WQ0011655_Monitoring - 09-2020_20201104

FORM: NDMR 10-13
NON -DISCHARGE MONITORING REPORT (NDMR)
Page ! of

FORM: NDMR 10-13
NON -DISCHARGE MONITORING REPORT (NDMR)
Page Z of -L
Sampling Person(s)
Certified Laboratories
Name: Benjamin H. Davis Name: Environment-1, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? X 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
additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Benjamin H. Davis
Certification No.: 18551
Grade: SI Phone Number: [phone]
Has the ORC changed since the previous NDMR? X yes a No
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
1
Date
Permittee Certification
Permittee: East Carolina Council, Inc./BSA
Signing Official: Doug Brown
Signing Official's Title: CEO
Phone Number: [phone] Permit Expiration:
I certify, under penalty of law, that this document and all attachments were prepared under my direction or suf
system designed to assure that all qualified personnel properly gathered and evaluated the information submitt
Jerson or persons who manage the system, or those persons directly responsible for gathering the information,
the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant pe
information, including the possibility of fines and imprisonment for knowing violatiot
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 3 of

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 4 of C
Did the application rates exceed the limits in Attachment B of your permit? X compliz
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? X compliz
Was a suitable vegetative cover maintained on all sites as specified in your permit? X compliE
Were all setbacks listed in your permit maintained for every application to each permitted site? X complie
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? IX compliz
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
additional sheets if necessary.
IOperator in Responsible Charge (ORC) Certification11 Permittee Certification
ORC: Benjamin H. Davis
Certification No.: 18551
Grade: SI Phone Number:
Has the ORC changed since the previous NDAR-1?
Permittee: East Carolina Council Inc./BSA
Signing Official: Doug Brown
[phone] Signing Official's Title: CEO
Xi Yes ❑ No Phone Number: 252 933-6801 Permit Ex`�
( ) p.:
ww 10/2
Signature Date
By this si ature, I certify that this report is accurrate and complete to the best of my knowledge.
Sign
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supery
system designed to assure that all qualified personnel properly gathered and evaluated the information submitted.
rson or persons who manage the system, or those persons directly responsible for gathering the information, the it
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for s
including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit

• FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 6 of
Did the application rates exceed the limits in Attachment B of your permit? z compli
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? /\J compliz
Was a suitable vegetative cover maintained on all sites as specified in your permit? X compli<'
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑ compli`
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? X compli`
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
additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Benjamin H. Davis
Certification No.: 18551
Grade: SI Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? X Yes ❑ No
(,��_ vO 10/20/20
Signature Date
By t is signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
East Carolina Council Inc./BSA
Signing Official: Doug Brown
Signing Official's Title: CEO
Phone Number: [phone] Permit Exp.: f Cif L y _L/ 1_
Sig ture
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supery
system designed to assure that all qualified personnel properly gathered and evaluated the information submitted.
rson or persons who manage the system, or those persons directly responsible for gathering the information, the it
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for s
including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit