WQ0005150_Monitoring - 12-2023_20240611

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * December
WQ0005150
North End Elementary
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 DEC. 23.pdf 225.63KB
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
6/11 /2024
This will be filled in automatically

Is the project number correct?* WQ0005150
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 7/2/2024

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _L_ 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
Q Compliant ❑ Non -Compliant
❑� Compliant ❑ Non -Compliant
❑J 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? ❑ 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 .L- of
Permit No.: ll 005150
Facility Name: North End Elementary
County: PersonDecember
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Area
Area (acres&
Area (acres):
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