HomeMy WebLinkAboutWQ0001868_Monitoring - 12-2016_20170106FORM;,NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page / of 12,
Permit No.: WQ0001868
Facility Name:
Town of Severn WWTF
County:
Northampton
Month: De-r_Year:�C�
l�
PPI: 002
Flow Measuring Point: influent
E Effluent
❑ No flow generated
Parameter Monitoring
Point:
❑ influent
❑ Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code
50050
00310
31616
00630
00610
00625 00400
00665
00929
00530
70295
C
O
m
> Q E E
a
LO
❑
_ E
u o
+ °'
E
o
L
C
m m =
o
�a t
0
N
Ta c: -0
V
N
m ❑v i= n
LL
Z
E
CL
-6
OU
CL 0
N n
om
N
O of
Q
o Z
L
❑w
O
a
rn
24 -hr hrs
GPD
mg/L
#/100 mL
mg/L
mg/L
mg/L su
mg/L
mg/L
mg/L
mg/L
1 >4
/U
2 /} yvl , S
4 /✓1 SllJ�
5 .�
6
7
9 ",04 'S
10 g' 4 M • y
'54M
11
12 AAl
13
arol(l
14 1p I{9 i t,
O�
i l�a�U4�„�
15
16
17 �"�iYI
70e)
18 f}rYl
i UV
19 rv1
U�
20 .Yl
21 15 4-rm
U(J
22 1%'f
G
23 M
()
24 /
25 �{, �1 �vl s
20
26 g ✓Yl
27
LO
�iW
i
Average:.*+,?,
Daily Maximum:
1_z /](�
Daily Minimum:
a U�jQ
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Daily Limit:
62,000
]=4
Sample Frequency:
Continuous
4x year
4x year
4 x year4x
year
year 4x year
4 x year
4x year
4 x year
4x year
4 x Feb., May, August 8 Nov.
/z- -% / 6 N.'i
year=
Sampling Persons) II Certified Laboratories
Narne: 11 Name:
Name: II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of 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 actic
Attach additional sheets if necessary
�f/ Operator in Responsible Charge (ORC) Certification
ORC: / l , i'__
Certification No.:Q
Grade: / Phone Number:
Has the ORC changed since the previous NDMR? ❑ Fes 0-No—
Signature Date
By this signature. I certify that this report a accurrate and complete to the best of my kno-hedge
Permittee Certification
Permittee:GJ�
Signing Official:
Signing Official's Title: Q J
Phone Number: 2 ,2 C,) 1
Permit Expiration: C,)a2
1--4-1?
Signature D�
I certify, under penalty of law. that this document and all attachments were prepared under my direction or supervision
with a system designed to assure that all qualified personnel properly gathered and evaluated the Information submitted
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the irfo,
information submitted Is, to the best of my knowledge and belief, true, accurate, and complete l am aware that Inere a
penalties 'or submitting false information, including the poss,btity of fines and imprisonment for knowing +,olal
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
r
FORM NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page j— of
w 111 :.:
Facility Name:
Town of
•unty: Northampton
Month:l�
:.Field
Na
Field Name:
• irrigation occur
(.C,esy.
Area (acres):
Area (acres)
at this facility?
CoverArea
..
. ..
I
..
iCover
Crop:
■ NO
Hourly Xate (in)::
Hourly Rate- FI -y–
Hourly Rate (in):
Annual Fkate (in):
Annual Rate (in):
I nano
Annual Rate (in):
:...Field
Irri.. :.
G ■ •Field
Irrigated?i
■ .
.. •.
G
■ •Field
IrrigateG
■ •
oil
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err: • �ser�
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FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Page j of 3
LTJ Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2-(-l.'-pliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? dompliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant El Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? LQ 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 dates) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: X. — �_ �SS� / L /-
Certification No.: ;�4-Jly J � Y7
Grade: Phone Number: ;2-
.
. the ORC changed since the previous NDAR-1? ❑ yes No
Signature Date
By this signature. I certify that this report is accurrale and complete to the best of my knowledge
Permittee Certification
Permittee: J—,-) C() /n v P— "/7
Signing Official: M - ��/
Signing Official's Title:
Phone Number:,,,�� ^ _/ Permit Exp.: ��
Signature
/- 4--/ 7
Date
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 galnerea and evaluated the information submitted Based on my
inquiry of the person or persons who manage the system. or those perscns directly responsible for galhenng the information, fne
information submitted is, to the best of my knowteage and belief. true. accurate, and complete I am aware that there are signihcani
penalties for submitting false information including the possibility of tines and imprisonment for knowing violations
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
- FOORM NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page �- of .5
Permit No.: W00001868
Facility Name:
Town of Severn WWTF
County: Northampton
Month:
Year:
o J
Did irrigation
Field Name:
5
Field Name:
Field Name:
Field Name:
occur
Area (acres):
3.8
Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover Crop:
/-
Cover Crop:
:;over Crop:
Cover Crop:
YES ❑ No
Hourly Rate (in):
0.4
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
46.8
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather Freeboard
Field Irrigated?
YES
❑ NO
Field Irrigated?
❑ YES
❑ NO
Field Irrigated?
❑ YES
❑ NO
Field Irrigated?
❑ YES
❑ NO
d �'
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At0 oC
a
xa
o
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°F in ft ft
gal min
in
in
gal min
in
in
gal min
in
in
gal min
in
in
3
4
5
6
7
�-
Z�U�
' X (;,
i r7
i
8
9
10
11
12
13
14
i cy
l��i
�-
• u
15
16
17
1a
20 QU16
• ,�,
( )
21
22
23
24
25
26
27
28
29
30
31
Monthly Loading:
12 Month Floating Total (in):
5
FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page j of
Did the application rates exceed the limits in Attachment B of your permit? Li/ Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? �-mpfiant ❑ 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
action(s) taken. Attach additional sheets if necessary. .
Operator in Responsible Charge (ORC) Certification
Permittee Certification
/
ORC: % - E , L- 0/ lerr
Permittee: � �� 1 d �9 5'e vers?
�
Certification No.: �� ,�-g ay ) ry-;7 /,-7 / 5 ,/
Signing Official: %v% • �- L I� 5;-4
Grade: i Phone Number: --�5_35',J ¢�J
Signing Official's Title:
the ORC changed since the previous NDAR-1? ❑ yes Imo
Phone Number: ,Z.�.Z -� �� Permit Exp.: 7
�r,? - Ld� 4
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. 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617