WQ0033589_Monitoring - 01-2022_20220407

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * January
Report Information
WQ0033589
JENNETTE'S PIER WWTP
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
JEN JAN 2022 NDMR.pdf 9.7MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
IRVIN W EDWARDS
�. r s
Reviewer: Gerald, Wanda
4/7/2022
This will be filled in automatically

Is the project number correct?* WQ0033589
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date:
4/25/2022

FORM: NDMR 05-16 NON -DISCHARGE MONITO INN REPORT (NDMR) Page of

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDNR) Page _ of
MMEMMU=
7M "11111-130114,71 R1109012 i.
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: IRVIN W EDWARDS JR Permittee, NC kQUARIUMS JENNETTE'S PIER
Certification No.: 9337 Signing Official: MICHAEL P REMIGE
Grade: Phone Number: 252-475-0350 Signing Official's Title. GENERAL MANAGER
Has the ORC changed since the pKevious NDMR? 0 Yes o No Phone Number: 252-256-1501 Permit Expiration: 2/29/2024
2/21/2022 2/2112022
Signature Date Sig Lure 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, hat 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 inquiryDfthe person or persons who manage the system, or those persons directly responsible far
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 pinalfies 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
116117 Mail Service Center

.!!R6 NON -DISCHARGE APPLICATION REPORT Page Of
Did the application rates exceed the limits in Attachment B of your permit?
compliant
❑ Non -Compliant
If not a basin, were the situ kept free of vegetation and raked?
Compliant
0 Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
dCompliant
❑ Non -Compliant
If a basin, were there any instances of breakout from the berms?
dCompliant
❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational?
eCompliant
❑ 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 (o c) Certification Permittee certification
OR : IRVIN W E WARDS JD Permittee: NC AQUARIUMS JENNETTE"S PIE
Certification No.: 9337 Signing Official: MICHAEL P REMIGE
Gracie: 4 Phan Number, 252475-03 0 Signing Official's Title: GENERALMANAGER
Has the DRC changed si he previous NDAR-2? Cl Yes IZ) No Phone Number: 252-256-1501 Permit Exp.: 2/29/24
r 2/21 /22
2/21/22 `` ,
Signature Date 64ignature 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 thatall 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.
Division of Water Resources
Information Processing