WQ0019753_Residual Annual Report 2018_20190308

V
Mayor
David Myers
Board of Aldermen
Micky Silvers
Joe Adams
Alan Hensley
Brenda Platt
Tom Rogers
Leon Wall
To Whom It May Concern:
r OTBREO
Town of Madison
120 N. Market Street
Madison, North Carolina 27025
[phone] • Fax: [phone]
www.townofinadi son. ora
February 27, 2019
Town Manager
Kevin Baughn.
[e-mail]
Town Attorney
Michael Cassidy
427-2559
Town Clerk
Lannette Johnson
[e-mail]
The Town of Madison has two lagoons. In June of 2014, the Town of Madison had the residuals
moved from lagoon #1 to lagoon #2 and isolated lagoon #2 so that the residuals can begin to dry
and form a cake for land application in the future. As of 2018 there was no need to land apply.
If you have any questions, please contact Kevin Yates at [phone]
Sincerely,
J. Kevin Yates
Water Plant Superintendent/ORC
[e-mail]
RECEIVED/NCDE_O/DWR
MAR - 8 2019
Non -Discharge
Permitting Unit
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CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WO PERMIT #: W00019753 FACILITY NAME:
Town of Madison WTP
PHONE: [phone] COUNTY: Rockingham OPERATOR: J. Kevin Yates
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)
Was the facility in operation during the past calendar year? Yes ❑ No ❑ --► If No skip parts A, B, C and certify form below
Part A*:
Part B*:
Month
Sources(s) (include NPDES # if
applicable)
Volume (dry tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s)
January
February
March
April
May
June
July
August
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NJ kv
-
September
n:
'�—
October
November
December
Total from FORM DMSDF (sup)
"
Totals: Annual (dry tons):
`0
....................•......
_
....................
Amendment(s) used: Bulking Agent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit ❑ Yes
(including but not limited to items 1-3 below) issued by the Division of Water Resources: ❑ No > If No, Explain in Narritive
1. 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 Resources.
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."
Si a of Permittee Date
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Signature of Preparer* *
(if different from Permittee)
Date
DENR FORM DMSDF (12/2006)