WQ0037835_Monitoring - 12-2021_20220405

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0037835
James A. Loughlin ( Northside )
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
SNSWWTP- 267.76KB
Adm22040511220.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Milton Vann
�We;lrew C,?
Reviewer: Gerald, Wanda
4/5/2022
This will be filled in automatically

Is the project number correct?* WQ0037835
Is the monitoring report accepted?* = YeS No
Regional Office* Wilmington
Accepted Date: 4/12/2022

2.3 Government Center Da ive
llmfiaj.�,ton, NC 2840.3
Phone: 91.0 2,,,, 71 u
ill. alju (910),331,,67; 1
WASTEWATER'°'l"'REA"'17M.F.E 'T
January 13, 2022
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
The December 2021 Non -Discharge Monitoring Report (NDMR) for the James A.
Loughlin (Northside) Wastewater Treatment Plant, Reclaimed Water Generation and Bulk
Distribution System (WQ0037835) accompanies.
Should you have any questions, please contact me at [phone].
Sincerely,
Ka-4, 5,
Milton S. Vann, Jr.
Wastewater Treatment Superintendent
lc
Attachments
By E- Mail
cc: Jeff Cermak, NS WWT Plant Supervisor
Tristin Rickabaugh, NS Operations Supervisor
Frank Styers, Assistant Executive Director, CFPUA
Matt Hourihan, Assistant Operation Director, CFPUA
Beth Eckert, Environment Management Director, CFPUA
Carel Vandermeyden, Assistant Executive Director, CFPUA
WWT file

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NOMR) Page 1 of 2

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Person(s) `i Certified Laboratories
i
Name: No sampling conducted, zero gallons of reclaimed water distributed. i� Name:
Name:
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? K Compliant El Non-compiiartt
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not In compllance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
water
Operator In Responsible Charge (ORC) Certification Permittse Certification
ORC: Geoffrey D. Cermak Permittee: Cape Fear Public Utility Authority - Northside WWTP
�i
Certification No.: 27164 1 Signing Official: Milton S. Vann
I
Grade: WW - IV Phone Number: 910-332-6562 i Signing Official's Title: Wastewater Treatment Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes 0 No !i Phone Number: 910-332-6586 Permit Expiration: 2/28/2027
E i
t
nature Date I Signature Date
B this signature, I certify that this r Is accurrate and coin y Ig fry report plate 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 queldled personnel property gathered and evaluated the information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons dire" responsible for
gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete, I am
I' aware that there are significant penaftles 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