WQ0014046_Monitoring - 01-2022_20220301

Monitoring Report Submittal
........ ......... ......... ......... .........
Permit Number #* WQ0014046
Name of Facility:* Stovall WWTF
Month: * January Year: * 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Stovall WWTF .pdf 2.85MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter: * Dale Mathews
Signature:
Date of submittal: 3/1/2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda

Is the project number correct?* WQ0014046
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Accepted Date:
4/11 /2022

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? El 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 action(s) taken.
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 Officials Title: Mayor
Has the C changed since the previous NDMR? Elves r_1No
Phone Number: 919-693-4646 Permit Expiration: 10/31/26
1
1
a
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 thane 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?
FDCompliant
RNon-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
ElCompliant
RNonrCompliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
ElCompliant0Nont-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
�i Compliant
FlNorrCompliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
ElCompliant
RNarCompliant
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 noncompliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
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 QRC changed since the previous NDAR-1? �, Yes E]No
Phone Number: 919-693-4646 Permit Exp.: 10/31/26
112— 2—
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the hest 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