WQ0000948_Monitoring - 01-2021_20210304

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of
Permit No:WQ0000948 _._ Facility Name: Town of Jackson WWTF County: Northampton Month' pNUi�R Year:
PPit 001 Flow Measuring Point: (]?rfiuent QE'fiuent (,_)\o flow generated Parameter Monitoring Point: ❑ln8+,e"= P'lcffluern ❑Grouedwate: Lowering []Surface Water
Parameter Code —►
60060
00310
00940
50060
31616
00610
00626
00620
00600
00400
00665 i 70300
00630
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o
2
to
0
3
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2
C
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a
0
oE
Q
o
>
O
O
ma
vC
0
t-CL
24-hr
hrs
GPD
mg/L
mg/L
mg/L
#11100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
2
3
,
4
[00
0.11
CAP
6
14JQ
0,06
6
1455
0.09
_
7
15
.D
,8
S
v.o�
,0
,
8
5 5
.off
o
9
Y
70
10
, 1g,
15
7o
11
,1
,1>
•5
l
121600
0-09,
—
13
[ 'o
Q, og
.19
,
,
14
16CQ
p,0
.
.0
1s
f
, r
16
17
,
.I
18
1
I
0
19
,
201
li 5
j). j) j
IC/
99
21115,25
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=
./
22
150o
e, o
. 1
r <{-
. 0
23
.1.5
24
.
, o
261100
26
, Q
27
It000
0, D
28
O S
. epR
29
.
o
30
• 7
s
,
31
7.0
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Recorder Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Gray
Grab
Monthly Limit:
203,000
Daily Limit:
—
SampleFrequency:
Continuous: 1Jbo y LL
3XYea- De- Eve-: MonNy Vn`^y
blon_^ly
vow^y
I` Mon:^ly Pe•cve^:
Mon:Ay 3Y,Yea-
Mon:^ly�_ i��

FORM: NDNiR 03-,12 NON-DISCI.8f RGE MONITnl?WO REPORT (NDiU R) Page 1 of 1
r sampling Person(s) Certified Laboratories
Name: Johnny Young Name: Fnviromnent 1, Inc. Greenville, N C
Name; Name:
....•...,....�...........,....e,..,.,,�....,,r�,..m,..v...T,.,.,.��.,..�....,...,,.�„>..wr,..,.,•,,,.�.m..nx,,,.......,,,,,.�..,..Mm,�.....,....,..�,w,,.M.,,w.a,..�..,..-�,..,..,..wm..,..<,�q.z.�.,..:...u.......,,..,,�.,�.,.a.�m
Does c110 m e noto-ring ck- :n and rnr set u a veopnocamants, On AftmcCr rnoo-AA gnu yofi ' (irfi- raft? Cl compliant �> ion comnnan�
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.
dkAo-r'�� L't, d Ca .� c S f � '�t ' —C*C+ IZ
lu
Operator in Responsible Charge (ORC:) COrtifiaoolon
ORC: Johnny Young
Certification No.: 23129
Go -ado: 'j Collection Phoile Number: 252-534-3811
Was the ORC changed shack the tnlrevious NDMII? ❑ Yes }A No
Permittee Certification
Perlrlittee: Town of Jackson
Signing official: Jason S. Morris
Signing OPICial's Title: Mayor
Phone number: 252 534-3811
Permit irxpiratiow /dZ - 31-)-1
Date Signature Date
By this signature, ) tartly flier this re la aaasrate and complain to ilia best of my Iutowiedtlo• /1"lify, under ponalty of law, flint this documanl and all altacinnents were prepared under my direction or supomision in
accordance wllh a system designed to nssuro flint all qualified personnel propody gathered and evaluated Ilia Iniormation
submluod. Based on my Inquiry of the parson or persons vAlo monogo tiro system, or (linen persons directly rooponaiblo for
galhadng Ilno Information, Ilia Information submitted is, to the best of my Immiludgo and belief, true, accurate, and complete. 1 ore
aware (hat there are algnigcenl penalties for submitting false informolion, Including Ilia possiblilly of lines and Imprisonment for
finowing violations.
Mani Original and Two Copies to:
Division of Water Qualify
InVormation Processing Unit
•16.17 Mail Service Center
t?aleigh, Morili Carolina 27699-16*17

FORM: NDAR-1 05 1fi NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of
Permitw•I• •4: .Facility
Name: Town off Jackson•unty:
Northampton
Did irrigation occur
at this facility?
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of f
, mar
Permit No.: WQ0000948
Facility Name: Town ol Jackson WWTF
County: Northampton
Month:1-r
AM
Did irrigation
Field NameT
occur
at this facility.
Cover Crop:
Hourly Rate (in).
MUMPETTV41 in, 31
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