HomeMy WebLinkAboutWQ0029653_Monitoring - 05-2024_20240617Monitoring Report Submittal
...................................................
Permit Number#* WQ0029653
Name of Facility:* SCOTCH HALL PRESERVE WWTP
Month: * May Year: * 2024
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Upload Document*
doc01217420240617092518.pdf
PDF Only
3.62MB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
bkjshp@gmail.com
Brian Jernigan
cL'J t-44W C,01hy-9RN
Reviewer: Wanda.Gerald
6/17/2024
This will be filled in automatically
Is the project number correct?* WQ0029653
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 6/17/2024
FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No !1 1/ • •53
Facility Name: Scotch Hall Preserve•unty:
Bertie
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FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Persons) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? U Compliant U 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
nHinn/cl tnkan Attnnh actrlitinnal sheets if necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: BRIAN JERNIGAN
Permittee: SCOTCH HALL PRESERVE WWTP
Certification No.: SI 1006435
Signing Official: MIKE PARAH
Grade: Phone Number: 252-325-0771
Signing Official's Title: GENERAL MANAGER
Has the ORC changed since the previous NDMR? ❑ Yes r�] No
Phone Number: 336-410-4761 Permit Expiration: 2/28/2026
l�
Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penally of law, that this document and all attachments were prepared under my direction or supervision in
designed to assure that all qualified personnel properly gathered and evaluated the information
accordance with a system
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
FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Permit No.: WQ0029653
Facility Name: Scotch Hall Preserve WWTP
County: Bertie
Month: May
Didirrigationoccur
at this facility?
F1 YES F/I NO
Monthly Loading:j
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FORM:1 •NON -DISCHARGE
Permit No.: 1111 ••53 Facility Name: Scotch Hall Preserve - • 1
Field Name:
• irrigation occur
Monthlyat this facility? Cover Crop:
Hourly Rate (in): Hourly Rate (iW.
F1 YES NO
Annual Rate (in): -Annual Rate (in):
Field Irrigate-0 Field Irrigated?
• . • . 1 is 1 1 1i �f 1 f r 1 11 1r 1 11 1 1 11 r.
FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: 1111 •.53
Facility Name: Scotch Hall Preserve-
-
.
1 '
Field Name::!
Field Name:
Did irrigation occur
Area (acres)::
Area (acres):
Area (acres):
at this facility?
Cover Crop:
Cover Cr+X:
Cover Cro;t:
F-1 YES 0 NO
. '. I zil
1
Hourly Rate (in):
HourlyRate n.
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FORM: NDAR-1 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Did the application rates exceed the limits in Attachment B of your permit? LZ Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? El Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Q 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? (] 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
nrfionfsl taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: BRIAN JERNIGAN
Permittee: SCOTCH HALL PRESERVE WWTP
Certification No.: SI 1006435
Signing Official: MIKE PARAH
Grade: Phone Number: 252-325-0771
Signing Official's Title: GENERAL MANAGER
Has the ORC changed since the previous NDAR-1? ❑ Yes ❑✓ No
Phone Number: 336-410-4761 rmit Exp.: 2/28/26
Signature Date
Signatur Date
y thls signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penally 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. 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
J