WQ0009772_Monitoring - 04-2020_20200601

FORM: NCMR 10.13
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NOWDISCHARGE MONITORING REPORT (NDMR)
FanlliW Name: Monterey Shores INWTP
CouMy

FORM: NDMR 10A3
Sampling Person(s)
NON -DISCHARGE MONITORING REPORT (NDMRj
Page--of—
Name: Gary Schwartz
Certified Laboratories
Name: EnvironmentM Chemists, Ibc. #3779lDWO Cert#94
Name: Travte Tucker
Nmce: CarWina Water Servke, Inc. of North CarolinelEastem Rgn Cert# $182
Does all monitoring data and sampling Ifrequencies meet the requirements in Attachment A of
"he facility is noncompunt. please explain in the space your permit'? i7 fMreflan p wm�s,
P below Me nason(s) the racaty rose not in oarpaanre. Pmvide in yeure el,bon the d8WS) of the nmo-comPliznm arm describe the corrective
actbn(s) taken. Adepn additional sheets if necessary.
Operator In ReaPonibk Charge (ORC) ca"caa
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ORco Travis Tucker
Cer6Bcation No.: 1002180
Grade: 4 phone Number:
252-2561190
Has the ORC charged stnce the previous NDMR?
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Signature
ny Mb alPlnuie,lea,efy Mal lM1ia apse leawvrtgg any wmPble to lM pppf Of ary•p,aHpapy Date
aware
Parretti" Codification
has: Carolina Water Service, Inc, of North Caro
lina
0 Official: Dana HBl
9 Official's Title; Regional Manager
Number: 252-269-2540
Permk Expiration: 4/30l2021
Mall Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mall Service Cancer
Raleigh, North Carolina 27899.1617
Signature

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Parrrru No.: W00009772
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this facility]
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NON•DISCHARGE APPLICATION REPORT (NDAR.2)
Facility name: Monterey Shores W WTp
Site Name: 1A County; CuR@UCk
She Name: t B Site Name:
Area (awes): Sift
Area (acres): 1
Rate (Gpa t�; 7.42 Area (acres):
Sue In0ltrat d? O vrs Ram (GPO/(t]A2 Rate (GpD]fe):
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Month: April veer: 2020
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NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Did the application rates exceed the limits in Attachment 8 of our Page _ or
If not a basin, were the sites kept ? permit? 0Cmoviu,n ❑ no.coord®nt
P free of vegetation and raked?
If not a basin, were there any instances of effluent ponding in or runoff from the sites? o t O n�nromo�aa
If a basin, were there any instances of breakout from the berms? caaPian rroeeomalhm
Was the onsite automatically activated standby21 Coupwt 11 aminmpum
Power source tested and operational?
If the facility is non -compliant, please explain in the space below the reason(s) me facil' liance a D noe the co
ny was not in compliance, Provide in your expianatbn the date(s) of the rron-compliance and describe the wrreclive
acgon(s) taken. Attach atltlitional sheets 6 necessary.
Operator in Responsible Charge (ORC) Certrricaaun
ORC: Travis Tucker
No.: 1002180
Grade: 4 Phone Number:
252-256-1190
Has the ORC changed since the previous NDAR-27 ❑ Yes p xy
Signature T'
ar aw agname, i cemyuuinis renetis am„ram ana anwierem meoev mmr xnurae�e.
PermiMee Certification
Carolina Water Service, Inc. of NC
Signing Official: Dana Hill
Signing Oflcial's Title: Regional Manager
Phone Number: 252-269-2540 permit
p.:
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Man Service Center
Raleigh, North Carolina 27699-1617
Signature
µaelLlely Nf,res
4/30/21
Date
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