WQ0014046_Monitoring - 11-2020_20210111

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0014046
Name of Facility:* Stovall WWTF
Month:* November
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*
Stovall WWTF.pdf 2.85MB
FOF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Dale Mathews
6W� 6/ a4fiWItt
Reviewer: Williams, Kendall
1 /11 /2021
This will be filled in automatically

Is the project number correct? * WQ0014046
Is the monitoring report r Yes r No
accepted?*
Regional Office * Raleigh
Accepted Date: 1/11/2021

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)
Name: Dale Mathews
Name: Andy Mathews
Name: Meritech
Name:
Certified Laboratories
0.. riwrr11wr fny uaia ano sampling rrequencles meet the requirements in Attachment A of your permit? OCompliant RNorCompliant
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) takei
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Andy Mathews
Permittee: Town Of Stovall
Certification No.: 993132
Signing Official: Janet Parrott
Grade: Si Phone Number: 919-939-0232
Signing Official's Title: Mayor
Has the ORC changed since the previous NDMR? Over No
Phone er. 919-693-4646 Permit Expiration: 12/31/20
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Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
1 certify, under penalty of law. that this document and all attachments were a ed under m direction or s a Par y upovision in arcordancewitha 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
krwwledge and belief, true, accurate, and complete. I am aware that there are significant penalfies 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) Page of

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit? 11Compliant R Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ElCompliantNon-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Ocompliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? R,Compliant Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ElCompliant Non -Compliant
If the facility is noncompliant, 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)
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Andy Mathews
Permittee:
Town Of Stovall
Certification No.: 993132
Signing Official: Janet Parrott
Grade: SI Phone Number: 919-939-0232
Signing Official's Title: Mayor
Has th C changed since the previous NDAR-1?❑, yes ❑ No
Phone N er: 919-693-4646 Permit Exp.: 12/31/20
® -43W
2A31VZD
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