WQ0000948_Monitoring - 07-2020_20200827

FORM: NDMR 05.16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of
Permit No.: W0000094E
Facility Name: Town of Jackson WWTF
County: Northampton
Month: �u
Year: ,Zp."p
PP I: 001
Flow Measuring Point: ❑Irfluent [Effluent _;ao flow geae,ated
Parameter Monitoring Point: ❑+n'l..e^: ]effluent ]Groundwater ;owe mg ❑su*acc water
Parameter Code --s
50050
00310
00940
50060
31616
00610
00625
00620
00600
OD400
00665 70300
00530
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24-hr
hrs
GPD
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
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2
1
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.07
19
3
4
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5
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8
1600
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11
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14
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9.5
1.44
15
/ 45
.09
1061,
16
1130
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.06
17
1115
08
18
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19
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20
7 .5
'05
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21
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0
22
0
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05
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23
24
.01
251
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26
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27
71
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28
615
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29
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31
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Average:
:-
Daily Maximum:
O
Daily Minimum:
Sampling Type:
Recorder Grab
Grab
Grab
Grab
Grab
Grab
G:ab
Grab Grab
Grab
Grao
Grab
Monthly Limit:
203,000
Daily Limit:
_
--
Sample Frequency:
ContinUOU5 %%.o^:^ y
3 X Yea- -e- Eve_ Mon:^ly Vo-t, y
'vton',ly ^ Vo`�:^.y
1 Mont^ly Pe' .re^:
anon:` ly j 3 X Yea ulon:^IyJ^ __

1=0RM: NDMR 03-12
r
Name: Johnny Young
Name:
sampling Person(s)
NON -DISCHARGE MONITORING REPORT (NDMR)
Name: Environment 1, Inc.
Name:
Cercifled Laboratories
Greenville, N C
Page 1 of I
Does aft tmonitnring dada and sa6apling fieqaoendoz Meet the in Aftn: c torment A om your pevm0r, }7'Compliant ❑ Non -compliant
If tho 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.
Operator in Responsible Charge (011C) Certification
ORC: Johnny Young
Certification No.: 23129
Grade: 1 Collect im Phone Number: 252-53143811
Has the ORC changed since the previous NDMR? ❑ Yes U No
Pennittee Certification
Penmittee: Town of Jackson
Signing Official: Jason S. Morris
Signing official's Title: Mayor
Phone Number: 252-534-3811
Permit: Expiration: /v2 -'3 / - �V
Date / signature Date
By this signature, I certify that this report Is accturale and complete to lire best or my knowiedgo. I carllly, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance vAlh a system designed to assuro that all qualified personnel properly gathered and evaluated the Information
subrirhled. Based on my inquiry of the parson or parsons who manage Ilia system, or those persons directly responsible for
gathering the Information, the information submitted Is, to the best of my tmowladge and belle(, true, accurate, and complete. I am
aware that there are significant penalties for subrrdlling raise Information, including lite possibility of Nos and imprisonment for
knowing violations.
Mail Original afnd Ywo Copies to:
Division of Water Quality
Information Processing Unit
•i6'i7 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
n— S ,'
Page / of IL
Permit No.: WQ0000948
Facility Name: Town of Jackson WWTF
County: Northampton
Did irrigation occur
at this facility?
Field
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FORM: NDAR-1 05-1E NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _-Z_ of _,?_�
Permit No.: Q111194:
Facility Name: Town ol Jackson.unty:
Northampton
M.
I.
•
Field Name:!
■�__

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-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?
Page i of
Z mpllant ❑ Non -Compliant
"Complant ❑ Non -Compliant
fJ Compliant ❑ Non -Compliant
0/Compliant ❑ Non -Compliant
IJ Compliant ❑ Non-Compllant
If the facility is non -compliant, please explain in the space below the reasons) 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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Johnny G. Young
Permittee: Town of Jackson
Certification No.: 2 312 9
Signing Official: Jason S. Morris
Grade:l collection Phone Number: 2 5 2 - 5 3 4 - 3 811
Signing Official's Title: Mayor
Has the ORC changed since the previous NDAR-1? 0 yes CN No
Phone Number: 252-534-3811 Permit Exp.: 12-31-.21
Signature Date
Zunder
ignature Date
By this signature, I certify that this report Is accurrale and complete to the best of my knowledge.
I cepenally of law, lhal 099 document and all attachments were prepared under my direction or supervision In accordance
with a system designed to assure that all qualified personnel property 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
penallles for submhdng false information. Including the possibility of Imes 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