Sam's Branch WRF
County: Johnston
Month: December
Year: 2022
PPI: 001
Flow Measuring Point: ❑ Influent ❑ Effluent E No flow generated
Parameter MonitoringPoint: ❑ Influent ✓ Effluent ❑ ❑Groundwater Lowering El Surface Water
Parameter Code —►
00310
31616
00610
00530
1 00076
00
c
O
EE
O
CalLL
`o
O
U
o
E
Q
a)
�_
F fl_ O
N N
o
F=
24-hr
hrs
mg/L
#/100 mL
mg/L
mg/L
NTU
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
J3129
30
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Composite
Grab
Composite
Composite
Recorder
Monthly Avg. Limit:
10
14
4
5
Daily Limit:
15
25
6
10
10
Sample Frequency:
2 x Week
Monthly
2 x Week
2 x Week
Continuous

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of13
Sampling Person(s)
Name: William Simpson, Salvador Valdiviezo, Chad Wallace
Name: Michael Ratley, Illona Williams
Certified Laboratories
Name: Environment 1 Inc., Meritech Inc., Cameron Testing,
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 necessarv.
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 0 No
Phone Number: 919-553-1536 Permit Expiration: 10/31/2026
��
� �e� —1/27/2023
1/27/2023
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 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