The URL can be used to link to this page

Home My WebLink AboutWQ0015053_Monitoring - 02-2021_20210401FORM: NDMR 03-12 NON -DISCHARGE MO ITO IREPORT (® ) Page / of"L-- FORM: NDMR 03-12 MON-DISCHARGE MONITORING REPORT (NDWIR) Page Of q FORM: NDMR 43-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of "l Permit No.: WQ001 5053• • • • .February1 11• -. ■ ■ ■ . o ■ • r ® ' ova � � � ■■� � � � � mom® � � �■■■ � � � � ■■�■ mom© ■■■� �■ ■■m Sampling ■� ■■� Monthly■� FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page z1 of V Sampling Person(s) Certified Laboratories Name: Rod Holley Name: Enviro Chem Name: 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 au;iukl �) to 11, %tau I CUUMVI Iai al IVWLb Ir Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Rod Holley Permittee: County of Currituck Certification No.: 1009155 Signing Official: Rod Holley Grade: WW3 Phone Number: 252-232-6065 Signing Official's Title: Wastewater Superintendent Trainee Has the ORC changed since the previous NDMR? ❑ Yes El No Phone Number: 252-232-6065 Permit Expiration: 11/22/2022 3/15/2021 dj4L 3/1512021 Ignature Date Sign ure Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of taw, 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 possibitity of Vines and imprisonment for knowing violations. Mail Original and Two Copios to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM; NDAR-205-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page— ) of Z FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page Z. of Did the application rates exceed the limits in Attachment B of your permit? If not a basin, were the sites kept free of vegetation and raked? If not a basin, were there any instances of effluent ponding in or runoff from the sites? If a basin, were there any instances of breakout from the berms? Was the onsite automatically activated standby power source tested and operational? Q Compliant ❑ Non -Compliant ❑� Compliant ❑ Non -Compliant 21 Compliant ❑ Non -Compliant Q Compliant ❑ Non -Compliant 0 Compliant ❑ Non -Compliant If the facility is non -compliant, please explain in the spats 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 PVu4 .k.! IOII. 11140L I auV UUTiaj plj=.gt* rj Operator in Responsible Charge (ORC) Certification Penmittee Certification ORC: Rod Holley Permittee: County of Currituck Certification No.: 1009155 Signing Official: Rod Holley Grade: WW3 Phone Number: 252-232-6065 Signing Officials Title: Wastewater Superintendent Trainee Has the ORC changed since the previous NDAR-2? ❑ Yes ❑ No Phone Number: 252-232-6065 Permit Exp.: 111 OM J_ ",e3/15/21 Ln j P3/15/21 Si assre date Sig4ature 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 ail qualified personnel property 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 know a 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