WQ0005426_Monitoring - 02-2022_20220330

Monitoring Report Submittal
........ ......... ......... ......... .........
Permit Number #* WQ0005426
Name of Facility:* Falls Lake SRA - Holly Point WWTF
Month: * February Year: * 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WQ0005426 NDAR NDMR 192.77KB
2022 Feb.pdf
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: * David Mumford
Signature:
Date of submittal: 3/30/2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda

Is the project number correct?* WQ0005426
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Accepted Date: 4/18/2022

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of
Permit No.: rlrrr
- - Holly Point VVWTF County, WakeFebruary
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page -7— of— -�_
Permit No.: Q000
PoiMonth:nt WWTF
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Monitoring Point:■ 0 Effluent ■ croundwater Lowerfngsurrace water
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of /
Sampling Person(s) Certified Laboratories
Name: Jay Nicely Name: Statesville Analytical
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? R] 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. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Vincent Shea
Permittee: Fails Lake SRA
Certification No.: SI 998524
Signing Official: David Murnford
Grade: SI Phone Number: 984-867-8000
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑� Yes No
Phone Number: 984-867-8000 Permit Expiration: 11/30/2026
Signature Date
gnature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I Oerhfy, 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 property 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