WQ0014756_Monitoring - 04-2024_20240514

Monitoring Report Submittal
...................................................
Permit Number#* WQ0014756
Name of Facility:*
Month: * April
Glenola Industrial Park WWTF
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2024
Upload Document*
NDMR Glenola WQ0014756 April 2024.pdf 929.57KB
PDF Only
NDAR Glenola WQ0014756 April 2024.pdf 1.76MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
R. Jeff Wyatt
A./ff11y11(t
5/14/2024
This will be filled in automatically

Reviewer: Wanda.Gerald
Is the project number correct?* WQ0014756
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 5/14/2024

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page {I of
Permit No.: WQ0014756
•Randolph.
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1
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Daily Maximum:

FORM: NDMR03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Pageof Z.
Sampling Person(s) Certified Laboratories
Name: Garret Dreyer with Pace Analytical Name: Pace Analytical Laboratories NC# 165
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
® Compliant ❑ Non -Compliant
If the facility is noncompliant, 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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: R. Jeff Wyatt
Permittee: GLENOLA INDUSTRIAL PARK WWTF
Certification No.: 997298
Signing Official: BRIAN MORROW
Grade: SI Phone Number: 336-287-8821
Signing Official's Title: MANAGER
❑ Yes ® No
Phone Number: 909-645-0976 Perm i ration: 8/31/29
�ignature 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 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