WQ0006941_Monitoring - 10-2023_20231201

Monitoring Report Submittal
....................................................
Permit Number#* WQ0006941
Name of Facility:* Stoney Creek Elementary School
Month: * October Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Stoney Creek —October 2023.pdf 787.07KB
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: 12/1/2023
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: 12/5/2023

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: October

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
taKen. Attacn aaattlonai sneets It necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Glenn Price
Permittee: Baron Neal McDuffie ( Authorized Agent)
Certification No.: 987931120771
Signing Official: Baron Neal McDuffie
Grade: II Phone Number: 336-996-2841
signing Officials Title: 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
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Signature
Date
Si re 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 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 belief, true, accurate, and complete. 1 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

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _2_of_2
Permit No.: WQ0006941
Facility Name: Stoney Creek Elementary School
county: Caswell
Month: October
Year: 2023
Did irrigation occur
Field Name:
1
Field Name:
Field Name:
Field Name:
Area (acres):
3.12
Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover Crop:
Woods
Cover Crop:
Cover Crop:
Cover Crop:
YES _ no
Hourly Rate (in):
0.3
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
18.72
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
J YES ❑ NO
Field Irrigated?
U Yes NO
Field Irrigated?
:_ l YES NO
Field Irrigated?
❑ YES ❑ NO
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Monthly Loading:11
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12 Month Floating Total (in):11
1
1
4.85

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _2_of_2_
Did the application rates exceed the limits in Attachment B of your permit?
[9<o'mpliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? [❑<mpliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 1!r mpliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? LgACOmpliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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
IOperator in Responsible Charge (ORC) Certification II Permittee Certification
I ORC: Glenn Price
Certification No.: 987931/20771
Grade: II Phone Number: 336-996-2741
Has the ORC changed since the previous NDAR-1? ❑ Yes O No
I VLd ;
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee: Baron Neal McDuffie (Authorized Agent)
Signing Official: Baron Neal McDuffie
Signing Officials Title: Field Services Director (Pace Analytical Services)
Phone Number: 336-996-2841 Permit Exp.: 8/31/21
nature 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 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 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