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Home My WebLink AboutWQ0000185_Revised Monitoring - 11-2019_20200401FORM: NDMR 05-16 t t ZAk NON -DISCHARGE MONITORING REPORT" (NDMR) Page __I__ -of 3 Sampling Person(s) Certified Laboratories Name: Donnell Orgsbon Name: Environmental Chemists Name- Rod Holley Name: Does all monitoring data and Sampling frequencies meet the requirements in Attachment A of your permit? ❑ compliant RI Non-03mpliant 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 actionts) taken. Attach additional sheets It necessary. Fecal limit exceeded on sample dated 11-20-19, possible contamination of sample. Monitored sample process and following results we normal. Continuing to monitoring process and quality control. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Donnell Orgsbon Permittee: County of Currituck Certification No.: 1006384 Signing Official: Rod Holley Grade: VW114 Phone Number: 252-232-6065 Signing Official's Title: County Superintendent Trainee Has the ORC changed since the previous NDMR? ❑ Yes p No Phone Number: 252-232-6065 Permit Expiration: 613012024 it, 51 5//U Ail, -31Y)/W ORS Si nature Date Sign Lure Date By this signature, I certify that this report Is accurrate and complete to the best of my knowledge. 1 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 Informallon 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 Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NEAR-2 45-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page �_ of Z FORM: NDAR-2 05-16 g E 1 ,l ;; NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 2 of 2- Did the application rates exceed the limits in Attachment B of your permit? 2 Compliant ❑ Non -Compliant If not a basin, were the sites kept free of vegetation and raked? o Compliant ❑ Non -Compliant If not a basin, were there any instances of effluent ponding in or runoff from the sites? 2 Compliant ❑ Non -Compliant If a basin, were there any instances of breakout from the berms? n Compliant n Nan -Compliant Was the onsite automatically activated standby power source tested and operational? O 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 taKen. Auacn aoartional sneers it necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Donnell Orgsbon Permittee- Currituck County Certification No.: 1006384 Signing Official: Rod Holley Grade: WW4 Phone Number: 252-232-6065 Signing Officials Title: Wastewater Superintendent Has the ORC changed since the previous NDAR-2? ❑ Yes p No Phone Number: 252-232-6065 Permit Exp.: 6/30124 $1 2NJ ms oz C. 3 3! 12.0 (I �-O 4 /t/I 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 supemsion in accordance vAth a system designed to assure that all qualified personnel properly gathered and evaluated the Information submitted. Based an 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 raise information, including the possibility offrnes and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617