WQ0000267_Monitoring - 11-2023_20231219 (3)

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * November
WQ0000267
Gates County WWTFs
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
NDMR Nov 2023.pdf 578.87KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Brad Arnold
Reviewer: Wanda.Gerald
12/19/2023
This will be filled in automatically

Is the project number correct?* WQ0000267
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 12/19/2023

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page ` of I;p

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page z of 2"
Sampling Person(s) Certified Laboratories
Name: Bobby Fox Name: Environment 1, Inc.
Name: Tom Beasley Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ED 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 necessary.
fixed the problem with the influent meter. The meter was reset and operable on May 16th 2022. Flow was estimated from the 1st to the 16th.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Brad Arnold
Permittee: County of Gates
Certification No.: SI-995921 / CS-1008519
Signing Official: Dr. Althea Riddick
Grade: 4 Phone Number: 252-287-5957
Signing Official's Title: Chairman, Board of Commisioners
Has the ORC changed since the previous NDMR? ❑ Yes [21 No
Phone Number: 252-357-1240 Permit Expiration: 9/30/2029
57'
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. 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