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HomeMy WebLinkAboutWQ0006254_Monitoring - 02-2021_20210331Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0006254
Name of Facility:*
Month:* February
Report Information
Corolla Light WWTP #1
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
CL NDMR and NDAR-2 7.3MB
Reports FEB21 Signed.pdf
IPDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Travis.Tucker@carolinawaterservicenc.com
Travis Tucker
p�" 11 �'Y, 9ut
Reviewer: Williams, Kendall
3/31 /2021
This will be filled in automatically
Is the project number correct?* WQ0006254
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Washington
Accepted Date: 3/31/2021
FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: p 111.254
Facility Name: Corolla Light.
rrituck
Month:-•
Param ter Monitoring Point: El influentQ Groundwater Lowering El surface water
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FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Travis Tucker Name: Environmental Chemists Inc. - Lab Certification #37729; DWQ #94
Name: Gary Schwartz Name: Carolina Water Service of NC Inc. Eastern Region #5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? E 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.
ember 21, 2020 at 12:25, all flow started being redirected to Monteray Shores WWTP (WQ0009772). In October 2020, w,
tanks. Main power disconnected on October 27, 2020 and the last day operations staff was onsite was October 28, 2020.
t0
contractors
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Travis Tucker
Permittee: Carolina Water Service of North Carolina Inc.
Certification No.: 1002180
Signing Official: Dana Hill
Grade: 4 Phone Number: 252-256-1190
Signing Official's Title: Regional Manager
Has the ORC changed since the previous NDMR? ❑ yes f2] No
Phone Number: 252-269-2540 Permit Expiration: 10/31/2021
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Digitally s,gn.d by Dana HIII
Reason'. l am this document
Dana Hill DN:.. I m th,O-Cbt C, DN-Dana HIII, E=dana M1IIIQcarollnawalerservicenacom
Location. you, signing location M1ere
Dale: 2D21.03.31 07 58.02-04'OD'
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PDF Vh
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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-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Permit No.., WQ0006254
Facility Name: Corolla Light WWTP #1
County: Currituck
Month: February
Did infiltration occur at
Site Name:
Site Name:
Site Name:
this facility?/
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FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Did the application rates exceed the limits in Attachment B of your permit? 2 Compliant ❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked? R 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? 2 Compliant ❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational? [21 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
fnl A+tnnh nrlrlifinnal zhppfiq if npr.pssarv.
Operator in Responsible Charge (ORC) Certification
I ORC: Travis Tucker
Certification No.: 1002180
Grade: 4 Phone Number: 252-256-1190
Has the ORC changed since the previous NDAR-2? ❑ Yes n No
Permittee Certification
Permittee: Carolina Water Service of North Carolina, Inc.
Signing Official: Dana Hill
Signing Officials Title: Regional Manager
Phone Number: 252-269-2540
Permit Exp.: 10/31/21
Digitally signed by Dana Hill
DN O=US O=OWSNC CN=Dana HIII E=dana hlll@carollnawaterservicenccom
Dana
Hill
Reason: am the author o(thls document
Location: your signing location here
Date: 2021.08.31 07 58:22-04'00'
Foxit PhantomPDF Version'. 10.1.1
Signature C , Date Signature Date
By this signature, 1 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