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Home My WebLink AboutWQ0028806_Residual Annual Report 2018_20190228INITIAL REVIEW Reviewer Williams, Kendall Project Number* WQ0028806 SUBMITTAL DATED: 2/25/2019 Project Contact Information Rease provide inforrration on the person to be contacted by MB Staff regarding electronic submittal, confirmation of receipt, and other issues. ...................................................................................................................................................................................................................................................................................................................................................................................................... Name * Brent Collins Email Address* Phone Number* brent.collins@emaresourcesinc.com 336-751-1441 Project Information Application Type* r New r Renewal r Annual Report Permit Type * r Wastewater Irrigation r Other Wastewater • Closed -Loop Recycle r Single -Family Residence Wastewater Irrigation Is a paper copy of the application being submitted?* r Yes r Nor N/A Permit Number* WQ0028806 Reviewer* Troy Doby Permittee* Johnny Lambert Facility Name * Davie County Sparks Road WTP County* Davie r Modification (Major or Minor) • Additional Information r Other • High -Rate Infiltration r Reclaimed Water r Residuals r Other Please provide comments/notes on your current submittal below. No land application took place in 2018 Please attach all information required or requested for this submittal to be review here. Davie County Sparks Road WTP Annual Report - 202.94K6 WQ0028806. pdf Application Form Engineering Rans, Specifications, Calculations, Hc.) For nein and modification permit applications, the paper copy is required to be subrmtted to the Division- Be advised, applications will not be considered complete until both the paper and electronic applications. have been received_ The paper copy shall include the follmtLring= • Application Farm • All rulevant attachments (talcs, soils report, specs, etc_) • 1 full-size engineering plan set • 2 11-17" engineering plan sets • 1 extra set of specifications (in addition to the set of specifications Provided in the attachments) • Fee (if required) T:di shall ae mailed to the followins aPrl-: s: By pclal ser- lce: Divisron o= % ater Resources- Non -Discharge Branch 1617 Mail Service Center Raleigh NC 2.7699-1613 By Courier/Special Delivery: Division of Water Resources- Non -Discharge Branch AZ Nathaniel Thornburg- 9th Floor, Office #942WN 512 N_ Salisbury St_ Ralei NC 27604 For que€tions or problems contact Tessa Monday at 919.7073660 or Tessa_X%nday(dncdenr_gov or Sonia Graves at 919.707.3657 or Sonia.Graves(apcdenr.. * I;W By checking this box I am acknowledging that I have read the above statement and agree to send these documents as required to one of the address given above. Signature Submission Date 2/25/2019 CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM WQ PERMIT #: WQ0028806 FACILITY NAME: Davie County Sparks Rd WTP PHONE: COUNTY: Davie OPERATOR: Davie County FACILITY TYPE (please check one): ❑ Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C) 0 Distribution and Marketing (complete Parts A, B, and C) Vpc II Nn ❑ —1m, If Nn skin narts A. R. C and certify form below * If more space is required, attach additional lntormaiion sheets [rVKIVI unrJur ksuppM. I ouu INWIlUut 01 ru1111 u3n3irr kL)UyFJt v Part C: Facility was compliant during the past calendar year with all conditions of the land application permit El Yes (including but not limited to items 1-3 below) issued by the Division of Water Quality: ❑ No ll If No, Explain in Narritive I . All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached. 2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Quality. 3. No contravention of Ground Water Quality Standards occurred at a monitoring well. "I certify, under penalty of law, that the above information 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." Signature of Permitt Date Signature of Preparer** Date ' (if different from Permittee) **Preparer is defined in 40 CPR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM DMSDF (1212005) Part A*: Part B*• Month Sources(s) (include NPDES # if applicable) Volume (dry tons) Amendment) Sulking Agent Residual In Product Out Recipient Information Name(s) Volume (dry tons) Intended use(s) Januar February March April May June July August September October November December Total from FORM DMSDF (sup) i 0 0 0 0 Totals: Annual d tons): 0 0 0 ....... 0 Amendments used: Bulking Agent(s) used: * If more space is required, attach additional lntormaiion sheets [rVKIVI unrJur ksuppM. I ouu INWIlUut 01 ru1111 u3n3irr kL)UyFJt v Part C: Facility was compliant during the past calendar year with all conditions of the land application permit El Yes (including but not limited to items 1-3 below) issued by the Division of Water Quality: ❑ No ll If No, Explain in Narritive I . All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached. 2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Quality. 3. No contravention of Ground Water Quality Standards occurred at a monitoring well. "I certify, under penalty of law, that the above information 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." Signature of Permitt Date Signature of Preparer** Date ' (if different from Permittee) **Preparer is defined in 40 CPR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM DMSDF (1212005)