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HomeMy WebLinkAboutWQ0013348_Monitoring - 11-2020_20210105,'FORM: NDMR05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _Lof__�_ Permit No.: WQ0013348 Facility Name: Pamlico Regional Wastewater Facilities County: Pamlico Month: November Year: 2020 PPI: 001 Flow Measuring Point: O Influent ❑ Effluent ❑ No Flow generated Parameter Monitoring Point: [Z Influent ❑ Effluent ❑ Groundwater Lowering ❑ surface water 50050 Parameter Code - ► T m 2 aD Q E U~ O a) E r WO O u_ 24-hr hrs GPD 1 103,000 2 09:30 103,000 3 09:05 96,000 4 09:30 92,000 5 09:30 87,000 6 09:20 80,000 7 92,600 8 92,600 9 14:00 92,600 10 10:30 68,000 11 83,000 12 09:30 1 83,000 424,000 188,300 13 09:30 14 15 188,300 188,300 16 09:30 17 09:00 133,000 18 09:00 1 123,000 19 11:30 142,000 20 09:15 104,000 21 132,000 22 132,000 23 12:40 1 132,000 24 08:55 91,000 25 09:10 112,000 26 H 131,600 27 H 131,600 28 131,600 29 131,600 30 09:40 131,600 31 Average: 127,357 Daily Maximum: 424,000 68,000 Recorder 200,000 Continuous Daily Minimum: Sampling Type: EEMonthly Limit: Daily Limit: Sample Frequency: FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page { of Sampling Person(s) Name: Jerry Morehouse Name: Enviroment 1 Name: Eric Harper Name: Certified Laboratories Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑O 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: Eric Harper Permittee: Bay River MSD Certification No.: 986019 Signing Official: Chris Venters Grade: SI Phone Number: 252-745-4812 Signing Officials Title: Superintendent Has the ORC changed since the previous NDMR? ❑ Yes 21 No Phone Number: 252-745-4812 Permit Expiration: 8/31/2024 CzX 12-22—Zc� &-,< -.� 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: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of C Permit No.: WQ001 3348 Facility Name: Pamlico Regional Wastewater Facilities County: Pamlico Month November 11 . •. ■ ■ Monitoring •. ■ Influent 17 Effluent ■ Groundwater Lowering ■ Surface Water INN © 1 •Emu • 1 /-------------- more • 1 IffalmSampling --------------- Daily Daily Mjnimum:� Type: monthly Limit: 11 11 /--------------li FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of 7 Sampling Person(s) Certified Laboratories Name: Jerry Morehouse Name: Enviroment 1 Name: Eric Harper 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 artinnlcl takpn Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Eric Harper Permittee: Bay River MSD Certification No.: 986019 Signing Official: Chris Venters Grade: SI Phone Number: 252-745-4812 Signing Official's Title: Superintendent Has the ORC changed since the previous NDMR? ❑ Yes Z No Phone Number: 252-745-4812 Permit Expiration: 8/31/2024 A/2-2 a� DEC 22 202 2 _Z P-t y 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 J • FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of Y Permit No.: WQ0013348 Facility Name: Pamlico Regional Wastewater Facilities County: Pamlico Month: November Year: 2020 PPL 003 Flow Measuring Point: ❑ Influent 0 Effluent ❑ No Flow generated Parameter Monitoring Point: ❑ influent Effluent ❑ Groundwater Lowering ❑ Surface Water Parameter Code —► 60050 00310 > m 2 Qm E L) 0 m E := ~ to W 0 p 3 C V_ � o p ro 24-hr hrs GPD mg/L 1 11:47 395,062 2 08:00 298,896 3 08:00 360,964 4 07:45 359,317 5 07:50 356,430 6 08:55 376,371 7 350,983 8 350,983 9 08:00 350,983 101 08:00 352,212 ill 1 345,895 121 08:00 1 1 345,895 13 08700 1 359,303 141 08:00 1 1 32,277 151 1 0 16 08:00 1 0 171 08:00 1 10 181 08:00 1 279,824 191 08:00 376,617 35 20 08:00 1 385,333 21 0 22 0 23 08:00 1 1 35,673 24 08:00 293,234 251 08:00 1 381,240 261 1 216,342 271 13:30 1 216,342 281 1 0 29 0 30 0 31 Average: 227,339 35.00 Daily Maximum: 395,062 35.00 Daily Minimum: 0 35.00 Sampling Type: Recorder Grab Monthly Limit: 500,000 60 Daily Limit: Sample Frequency: Continuous Monthly FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page-3— of Sampling Person(s) Certified Laboratories Name: Jerry Morehouse Name: Enviroment 1 Name: Eric Harper Name. Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant LJ 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 nrfinn/cl takan Attarh arirlitinnal sheets if necessarv. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Eric Harper Permittee: Bay River MSD Certification No.: 986019 Signing Official: Chris Venters Grade: SI Phone Number: 252-745-4812 Signing Official's Title: Superintendent Has the ORC changed since the previous NDMR? ❑ Yes O No Phone Number: 252-745-4812 Permit Expiration: 8/31/2024 rIll -� DEC 22 202 /z-2?_Z 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 designed to assure that all qualified personnel properly gathered and evaluated the information accordance with a system 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: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _�_ of 7 Permit No.: W00013348 Facility Name: Pamlico Regional Wastewater Facilities county: Pamlico Month: November Year: 2020 PPI: 004 Flow Measuring Point: ❑ Influent [A Effluent [_1 No flow generated Parameter Monitoring Point: ❑ Influent F] Effluent ❑ Groundwater Lowering ❑ Surface Water Parameter Code -► 50050 00940 50060 31616 00610 00625 00620 00600 00400 00665 70300 00530 V O N �c O O U.6 E U E L C _ YZ d d } Z a - OQ a d N oN o0n !n 'O W ~ow fn 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 1 158,300 2 08:00 1 517,200 2.1 8.18 3 08:00 1 533,700 4 08:00 1 455,000 5 08:00 1 436,400 6 08:00 1 542,100 7 594,400 8 299,200 9 08:00 1 508,900 101 08:00 1 552,300 1.8 8.17 ill 08:00 1 479,200 121 08:00 1 1 94,600 131 08:00 1 1 0 141 1 359,000 151 1 332,900 161 08:00 1 1 582,600 0.8 1 8.07 171 08:00 1 1 484,700 18 08:00 1 531,900 0.5 8.17 19 08:00 1 416,900 127 1 0.15 6.89 2.21 9.1 4.35 491 59 20 08:00 1 349,900 21 318,900 22 306,100 231 08:00 1 388,400 0.2 7•99 24 08:00 1 506,300 13 0.19 18.79 2.37 21.16 5.74 50 25 08:00 1 526,200 26 12:00 1 67,800 H I H 271 0 H H 28 0 29 131 0 30 08:00 1 0 Average: 344,763 127.00 0,77 3.61 0,17 12.84 1 2.29 15.13 5.05 491.00 54.50 Daily Maximum: 594,400 127.00 2.10 13.00 0.19 18.79 2.37 21.16 8.18 5.74 491.00 59.00 Daily Minimum: 0 127.00 0.20 1.00 0.15 6.89 2.21 9.10 7.99 4.35 491.00 50.00 Sampling Type: Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Monthly Limit: 200 1 60 Daily Limit: Sample Frequency: 1 1 3 X Year Weekly 2xMonth I 2xMonth 2xMonth 2xMonth 2xMonth Weekly 2xMonth 3 X Year 2xMonth FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Certified Laboratories Name: Jerry Morehouse Name: Enviroment 1 Name: Eric Harper Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? El 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 actions) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Eric Harper Permittee: Bay River MSD Certification No.: 986019 Signing Official: Chris Venters Grade: SI Phone Number: 252-745-4812 Signing Official's Title: Superintendent Has the ORC changed since the previous NDMR? ❑ Yes O No Phone Number: 252-745-4812 Permit Expiration: 8/31/2024 DEC 22 717 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.: W00013348 Facility Name: Pamlico Regional Wastewater Facilities county: Pamlico Month: November Year: 2020 Field Name: 1 Field Name: 2 Field Name: 3 Field Name: 4 Did irrigation occur Area (acres): 11.73 Area (acres): 10.27 Area (acres); 15.24 Area (acres): 10.42 at this facility? Cover Crop: P� Pine Cover P� Pine Cover P: Pine Cover P� Pine 0 YES ❑ NO Hourly Rate (in): 0.5 Hourly Rate (in): 0.5 Hourly Rate (in): 0.5 Hourly Rate (in): 0.5 Annual Rate (in): 68.3 Annual Rate (in): 68.3 Annual Rate (in): 68.3 Annual Rate (in): 68.3 Weather Freeboard Field Irrigated? C YES ❑ NO Field Irrigated? O YES ❑ NO Field Irrigated? E YES ❑ NO Field Irrigated? ❑ YES ❑ NO T O Utm N d N I— °v a 0 m �0 � Q. ca ° Ln ._ Ed C a > °° o E7 x°o J E N o a % N _ 0 a,C o E E : oo J E N a E = ° C o 7 E E ° °a o 0 E a QE J E rnCm 7 `° C o £o J 3 °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 PC 61 0.85 2 C 42 3'-11" 72,000 120 0.23 0.11 90,000 120 0.32 0.16 72,000 90 0.17 0.12 107,600 137 0.38 0.17 3 C 50 75,700 120 0.24 0.12 84,000 120 0.30 0.15 72,000 90 0.17 0.12 4 C 55 66,300 83 0.16 0.12 195,600 249 0.69 0.17 5 PC 60 76,400 120 0,24 0.12 84,000 120 0.30 0.15 72,000 90 1 0.17 0.12 6 CL 63 86,000 120 0.31 0.15 96,000 120 0.23 0.12 7 PC 62 76,400 120 0.24 0.12 84,000 120 0.30 0.15 81,000 90 0.20 0.13 8 PC 63 9 CL 66 4'-1" 92,800 150 0.29 0.12 85,000 120 0.30 0.15 71,300 90 0.17 0.11 101 CL 1 63 83,200 120 0.30 0.15 72,000 90 0.17 0.12 134,800 172 0.48 0.17 ill CL 1 63 80,000 120 0.29 0.14 99,200 124 0.24 0.12 121 R 1 70 4.1 131 CL 1 65 141 C 1 63 58,500 90 0.18 0.12 63,000 90 0.23 0.15 68,000 85 0.16 0.12 15 C 61 54,000 90 0.17 0.11 63,000 90 0.23 1 0.15 72,000 90 0.17 0.12 16 C 53 3'-3" 84,000 120 0.30 0.15 72,000 90 0.17 0.12 233,800 302 0.83 0.16 17 C 40 71,900 120 0.23 0.11 61,600 77 0.15 0.12 18 C 40 74,800 120 0,23 0.12 84,000 120 0.30 0.15 70,700 1 90 0.17 0.11 19 C 36 72,000 93 0.17 0.11 201 C 1 40 56,000 120 0.18 0.09 59,400 120 0.21 0.11 72,000 90 0.17 0,12 21 C 50 54,000 120 0.17 0.08 66,000 120 0.24 0.12 78,000 120 0.19 0.09 22 CL 60 54,000 120 0.17 0.08 60,000 120 0.22 0.11 72,000 120 0.17 0.09 23 C 60 0.4 3'-3" 52,200 90 0.13 0.08 113,100 191 0.40 0.13 24 C 40 54,000 120 0.17 0.08 60,000 120 0.22 0.11 54,200 90 0.13 0.09 25 C 44 81,000 120 0.25 0.13 90,000 120 0.32 0.16 261 C 1 45 0.6 271 C 1 40 3'-7" 28 C 40 29 C 50 30 R 70 2.8 31 Monthly Loading: 951,500 2.99'4�=j 1,305,600 4.68 1,446,500 3.50 784,900 2.77 12 Month Floating Total (in): 47.95 62.08 57.17 45.04 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? E Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? [Z Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 21 Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? [71 Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 0 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 . +;. [. \ +nLcn o++nnh nrlriifinnal chppfc if npcpscarv. Operator in Responsible Charge (ORC) Certification ORC: Eric Harper Certification No.: 986019 Grade: SI Phone Number: 252-745-4812 Has the ORC changed since the previous NDAR-1? ❑ Yes O No ,-�' g /2- 22- Zz:- Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Permittee Certification Permittee: Bay River MSD Signing Official: Chris Venters Signing Official's Title: Superintendent Phone Number: 252-745-4812 Permit Exp.: 8/31/24 NDEC 2 2 2'0 Signature Date I certify, under penally 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 Z of 3 •.: WQ0013348 • Regional Wastewater- • Pamlico •nth: NovemberDid 1 Field Name:1 -©Area Field irrigation occur (acres): Area (acresj-�- Area (acres): at this facility? Cover Crop:, Cover Crop: ■ • • • '. 1 • '. 1 • '. 1 M YES •: Annual •: •.Annual Rate (in)� .... ... . �.Irrigated?:i . .. ... rsrnr:�Field Irrigated?o . . M. m ___ __ • 1 1®® ---- -_-_ • o a®® ®_____-_-_ NEW -re 1 �� 1 1 ---- 11 1 1 1 1 ®_____ :• :Ir r • 1 1• 1 11 �� 1 1: -_------ m m ®___ __ -_-- -_-- -_-- ----' m ... i n . 1.3• •11 ��//�//// •1 %/////// ••1 1 j/M/.®iOMAZZ�1///��� 1 Ir j/�/////._ '11 i0001 12 Month Floating . j///////W/////��j/////j%j//////j/.i//////. .1 1 j//////' j/�/////j//;i/////// j///// FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Z of 3 Did the application rates exceed the limits in Attachment B of your permit? El Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? O Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? O Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? R1 Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? a 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 .gntinn(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification ORC: Eric Harper Certification No.: 986019 Grade: SI Phone Number: 252-745-4812 Has the ORC changed since the previous NDAR-1? ❑ Yes i] No 2-12-z Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Permittee Certification Permittee: Bay River MSD Signing Official: Chris Venters Signing Official's Title: Superintendent Phone Number: 252-745-4812 Permit Exp.: 8/31/24 CZ P� � DEC 2 2 ® Signature Date 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 3 of 3 PermitNo.:Q11 • Regional Wastewater- . • .nth: November1 1 • . 1Field Name: • irrigation occurArea (acres): Area (acres�- Area (acres): at this facility? on Cover Crop: 21 0 NO H0Urlv Rate (in)* Hourly Rate (in Hourhf Rate (in), YES Annua-VAate (in):' Annual Rate (iny' Annual Rate (in):1 ... • • .. •. ■ ■ •Field lrri&at&f Field IrrigateV■ ■ • • .. • ■ ■ • SEEM New ®®®® ---- ---- ___ ®®®® ---- ---- ©___ __ ---- offer,1 ® 1 -_-- ---- 11 �®---_ 1 ® 1 1 ---- _____ ®®®®®®®-__--_-- ®-_-- m ®®®® ---- --_- off -re grew ®®®MW ®-_-- -_-- M. Will M ___-_ -_-_ F. NO1 ®___ __ -_-_ -_-- ---- -_-_ M ___ __-_-- m ___ __ -_-- ---- ---_ ---- ®___ _- --_- ---- ---- -_-"���1� Mont ONNI/� Month12 • �iLl' "a/, � j//////.®' . //- FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Did the application rates exceed the limits in Attachment B of your permit? Page 3 of 3 ' i] Compliant ❑ Non -Compliant 1 Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 21 Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? O Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 0 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: Eric Harper Permittee: Bay River MSD Certification No.: 986019 Signing Official: Chris Venters Grade: SI Phone Number: 252-745-4812 Signing Officials Title: Superintendent Has the ORC changed since the previous NDAR-1? ❑ Yes O No Phone Number: 252-745-4812 Permit Exp.: 8/31/24 DEC 2 2 2020 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