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HomeMy WebLinkAboutWQ0014046_Monitoring - 04-2021_20210514Monitoring Report Submittal ............................................................................................................................................ Permit Number #* WQ0014046 Name of Facility:* Stovall WWTP Month:* April Report Information Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address:* Name of Submitter:* Signature: Date of submittal: Initial Review Year:* 2021 Upload Document* Stovall WWTP.pdf 2.83MB PDF= Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59). mmvvaterservices@yahoo.com Dale Mathews 6W� 6/ a4fiWItt Reviewer: Williams, Kendall N 5/14/2021 This will be filled in automatically Is the project number correct? * WQ0014046 Is the monitoring report r Yes r No accepted?* Regional Office * Raleigh Accepted Date: 5/14/2021 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Certified Laboratories Name: Dale Mathews Name: Meritech Name: Andy Mathews Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Mcompliant 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. I WASTEWATER SAMPL SAMPLES COLLECTED ON Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Andy Mathews Permittee: Town Of Stovall Certification No.: 993132 Signing Official: Janet Parrott Grade: SI Phone Number: 919-939-0232 Signing Official's Title: Mayor Has the changed since the previous NDMR? Qves E]No Phone Nu er: 919-693-4646 Permit Expiration: 10/31/26 oulAvWa ``')1 � � 14 1 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 mane the system, or those personas 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 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of 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? RCompliant Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 11 Compliant Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? RCompliant Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? Rcompliant nNon-Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑i Compliant DNorrcompliant 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 necessarv. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Andy Mathews Permittee: Town Of Stovall Certification No.: 993132 Signing Official: Janet Parrott Grade: Sl Phone Number: 919-939-0232 Signing Official's Title: Mayor Has th C changed since the previous NDARA? IDYes E]No Phone Number: 919-693-4646 Permit Exp.: 10/31/26 ,Li ► >, fz, 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