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WQ0002829_Monitoring - 01-2021_20210225
Monitoring Report Submittal ............................................................................................................................................ Permit Number #* WQ0002829 Name of Facility:* KDHWWTP Month:* January Report Information Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address:* Name of Submitter:* Signature: Date of submittal: Initial Review Year:* 2021 Upload Document* WQ0002829 JAN-21.pdf 1.1 MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59). TGEE@ATLANTICSEWAGE. COM TINA GEE Reviewer: Williams, Kendall 2/25/2021 This will be filled in autorratically Is the project number correct? * WQ0002829 Is the monitoring report r Yes r No accepted?* Regional Office * Washington Accepted Date: 2/25/2021 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: Q111 • • Dare Month:1 11Flow Measuring •• ■ Influent ■ Effluent ■ No flow generated Parameter Monitoring •• ■ Influent ■ Effluent ■ Groundwater Lowering ■ Surface Water Parameter Code 0 • © 0 -more --------------- FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0002829 Facility Name: KDHWWTP County: Dare Month: January Year: 2021 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 10:05 1 228,380 H 2 09:00 1 216,000 3 09:30 1 76,250 4 09:40 3 150,560 6.96 5 08:50 2 137,000 6.92 6 09:20 3 106,000 6.83 7 09:15 3 105,000 6.67 8 00:00 0 147,000 6.9 9 00:00 0 129,000 10 00:00 0 118,000 11 09:10 2 121,000 6.89 12 10:00 2 107,000 6.97 13 08:50 3 104,000 <2 117 1 <0.2 1.1 1.08 2.2 6.9 0.68 <2.5 14 08:55 2 118,000 7.03 15 09:45 2 132,000 7.22 16 00:00 0 136,000 171 00:00 0 159,000 18 09:30 2 148,000 6.91 19 09:00 2 130,000 6.91 20 09:50 3 12,490 7.07 21 08:40 3 122,760 6.97 22 10:20 2 150,000 7.02 231 00:00 0 161,000 24 00:00 0 134,000 25 10:10 2 150,000 6.87 26 11:00 3 126,000 <2 <1 <0.2 <0.5 13.3 13.3 6.81 1.55 <2.5 27 09:20 3 125,000 6.86 28 11:00 3 121,000 6.94 291 10:00 2 162,000 6.98 30 00:00 0 166,000 311 00:00 1 0 78,000 Average: 131,498 0.00 117.00 1.00 0.00 0.55 7.19 7.75 1.12 0.00 Daily Maximum: 228,380 2.00 117.00 1.00 0.20 1.10 13.30 13.30 7.22 1.55 2.50 Daily Minimum: 12,490 2.00 117.00 1.00 0.20 0.50 1.08 2.20 6.67 0.68 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 3 X Year See Permit See Permit See Permit See Permit See Permit 5 X Week See Permit 1 3 X Year I See Permit FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: Q111 • • Dare Month: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.: Q111 • • Dare Month: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.: Q111 • • Dare Month: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. Exceeded monthly limit for total nitrogen by0.75. Monthly limit is 7, average is 7.75. 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: 252-489-9583 Signing Official's Title: Manager of Atlantic OBX Has the ORC changed since the previous NDMR? ❑ Yes ❑ No Phone Number: 252-489-3206 Permit Expiration: 6/30/2022 02/25/21 02/25/21 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 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: WQ0002829 Facility Name: KDHWWTP County. Dare Month: January Year: 2021 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 0 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 0 NO Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES 0 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 R 50 0.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 2 PC 60 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 3 CL 54 0.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 4 PC 42 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 5 C 42 0 3 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 6 CL 40 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 7 C 40 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 8 CL 44 1 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 9 PC 35 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 10 C 37 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 11 PC 32 0.1 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 12 R 44 0 2.9 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 13 C 36 0.1 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 14 C 43 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 15 C 48 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 16 CL 44 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 17 C 41 0.4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 18 PC 40 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 19 C 40 0 2.9 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 20 CL 46 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 21 R 43 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 22 PC 45 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 23 C 40 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 24 C 38 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 25 R 37 1.1 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 26 R 50 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 271 CL 1 44 0.8 1 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 28 R 32 0.1 2.8 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 29 C 27 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 30 C 34 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 31 CL 36 1.4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 Monthly Loading: 0om 0.00 0om 0.00 1 0 om 0.00 NMI 0 0.00 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: January Year: 2021 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 0 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 0 NO Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES ❑ NO ❑ N 'a O Ld 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 R 50 0.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 2 PC 60 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 3 CL 54 0.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 4 PC 42 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 5 C 42 0 3 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 6 CL 40 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 7 C 40 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 8 CL 44 1 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 9 PC 35 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 10 C 37 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 11 PC 32 0.1 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 12 R 44 0 2.9 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 13 C 36 0.1 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 14 C 43 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 15 C 48 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 16 CL 44 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 17 C 41 0.4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 18 PC 40 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 19 C 40 0 2.9 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 20 CL 46 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 21 R 43 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 22 PC 45 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 23 C 40 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 24 C 38 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 25 R 37 1.1 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 26 R 50 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 271 CL 44 0.8 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 28 R 32 0.1 2.8 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 29 C 27 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 30 C 34 0 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 31 CL 36 1.4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 Monthly Loading: 0 0.00 0om 0.00 0.00 EME 0.00 -0MM -0MM 12 Month Floating Total (in): 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 0 No Phone Number: 252-489-3206 Permit Exp.: 6/30/22 f� 02/25/21 _—a �.,4-tom__ 02/25/21 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: January Year: 2021 Did infiltration occur at Site Name: 1-A Site Name: 1-B Site Name: 3 Site Name: 4 this facility? Area (acres): 0.28 Area (acres): 0.28 Area (acres): 0.06 Area (acres): 0.12 ❑ YES ❑ NO Rate (GPDIft2): 10 Rate (GPDIft): 10 Rate (GPDIft2): 10 Rate (GPDIft): 10 Weather Freeboard Site Infiltrated? ❑ YES 0 NO Site Infiltrated? ❑ YES 0 NO Site In iltrated?i ❑ YES 0 NO Site Infiltrated? 0 YES ❑ NO 0'a a7N C acQUL o CR. w �, C. C. R r;2w_ ' - Q- > NR E H o F P ac m LL a Q > w o O P m li a Q > ' o O Pm c N li a Q > ' .r w R D O Py N OQ li RCc m °F in ft ft gal min GPDlft2 ft gal min GPDlft2 ft gal min GPDlft2 ft gal min GPDlft2 ft 1 R 50 0.5 0 0 0.00 0 0 0.00 0 0 0.00 18,480 120 3.54 2 PC 60 0 0 0 0.00 0 0 0.00 0 0 0.00 10,164 66 1.94 3 CL 54 0.5 0 0 0.00 0 0 0.00 0 0 0.00 3,696 24 0.71 4 PC 42 0 0 0 0.00 0 0 0.00 0 0 0.00 7,392 48 1.41 5 C 42 0 0 0 0.00 0 0 0.00 0 0 0.00 5,544 36 1.06 6 CL 40 0 0 0 0.00 0 0 0.00 0 0 0.00 4,620 30 0.88 7 C 40 0 0 0 0.00 0 0 0.00 0 0 0.00 6,468 42 1.24 8 CL 44 1 0 0 0.00 0 0 0.00 0 0 0.00 8,316 54 1.59 9 PC 35 0 0 0 0.00 0 0 0.00 0 0 0.00 6,468 42 1.24 10 C 37 0 0 0 0.00 0 0 0.00 0 0 0.00 6,468 42 1.24 11 PC 32 0.1 0 0 0.00 0 0 0.00 0 0 0.00 8,316 54 1.59 12 R 44 0 0 0 0.00 0 0 0.00 0 0 0.00 7,392 48 1.41 13 C 36 0.1 0 0 0.00 0 0 0.00 0 0 0.00 6,468 42 1.24 14 C 43 0 0 0 0.00 0 0 0.00 0 0 0.00 6,468 42 1.24 15 C 48 0 0 0 0.00 0 0 0.00 0 0 0.00 7,392 48 1.41 161 CL 44 0 0 0 0.00 0 0 0.00 0 0 0.00 12,936 84 2.47 17 C 41 0.4 0 0 0.00 0 0 0.00 0 0 0.00 7,392 48 1.41 18 PC 40 0 0 0 0.00 0 0 0.00 0 0 0.00 6,468 42 1.24 19 C 40 0 0 0 0.00 0 0 0.00 0 0 0.00 5,544 36 1.06 20 CL 46 0 0 0 0.00 0 0 0.00 0 0 0.00 924 6 0.18 21 R 43 0 0 0 0.00 0 0 0.00 0 0 0.00 7,392 48 1.41 45 0 0 0 0.00 0 0 0.00 0 0 0.00 8,316 54 1.59 40 0 0 0 0.00 0 0 0.00 0 0 0.00 10,164 66 1.94 38 0 0 0 0.00 0 0 0.00 0 0 0.00 5,544 36 1.06 37 1.1 0 0 0.00 0 0 0.00 0 0 0.00 7,392 48 1.41 50 0 0 0 0.00 0 0 0.00 0 0 0.00 6,468 42 1.24 44 0.8 0 0 0.00 0 0 0.00 0 0 0.00 5,544 36 1.06 EYearMto 32 0.1 0 0 0.00 0 0 0.00 0 0 0.00 5,544 36 1.06 27 0 0 0 0.00 0 0 0.00 0 0 0.00 7,392 48 1.41 34 0 0 0 0.00 0 0 0.00 0 0 0.00 8,316 54 1.59 36 1.4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00111111131111= 6,468 42 1.24 1.39 nthly Loading (GPDIft2): Date Loading (GPDIft2):MEEMEMEMEM 7.]VLTA Oki 197G1 MAIMS 11 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? 0 Compliant ❑ Non -Compliant If not a basin, were there any instances of effluent ponding in or runoff from the sites? 0 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. 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-2? ❑ Yes ❑ No Phone Number: 252-489-3206 Permit Exp.: 6/30/22 �I 02/25/21 02/25/21 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