WQ0000948_Monitoring - 11-2020_20210105

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of
Permit No.: WQ0000948
Facility Name: Town of Jackson WWTF
County: Northampton
Month: Xv
v
Year: Z Q4940
PPI: 001
Flow Measuring Point: ]'.rfiuert ( lfiren; :: c flow generated
Parameter Monitoring Point: ❑lnfloern �_fFluent 71&oundwater _ovae-ing J5udace Water
Parameter Code --s
50050
00310
00940
50060
31616
00610
00626
00620
00600
00400
00665 70300
00530
>
E
O
E
O
o
FLO
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�d
u v
oc
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vc
op
y
o
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a
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ao
o
~0P
m
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to
v)
24-hr
hrs
GPD
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
.19
2
l
3
1�
,
4
1
5
1359
io,og.
/
iJ. 3
6
)4.
.11
1.0
7
10
8
9
+I
a
10
8
��
11
, p
12
13
14
p
15
(�
16
c
r a
v
17
. A,
18
L'
19
Q,
d
,
1
_
20
1
a
'
_
/
21
50
(�
22
23
1,2 CC
24
v
25
a
I
26
27
G
28
29
30
,
31
Average:
Daily Maximum:
ja 19
Daily Minimum:
a
Sampling Type:
Recorder ' G-ab
Grab
G:ab
_
Grab
G-ab
Grab
I Grab
! Grab
Grab
Grab
G-aa
Grab
Monthly Limit:
203,000
Daily Limit:_20
_
Sample Frequency:
Continuous V.o^:may
T 3 X Yea- -e- Eve_,: Ulon:^ly Vo_- y
Vlon',ly '_ Vo_•:-y
i Mont^ly
?e- Eve-.
iNAon.,ly
3 X Yea-
Mon:^I;,_`_

T=ORM: PIDNIR 03-12
NON-DiSCi• ARGE NIONITORIMG REPORT (MVIR)
Page 1 of - 1
r
Sampling Person(s)
Certified Laboratories
Mama: Johnny Yrnmg "a5110: Fnvironiumt 1, Inc. Greenville, N C
Name: mane:
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Does AQ Inruo�raQt��!> ing ckita and sampling ui'G?gt sondes nonethe b'6:?quirrafU'OG�nts in Aftic 30'if ent, [ 1 0 youl' Gaefill ft? ❑Campilant onCanpisnt
if the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide ilr your wxplanalion the dale(s) of the non-compliance and describe the conective
aclion(sl laltan. Allach additional sheets if necessary.
u :.. y,�.�: . ��.�, oj►'^�L+�'��{� 4 � u_-rIke
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ut "f PT,M_%_`E FgPeT-t=rs't b'+L
e1c �lT4r b` A,(.
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r(+e tHCUe ie "T��` `jO t T4�-
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_ Operator irf Responsible Charge (011C Certification Pormittee Certification
ORC: Johnny Young Pelmittee: Town of Jackson
Certification No.: 2-9129 Signing Official: Jason S. Morris
Grade: 1 C.ollectial Phone Mumber: 252-534-3811 Signing Official's Title: Mayor
Has the ORC changed since the Previous NDMR? ❑ Yes } ,} rio Phone Number: 252-M4-3811 Permit i;rpif a6:ioui: ! ' �l
\ i Z -2 t- Zv3Za 0�L
Si ture Date Signature . Date
By lids Signature, I Codify that tills report is accurrale and complete to ilia bust of my hnovdadgo. I carilly, under penally of law, list tills document and all attachments were prepared under my direction or supervision in
Zaccordance wilh a system designed to aasuro that all qualified personnel property gathered and evaluated the Information
lllod, Based an rnyinqulry of the person orparsono who monago Ilia Syalem, or those persona diracilyrocpondblo for
gathering Ilia Information, the Information submitted In, to the best of my Imovdadgo and belief, true, accurate, and aompiato. I nm
aware that there are slgnificanl penalties for submitting false information, Including tiro pasoibllhy of Ones and Imprisonmeal for
knowing violations.
____�•__...._.._...--.,....Wm..�..�......o.�.,•,n..�....�...-...,•-,.�w...�..-.d..�..,.w..w..,_.,.�._.. Mail Original and Two Copies to,....e.....w.�a_.��.�.....�.
Nvision of Water Quality
tnjormation Processing Unit
107 Mail Service Center
Raleigh, North Carolina 2769946V

r FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0000948
I Facility Name: Town of Jackson WWTF
County: Northampton
Did irrigation occur
at this facility?
&ES EINO
—M
N
Cover Crop:
VAUF[M in
Hourly Rate (in):'
=ffIT11M. 111;FTFUM
Annual Rate (in):
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.FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a.- of J_
® w1111948
Facility Name: Town ol Jackson.unty:
Northampton
Did irrigation occur
at this facility?
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Field
Area (acr
Hourly Rate (in):
Annu"ate (in):
-®Annual
Rate (in):,
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_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?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
F��C;pflmt ❑ Non-CompNant
C.,T&npilant ❑ Non-Complaint
0 &mpllant ❑ Non -Compliant
b Complant ❑ Non -Compliant
la'Empilant ❑ 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? Elyes LN No
Phone Number: 2 5 2-534 -3811 Permit Exp.: 12-31—A!
1'L"Zi'ZotJ
l2• 2�
Signature Date
Signa Date
By this signature, I certify that (his report Is accurrate and complete to [lie best of my knowledge.
I certify, under penalty of law, that Oils document and all allachments were prepared under my direction or supervision In accordanco
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 submillinug false Information, induding 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