The URL can be used to link to this page

Home My WebLink AboutWQ0002829_Monitoring - 10-2020_20201201Monitoring Report Submittal ............................................................................................................................................ Permit Number #* WQ0002829 Name of Facility:* KDHWWTP LLC Month:* October Report Information Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address:* Name of Submitter:* Signature: Date of submittal: Initial Review Year:* 2020 Upload Document* WQ0002829 KDHWWTP 1.11 MB Oct.pdf FDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). TGEE@ATLANTICSEWAGE.COM TINA GEE Reviewer: Williams, Kendall 11 /29/2020 This will be filled in automatically Is the project number correct?* WQ0002829 Is the monitoring report r Yes r No accepted?* Regional Office* Washington Accepted Date: 12/1/2020 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: •111 • • Dare • October 1 1 11Flow Measuring •• ■ Influent ■ Effluent ■ No flow generated Parameter Monitoring •• ■ Influent ■ Effluent ■ Groundwater Lowering ■ Surface Water Parameter Code 0 • U�© NITS --------------- FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0002829 Facility Name: KDHWWTP County: Dare Month: October Year: 2020 PPI: 002 Flow Measuring Point: ❑ influent ❑ Effluent ❑ No flow generated Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water Parameter Code 0 60060 00310 00940 31616 00610 00626 00620 00600 00400 00666 70300 00630 > U(YL ~ O O E H U0 O O LL3 a m d LU _ E O ri O U f6 O a L C Y OZ Z C Z N i CL O d yy O O y fN R d 'O CCC. H faN W 24-hr hrs GPD mg/L mg/L #/100 mL mg/L mg/L mg/L mg/L su mg/L mg/L mg/L 1 00:00 0 2 00:00 0 3 00:00 0 4 00:00 0 5 00:00 0 6 00:00 0 7 00:00 0 8 00:00 0 - 9 08:40 3 151,300 10 00:00 0 174,800 11 00:00 0 172,870 12 10:00 3 119,170 13 08:40 3 117,770 14 08:15 2 121,280 <2 1 <0.2 <0.5 19.1 19.1 5.47 <2.5 15 09:00 3 131,540 16 08:10 3 203,090 171 13:30 1 153,740 18 12:30 1 101,380 19 07:50 3 134,910 6.87 20 08:20 2 98,910 6.91 21 08:50 3 81,080 6.98 22 08:15 2 102,900 <2 <1 <0.2 <0.5 9.36 9.36 7.01 10.4 <2.5 231 09:15 2 179,890 6.99 24 08:20 1 94,410 25 08:40 1 62,660 26 08:20 2 42,300 7.02 27 07:50 2 39,670 7.05 28 08:40 3 25,280 7.03 291 09:00 3 33,230 7.03 30 00:00 0 52,920 6.96 311 00:00 1 0 54,480 Average: 106,503 0.00 1.00 0.00 0.00 14.23 14.23 7.94 0.00 Daily Maximum: 203,090 2.00 1.00 0.20 0.50 19.10 19.10 7.05 10.40 2.50 Daily Minimum: 25,280 2.00 1.00 0.20 0.50 9.36 9.36 6.87 5.47 2.50 Sampling Type: Recorder Composite Composite Grab Composite Composite Composite Composite Grab Composite Composite Composite Monthly Limit: 327,735 10 14 4 7 3 20 Daily Limit: 43 6-9 Sample Frequency: Continuous See Permit I 3 X Year I See Permitl SeePermitj See Permitl See Permitl SeePermitj 5 X Week I See Permit 1 3 X Year I See Permit FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: •111 • • Dare • October 1 1 11Flow Measuring •• ■ Influent ■ Effluent ■ No flow generated Parameter Monitoring •• ■ Influent ■ Effluent ■ Groundwater Lowering ■ Surface Water Parameter Code 0 • • Daily Maximum: FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: •111 • • Dare • October 1 1 11Flow Measuring •• ■ Influent ■ Effluent ■ No flow generated Parameter Monitoring •• ■ Influent ■ Effluent ■ Groundwater Lowering ■ Surface Water Parameter Code 0 • Daily Maximum: FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: •111 • • Dare • October 1 1 11Flow Measuring •• ■ Influent ■ Effluent ■ No flow generated Parameter Monitoring •• ■ Influent ■ Effluent ■ Groundwater Lowering ■ Surface Water Parameter Code 0 • Daily Maximum: FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Certified Laboratories Name: Jimmy Bliven Name: Envirochem 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. Not all of the ETM numbers were recorded by the former Therefore some information ie. Sprayfield total flow flow could not be calculated or reported from 10-1 thru1 Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Jimmy Bliven Permittee: George E Goodrich Certification No.: 991879 Signing Official: Tina Gee by Authority Grade: 4 Phone Number: 2522022435 Signing Official's Title: Manager for Atlantic OBX Has the ORC changed since the previous NDMR? ❑ Yes ❑ No Phone Number: 252-289-3206 Permit Expiration: Jj ` 11 /27/2020 .. ;. �_ , 11 /27/2020 Signature Date j 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 Permit No.: WQ0002829 Facility Name: KDHWWTP County. Dare Month: October Year: 2020 Did irrigation Field Name: IRR-1 Field Name: IRR-2 Field Name: IRR-3 Field Name: IRR-4 occur Area (acres): 4.6 Area (acres): 6.47 Area (acres): 3.27 Area (acres): 5.62 at this facility? Cover Crop:Cover Crop: p� Cover Crop: p� Cover Crop: p: ❑ YES ❑ NO Hourly Rate (in): 1 Hourly Rate (in): 1 Hourly Rate (in): 1 Hourly Rate (in): 1 Annual Rate (in): 118 Annual Rate (in): 118 Annual Rate (in): 118 Annual Rate (in): 118 Weather Freeboard Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES ❑ NO ❑ N 'a O L d T 7 a CL C L O CO w !L- N Q Q ' O > 'a C O J 7 �EE O J G 7 O d E C O J 7 �E R= J G O > d E C O J 7 �E R= J G O > d E R >, C R v Oc J 7E R=LT7 �E Ca J OE °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 C 68 0 24,000 216 0.19 0.05 12,000 180 0.07 0.02 36,000 324 0.41 0.08 40,000 360 0.26 0.04 2 C 66 0 24,000 216 0.19 0.05 12,000 180 0.07 0.02 36,000 324 0.41 0.08 40,000 360 0.26 0.04 3 C 64 0 24,000 216 0.19 0.05 12,000 180 0.07 0.02 36,000 324 0.41 0.08 40,000 360 0.26 0.04 4 C 65 0 24,000 216 0.19 0.05 12,000 180 0.07 0.02 36,000 324 0.41 0.08 40,000 360 0.26 0.04 5 C 64 0 24,000 216 0.19 0.05 12,000 180 0.07 0.02 36,000 324 0.41 0.08 40,000 360 0.26 0.04 6 C 66 0 24,000 216 0.19 0.05 12,000 180 0.07 0.02 36,000 324 0.41 0.08 40,000 360 0.26 0.04 7 C 79 0 24,000 216 0.19 0.05 12,000 180 0.07 0.02 36,000 324 0.41 0.08 40,000 360 0.26 0.04 8 C 69 0 24,000 216 0.19 0.05 12,000 180 0.07 0.02 36,000 324 0.41 0.08 40,000 360 0.26 0.04 9 PC 68 0 24,000 216 0.19 0.05 12,000 180 0.07 0.02 36,000 324 0.41 0.08 40,000 360 0.26 0.04 10 R 70 0.3 24,000 216 0.19 0.05 12,000 180 0.07 0.02 36,000 324 0.41 0.08 40,000 360 0.26 0.04 11 PC 70 0 24,000 216 0.19 0.05 12,000 180 0.07 0.02 36,000 324 0.41 0.08 40,000 360 0.26 0.04 12 PC 72 0.4 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 13 CL 64 0 3.5 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 14 C 63 0 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 15 C 68 0 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 16 PC 70 0.3 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 17 C 62 0 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 18 C 70 0 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 19 CL 66 0.1 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 20 CL 66 0 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 21 PC 68 0 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 22 CL 68 0 3.6 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 23 CL 70 0 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 24 PC 64 0 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 25 CL 66 0.6 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 26 PC 68 0 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 27 CL 64 0 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 28 C 66 0 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 29 PC 70 0 3.25 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 30 PC 64 0 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 20,000 180 0.13 0.04 31 PC 58 0 12,000 108 0.10 0.05 6,000 90 0.03 0.02 18,000 162 0.20 0.08 1 20,000 180 0.13 0.04 Monthly Loading: 504,000 I=4.04 EM 252,000 EM 1.43 0=1 756,000 RM 8.51 0=1 840,000 5.50 12 Month Floating Total (in): FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: WQ0002829 Facility Name: KDHWWTP County. Dare Month: October Year: 2020 Did irrigation Field Name: IRR-5 Field Name: IRR-6 Field Name: IRR-7 Field Name: occur Area (acres): 0.94 Area (acres): 1.65 Area (acres): 2 Area (acres): at this facility? Cover Crop:Cover Crop: p� Cover Crop: p� Cover Crop: p: ❑ YES ❑ NO Hourly Rate (in): 1 Hourly Rate (in): 1 Hourly Rate (in): 1 Hourly Rate (in): Annual Rate (in): 118 Annual Rate (in): 118 Annual Rate (in): 118 Annual Rate (in): Weather Freeboard Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES ❑ NO ❑ N 'a O L d T 7 a CL C L O CO w !L- N Q Q ' O > 'a C O J 7 �EE O J G 7 O > d E C O J 7 �E R= J G O > d E C O J 7 �E R= J G O > d E R >, C R v Oc J 7E =LT7 �E Ca J OE °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 C 68 0 16,000 120 0.63 0.31 12,000 120 0.27 0.13 0 0 0.00 0.00 2 C 66 0 16,000 120 0.63 0.31 12,000 120 0.27 0.13 0 0 0.00 0.00 3 C 64 0 16,000 120 0.63 0.31 12,000 120 0.27 0.13 0 0 0.00 0.00 4 C 65 0 16,000 120 0.63 0.31 12,000 120 0.27 0.13 0 0 0.00 0.00 5 C 64 0 16,000 120 0.63 0.31 12,000 120 0.27 0.13 0 0 0.00 0.00 6 C 66 0 16,000 120 0.63 0.31 12,000 120 0.27 0.13 0 0 0.00 0.00 7 C 79 0 16,000 120 0.63 0.31 12,000 120 0.27 0.13 0 0 0.00 0.00 8 C 69 0 16,000 120 0.63 0.31 12,000 120 0.27 0.13 0 0 0.00 0.00 9 PC 68 0 16,000 120 0.63 0.31 12,000 120 0.27 0.13 0 0 0.00 0.00 10 R 70 0.3 16,000 120 0.63 0.31 12,000 120 0.27 0.13 0 0 0.00 0.00 11 PC 70 0 16,000 120 0.63 0.31 12,000 120 0.27 0.13 0 0 0.00 0.00 12 PC 72 0.4 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 13 CL 64 0 3.5 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 14 C 63 0 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 15 C 68 0 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 16 PC 70 0.3 8,000 60 0.31 1 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 17 C 62 0 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 18 C 70 0 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 19 CL 66 0.1 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 20 CL 66 0 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 21 PC 68 0 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 221 CL 1 68 0 1 3.6 8,000 1 60 0.31 1 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 23 CL 70 0 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 24 PC 64 0 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 25 CL 66 0.6 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 26 PC 68 0 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 27 CL 64 0 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 28 C 66 0 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 29 PC 70 0 3.25 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 30 PC 64 0 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 31 PC 58 0 8,000 60 0.31 0.31 6,000 60 0.13 0.13 0 0 0.00 0.00 Monthly Loading: 336,000 13.16 252,000 5.62 0 0.00 0 0.00 w 12 Month Floating Total (in): 11INNIIIIIINM EMENEEN0111111H 701VLTA Oki 1UG1:ai[11IMS1 i NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? 0 Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? El Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 0 Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? 0 Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in 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: Jimmy Bllven Permittee: George E Goodrich Certification No.: 28243 Signing Official: Tina Gee by Authority Grade: SI Phone Number: 252-489-9583 Signing Official's Title: Manager of Atlantic OBX Has the ORC changed since the previous NDAR-1? ❑ Yes ❑ No Phone Number: Permit Exp.: 6/30/22 11 /27/2020 Z11 /27/2020 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 m 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-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of Permit No.: WQ0002829 Facility Name: KDHWWTP County. Dare Month: October Year: 2020 Did infiltration occur at Site Name: Pond 1 Site Name: Site Name: Site Name: this facility? Area (acres): 2.1 Area (acres): Area (acres): Area (acres): ❑ YES ❑ NO Rate (GPD/ft2): 1.49 Rate (GPD/ft): Rate (GPD/ft2): Rate (GPD/ft): Weather Freeboard Site Infiltrated? ❑ YES ❑ NO Site Infiltrated? ❑ YES ❑ NO Site In iltrated?i ❑ YES ❑ NO Site Infiltrated? ❑ YES ❑ NO 'a a 7 c C a y M 2 y M N '� N F C O N 'a N P C O N 'a N 0 C O N 'a N 0 P C O 0 Q �, Q- E w R R Q w R Q w R Q C C E 'U oa C. C C. 0 Q- > Q H 0 o a S N CL > Q ~ w 0 o �,c N Q' > Q ~ w 0 o �,S N Q' > Q ~ w D O N L R ❑ R C J LL fy6 J li R J li R J li R m m m m °F in ft ft gal min GPD/ft2 ft gal min GPD/ft2 ft gal min GPD/ft2 ft gal min GPD/ft2 ft 1 C 68 0 #VALUE! 2 C 66 0 #VALUE! 3 C 64 0 #VALUE! 4 C 65 0 #VALUE! 5 C 64 0 #VALUE! 6 C 66 0 #VALUE! 7 C 79 0 #VALUE! 8 C 69 0 #VALUE! 9 PC 68 0 0 240 0.00 10 R 70 0.3 0 216 0.00 11 PC 70 0 0 228 0.00 12 PC 72 0.4 3,830 168 0.04 13 CL 64 0 3.5 8,230 210 0.09 14 C 63 0 13,720 222 0.15 15 C 68 0 5,460 198 0.06 16 PC 70 0.3 56,910 252 0.62 17 C 62 0 6,260 198 0.07 18 C 70 0 0 162 0.00 19 CL 66 0.1 7,090 204 0.08 20 CL 66 0 51,090 330 0.56 211 PC 1 68 0 1 41,920 1 234 0.46 22 CL 68 0 3.6 107,100 294 1.17 23 CL 70 0 0 414 0.00 24 PC 64 0 91,590 438 1.00 25 CL 66 0.6 70,340 378 0.77 26 PC 68 0 67,700 390 0.74 27 CL 64 0 67,330 354 0.74 28 C 66 0 64,180 366 0.70 29 PC 70 0 3.25 63,770 354 0.70 30 PC 64 0 65,080 354 0.71 31 PC 58 0 39,520 294 0.43 FYearMoto nthly Loading (GPD/ft2): #VALUE!! #DIV/0! #DIV/011 #DIV/01 Date Loading (GPD/ft2): FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of Did the application rates exceed the limits in Attachment B of your permit? ❑ Compliant ❑ Non -Compliant If not a basin, were the sites kept free of vegetation and raked? ❑ Compliant ❑ Non -Compliant If not a basin, were there any instances of effluent ponding in or runoff from the sites? ❑ Compliant ❑ Non -Compliant If a basin, were there any instances of breakout from the berms? ❑ Compliant ❑ Non -Compliant Was the onsite automatically activated standby power source tested and operational? ❑ 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. No ETM numbers were recorded for sprayfields from October 1 thru October 8 by the former operating company. Therefore no flow numbers could be calculated for those Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Jimmy Bllven Permittee: George E Goodrich Certification No.: 28243 Signing Official: Tina Gee Grade: SI Phone Number: 252-489-9583 Signing Official's Title: Manager for Atlantic OBX Has the ORC changed since the previous NDAR-2? ❑ Yes ❑ No Phone Number: Permit Exp.: 6/30/22 11 /27/2020 _ 11 /27/2020 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