WQ0003271_Monitoring - 06-2020_20200805

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT tNOMR1 ee,.e F
s
Permit No.: 7
Facnity name:
Hestron Park W WTP
PPI:
County:
Carterat
Month:
June Veer. 2020
001
Fbw Measuring Po00:
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Paramemr Monitoring Point
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7 0]:39
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FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of—/
Sampling Persons) Carffied Laboratories
Name: Stacy A. Goff Eft..:ironment i, lnc#10Name:
lina Water Services, Inc.- Eastern Region #5162
-- -- ----••^..• •••e -�� orr� acrrrPMMV rrequencles meet me requirements in Attachment A of your permit7 m co'ea, ❑ N. cement
If the facility is tron-compliant, please explain in the space below the reasons) the Willy was Imt in complance. Prevent in your explanation the dale(s) at non-compliance and describe the conealroe
action(s) taken. Afea addXiolel sheets ff nen arv.
Operator to Responsible Charge(ORC) Cetification Permutes Ceri icatton
ORC: St
acy A. Goff Perminee:
Certification No.: 998882 Signing Official: Dana Hill
Grade: 4 Phone Number: 252-805-5955 Signing �cial's Title: Director of Operations
NaC changed since the previous Nobel? Uves ono Phone Number: 2
st (52-269-2540 Permit Expiretlon: 12/31/2023
t 7 = S.5. r.+
alum Dote Signature Data
ByMiaagnalwe.l<aNyNel Miz relaallbazcunaie vW [omple4lo Ne EenW Meant cmary,un�pNwxyNnw Net NlzdoamenlaMau ellaGmenlsµ2replepaM ulbermytirecdon otaupernaion in
awuEance Wt aryalmn EezglMloaaswelhalallqualirtetlpersonrcl plapMytPNe� antl evaL'akJNeinramafon
wN,lee. awm onmyi moreat coun ed e, Wool
my Nezys[am,m Nou We ac tlx a eadspoazb e, I
9.boomentate NetnlmaneliMWfm m'ia.lo I.M.NseinFc alW.imletlgyttl i We.e2urale, anA O`Ilyiele.lam
suss Nei Here are alpmi[an penal5ea br aueml14n9 mess inlonnalcn, imltmna M pmiGThj or eren ad imq®gpuenl M
xnwsiey Wine —
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699.1617

FORM: NDAR-2 05.16
NON -DISCHARGE APPLICAnnu

FORM: NDAR-2 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Did the application rates exceed the limits in Attachment B of your permit?
If not a basin, were the sites kept free of vegetation and raked?
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
Pas-4—of-4-
0 Canniest ❑ rmmcompose
a Compact ❑ Mon-Conqrost
o consent ❑lmmCpmPlam
If a basin, were there any instances of breakout from the berms? 0 Csreand ❑ xon-wmpNm
Was the onsite automatically activated standby power source tested and operational? 2 assonant ❑ waeammllalr
If the feciaty is non -compliant, please explain in the space below the assistants) the facility was not in compliance. Provide in youresplanalion the sabots) of the non-compliame and describe the corrective
aclron(s) taken Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Pe saittse Certification
ORC: Stacy A. Goff
patmige..
Certification No.: SM882
Signing Official: Dana Hill
Goode: 4 Phone Number: 252-808-5955
signing Official's Title: Director of Operations
Ras the ORC charged since the previous NDAR-27 ❑ Y. R.N.
phone Number: 252-269-2540 Permit Sap, 12/3123
Signature Data
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laa sysan aeagnmm aswm Nan a lquaGaedpersomlmpraceer9ruereeandenNaW mapaormaly a.tba lee. MaW m my
myulry mmereeamorpemons "a swere Ne arson. wepsepersmre s d.tirspwuiderwyNenn9 Nelnsonowl n. was
mrnrmaunaugllimetlu,mNe bsaw myMVMedgeanaearyM. we, a¢sane, and wmpkle. I pas axare Pa One are agff n
nareft ofmsuhmilfing lalsemrnmsu n, i"bring Ne poaebalyorfresand imprsonvmarw Noring nWaams.
sere Data
eYaR Yprchee.l wllryor Nb repast"saNmabmgmryl0lamtllebdmnvinoWed3e.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center