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Home My WebLink AboutWQ0019179_Monitoring - 10-2020_20210224FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 2 WQ0019179 of • • • October 1 1 •Field NaDid irrigation occur at this facility? I Area (acres): Cover Crop:! Cover Q Q • •� • Rate 1 • Kate Annual Rate (in): :•... ��i1 •Field Irrigated?Q • :. ..:. • .. •. ■ ■ • Ilium= 21 �®®® �M=M= ®MM M_M __ -_-_ ---- - ___ -_-- © mmo _ E MIM GEM ---- MIM _-_ -_-- m_-_-- MIM GEM --�- ©®_�__---- -_-- -FIFES I-- ��_�__ __-- __- ommo��DOM MM MIMINNIEMS.ONW, INM MM MM ■E WME0 P—.PdpmpMM DOM MIM M M MM -_-- MIM MIM m mm / • __ -___ -_-- 91PAPPiM___ MIM _-- m-_- ___ -_-- mGEM �INMIMM■NIM m o mo IMMI �ME�� ii� �■� � _IEMMMMIMI �� m om o mm �� NEM ME m mmo MI■INMI ISM �MOMMIEM IMMIMMIEM �MMIEM MEMMINM ®E MIMMINMI m omo mm MiMAoM■=INM rMMINM MOMMIEM MM mmmomm �INMIEM ��■� �� ■�� mmmomm ■�■�M ►��■mMM ��MM� �m�■m� momomm M■mrMLAT, ,, M �N■■ � MMI _�� M ■m � MM� ��■ mmmomm �m►�� Mi Mm�MMMM ��MM momomm��INM MIM ��■ mom®�� ■�� ME �� M�� m mm 11 mm ��■�■� �m�� M � ■��MM mo mom m ��M� �� m■�■�mm� ��■ M m mm 11 mm MMIMEM MMMM MM M F M IMM m mmo 1MM1 MM1m■MM ME �■ �mINM mmmoMMIMMIME �■ E ■��GEM GEM 100 ®©mo mm �■MOD� IEMMM■EM M■ MMM FEW "0 Monthl y Loading: th Floatin FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 2 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? (]Compliant ❑Non -Compliant Compliant ❑Non -Compliant DCompliant ❑Non -Compliant [ACompliant ❑Non -Compliant 2Compliant ❑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: Hope Jones Woolard Permittee: City of Washington Certification No.: 1001751 Signing Official: Stephen Adam Waters, II Grade: SI Phone Number: 252-975-9310 Signing Official's Title: Public Works Director Has the ORC changed since the previous NDAR-1? ❑yes E]No Phone Number: 252-975-9332 Permit Exp.: 10/31 /2025 n Signature Date Signature Date By this signature, I certify that this report is accurrale 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 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 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 Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Pagel of 4 Permit No.: •11 19179 • • • October 1 / Flow Measuring Point: [-]Influent ElEffluent L�] No flow generated 0:FTF =tj- ZINg. W.�� • FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 4 Sampling Person(s) Certified Laboratories Name: Name: Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ECompliant ❑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: Hope Jones Woolard Permittee: City Of Washington Certification No.: 1001751 Signing Official: Stephen Adam Waters, II Grade: SI Phone Number: 252-975-9310 Signing Official's Title: Public Works Director Has the ORC changed since the previous NDMR? []Yes ONo Phone Number: 252-975-9332 Permit Expiration: 10/31/2025 ZI 6/ZoL 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 3 of 4 Permit No.: W00019179 Facility Name: Washington WWTP County: Beaufort Month: October Year: 2020 PPI: 002 Flow Measuring Point: ❑Influent ❑Effluent E]No Flow generated Parameter Monitoring Point: ❑Influent EEffluent ❑Groundwater Lowering ❑Surface Water Parameter Code —i wool 0 > Q E c O O y U X 24-hr hrs Gallons 1 2 3 4 5 6 ! 7 , 8 9 �. 10 +�+ 11 ,� 12 13 14 15 16 17 C 18 41 11/11 19 C 20 21 IA I 22 _> 23 24 tp 25 26 a. 27 28 W 29 30 31 Monthly Total: 0.00 Sampling Type: estimate Monthly Limit: Daily Limit: Sample Frequency: Mcft* FEE[ FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 of 4 Sampling Person(s) Certified Laboratories Name: Name: Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑� Compliant ❑Nan -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: Hope Jones Woolard Permittee: City of Washington Certification No.: 1001751 Signing Official: Stephen Adam Waters, II Grade: SI Phone Number: 252-975-9310 Signing Official's Title: Public Works Director Has the ORC changed since the previous NDMR? ❑Yes ❑� No Phone Number: 252-975-9332 Permit Expiration: 10/31/2025 12b)IJ l 2 t 2-02 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 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 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