WQ0001868_Monitoring - 10-2016_20161130 (2)

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page / of 12,
PeFmit No.:'VVQ0001868
Facility Name:
Town of Severn WWTF
County:
Northampton
Month: O ff, e)be f—
Year:00/4�
PPI: 002
Flow Measuring Point: ❑ influent 0 Effluent
❑
No Flow generated
Parameter Monitoring
Point:
❑ Influent
❑ Effluent ❑ Groundwater Lowering ❑ Surface beater
Parameter Code —►
50050
00310
31616
00630
00610
00625 00400
00665
00929
00530
70295
c
.` O
~
0 0
O
LL
m
_ E
ci o
�
+ w
In
'=
zZ
ro
E
a
'p C
Y ° °
oZ
i
H n
L
a
o
rn
N
F° °a °
-3
U)
° c°n o
V) V)
24 -hr hrs
GPD
mg/L
#/100 mL
mg/L
mg/L
mg/L su
mg/L
mg/L
mg/L
mg/L
1
�$' 40
2 A- %
440
3 P' I
OZ>
4 A- i
()
5 0
700
6 +
4 900
7
+ ao
8
P/0 040
9 r
10
10,31A
11
12
13
77660
14 +
5W 100
-
15 t
`1_3
-%
16
18 r
19 t
zo t
�rUZ7
jfLb
QA. p
DAR
to j I
21 r
Q
22 -5-
-3
23
69W
24 r
(oa
25 r
!%i(1
26 1.q
27 rs
b V0__
?(1
28 1
29 h t
30 g +
3
311 07/r
Average:
Daily Maximum:
(1
Daily Minimum:
a
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Daily Limit:
621000
Sample Frequency: 1
nares f Y
Continuous i
is Pr9 A
4x year
4x year
4 x year
4x year
4 x year 4x year
4 x year
4x year
4 x year
4x year
4 x ear= Feb., May, August & Nov.

/� [ Sampling Person(s)
Name:`
Name
Certified Laboratories
Name:4'n (/1 rz, B Lf /
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? LI Compliant. C1 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 attic
Attach additional sheets if necessary
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC:,0',j
' S ,��r Permittee: ✓ Ve—
"t - e n
Certification No.: )_0+qe, �77! Signing Official: M• E _ �Qss/f
Grade: ! Phone Number:,-� � `� �'� Signing Official's Title: RIC
Has the ORC changed since the previous NDMR7 O Yes O Phone Number:;2 i Permit Expiration:
e
o �'J & 23
Signature Date
By this signature I certify that this report is accurrate and complete to the best of my kno ridge
Signature Dz
I certify, under penalty of law, that this document and all attachments were prepared under my direction or superns,on
worth a system designed to assure that all Qualified personnel property gathered and evaluated the information submitted
inquiry of the oerson or persons who manage the system, or those persons directly responsible for gathering the into,
information subm Med ,s. to the best of my knowledge and belief. true. accurate. and complete I am aware that mere a
penaroes 'or submtting false information. including the poss,b,hty of lines and imp^sonment for knowing r,olat
Mail Original and Two Copies to.
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617