WQ0032723_Residual Annual Report 2014_20150216

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT #: WQ0032723 FACILITY NAME:
Reidsville WTP
PHONE: [phone] COUNTY: Rockingham OPERATOR: Reidsville WTP
FACILITY TYPE (please check one): ® Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
R1 Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes 21 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
September
October
November
December
Total from FORM DMSDF (sup)
0' _ _
0°'
;Q.. .
Totals:
Annual (dr tons):
0
0 '_
. 0
Amendments used: Bulking Agent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)l 0
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit p Yes
(including but not limited to items 1-3 below) issued by the Division of Water Quality: ® 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 Quality.
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."
ature of Pennittee 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)

��n ,sources, Inc.
February 12, 2015
DENR/Water Quality Section
Non -Discharge Compliance Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: 2014 Annual Report — Reidsville WTP
Treatment and Land Application of Residuals
Permit No. WQ0032723
Dear Sir or Madam:
RECEIVED
FEB 1' 6 2015
OWR SECTION
INFORMWi ION MWESSING UNIT
Enclosed are three copies of the DMSDF form. No land application took place for the
above referenced permit.
Please contact Brent Collins - Director of Technical Services if you have any further
questions regarding this report.
Since ly,
rent Collins.
Director of Technical Services
Brent. collinskemaresourcesinc.com
Phone [phone] — Fax [phone]
755 Yadkinville Road — Mocksville, NC 27028