WQ0000601_Monitoring - 03-2021_20210430 (2)

500 Water Street J-275
w to
Homorrow moves
Jacksonville, FL 32202
0"
[phone]
Fax [phone]
Samuel Ross
[e-mail]
Director Environmental Field Services
April 26, 2021
NC Dept. of Natural Resources
Attn: Information Processing Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Non -Discharge Monitoring Report Submittal
CSX Transportation, Inc. Hamlet
Permit Number WQ0000601
Dear Sir/Madam,
Attached is the completed self -monitoring report for the period ending in March 2021 for our CSX Transportation
facility at the above referenced permitted location.
If you have any comments or questions, please do not hesitate to contact me at [phone].
Attachments
Sincerely,
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FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
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Para�ter Monitoring Point: 0 InflUent Effluent 0 Groundwater Lowering 0 Surface Water
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FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Person(s) Certified Laboratories
Name: Nathan Welch, Arcadis U.S., Inc. Name: TestAmerica
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? m Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and
aescrlDe me corrective acuonts) iaKen. Auacn aaalnonal sneeis Ii necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Michael Gregory
Permittee: CSX Transportation, Inc.
Certification No.: 985463
Signing Official: Samuel Ross
Grade: 2 Phone Number: 910-205-6379
Signing Officials Title: Director Environmental Field Services
Has the ORC changed since the previous NDMR? ❑ Yes to No
Phone Number: Permit Expiration: 7/31/2023
.J / � 0. VNznN
4/26/2021
vl^904-359-3691
4y-=,'4'z „ / . 04/26/2021
Signature
Date
Signature Date
By this signature, I certify that this report is accurate 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 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.

Permit No.: WQ0000601
Facility Name: CSX Transportation Hamlet WWTF
County: Richmond
Month: March
Year: 2021
Did infiltration occur at this
Site Name:
1
Site Name:
2
Site Name:
3
Site Name:
4
Area (acres):
1.01
Area (acres):
1.01
Area (acres):
1.01
Area (acres):
1.01
facility?
m YES ° No
Rate (GPDlft2):
200,000
Rate (GPD/ft2):
200,000
Rate (GPD/ft2):
200,000
Rate (GPD/ft2):
200,000
Freeboard
Site Infiltrated:
° YES ° No
Site Infiltrated:
° YES m No
Site Infiltrated:
° YES No
Site Infiltrated:
° YES ° No
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Year to Date ... .

Permit No.: WQ0000601
Facility Name: CSX Transportation Hamlet W WTF
County: Richmond
Month: March
Year: 2021
Did infiltration occur at
Site Name:
5
Site Name:
Site Name:
Site Name:
Area (acres):
1.01
Area (acres):
Area (acres):
Area (acres):
this facility?
R YFS ° NO
Rate (GPDlft2):
200,000
Rate (GPD/ft2):
Rate (GPD/ft):
Rate (GPDIft2):
Freeboard
Site Infiltrated:
° YES m NO
Site Infiltrated:
° YFS ° NO
Site Infiltrated:
° YES ° NO
Site Infiltrated:
° YES ° NO
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Did the application rates exceed the limits in Attachment B of your permit?
® Compliant
❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked?
❑ Compliant
❑ Non -Compliant
If not a basin, were there any instances of effluent ponds in or runoff from the sites?
❑ Compliant
❑ Non -Compliant
If a basin, were there any instances of breakout from the berms?
m Compliant
❑ Non -Compliant
Was this onsite automatically activated standby power source tested and operational?
® Compliant
❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) was not in compliance.
Provide in your explanation the date(s) of the non-compliance and
aescrloe me corrective action(s) raKen. muacn aaaltional sneers n
Operator in Responsible Charge (ORC) Certification II Permittee Certification
Michael Gregory rermittee: CSX Transportation, Inc.
lCertification No.: 985463 IlSigning Official: Samuel Ross
Grade: 2 Phone Number: 910-205-6379
Has the OR changed since the previous NDAR-2? ❑ Yes ® No
4/26/202
Sig ture Date
By this signature, I certify that this Neportccurat 1mmplete to the best of my knowledge
gning Officials Title: Director Environmental Field Services
'hone Number: 904-359-3691 Permit Expiration: 7/31/2023
_ 4, 04/26/2021
Signature Date
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.