WQ0011869_Residual Annual Report 2019_20200302

435 Williams Court, Suite 100
Baltimore, I�ID 21220
www.synagro.com
FFBRUARY 27, 2020
NCDEQ
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
SYNAGRO
Re: 2019 Annual Reports for Permit Nos. WQ0001271 aj� 'WQ0011869
Synagro is submitting this 2019 No -Operations Annual Report on behalf of Cape Fear Public
Utility Authority, NC. During the calendar year 2019, Synagro did not land apply residuals for
this client.
If you have any questions or need additional information, please contact Melvin Goad of
Synagro at [phone].
Sincerely,
Derrick Shivar
Environmental Compliance Manager
Cc: Milton Vann - Cape Fear Public Utility Authority
Melvin Goad - Synagro
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YOUR PARTNER FORA CLEANER, C961rE1f KiL�RWORLD

CAPE FEAR PUBLIC UTILITY AUTHORITY
DISTRIBUTION OF CLASS A RESIDUALS
Permit No, WQ0011869
2019 ANNUAL REPORT

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT #: WQ0011869 FACILITY NAME: Cape Fear Public Utility Authority
PHONE: [phone] COUNTY: New Hanover OPERATOR: Milton S. Vann, Jr.
FACILITY TYPE (please check one): ❑ Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
❑ Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes ❑ No El —► 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/
Bullring 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)
Totals: Annual (dry tons):
0
a
0
p
Amendments] used: Bulldn Agent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)
Fart 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."
Signature ofPermittee Date Signature of Preparer**
(if different from Permittee)
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Date
DENR FORM DMSDF (12/2006)