WQ0006941_Monitoring - 12-2022_20230131

Monitoring Report Submittal
....................................................
Permit Number#* WQ0006941
Name of Facility:* Stoney Creek Elementary School
Month: * December Year: * 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Stoney Creek_Dec.pdf 1.1MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * Jessica. [e-mail]
Name of Submitter: * Jessica Mize
Signature:
je"&A jot
Date of submittal: 1/31/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00006941
Is the monitoring report accepted?* Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 3/23/2023

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_of _2_
Permit No.: WQ0006941
Facility Name: Stoney Creek Elementary School
County: Caswell Month: December
Year: 2022
PPI: 001
Flow Measuring Point:
Parameter Monitoring Point:
Parameter Code P
50050
00310
50060
31616
00610
00625
00620
00600
00400
00665
00530
R
L)P
cc
O
E c:
o
O
_
c)
°
m
u. o
L)
°«�O
o -
t—o
`
m
0
a
IYI a amo
24-hr
hrs
GPD
mg/L
mg/L
#1100 mL
mg/L
mg/L
mg1L
mg/L
su
mg1L
mg/L
1
1,006
2
1,006
3
1,006
4
1,006
5
1,006
6 1
11:44
0.25
1,006
0.32
6.4
7
1,109
8
1.109
9
1,109
10
1.109
11
1,109
12
1,109
131
09:20
0.5
1,109
0.18
6.6
14
1,033
15
1,033
16
1,033
17
1,033
18
1,033
191
1,033
20
1.033
21
12:09
0.25
1,033
0.22
6.5
22
822
23
822
24
822
251
822
26
822
27
09:16
0.25
822
0.04
6.5
28
333
29
333
30
333
311
333
Average:
914
0.19
Daily Maximum:
1,109
0.32
1
6.60
Daily Minimum:
333
0.04
6.40
Sampling Type:
Estimate
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
3,500
Daily Limit:
Sample Frequency:
Mon1my
3 X Year
Weekly
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
Weekly
3 X Year
3 X Year

FORM: NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR)
Page
Of
Sampling Person(s)
Name: Glenn Price
Name:
Certified Laboratories
Name: Pace Analytical Services
Name:
Does all monitoring data and sampling frequencies meet the requirements in.Attachment A of your permit?
❑ 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
aLlrVn15) laRGrr. /1RaGrr clUUMUna1 a116{iM if
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Glenn Price
Permittee: Baron Neal McDuffie ( Authorized Agent)
Certification No.: 987931/20771
Signing Official, Baron Neal McDuffie
Grade: II Phone Number. 336-996-2841
Signing Official's role: Field Services Director ( Pace Analytical }
Has the ORC changed since the previous NDMR? ❑ Yes O No
Phone Number: 336-996-2841 Permit Expiration: 8/31/2021
Signature Date
nature Date
By this signature, I certify that this report is accurate 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 property 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 belle(, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, Including the possibly 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: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _2_ of —2—
Permit No.:
Q111.94• - - - CoDecemberat this facility?
Cover Crop:
Field Name., Field Name:
Did irrigation occur
.. ... ..
F1 YES ■ NO Hourly Rate (in):. Hourly Rate (in):
Annual Rate (in): Annual Kate (in):
... . . •Field ■ ■ • In R. a Ifir .. ur. 11 Field ■ i •
Monthly ®

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
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?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
96mpliant
❑ Non -Compliant
216/iarnpliant
❑ Non-Campflant
L,CompiiaM
❑ Non -Compliant
i3t`.onpliant
❑ Non -Compliant
9161mpliant ❑ Non<ompfiant
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: Glenn Price
Permittee:
Baran Neal McDuffie (Authorized Agent)
Certification No.: 987931/20771
Signing Official: Baron Neal McDuffie
Grade: II Phone Number: 336-996-2741
Signing Official's Title: Field Services Director (Pace Analytical Services)
Has the ORC changed since the previous NDAR-1? ❑ Yes O No
Phone Number: 336-996-2841 Permit Exp.: 8/31/21
Signature Date
;0 ature Date
By this signature, i certify that this report is accurtate and complete to the best of my knowledge.
I certify, under penalty of law, that this documont 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