WQ0001868_Monitoring - 11-2016_20161222 (2)

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page / of;�_
Permit No.: WQ0001868 Facility Name: Town of Severn WWTF
PPI: 002 Flow Measuring Point: ❑ influent ❑' Effluent ❑ No now generated
County: Northampton
Parameter Monitoring Point: ❑ influent
Month: A v, Year: /
❑ Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code
► 50050
00310
31616
00630
00610
00625 00400
00665
00929
00530
70295
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24 -hr hrs
GPD
mg/L
#/100 mL
mg/L
mg/L
mg/L su
mg/L
mg/L
mg/L
mg/L
1 ,
30
2
4S
3 1
P&
4
5
6
7
8 S
9 S
,omaJ,
22070d
7
266,66V
Y,41
157,00
X77
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12 r
qd
13 fit"
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14 gr rj
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15
16 g
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17
18
19
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20 r
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21
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22
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23 r()
24
25 6A
7&00
26
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27 S
28 The
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29 i
23
30
31
Average:
Daily Maximum:
dd
Daily Minimum:
vQ
Sampling Type:
Monthly Avg. Limit:
Recorder
Grab
Grab
Grab
Grab
Grab Grab
Grab
Grab
Grab
Grab
Daily Limit:
62,000
Sample Frequency:
1 Continuous
.L—Z_ink
4x year
4x year
4 x year
4x year
4 x year 4x year
4 x year
4x year
4 x year
4x year4
X year= Feb., May, August &Nov.

Sampling Person(s)
Name:'
Name
Certified Laboratories
Name: zF, V (Y0.rt M e—tI t— 1
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0Compliant ❑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
ORC: M- C_-- L—G C7�/Sl
Certification No.: A k
Grade: 1 Phone Number:
Has the ORC changed since the previous NDMR1 0 yes 21N.
6
r
Signature Date
By this signature I certify that this report is accurrate and complete to the best of my kno ledge
Permittee Certification
Permittee:G✓l�!
Signing Official:
Signing Official's Title: (:�2 !'Z L
Phone Number:
Permit Expiration: Oz -17
Signature Dz
I certlty, under penalty of law, that this document and all artachments were prepared under my direction of supennsion
wrth a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted
inquiry of the person of persons who manage the system, or those persons directly responsible for gathering the tnfoi
information submitted is. to the best of my knowledge and belief, true accurate. and comptere I am aware that there a
penalties for submitting false information, including the possib.liry of fines and imprisonment for knowing +iolat
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617