WQ0002638_Monitoring - 07-2020_20200915

-•FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Staff Name: Pace Analytical
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑' 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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Brandon Johnson
Permittee: Town of Angier
Certification No.: 130083
Signing Official: Jimmy Cook
Grade: SI Phone Number: 9196392071
Signing Officials Title: Public Works Director
Has the ORC changed since the previous NDMR? ❑Yes DNo
Phone Number: 9196392071 Permit Expiration: 4/30/2022
8 ,A, 010X
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 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 Resources
Information Processing Unit
1617 Mail Service Center
-�, Raleigh, North Carolina 27699-1617

-FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of

FORM: NDAR-1 05-16
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 of
ECompliant ❑Non -Compliant
❑� Compliant ❑Nan -Compliant
❑� Compliant ❑Non -Compliant
❑� Compliant ❑Non -Compliant
❑� 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 dates) 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: Brandon Johnson
Permittee:
Town of Angier
Certification No.: 130083
Signing Official: Jimmy Cook
Grade: SI Phone Number: 9196392071
Signing Official's Title: Public Works Director
Has the ORC changed since the previous NDAR-1? ❑yes ❑✓ No
Phone Number: 9196392071 Permit Exp.: April 30,2022
Itzo 1
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, un er 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
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
Permit No.: WQ0002638
Facility Name: Town of Angier WWTF
County: Harnett Month: July
Year: 2020
Field Name:a
5
Field Name:
Field Name:
Field Name:
Did irrigation
occur
Area (acres):
12.48
Area (acres):
Area (acres):
Area (acres):
at this facility?
ismar
6 _
Cro p;
Cover Crop:
p;
Cover Crop:
p;
Cover Crop:
p:
DYES ❑No
Hourly Rate (in):
Hourly Rate (in):
I Hourly Rate (in):
Hourly Rate (in):
' Annual Rate (in):
52
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
YES NO
Field Irrigated?
❑YES ❑NO
Field Irrigated?❑YES ❑No
Field Irrigated?
❑YES ENO
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Monthly Loading:
785,700
2.32
0
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0 0.00
0
0.00
12 Month Floating Total (in):
16.68
IVEM

FORM: NDAR-1 05-16
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
of ..
❑� Compliant
[]Non -Compliant
OCompliant
❑Non -Compliant
❑� Compliant
❑Non -Compliant
❑� Compliant
❑Non -Compliant
[ACompliant
[]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 necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Brandon Johnson
Permittee:
Town of Angier
Certification No.: 130083
Signing Official: Jimmy Cook
Grade: SI Phone Number: 9196392071
Signing Official's Title: Public Works Director
Has the ORC changed since the previous NDAR-1? ❑yes ❑� No
Phone Number: 9196392071 Permit Exp.: April 30,2022
I, L. ,, B 24/Ao
/ o •�aL
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certi under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a s stem 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617