WQ0000948_Monitoring - 10-2020_20201208

k y • ARM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of
Permit No.; W00000948
Facility Name: Town of Jackson WWTF
County: Northampton
Month: e �
Year: �aQ
PPI, 001
Flow Measuring Point: ❑lrfiuent EZEffluent �Nio flow generated
Parameter Monitoring
Point: ❑In'i.:ea: 7-Effluent ❑Groundwater Lowering ❑5ur<ace water
Parameter Code —s
60050
00310
00940
50060
31616
00610
00626
00620
00600
004DO
00665
70300
00530
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24-hr
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GPD
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
3
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4
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.5
5
6
1500
0.08
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7
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10
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11
12
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141
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16
100.142
17
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19
*71
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1710
20
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15480,
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28
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29
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30
31
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Average:
Daily Maximum:
,
l
Daily Minimum:
,
Sampling Type:
Recorder
! G.ab
Grab
Grab
Grab
Grab
Grab
Grab
l Grab
Grab
Grab
Grao
Grab
Monthly Limit:
203,000
Daily Limit:
--
_
Sample Frequency:
Continuous � \%o^;^ y
3 X Yea- 'e- Eve__ Mon:^ly Vo^;^ y
Vlon`. ly Vo_:^ y
1Aon:^ly ?e Eve-.
Mon:-ly
3 X Yea
Mon;^ly�

-' ORM: PIDNIR 03-12 NON-DGSC(IARGE MONIT71?IMG REPOR•! (NDWIR) Page 1 of �
,.�..,....,..�,.�m,�.,,Sarnpiing Person(s)..,..-.... ,.._.T.�.�,....M_..,u.,m.,,, .......-.�....., .s.�r.,.�,.�.., Cercifled Labora4ories
Mama: Johnny Young Manic: Environment 1, Inc. Greenville, N C
Name: DIario:
Does e4o rrrlroOnNo>i•ing, aa;Eltm and Bampling everittiOA irriGO VO-r-arnfi ch 1?0- 661 flvl'hcPrameofl A 02 your pe6TiT0r5 ❑Compliant i�ltonCompllanl
if flio 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) tal,en. Allacb additional sheds if necessary 1_,,._.•,,,... _ _.. ,..-- _,
t: i O Z �� r � �✓` � ' `/� /`�A.L,L f'Q.��L- /O - r7 t �� p- O2 Z.o Z o� �' TDw.iJ ��� tttr�,+tca•b �.dl`��
o'(-Z®z'Oe w.4s
uiAs <3 6 MO �5�50 s GJe�r d.7�oT v i f%a' Touar✓ ��l�S G�d2�c �� L��rrl�Z-Y7� �v
,�r..tl, uri LL ea .)T' t/c' Td 1; a
Operator in Responsible Charge (ORC) Certification
DRc: Johnny Young
certification No.: 23129
Gvade: 1 Collection Phone Mumber: 252-534-3811
t-las tine oRc changed since the previous MDMN? ❑ Yes M t•to
NDY zo 7-02—d
Date
13y this signature, I corilfy that this report is accurrale and complete to ilia best of my inimvAedge.
nermittee Certification
Permittee; Town of Jackson
sig6zincg Official: Jason S. Morris
Signing Ofllciai's a itte: 11byor
Phone Mumber: 252-534-3811
PermitErpiratloot: Imo- 31- a,
I edify, under penally of law, that tills document and all altaciunanla worn prepared under my direcllon or cuparvislon In
accordance wtlh a system designed to ensure that all qualified personnel proparly pillared and evaluated Ihs Information
subnihtod, Oneed an my inquiry of ilia person or pofaons who monaeo iho syalom, or those parsons directly rasponsiblo for
galhming Ilia Information, Ilia Information submilted is, to the hest of my lmo"Audga and belief, true, accurate, end complete. I am
awaro Ihai there are significant penalties for submitting false informalion, Including tiro passibility of lines and Imprisonment for
knowing violations.
Mail Original and 3'wo Copies to:
Division of Water Quality
Information Processing Unit
•i6.3 7 Mail Service Centel'
i?aleigh, Noviii Carolina 27139946,17

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ! of Z
Permit No.: WQ0000948
Facility Name: Town of Jackson WWTF
county: Northampton
Did irrigation occur
at this facility?
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FORM: NDAR-1 05-^,C, NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 14- of -Z
e
Permit No.: WQ0000948
Facility Name: Town ofJackson VVWTF
County: Northampton
IField
Name:
Did irrigation occur
at this facilit ?i
'Y
Cover Crop:
Cover Crop:
rem . ,
Hourly Rate (in):
:;
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MR As
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rim

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 1
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? p mplant ❑ Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? p/Compliant ❑ Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? �p Compuant ❑ Non•cempnant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? YJ complant ❑ 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: Johnny G . Young
Permittee: Town of Jackson
Certification No.: 2 312 9
Signing Official: Jason S. Morris
Graded collection Phone Number: 2 5 2— 5 3 4— 3 811
Signing Official's Title: Mayor
Has the ORC changed since the previous NDAR-1? 0 Yes [N No
Phone Number. 2 5 2 - 5 3 4 - 3811 Permit Exp.: 12-31-Al
Sig ture Date
Signature Date
/Yunder
By this signature, I cerliry Ihai 1 is report Is accurrale and complete to the best of my knowledge.
IGo penally of law, that this document and all allachments 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, aocurale, and complete. I am aware that there are significant
penalties for submtting false Information, Including the possibility of fines and imprisonment for knowing violations,
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617