WQ0005150_Monitoring - 06-2023_20230719 (3)

Monitoring Report Submittal
...................................................
Permit Number#* WQ0005150
Name of Facility:* North End Elementary
Month: * June Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR NE NDAR-1 June 23.pdf 222.01KB
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: * Paul Phillips
Signature:
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Date of submittal: 7/19/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00005150
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 7/19/2023

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
Permit No.: Q1005150
Facility Name: North End ElementaryPerson-
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Zof�
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?
0 Compliant ❑ Non -Compliant
❑✓ Compliant ❑ Non -Compliant
❑J Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
❑� 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 n
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Paul J. Phillips
Permittee:
Dr. Rodney Peterson
Certification No.: 986029
Signing Official: Dr. Rodney Peterson
Grade: SI Phone Number: 336- 599- 0223
Signing Official's Title: Superientendent
Has the ORC changed since the previous NDAR-1? ❑ Yes ❑� No
Phone Number: 336-599-0223 Permit Exp.: 7/31/26
Signature Date
Ignature 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.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617