HomeMy WebLinkAboutWQ0014046_Monitoring - 12-2020_20210201Monitoring Report Submittal
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Permit Number #* WQ0014046
Name of Facility:* Stovall WWTF
Month:* December
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 2.83MB
FOF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
mmvvaterservices@yahoo.com
Dale Mathews
6W� 6/ a4fiW1V1
Reviewer: Williams, Kendall
2/1 /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: 2/1/2021
FORM: N 05-16 NON -DISCHARGE MOP RING REPORT (NDMR) Page —
FORM: N 05-16 NON -DISCHARGE MOP ZING REPORT (NDMR) Page _
Sampling Person(s)
Certified Laboratories
Name: Dale Mathews Name: Meritech
Name: Andy Mathews Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?❑i 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: 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 C changed since the previous NDMR?n, Yes No Phone Number: 919-693-4646 Permit Expiration: 12/31 /20
r
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 thus document and At attachments were prepared undo 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 krowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FORM: n 1 05-16 NON -DISCHARGE APPL 11ON REPORT (NDAR-1) p, ,o
FORM: N 1 05-16 NON -DISCHARGE APPL ION REPORT (NDAR-1) Page _
FORM: N 1 05-16 NON -DISCHARGE APPL. ;ION REPORT (NDAR-1) Page —
Did the application rates exceed the limits in Attachment B of your permit?
❑i Compliant � Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
�i Compliant � Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
El Compliant EI Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
�i Compliant � Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
�i 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 11
ORC: Andy Mathews
Certification No.: 993132
Grade: SI Phone Number: 919-939-0232
Has the ORC changed since the previous NDAR-1?
❑i Yes RNo
® L2ckkl
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee:
Town Of Stovall
Signing Official: Janet Parrott
Signing Official's Title: Mayor
Phone Number: 919-693-4646
Permittee Certification
Permit Exp.: 12/31 /20
e'2-a1 z
Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance witha 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