WQ0000948_Monitoring - 02-2021_20210331

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of
Permit No.: W0000094E
Facility Name: Town of Jackson WWTF
County: Northampton
Month:
-i,1aRUARI)
Year:
PPI: 001
Flow Measuring Point: ❑!nfiuent j 'fi;;en; __J\c flew geoe,ated
Parameter Monitoring Point: ❑infl,;e^: [E; I(iuent _IGrourdwater '_owe -mg r5urrace water
Parameter Code
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665 i 70300
00530
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mg/L
mg/L
mg/L
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Average:
Daily Maximum:
,
Daily Minimum:
Sampling Type:
Recorde- G-ab
Grab
Gran
Grab
Graf
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Grab
! Grab
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Grab
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Monthly Limit:
203,000
Daily Limit:_
Sample Frequency:
Continuous Vo^'- y
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Vlon:^ly Pe- Eve-.
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* ` FORK NDMR 03-12 NOPI-DISCHARGE MONITORING REPOR i (NDMR) Page 1 of 1
r Sampling Person(s)
Hamm Johnny Young Masse: Environment 1, Inc.
Name: I Marne:
Certified Laboratories
Greenville, N C
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Does -198 rr�nonitrorring �-li:n and sampling'Wroa.aerencies meet the �°��,enla , wit �io�� in AMA-'-:Idlrrrraosly A 'D your C3er airdt? El Compliant .4on Can,pnant
if tile 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
arlinni-I taken. Attach additional sheets If necessary.
a-A.r 34.1
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Operator in Responsible Charge (ORC) Certification
ORC: Johnny Young
Certification No.: 23129
Grade: 1 Collection Phone Number: 252-534-3811
Has the ORC changed since the previous MOMR7 ❑ Yes U No
Permittes Certification
Perrnittee: Town of Jackson
Signing Official: Jason S. Morris
Signing Offtciat's Title: Mayor
Phone Number: 252 534 3811
Permit Es:plration:
(gnat re Date Signature Date
By this signeltrre, I corlif al this report Is accurrale and complete to the best of my hoowiedgo. I certify, under penalty of law, that this document and all altochments were prepared under my direction or supervision in
accordance with a system designed to assure that ail qualified personnel property gathered and evaluated Ilia Information
subrAillad, eased on my inquiry of the parson or parsons who manage Ilia syalom, or those parson directly rosponslbio for
gathering Ilia information, ilia Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. 1 am
aware that there are significant penalties for submitting false Information, including Ilia possibility of fines and Imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
•16.17 Mail Service Center
Raleigh, North Carolina 27699-96'17

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ! of_//
Permit No.: Ww000••:
•n VVWTF
County: Northampton
• irrigation occurN
:.
le[7--
/Area
(acres).
at this facility?
4YES EINO
Hourly Rate (in):
Annual Rate (in):,
-
Annual Rate (in):
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Irrigated?
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of�_
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.unty: Northampton
=73• aSaL�
Did irrigation
Field -
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occur
Area (acres):
at this facility?
Cover Crop: 1
Cover Crop:
Hourly Rate (in):'
Hourly Rate (in):�
Hourly Rate (in):
R®
Field Irrigated
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12 • • • •-

-FORM: NDAR-1 09-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 1
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?
❑ Compliant Eton -Compliant
❑ Compliant 0"Non-Compliant
�Compbnt ❑ Nan -Compliant
0-C.-pliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑ Compliant GNon-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.
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moo°©►fJ G4� er�>J d ts�ttor.J40tic si �cY /g•�L pa �c�ss ycfD� c� , rr�w�J�a�
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: Johnny G - Young
Permittee: Town of Jackson
Certification No.: 2 312 9
Signing Official: Jason S. Morris
Graded collection Phone Number: 2 5 2— 5 3 4— 3 81 1
Signing Official's Title: Mayor
Has the ORC changed since the previous NDAR-1? ❑ Yes LNI No
Phone Number: 2 5 2 - 5 3 4 - 3 811 Permit Exp.: 12-31— V
J'Z Z
Sig a e Date
Signature Date
By this signature, I certify that this report is accurrate and complete to lire best of my knowledge.
I eeriffy, der 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617