WQ0005150_Monitoring - 07-2023_20230830 (3)

Monitoring Report Submittal
...................................................
Permit Number#* WQ0005150
Name of Facility:* North End Elementary
Month: * July Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR NE NDAR-1 July 23.pdf 224.09KB
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:
C�V'61Jai-4101
Date of submittal: 8/30/2023
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: 9/13/2023

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
Permit No.: Q111 1
Facility Name: North End Elementary
County: PersonCover
Field Name:
Area (acres):
Area (acres):
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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?
❑✓ 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?
Q Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
0 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. Httacn aooltional sneets it n
Operator in Responsible Charge (ORC) Certification 11 Permittee Certification
ORC: Paul J. Phillips
Certification No.: 986029
Grade: SI Phone Number: 336- 599- 0223
Has the ORC changed since the previous NDAR-1? ❑ Yes F,71 No
Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee:
Dr. Rodney Peterson
Signing Official: Dr. Rodney Peterson
Signing Official's Title: Superientendent
Phone Number: 336-599-0223 Permit Exp.: 7/31/26
- 3 _
ignature Date
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