WQ0031246_Monitoring - 03-2021_20210517

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0031246
Name of Facility:*
Month:* March
Report Information
Riversound WWTP
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Riversound Binder.pdf 770.14KB
FDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Rebecca Manning
Reviewer: Williams, Kendall N
5/17/2021
This will be filled in automatically

Is the project number correct? * WQ0031246
Is the monitoring report r Yes r No
accepted?*
Regional Office * Washington
Accepted Date: 5/17/2021

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0031246
Facility Name: Riversound WWTP
County: Chowan
Month: March
Flow Measuring •. ■ Influent ■ Effluent ■ .flowgenerated
Parameter Monitoring •. ■Influent ■Effluent ■ Groundwater ■Surface Water
•.
0---------------

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0031246
Facility Name: Riversound WWTP
County: Chowan
Month: March
Flow Measuring Point: Ll Influent Effluent No flow generated
Parameter Monitoring Point: Influent Effluent Groundwater Lowering Surface Water
•.
0---------------

FORM: NDMR 03-'12
IM9
Mi
Sampling Person(s)
Name:
Name:
NON -DISCHARGE MONITORING REPORT (NDMR)
Name:
Certified Laboratories
Page of
11 Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant ❑ Non -Con
If the facility Is non -compliant, please explain in the space below the reason(s) the facility was not In compliance. Provide In your explanatlon the date(s) of the non-compliance and describe the cot
action(s) taken. Attach additional sheets if necossaT.
// Operator In Responsible Charge (ORC) Certification
ORC: 8061k -•4[ C
Certification No.: Q Oq
Gdb
Phone Number: l �'rae: /
es ❑ No
Has the ORC changed since the previous NDMR?
<
p1 ovvn - -e evA- _ r v ; v-r-) I v1
Permittee Certification
Permittee: RlversOurld POA
Signing Official: Rebecca Manning
Signing Official's Title: Compliance Coordinator
I
Phone Number: 984-365-9155 Permit Expiration: 6/30/2016
5/17/2021
Date Signature DE
Signature
By this signature, I certify that this report is accurrale and complete to the bust of my knowledge I. cerlify, Linder with a system designed to assure that all qualified perlty of law, that this document and lsontnel properly gatheredachments were red and evaluated under my dtheinformati n submilb
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the in
Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete, I am avrare that there
penalties for submitting false information, including the possibility of fines and imprisonment for knownng violal
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center

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161
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FORM: NDAR-2 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Dici the application rates exceed the limits in Attachment B of your permit? Ipllant ❑Nen-Compliant
/ACom
If not a basin, were the sites kept free of vegetation and raked?ompllant ❑ Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? V I Compliant ❑ Non Compliant
If a basin, were there any instances of breakout from the berms? r�I-pllant ❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational? ]ti(I , 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
actlon(s) taken, Attach additional
sheets if
necessary. I
NQ �� s J L,) eAs jJj l'..! e v�'� G.TL- -- vcf4-, �h�! 1� 1 1 Y\�C ; n Go r-+a c+ L ,% N A-L,
Operator in Responsible Charge (ORC) Certification
ORC: plbouk 0
Certification No.: 1 (5QG 7IF
Grade: ;1) Phone Number: q 1 ✓( — �� v
cs
Has the ORC changed since the previntts NDAR-27 El No
I
Date
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: Riversound PCIA
Signing Offlclal: Rebecca Manning
Signing Officials Title: Compliance Coordinator
Phone Number: 984-365-9155
Signature
Permit Exp.: 6/30/2016
5/17/2021
Date
I certify, under penally of law, that this document and all attachments were prepared under my direction or supervision in accordaricr!
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiryof the person or persons who manage the system, or those persons directly responsible for gathering the information, thr!
informallon submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significai i
penalties for submitting false informallon, 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