WQ0000948_Monitoring - 03-2020_20200420

FgRM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of
Permit No.: W00000948
Facility Name: Town of Jackson WWTF
County: Northampton
Month: jWaQCA
Year: 'Lo q
PPI: 001
Flow Measuring Point: []irfiuent I� tfluen; _;�o flew cc.^.e ated
Parameter Monitoring Point: ❑ dLer:: i,J"cffiuent __iGrouedwater'_owe-ing ❑srrrace water
Pa ra mete r C ode —►
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665 70300
00530
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a
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24-1 ir
hrs
GPD
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
rng/L
2
-1. 0
3
4
. ,
. 0I
/r,
ID
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.5
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16
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OF
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18
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19
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171/
20
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21
22
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23
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+
24
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13
25
26
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3
27
j4p
. �;
'('0
289
29
;(%
4 G
30
!,y
.O
31
Average:
j
Daily Maximum:
r53
Daily Minimum:
405
Sampling Type:
Recorder Grab
Grab
Gra:)
Grab
Grab
Grab
i G.a�
I Grab
Grab
Grab
Grao
Grab
— Monthly Limit:
203,000
Daily Limit:
_J
�—
I
Sample Frequency:
Continuous Vb .-y
i 3 X Yea- -e- Eve-:: MonNy ` Vo-,: y
Vlon:,ly Vo••:-y
( Mon:-Iv'e =ve^:
Mon:-_1
j 3 X Yea• i VlonHy

FISRM: NDMR 03-12
r
Name: Johnny Young
NON -DISCHARGE MONTORIMG REPORT (MDNIR)
Sampling Person(s)
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Name: Fnvironinmt 1, Inc.
Certified Laboratories
Greenville, N
Name:
M�e� 1An rrwa�w"pee,-urru;� �I amtng-t0ara •al•C-'a4�@lC'Utt act meet the. r rtnicc�vwlarrnts, act �'?lReicG�to�ont A � z9uUV [00-VolAft? ❑
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
action(s) taken. Attach additional sheets If necessary.
a a (UMiCtf Z - Z S 'r{r 7o�J [ �Cr�rs''e`Gv+aC C 4u c t�J6 �kG�O Pc4t,�L� L.nii7t Z. $ c�
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TntV DLle- g, . *u,y -ramS, "cWi AU-Y46 "er ,4 G, ,,5,.tr ' >yt')dtc" CASE T"e
Tt461'actaJ COsir, Jc)o'S Ta t� L� C� ��� l •+l p S�-i >?�13 L� KS ✓t-.� cT� GSSJ�3 �.�J v J �- f SrSTC�
Page 1 of 1
Oper<tor in Responsible Charlie (ORC) Certification Permittee Certification
oRC: Johnny Young Permittee: Town of Jackson
Certification No,: 2'3129 Signing Ofolcial: Jason S. Morris
Grade: 1 Collection Phone Number: 252-534-3811 Signing Official's Title: Mayor
Has the ORC changed since the previous NDNIR^r ❑ yes } t4o Phone Number: 252-534 3811 Permit Expiration:
SI atsue Date Srgna ure Date
s signalure, I rlify that Ihls report Is accurrale and complete to the bust of my twowiedga. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In
accordance with a syslom designed to assure [hot all qualified personnel property gathered and evaluated the hllorntallon
subrrillled, based on my Inquiry of the parson or portions who monago ilia syotom, or those parsons directly responsible for
gathering the Information, ilia Information submitted is, to the best of my knowladge and ballet, true, accurate, and complete. I Sill
aware that More are significant penalties for submitting false Information, Including Ilia possibility of lines and Imprisonment far
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
information Processing knit
•16v Mail Service Center
Raleigh, Novili Carolina 27699-96•17

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-9) Page % of
No.: WQ0000948
Facility Name: Town of Jackson WWTF
County: Northampton
.W 11
Did irrigation occur
FieldPermit
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■�■
at this facility?
Area (acres).,
■�■
�■
Annual Rate (in):'
Annual Rate (in):
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Monthly • . • •
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Z_ of J_
Permit No.: WQ0000948
Facility Name: Town of Jackson WWTF
County: Northampton
Did irrigation occur
at this facility'?
ly�wsF]NOrly
Area (ac res):
Rate
Hou (in):
H
Hourly Rate (in)
Annual Rate (in):
Annual Rate (in)-.1
Annual Rate (in):
-■
BLOOM
mmml.m
i
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:�r,
WM�-
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IMMIMMMMET
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"/
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 1
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
fompliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
Pompllant ❑ Non -Compliant
V60,mpllant ❑ Non -Compliant
ompliant ❑ 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
action(s) taken. Attach additional sheets if necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Johnny G. Young
Permittee: Town of Jackson
Certification No.: 23129
Signing Official: Jason S. Morris
Grade:l collection Phone Number: 2 5 2 - 5 3 4 - 3 811
Signing Official's Title: Mayor
Has t O C changed since the previous NDAR-1? ❑ Yes [N No
Phone Number: 2 5 2 - 5 34 -381 1 Permit Exp.: 12-31-19
_0 zz>
A
signature Date
Sign re Date
By t ignature, I ce ' that this repo is accurrale and complete to the best of my knowledge.
I certify, under penally 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
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 false Information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617