WQ0005150_Monitoring - 11-2023_20231221 (3)

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * November
WQ0005150
North End Elementary School
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*
NE NDAR-1 Nov.23.pdf 222.58KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Steven Gentry
Reviewer: Wanda.Gerald
12/21 /2023
This will be filled in automatically

Is the project number correct?* W00005150
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 1/9/2024

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I 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?
❑✓ Compliant ❑ Non -Compliant
❑� Compliant ❑ Non -Compliant
❑� 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: Steven L. Genrty
Permittee:
Dr. Rodney Peterson
Certification No.: 1014049
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? Q Yes ❑ No
Phone Number: 336-599-0223 Permit Exp.: 7/31/26
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.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page-) of
Permit No.: WQ0005150
Facility Name: North End Elementary
County: Person
Month: Nov -amber
• irrigation occur
this facility?
Area (acres):
. 66
Area (acres):
at
..
..
-Cover
Crop:
YES■ NO
Hourly Rate (in):Annual
Rate (in)
Rate (in):Hourly
.•. .Field
Irrigated?12
0 •
. •. ••
0 •
• .. •
•
. •. -•
•
Loa
0100
Month FloatingMonthly